Support Eswatini to Achieve Sustained Epidemic Control Program

Overview

Continuing the work from previous projects, URC will provide cross-cutting support to the Regional Health Management Team (RHMT), focusing on leadership coaching, clinical support systems, and data-driven programming. URC will also provide technical assistance (TA) on quality assurance and improvement (QA/QI) as well as support for strengthening supply chain management (SCM) systems, mainly related to pharmaceuticals.

To sustain the high antiretroviral therapy (ART) coverage and retention in ART programs, URC will continue to work closely with the RHMT SCM sub-committee to ensure an uninterrupted supply of treatment in the region. Through support from an experienced laboratory advisor, innovative approaches to increasing viral load (VL) testing coverage, including scale-up of dried-blood spot sample collection, will be implemented. An M&E advisor will work with the regional SI department to strengthen the utilization of data by the region to inform service reconfiguration in line with identified performance gaps.

Zonal teams will be in frequent contact with health facility teams across the region with a focus on high-volume facilities. The integrated mentoring teams, with clinical and M&E experts, will support facilities (as informed by historical regional zoning) under project support as well as the active cohort of ART clients for efficient resource utilization. The same team of mentors along with the site TA teams will work with the RHMT to ensure that HIV programming is cascaded down to the lowest level of health facilities. This will be done through didactic training on new guidelines and upcoming evidence, coaching and mentoring on facility management, activity planning, program monitoring, and learning from defects through the institutionalization of QI.

 

The Challenge

The Lubombo region has been at the brunt of the current stock rupture of antiretrovirals (ARVs). It has also been lagging behind in VL testing coverage due to inefficiencies in the sample referral system.

 

Objectives

  • Participate in joint work planning to develop and finalize a detailed work plan and targets
  • Through three teams of regional technical experts, working collaboratively with the RHMT, mentor and support health facilities to strengthen the quality of service delivery
  • Support the RHMT with technical expertise to strengthen quality improvement, supply chain management, and laboratory services
  • Support the MOH to deliver effective, efficient, patient-centered and human rights-based quality TB/HIV services across the care spectrum
  • Strengthen capacity of health facility managers to implement national guidelines and programs with fidelity and manage implementation of clinical services
  • Support HIV/TB related SI to routinely monitor and review HIV positive yield, linkages, treatment initiation, retention, and VL suppression
  • Support routine data review processes as required by the MOH and the CDC
  • Deliver weekly tracking of program performance against COP20 targets to ensure programming and reprogramming are implemented to achieve the prorated quarterly targets
  • Provide complete and timely reporting on all key performance indicators as per PEPFAR MER requirements
  • Participate in site level assessments including SIMS and any data reporting activities

 

Duration
2020 to 2021
Funders 
US Centers for Disease Control and Prevention (CDC)
Partners 
Georgetown University
Regions/ Countries 
Geographic Scope 
Lubombo Region