urc-swaziland monthly newsletter · 2019-12-17 · urc in-service training advisor, hugben...

Improving systems to empower communities

FOREWORD BY THE COUNTRY DIRECTOR

The month of April had two critical activ-

ities, externally and internally, supported

by URC. The external, TB Program Re-

view & internal, the URC Staff QRM

Meeting. The USAID ASSIST and CDC

URC lab project staff participated and

provided the much need technical assis-

tance to the process of TB program review,

overall, the review was hailed as a success

because all the objectives of the review

were accomplished. To this end, I wish to

congratulate all staff who took part in the

review for a job well done. The review

called for the project staff to travel and

visit TB clinics, labs and organizations

countrywide providing TB services within

the country, sometimes working till very

late in the night. Added to the activities

was evaluating the implementation of the

TB NSP 2010-2014 and assessing current

responses, identifying successes and best

practices that can be scaled up; opportuni-

ties that can be optimized; and challenges

that need to be addressed. This was a mile-

stone in TB control, as an organization we

pledge to continue to work with the TB pro-

gram in developing and supporting the

implementation of the subsequent TB stra-

tegic plan 2015-2019

On the other hand the organization inter-

nally conducted a successful staff quarterly

review meeting (QRM) This forum has cre-

ated a unique opportunity for staff to pre-

sent, share and learn from other colleagues,

this has created an organizational culture of

learning, sharing knowledge and sharing

expertise.

In the month of May we look forward to

Internal Laboratory Audits, the finalization

of both SHLS strategic plan 2014-2018 and

the TB NSP 2015-2019 strategy.

Finally I would like to welcome new staff

who will join URC in the subsequent months

and I hope they will fit in and enjoy work at

URC and contribute to the growth of URC.

To the rest of the URC staff keep up the

commitment to finding and providing solu-

tion to health challenges in Swaziland and

improving the quality of life for the people

of Swaziland.

URC-SWAZILAND MONTHLY NEWSLETTER

April 2014 Issue

10 May 2014 Volume 1, Issue 4

Inside this issue:

April Staff Quarterly Re-

view Meeting: Progress To-

wards Accreditation & Insti-

tutionalization of Quality Im-

provement Approaches

2

The National Launch of the

Laboratory Research Train-

ing and Mentorship

3

Manzini Region Community

TB Awareness & Sensitiza-

tion Event at Malkerns

4

Countrywide Rollout of the

GeneXpert: New Technologies

to Increase TB Detection

5

National Annual Quality

Management Forum:

“Improving Quality Manage-

ment Systems for Enhanced

Health Outcomes”

6

The National TB Control

Program Review: Impact of

TB Control Implementation

Over the Last Five Years (201

-2014)

7

Laboratory Information

System: Improving Lab Turn-

around Time & Patient Man-

agement

8

Tips for Collecting Sputum 9

URC Welcomes Two Bun-

dles of Joy

10

Congratulations to Our April

QRM Star

11

Other Activities in April 12

Upcoming Activities in May 12

Dr Samson Haumba, URC Swaziland Country Director


On the 28th and 29th of April 2014, the

University Research CO., LLC (URC-

Swaziland) Monitoring and Evaluating

(M&E) team organized and facilitated the

2nd Quarterly Review Meeting (QRM) for

the year. The workshop attended by 30

URC staff was held at the Mountain Inn

Hotel, themed ‘Progress Towards Accredi-

tation’. Each project staff attending the

workshop was given an opportunity to

share and give feedback on their day-to-

day activities on both Lab and ASSIST

projects tracking their progress in the quar-

ter towards accreditation.

Objectives guiding the workshop included:

Use of data to inform results towards targets and implemen-tation outcomes.

Presenting key performance indicators of supported health facilities and services.

Identifying corrective measures and interventions to address gaps in supported sites and systems.

Presenting on progress to-wards accreditation and quality improvement performance of selected sites

Sharing best practices and transferring knowledge.

