DISTRICT IMPLEMENTATION PLANNING

An Update

Dr B Muzah

CONTENTS

• DIP journey

• National HIV tracer indicator performance

• District zoom in: Thabo Mofutsanyana

• District zoom in: Greater Sekhukhune

• Next steps

DIP Journey

Phase 1

-Districts selected 3 Tracer Indicators

-Developed remedial plans

-Implementation: Jul 15-Mar 16

• Y14/15

Phase 2

Province selected 12 tracer indicators

Developed DIPs

Implementation: Apr 16-Mar 17

• Y16/17

Phase 3

-All tracer indicators

-Commences: Jul 16

• Y17/18

Thabo Mofutsanyana: Clients Tested for HIV 15yrs & older

38647

93866

143827

189631

0

20000

40000

60000

80000

100000

120000

140000

160000

180000

200000

Y15 Q 1 Y15 Q 2 Y15 Q 3 Y16 Q 4

Clients tested for HIV 15 yrs & older

Phase 1

Implementation

Target Line

Source: District

Phase 1: HCT Action Dashboard

Limpopo: Adult Viral Load Completion @ 6 Months

Source: DHIS

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

Jan 2013 Apr 2013 Jul 2013 Oct 2013 Jan 2014 Apr 2014 Jul 2014 Oct 2014 Jan 2015 Apr 2015

Adult with Viral load completion rate at 6 months

Sekhukhune Limpopo

Limpopo: Adult Viral Load Completion @ 12 Months

Source: DHIS

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

Jan 2013 Apr 2013 Jul 2013 Oct 2013 Jan 2014 Apr 2014 Jul 2014 Oct 2014

Adult with Viral load completion rate at 12 months

Sekhukhune Limpopo

Limpopo: Remedial Actions

Approach branded “road shows”

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Step 1• Each facility presented on

performance on VL completion rate

Step 2• In-house training on cohort data

analysis and file audits

Step 3• Best practice sharing among

facilities

Next Steps: Link Between District reports

and NDoH

Branch Technical

Team

Branch DIP Meeting

Chair: Dr Pillay

National DIP-TWG

Feedback to Provinces

and Districts

District

Dashboards

DIP Phase 3

• All Tracer indicators

• Cascade bottleneck analysis process

• Aligned to Conditional Grant Business planning cycle

• Aligned to Conditional Grant Business plan template

MUCH IMPROVED…………………………………………..

10

Closing Remarks

• DIP is working

• Intensive monitoring of Phase 2 implementation will be conducted

• Much improved 2017/18 DIP process will starting in August

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