Page 12 - Employee Handbook

7 . P R E V I O U S F U N D E R S &

P R O G R A M M E S

7.1 PERFORM/Health Systems Strengthening

I n S e p t e m b e r 2 0 1 2 , R i g h t t o C a r e a n d t h e U n i t e d S t a t e s A g e n c y f o r I n t e r n a t i o n a l D e v e l o p m e n t ( U S A I D )
e n d o r s e d a b i l a t e r a l c o o p e r a t i v e a g r e e m e n t , k n o w n a s P e r f o r m a n c e f o r H e a l t h t h r o u g h F o c u s e d O u t p u t s ,
R e s u l t s , a n d M a n a g e m e n t ( P E R F O R M ) . A l s o r e f e r r e d t o a s t h e H e a l t h S y s t e m s S t r e n g t h e n i n g ( H S S )
p r o g r a m m e , i t e n c o m p a s s e d t h r e e o v e r a r c h i n g o b j e c t i v e s :

T o i m p r o v e H I V - r e l a t e d p a t i e n t o u t c o m e s b y s t r e n g t h e n i n g h e a l t h a n d p a t i e n t m a n a g e m e n t s y s t e m s a t
f a c i l i t y , s u b - d i s t r i c t , a n d d i s t r i c t l e v e l s t h r o u g h c a p a c i t y b u i l d i n g a n d s u p p o r t .
T o s t r e n g t h e n h e a l t h s y s t e m s i n s u p p o r t o f H I V - r e l a t e d s e r v i c e s b y w o r k i n g w i t h p r o v i n c e s t o b u i l d
c a p a c i t y o f f a c i l i t y , s u b - d i s t r i c t , a n d d i s t r i c t m a n a g e m e n t ; a n d
T o p r o v i d e s u p p o r t f o r d e v e l o p m e n t a n d s u c c e s s f u l i m p l e m e n t a t i o n o f S o u t h A f r i c a n G o v e r n m e n t ( S A G )
p o l i c i e s f o r H I V - r e l a t e d i n t e r v e n t i o n s t a r g e t i n g g o v e r n a n c e , l e a d e r s h i p a n d f i n a n c e .

M A T E R N A L C H I L D H E A L T H , P R E V E N T I O N O F M O T H E R T O C H I L D
T R A N S M I S S I O N
The PMTCT was a priority prevention intervention and identifying women at risk formed
an important part of this programme. Nutrition is vital for women who are HIV positive,
and our efforts assisted women in maintaining their health and ensuring the health of
their infants. Preventing and treating cervical cancer also comprised a key part of this
programme, which more broadly encompassed all aspects of sexual and reproductive
health services.

T U B E R C U L O S I S S C R E E N I N G , C A R E A N D T R E A T M E N T
All patients screened or treated for HIV were also screened for TB. The focus was on
ensuring every patient answered the five key screening questions: Are you experiencing
couch, fever, weight loss, chest pains or night sweats? Patients that subsequently tested
positive for TB commenced treatment immediately.

M O N I T O R I N G A N D E V A L U A T I O N
Throughout implementation, Right to Care had a rigorous monitoring and evaluation
(M&E) system that guaranteed a steady flow of information from the facilities, sub-
district, district and national level programme teams. This meant that quality data
that met the reporting requirements of the DoH and the USAID reporting systems could
be produced. The M&E system was aligned to other data sources which informed
implementation. The M&E system relied on DoH DHIS and TIER.net roll out.

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