A highlight from this workshop was the

inauguration of a new initiative to the staff

QRM workshop. This is identifying a star

employee from the time of preparing and

duration of the QRM workshop. Reported

by the Knowledge Management KM and

M&E team the QRM was a success with

regards to the presentations and participa-

tory effort given by the staff. Examining

further the QRM plays a significant and

notable role of improving data quality. In

regards to knowledge management it

helps staff to do their work better and save

time through better decision making and

problem solving. This in turn helps the staff

to keep up to date facilitating more effec-

tive networking and collaboration.

APRIL STAFF QUARTERLY REVIEW MEETNG: Progress Towards Accreditation & Institutionalization of Quality Improvement Approaches

Volume 1, Issue 4

URC In-Service Training Advisor, Hugben Byarugaba presenting while seated, a

newly introduced method of presenting during QRMs.

URC staff participat-ing in energizers ,

that served the pur-pose of keeping them

attentive during presentations.

URC staff seated in a semi-circle, which creat-ed a relaxed and condu-cive environ-ment.

URC Research &Training Advisor, Dr Charmaine Khudzie Mlambo comforta-ble with presenting while standing up.


The CDC –URC lab project in a bid to

strengthen health laboratory research

capacity in Swaziland, the Laboratory

Research Training and Mentorship

(LRTM) programme was launched nation-

ally on the 2nd of April 2014. Currently

there is limited local expertise in research

in the Swaziland Health Laboratory Ser-

vices (SHLS), however with the timely

launch of the LRTM research capacity in

the country will be improved.

The launch of the LRTM is aimed at ad-

dressing the need for skilled researchers

in the SHLS by using training and men-

toring approaches. These approaches will

help the SHLS with designing and con-

ducting new studies, which will help pro-

vide leadership in research activities and

applying of findings to improve public

health practices.

The Deputy Director of Health Services,

Dr Vusi Magagula in his speech during

the launch, elatedly shared that the

launch of the programme would certainly

improve research in the country which

has remained a weakness within the

Ministry of Health. Alluding to the objec-

tive of the programme, he said,

“Research is a means to improving ser-

vices and with the launch of the LRTM

programme, the Ministry of Health will

now be able to provide evidence based

information, which we can act on.”

The triumph was not only shared by the

Ministry of Health, but also the ministry’s

supporting partner, the University Re-

search CO., LLC (URC). The URC coun-

try Director, Dr Samson Haumba also had a

few sentiments to share about the pro-

gramme. Providing technical support to the

MOH is part of the key objectives of the

organisation. He noted that how exciting it

is to finally initiate research support which

will be provided to the country, especially

because research is a key component of

activities within URC.

Appreciative about the initiation of the pro-

gramme, he highlighted that the next step

was to have people publish and share re-

search findings nationally as well as inter-

nationally.

NATIONAL LAUNCH OF THE LABORATORY RESEARCH TRAINING AND MENTORSHIP

Volume 1, Issue 4

The team that attended the Laboratory Research training & Mentorship (LRTM) programme launch at Maguga Lodge


The National TB control programme

strategy has a key component of Advoca-

cy Communication and Social Mobilisa-

tion (ASCM) with focus on TB prevention,

including reaching communities and

people to raise awareness on TB control

and prevention. It is on this regard that on

the 9th of April 2014, the USAID ASSIST

project partnered with other organisations

hosted a TB event in Malkerns at the

Princess Pholile Hall and Play ground.

The event commenced with a march from

the Malkerns Shopping Centre to Prin-

cess Pholile Hall. The turnout at the event

was good, with 500 people in attendance.

Malkerns population is densely populated

with factory workers and school children

and this activity was specifically targeting

these groups as well as other people

around the area. Dignitaries present at

the event, including Member of Parlia-

ment (MP), Marwick Khumalo graced the

event to convey to the public the im-

portance of learning about TB and the

political will in combating TB.

Sensitization activities that were planned

for the day included distribution of Behav-

ioural Change Communication (BCC)

materials, provision of health desks for

consultations on TB and TB screening.

