KI support for Western Cape started May 2007 as Absolute Return for Kids (ARK). The support was direct service delivery, with clinicians working up patients for Anti-Retroviral Treatment initiation. The programme expanded from support at Tertiary hospitals, eg Tygerberg Hospital in the district to the CCTM public health clinics by end of September 2009. The current support in the district is predominantly Technical Assistance and health system strengthening. The Technical Assistance support entails quality improvement initiatives for better quality patient care, training and mentoring of Nurse Initiated Management of Antiretrovial Therapy (NIMART), Data Quality improvement support and Community Based Support for patients.
Quality Patient care initiatives focus on improving the patient experiences in the facilities, e.g. waiting times, patient flow, patient education on their diseases, good patient monitoring practices as per guidelines, and availability of medication at all times. Kheth’Impilo supports the roll out of Tier.Net, Ekapa, Prehmis system.
Kheth’Impilo provides technical assistance to the pharmaceutical platform in the Cape Metro. Key areas of focus include facilitation of the pharmacist assistant learnership, training of post basic pharmacist assistants to work under indirect supervision of a pharmacist, medicine supply management training and pharmacovigilance training amongst many other activities aimed at strengthening the health system.
The Community component supports patients on antiretroviral therapy to improve adherence to treatment, and encourage disclosure. Community health workers visit patients at their homes for assessment and referral.
Dr Muya obtained his Degree in Medicine in 1998, holds a masters degree in Public Health, and has completed various medical and business courses over the years. He is a public health specialist and has excellent skills and knowledge of HIV prevention and care. He is also an expert in implementing programs such as PMTCT, ARV/ART, TB, IPT, VCT, mother to child and maternal health, malaria, EPI, and rehabilitation. Dr Muya worked for 10 years in Botswana, first as ARV Site Manager for 6 years in Palapye and then as Head of Okavango District Health Management Team (DHMT-Head). From June 2000 to November 2004 he worked as District Medical Office and Head of Kabompo District Hospital in Zambia.