Zandy Shabalala

Quality Improvement Coach, Training and Skills Transfer, Stakeholder Management, Administration and staff management

Sub District Coordinator - Health Systems Trust

(2023-09 - 2025-11)

Quality Improvement Coach, Training and Skills Transfer, Stakeholder Management, Administration and staff management

• Identification of issues of quality in health systems within the cluster (18 facilities and hospitals) including clinical services through establish a baseline needs assessment
• Mentor and couch Clinical Staff on Quality Improve through joint facility visit with DoH personnel (PHC managers, Clinical Programme Coordinators)
• Conduct weekly feedback meetings with Clinical advisor to review QIPs and progress on facility performance
• Mentor and couch facilities in implementation of Operation Phuthuma approach and QIP development
• Support the DoH and HST teams in identifying performance gaps through data analysis, and develop QIPs at facility and sub-district level
• Conduct site visits with DoH and stakeholder counterparts to perform assessments progress on implementation plans and quality improvement plans (QIPs)
• Provide technical support in the Sub-District cluster in tracking performance of all HAST/TB indicators
• Assist in data quality assessment in facilities using data management sources (Tier, Net and files to triangulate data and improve quality of data)
• Conduct Clinical file audits in Pediatrics and adults to monitor guidelines implementation, identify compliance in documentation and develop quality improvement
• Identify skills gaps in the allocated sub-district(s), and create and implement a skill development plan for individuals in the DoH and HST teams
• Conduct in-service training on relevant identified gaps on guidelines
• Coach and mentor DoH and internal staff programmatically
• Support PHC (Managers,) in establishing relationship, collaboration and mapping of all stakeholder within the Sub District
• Support and participate monthly and Quarterly stakeholders meeting in a Sub district Level
• Collaborate with relevant stakeholders within the sub district in supporting the DoH facility in achieving HAST/TB indicators (95. 95.95 strategy)
• Conduct facility visit and engage with EXCO (CEOs, Operational, PHC Managers, M&E managers, Clinical Managers, FIOs and Systems Manager.)
• Conduct stakeholders meeting on weekly and monthly basis to discuss performance based on indicators
• Build and maintain relationships with other stakeholders (the DoH; Departments of Social Development, Education, Arts and Culture, and Agriculture; District and Local AIDS Councils, Operation Sukuma Sakhe structures, District and Sub-District Health Management teams within the Supported District
• Collaborate and engage with HST internal stakeholder in supporting the DoH facility (UB Team Synch team, CCMDD Team and Cross Site Coordinators)
• Support PHC Managers in strengthening of Community Health Workers and Ward based Outreach Team and referral systems for improved of linkage to care
• Overall staff supervision in Sub District (Clinical Nursing staff (Enrolled, Professional Nurses) data clerks, lay counselors, drivers and Psychosocial Advisors) in the 18 supported facilities
• Management staff conflict and disciplinary issues in line with policies and procedures
• Conduct staff probation/performance reviews every six months in sub-district
• Develop Sub District work plan in line with DOH
• Develop and implement sub-district project work plan, and aligned with the project work plan
• Monitor and evaluates weekly monthly, Quarterly and annually Sub-District Performance through OP facility and Sub District meetings
• Review and conduct facility data analysis with M&E officer to monitor the progress and identify facilities that are under performing
• Evaluation of data and staff performance through clinical advisors weekly, and monthly reports
• Reports writing and presentations for Monthly or Quarterly performance reviews using graphs, excel
• Participate in project strategic meetings including DOH and weekly performance reviews
• Facilitate and submit all project reports in accordance with work plans
• Support Sub District OP meetings monthly and the quarterly review process

Area Coordinator - Health Systems Trust

(2020-09 - 2023-09)

Quality Improvement, Administration and staff management

• Provide technical assistance, mentorship to the district's Department of Health (DoH) and Municipal project-supported 10 Primary Health Care facilities (including hospital) and onsite trainings
• Mentoring and couching Metro/DoH staff in the facilities and re enforce use of DoH guideline
• Conduct facility visit and provide technical support and direct service delivery within the cluster in tracking performance of all HAST/TB indicators in and assist facilities to meet HAST/TB indicators (95. 95.95 strategy)
• Mentor and coach DoH in Conducting Operation Phuthuma/ frenzy visit in facilities to upscale 95%/95%95% targets through Mentorship and couch of facility team in developing QIPs
• Support MCWH and Paediatric program using matrix of intervention
• Conduct skills audit to identify training gap and provide in-service trainings
• Conduct Clinical file audits in Paediatrics and adults to monitor guidelines implementation, identify compliance in documentation and develop quality improvement
• Conduct in-service trainings on the relevant programme gaps identified
• Management of Human Resources and overall supervision in 10 PHC facilities in the Sub- District Area in both DoH and Metro clinics
• Conduct weekly Cluster meetings to discuss cluster performance and develop Quality improvement plans for poorly performing indicators
• Attend DoH/Municipal cluster's meetings and support Nerve Centres
• Coordinate all project HAST/TB activities in the 10 supported facilities
• Compile weekly, monthly and quarterly reports for sub district performance and narratives
• Evaluation of data and staff performance through clinical advisors weekly, and monthly reports
• Reports writing and presentations for Monthly or Quarterly performance reviews using graphs, excel
• Participate in project strategic meetings including DOH and weekly performance reviews
• Facilitate and submit all project reports in accordance with work plans
• Support Sub District OP meetings monthly and the quarterly review process
• Participate in DoH District DPQS/DQA reports writing and strategic meetings and other stakeholders
• Conduct staff performance management to underperforming staff and reviews every 6 months for the direct service delivery staff in the facilities

