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Reaching for the MDGs: South Africa's accelerated response to mother-to-child transmission of HIV. 20 July 2010 Kedar Mate 1,2 , Gugu Ngubane 3 , Pierre Barker 1,4 1 Institute for Healthcare Improvement 2 Weill Cornell Medical College 3 National Department of Health, South Africa

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reaching for the mdgs south africa s accelerated response to mother to child transmission of hiv

Reaching for the MDGs: South Africa's accelerated response to mother-to-child transmission of HIV

20 July 2010

Kedar Mate1,2, Gugu Ngubane3, Pierre Barker1,4

1Institute for Healthcare Improvement

2Weill Cornell Medical College

3National Department of Health, South Africa

4University of North Carolina at Chapel Hill

pmtct systems gaps in sa
PMTCT Systems Gaps in SA

In 2007,

20.6% MTCT rate or 64,000 babies infected with HIV in SA

national target
National Target
  • National DOH sets target to reduce MTCT rate to <5% by 2011
    • Prevent 50,000 annual HIV infections amongst newborns
  • In 2009, DOH commissioned the PMTCT “Accelerated Plan”
    • Quality Improvement to improve clinical services
    • Social mobilization to improve demand
    • 6 Districts selected to start programme
slide4

Launch National Partners Collaborative:

Using QI approaches to rapidly scale up PMTCT Nationwide

National government target:

Using QI to improve delivery of PMTCT services

Common Aim

Shared knowledge

Common QI and data framework

Joint ownership

NGO 5

NGO 1

Design, convening and training partner (IHI)

NGO 4

NGO 2

NGO 3

slide5

Launch National Partners Collaborative:

Using QI approaches to rapidly scale up PMTCT Nationwide

National government target:

Using QI to improve delivery of PMTCT services

Distr office

Distr office

NGO 5

NGO 1

Design, convening and training partner (IHI)

NGO 4

NGO 2

Distr office

Distr office

NGO 3

Distr office

slide6

Results of Partners Collaborative: PMTCT “Accelerated” Plan

Within 9 months….

QI training for….

115 District Office staff,

473 facility-level staff

88 NGO staff

Supporting…

9 districts

161 facilities

Using….

Shared understanding of systems obstacles

Common QI methods

Simplified indicator set

Active Districts

ulundi zululand kzn improving vct coverage in the anc
Ulundi, Zululand: KZNImproving VCT coverage in the ANC

Gap in HIV testing Before Aplan

Aplan

slide10

Launch National Partners Collaborative:

Using QI approaches to rapidly scale up PMTCT Nationwide

National government target:

Using QI to improve delivery of PMTCT services

Distr office

Distr office

NGO 5

NGO 1

Design, convening and training partner (IHI)

NGO 4

NGO 2

Distr office

Distr office

NGO 3

Distr office

slide11

Sustaining Change:

District & Provinces replicate the QI mentorship

Distr office

Distr office

National government target:

Using QI to improve delivery of PMTCT services

Distr office

Distr office

Distr office

thank you
Thank you
  • IHI Colleagues: Pierre Barker, Michele Youngelson, Nicholas Leydon, Brandon Bennett, Nupur Mehta
  • Department of Health: Yogan Pillay, Gugu Ngubane, Precious Robinson, Provincial Coordinators and Partners
  • DFID & HLSP: Myles Ritchie, Kevin Bellis, Claire Dobson, Norma James
  • UKZN/20,000+: Jennifer Reddy, Wendy Mphatswe, Hloli Ngidi, Nigel Rollins

kmate@ihi.org

For more on Quality Improvement and HIV/PMTCT: Workshop (WEWS14) on Wednesday 2:30 MiniRoom 4