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Kheth’Impilo started implementing the USD85,000,000 (estimated R.1 billion) 5-year APACE programme with effect from 01 October 2019 in both the Western and Eastern Cape provinces. For this programme, KI prioritized targeted, validated, efficient and comprehensive HIV and TB prevention, case finding, treatment initiation, retention and adherence, with interventions differentiated for population and location. An appropriate mix of staff cadre and local public and private partners delivered on two critical outcomes, namely: 1) achieving epidemic control in supported facilities in across the districts and 2) strengthening health and community systems at district, provincial and national levels. The program had 4 Components which was detailed as follows:
Preventing new HIV infections and reducing HIV morbidity and mortality through an improved
and sustained HIV and TB Continuum of Care.
The three (3) result areas included the following:
Result 1: Increase the proportion of PLHIV who
know their status;
Result 2: Increase the proportion PLHIV who are
on treatment;
Result 3: Increase PLHIV who are virally
suppressed.
Additionally, this programme included clinical and community components and staff were recruited to ensure programme outcomes are achieved. After five (5) months (end March 2019) of implementing the programme, USAID informed KI that the Western Cape clinical component of the programme be transferred in full to ANOVA. Through negotiations with both USAID and ANOVA it was agreed that KI could continue with implementing the community component of the APACE programme in Western Cape.
Pharmacy Programme
Kheth’Impilo (KI) pharmaceutical services aspire to improve Health systems through three focus areas. These focus areas include improvement of good pharmacy practice and supply chain management, the development and implementation of differentiated models of care, promotion of pharmacovigilance and training through existing models as well as ongoing innovations.
The project was implemented by Kheth’Impilo with technical and implementation support provided by partners Pulse Health Solutions (Pulse), Amity Health Consortium (Amity) and Jembi Health Care. The project aimed to strengthen capacity for the implementation of Advanced Clinical Care (ACC) services and referral systems covering three provinces, namely, Free State (FS), Gauteng (GP) and Mpumalanga (MP). Across these provinces, 9 districts were served – five (5) in Free State, two (2) in Gauteng and two (2) in Mpumalanga. The programme ensured the delivery of quality care to patients at high risk of morbidity and mortality due to advanced or complicated HIV and TB.
The EQUIP programme commenced activities in Zimbabwe starting October 2016. This was a four year funding grant from USAID. The Permanent secretary in the Ministry of Health and Child Care gave authority for EQUIP to start operating in country in November 2016. The Director of the HIV/AIDS/TB unit at the Ministry of Health and Child Care (MOHCC) introduced EQUIP to implementing partners. At the start of the programme MOUs for CARGs implementation were signed with the Rural District Councils of Mberengwa, Beitbridge and Bulilima.
The Health Systems Strengthening Programme provided technical assistance, modified facility and community direct service delivery (DSD,) and capacity building of Health Care Workers (HCWs). These services were provided at 61 facilities in the Metro of the Western Cape Province and 50 facilities in 3 districts of Kwa Zulu Natal Province, 18 in Amajuba, 17 in ILembe districts, and 15 in UMsunduzi sub-district of UMgungundlovu district.
Goal: To improve HIV and TB related Patient Outcomes by Strengthening Health and Patient Management Systems to achieve the 90-90-90 targets.
