1. South Africa

2. Outline of Presentation
 Background
 Strategies and Structure
 Successes and Challenges
 Lessons Learned

3. Background
 Highest number of people living with HIV
 HIV prevalence among ANC women
29.5%
 MTCT at 3.5% at 6 weeks
 National eMTCT Action Framework: No
child born with HIV by 2015 and improving
the health and wellbeing of mothers,
partners and babies in South Africa,

4. Pillars for National Framework
 Leadership, Management and Coordination
 Scaling up PMTCT Coverage and improving
the Quality of Care
 Integration of PMTCT Programme
Components into MNCWH Services
 Strengthening Monitoring and Evaluation of
the PMTCT Programme
 Increase Awareness and Community
Involvement

5. Initiatives (2)
 The 20 000+ initiative: KZN
 Quality improvement
 Cost tracking and containment

6. Partners
 Department of Health
 UKZN
 IHI (Institute for Health Care Improvement)

7. The Strategy
 Data is for “PMTCT dashboard”
 Share key change ideas
 Monthly conference calls with the
11 PMTCT district coordinators
and information officers
 Training of CCGs

8. Successes and Challenges
 Beyond to other provinces
 Data culture
 Sustained improvements
 PCR HIV positivity from 12% to <4%
 Rising ART initiation
 HR

10. North West Test Retest
 HIV retesting at 8 cluster facilities in the
Matlosana district
 12 Weekly intervals
 Counsellors training and deployment

11. Challenges
 Initial cost were high
 Scale up <cost

12. Lessons Learned
 High level stewardship and political
leadership
 Use of standard data collection tools by all
partners
 Continuous mentorship and supervision of
healthcare workers
 Task shifting

13. Thank you