Update Integration of electronic TB and HIV data

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

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

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

Minimum targets for implementation FY 2016/17 TIER. Net TB Module implementation Early learning phase Advanced learning phase Q 2 Q 3 FY 2017/18 Q 4 Q 2 Q 4 Q 1 20% 40% 60% Escalated implementation Q 3 5% cumulative 10% of all eligible facilities per district 15% Scale up Q 1 FY 2018/19 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 4

Current status of TIER. Net implementation (ART data) Province Non-standard - aligned to Non-standard - Proportion of national def & unable to report High all facilities can report to outcomes to DHIS priorty fully digitized DHIS Definitions for (>300) not and able to Implementi ng (phase 0 All completed reported data not Total implementi report cohort (phase 6) ART sites - 5) T 1 T 3 confirmed ng data to DHIS Eastern Cape 83 712 63 - - - 858 11 83% Free State 11 217 - - 228 - 95% Gauteng 61 329 9 - - 5 404 8 81% Kwa. Zulu-Natal 71 593 10 - - 4 678 9 87% Limpopo 31 466 16 - - - 513 1 91% Mpumalanga 29 278 7 - 1 1 316 3 88% North West 19 292 13 - - 17 341 13 86% Northern Cape 28 131 45 - - - 204 3 64% Western Cape - 213 - 14 38 3 268 3 99% 3 231 163 14 39 30 3 810 51 86% Grand Total 332 Data to end March 2016 5

Progress reported Province Progress report Eastern Cape PIT 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 State PIT 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 6

Progress reported (2) Province Progress report Gauteng PIT 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 Kwa. Zulu-Natal PIT 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 Limpopo PIT 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 7

Progress reported (3) Province Progress report Mpumalanga 2 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 West PIT constituted. First meeting convened subsequent to roadshow meeting DIT structures re-established TKIs identified for all districts Northern Cape No formal PIT meeting held post-roadshow meeting Awaiting updates on status of DITs, selection of facilities -implementation TB module, nomination of TKIs 8

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

THANK YOU For more information: National Managers responsible for TB/HIV Implementation Management Riona Govender: Goven. R@health. gov. za Nevilla Somnath: Nevil. S@health. gov. za TIER Implementation Associate seconded to NDOH Ipeleng Mojaki: imojaki@clintonhealthaccess. org 10