Outline
• Highlights and Background
• The Soweto Programme
• What works in partnerships
• How we did it
• Outcomes/value
• Conferences
• Conclusion
• Acknowledgements
HIGHLIGHTS and BACKROUND
How the partnership started… • In 2001, two sites were established
– J Dumane/Natalspruit hospital, Kalafong/PTA.
• National had no trainers to implement • Contact experts and friends when challenges arose
– Prof McIntyre and Prof Gray supported training
• Supported the MEC health, as technical advisors, forming Gauteng PMTCT technical team – Profs Coovadia, Molokoane, Saloojee
• No MoU’s!!!
HIGHLIGHTS and BACKROUND cont
• Four sister Provinces (FS, NW, LP and MP) flocked to Gauteng asking for support, some borrowed tins of milk, test kits etc.
• In May 2001, Sowetan newspaper, the Premier Mbhazima Tshilowa boasted about the implementation of the PMTCT at J Dumane and Natalspruit Hospital in Gauteng and the value of partnerships
Soweto Programme
• Started in 2001
• Worked in 13 PHC clinics and Chris Hani Baragwanath Hospital (Region D).
• Premier MbazimaTshiluwa requested support from NGO partners.
• MoU was signed 14th December 2006 (first)
What works in partnerships
• Leadership (Province, District and Local Govt) Sub Districts e.g. informal settlement Political involvement, community/CBO’s/NGO’s • Communication /coordination • Support /Trust /Innovate (Anova values) • Capacity: multiskilled staff, subject experts, training,
infrastructure development, equipment, accessible IEC materials, M&E and reporting.
• Motivation and Passion • Budget
How we did it • Visited to Soweto with Prof McIntyre
• Established District team
• Established Tirisanong “working together” unit (managers and support staff), 90/10 Tirisanong team/partnership with managers (capitalized on each others skills, created atmosphere suitable for working, put plans together)
• Joint needs assessment with facility managers.
• Presented plan (and how it fitted into the District plan & guidelines)
• Budget (Province/District , GSS)
– e.g. support letter to train, purchase drugs, equipment and IEC.
• District and Tirisanong partnership highly successful!!
What we assessed in the facilities
• HR &Training (skills audit) at facilities – Training/training equipments/projectors, IEC (Masivikele abantwana
pamphlets/posters) etc.
• Infrastructure e.g. HIV counselling rooms • Equipment
– HB meters, haemacures, drug cupboards, etc
• Development of systems – Referrals (SOP then train District/LG) laboratory (sms bundles, follow
up) transport etc
• M&E • Reporting
– Regular feedback, sorting out challenges together, feedback to Province
Success recognised internationally
• Conferences
– Vienna, 2010
– Washington, PMTCT Plenary Session, 2012