Monitoring and Evaluating Partnerships Between NPOs and the DOH for the Delivery of Primary Health C...
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Monitoring and Evaluating Partnerships Between NPOs and the DOH for the Delivery of Primary Health Care in South Africa. FP Netshipale, Dr JF Aguilera PDPHC Programme (EU funded Programme) Department of Health, South Africa. NPOs PHC delivery in SA.

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FP Netshipale, Dr JF Aguilera PDPHC Programme (EU funded Programme)

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Fp netshipale dr jf aguilera pdphc programme eu funded programme

Monitoring and Evaluating Partnerships Between NPOs and the DOH for the Delivery of Primary Health Care in South Africa.

FP Netshipale, Dr JF Aguilera

PDPHC Programme (EU funded Programme)

Department of Health, South Africa


Npos phc delivery in sa

NPOs PHC delivery in SA

  • Often hampered by poor NPO management, coordination and lack of skills

  • Poor norms and standards for NPO’s

  • Lack of

    • proper coordination by departments

    • M&E, quality assessment and measure of service delivered

    • sustainable funding for NPOs

    • employment opportunities in certain areas


Partnerships for delivery of phc

Partnerships for Delivery of PHC

  • Six-year programme, started April 2003

  • Developed by the EU in collaboration with the SA Government

  • The total grant is 50 million euros

  • Operational in 16 districts in 5 provinces


Overall objective

Overall Objective

To provide more accessible and affordable

quality PHC for the poorest communities in SA


Specific objectives

Specific Objectives

  • To strengthen cooperation between NPO’s & GVT

  • To create formalized partnerships for the delivery of PHC

  • To train NPOs and DOH staff

  • To monitor and evaluate PHC services delivered to the community


Methods

Methods

  • Selected NPOs delivering PHC are contracted and funded

  • National, provincial and district management units support:

    • Institutional and management strengthening

    • Staff and caregivers accredited training

    • Implementation of an M&E system integrated into the national District Health Information System

    • Operational Research


Methods m e components

Methods: M&E Components

  • Annual M&E workplan, aligned with programme workplan

  • Routine data collection

    • PHC Data collection tools and guidelines

    • Programme activities (Gantt’s charts)

  • Periodic data collection

    • NPO organizational information

    • NPO supervision manual (in preparation)

    • Baseline studies

    • Impact study (in preparation)

  • Ad hoc research


Results no of npos funded by province

ResultsNo. of NPOs funded, by Province


Service delivery

Service Delivery


Fp netshipale dr jf aguilera pdphc programme eu funded programme

HBC


Fp netshipale dr jf aguilera pdphc programme eu funded programme

TB


Fp netshipale dr jf aguilera pdphc programme eu funded programme

OVC


Fp netshipale dr jf aguilera pdphc programme eu funded programme

Monthly No. of OVCs Supported, 2006

7 000

6 126

6 060

6 000

4 808

5 000

4 000

3 000

1 964

2 000

1 308

1 150

977

851

1 000

509

0

0

0

0

JAN

FEB

MAR

APR

MAY

JUN

JUL

AUG

SEPT

OCT

NOV

DEC


Fp netshipale dr jf aguilera pdphc programme eu funded programme

Monthly No. of household visits to OVCs, 2006

7 000

5 949

5 767

6 000

5 459

4 853

5 000

3 822

4 000

2 867

3 000

2 392

1 898

2 000

1 179

1 000

0

0

0

0

JAN

FEB

MAR

APR

MAY

JUN

JUL

AUG

SEPT

OCT

NOV

DEC


Services to ovcs 2006

Services to OVCs, 2006


Health promotion

Health Promotion


Hp activities 2006

HP Activities, 2006


Fp netshipale dr jf aguilera pdphc programme eu funded programme

VCT


Conclusions

Conclusions

  • Mainly monitoring activities implemented

    • Service delivery

    • Organizational NPO data

  • Evaluation tools are being developed

    • Quality assessment

    • Impact study

    • Cost-effectiveness of the programme remains to be demonstrated


Way forward

Way Forward

  • Extension to the whole country

  • Strengthen M&E skills in NPOs and DOH staff

  • Integration of data into the District Health Information System

  • Assess and ensure quality of service provided


Thank you

Thank You


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