By the end of the event 350 people visit-

ed the University Research CO., LLC

(URC) health desk of which 539 TB BCC

materials were disseminated to the pub-

lic. Cough officers were deployed by the

National TB Control Programme (NTCP)

to provide screening of the public. 213

people were screened and 95 were test-

ed positive to the screening tool. Those

reporting any illness were referred to the

nurses and doctors.

The Malkerns Community is a big com-

munity with a factory, therefore the at-

tempt to sensitize the community and

workers on TB was vital. TB transmission

in communities such as Malkerns remains

very high. This then calls for the need for

TB health education on Infection Preven-

tion and Control as well as TB manage-

ment to help eliminate further infections.

MANZINI REGION-COMMUNITY TB AWARENESS AND SENSITIZATION EVENT AT MALKERNS

Volume 1, Issue 4

URC TB Coordinator, Yvonne Makwabarara sharing the TB Smart Card pamphlet with

some of the community members who were in attendance.

TB health education was also provided to school children from the community who were in attendance at the event.

Healthcare worker conducting TB screen-ing to an elderly community member ,

while others queued in line.

Factory workers attentively listening to the proceedings of the pro-gramme for the day.


The 16 module GeneXpert machine installed at the Mbabane Central laboratory.

Over the years, earlier and improved tuberculosis (TB) case

detection - including smear-negative disease often associated

with HIV - as well as expanded capacity to diagnose multidrug-

resistant tuberculosis (MDR-TB) have become global priorities

for TB control, highlighting the urgency for rapid diagnostic

methods. Swaziland is a high burden country and in response

to WHO endorsement of the Cepheid Xpert MTB/Rif Assay, the

country has adopted the new technology rolling it out country

wide. The GeneXpert instrument has the capacity to detect TB

especially in patients living with HIV and detect MDR-TB, which

proved to be a challenge with previous diagnostic platforms.

In a space of 2 years a total of 24 GeneXpert machines have

been rolled out in 19 sites within Swaziland. According to the

University Research CO., LLC (URC) GeneXpert Laboratory

Mentor, the roll out of the instruments has proved to be a huge

success. The roll out of the instruments countrywide has helped

place the country in line with the WHO recommendations of

2010 which encourage the use of the technology.

Highlighting on the activities of rolling out the instrument, she

noted that in the past 6 months 5 new GeneXpert instruments

COUNTRYWIDE ROLL OUT OF THE GENEXPERT: NEW TECHNOLOGIES TO INCREASE TB DETECTION

Volume 1, Issue 4

were installed including a 16 module instrument which was

installed at the Mbabane Central Laboratory. The 16 module

instrument was strategically placed at the Central Lab to act as

a backup site for all other laboratories within the country. It has

a capacity to run 64 samples a day, summing up to a total of

1280 samples a month. Hence, the national testing capacity for

GeneXpert is 432 tests per day, amounting to 8640 tests per

month.

The roll out of the instruments to all the TB diagnostic laborato-

ries has improved TB case detection in the country. The coun-

try is then provided with the opportunity for patients to be initiat-

ed on appropriate TB treatment earlier. Early detection and

treatment initiation will also result in decreased transmission of

TB in communities, therefore saving a number of lives.

A map depicting the distribution of the GeneXpert ma-chine in the country at the 19 sites.


Volume 1, Issue 4 Page

The National Annual Quality Manage-

ment Forum was inaugurated on the

14th of April 2014 at the Convention

Centre, five years after the Quality Man-

agement Program started working with

the Ministry of Health (MOH). The key

objectives of this event were to share

technical updates on continuous quality

improvement in health and to reach a

consensus on next steps for effective

implementation of the quality strategic

framework.

The USAID ASSIST project has played

a major role in promoting the delivery of

NATIONAL ANNUAL QUALITY MANAGEMENT FORUM: “Improving Quality Management Systems for Enhanced Health Outcomes”

quality healthcare services in the coun-

try. The project supports MOH through

providing technical support such as

holding trainings and visiting clinics to

mentor and share best practices which

would improve the quality of services.