Facility Team Leader - Health Systems Trust

(2019-12 - 2020-08)

• Supervision and leadership of facility-based staff and Outreach Teams
• Support to Facility Managers in tracking performance against daily targets for HIV and TB case-finding, treatment linkage and retention in care
• Monitoring performance against targets and mentorship of HST direct service delivery (DsD) facility staff and Outreach Teams
• Conduct weekly facility nerve Centre meeting to discuss performance against targets and QIPs
• Provide direct service delivery on the Primary health care services (Acute and Chronic stream)
• Conduct mentorship and coaching to the facility based staff and DoH staff
• Conduct in-service training based on the identified gaps on the HIV programme
• Support and monitoring of the implementation of patient-tracking and referral systems
• Ensuring adherence to standard operating procedures, guidelines and processes by supervising activities
• Organizing and mapping outreach activities in collaboration with CCGs
• Assessing data Conducting baseline assessments (Independent Quality Control [IQC], Stepwise Process for Improving the Quality of HIV Rapid Testing [SPI-RT], viral load suppression, skills audits, e.g. Nurse-initiated Management of Antiretroviral Therapy [NIMART],, [CCMDD], HIV Testing Services [HTS] missed opportunity audits, Adolescent- and Youth-friendly Services [AYFS], prevention of mother-to-child

Nurse Mentor / advisor - Maternal Adolescent and Child Health (MATCH)

(2018-01 - 2019-11)

Provide Clinical and Technical Support, Staff Supervision and mentoring

• Provide Clinical and Technical Support in Primary Health facilities including hospitals
• Provide Staff Supervision and mentoring of DoH Staff
• Support the Facilities improvement through direct service delivery activities towards improving identified poor performing indicators
• Monitor 95% 95% 95% indicator performance
• Support facilities to develop a quality improvement by identifying gaps and approach to healthcare and provide on-site support through mentorship of staff at facilities
• Support facility managers in tracking performance for HIV case finding, linkage and retention by developing Facility Improvement plan with strategies with interventions
• Conducting facility baselines assessment using standardize tool in all the streams, HAST, VTP, CCMDD in the facility and develop Quality improvement plans
• Build and maintain partnerships with all internal and external stakeholders, including Departments of Health district structures, community bodies
• Provide direct service delivery (UTT) in facilities at HAST Chronic department

Research / HIV services Lead Nurse - AHRI (Africa Health Research Institute)

(2015-06 - 2017-12)

Primary health care services, HIV testing services, quality control, staff supervision, research coordination

• Provide Primary health care services include Nurse initiated (UTT) and chronic, VTP, and Paediatrics
• Providing in-service training on overall HIV testing and quality of test Kits
• Monitoring of internal and external quality control of HIV testing kits
• Maintaining Quality control of rapid HIV test kits (QC)
• Providing in-service training on HIV testing to the counsellors (pre and Post-test counselling)
• Drafting of SOPs and Policies related to the HIV Programme
• Deputy Research Nursing Manager
• Overall staff supervision, PNs, data captures, ENs
• Attending internal and external meetings
• Operational / administrative duties, compiling reports, presentations
• Coordinating HIV programme in DOH 11 Clinic in a research setting

Professional nurse(General) - Inanda CHC

(2013-01 - 2015-05)

Professional nurse(General) - Northdale Hospital

(2012-01 - 2012-12)

Matriculation - Grade 12 - KwaMakhutha High School (2006)

Diploma - Nursing Science (General, Psychiatric and Community) and Midwife - KZN College of Nursing Addington Campus (2012)

Diploma - Clinical Nursing Science, Health Assessment, Treatment and Care (PHC) - University of KwaZulu Natal (2017)

Post graduate Diploma - Public Health - University of South Africa (2020)

Higher Certificate - Project Management - MANCOSA (2022)

Master's - Public health - University of Johannesburg (2023)