Re-engineering PHC for the District Health System

Size: px
Start display at page:

Download "Re-engineering PHC for the District Health System"

Transcription

1 Re-engineering PHC for the District Health System Committee of Health Sciences Deans Peter Barron 3 July 2012

2 Why PHC re-engineering? The evidence that PHC improves health outcomes is incontrovertible South Africa currently punches far below its weight in terms of health outcomes The NHI needs a strong district health system driving PHC The health system needs to find its focus Outwards as service-related organisation to take services to the people to improve and maintain health in all aspects, of communities and individuals; Inwards to create a motivated, enthusiastic committed health workforce in sufficient numbers and appropriately skilled to achieve this. Create an environment where all available resources are used (including academia & private sector with all its human resources e.g. doctors, pharmacists) The time is right and the necessary political will is strong

3 South Africa Brazil

4 South Africa Brazil

5 10 POINT PLAN NSDA OUTPUTS Provision of Strategic leadership and creation of a social compact for better health outcomes (A); 2. Implementation of National Health Insurance (NHI); 3. Improving the Quality of Health Services; 4. Overhauling the health care system 5. Improving Human Resources, Planning, Development and Management; 6. Revitalisation of infrastructure 7. Accelerated implementation of HIV and AIDS and Sexually Transmitted Infections National Strategic Plan and reduction of mortality due to TB and associated diseases; National Health Priorities D A B C A. Increasing life expectancy; B. Decreasing child and maternal mortality rates C. Combating HIV and AIDS and STIs and decreasing the burden of disease from Tuberculosis HEALTH RELATED MDGs MDG Goal 4 MDG Goal 5 MDG Goal 6 8. Mass mobilisation for better health for the population 9. Review of Drug Policy; and 10. Strengthening Research and Development D D. Enhancing health systems effectiveness 5

6 District Health System (DHS) Overview Currently 52 districts (in line with local government boundaries) metros and district councils Lowest formal health administrative unit with district management team responsible for health of population of district District manager has dual responsibility: to the District Health Council via the province HOD to the MEC for Health. DHS consists of district hospitals, CHCs, clinics, CBS. In terms of Chapter 5 of National Health Act, districts must draw up: Annual District Health plan Annual District Human Resources Plan

7 DHS MODEL DISTRICT/SUB-DISTRICT MANAGEMENT TEAM SPECIALIST SUPPORT TEAMS (INCL. EMERGENCY SERVICES Contracted Private Providers Local Govern ment District Hospital Community Health Centres PHC Clinic Doctor PHC Outreach Team PN (x 3) EN (1) CHW (X 6) Community Based Health Services Households Office of Standards Compliance PHC Nurse Pharmacy assistant Counsellor PHC Outreach Team PHC Outreach Team School Health Environmental Health Community Mobilisation Health promotion 7

8

9 Strengthening the DHS All 6 building blocks need strengthening The 7 th building block are social determinants of health which play fundamental role in health of communities and individuals Academic institutions can play a role in each of these by providing intellectual leadership E.g. The health system (especially with NHI) needs to make evidence-based decisions using objective information. To do this information needs to be synthesised, analysed, interpreted. The NDOH and PDOH need knowledge management units. Academics are well-placed to support.

10 PHC Re-engineering In its approach to PHC re-engineering the NDOH has focused on three priorities ( streams ) PHC outreach teams with at least one team for each electoral ward; Strengthening school health services; District based clinical specialist teams with an initial focus on improving maternal and child health.

11 PHC OUTREACH TEAMS: GENERIC FUNCTIONS Know the demography of the catchment population Know the epidemiology Health promotion and prevention (household and community) Screening and referral of people identified with high risk Palliative care Social mobilisation Linking resources to community needs to improve health outcomes 11

12 WARD BASED PHC OUTREACH TEAMS PHC OUTREACH TEAM Responsible for 1500 Families No. of teams in a Ward (determined by population size) Preventative, promotive, curative and rehabilitative services (work with EHOs) HBC Community Services including schools, crèches, and early learning centres & home based care services. CHW 250 families CHW 250 Families Professional Nurse (Team leader) Health Promoter Environmental Health Officer CHW 250 Families CHW 250 families CHW 250 Families CHW 250 Families 12

13 SCHOOL HEALTH SERVICES Mandate is to cover all students and schools in an incremental way starting with quintile 1 and 2 NDOH and DBE have finalised core package of services for ECD, primary and secondary schools Screening, health education/promotion; some service delivery Need to employ more school health nurses/teams and deploy them Strengthen M/E to show impact of school health 13

14 SCHOOL HEALTH: NEXT STEPS Clearly this needs to build on what exists with rapid scale up Proposal is that we start with schools in quintile 1 (poorest) districts. This is over 10,000 schools! Need to prioritise certain grades for screening and health promotion interventions. Sexuality and reproductive health education is highest priority (to prevent HIV and avoid other STIs and pregnancy). 14

15 District Clinical Specialist Teams NHC directed that specialist teams to improve maternal and child health be deployed to cover every health district Teams to be composed of: principal O&G, paeds, anaesthetist, family physician, advanced midwife, advanced paed nurse and PHCN National adverts placed; teams will go to areas of greatest need initially 15

16 Specialist teams: roles Work with institutional based specialists. Adopt a population based focus and participate in outreach activities for the development and support of all health facilities in the catchment area of their institution. Their primary function remains the development and support of an acceptable standard of clinical care throughout the region for which they are responsible. Will not be used to cover staff shortages in the regional hospital (however, may provide some clinical services to ensure own competency is maintained and to continue registration). 16

17 Relevance to Health Science Deans PHC Re-engineering and NHI need all major stakeholders to pull in the same direction Health Sciences Faculties are major producer of health workers Health workers are required in greater quantities and with greater PHC skills, competencies and attitudes Health system needs intellectual input from academics

18 Health Sciences Graduates Able to work in teams Understand the need for a comprehensive approach Mentor those with less skills Have necessary skills and competencies to deal with common health problems that occur commonly in South Africa Need to have a population focus and deal with patients in the context of social determinants of health

