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    • The SA SURE Plus project strengthens and supports capacity to provide sustainable HIV and TB-related care and treatment in South Africa through training, mentoring, coaching and direct service delivery. Currently, the project deploys over 300 staff members to support seven districts (including over 600 facilities) spread over three provinces (Eastern Cape, Free State and KwaZulu-Natal).

      The project focuses primarily on strengthening of health systems in the areas of Ideal Clinic Realisation and maintenance, change management within the 90-90-90 initiative, expanding the rollout of alternative access to chronic medication (CCMDD) and supporting Universal Test and Treat (UTT) initiatives in the supported districts, including two hosting the DREAMS project.

      The approach is focused on sustainable capacity development at the lowest level within the district health system. This will not only integrate national health priority actions such as 90-90-90, Primary Health Care Re-Engineering, National Health Insurance, the National Core Standards and the Ideal Clinics initiative but also focus on improving the quality of care.

      The activities are accompanied by a monitoring and evaluation framework to track changes in service delivery and monitor and evaluate the impact of the project interventions. This approach allows the project to adapt, improve and innovate and also includes support for the implementation of Integrated TIER.NET and WEB DHIS.