There are several exciting projects under implementation for the community clinics, they include decentralization of HIV/ART services, water and sanitation projects and infrastructure rehabilitation.
COHSASA (Council of Health Service Accreditation of South Africa) has been implemented in two of the seventeen clinics with fantastic results. One of the clinics, Mliba, has been achieved fantastic results, including winning a national competition and being requested to participate in an international competition. The process will be rolled out to the other clinics soon, with hopefully the same results as Mliba.
DENTRALISATION OF HIV/ART
In order to improve the HIV/AIDS services Swaziland a decentralization project is being implemented. This project, in line with the Ministry of Health strategy, will expand the service delivery in rural and remote areas using current groups, such a the HIV/AIDS taskforces in each rural health location. The life of this project is 5 years.
The number of skilled professionals working in these areas will also increase to include additional nurses, counselors and phlebotomists. The aim of the project is to increase the number of people who are aware of their HIV/AIDS status and are receiving effective treatment. This will hopefully mitigate the effects of this disease on the population of Swaziland.
A major water & sanitation project is at the early implementation phases. It includes installing solar water systems into all the community clinics that do not have access to potable water. It covers solar water systems, rain water harvesting, sanitation and pit latrines. Infrastructure and training, as well as establishing sustainable maintenance and continuing education, are included. The water and sanitation needs are not confined to the Nazarene Community Clinics as the surrounding clinics will also benefit from this project through garden projects and extensive piping. The life of this project is 3 years.
Through a 10 year agreement with the Bethany First Chuch, biannual GO (Global Outreach) teams are traveling to Swaziland to assist with upgrading the infrastructure in the clinics, as well as providing medical training. The Swaziland Partnership has todate renovated the clinic, nurses housing and water system at Sitsatsaweni and the nurses housing and clinic and Ndzingeni.