S Afr Med J. 2014 Mar;104(3 Suppl 1):239-43. doi: 10.7196/samj.7605.
South Africa (SA) is committed to achieving the goal of eliminating mother-to-child transmission (MTCT) of HIV by 2015. To achieve this, universal coverage of quality antenatal, labour, delivery and postnatal services for all women has to be attained. Over the past decade, the prevention of mother-to-child transmission (PMTCT) programme has been scaled up to reach all healthcare facilities in the country. However, challenges persist in achieving 100% coverage and access to the programme.
We describe the process undertaken by the National Department of Health (NDoH), in collaboration with partners, to develop, implement and monitor a data-driven intervention to improve facility, district, provincial and national PMTCT-related performance.
Between 2011 and 2013, the NDoH developed and implemented an intervention using data-driven participatory processes to understand facility-level bottlenecks to optimise PMTCT implementation and to scale up priority PMTCT actions nationally.
There was remarkable improvement across all key indicators in the PMTCT cascade over the 3 years 2011-2013. Simple monitoring tools such as a visual dashboard and data for action reports were successfully used to improve the performance of the PMTCT programme across SA. MTCT has shown a significant downward trend.
It is feasible to implement district-level, data-driven quality improvement processes at a national scale to improve the performance of the PMTCT programme at the local level.
南非致力于实现到 2015 年消除艾滋病毒母婴传播的目标。要实现这一目标，必须为所有妇女提供普及优质的产前、分娩和产后服务。在过去十年中，预防母婴传播（PMTCT）计划已扩大到覆盖该国所有的医疗保健设施。然而，在实现 100%覆盖和获得该计划方面仍然存在挑战。
我们描述了国家卫生部（NDoH）与合作伙伴合作，制定、实施和监测一项数据驱动的干预措施，以改善设施、地区、省和国家 PMTCT 相关绩效的过程。
在 2011 年至 2013 年期间，NDoH利用数据驱动的参与性流程开发并实施了一项干预措施，以了解设施层面的瓶颈，优化 PMTCT 的实施，并在全国范围内扩大优先 PMTCT 行动。
在 2011 年至 2013 年的 3 年期间，PMTCT 级联中的所有关键指标都有显著改善。简单的监测工具，如可视化仪表盘和数据行动报告，成功地用于提高整个南非 PMTCT 计划的绩效。母婴传播呈显著下降趋势。
在全国范围内实施以数据为驱动的、以地区为基础的质量改进流程，以提高当地 PMTCT 计划的绩效是可行的。