The project mainly focuses in TB health

facilities and laboratories around the

country.

The proceedings of the event included

the exhibition of 14 QIPs all supported

by the University Research CO., LLC

(URC-Swaziland) all presented in the

form of a storyboard.

“These standards came at a time when the public health

care system is in dire need of refocusing its collective ef-

forts towards improving the quality of care provided in public

health facilities and communities. Knowing that quality is

never an accident, always the result of high intention, sin-

cere effort, intelligent direction and skillful execution, and

that it represents the wise choice of many alternatives.

Standards need to be adhered to assure quality in health

care and continuous improvement in the care that is being

provided. Health care personnel are encouraged to use

standards of care; clinical guidelines and standard Operat-

ing procedures to focus their intentions and guide their

efforts.

I know this has not come on a silver platter but through a lot

of effort, commitment, passion and team work by the Quali-

ty Management team, Development Partners, Health pro-

fessionals from both private and Public Sector and

SWASA.”

-The Minister of Health, Sibongile Simelane

SOME OF THE EXHIBITED FACILITIES & NAME

OF QIP:

ASSIST PROJECT:

RFM TB Clinic - Improving Early ART initia-

tion for TB HIV co-infected Patients at RFM

TB clinic.

Moti Clinic - Improving the proportion of

Moti Clinic OPD attendees Routinely

Screened for TB

LAB PROJECT:

RFM Lab- Improving the quality of specimen

Mbabane Government Hospital- Improving

FBC TAT

TB Hospital- Patient flow redesign

Pigg’s Peak Hosiptal- Improving TAT for

Viral load

TB National Referral Laboratory- Improv-

ing TB culture contamination rate

Representing the MOH minister, Principal Secretary Dr Simon Zwane delivering a speech on behalf of

the ministry.

Dr Donna Jacobs, Regional Director for the Southern African Region under the USAID ASSIST Project and

Quality Performance Institute at URC.


Volume 1, Issue 4

THE NATIONAL TB CONTROL PROGRAM REVIEW: Impact of TB Control Implementation Over the Last Five Years (2010-2014)

The 2010-2014 National Strategic

Plan (NSP) came to an end in the

month March, with that happening

there was a need for a program re-

view, which started on the 30th of

March to the 11th of April. This review

was an evaluation of the NSP’s imple-

mentation, assessing current re-

sponses and their impacts on the TB

burden in the country.

The review was necessary for identi-

fying success and best practices so

that they could be scaled up and also

needed to generate information that

will inform the development of a sub

sequent strategic plan for the country.

To conduct the review 5 teams were

formed with one member of staff from

University Research CO., LLC (URC-

Swaziland) in each team. The teams

covered all 4 regions and central level

institutions, amounting to a total of 61

health stations visited.

The debriefing session of the review

was held on the 11th of April 2014 at

the Royal Convention Centre where

some of the key achievements of the

report were shared.

Extending his gratitude for the com-

mendable work done by relevant

stakeholders during the review, the

Ministry of Health, Principal Secre-

tary, Dr Simon Zwane acknowledged

that the exercise was in deed a suc-

cess. He said, “The team has come

out with implementable recommenda-

tions which can be done, and each

one of us has now been challenged to

pinpoint an area where we can pro-

vide assist in the fight against MDR-

TB, until there is a significant im-

provement.

Highlighted Key Achievements of 2010-2014 NSP:

Listed TB amongst the top three priority dis-

eases declaring it a national emergency.

Has ensured service coverage within eight km

of the population.

The existence of the national strategic docu-

ments and technical guidelines for programme

implementation.

A regular government financial allocation for

TB programme and TB hospital of about E40

million annually.

NTCP became a beneficiary of E 200 million

government loan from the World Bank for

health, HIV & TB control activities.

Ensured a generally uninterrupted government

fully funded supply of anti-TB medicines, ARVs

and laboratory reagents and commodities.

