Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 9491
Country/Region: South Africa
Year: 2012
Main Partner: Walter Sisulu University
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $1,000,000

The Regional Training Centre (RTC) is a project by Walter Sisulu University to support the Eastern Cape Department of Health (ECDOH).The goals and objectives are to provide Institutional and human capacity development to achieve quality HIV, AIDS and related co-morbidities prevention; care and treatment; through training as per the NSP and USG-SAG Partnership Framework.The ECRTC will collaborate with NDOH and other provincial DOH to impart experience and best practices in RTC operations to others. COP12 funds will be used for systems strengthening to support the ECRTC; assessing skill needs, develop accredited training modules and care protocols for different categories and in-service training with on-going on-site mentoring of health care workers based on NDOH guidelines to strengthen HAART expansion, NIMART, PMTCT services; MMC; HIV & TB; Strengthen data quality and systematize data collection and reporting; IMCI training and early initiation of children on ART at PHC level. The have also been mandated to coordinate and eliminate duplicative training curricula.ECRTC activities are based at the Mthatha, Port Elizabeth, and East London satellites with each of the three sites established learning network in the area enabling clinical training and performance improvement providing a wide cover reaching HCW including in PHC facilities for the whole of the Eastern Cape Province. RTC has a strategy of outreach learning support to clustered facilities to minimize cost of travel and accommodation of participants. PEPFAR funding compliments SAG conditional grant with plans to increase the proportion of SAG grant. M&E is based on provincial and district plans and training indicator targets.Purchased vehicles = 9; No new vehicles for FY 2012.

Funding for Health Systems Strengthening (OHSS): $1,000,000

ECRTC will be increasing human capacity through targeted centralized didactic sessions, demonstration of optimal Highly-Active Antiretroviral Treatment (HAART) and care for adults and regular facilitation of 15 learning network sites throughout the Eastern Cape Province. Each network site will be a learning hub for a cluster of about 20 health facilities who will meet at least two days every month for mentoring. For each visit there will be an ECRTC team comprising of a Doctor, Training Coordinator and Nurse Clinician supported by a Pharmacist and Laboratory Technologist. During this period the team supports the facility managers to initially evaluate the HAART service case review and care evaluation identifying needs and providing targeted didactic training, ongoing mentoring support and coaching using standardized HAART guidelines and application of improvement methodologies. ECRTC objectives will be to support primary care sites and capacitating all levels of care to prepare for initiation and management of HAART patients through training on guidelines, skills development and systems strengthening. A total of 2880 Health Care Workers (HCW) [1200 will be attributed to PEPFAR funding] from at least 200 health facilities will be trained through 26 didactic training sessions administered by the three ECRTC training sites to provide HAART services in 2012.A total of 570 healthcare professionals (240 attributed to PEPFAR funding) will be trained by the three ECRTC training sites to provide PMTCT services in 2012.A total of 1380 (a total of 900 will be attributed to PEPFAR funding) healthcare professionals will be trained by the three ECRTC training sites to provide Palliative Care in 2012.A total of 720 healthcare professionals will be trained by the ECRTC to provide TB/HIV Integrated Care.More than 500 nurses and mentors from at least 200 facilities will be trained and provided with ongoing learning support which includes monthly case analysis and routine telephone consultation.Protocol in development to conduct Basic Care Package program evaluation to assess program for patient education and retention in wellness programs pre-HAART initiation, will conduct evaluation during 2012.

Cross Cutting Budget Categories and Known Amounts Total: $1,000,000
Human Resources for Health $1,000,000
Key Issues Identified in Mechanism
enumerations.Impact/End-of-Program Evaluation