19 Health Science Faculties Respond to the needs of SA by producing graduates with appropriate competencies (e.g. nurses, doctors who can work at district hospitals, CHCs) Respond to the needs of SA by producing postgrads with appropriate competencies (e.g. specialists with community orientation - such as paeds, O&G,) Respond to the needs of SA by running courses that fill gaps e.g. managers of districts; CEOs of hospitals; managers of supply chains;

20 Thank You

RE-ENGINEERING PRIMARY HEALTH CARE FOR SOUTH AFRICA Focus on Ward Based Primary Health Care Outreach Teams. 7June 2012

RE-ENGINEERING PRIMARY HEALTH CARE FOR SOUTH AFRICA Focus on Ward Based Primary Health Care Outreach Teams. 7June 2012 RE-ENGINEERING PRIMARY HEALTH CARE FOR SOUTH AFRICA Focus on Ward Based Primary Health Care Outreach Teams 7June 2012 CONTEXT PHC RE-ENGINEERING Negotiated Service Delivery Agreement (NSDA) Strategic Outputs

More information

4 September 2011 PROVINCIAL GUIDELINES FOR THE IMPLEMENTATION OF THE THREE STREAMS OF PHC RE-ENGINEERING

4 September 2011 PROVINCIAL GUIDELINES FOR THE IMPLEMENTATION OF THE THREE STREAMS OF PHC RE-ENGINEERING 4 September 2011 PROVINCIAL GUIDELINES FOR THE IMPLEMENTATION OF THE THREE STREAMS OF PHC RE-ENGINEERING 1. Introduction 1.1. The National Health Council has mandated that in order to improve health outcomes

More information

ADDRESSING LEADERSHIP & MANAGEMENT CHALLENGES AT DISTRICT LEVEL WITH THE WARD BASED OUTREACH TEAMS (WBOT). PROF CC JINABHAI UNIVERSITY OF FORT HARE

ADDRESSING LEADERSHIP & MANAGEMENT CHALLENGES AT DISTRICT LEVEL WITH THE WARD BASED OUTREACH TEAMS (WBOT). PROF CC JINABHAI UNIVERSITY OF FORT HARE ADDRESSING LEADERSHIP & MANAGEMENT CHALLENGES AT DISTRICT LEVEL WITH THE WARD BASED OUTREACH TEAMS (WBOT). PROF CC JINABHAI UNIVERSITY OF FORT HARE THE SIX (6) BUILDING BLOCKS OF A HEALTH CARE SYSTEM According

More information

Training Competent Health Professionals for the 20th Century Response National Department of Health

Training Competent Health Professionals for the 20th Century Response National Department of Health Training Competent Health Professionals for the 20th Century Response National Department of Health SA Committee of Health Science Deans 3rd July 2012 UKZN Response HRH Strategy show need for university

More information

STATUS OF PRIMARY HEALTH CARE RE-ENGINEERING IN GAUTENG

STATUS OF PRIMARY HEALTH CARE RE-ENGINEERING IN GAUTENG STATUS OF PRIMARY HEALTH CARE RE-ENGINEERING IN GAUTENG Presented at the Johannesburg Health District s Workshop On PHC Re-engineering Presented by Modise Makhudu obo Meisie Lerutla @ Wits University :

More information

Prof E Seekoe Head: School of Health Sciences & ASELPH Programme Manager

Prof E Seekoe Head: School of Health Sciences & ASELPH Programme Manager Prof E Seekoe Head: School of Health Sciences & ASELPH Programme Manager Strengthening health system though quality improvement is the National Health Ministers response to the need for transforming policy

More information

Appendix 2 Outcome 2: A long and healthy life for all South Africans

Appendix 2 Outcome 2: A long and healthy life for all South Africans Appendix 2 Outcome 2: A long and healthy life for all South Africans 1. National Development Plan 2030 vision and trajectory The National Development Plan (NDP) 2030 envisions a health system that works

More information

UHC. Moving toward. Sudan NATIONAL INITIATIVES, KEY CHALLENGES, AND THE ROLE OF COLLABORATIVE ACTIVITIES. Public Disclosure Authorized

UHC. Moving toward. Sudan NATIONAL INITIATIVES, KEY CHALLENGES, AND THE ROLE OF COLLABORATIVE ACTIVITIES. Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Moving toward UHC Sudan NATIONAL INITIATIVES, KEY CHALLENGES, AND THE ROLE OF COLLABORATIVE ACTIVITIES re Authorized Public Disclosure Authorized

More information

NATIONAL HEALTH INSURANCE PILOTS. Forum for Professional Nurse Leaders Conference Sliverstar Casino, Krugersdorp 8 th MAY 2012

NATIONAL HEALTH INSURANCE PILOTS. Forum for Professional Nurse Leaders Conference Sliverstar Casino, Krugersdorp 8 th MAY 2012 NATIONAL HEALTH INSURANCE PILOTS Forum for Professional Nurse Leaders Conference Sliverstar Casino, Krugersdorp 8 th MAY 2012 Outline WHO Dimensions for UHC Constitutional Obligation Principles of NHI

More information

IMPLEMENTATION OF WARD BASED OUTREACH TEAMS IN IN KWAZULU-NATAL. October 2015

IMPLEMENTATION OF WARD BASED OUTREACH TEAMS IN IN KWAZULU-NATAL. October 2015 IMPLEMENTATION OF WARD BASED OUTREACH TEAMS IN IN KWAZULU-NATAL October 2015 Purpose OVERVIEW Progress with regard to transversal levers General progress with regard to provincial scale up Specific NHI

More information

TSHWANE DISTRICT WBOT PRESENTATION

TSHWANE DISTRICT WBOT PRESENTATION ECD KBS 2016 Lekwetji Komane TSHWANE DISTRICT WBOT PRESENTATION Presenter: Mrs Lekwetji Komane Date: 9 November 2016 Burgerspark Hotel 1 Introduction Ward Based Outreach Team is one of the 4 streams of