Finally, a successful mobilization of additional

resources from donor and collaborating part-

ners.

More Pictures from page 6...

Some of the exhibited storyboards from different facilities showcased to dignitaries at the event.

Senior represent-atives from URC-

Swaziland and the MOH

Thobile Mkhonta, URC TB/HIV Nurse stationed at RFM TB Clinic , sharing some of the work they have done at the facility.

Dignitaries at the event touring exhibited QIP storyboards.


Laboratory Information System (LIS) is a

system is a software based laboratory and

information system that offers a set of key

features that support a modern laboratory ‘s

operations. Currently the LIS has been in-

stalled in 8 main labs in the country.

The value held by the system is to improve

the accuracy of lab results and accountability

of lab staff, as well as improve the availability

of analysed data for decision making to man-

agement. The LIS system is also guided by

the objectives to facilitate digital logging processing and

tracking of patient lab requests and to streamline work-

flow and improve throughput and efficiency in the turna-

round time.

It remains critical to have staff trained on LIS

for utilization of the system. Also a part of the

ingredient to achieve success from using the

system is the provision of timely LIS support.

This eliminates instances where some data

captured manually is not inputted. In addition

there is a need to make effort to support Swa-

ziland Health Laboratory Services (SHLS) to

utilize their data.

Going forward the LIS team is looking into

rolling out the LIS to more laboratories in the

country. Inclusive in the next step agenda is

for the team to install a Wide Area Network (WAN) to

enable centralized technical support and installation of

central data respiratory for a collated national picture.

Volume 1, Issue 4

LABORATORY INFORMATION SYSTEM: IMPROVING LAB TURN-AROUND TIME & PATIENT MANAGEMENT

LIS could also be re-

ferred to as a series of

computer programs

that process, store and

manage data from all

stages of medical pro-

cesses and tests.

1

2

3

4

5 6


collecting sputum from patients can be a nightmare for most nurses. However, the collection of sputum is essential for TB diagnosis,

management of patients with the disease and public health TB control services, therefore it cannot be avoided. Below are two methods

for easier and successful sputum production, effective for both the patient and the nurse.

TIPS FOR COLLECTING SPUTUM

URC-SWAZILAND MONTHLY NEWSLETTER April 2014

Nasopharyngeal Induction Procedure

Materials:

Masks Nebuliser machine Sterile hypertonic

saline Salbutamol Sputum collection

container

Suction machine and catheter

Small volume nebulis-er

Disinfectant Disposable gloves

Procedure:

Step 1: Run correct dosage of Salbutamol in normal saline (0.9% NaCl solution) for 3-5 minutes.

Step 2: Add hypertonic saline (3-5% NaCl solution) to the solution and continue nebulization for at least 10 minutes:

-If the child coughs during this time and produces sputum, you’re done.

-If the child does not produce a specimen within 10 minutes, insert the suction catheter, nasopharyngeal airway (NPA), or oropharyngeal airway (OPA) to stimulate cough.

Step 3: When there is adequate sputum in the oronasopharyngeal area, insert the catheter from the sputum trap (either alone or through an airway).

Step 4: Apply vacuum until at least 2ml of sputum is collected in the sputum trap. Start at 15-20kPa pressure and increase only if needed.

Step 5: Ensure that the sputum collection container is tightly sealed.

NB: NRAs should calmly explain the procedure to the child and caregiver before

performing, to minimise caregivers’ distress. NRAs may seek assistance for

carrying out the procedure from the caregiver or a duty nurse.

* 2012 MOH National Tuberculosis Programme Manual, Annex 10

Procedure:

Step 1: Boil water and pour in a cup (mug/teacup).

Step 2: Add salt in the boiling water.

Step 3: Take a cloth (eg. Scarf) and cover yourself over the cup of boiling salt water solution and inhale steam. (NB: This should be done a day before collecting sputum)

Step 4: In the early hours of morning (take advantage of the cold morning breeze) take off any clothing you wearing on top, exposing the chest.

