1 / 16

Presentation Overview

Investing in Different Models of Local Ownership to Ensure Sustainable Patient Care Track 1 Implementers Meeting Maputo, Mozambique August 2010. Presentation Overview. Sustainability and building Local Ownership to support Transition Lessons Learned Global Kenya Zambia South Africa

calum
Download Presentation

Presentation Overview

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Investing in Different Models of Local Ownership to Ensure Sustainable Patient CareTrack 1 Implementers MeetingMaputo, MozambiqueAugust 2010

  2. Presentation Overview • Sustainability and building Local Ownership to support Transition • Lessons Learned • Global • Kenya • Zambia • South Africa • Questions

  3. Faith-Based Health Care in Africa • History of Faith-Based Health Care in Africa • Current Infrastructure – 30-70% • Global Trends • PEPFAR provided opportunity • Loss of resources • Seamless Relationship

  4. Sustainability: Sustained access to quality care with durable patient outcomes Continuing support to and scale-up of National programs Facilitating a seamless relationship between Faith-Based Health Networks and Government Health Systems

  5. Approach to Sustainability Fostering partnerships and developing sustainable capacities of Treatment Facilities and Local Partners so that: • Treatment facilities provide high quality treatment • Local partners provide long-term support to sustain treatment facilities’ care delivery • Local partners engage in productive dialogue with National Governments around the their role in provision of health services and Health Policy

  6. Partner Capacity Support ($, TA) What is this amount? time Status of Partner Capacity Capacity Building Cycle Plan Implement Scale Up Sustain

  7. Vision for Transition Faith Based Health Networks are an integral part of their countries Health Care Systems Local Partners are leaders in the Anti-Retroviral Therapy programs with decreasing support from AIDSRelief across time Faith Based Health Services are resourced adequately to serve the needs in the country and continue across time

  8. Local Partners • Meet PEPFAR Criteria: • Local organization or government entity • Have the capacity to: • Be a competitive prime for USG funding • Manage all functions of Track 1.0 project • Reach a sustainable level of operations

  9. Principal Approach to Technical Transition Building capacity of MOH institutions at all levels to provide oversight for treatment programs and for outcomes evaluation Building advanced clinical education capacity Entering into partnership with medical institutions in host country through which TA to LPTFs will be sustained Working with host MOH to develop evidence driven HIV policies

  10. Strategic Approach to Technical Transition Building partnerships with institutions that can take on different technical roles over the long term: Local Partners, Treatment Facilities: For care and treatment delivery – site activation, evaluation/improvement, treatment planning Ministries of Health: For technical oversight including continuous quality improvement and outcomes evaluation Medical Education Institutions: For pre-service, in-service education and technical support to sites through on-going mentoring National Labs Institutions: For laboratory systems strengthening

  11. Where are we now: Year 7 Priorities for Transition Transitioning – Not business as usual Aligning – with Ministry of Health on Transition strategies Strengthening – action plans rolled-out Transferring – site management to Local Partners Competing – preparing for FOAs

  12. Models for Local Partners • Model 1: MOH or other government entity as local partner • Rwanda: Six Sites Transitioned as of March 2010 • Model 2: Local partners (local umbrella org) in collaboration with national technical partner/s for clinical and SI (MOH/university/other) • Kenya: Faith Based Network MEDS with CHAK, KEC & University of Nairobi • Haiti: Faith Based Network St Boniface NGO with University of Notre Dame de Haiti

  13. Models for Local Partners • Model 3: Local partners (local umbrella org) with sub-grantees providing technical assistance • Zambia: Faith Based Networks CHAZ & CHRESO • South Africa: SACBC AIDS Commission & IYDSA NGO network • Model 4: Sites as direct primes to CDC • South Africa: St. Mary’s Hospital in Durban • Guyana: St Joseph Mercy Hospital and Davis Memorial Hospital

  14. Lessons Learned for Transition We are all learning as we go (AIDSRelief, Donors, Local Partners). In-country and global transition committees are critical to address practicalities of the process. Communicate clearly and frequently on transition. Strive for a shared long-term vision for the role of faith-based partners. Technical transition requires a unique design per country, as there is not one model for medical or strategic information transition.

  15. Lessons Learned • Flat-lined budgets mean reduced funding for transition due to increasing numbers of patients on treatment. • Switching treatment sites between different models is difficult. Example: AIDSRelief to Global Fund • The capacity strengthening of local health system for long-term sustainability will take longer than 3-4 years. • Staff retention within Local Partners, Treatment Facilities and with INGOs is essential for transition success. • Work to ensure future funding opportunities for local partners by Sept. 2011. Prepare to respond quickly.

  16. Timeline for Transition (Expected)

More Related