Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 9382
Country/Region: South Africa
Year: 2008
Main Partner: University of Limpopo
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $250,000

Funding for Health Systems Strengthening (OHSS): $250,000

SUMMARY:

MEDUNSA will work in collaboration with CDC to conduct a training needs assessment and take stock of

training and skills transfer that have been implemented to date under the USG South Africa PEPFAR

program.

BACKGROUND:

USING FY 2007 funding, MENDUSA will work with CDC, South Africa to conduct a training assessment.

The objectives of the assessment include auditing the training programs funded by CDC, assessing the

extent to which the training has impacted on service delivery, and assessing the extent to which task-

shifting has occurred from higher to lower levels of workers because of training. The assessment will be

conducted in all nine provinces of South Africa. The target population for this activity is USG staff and USG

staff in country, as the finding of the assessment will be used to provide input into training programs being

implemented by partners and will help direct future funding in the area of human capacity building. The

primary emphasis are for this activity is local organization capacity building, strategic information and a

minor emphasis area is training with a focus on task shifting.

ACTIVITIES AND EXPECTED RESULTS

ACTIVITY 1: AUDITING TRAINING

Using FY 2007funding, MEDUNSA will conduct an audit of all PEPAR funded training. The assessment will

be initiated with organizations implementing training for community health care workers and lay counselors.

MEDUNSA will contact PEPFAR partners to solicit information on their training programs and will develop a

catalogue of training being offered through the PEPFAR program. This catalogue will enable USG to

identify gaps in training activities for community health care workers and lay counselors as well as

duplication of efforts. The catalogue will be used to strengthen the PEPFAR programs in the area of

training for this cadre of health care workers.

Activity 2: ASSESSING THE EXTENT TO WHICH TRAINING HAS IMPACTED SERVICE DELIVRY

Based on the finding of the training audit, MEDUNSA will conduct formative work looking at the impact of

training on service delivery. To do this, they will work with health facilities to determine what the training

needs are and assess whether the training being implemented by partner organizations addresses this

need. This will be done by examining training curriculum and comparing what is in the training to the

training needs of the health facilities for community health care workers and lay counselors.

Activity 3: BASIC PROGRAM EVALUATION

Medunsa will conduct a Basic Program Evaluation of the Home-based Care programs support by CDC with

PEPFAR funds in South Africa. The aims of the program evaluation are as follows evaluate the training

received by home-based carers supported by our partners in terms of quality of training, methods of

training, training curriculum used, mentoring of carers to implement the skills they have learnt. Evaluate to

what extent task shifting has taken place from nurses at primary health care clinics to home based carers.

Evaluation of the tasks carried out by home based carers supported by our partners

This activity contributes to PEPFAR 2-7-10 goals and objectives by strengthening human capacity

development.