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FP Netshipale, Dr JF Aguilera PDPHC Programme (EU funded Programme)

Monitoring and Evaluating Partnerships Between NPOs and the DOH for the Delivery of Primary Health Care in South Africa. FP Netshipale, Dr JF Aguilera PDPHC Programme (EU funded Programme) Department of Health, South Africa. NPOs PHC delivery in SA.

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FP Netshipale, Dr JF Aguilera PDPHC Programme (EU funded Programme)

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  1. Monitoring and Evaluating Partnerships Between NPOs and the DOH for the Delivery of Primary Health Care in South Africa. FP Netshipale, Dr JF Aguilera PDPHC Programme (EU funded Programme) Department of Health, South Africa

  2. NPOs PHC delivery in SA • Often hampered by poor NPO management, coordination and lack of skills • Poor norms and standards for NPO’s • Lack of • proper coordination by departments • M&E, quality assessment and measure of service delivered • sustainable funding for NPOs • employment opportunities in certain areas

  3. Partnerships for Delivery of PHC • Six-year programme, started April 2003 • Developed by the EU in collaboration with the SA Government • The total grant is 50 million euros • Operational in 16 districts in 5 provinces

  4. Overall Objective To provide more accessible and affordable quality PHC for the poorest communities in SA

  5. Specific Objectives • To strengthen cooperation between NPO’s & GVT • To create formalized partnerships for the delivery of PHC • To train NPOs and DOH staff • To monitor and evaluate PHC services delivered to the community

  6. Methods • Selected NPOs delivering PHC are contracted and funded • National, provincial and district management units support: • Institutional and management strengthening • Staff and caregivers accredited training • Implementation of an M&E system integrated into the national District Health Information System • Operational Research

  7. Methods: M&E Components • Annual M&E workplan, aligned with programme workplan • Routine data collection • PHC Data collection tools and guidelines • Programme activities (Gantt’s charts) • Periodic data collection • NPO organizational information • NPO supervision manual (in preparation) • Baseline studies • Impact study (in preparation) • Ad hoc research

  8. ResultsNo. of NPOs funded, by Province

  9. Service Delivery

  10. HBC

  11. TB

  12. OVC

  13. Monthly No. of OVCs Supported, 2006 7 000 6 126 6 060 6 000 4 808 5 000 4 000 3 000 1 964 2 000 1 308 1 150 977 851 1 000 509 0 0 0 0 JAN FEB MAR APR MAY JUN JUL AUG SEPT OCT NOV DEC

  14. Monthly No. of household visits to OVCs, 2006 7 000 5 949 5 767 6 000 5 459 4 853 5 000 3 822 4 000 2 867 3 000 2 392 1 898 2 000 1 179 1 000 0 0 0 0 JAN FEB MAR APR MAY JUN JUL AUG SEPT OCT NOV DEC

  15. Services to OVCs, 2006

  16. Health Promotion

  17. HP Activities, 2006

  18. VCT

  19. Conclusions • Mainly monitoring activities implemented • Service delivery • Organizational NPO data • Evaluation tools are being developed • Quality assessment • Impact study • Cost-effectiveness of the programme remains to be demonstrated

  20. Way Forward • Extension to the whole country • Strengthen M&E skills in NPOs and DOH staff • Integration of data into the District Health Information System • Assess and ensure quality of service provided

  21. Thank You

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