ruth stark - catholic relief service (crs)
DESCRIPTION
Title - Leveraging an HIV Care and Treatment Program to Strengthen Local Health Care NetworksTRANSCRIPT
Leveraging an HIV Care and Treatment Program to Strengthen Local Health
Care NetworksRuth Stark, PhD
Senior Technical Advisor, CRS South Africa
• Nine years
• Ten countries
• USD 740 million,
funded by PEPFAR
• Designed for transition to local ownership
Over nine years, the CRS-led AIDSRelief consortium delivered high-quality HIV care and treatment in ten countries with more than $700M in PEPFAR support.
•
19 local partners working directly through 276 facilities
700,000+ clients, including 395,000+ who initiated ART
Viral suppression = 88.2%
Retention = 83%
Mortality = 7.8%
Capacity Strengthening =
Capacity Building
+
Institutional Strengthening
+
Accompaniment
The AIDSRelief Approach
Comprehensive, interdisciplinary approach based on a framework:
Organizational capacity Technical capacity Funding capacity Policy and advocacy capacity
Key Interventionsand Approaches
Key Interventionsand Approaches
• Baseline assessment of organizational strengths and gaps
• Clear milestones based on assessment results• Dynamic capacity building plans
Ongoing assessment using:
•Site Capacity Assessment (SCA)
•Clinical Assessment for System Strengthening (ClASS)
Key Interventionsand Approaches
• Joint site visits
• Long-term accompaniment/mentoring
• Proven practices of adult learning (didactic work, practical application, on-site training)
• Exchange visits
Key Interventionsand Approaches
• Continuous quality improvement teams• Clinical task shifting• Continuing, locally-owned education• Incremental transfer of responsibilities
Key Interventionsand Approaches
Results
• Partners sustained quality patient services• Managed USG sub-grants• From 2008-2012, more than 30,000
participants trained• Transition: 14 local partners in 8 countries
secured direct PEPFAR funding to manage the programs.
Conclusion
Disease-specific resources can improve organizational capacity to better manage operations and service delivery, thereby strengthening the overall health system.
Lessons learned
• Begin early• Dedicate resources • Leverage local resources• Work with host government• Disengage gradually
www.crsprogramquality.org