NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

Improving patient outcomes through health systems strengthening is the goal in line with the NSP, PHC, NHI as well as the PFIP strategies. The 4 objectives have cross linkages with the SAG’s 10 Point Plan to achieve zero transmission, initiation of 80% of eligible patients onto ART, retention of 70% in care at 5 years and reducing new TB infections and deaths by 50%. These will be achieved by assessing the quality gaps as per the National core and clinical safety standards through supporting District Health Management Teams in the districts of Amajuba, ILembe, Umsunduzi and the Cape Metro. Staff transitioning, appropriate staff levels and retention are critical enablers. The use of Strategic information is strengthened through development of District M&E officers. Governance is strengthened through leadership and management skills development, district planning and target setting and mentoring on supervision using SAG mentoring guidelines. Human resource capacity is strengthened through in-service training and new skills development. Supply chain processes are strengthened by supporting the quantification, forecasting procedures, stock inventory, and medicine management processes. Community systems are strengthened by the formation of networks, coordination, partnerships between community organizations in the districts as well as training and mentoring of CCGs and wards AIDS councilors. The activities are aligned to output and outcome indicators according to the KI work plan and USAID MER framework. The program outputs are measured through data collected and reported into the DHIS. This data is reviewed monthly and quarterly at the District data meetings. KI is using the outcomes to review progress against set targets, and achievement of outcomes.

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.