Informing the Capacitation of Clinic Committees in High HIV prevalence Areas
Informing the Capacitation of Clinic Committees in High Prevalence Areas R Rapiti, N Nkhwashu, R Maithufi, F Cleghorn and M Madibane in collaboration with the South African National Department of Health PHASA 2012 Bloemfontein, South Africa
Slide 2 Background • USAID Sexual HIV Prevention Programme (SHIPP); • HIV Combination Prevention; • Multi- sector approach : health, education and social; • Capacity building and deliver technical assistance; • Provision of short-and medium-term technical assistance; • Strengthen coordination of efforts at the local level.
Slide 4 SHIPP’s Objectives1. Strengthen leadership capacity of SAG departments2. Strengthen HIV prevention service delivery systems3. Improve the quality, effectiveness and coverage of HIV prevention programmes
Slide 5 AIM • Series of health capacitation activities at the district level; • Using a Baseline Evaluation to Inform the Capacitation of Clinic Committees in High Prevalence Areas of Gauteng, KwaZulu-Natal and Mpumalanga Provinces
Slide 8 Transfer of skills Best Sustainable Practices Share/ Evaluate Apply
Slide 6 Method • 13 Sub districts; • Randomly selected 10 facilities in each district; • Technical officer and district health officer; • Clinic committee representative; • Questionnaire: Quantitative Qualitative; • Timeline: February and July 2012; • Health promoter, operational manager or chairperson completed the questionnaire.
Slide 7 Determinants a. Functionality; b. Role of clinic committee members; c. Challenges; d. Best Practices.
Slide 11 Results 2 – Technical Documents • 22% of the committees did not keep minutes or any records; • 39% indicated that they used the DHP as a knowledge management or guidance tool; • 60% indicated that they were not aware of the IDP; • In KZN, 100% of the clinic committees interviewed were aware of the IDP and its role and referred to the document during meetings i.e OSS / “war rooms”.
Slide 12 Results 3 – PHC Re-engineering • 43% of the respondents indicated that the clinic committees will play a vital role in the PHC re- 17% engineering process play a role currently involved • Only 17% had members 43% who were currently involved in the PHC re- engineering
Slide 13Results 4 – Governance & Representation • Governance framework to assist clinic committees • 56% indicated that there was a framework in place; • However only 23% had the framework at the facility; • Representation of the clinic committee at district or municipal level was only indicated by 3 facilities; • In KZN, respondents referred issues to the war room or to their ward councilors; • 65% of respondents indicated that there should be strong links with local government but most could not articulate assistance except to action or resolve issues.
Slide 14 Results 5 – Challenges • 95% respondents indicated that there were 2 or more challenges experienced • Challenges: - Commitment from members; – Role clarification; – Providing the community with feedback; – Which documents to refer to; – Capacitation on health issues; – Demotivated members due to unresolved issues; – Members should be provided with a stipend.
Slide 15 Recommendations • Develop a framework of coordination for HIV prevention related activities between local political stakeholders, health care workers and the community members. Community Clinic Committee Health care Municipal workers
Slide 16 Recommendations 1 • Coordinate resources geared towards HIV combination prevention services. “services are provided on different days which would mean patients have to come in more than once” • Capacitation of members on clinic committee’s and its role in advocating HIV combination prevention activities within communities.
Slide 17 Recommendations 2 • Aligning activities to the District Strategic Plan (DSP) and the needs of the community, using their available resources. • Capacitating members to monitor implementation of agreed activities as aligned to the DSP. • Capacitate committee members to develop a framework encapsulating best practices
Slide 18 Acknowledgments • SHIPP would like to acknowledge the contributions of: *District health officers; *Clinic committee members and *USAID
Slide 19 Acknowledgements This presentation is made possible by the support of the American people through the United States Agency for International Development (USAID) and do not necessarily reflect the views of USAID or the United States Government.
• For further information on this presentation please contact:Ravikanthi RapitiUSAID SHIPPrrapiti@futuresgroup.com