1. Department of Correctional Services
Welcome
Department of Correctional Services

2. Introduction, Overview, Objectives, and Next Steps
Comprehensive Training to support the National Integrated TB/HIV Information System Implementation
Introduction, Overview, Objectives, and Next Steps

3. Introducing the facilitation team / National Integration Team (NIT)
Dr Riona Govender – COO branch, NIT lead
Nevilla Somnath – NTP RIMES, NIT lead
Barbara Franken – Progr Manager
Gregory Kuzmak – Progr Manager
Moeketsi Finger – TA TIER-HPRS
Claudine Hennessey – TA DCS
Mamello Letsoko – TIA
Precious Lefohle – TIA
Lungile Mahlalela – TIA
Lubabalo Banzana – MEA
Dumisile Simelane – MEA
TIA = THIS Implementation Associate
MEA = M&E Associate

4. NDOH TB, HIV and M&E clusters
Developers of interlinked systems: WAMTech (ETR.Net and EDRWeb), CSIR (HPRS), and HISP (webDHIS)
Global Fund
Clinton Health Access Initiative (CHAI)
TIER.Net developers: UCT - Centre for Infectious Diseases Epidemiology and Research (CIDER)

5. -

6. Training Overview
Agenda
Objectives
Expectations

7. Broad strokes outline of training agenda
Overview of HTS, ART and TB module in TIER.Net with focus on reporting and line lists (version 1.12)
Successful implementation of TIER.Net by DCS
Improving data sharing between DOH and DCS
Maintenance of THIS
Revised Integrated TB/HIV Data Management SOP
Site Visit Task List and Audit Tool
* IT training – ½ day Thurs and ½ day Friday

8. What is included in this training?
NO 
NO 
How to use TIER.Net for capturing
How the TB/HIV information system support/improve patient and operational management and reporting.
Focus is on use of line lists and report.
YES 
YES 

9. Training objectives
To capacitate Regional and Management Area staff on:
Creating a culture of data demand and data utilisation in DCS (line lists, repots)
Updates and review of the TIER.Net software
Institutionlisation of data
Data sharing between DOH and DCS
Improved maintenance of THIS

10. Expectations of Regional and Management Area Managers
Disseminate the learnings from this training including the relevant materials and documents to all relevant staff at correctional centres, in a manner that is clear, timeous and appropriate
Provide ongoing support and feedback to centres, to ensure adoption of all guidance and prescriptions, and monitor ongoing compliance

11. Terminology - who is an ‘Admin Clerk’?
Disparate use of terms across provinces
NIT uses ‘admin clerk’ as umbrella term
May be referred to in slides as ‘AC’
Health Clerk

12. TIER.Net

13. TIER.Net principles and reminders
TIER.Net does NOT INSTRUCT clinical governance, service delivery, or programmatic management - rather it supports these aspects
As a tool, it is only as good as the extent to which it is managed, curated and maintained
As defined in the SOP and other critical guidance materials
Technical solution is not a silver bullet
Software is evolving
Robust and evidence-based feedback supports this growth

14. Rationale for revisions to TIER.Net software
Improve utility of software to support clinical governance and patient management
Enhance ability to identify and address leakage across the cascades
Remain aligned with clinical and programmatic guidelines and priorities
Bug fixes and system optimisation
Address user feedback – we’ve heard you!

15. Software revision process not straightforward
Iterative process of discussing all potential updates, deciding what to include in which version, fleshing out specs, and communicating with developers
Driven by NIT, but complicated by developer entertaining requests from other sources (donors, partners, other countries, etc)
Not necessarily authorised by NIT
Multiple cycles of testing different iterations of the software

16. Thank you
Thank you