The TA Cluster works in direct support of the UNAIDS’s goal of 90-90-90 by 2020: 90% of all people living with HIV will know their HIV status; 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy; 90% of all people receiving antiretroviral therapy will have viral suppression. Our overarching Cluster goal is to implement capacity development and research initiatives to improve district health systems performance to reach 90-90-90 HIV and TB targets and contribute to HIV and TB epidemic control. Using diversified donor funding, the TA Cluster focuses on building local capacity, strengthening health systems and providing innovative solutions to improve HIV and TB patient outcomes in South Africa.
As a guide for the FPD TA strategy, FPD has adopted an approach based on the World Health Organization’s (WHO) Health Systems Framework and Systems Thinking for Health Systems Strengthening (WHO, 2010). This framework identifies six components of a healthcare delivery system known as the building blocks, namely: service delivery, health workforce, information, medical products vaccines and technology, financing and leadership and governance. Given the goal of developing a people-centred health system in the South African context, FPD has added community as a seventh building block in our model of HSS. FPD uses this model to help frame its TA activities in order to strengthen the individual building blocks, as well as their interactions with an aim to improve access, coverage and quality of HIV and TB prevention, care and support services in public sector as well as increase overall readiness for National Health Insurance.