Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 9490
Country/Region: South Africa
Year: 2012
Main Partner: University of Pretoria
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $255,025

The Child Healthcare Problem Identification Programme (ChIP) is a University of Pretoria mortality review program for monitoring the quality of PMTCT service delivery, quality of care for children in hospitals, and the impact of HIV, TB, malnutrition, diarrhoea and pneumonia. It includes the following activities: 1: Sustaining ChIP sites (in partnership with SAG NDOH/PDOH); 2: Saving Children Reports (reported to healthcare workers and DOH); 3: Strengthening Linkages between ChIP and PPIP (perinatal program); 4: ChiP Technical Task Team (provincial training and liaising with MCWH); 5: Provincial ChIP Workshops (training and data analysis). ChIP contributes to the goals and objectives of the PF, the NSP and NSDA, through monitoring, analysis and review of child deaths, to reduce child mortality, and strengthening the use of data to inform planning, policy and decision making for improved quality of care strategies. In the long term, institutionalizing child and perinatal death review will make a significant contribution toward reduced childhood mortality from HIV, TB and other causes, as well as providing feedback for PMTCT and ART roll out programs. Currently ChIP is used in about one-third of SA hospitals, covering all nine provinces, and in 32 of the 51 districts with hospitals. ChIP trains healthcare workers and increasingly the cost of training is being covered by the provincial DOH. The NDOH is strongly supportive of the program and recommends that ChIP become the mortality audit tool used in all hospitals, as there is currently no other tool in general use. In this way, full transitioning and institutional ownership is assured. No vehicles are funded by PEPFAR.

Funding for Strategic Information (HVSI): $255,025

UP will focuson sustaining current 114 Child PIP sites across South Africa. . The ChIP scale-up has surpassed the original target of 80 functioning sites. The target for 2012 is to have 114 ChIP sites submitting complete data to the National Database. New equipment such as computers will need to be purchased to replace the aging ones. All sites will be evaluated annually to assess quality and sustainability, and to ensure that ChIP improves quality. The project works closely with the NDOH and PDOH In addition, UP supports Saving Children Reports. Since 2004, an annual Saving Children Report has been produced. The target audience for the report is healthcare workers and policy makers. In FY12 the seventh report will be produced and will highlight gaps and challenges of child health service delivery. The reports have been disseminated at national and provincial levels and to the NDOH. UP alsofocuses on strengthening linkages between ChIP and PPIP sites to provide information on improving quality of PMTCT service delivery. PMTCT compliance data from the PPIP will be analyzed and the impact of PMTCT will be assessed. Improved PMTCT service delivery will be achieved through feedback of this information to the DOHs at all levels. During 2007 a ChIP Technical Task Team (TTT) was established. The team is comprised of the ChIP Executive Committee (Exco), at least one representative from each province, as well as specialist members. The roles of the TTT are to provide provincial leadership, training, and coordination. Three TTT meetings will be held in FY2012.Finally, ChIP Provincial Workshops will be conducted in all nine provinces. Data will be presented and training offered to strengthen sites and expand ChIP. These workshops will also provide healthcare workers with the opportunity to share QI projects that were implemented as a result of the site specific and provincial data from ChIP. These provincial meetings will guide the development of provincial recommendations and implementation plans.

Subpartners Total: $0
Jive Media Marketing and Communication CC: NA
Perlcom CC: NA
Simply Software: NA
Workshops Anonymous: NA
Cross Cutting Budget Categories and Known Amounts Total: $150,000
Human Resources for Health $150,000
Key Issues Identified in Mechanism
Child Survival Activities