The Small Projects Foundation

Making meaning. Taking action. Changing lives. 

Positive Action for Children Fund (PACF)

The Small Projects Foundation

Making meaning. Taking action. Changing lives. 

Positive Action for Children Fund (PACF)

Supporting the prevention of mother to child transmission & paediatric ART provision to affected children

With assistance and funding from the One to One Children’s Fund, we implemented this programme in April 2014 in the Ngqeleni area of Nyandeni sub-district.

Our aims

Integrate PMTCT, MCH and ART in 13 project clinics through the introduction of an integrated register and new referral/tracing system, which will enable the effective follow-up of defaulting patients.

Improve clinic responsiveness to MCH and PMTCT through training on a balanced scorecard for clinic service quality improvement. A balanced scorecard will be developed for each project clinic, outlining best practice against which clinic performance can be measured.

Community representatives such as local chiefs, community leaders, youth and CBOs will be recruited to form clinic committees. They will be trained on health-related rights, Balanced Scorecard, PMTCT and MCH guidelines, and will monitor clinic services, increase accountability of clinics to the communities, improve patient-centred care and ensure compliance with national guidelines.

Male partners will be involved through HCT to ensure they know their status and understand how to protect themselves & their families from HIV infection. We will also educate them on how to support the PMTCT process.

Introduce SMS communication to improve communications between CHWs, clinics and PMTCT/ART clients as a means to support defaulter tracing, improve EID and ensure adherence to the PMTCT and ART regimes.

Mobilise communities and patients to take action to improve access to quality health care and combat HIV/AIDS and especially MTCT and paediatric HIV.

Our achievements

52 CHWs were identified and allocated to 13 clinics. They were empowered with knowledge on HCT, PMTCT, MCH, ART and TB using unit standard aligned learning materials. Their role was explained to clinic managers and each received a job description against which their performance would be measured and evaluated.

Our Community Healthcare Workers were trained on the following:

First Aidand provided with first aid kits.

In-service training on FASand supplied with FAS pamphlets which were designed by the EC Liquor Board and re-printed by SPF. The pamphlets were used to educate pregnant women in the clinics and for home visits.

In-service training on clinic statistics.

MomConnecttraining which was provided by the DoH.

Training to conduct interviews for baseline surveys.

– We have also implemented CHW workbooks as a reporting mechanism. PMTCT, EID, ART and MCH integrated registers were introduced to be used in order to trace defaulters.

– We obtained buy-in and support from beneficiary communities as a result of carrying out PLA workshops at the 13 clinics. The purpose of the PLAs was to introduce the programme, as a means to tap into the local knowledge of the community representatives to identify the main themes to be addressed, to explore these themes to identify gaps and challenges, and to identify those activities to be carried out in order to close the gaps and address the challenges.

– Clinic committees were formed and three clinic committee members from each of the clinics was trained on their roles and responsibilities.

– On the back of this programme, we managed to obtain limited funding from the EC Liquor Board to implement a pilot FAS initiative in Ngqeleni. 26 lay counsellors conducted a baseline survey of knowledge, attitudes, behaviours and perceptions (KABP) of pregnant women and their partners with respect to alcohol use during pregnancy and also with FAS. These lay counsellors provide FAS education to all pregnant women attending antenatal clinics. In addition, the CHWs conducted 135 shebeen-based talks, reaching 1 431 men and women.

– In terms of the SMS Communication system, Dimagi is developing a SMS MXit platform which will allow the CHWs to be tasked to find defaulters and return them to treatment.

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