Operations in Amajuba started in 2005 with direct service delivery. The programme expanded from three hospitals in the district to 23 public health clinics by the end of 2010.
Kheth’Impilo currently offers technical support which entails quality improvement initiatives for better quality patient care, training and mentoring of nurse initiative management of antiretroviral therapy (NIMART), data quality improvement support, and community-based support for patients.
Quality patient care initiatives focus on improving the patient experience in the facilities. This can include decreasing waiting times, improving patient flow, improving patient education about their diseases, good patient monitoring practices as per guidelines, and availability of essential medicines at all times. The data quality improvement support includes Tier.Net implementation and sign-off, data verification and validation, E-tool and DHIS support, and data capturing where there are backlogs.
The community-based support comprises of a dedicated cadre of Community Workers: the Patient Advocates who support patients on antiretroviral therapy and improve adherence to treatment.
Dr Goodman Vilakazi holds a BS degree from the University of the Western Cape and qualified as a medical doctor from Sefako Makgatho Health Sciences University (formerly MEDUNSA) in 1996. He completed his internship training in Madadeni hospital in Newcastle, KwaZulu-Natal in 1997. He developed an interest in HIV medicine when he was working as a private practitioner from 2001 to 2005. He attended a number of short courses in HIV Management to capacitate himself to be able to manage the HIV/AIDS & TB patients better, as the epidemic was rapidly spreading.
In June 2005 he joined an NGO known as Absolute Return for Kids (ARK) where he developed an interest and passion for managing HIV/AIDS & TB patients directly. He started working at the VCT site within the premises of Madadeni hospital and with the expansion of the programme to PHC clinics in Amajuba District he found himself initiating the programme in the clinics by 2008.
The goal of the programme was to increase access of ART to less privileged communities in the deep rural areas of the district. With the transition of ARK to Kheth’Impilo in October 2009, Dr Vilakazi was given the responsibility of managing the programme at Amajuba District. The programme expanded to all 22 PHC clinics in the district by end of 2010 with Dr Vilakazi overseeing the expansion and the transition from direct service delivery to health systems strengthening to the “focus for impact” strategy that the funders have adopted, which uses the NDOH’s 90-90-90 strategy.