More information

IMPLEMENTATION OF THE WARD BASED PRIMARY HEALTH CARE OUTREACH TEAMS IN THE EKURHULENI HEALTH DISTRICT: A PROCESS EVALUATION

IMPLEMENTATION OF THE WARD BASED PRIMARY HEALTH CARE OUTREACH TEAMS IN THE EKURHULENI HEALTH DISTRICT: A PROCESS EVALUATION IMPLEMENTATION OF THE WARD BASED PRIMARY HEALTH CARE OUTREACH TEAMS IN THE EKURHULENI HEALTH DISTRICT: A PROCESS EVALUATION Carmen Whyte A research report submitted to the Faculty of Health Sciences, University

More information

INTEGRATED CHRONIC DISEASE MANAGEMENT

INTEGRATED CHRONIC DISEASE MANAGEMENT INTEGRATED CHRONIC DISEASE MANAGEMENT INTEGRATED CHRONIC DISEASE MANAGEMENT Integrated Chronic Disease Management (ICDM) is a model of managed care that provides for integrated prevention, treatment and

More information

GAUTENG HEALTH TURNAROUND STRATEGY: TOWARDS EFFECTIVE SERVICE DELIVERY, STRENGTHENING

GAUTENG HEALTH TURNAROUND STRATEGY: TOWARDS EFFECTIVE SERVICE DELIVERY, STRENGTHENING GAUTENG HEALTH TURNAROUND STRATEGY: TOWARDS EFFECTIVE SERVICE DELIVERY, STRENGTHENING TABLE OF CONTENTS 1. Introduction 5 2. Objectives 8 3. The Eight Core Challenge Areas Addressed Through The Gauteng

More information

INTEGRATED CHRONIC DISEASE MANAGEMENT. Manual

INTEGRATED CHRONIC DISEASE MANAGEMENT. Manual INTEGRATED CHRONIC DISEASE MANAGEMENT Manual The Department of Health would like to acknowledge the following individuals for their contribution to the development of the manual: Authors Dr Shaidah Asmall-

More information

Presentation for CHA Meeting in Bagamoyo on By Patricia Schwerzel, Public Health Advisor, ETC Crystal.

Presentation for CHA Meeting in Bagamoyo on By Patricia Schwerzel, Public Health Advisor, ETC Crystal. DEVELOPMENT OF A FRAMEWORK FOR THE DEVELOPMENT OF A BENEFIT/,MOTIVATION PACKAGE FOR RURAL HEALTH WORKERS IN VOLUNTARY AGENCIES (VA) OWNED HOSPITALS BASED ON FINDINGS IN THE LAKE ZONE Presentation for CHA

More information

Re-engineering Primary Health Care through Ward Based Outreach Teams: Mpumalanga Experience

Re-engineering Primary Health Care through Ward Based Outreach Teams: Mpumalanga Experience Re-engineering Primary Health Care through Ward Based Outreach Teams: Mpumalanga Experience ANOVA s 3 rd Annual Health Systems Strengthening Symposium 28 AUGUST 2014 Ms SIPHO MOTAU DIRECTOR: PHC PRESENTATION

More information

Social Responsiveness Report

Social Responsiveness Report Social Responsiveness Report - 2015 School of Public Health and Family Medicine Head of Department and Director: Prof Mohamed F Jeebhay The School of Public Health and Family Medicine is committed to the

More information

Service Delivery. Preliminary lab report

Service Delivery. Preliminary lab report Service Delivery Preliminary lab report November 2014 Contents Context and case for change Aspiration Issues and root causes Solutions/ Initiatives Appendix Accronyms 1 CONTEXT AND CASE FOR CHANGE The

More information

Report on the Doctors for Primary Health Care Symposium Held on the 28th of March 2017

Report on the Doctors for Primary Health Care Symposium Held on the 28th of March 2017 Report on the Doctors for Primary Health Care Symposium Held on the 28th of March 2017 Prepared by: Frances Slaven 0 28 March 2017 Contents: Introduction... 3 Background... 5 Reengineer Primary Healthcare...

More information

1.1 STRATEGIC OBJECTIVE, PERFORMANCE INDICATORS AND ANNUAL TARGETS FOR 2014/15 TO 2016/ QUARTERLY TARGETS FOR 2014/15...

1.1 STRATEGIC OBJECTIVE, PERFORMANCE INDICATORS AND ANNUAL TARGETS FOR 2014/15 TO 2016/ QUARTERLY TARGETS FOR 2014/15... 1 Contents FOREWORD BY THE MINISTER... 1 STATEMENT FROM THE DIRECTOR-GENERAL... 3 OFFICIAL SIGN OFF... 5 PART A... 6 1. VISION... 7 2. MISSION... 7 3. LEGISLATIVE AND OTHER MANDATES... 7 3.1. Constitutional

More information

Comprehensive Evaluation of the Community Health Program in Rwanda. Concern Worldwide. Theory of Change

Comprehensive Evaluation of the Community Health Program in Rwanda. Concern Worldwide. Theory of Change Comprehensive Evaluation of the Community Health Program in Rwanda Concern Worldwide Theory of Change Concern Worldwide 1. Program Theory of Change Impact Sexual and Reproductive Health Maternal health

More information

Strengthening tuberculosis surveillance: rationale and proposed areas of work

Strengthening tuberculosis surveillance: rationale and proposed areas of work BACKGROUND DOCUMENT 2a Strengthening tuberculosis surveillance: rationale and proposed areas of work 2016 2020 Prepared by: Laura Anderson, Jaap Broekmans, Katherine Floyd, Philippe Glaziou, Babis Sismanidis,

More information

Influencing health systems reform in South Africa through health professions curriculum and research transformation

Influencing health systems reform in South Africa through health professions curriculum and research transformation Influencing health systems reform in South Africa through health professions curriculum and research transformation Pamela Hanes, PhD, MSW Adjunct Associate Professor Department of Health Systems, Management

