You are cordially invited to the Department of Health's Primary Health Care Re Engineering Summit which will be held as follows:
Date: 21 to 22 July 2011
Time: 08h00
Venue: President Hotel: Bloemfontein
Below is the information regarding the summit.
a. Summit briefing
To improve health outcomes in the Free State province within the available funding envelope, and in preparation for the national health insurance, it is important that focus be shifted to improving and supporting primary healthcare. This would be done through a re-engineering process in line with ministerial directives and with outcome focus on the four critical negotiated outcome areas: Increase in life expectancy; decrease maternal and child mortality; Combat HIV and AIDS and burden of TB; and strengthen health systems effectiveness.
The Free State province has developed a strategy to move forward with the re-engineering process. This will have to include some other restructuring processes to ensure efficiencies and gains in health care.
1. Introduction of family based health teams linked to clinics with direct inputs at household level.
There are at present in the excess of 3 000 volunteers receiving stipends are in the department that could be trained and employed as community health workers. Over the next few months, the suitable candidates will be identified and deployed in one focal area in each district as community health workers. The teams will also be utilised to obtain important information of the profile of households that we are serving with initial focus on the poorest quintiles. The teams will be increased in a phased-in approach.
2. Strengthening the school health services
While the family based teams are rolled out, school health services will be strengthened. This would allow for immediate screening processes and should remain in place until the family based teams are completely rolled out. The current scope of support will be expanded to include older children and include developmental screening and reproductive education. The initial focus will be on the first quintile schools, as selected in conjunction with the department of education.
3. Introduction of district specialist teams
The province has already embarked on including family physicians in improvement of maternal and child health and these posts have been created. Posts for a principal midwife, principal primary care nurse, principal paediatrician and principal obstetrician per district are in the process of being created.
This document outlines the roles and responsibilities and reporting lines within the provincial structures. The main aim of these district specialist teams are to provide clinical support, monitor and evaluate outcomes and to assist in removing bottlenecks and obstructions hindering quality care.
Summit briefing
To improve health outcomes in the Free State province within the available funding envelope, and in preparation for the national health insurance, it is important that focus be shifted to improving and supporting primary health care. This would be done through a re-engineering process in line with ministerial directives and with outcome focus on the four critical negotiated outcome areas: Increase in life expectancy; decrease maternal and child mortality; Combat HIV and AIDS and burden of TB; and strengthen health systems effectiveness.
The Free State province has developed a strategy to move forward with the re-engineering process. This will have to include some other restructuring processes to ensure efficiencies and gains in health care.
4. Introduction of family based health teams linked to clinics with direct inputs at household level.
There are at present in the excess of 3 000 volunteers receiving stipends are in the department that could be trained and employed as community health workers. Over the next few months, the suitable candidates will be identified and deployed in one focal area in each district as community health workers. The teams will also be utilised to obtain important information of the profile of households that we are serving with initial focus on the poorest quintiles. The teams will be increased in a phased-in approach.
5. Strengthening the school health services
While the family based teams are rolled out, school health services will be strengthened.This would allow for immediate screening processes and should remain in place until the family based teams are completely rolled out. The current scope of support will be expanded to include older children and include developmental screening and reproductive education. The initial focus will be on the first quintile schools, as selected in conjunction with the department of education.
6. Introduction of district specialist teams
The province has already embarked on including family physicians in improvement of maternal and child health and these posts have been created. Posts for a principal midwife, principal primary care nurse, principal paediatrician and principal obstetrician per district are in the process of being created. This document outlines the roles and responsibilities and reporting lines within the provincial structures. The main aim of these district specialist teams are to provide clinical support, monitor and evaluate outcomes and to assist in removing bottlenecks and obstructions hindering quality care.
b. Draft Programme
Day 1
Session 1: Programme Director: Ms S Mnumzana
08h00 - 09h00: Registration
09h00 - 09h15: Welcome and introduction of guests
09h15 - 09h45: Official Opening of the Summit by the Premier of the Free State: Honourable Mr ES Magashule
09h45 - 10h00: Opening address by the MEC for Health, Ms Fezi Ngubentombi
10:00 - 10:30: Tea Break
Session 2: Programme Director: Dr TD Moji
10h30 - 10h50: Reengineering Primary Health Care:A National Perspective: Dr Y Pillay
10h50 - 11h10: Primary Health Care Reengineering in the Free State: Dr S Kabane: Head of Health
11h10 - 11h30: Presentation 1: Primary Health Care Outreach teams: Mr Papi Maarohanye
11h30 - 11h50: Presentation 2: School Health Services:Mr S Zuma/ Ms SRO Khokho
11h50 - 12h10: Presentation 3: District Specialist Teams: Dr MG Schoon
12h10 - 13h00: Panel discussion
13h00 - 14h00: Lunch
14h00 - 16h30: Commissions
1. Role of non governmental organisations (NGOs): Facilitated by Ms S Hugo
2. Private Sector Involvement, Facilitator: Dr Moji
3. Community Involvement in Primary Health Care: Ms M Khokho
4. Role of Training Institutions ; Dr S Kabane
16h30-17h00: Tea Break
17h30: End of Day 1
18h00: Dinner (for hotel guests only)
Day 2
Programme Director: Ms SRO Khokho
08h00 - 08h30: Registration
08h30 - 10h00: Plenary and Feedback from Commissions
10h00 - 10h30: Morning refreshments
10h30 - 13h00: Way Forward and closure
13h00 - Lunch and departure
Non Profit organisations (NPO’s) and programme coordinators
Key issues
1. What is the future role of NPO’s in the reengineered PHC
2. What should happen in the transition shifting to the new dispensation
3. What model could be used to address the funding gap for NPO managers
4. What role could the NPO’s play in providing hospice type care
5. How would reengineering affect the role of program coordinators/facilitators
Private health sector
1. How could the private sector/ private practitioners assist in improving target programmes
a. Tuberculosis
b. Immunisations/ road to health
c. Contraceptive service
d. Antenatal/postnatal care
2. Could the private sector/practitioners strengthen areas where government not able to deploy enough medical practitioners
3. What mechanisms or models could be used to engage in interactions between the public and private sectors
4. Should competency assessments and accreditation apply to all health sectors, especially in maternal and child health care
Community involvement
1. How could the security of the public and the health workers be ensured in the process of reengineering
2. Could the family PHC outreach teams functions overlap with community development workers be addressed
3.The roles of the community or wards in selecting of CHW based on provincial criteria
4. How could important community groupings be empowered to play a role in primary health care
Training institutions
1. What mechanisms should be used to align health professionals training with service delivery needs
2. How could production of targeted specialists required in the reengineering process be increased
3. Could access to health professionals training be used to staff peripheral facilities
4. What mechanism need to be developed to bridge the gap between heath service delivery providers and health professional training facilities
Enquiries:
Pelonomi MakauTel: 051 408 1872
Fax: 051 408 1579
E-mail: makaupj@fshealth.gov.za
