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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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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 DOH for the Delivery of Primary Health Care in South Africa.

  • 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 DOH for the Delivery of Primary Health Care in South Africa.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 DOH for the Delivery of Primary Health Care in South Africa.

To provide more accessible and affordable

quality PHC for the poorest communities in SA


Specific objectives
Specific Objectives DOH for the Delivery of Primary Health Care in South Africa.

  • 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 DOH for the Delivery of Primary Health Care in South Africa.

  • 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 DOH for the Delivery of Primary Health Care in South Africa.

  • 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
Results DOH for the Delivery of Primary Health Care in South Africa.No. of NPOs funded, by Province


Service delivery
Service Delivery DOH for the Delivery of Primary Health Care in South Africa.


HBC DOH for the Delivery of Primary Health Care in South Africa.


TB DOH for the Delivery of Primary Health Care in South Africa.


OVC DOH for the Delivery of Primary Health Care in South Africa.


Monthly No. of OVCs Supported, 2006 DOH for the Delivery of Primary Health Care in South Africa.

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


Monthly No. of household visits to OVCs, 2006 DOH for the Delivery of Primary Health Care in South Africa.

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 DOH for the Delivery of Primary Health Care in South Africa.


Health promotion

Health Promotion DOH for the Delivery of Primary Health Care in South Africa.


Hp activities 2006
HP DOH for the Delivery of Primary Health Care in South Africa.Activities, 2006


VCT DOH for the Delivery of Primary Health Care in South Africa.


Conclusions
Conclusions DOH for the Delivery of Primary Health Care in South Africa.

  • 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 DOH for the Delivery of Primary Health Care in South Africa.

  • 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 DOH for the Delivery of Primary Health Care in South Africa.


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