More information

SESSION #6: DESIGNING HEALTH MARKET INTERVENTIONS Part 1

SESSION #6: DESIGNING HEALTH MARKET INTERVENTIONS Part 1 SESSION #6: DESIGNING HEALTH MARKET INTERVENTIONS Part 1 Stewardship vs. market forces in RMNCAH-N markets Markets organized along continuum of stewardship vs market forces LAPM: Long Acting Permanent

More information

PRIMARY HEALTH CARE SYSTEMS (PRIMASYS) Case study from South Africa. Abridged Version

PRIMARY HEALTH CARE SYSTEMS (PRIMASYS) Case study from South Africa. Abridged Version PRIMARY HEALTH CARE SYSTEMS (PRIMASYS) Case study from South Africa Abridged Version WHO/HIS/HSR/17.15 World Health Organization 2017 Some rights reserved. This work is available under the Creative Commons

More information

USAID/Philippines Health Project

USAID/Philippines Health Project USAID/Philippines Health Project 2017-2021 Redacted Concept Paper As of January 24, 2017 A. Introduction This Concept Paper is a key step in the process for designing a sector-wide USAID/Philippines Project

More information

Organisational Profile. Strengthening health systems since 1992 ORGANISATIONAL PROFILE 1

Organisational Profile. Strengthening health systems since 1992 ORGANISATIONAL PROFILE 1 Organisational Profile Strengthening health systems since 1992 ORGANISATIONAL PROFILE 1 2 ORGANISATIONAL PROFILE Health Systems Trust (HST) is a leading force in the South African public health arena.

More information

Improved Maternal, Newborn and Women s Health through Increased Access to Evidence-based Interventions. Source:DHS 2003

Improved Maternal, Newborn and Women s Health through Increased Access to Evidence-based Interventions. Source:DHS 2003 KENYA Improved Maternal, Newborn and Women s Health through Increased Access to Evidence-based Interventions INTRODUCTION Although Kenya is seen as an example among African countries of rapid progress

More information

In , WHO technical cooperation with the Government is expected to focus on the following WHO strategic objectives:

In , WHO technical cooperation with the Government is expected to focus on the following WHO strategic objectives: VANUATU Vanuatu, a Melanesian archipelago of 83 islands and more than 100 languages, has a land mass of 12 189 square kilometres and a population of 234 023 in 2009 (National Census). Vanuatu has a young

More information

Sibanye Gold Health. Health Service Experience on HIV and TB Parallel Session at the 2015 SA AIDS Conference Dr Jameson Malemela

Sibanye Gold Health. Health Service Experience on HIV and TB Parallel Session at the 2015 SA AIDS Conference Dr Jameson Malemela Sibanye Gold Health Health Service Experience on HIV and TB Parallel Session at the 2015 SA AIDS Conference Dr Jameson Malemela Discussion Points 1. Wellness and Prevention 2. Stakeholder Collaboration

More information

District Hospitals and Primary Care Clinics in Northern Cape Province

District Hospitals and Primary Care Clinics in Northern Cape Province VHC: Scope of Work Country: Placement site: Assignment Title: Assignment Code: Length of assignment: South Africa District Hospitals and Primary Care Clinics in Northern Cape Province Clinical Preceptor

More information

FINDING SOLUTIONS. for Women?s and Girls?Health and Education in Afghanistan

FINDING SOLUTIONS. for Women?s and Girls?Health and Education in Afghanistan FINDING SOLUTIONS for Women?s and Girls?Health and Education in Afghanistan 2016 A metaanalysis of 10 projects implemented by World Vision between 20072015 in Western Afghanistan 2 BACKGROUND Afghanistan

More information

RWANDA S COMMUNITY HEALTH WORKER PROGRAM r

RWANDA S COMMUNITY HEALTH WORKER PROGRAM r RWANDA S COMMUNITY HEALTH WORKER PROGRAM r Summary Background The Rwanda CHW Program was established in 1995, aiming at increasing uptake of essential maternal and child clinical services through education

More information

Mrs SS Mazibuko Manager: Pharmaceutical Services Health Systems Trust Conference 05 May 2016

Mrs SS Mazibuko Manager: Pharmaceutical Services Health Systems Trust Conference 05 May 2016 Improving access to chronic medication using the Central Chronic Medicine Dispensing and Distribution (CCMDD) delivery model at healthcare facilities in Umzinyathi District Mrs SS Mazibuko Manager: Pharmaceutical

More information

National Health Insurance. Sham Moodley BSc(UCD-Ire),BPharm(UKZN),PDM(HIV/AIDS),MPhil(HIV/AIDS)(SU) F

National Health Insurance. Sham Moodley BSc(UCD-Ire),BPharm(UKZN),PDM(HIV/AIDS),MPhil(HIV/AIDS)(SU) F + National Health Insurance Sham Moodley BSc(UCD-Ire),BPharm(UKZN),PDM(HIV/AIDS),MPhil(HIV/AIDS)(SU) 0824504472 031 4613700 031 4687610 031 4612702 F + Perception + International and local imperatives

More information

Leadership and governance of community health worker programmes at scale: a cross case analysis of provincial implementation in South Africa

Leadership and governance of community health worker programmes at scale: a cross case analysis of provincial implementation in South Africa Schneider and Nxumalo International Journal for Equity in Health (2017) 16:72 DOI 10.1186/s12939-017-0565-3 RESEARCH Open Access Leadership and governance of community health worker programmes at scale:

More information

ANNUAL INSPECTION REPORT 2016/17

ANNUAL INSPECTION REPORT 2016/17 1 REPORT.indd 1 6/1/18 1:34 PM 2 REPORT.indd 2 6/1/18 1:34 PM Office of Health Standards Compliance Improving the quality of healthcare in South Africa ANNUAL INSPECTION REPORT 2016/17 3 REPORT.indd 3

More information

Saving Every Woman, Every Newborn and Every Child

Saving Every Woman, Every Newborn and Every Child Saving Every Woman, Every Newborn and Every Child World Vision s role World Vision is a global Christian relief, development and advocacy organization dedicated to improving the health, education and protection

