Optimizing Performance by Improving Quality (OPIQ) in HIV and HIV/TB Programs in the Republic of South Africa under PEPFAR


The goal of this NOFO is to improve performance of HIV and TB key indicators and programmatic areas by providing technical assistance (TA) using Quality Improvement (QI) methodologies to PEPFAR South Africa’s implementing partners (IPs) and the South African Government’s (SAG) National, Provincial, and District Departments of Health (DOH). The TA may include (i) initial and ongoing assessment of performance gaps and implementation of remedial plans in SAG DOH HIV/TB prevention and treatment services, (ii) ensuring that SAG DOH HIV/TB prevention and treatment service delivery meets global and national standards of quality through QI and quality assurance (QA) assessments, (iii) assistance with operationalization and interpretation of complex data analyses, visualizations, and presentations, (iv) capacity building of IPs and the SAG National, Provincial, and District level DOH to deliver high quality HIV/TB prevention and treatment services to achieve epidemic control. This NOFO aims to develop, coordinate, and implement QI activities across all of PEPFAR’s technical areas in order to improve performance and establish standardized processes for sustained achievement in HIV and TB service delivery in districts supported by PEPFAR South Africa. This activity will provide valuable information to PEPFAR and the broader PEPFAR program on how best to deliver interventions, assess the quality, and present the findings in order to enhance HIV/TB program performance.

The new project will provide a package of quality improvement (QI) technical assistance on HIV and HIV/TB service delivery to the SA Government (SAG) at national, provincial and district levels, PEPFAR SA IPs, non-PEPFAR IPs, with focus on the 27 highest burden districts and priority populations for prevention and care. To reach epidemic control, the project aims to optimize HIV and HIV/TB program performance by improving: early identification of HIV/TB performance gaps; the capacity of IPs and DOH at all levels to use QI and QA approaches to address those gaps; the harvesting and dissemination of best practices to scale up proven interventions; and the use of innovative data-driven platforms to improve data-based planning and management.


2019 to 2024
US Centers for Disease Control and Prevention (CDC)
The US President's Emergency Plan for AIDS Relief (PEPFAR)
Regions/ Countries