The Small Projects Foundation

Making meaning. Taking action. Changing lives. 

EU Match Project

The Small Projects Foundation

Making meaning. Taking action. Changing lives. 

EU Match Project

Supporting clinics in Lusikisiki and Flagstaff

We have partnered with Oxfam Italia to provide support to clinics in Lusikisiki and Flagstaff. Following on from the 2011 PMTCT pilot project funded by the Meyer Paediatric Hospital and initiated at the Holy Cross Gateway Clinic in Flagstaff, the EU Match Project commenced in 2012. 

This mirrors support given to projects in the Democratic Republic of Congo and Tanzania, which are also supported by the European Union.

Aims

Reduce mother to child transmission of HIV/AIDS to below 3%
We reduced it to 1.2%

Improve breastfeeding behaviour of HIV positive mothers with support from their families
With better counselling & support, breastfeeding did improve
 
Train nurses and volunteers to provide an integrated antenatal care, PMTCT, maternal & child HIV/AIDS treatment, care and support
All 13 clinics have done this

Improvement of male partners’ involvement in PMTCT
Our outreaches improved this by 30%

Improve the quality of care in clinics
We saw major improvement in PMTCT, vaccination & defaulter tracing.

Teach community members about ANC/ PMTCT/ Maternal and Child Health (MCH) so that they can support HIV positive women & their families
More early booking for ANC and decreased mother to child transmission

Empower girls & boys with sexual and reproductive health education
30 schools & over 3 000 children were educated

Train treatment teams to support Nurse Initiated Management of ART (NIMART) in primary health care clinics
Staff are much more confident in starting patients on ART and there is an increased ART treatment of mothers & babies

Highlights & achievements

– We steered committee meetings with stakeholders every two months & made sure that there was regular reporting to the Local AIDS Council
– We mobilised local communities through our Participatory Learning and Action workshops
– We recruited, trained & deployed 26 community health workers in 13 clinics
– Our training of clinic nurses and department of health community workers focussed on getting children onto ART which has created an integrated ANC/PMTCT/ART service
– 10 clinic supervisors attended training on international and national guidelines on HIV prevention, ART and PMTCT & more
– An integrated PMTCT, MCH & ART was implemented alongside an effective referral mechanism for community health workers to trace defaulting patients
– We trained clinic committee members on health-related rights, balanced scorecard, PMTCT and MCH guidelines, in order for them to monitor clinic services, increase accountability of clinics to the communities, improve patient-centred care and ensure compliance with national guidelines

A 2013 outreach in 59 villages saw:

– An additional 2 580 pregnant women & 775 male partners tested and counselled
– 587 of the 663 positive women placed on ART
– 98.8% of live births receiving Nevirapine prophylaxis within 72 hours of being born
– Clinic records being audited & tracing of defaulters improved
– An exchange seminar with the national department of health & Tanzanian, Congolese, Oxfam and EU partners
– A study tour to the Eastern Cape by the partners
– 12 CBOs trained on organisational management

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