More information

DAVID KNEALE Chief Executive Officer

DAVID KNEALE Chief Executive Officer DAVID KNEALE Chief Executive Officer RMB MORGAN STANLEY BIG FIVE INVESTOR CONFERENCE 2010 AGENDA Demographics - driving healthcare spend The political agenda Clicks Group s healthcare offering Can SA become

More information

DELIVERY AGREEMENT. FOR OUTCOME 2: A Long and Healthy Life for All South Africans

DELIVERY AGREEMENT. FOR OUTCOME 2: A Long and Healthy Life for All South Africans DELIVERY AGREEMENT FOR OUTCOME 2: A Long and Healthy Life for All South Africans TABLE OF CONTENTS 1. INTRODUCTION... 3 2. BROAD STATEMENT OF THE HEALTH SECTOR CHALLENGES... 5 3. CHALLENGES RELATING TO

More information

Sudan High priority 2b - The principal purpose of the project is to advance gender equality Gemta Birhanu,

Sudan High priority 2b - The principal purpose of the project is to advance gender equality Gemta Birhanu, Sudan 2017 Appealing Agency Project Title Project Code Sector/Cluster Refugee project Objectives WORLD RELIEF (WORLD RELIEF) Comprehensive Primary Health Care Services For Vulnerable Communities in West

More information

Minister. Secretaries of State. Department of Planning and Health Information. Department of Human Resources Development

Minister. Secretaries of State. Department of Planning and Health Information. Department of Human Resources Development KINGDOM OF CAMBODIA NATION RELIGION KING 1 Minister Secretaries of State Cabinet Under Secretaries of State Directorate General for Admin. & Finance Directorate General for Health Directorate General for

More information

REPUBLIC OF NAMIBIA MINISTRY OF HEALTH AND SOCIAL SERVICES

REPUBLIC OF NAMIBIA MINISTRY OF HEALTH AND SOCIAL SERVICES REPUBLIC OF NAMIBIA MINISTRY OF HEALTH AND SOCIAL SERVICES Community-Based Health Care Policy (Including Roles) Draft 1/11/2007 ii MINISTRY OF HEALTH AND SOCIAL SERVICES Community Based Health Care Policy

More information

STRENGTHENING PRIMARY HEALTH CARE THROUGH PRIMARY CARE DOCTORS AND FAMILY PHYSICIANS: DESIGNING A NATIONAL DIPLOMA

STRENGTHENING PRIMARY HEALTH CARE THROUGH PRIMARY CARE DOCTORS AND FAMILY PHYSICIANS: DESIGNING A NATIONAL DIPLOMA STRENGTHENING PRIMARY HEALTH CARE THROUGH PRIMARY Prof Bob Mash Family Medicine and Primary Care, Stellenbosch University CARE DOCTORS AND FAMILY PHYSICIANS: DESIGNING A NATIONAL DIPLOMA WELCOME AND INTRODUCTIONS

More information

Health Systems Strengthening in Nigeria: lessons learned and the way ahead. Ruth Lawson Sept 2015

Health Systems Strengthening in Nigeria: lessons learned and the way ahead. Ruth Lawson Sept 2015 Health Systems Strengthening in Nigeria: lessons learned and the way ahead Ruth Lawson Sept 2015 What is a health system? all organizations, people and actions whose main aim is to promote, restore or

More information

TERMS OF REFERENCE FOR INDIVIDUAL CONTRACTORS/ CONSULTANTS/ SSAs

TERMS OF REFERENCE FOR INDIVIDUAL CONTRACTORS/ CONSULTANTS/ SSAs TERMS OF REFERENCE FOR INDIVIDUAL CONTRACTORS/ CONSULTANTS/ SSAs PART I Title of Assignment To provide support to the evidence based scale up of the 3 feet work across select provinces and linking the

More information

Vale of York Clinical Commissioning Group Governing Body Public Health Services. 2 February Summary

Vale of York Clinical Commissioning Group Governing Body Public Health Services. 2 February Summary Vale of York Clinical Commissioning Group Governing Body Public Health Services 2 February 2017 Summary 1. The purpose of this report is to provide the Vale of York Clinical Commissioning Group (CCG) with

More information

Source: [Accessed: 9 June 2010]

Source:   [Accessed: 9 June 2010] 11 June 2010 In this issue... Academic and Peer Reviewed Articles Local-level mortality surveillance in resource-limited settings: a case study of Cape Town highlights disparities in health. Primary health

More information

PROOF 1. 5 Oct 2015 POLICY IMPLEMENTATION

PROOF 1. 5 Oct 2015 POLICY IMPLEMENTATION PROOF 1 5 Oct 2015 21 POLICY IMPLEMENTATION 22 POLICY IMPLEMENTATION The Ideal Clinic in South Africa: Planning for implementation 2 Authors: Robert Fryatti Jeanette Hunterii The Ideal Clinic initiative

More information

TOWARDS OFFERING THE NEW NURSING QUALIFICATIONS BY PUBLIC COLLEGES

TOWARDS OFFERING THE NEW NURSING QUALIFICATIONS BY PUBLIC COLLEGES TOWARDS OFFERING THE NEW NURSING QUALIFICATIONS BY PUBLIC COLLEGES SANC WORKSHOP Nonhlanhla Makhanya: Governement Chief Nursing and Midwifery Officers 18 JUNE2018 PRESENTATION OUTLINE Introduction and

More information

Introduction What is CPD? Principles of CPD CPD Activities The NSM s role Benefits of CPD Foundations of a CPD system

Introduction What is CPD? Principles of CPD CPD Activities The NSM s role Benefits of CPD Foundations of a CPD system Introduction What is CPD? Principles of CPD CPD Activities The NSM s role Benefits of CPD Foundations of a CPD system Changing healthcare needs Clinical incidents in practice Changing nursing landscape

More information

ESSENTIAL NEWBORN CARE: INTRODUCTION

ESSENTIAL NEWBORN CARE: INTRODUCTION ESSENTIAL NEWBORN CARE: INTRODUCTION Essential Newborn Care Implementation Toolkit 2013 The Introduction defines Essential Newborn Care and provides an overview of Newborn Care in South Africa and how

