1. Dr Riona Govender 6 July 2016 Update: Integration of electronic TB and HIV data collection in facilities

2. Key milestones : Integrated TB/HIV Information Systems Initiative  7 March 2016 - National Integrated TB/HIV Information Systems initiative kick-off  Learning implementations continue to provide insights into change management processes  Informed development of Implementation Guide and integrated TB/HIV M&E SOP  Tools and resources for implementation – been developed  Appointment of TIER Implementation Associate to support provinces 2

3. Key milestones (2)  PEPFAR activity managers meeting  Expectations & needs for support in 27 focus districts  Provincial roadshow meetings  Shared strategy for digitising TB data at facility level  Created awareness - change management processes at facility level  Re-invigoration of governance structures to support implementation of TB module  Selection of TIER Key Implementers  Selection of sites to implement TB module 3

4. 4 FY2016/17FY2017/18FY2018/19 TIER.Net TB Module implementation Q2Q3Q4Q1Q2Q3Q4Q1 Early learning phase 5% Advanced learning phase cumulative 10% of all eligible facilities per district Scale up 15% 20% Escalated implementation 40% 60% 80% 100% Expectation: % / # of facilities expected to have fully implemented TIER.Net and will be reporting electronic data to ETR by end of each quarter and using TIER.Net to support patient management at the facility level Minimum targets for implementation

5. Current status of TIER.Net implementation (ART data) 5 Data to end March 2016 Province Implementing (phase 0 - 5) All completed (phase 6) T1 T3 Non-standard - aligned to national def & can report to DHIS Non-standard - unable to report outcomes to DHIS Definitions for reported data not confirmed Total ART sites High priorty (>300) not implementing Proportion of all facilities fully digitized and able to report cohort data to DHIS Eastern Cape 83 712 63 - - - 858 1183% Free State 11 217 - - - - 228 -95% Gauteng 61 329 9 - - 5 404 881% KwaZulu-Natal 71 593 10 - - 4 678 987% Limpopo 31 466 16 - - - 513 191% Mpumalanga 29 278 7 - 1 1 316 388% North West 19 292 13 - - 17 341 1386% Northern Cape 28 131 45 - - - 204 364% Western Cape - 213 - 14 38 3 268 399% Grand Total 332 3 231 163 14 39 30 3 810 5186%

6. Progress reported 6 ProvinceProgress report Eastern CapePIT re-constituted to include TB managers 2 PIT meetings convened since roadshow meeting. Next meeting in July (to include DITs) Awaiting update on status of DITs, selection of facilities - implementation TB module, nomination of TKIs Free StatePIT re-established. Meeting convened subsequent to roadshow meeting being held DITs re-established. Meeting convened TKIs identified and list submitted to National In-facility informational meetings and baseline assessments yet to be conducted

7. Progress reported (2) 7 ProvinceProgress report GautengPIT re-constituted to include TB managers PIT meeting convened in June. Next meeting schedule for September 2016. Engaging province to move date forward Awaiting update on status of DITs, selection of facilities -implementation TB module, nomination of TKIs KwaZulu-NatalPIT constituted. First meeting convened on 2 June 2016. Next meeting schedule for September 2016. Engaging province to move date forward Awaiting updates on status of DITs, selection of facilities -implementation TB module, nomination of TKIs LimpopoPIT constituted and first meeting convened subsequent to roadshow meeting 3 districts constituted DIT structures Awaiting updates on status of DITs, selection of facilities -implementation TB module, nomination of TKIs

8. Progress reported (3) 8 ProvinceProgress report Mpumalanga2 PIT meetings convened since roadshow meeting TKIs have been selected (includes HAS and TB managers) Awaiting update on status of DITs, selection of facilities -implementation TB module North WestPIT constituted. First meeting convened subsequent to roadshow meeting DIT structures re-established TKIs identified for all districts Northern CapeNo formal PIT meeting held post-roadshow meeting Awaiting updates on status of DITs, selection of facilities -implementation TB module, nomination of TKIs

9. Next steps  Preparing for in-province comprehensive trainings  Letter will be sent to provinces imminently  Digitisation of HIV testing and pre-ART data - approval provided on 7 March 2016  Guidance on digitisation of HIV testing and pre-ART data – provided during in-province trainings 9

10. THANK YOU For more information: National Managers responsible for TB/HIV Implementation Management Riona Govender: GovenR@health.gov.zaGovenR@health.gov.za Nevilla Somnath: NevilS@health.gov.zaNevilS@health.gov.za TIER Implementation Associate seconded to NDOH Ipeleng Mojaki: imojaki@clintonhealthaccess.orgimojaki@clintonhealthaccess.org 10