Step 5: Slowly breathe in and out. Repeat this step 3 times.

* Method used by RFM and Mankayane hospitals.

Patient Sputum Collection Method

Equipment/Materials:

Cup Boiling water Salt

Cloth/scarf Sputum bottle

...More TIPS: Sputum specimens are best if coughed up first

thing in the morning, after you have been sleep-ing at night.

Before you do the test, gargle with water (not

mouthwash) to rinse out your mouth. Do not eat drink, smoke or brush your teeth before collecting

About a tablespoon of sputum is the amount that

is needed.

Specimens should be kept in the refrigerator (not

freezer) until they are returned to the clinic.


URC WELCOMES TWO BUNDLES OF JOY

Volume 1, Issue 4

having allowed me 12 weeks fully paid

maternity leave in order to look after my

baby and see her grow.”

Admitting the reality of being a corporate

mom, Sinele’s mom said, “Being back at

work for the past 8 weeks has not quite

been easy as I have to feed and be up at

awkward hours of the night and come to

work feeling tired. I have been lucky

though that the past few days S’ne sleeps

most of the night and I am able to wake up

geared for work. Sinele’s birth has helped

me realize my potential of multitasking. I

get home breastfeed Sinele, cook dinner

for the family, bath her, feed her and while

she sleeps I try to catch up with work be-

fore I sleep in readiness to be woken up at

midnight by her sweet screaming voice.”

“I thank URC for the breastfeeding hour

which I am rarely able to take but knowing

that it is there helps ease tension when I

feel like my baby needs me and I try plan

my activities to cater for the breastfeeding

hour when possible.”

No matter how dedicated and busy we are in the University Research CO., LLC (URC) Swaziland offices, each one of us has a life

outside the premises. So let us briefly step out of the office and take some time to share a happy moment with two of the URC employ-

ees. The two colleagues have just recently welcomed new additions in their families.

It’s a boy!

Meet the Technical Director, Dr

Marianne Calnan’s baby Mat-

thew Ekatan, who was born on the 11th of

April 2014 at 1:39am. The bouncy bundle

of joy born in the United States weighed a

healthy 3.5kg. Baby Matthew is one of two

other boys. As per the Swazi custom,

there is no doubt that Dr Marianne will be

spoilt rotten by her daughters-in law.

“We felt Matthew was a fitting name for

our boy. The name means a gift from God

and we chose it because he was unex-

pected. Also the name Matthew confers

It’s a girl!

From the Kuhlase family, meet

the URC-Swaziland TB Coordi-

nator, Nokuthula Mdluli Kuhlase’s baby girl

named Sinele Nonjabulo Kuhlase, born on

December 3, 2014. The Kuhlase family

have decided that the little princess would

be their last child as it is confirmed by the

name Sinele, loosely translated as ‘we are

complete’. In memory of her late aunt

whom the family lost late last year, the

bubbly baby girl was named Nonjabulo,

meaning happiness. Baby S’ne, who was

born weighing a whopping 2.6kg has be-

come a very special blessing to the family.

When asked about balancing work and

also being a mother, Mdluli sharing her

sentiments said, “Being a full time working

mom is very challenging, but all apprecia-

tion goes to URC Swaziland Office for

Referring to how challenging it could be

balancing work and a baby, Dr Calnan

had the following to say, “It is pretty

challenging especially when you are

sleep deprived. The trick is to nap while

the baby sleeps, but that is easier said

than done. I guess the best one can do

is to have good help with the baby, try

work short hours if you have an under-

standing boss and rest when you can.

Recognise you are not superwoman

and do not take on extra work at least

not for the first 6 months after the ba-

by’s arrival.”

certain traits in the child, like intelligence

and wisdom.”

SOCIAL CORNER


The April Quarterly Review Meeting (QRM) has recently introduced a new initiative to help motivate staff during the QRM workshops.

Our first awarded star, in the second QRM in 2014 was Julius Manjengwa, URC-Swaziland TB Lab Advisor.

