Eastern Cape Province, South Africa (2016-2017)

Nelson Mandela district team, Eastern Cape, South Africa

  • Transformative leadership and culture change program

  • 86 workshop attendees (2-day senior leadership workshop, 5-day health management team workshop)

  • 12 months of thought partnership during the on-the-job mentoring across 2 health management teams

  • Key focus areas: HIV and TB

In Eastern Cape, we worked as a CDC sub-grantee in the context of a TB/HIV Care led consortium to support programmatic implementation and technical assistance for HIV/AIDS and Tuberculosis prevention, care, and treatment services in two districts.

Our mandate was to amplify the District Planning and Leadership Development work streams at district and sub-district level through the infusion of business practices into the healthcare systems that are dominated by clinical practices.

After the 12 month period, teams were more aware of the impact that behavioural dimensionsOur program was also instrumental in the reversal of perennial stock-outs which hampered service delivery in the whole province. A multidisciplinary team set up at provincial level developed a detailed depot assessment tool for purposes of analyzing operations at the province’s 2 depots. The team streamlined the supply chain by eliminating mini depots that further delayed delivery of supplies. The team also addressed tactical challenges which allowed districts direct access to order from the depots. Accountability improved as frequency of reporting of stock levels by depots increased.

After the 12 month period, teams were more aware of the impact that behavioural dimensions had on service delivery. This led to an increased prioritising of non- program problem areas such as accountability and motivation. Having the two districts working together also facilitated cross fertilisation of ideas.

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