Ruth Stark - Catholic Relief Service (CRS)
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Over nine years, the CRS-led AIDSRelief consortium delivered HIV care and treatment through local partners in ten countries with over $700 million in PEPFAR funding. The program strengthened local health systems by building organizational and technical capacity through ongoing assessments, training, and accompaniment. As a result, partners sustained quality patient services, managed sub-grants, and over 30,000 participants were trained. Upon completion, 14 local partners in 8 countries secured direct PEPFAR funding to continue managing the programs.
Ruth Stark - Catholic Relief Service (CRS)
- 1. Leveraging an HIV Care and Treatment Program to Strengthen Local Health Care Networks Ruth Stark, PhD Senior Technical Advisor, CRS South Africa
- 2. • Nine years • Ten countries • USD 740 million, funded by PEPFAR • Designed for transition to local ownership
- 3. 19 local partners working Over nine years, the CRS-led directly through 276 facilities AIDSRelief consortium delivered high-quality HIV care and treatment in ten countries with more than $700M in PEPFAR 700,000+ clients, including support. 395,000+ who initiated ART • Viral suppression = 88.2% Retention = 83% Mortality = 7.8%
- 4. The AIDSRelief Approach Capacity Strengthening = Capacity Building + Institutional Strengthening + Accompaniment
- 5. Key Interventions and Approaches Comprehensive, interdisciplinary approach based on a framework: Organizational capacity Technical capacity Funding capacity Policy and advocacy capacity
- 6. Key Interventions and Approaches • Baseline assessment of organizational strengths and gaps • Clear milestones based on assessment results • Dynamic capacity building plans
- 7. Key Interventions and Approaches Ongoing assessment using: •Site Capacity Assessment (SCA) •Clinical Assessment for System Strengthening (ClASS)
- 8. Key Interventions and Approaches • Joint site visits • Long-term accompaniment/mentoring • Proven practices of adult learning (didactic work, practical application, on-site training) • Exchange visits
- 9. Key Interventions and Approaches • Continuous quality improvement teams • Clinical task shifting • Continuing, locally-owned education • Incremental transfer of responsibilities
- 10. Results • Partners sustained quality patient services • Managed USG sub-grants • From 2008-2012, more than 30,000 participants trained • Transition: 14 local partners in 8 countries secured direct PEPFAR funding to manage the programs.
- 11. Conclusion Disease-specific resources can improve organizational capacity to better manage operations and service delivery, thereby strengthening the overall health system.
- 12. Lessons learned • Begin early • Dedicate resources • Leverage local resources • Work with host government • Disengage gradually