Monitoring and Evaluating Partnerships Between NPOs and the DOH for the Delivery of Primary Health Care in South Africa. FP Netshipale, Dr JF Aguilera PDPHC Programme (EU funded Programme) Department of Health, South Africa

NPOs PHC delivery in SA Often hampered by poor NPO management, coordination and lack of skills Poor norms and standards for NPO’s Lack of –proper coordination by departments –M&E, quality assessment and measure of service delivered –sustainable funding for NPOs –employment opportunities in certain areas

Partnerships for Delivery of PHC Six-year programme, started April 2003 Developed by the EU in collaboration with the SA Government The total grant is 50 million euros Operational in 16 districts in 5 provinces

Overall Objective To provide more accessible and affordable quality PHC for the poorest communities in SA

Specific Objectives To strengthen cooperation between NPO’s & GVT To create formalized partnerships for the delivery of PHC To train NPOs and DOH staff To monitor and evaluate PHC services delivered to the community

Methods Selected NPOs delivering PHC are contracted and funded National, provincial and district management units support: –Institutional and management strengthening –Staff and caregivers accredited training –Implementation of an M&E system integrated into the national District Health Information System –Operational Research

Methods: M&E Components Annual M&E workplan, aligned with programme workplan Routine data collection –PHC Data collection tools and guidelines –Programme activities (Gantt’s charts) Periodic data collection –NPO organizational information –NPO supervision manual (in preparation) –Baseline studies –Impact study (in preparation) Ad hoc research

Results No. of NPOs funded, by Province

Service Delivery

HBC

TB

OVC

Monthly No. of OVCs Supported, JANFEBMARAPRMAYJUNJULAUGSEPTOCTNOVDEC

Monthly No. of household visits to OVCs, JANFEBMARAPRMAYJUNJULAUGSEPTOCTNOVDEC

Services to OVCs, 2006

Health Promotion

HP Activities, 2006

VCT

Conclusions Mainly monitoring activities implemented –Service delivery –Organizational NPO data Evaluation tools are being developed –Quality assessment –Impact study –Cost-effectiveness of the programme remains to be demonstrated

Way Forward Extension to the whole country Strengthen M&E skills in NPOs and DOH staff Integration of data into the District Health Information System Assess and ensure quality of service provided

Thank You