CONGRATULATIONS TO OUR APRIL QRM STAR

Volume 1, Issue 4

One On One with the Star

When did you join URC?

I joined URC in April 2012 and I worked as a TB

Lab Advisor. Then I was later given the HIV Lab

Advisor role beginning of last year as well. It has

always been a challenge trying to keep up with the

many tasks especially in the early days but with time

I got to enjoy the work.

What are your roles as Lab advisor?

As a TB Lab Advisor my role is to support the NTCP

and the Swaziland Health Laboratory Services

(SHLS) with crafting of their strategic documents.

With our drive towards accreditation I am also a

mentor for implementation of Quality management

systems for Mankayane Lab.

Your sentiments after you were awarded the

QRM Star?

It was a great feeling learning that I was the star of

the QRM. I had put in a lot of effort to come up with

the presentations. Prior to the QRM I was committed to a lot of activi-

ties and I still had to come up with three presentations. Preparation

of these presentations stretched into my weekend, but they had to

be done. The award was even a bigger surprise and I really appreci-

ate it. It is something I never thought of buying but will come in

handy.

SOCIAL CORNER

Julius Manjengwa after he was handed his award by Dr Yohannes Ghaebreyesus

The QRM Reigning Star Profile:

Julius Manjengwa graduated from the University of

Zimbabwe with a Bachelor of Medical Laboratory

Science Honours Degree in the year 2004.

Has 10 years working experience in Government

and private laboratory settings.

Previously worked in Zimbabwe and Namibia be-

fore coming to Swaziland.

… For Laughs


UPCOMING ACTIVITIES IN MAY:

Nurses commemoration Day

Bio Safety Training

SLPTA Laboratory audits - Towards accreditation

Finalization of NTCP National Strategic Plan

Finalization of SHLS strategic plan

GeneXpert Training for Laboratory Mangers

Training on Disease Outbreak

Injection Safety and waste management training

IDI TA round 3 mission

University Research CO., LLC (URC) 3rd Floor, North Wing, Building 1

Mbabane Office Park

Sozisa Road

P. O. Box 1404 Mbabane H100, Swaziland

Tel: (+268) 2404 7154/56/69

Fax: (+268) 2404 7199

Website: www.urc-chs.com

OTHER ACTIVITIES IN APRIL:

IPC focal person feedback training

GeneXpert training for microscopist

Mamisa Community Mobilisation for

community Leaders

EDITORIAL TEAM

Jilly B. Motsa

Janet Ongole

Dr Marianne Calnan

Dr Samson Haumba

URC– SWAZILAND

Who Are We…

University Research CO., LLC (URC) is dedicated to improving the quality of

healthcare, social services and health education worldwide.

Mission

URC’s mission is to provide innovative, evidence– based solutions to

health and social challenges worldwide.

Expertise

In Swaziland, URC expands access to and improves the quality of services

addressing infectious diseases including HIV/AIDS, TB, and improving laborato-

ry quality management system

Approaches

URC focuses on finding ways to deliver proven approaches to health care prob-

lems, applying quality improvement (QI) methods and conducting research and

evaluation to tailor those approaches to various settings. Recognizing imple-

mentation barriers unique to each setting, we train local managers and service

providers to apply QI methods to strengthen health systems, integrate system

elements, and bring improvements to scale. URC also specializes in designing

health messages and materials to educate target audiences about improving

health behaviors.

http://www.urc-chs.com/../../hiv/aids

http://www.urc-chs.com/../../tuberculosis

http://www.urc-chs.com/../../health_communication_and_behavior_change

http://www.urc-chs.com/quality_improvement

http://www.urc-chs.com/quality_improvement

http://www.urc-chs.com/research_and_evaluation

http://www.urc-chs.com/health_systems_strengthening

http://www.urc-chs.com/behavior_change_and_communication_2

urc-swaziland monthly newsletter · 2019-12-17 · urc in-service training advisor, hugben...

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