PEPFAR’s goal in Swaziland is to provide financial resources and technical support to the Ministry of Health (MOH) to ensure delivery of high-quality services to patients and clients at service delivery sites, while at the same time strengthening the capacity of the health system to achieve this goal in a sustainable way. As part of its mandate, PEPFAR and its HIV care and treatment partners in the country, including the International Centre for AIDS Care and Treatment Programs (ICAP), the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF), Mothers to Mothers (M2M), Management Sciences for Health (MSH), and University Research Co., LLC (URC), have initiated a coordination strategy to better orient their technical assistance efforts to support MOH leadership in improving clinical mentoring to support the delivery of quality health services.
The Regional Coordination Agency (RCA) was formed by the Regional Health Administrator for Hhohho, along with the PEPFAR Care and Treatment lead, the Chiefs of Party of PEPFAR-supported implementing partners, and clinical mentors, for the purpose of coordinating PEPFAR support for the implementation of the Essential Health Care Package, HIV Package of Care, and other priority programs of the Government of the Kingdom of Swaziland and PEPFAR.
This report serves to outline the processes of implementing the Hhohho RCA clinical mentoring activities, highlighting the steps taken to prepare for implementation; implementation of the pilot; and challenges, successes, and recommendations to strengthen the approach. The authors hope that the results from this pilot will shed light on similar models to be implemented by the MOH and PEPFAR through its implementing partners in other regions