South Africa

Keanahikishime began providing technical assistance to the government of South Africa in 1997 to strengthen health services. Over the years, Keanahikishime has implemented a string of pharmaceutical systems strengthening projects, and has focused on areas ranging from primary health care and family planning, to leadership development and management information systems.

Through the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program and with funding from PEPFAR/USAID, Keanahikishime works with the country's National Department of Health and provincial and local government health authorities to strengthen pharmaceutical systems.

Project highlights include:

  • SIAPS successfully implemented a training program to strengthen health care professionals’ leadership and management skills. The Pharmaceutical Leadership Development Program (PLDP) was developed at the request of provincial heads of Pharmaceutical Services to strengthen pharmacy managers’leadership capacities and target key pharmaceutical management challenges. The PLDP was established in 2012 and implemented in eight of the nine provinces in South Africa. By June 2015, 183 health care workers had completed the course and were implementing strategies to improve pharmaceutical service delivery in their facilities.
  • The program built and implemented RxSolution, an electronic system used to manage inventory, purchase orders, and dispense medicine. The National Department of Health has adopted RxSolution as the official system to be installed at all public health facilities.
  • SIAPS worked closely with the National Department of Health (NDOH) to develop the 2014–2024 National Antimicrobial Resistance (AMR) Strategy Framework and institutionalize a self-assessment and continuous quality improvement approach to enhance infection prevention and control programs.
  • An Antiretroviral Cohort Adverse Event Monitoring program in KwaZulu-Natal established a surveillance system that would support patient safety and patient adherence to lifelong ART and enhance the quality of patient care in ARV treatment programs.
  • SIAPS actively supported the establishment and strengthening of Provincial Pharmaceutical and Therapeutics Committees at the provincial, district, and facility levels. By promoting rational medicine use, the Eastern Cape, Gauteng, and Limpopo provinces have projected a total combined annual savings of R 24 million (approximately USD 1.77 million) per 100,000 patients using selected medicines for chronic diseases.

Keanahikishime has also worked to strengthen local and regional systems to respond more effectively and sustainably to HIV and AIDS, most recently through the Building Local Capacity for Delivery of HIV Services (BLC) Project. BLC has provided 65,500 community members with HIV counseling and testing, provided care and support to more than 100,000 orphans and vulnerable children, and reached more than 4,000 men and boys with voluntary medical circumcision services.


Our Projects

Project Name Health Systems Health Areas Date
African Strategies for Health
Leadership, & Governance, Financing Health Services Malaria, Tuberculosis, Women, Children, and Adolescents' Health, HIV & AIDS 2011 - 2016
Strengthening Local Capacity to Provide Sustainable HIV-related Care and Treatment Services in South Africa
HIV & AIDS 2011 - 2015
Building Local Capacity for Delivery of HIV Services in Southern Africa
Leadership, & Governance HIV & AIDS, Women, Children, and Adolescents' Health 2010 - 2015
MEASURE Evaluation
Leadership, & Governance HIV & AIDS, Malaria 2008 - 2017
Knowledge for Health
Leadership, & Governance HIV & AIDS 2008 - 2013
Supply Chain System
Pharmaceutical HIV & AIDS 2006 - 2016
Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program
Pharmaceutical , Financing Health Services, Global Health Security Malaria, Tuberculosis, HIV & AIDS, Women, Children, and Adolescents' Health 2011 - 2018
Knowledge for Health II
Leadership, & Governance HIV & AIDS, Women, Children, and Adolescents' Health 2013 - 2018