The National Department of Health (NDoH) has issued a tender for a service provider to conduct an evaluation of the use of the Tier.Net system in South African health facilities.

Tier.Net is used to collect, capture and analyse data on patients who are on Antiretroviral Therapy (ART) in South Africa.

There are currently more than 2,800 health facilities across the country implementing Tier.Net; of these, approximately 1,550 have completed the implementation process and are able to produce the required ART cohort reports.

The NDoH requires an evaluation of the use of Tier.Net that will include an in-depth analysis of implementation challenges, identify areas that need to be changed or improved and highlight factors that affect implementation. It will also suggest ways to improve or expand operations, point out strengths and weaknesses, and help other facilities adapt similar strategies to accelerate efficient, effective and sustainable rollout process.

The evaluation process is expected to be completed by February 28th 2015.

In 2010 the National Health Council (NHC) approved a standardised three-tiered strategy to collect routine patient-level data for ART programme monitoring. The “Tiered ART Monitoring Strategy” comprises a paper-based register (Tier 1), non-networked system (Tier 2) and networked system (Tier 3) systems for patient monitoring.

The three-tiered approach provides the tools to nationally standardise ART monitoring with a system that best suits the varied needs of facilities, sub-districts, districts and provinces and their available resources. The three-tiered approach aims to standardise reporting, support information management, and improve patient management throughout all health facilities providing ART.

The closing date for applications is September 22nd 2014.

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