More information

Country Leadership Towards UHC: Experience from Ghana. Dr. Frank Nyonator Ministry of Health, Ghana

Country Leadership Towards UHC: Experience from Ghana. Dr. Frank Nyonator Ministry of Health, Ghana Country Leadership Towards UHC: Experience from Ghana Dr. Frank Nyonator Ministry of Health, Ghana 1 Ghana health challenges Ghana, since Independence, continues to grapple with: High fertility esp. among

More information

Towards Quality Care for Patients. Fast Track to Quality The Six Most Critical Areas for Patient-Centered Care

Towards Quality Care for Patients. Fast Track to Quality The Six Most Critical Areas for Patient-Centered Care Towards Quality Care for Patients Fast Track to Quality The Six Most Critical Areas for Patient-Centered Care National Department of Health 2011 National Core Standards for Health Establishments in South

More information

Lecture Topics Include:

Lecture Topics Include: http://ocw.jhsph.edu/ Lecture Topics Include: http://ocw.jhsph.edu/topics.cfm Evaluating Therapies in Observational Studies: HAART to Heart Lessons from HIV/ AIDS This lecture addresses the evaluation

More information

Healthy lives, healthy people: consultation on the funding and commissioning routes for public health

Healthy lives, healthy people: consultation on the funding and commissioning routes for public health Healthy lives, healthy people: consultation on the funding and commissioning routes for public health December 2010 The coalition Government published Healthy Lives, Health people: consultation on the

More information

Priority programmes and rural retention the example of TB. Karin Bergstrom Stop TB Department WHO, Geneva

Priority programmes and rural retention the example of TB. Karin Bergstrom Stop TB Department WHO, Geneva Priority programmes and rural retention the example of TB Karin Bergstrom Stop TB Department WHO, Geneva In this presentation I will briefly: review the TB situation in the world discuss "evidence" on

More information

Information for Applicants

Information for Applicants Information for Applicants Position Title: Chief Executive Officer, Daru General Hospital Application Closing Date: 11 May 2015 Position Location: Contract Duration: Daru, Western Province, Papua New Guinea

More information

MEASURE DHS SERVICE PROVISION ASSESSMENT SURVEY HEALTH WORKER INTERVIEW

MEASURE DHS SERVICE PROVISION ASSESSMENT SURVEY HEALTH WORKER INTERVIEW 06/01/01 MEASURE DHS SERVICE PROVISION ASSESSMENT SURVEY HEALTH WORKER INTERVIEW Facility Number: Interviewer Code: Provider SERIAL Number: [FROM STAFF LISTING FORM] Provider Sex: (1=MALE; =FEMALE) Provider

More information

Day Hospital Care for Older People. Whiteabbey Hospital Rapid Access Department for Assessment and Rehabilitation RADAR

Day Hospital Care for Older People. Whiteabbey Hospital Rapid Access Department for Assessment and Rehabilitation RADAR Day Hospital Care for Older People Whiteabbey Hospital Rapid Access Department for Assessment and Rehabilitation RADAR Consultants Dr E Byrne Dr J Gilmore RADAR Co-coordinator Mrs H Cooper RADAR Ground

More information

INDONESIA S COUNTRY REPORT

INDONESIA S COUNTRY REPORT The 4 th ASEAN & Japan High Level Officials Meeting on Caring Societies: Support to Vulnerable People in Welfare and Medical Services Collaboration of Social Welfare and Health Services, and Development

More information

Contextualising the End TB Strategy for a Push toward TB Elimination in Kerala. Sunil Kumar

Contextualising the End TB Strategy for a Push toward TB Elimination in Kerala. Sunil Kumar End TB Strategy Contextualising the End TB Strategy for a Push toward TB Elimination in Kerala Sunil Kumar The END TB strategy challenges the world to envision the End of the Tuberculosis pandemic and

More information

M Health: Tshwane COPC Experience. Jannie Hugo Family Medicine

M Health: Tshwane COPC Experience. Jannie Hugo Family Medicine M Health: Tshwane COPC Experience Jannie Hugo Family Medicine Acknowledge DOH: National, Gauteng, Tshwane FPD City of Tshwane CSIR Partners: Jacques de Vos, Japie de Jong, George Marx and teams UP Family

More information

National Health Strategy

National Health Strategy State of Palestine Ministry of Health General directorate of Health Policies and Planning National Health Strategy 2017-2022 DRAFT English Summary By Dr. Ola Aker October 2016 National policy agenda Policy

More information

Ontario Public Health Standards, 2008

Ontario Public Health Standards, 2008 Ministry of Health and Long-Term Care Ontario Public Health Standards, 2008 The Ontario Public Health Standards are published as the guidelines for the provision of mandatory health programs and services

More information

Newborn Health in Humanitarian Settings CORE Group Webinar 16 February 2017 Elaine Scudder

Newborn Health in Humanitarian Settings CORE Group Webinar 16 February 2017 Elaine Scudder Newborn Health in Humanitarian Settings CORE Group Webinar 16 February 2017 Elaine Scudder Newborn Health in Humanitarian Settings: Background Newborn Health in Humanitarian Settings 16 February 2017 An

More information

Development of Policy Conference Nay Pi Taw 15 th February

Development of Policy Conference Nay Pi Taw 15 th February Development of Policy Conference Nay Pi Taw 15 th February To outline some Country Examples of the Role of Community Volunteers in Health from the region To indicate success factors in improvements to

More information

Impact Evaluation Concept Note HEALTH MILLENNIUM DEVELOPMENT GOALS PROGRAM-FOR-RESULTS (P4 R) ETHIOPIA

Impact Evaluation Concept Note HEALTH MILLENNIUM DEVELOPMENT GOALS PROGRAM-FOR-RESULTS (P4 R) ETHIOPIA Impact Evaluation Concept Note HEALTH MILLENNIUM DEVELOPMENT GOALS PROGRAM-FOR-RESULTS (P4 R) ETHIOPIA Development Impact Evaluation Initiative Innovating in Design: Evidence for Impact in Health Cape

