Performance for Health through Focused Outputs, Results and Management (PERFORM)
In September 2012, Right to Care and the United States Agency for International Development (USAID) endorsed a bilateral cooperative agreement, known as Performance for Health through Focused Outputs, Results and Management (PERFORM).
Also referred to as the Health Systems Strengthening (HSS) programme, it encompassed three key objectives:
- to improve HIV-related patient outcomes by strengthening health and patient management systems at facility, sub-district and district levels through capacity building and support,
- to strengthen health systems in support of HIV-related services by working with provinces to build capacity of facility, sub-district and district management and
- to provide support for the development and successful implementation of South African Government (SAG) policies for HIV-related interventions targeting governance, leadership and finance.
It was implemented in:
- Free State – the Thabo Mofutsanyana district,
- Mpumalanga – Ehlanzeni district and
- Johannesburg region A & B and
- Tshwane sub-districts 3, 4 and 6.
PERFORM/HSS programme achievements
- Rapid increase in individuals tested for HIV and TB in facilities and communities
- over 4,409,517 clients tested,
- Enrolment and retention of 440,305 clients into antiretroviral treatment (ART) care,
- Viral load suppression over 90% in all districts except Thabo Mofutsanyana,
- Elimination of mother to child transmission targets achieved,
- Decrease in the number of new HIV infections,
- Expansion of life-saving services in a cost-efficient and sustainable way,
- 100% digitalisation of data reporting,
- Innovations for efficient drug delivery platforms,
- HIV and TB research which changed HIV/TB management in South Africa,
- Advocacy which influenced PEPFAR’s HIV/TB strategies and
- Support of the health department’s pharmaceutical and supply chain management.