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KwaZulu Natal Province URC Annual Meeting 13-17 December 2010

This meeting in KwaZulu Natal Province focused on health systems strengthening, mentoring, training, data management, and monitoring. Key results and challenges were discussed, along with planned activities for the following year.

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KwaZulu Natal Province URC Annual Meeting 13-17 December 2010

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  1. KwaZulu Natal ProvinceURC Annual Meeting 13-17 December 2010 Provincial Coordinators: Mrs. P Harrison Mrs. M Ngema Mrs. V Mbatha

  2. HCI Facilities

  3. Level support provided

  4. Key Activities • Health Systems Strengthening • Provide on going on site mentoring and coaching. • Training • Provide QA/QI training to all supported facilities in all HIV and AIDS programme. • Data management • Capacitate staff in Data analysis and management • Monitoring • 70% of all DOH facilities in district supported by HCI, therefore we utilize the district targets to assess progress.

  5. Key Results: PMTCT services: FY10 70% facilities have measures against district targets

  6. Key Results – TB services, FY10:

  7. Key Results: Quality Assurance, FY10

  8. HCT services in Kwa-Zulu Natal, FY09-10Data for 31 facilities HCT Campaign New Facilities added

  9. HCT services: Performance vs. Targets, FY10

  10. PMTCT: ANC tested for HIV, FY10 Data for 31 facilities

  11. PMTCT: Performance vs. Targets, FY10Data for 31 Facilities

  12. PMTCT: Transmission rate at six weeks, FY 08-10 Data for 31 facilities Transmission rate: 23% 4.9% 1.4% 5.5% 4.5% 5% 7.2% 2.8% Proportion of HIV-exposed babies tested: 51% 46% 42% 54% 54% 50% 44% 59%

  13. PMTCT: Compliance with guidelines, FY 09/10 220 records audited per quarter. Data for 10 facilities performing deliveries

  14. HIV/TB: TB patients offered HCT, FY 2008/10Data for 31 facilities

  15. HIV/TB: HIV clients screened for TB, FY09/10Data for 31 facilities %HIV+ clients screened for TB: 102% 91% 86% 96% %HIVTB clients started on TB treatment: >100% 108% 97% 100%

  16. HIV/TB: Performance vs. Targets, FY10Data for 31 facilities

  17. ARV services: HIV + patients on ART, FY10(9 facilities of which 4 were dropped at the end of last quarter)

  18. Key Challenges: • District Management • Need to strengthen ties with the district • Human Resource • Lack of skilled personnel • Staff rotation and shortage • Data Management • Poor recording and reporting • Infrastructure • Poor infrastructure • Medicine and other stock out (Bactrim, INH, milk, food supplements)

  19. Key Successes • Male circumcision campaign -1734 male circumcised since April 2010 through this initiative. • Institutionalization of QA at all facilities • Significant improvements in supported programs • Establishment of PHC level ART services • Strengthened linkages between community, clinic and hospital levels • Absorption of 4 ART( Roving teams) by the district

  20. Planned Activities for FY11 1.1 Conduct eight QA trainings for staff at Uthungulu District. 1.2. Contribution to the MDG 4, 5 & 6 • MDG 4 : Reducing child mortality by: - Strengthening PMTCT services - Continuous monitoring of the programme. - Ensuring the availability of the latest guidelines. - Monitoring compliance to the guidelines - Strengthen IMCI training for both HCWs & CHWs

  21. Planned Activities for FY11 • MDG 5 : Improve Maternal Health - Reproductive health/ Family planning - Promote HIV testing for all clients attending ANC - Encourage early antenatal booking before 12 weeks of gestation. - Strengthen initiation of HIV +ve ANC clients with CD4 count < 350 on HAART - Promote cervical cancer screening to all vulnerable clients. • MDG 6 : Combat HIV/AIDS, TB & other diseases - Strengthen collaboration of HIV/TB services - Strengthen CPT & IPT initiation to HIV+ve clients as per protocol.

  22. Planned Activities for FY11 • 18 Priority districts • Uthungulu District is not among the 18 priority districts but, it does offer • relevant support for clients that are referred from other districts plus those • that cross boundaries. • 3. Ministerial priorities. • Strengthen HCT implementation at facilities. • Strengthen CCMT approach. • Scale up MMC universal access. • Strengthen implementation of the new PMTCT guidelines. • Strengthen 6 ministerial priorities. • 4. TB risk assessments and IPC Plan. • Expand implementation of IPC plans and TB risk assessment in all supported facilities.

  23. Thank you

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