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RHRU is a WHO collaborating centre

Inner City Clinical Support Team

Project Focus
HIV Care & Treatment

Project Location
Johannesburg Hospital, South Rand Hospital, Hillbrow Community Health Centre

Duration of Project
Ongoing since January 2004

Project Partners
Gauteng Department of Health

Project Donors

Dr Shanil Naidoo & Dr Maria Sandy

Project Aim/ Objective
To support the Gauteng Province to ensure the provision of quality HIV care to as many people as possible, including ARV treatment.

Project Activities
The Inner City Clinical Support Teams provide technical assistance, on site support, formal and informal training and capacity building, and the revision of service delivery models, or the development of new models as required.

The team conduct HIV problem based management training amongst site personnel and assess site competence in administering ARV’s, addressing gaps where these are identified. In consultation with Department of Health staff, the Inner City Clinical Support Teams identify, develop, and make available appropriate educational materials and provide technical assistance to the Department relating to monitoring and evaluation activities and data collection tools.

The team also provides feedback on the programme to the Provincial Department of Health, for the purposes of reviewing progress and future planning. In addition, they provide advice to local, provincial and national Departments of Health on all aspects of HIV policy. An ongoing aim of the project is to monitor and evaluate all interventions in order to disseminate best practice models for replication where appropriate.

Anticipated/Actual Results
  • Improved service delivery at sites including shorter waiting times, larger quantities of patients being seen, better information systems
  • Development of a down and up referral model, with patients being down referred to clinics closer to their homes.
  • Development of a specialized service to ensure qualifying pregnant women access ARV’s (see also the MHHIV Project brief)
  • Provision of psycho social support at selected sites (provided by CARE, supported by the RHRU PEPFAR grant)
  • Accreditation and support of South Rand Hospital as an ARV site
  • Implementation of new pilot pharmacy database at Hillbrow CHC
  • Development of Family Based Service at Hillbrow CHC
  • Regular staff training and capacity buildingRegular Quality Improvement meetings held involving DoH and RHRU staff
  • Development of best practice guides and process flow materials to aid effective service provision
  • Through the PEPFAR grant, the funding of the Wits Paediatrics HIV Working Group’s ECHO programme to assist paediatric HIV care in over 10 sites.
  • Ongoing provision of technical assistance to government policy makers in HIV care and treatment.
Additional Outputs
  • Materials to inform clinical management of Lactic Acidosis, TB treatment, ARV Treatment, treatment adherence and patient follow up.
Future Plans
  • Expansion of support into at least 3 more Gauteng DoH sites
  • File reviews at DoH sites to support data collection and analysis initiatives to provide more accurate information leading to programme revision
  • Development of more best practice materials for circulation amongst service providers in the public sector

Projects in the HIV Management Cluster:

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