More information

LESOTHO NURSING AND MIDWIFERY STRATEGIC PLAN PRESENTATION BY; MPOEETSI MAKAU, HEAD CLINICAL NURSING SERVICES (MOH-LESOTHO)

LESOTHO NURSING AND MIDWIFERY STRATEGIC PLAN PRESENTATION BY; MPOEETSI MAKAU, HEAD CLINICAL NURSING SERVICES (MOH-LESOTHO) LESOTHO NURSING AND MIDWIFERY STRATEGIC PLAN PRESENTATION BY; MPOEETSI MAKAU, HEAD CLINICAL NURSING SERVICES (MOH-LESOTHO) LESOTHO HEALTH INDICATORS HEALTH INDICATOR RATE TOTAL POPULATION 1,876,633 AVARAGE

More information

Social determinants, care and cost effectiveness in nursing: a human rights approach. Prof Fhumulani Mavis Mulaudzi

Social determinants, care and cost effectiveness in nursing: a human rights approach. Prof Fhumulani Mavis Mulaudzi Social determinants, care and cost effectiveness in nursing: a human rights approach Prof Fhumulani Mavis Mulaudzi 1 1. Introduction The cost of healthcare is rising worldwide, placing a heavy financial

More information

FREE STATE HEALTH STORY WEDNESDAY 21 OCTOBER 2009

FREE STATE HEALTH STORY WEDNESDAY 21 OCTOBER 2009 FREE STATE HEALTH STORY WEDNESDAY 21 OCTOBER 2009 Departement Sentrum Department Centre UNIVERSITEIT VAN DIE VRYSTAAT UNIVERSITY OF THE FREE STATE YUNIVESITHI YA FREISTATA Tel (051) 401 3000 E-mail: info@ufs.ac.za

More information

Situation Analysis Tool

Situation Analysis Tool Situation Analysis Tool Developed by the Programme for Improving Mental Health CarE PRogramme for Improving Mental health care (PRIME) is a Research Programme Consortium (RPC) led by the Centre for Public

More information

SCOTT COLLEGE OF NURSING

SCOTT COLLEGE OF NURSING PROSPECTUS SCOTT COLLEGE OF NURSING 2014-2018 LIGHTING THE SPARK OF LEARNING TABLE OF CONTENTS PAGE 1. WELCOME 1 2. VISION 1 3. MISSION STATEMENT 1 4. PROGRAMMES OFFERED 1 5. HOW TO APPLY 2 6. DESCRIPTION

More information

#HealthForAll ichc2017.org

#HealthForAll ichc2017.org #HealthForAll ichc2017.org Rwanda Community Performance Based Financing David Kamanda Planning, Health Financing & Information System Rwanda Ministry of Health Outline Overview of Rwandan Health System

More information

Philippines Actions for Acceleration FP2020

Philippines Actions for Acceleration FP2020 Philippines Actions for Acceleration FP2020 Country Snapshot mcpr (2016) FP2020 CPR goal 24.7% (AW)/ 39.7% (MW) 31% (AW)/ 46% (MW) Unmet need (WW) 33.1% Demand satisfied (MW) 54.5% *Source: FPET run based

More information

Rahmatullah Vinjhar. Lecturer Nursing ION DUHS.

Rahmatullah Vinjhar. Lecturer Nursing ION DUHS. community health nursing Rahmatullah Vinjhar Lecturer Nursing ION DUHS. Introduction to Course Prerequisites Health Assessment Culture, Health and society Introduction to Biostatistics Teaching/Learning

More information

INDEPTH Scientific Conference, Addis Ababa, Ethiopia November 11 th -13 th, 2015

INDEPTH Scientific Conference, Addis Ababa, Ethiopia November 11 th -13 th, 2015 The relationships between structure, process and outcome as a measure of quality of care in the integrated chronic disease management model in rural South Africa INDEPTH Scientific Conference, Addis Ababa,

More information

Understanding NHS financial pressures

Understanding NHS financial pressures SUMMARY Understanding NHS financial pressures How are they affecting patient care? March 2017 Overview Financial pressures on the NHS are severe and show no sign of easing. However, we know relatively

More information

State Health Department Support for Community Health Worker (CHW) Workforce Development and Engagement

State Health Department Support for Community Health Worker (CHW) Workforce Development and Engagement State Health Department Support for Community Health Worker (CHW) Workforce Development and Engagement Association of State and Territorial Health Officials Technical Assistance August 2017 Guiding principle:

More information

Adjudication prioritisation

Adjudication prioritisation Free State Province Adjudication prioritisation Adjudication score (Max) Total score for criteria criteria weight 1: Contribute to equitable distribution of health services in the Free State Province.

More information

Outcome 1 : Improved access to and quality of health services including reproductive and preventive child health care

Outcome 1 : Improved access to and quality of health services including reproductive and preventive child health care Outcome 1 : Improved access to and quality of health services including reproductive and preventive child health care Outcome Standard Indicator(s) Baseline Target Source of Verification Number of patient

More information

Economic and Social Council

Economic and Social Council United Nations E/CN.3/2015/20 Economic and Social Council Distr.: General 8 December 2014 Original: English Statistical Commission Forty-sixth session 3-6 March 2015 Item 4 (a) of the provisional agenda*

More information

Grant Aid Projects/Standard Indicator Reference (Health)

Grant Aid Projects/Standard Indicator Reference (Health) Examples of Setting Indicators for Each Development Strategic Objective Grant Aid Projects/Standard Indicator Reference (Health) Sector Development strategic objectives (*) Mid-term objectives Sub-targets

More information

The Ideal Clinic Realisation and Maintenance (ICRM) programme was designed

The Ideal Clinic Realisation and Maintenance (ICRM) programme was designed The Ideal Clinic in South Africa: progress and challenges in implementation 11 Authors: Jeanette R Hunter i Shaidah Asmall ii Ntshengedzeni Margaret Ravhengani i Thoovakkunon M Chandran i Jeanne-Marie

