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KwaZulu Natal Province URC Annual Meeting 13-17 December 2010

KwaZulu Natal Province URC Annual Meeting 13-17 December 2010. Provincial Coordinators: Mrs. P Harrison Mrs. M Ngema Mrs. V Mbatha. HCI Facilities. Level support provided. Key Activities. Health Systems Strengthening

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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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