IDEAL CLINIC REALISATION & MAINTENANCE (ICRM) RAPID REVIEW- GAUTENG

By   |  | 

EXECUTIVE SUMMARY

BACKGROUND AND RATIONALE

South Africa is currently facing multiple population health challenges which include HIV, TB, non-communicable diseases and more recently, the COVID-19 pandemic. While access to public health services has improved dramatically, quality health care remains a challenge. The Ideal Clinic Realisation and Maintenance (ICRM) program was instituted to identify, correct, and improve the quality of services offered in public health facilities. Ultimately the quality of services provided by clinics is driven by the clinic staff and determined by patient experiences of healthcare accessed. However, the drivers of facility improvements are unclear. The ICRM program was founded on innovations in the HIV program and there may be many overlaps between the patient management guidelines of the ICRM and HIV programs. Therefore, any ICRM program implementation review should also assess the impacts on HIV patient outcomes and examine avenues for streamlining the monitoring, evaluation and ongoing development of health system programs designed to improve the care seeking behaviour and experiences of chronic patients. It is also essential to identify factors that promote or hinder the progression and maintenance of higher ICRM accreditation levels.

Publication details

PDF