More information

Chapter 8 Ordering Reproductive Health Kits

Chapter 8 Ordering Reproductive Health Kits Chapter 8 Ordering Reproductive Health Kits Having the essential drugs, equipment and supplies available in a crisis is critical. To support the objectives of the MISP, the IAWG has specifically designed

More information

Chapter 6 Planning for Comprehensive RH Services

Chapter 6 Planning for Comprehensive RH Services Chapter 6 Planning for Comprehensive RH Services This section outlines the steps to take to be ready to expand RH services when all the components of the MISP have been implemented. It is important to

More information

Terms of Reference Kazakhstan Health Review of TB Control Program

Terms of Reference Kazakhstan Health Review of TB Control Program 1 Terms of Reference Kazakhstan Health Review of TB Control Program Objectives 1. In the context of the ongoing policy dialogue and collaboration between the World Bank and the Government of Kazakhstan

More information

NHS Bradford Districts CCG Commissioning Intentions 2016/17

NHS Bradford Districts CCG Commissioning Intentions 2016/17 NHS Bradford Districts CCG Commissioning Intentions 2016/17 Introduction This document sets out the high level commissioning intentions of NHS Bradford Districts Clinical Commissioning Group (BDCCG) for

More information

Sources for Sick Child Care in India

Sources for Sick Child Care in India Sources for Sick Child Care in India Jessica Scranton The private sector is the dominant source of care in India. Understanding if and where sick children are taken for care is critical to improve case

More information

Mongolia. Situation Analysis. Policy Context Global strategy on women and children/ commitment. National Health Sector Plan and M&E Plan

Mongolia. Situation Analysis. Policy Context Global strategy on women and children/ commitment. National Health Sector Plan and M&E Plan COUNTRY ACCOUNTABILITY FRAMEWORK: Assessment* Manila, Philippines Accountability Workshop, March 19-20, 2012 Information updated: April 19, 2012 Policy Context Global strategy on women and children/ commitment

More information

Operation Sukuma Sakhe

Operation Sukuma Sakhe Operation Sukuma Sakhe 1 Outline Sukuma Sakhe Strategic Alignment Ward Based Approach 2 Strategic Position of Operation Sukuma Sakhe 3 4 Operation Sukuma Sakhe Aligned to ALL 12 Outcomes 1. Quality basic

More information

Id I eal C linic R c ealisati t on a nd M ainte t nance Overview

Id I eal C linic R c ealisati t on a nd M ainte t nance Overview Ideal Clinic Realisation and Maintenance Overview Introduction to Ideal Clinic realisation and maintenance lab 1 There were 164 participants in the Lab 2 The participants were drawn from various stakeholders

More information

PNG Maternal and Child Health Initiative Phase II: Mid-term Summary Report

PNG Maternal and Child Health Initiative Phase II: Mid-term Summary Report NATIONAL DEPARTMENT OF HEALTH PNG Maternal and Child Health Initiative Phase II: Mid-term Summary Report April 2015 TABLE OF CONTENTS SUMMARY OF MATERNAL AND CHILD HEALTH INITIATIVE PHASE II 1 EXECUTIVE

More information

A CONCEPTUAL DATA MODEL FOR A PRIMARY HEALTHCARE PATIENT- CENTRIC ELECTRONIC MEDICAL RECORD SYSTEM

A CONCEPTUAL DATA MODEL FOR A PRIMARY HEALTHCARE PATIENT- CENTRIC ELECTRONIC MEDICAL RECORD SYSTEM A CONCEPTUAL DATA MODEL FOR A PRIMARY HEALTHCARE PATIENT- CENTRIC ELECTRONIC MEDICAL RECORD SYSTEM Paula Kotzé 1,2, Rosemary Foster 1,2 1 Council for Scientific and Industrial Research Meraka Institute

More information

Western Cape: Research strategy and way forward. Tony Hawkridge Director: Health Impact Assessment Western Cape Government: Health

Western Cape: Research strategy and way forward. Tony Hawkridge Director: Health Impact Assessment Western Cape Government: Health Western Cape: Research strategy and way forward Tony Hawkridge Director: Health Impact Assessment Western Cape Government: Health Context AFRICA HEALTH STRATEGY: 2007 2015 87. Health Research provides

More information

NATIONAL HEALTH INSURANCE FOR SOUTH AFRICA TOWARDS UNIVERSAL HEALTH COVERAGE

NATIONAL HEALTH INSURANCE FOR SOUTH AFRICA TOWARDS UNIVERSAL HEALTH COVERAGE NATIONAL HEALTH INSURANCE FOR SOUTH AFRICA TOWARDS UNIVERSAL HEALTH COVERAGE SCHEDULE Contents GLOSSARY OF TERMS...iv EXECUTIVE SUMMARY...1 CHAPTER 1: INTRODUCTION AND BACKGROUND...3 1.1 Introduction...

More information

Primary Health Care in the Islamic Republic of Iran

Primary Health Care in the Islamic Republic of Iran In The Name of God The foundation for Health and Wellbeing Primary Health Care in the Islamic Republic of Iran On the occasion of 1 st International PHC Conference, Qatar, 1-4 November 2008 - RITZ-CARLTON

More information

Maternity benefit 2018

Maternity benefit 2018 Maternity benefit 2018 The Maternity benefit cover in-hospital and day-to-day medical expenses for expecting mothers and their newborns. Who we are The Malcor Medical Aid Scheme (referred to as the Scheme

More information

WHO Health System Building Blocks: considerations for NCD prevention and control. Dr Sudhansh Malhotra Regional Advisor, Chronic Disease Management

WHO Health System Building Blocks: considerations for NCD prevention and control. Dr Sudhansh Malhotra Regional Advisor, Chronic Disease Management WHO Health System Building Blocks: considerations for NCD prevention and control Dr Sudhansh Malhotra Regional Advisor, Chronic Disease Management " A health system consist of all organisations, people

More information