The Value of Partnership in

delivering PMTCT services

Mrs. Susan Kekana

Date: 23 October 2012

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)

Signing of first MoU

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

Political Leadership

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!!

District team

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

Completed Infrastructure

Outcome … Value

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Comes down to…Leadership

Political, DoH Partners, Funders and Community

Success recognised internationally

• Conferences

– Vienna, 2010

– Washington, PMTCT Plenary Session, 2012

Implementers

Conclusion

“IF YOU ARE AFRAID OF NOISE YOU WILL NEVER EVER BE ABLE TO GOVERN”

Tito Mboweni.

Acknowledgements

• National and Provincial Departments of Health

• District and Sub-district

• Local Government

• Anova Health Institute

• HIVSA and PHRU

• CBOs, NGOs and Partners

• USAID and PEPFAR