Date : 21 April 2016 Venue :Birchwood Hotel Presenter: Mpaketsane PJ 1 LIMPOPO Peer Review Teams' feedback

Overview Preparatory phase Peer review process What went well and should be part of future review Areas for improvement in future review Lesson learned from KZN

Province visited KZN Visiting District Waterberg Mopani Vhembe Capricorn Sekhukhune Host district Ugu and Harry Gwala Ugu & eThekwini ILembe and Umkhanyakude Umgugundlovu Umzinyathi

COMMENTS ON PREPARATORY EVENTS/ISSUES BEFORE PEER REVIEW STARTED ON 1 FEBRUARY 2016 –1.1. September meeting Meeting was well prepared Discussions and presentations assisted common understanding As participants we shared best practices towards quick wins and best practices 4

1.2. December meeting Logistics well done Meeting was well prepared and all issues were solved before we left, had a clear understanding of what was expected of the peer review teams Checklist and dashboard were not fully discussed 5

1.3. Software preparation Excellent, adding the checklists added value only problem we had was internet connection, one team had good WIFI connection and had no problem of capturing the data, other team joined another and we helped each other. 6

1.4. Communication to peer reviewers before it started (1 February ) Communication through s was excellent But communication regarding delivery of stationery & modems was not on point 7

Comments on events / issues during the peer review from 31 January to 14 February 2016 Arrangement for travel to peer review district and return trip was excellent Shuttle service was on time and professionally done No problems experienced with regard to the flight Cars were available and reliable. We only experienced a problem when the other team had to stay longer and the car was not extended too, had to pour petrol using own money because petrol card was not working 8

Accommodation and meals Accommodation was good Meals not provided on the first night- Umzinyathi bought food for the team No lunch packs Supper was fast food ordered from nearby restaurants 9

Support of host district Excellent reception and support throughout the peer review. A team or person was always available to assist us to go the facilities Facility managers gave us their full support and they were supported by the District team 10

Availability of resources for peer review Hard copies were made before we left for the peer reviews for 2 out of the 5 districts The Host provided Data capture (modem, SIM, Data bundle, network availability) Waterberg team had good WIFI reception and had no problem in capturing the data. The other team joined us and we assisted one another in the capturing The modem and sim cards did not work at all. Host Districts assisted 11

1 team had no problem in capturing and uploading the data The other teams had serious challenges as they had to use their own gadgets The software had a lot of glitches 12

What went well and should be part of future peer reviews During Preparatory Phase Information sharing and making sure that we understood the tool the same way We were well informed of all the processes –During peer review period Support that we received from the host districts The good practices learned The outstanding support from National Ms Jautse and Ms Steinhobel 13

What went wrong and should be improved on in future peer reviews During Preparatory Phase we did not understand the tool the same in future we need to have a thorough workshop on both the tool and capturing During peer review period Making sure that there is internet connection for capturing Modems should be given in advance with data bundles. Driving long distances, then assessing, driving back and capturing Having to re capture every time the software and internet had problems 14

What was your experience of Peer Review in general, good or bad? Good Why? This was a learning curve for all of us and we came back with much more knowledge than before. 15

LESSONS LEARNED FROM KZN PHC is strongly supported by hospitals Operation `Sukuma `Sakhe –Ward councillors are fully involved Good compliance to National Core Standards & ministerial priorities All PHC facilities have appointed operational managers Functional sub-district offices (6 clinics) 16

LESSONS LEARNED FROM KZN Each PHC facility has 2 pharmacy assistants Infrastructure is sufficient Web access available in all facilities Functional medi-posts for CCMD Good team work amongst supervisors and management Clinics are cost centres (R28m/clinic) 17

LESSONS LEARNT FROM KZN Efficient staff utilization Waste management is well controlled Laundry services catered for by hospitals Good maintenance services Utilization of digital thermometers reduce waiting time 18

INFRASTRUCTURE

INFORMATION TECHNOLOGY

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MAINTENANCE

EQUIPMENT

Experiences of those left behind Most district had a positive experiences in that the reviewers engaged the facility managers and district management. In one district the reviewers worked on their own refuse any engagement and just walked alone and evaluate without asking for help Networking for further sharing of practices after peer review

Any Additional Comments We appreciate National for not outsourcing the peer review We were able to learn and share good practices This is a great investment We need to standardize documents 31

32 WE THANK YOU PEACE UNTO YOU ALL