Building Stronger Organizational Systems in South Africa
“When we started, we were only an
antiretroviral drug (ARV) service delivery
site. We did adherence monitoring, but we
didn't have the capacity for testing," says Dr.
Ethné Schaefer, medical director of Sophumelela
Centre in East London, South Africa. "The clinic
was managed by volunteers. We were three people
flapping around trying to do everything! We
saw the need to change—we wanted specialized
With support from the PEPFAR New Partners
Initiative (NPI), Sophumelela's desire to expand
and better serve its clients soon became a reality.
After becoming an NPI grantee in 2008, the clinic
added HIV counseling and testing and home-based
care to its list of services. A building purchased with Sophumelela's own resources was renovated as a
palliative care facility to care for its sickest patients.
Sophumelela also established a daycare center and
school for the children of clients and other AIDS-affected
orphans and vulnerable children in greater
East London. To round out this list of comprehensive
services, Sophumelela created a social enterprise and
development program called "Work for All," to assist
patients with skills-building, job creation, and
But while the NPI funds allowed Sophumelela to expand its list of wrap-around HIV services, additional support was needed in various organizational areas to truly make the center an effective and comprehensive HIV service provider. To address these needs, Sophumelela also received technical assistance to strengthen both its management and programmatic systems through TA-NPI, implemented by John Snow, Inc. and its partner Initiatives Inc. TA-NPI worked with Sophumelela to develop targeted trainings to strengthen specific organizational areas that needed attention, such as resource mobilization, program evaluation, client engagement, establishing systems and resources, and overall grant management.
"TA-NPI picked up on the gaps," says Andre
Bezuidenhout, Sophumelela general manager. "Within
a month of identifying our needs, they called us in for
referral network training. They also helped us to develop
a system of client assistance service providers."
"When we apply for grants, one of the questions
funders often ask us is, 'do you have a financial system
and policies in place?' We can now say yes because
TA-NPI helped us establish them," says Dr. Schaefer."And ‘have you got a monitoring and evaluation
officer?' We do now! This no doubt helped us win our
recent Global Fund award and will help us win future
Mr. Bezuidenhout concurs:“Currently, in the East London region, we're the only organization with a monitoring and evaluation system in place. Every other organization eliminated themselves from the Global Fund award because they had no such system."
With TA-NPI's support, Sophumelela has made tremendous progress. Program managers now have the skills to effectively run their departments and, as a result, have taken the lead in day-to-day management. Sophumelela now provides its patients with the quality HIV care and comprehensive support services they need. In addition, Sophumelela is now a strong partner for other organizations and the government in the Eastern Cape region.
"TA-NPI has only helped us," says Dr. Schaefer. "Yes, there's extra work, but they made us into a better organization. It has actually established our NGO."
Technical Assistance to the New Partners Initiative (TA-NPI) is funded by the Centers for Disease Control and Prevention (CDC) and implemented by John Snow, Inc. (JSI). The information provided on this web site is not official U.S. Government information and does not represent the views or positions of the CDC or the U.S. Government. The contents are the sole responsibility of John Snow, Inc. For more information, please contact: firstname.lastname@example.org.