Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 7397
Country/Region: Eswatini
Year: 2010
Main Partner: Program for Appropriate Technology in Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $180,000

The overall goals and objectives of this project are to:

Assess TB infection control practices and make recommendations for improvement in selected facilities and laboratories.

Review current infection control guidelines in the context of TB/HIV to ensure they are responsive to the current evidence base and assist in the development of updated guidelines.

Provide broad infection control training for different cadres of health care workers as well as a more advanced course for key personnel; and

Provide technical assistance in the selection of equipment and services for limited infrastructure changes.

These goals directly contribute to the care and treatment thematic area of Swaziland's National Strategic Framework on HIV/AIDS and the care and treatment pillar of the Partnership Framework.

This program is national in geographic scope and inclusive of all TB healthcare facilities and laboratories in the country.

The program will become more cost efficient as the recently completed infection prevention and control (IPC) assessment is utilized and basic IPC course materials are implemented. Assessment Team members will continue build and share a knowledge store of best practices when conducting facility assessments in the future.

TB control is a cross-cutting key issue of this activity because it addresses TB infection prevention and control.

The M&E component of this activity focuses on periodic assessment of IPC in health facilities and use of that data for program improvement.

Funding for Care: TB/HIV (HVTB): $180,000

PATH's activities contribute to the National Strategic Framework on HIV and AIDS 2009-2014 as well as the National TB Program. PATH is the sole partner focused on infection prevention and control, thereby complementing the TB/HIV and care and treatment activities of other PEPFAR partners.

Technical assistance and training that started in 2009 will continue to assess current IPC practices and training needs at the identified facilities, train health care workers in basic IPC, and develop a cadre of trainers who are able to provide ongoing training and technical support to their peers.

During the year, 80 additional health care workers will attend the Basic IPC course. These sessions will be led by health care workers who attended the previous year's "train the trainers" course with the support of an IPC expert from Stellenbosch University.

A workshop to support roll-out of the National IPC Guidelines will be conducted for members of a national IPC sub-committee. One or two representatives from Swaziland will be supported to attend regional IPC meetings as part of the Infection Prevention and Control Africa Network.

Follow-up assessments will be conducted at all 16 facilities to determine further assistance and training needs, especially in the areas. Support will also be provided as needed in planning for infrastructure upgrades, IPC equipment selection, and policy review.

Key Issues Identified in Mechanism