Best improvememt reports from KwaZulu-Natal, Republic of South Africa | USAID Health Care Improvement Portal
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Best improvememt reports from KwaZulu-Natal, Republic of South Africa

Improvement Report

Topics: Maternal, Newborn and Child Health

Region and Country: South Africa

Organization: uthungulu
The Report

Improvement occured at Ngwelezana clinic, Ndlangubo clinic, Eshowe PHC service, and Nkandla hospital in KwaZulu-Natal Province, Republic of South Africa. The main aim was to reduce the mortality rate in these facilities.


Implementation of new PMTCT guidelines at Ngwelezana clinic.

Cervical cancer screening improved at Eshowe PHC facility.

Integration of HIV & AIDS, VCT, STI and TB at Ndlangubo clinic.

TB management at Nkandla hospital.

PMTCT services at the district  level.


At Eshowe PHC facility, a total of 688 smears were taken from 2006 to 2010. Out of 688, only six were not received back and five were broken in transit. Abnormalities were detected early.

Proper management of TB: all HIV-positive TB patients are now initiated on co-trimoxazole regardless of CD4 results.

Newly diagnosed patients receive HIV counselling. 

Staff become more motivated and attitudes of staff improved.


Importance of recording.

Integration of HIV&AIDS, VCT, STI and TB improved the management through early detection.

PMTCT reduces maternal and child mortality rate.

21 Apr03:41


By uthungulu

Team work improved the management of programmes
Proper implementation of guidelines gives desired results
Feedback to the staff motivate them to perform better.