Health System Strengthening(HSS)

Health System Strengthening(HSS)

Health System Trust(HST)Free State Province, Isibalo Symposium on Evidence

based decision making, hosted by Stats SA

Date:11 October 2013

Outline Background

Defining HST Mission of HST Core values How is HST organised

SA-SURE Overview and supported districts

Vision Objectives

Streams implementing SA SURE service package Provincial Coordinator & District Coordinators Provincial Epidemiologist District Leadership Mentors District M&E, Clinical and Facility Mentors

Use of Stats SA data for health system strengthening

Background(1)

Health Systems Trust (HST)

is a dynamic not-for-profit organisation established in 1992

to support transformation of the health system in post-

democratic South Africa. Subscribing to a primary health

care approach, HST actively supports the current and

future development of a comprehensive health system,

through strategies designed to promote equity and

efficiency in health and health care delivery in South and

southern Africa.

Background(2) HST Mission

To contribute to building comprehensive, effective, efficient

and equitable national health systems by supporting the

implementation of functional health districts in South Africa

and the southern African region.

Core Values Transparency and accountability Innovation and responsiveness Integrity and nurturance Embracing diversity Participatory management Continuous Quality Improvement

Background(3) How is HST organised

Health Systems Research The unit undertakes innovative health systems research to

strengthen the district health system, its support systems and priority programmes.

HIV and AIDS, tuberculosis . Improving knowledge management, translating research into

policy or practice Health Systems Strengthening

CDC: South Africa Sustainable Response to HIV/AIDS (SA-SURE) EU: Supporting PHC Re-engineering

Corporate Services The Corporate Services unit provides an array of services to the

Programmes directorate and management

SA SURE Overview Strengthening local capacity to provide sustainable

HIV and TB related care and treatment services in

South Africa under PEPFAR

This grant aims to strengthen effectiveness of DHS

by building local capacity in supported districts,

sub-districts and up to facility level.

Decrease burden of HIV, AIDS, STIs and TB and

reduce related child and maternal deaths

Map of Free State Province

SA SURE Project:Serves 73.2% of the 2,745,590 population

Census 2011 Municipal report, Free State, Report 03-01-52

22.9% 26.8%

17.8%

5.3%

27.2%

SA SUREVision

Project Objectives

Build capacity of managers and technical staff through

mentoring and technical assistance to:

Do population-based planning, target setting and

monitoring and evaluation;

Delivery of integrated HIV and TB services;

Objectives continued!!

Develop, implement and maintain referral networks

that will contribute to improved quality of service

delivery;

Use information as a key driver to decision making to

improve health outcomes, through implementation of

the three tier health information system

Build local ownership to ensure sustainability when

the project concludes

SA SURE Service Package

Health systems strengthening

WHO Building blocks

Approach

Leadership mentoring

Clinical governance (training and mentoring)

Support use of routine HIS and use of information for

planning

SA SURE Project data Sources

Stats SA

DHIS

Statistical Models

ASSA Model

Spectrum Model

Research results data

Community surveys etc.

ASSA MODEL Projections Projections used for planning and budgeting in grants proposals for

HIV prevention and treatment

ASSA Model, 2008 version.

SPECTRUM MODEL ProjectionsHIV/AIDS Summary

2004 2005 2006 2007 2008 2009 2010 2011 2012 2010 2011 2012

FSHIV population (Thousands)

Total 326.57 330.8 334.4 339 344.66 348.17 351.66 357.67 364.7 351.66 357.67 364.7

Male 144.63 145.2 145.53 146.4 147.78 148.33 148.95 150.54 152.54 148.95 150.54 152.54

Female 181.94 185.6 188.88 192.61 196.88 199.84 202.71 207.13 212.16 202.71 207.13 212.16

Prevalence (15-49) 18.8 18.87 18.88 18.93 19.03 19.09 19.18 19.36 19.57 19.18 19.36 19.57

New HIV infections (Thousands)

Total 33.74 32.22 31.43 30.82 30.17 28.82 28.83 28 22.73 28.83 28 22.73

Male 14.64 13.99 13.63 13.34 13.1 12.43 12.38 12.07 9.84 12.38 12.07 9.84

Female 19.09 18.24 17.8 17.47 17.07 16.39 16.44 15.93 12.89 16.44 15.93 12.89

Annual AIDS deaths (Thousands)

Total 22.93 23.9 23.95 22.72 21.83 22.8 23.37 20.23 13.21 23.37 20.23 13.21

Male 10.86 11.28 11.28 10.77 10.38 10.63 10.7 9.43 6.6 10.7 9.43 6.6

Female 12.08 12.62 12.67 11.95 11.45 12.17 12.67 10.8 6.61 12.67 10.8 6.61

Spectrum Model, August 2013 updated version.

THANK YOU

Name Surname: Motshabi Modise

FS Provincial Epidemiologist

Email:[email protected]

Cell:071682 7578/0833328764

http://www.hst.org.za