department of health and social development mou’s · pdf file ·...

Status of international relations (ODA) HIV&AIDS &STI 1

DEPARTMENT OF HEALTH AND SOCIAL DEVELOPMENT

MOU’S REPORT


International Agreement

Date signed Sector Projects Progress Future plans Budget

1. SA-CUBA March 2001 HEALTH TRAINIING OF SOUTH AFRICAN MEDICAL STUDENTS AND POST GRADUATES, RECRUITMENT OF MEDICAL DOCTORS AND LECTURES, EXCHANGE OF INFORMATION ON MEDICAL TECHNOLOGY

68 Limpopo students are currently studying in Cuba as shown in the table below: TABLE 1.

Gender Study level M F

Total

1st 9 1 10 4th 12 11 23 Spanish lessons

27 8 35

Total 48 20 68 8 students returned home in 2005 for their final year of studies at local universities. TABLE 2.


Total

6 3 5 8 2 students are due to arrive home in July 2006 for their final year of medical studies at local universities. TABLE 3


Total

To strengthen the existing relations by sending more students. The intake for 2007/08 is dependent on confirmation of scholarships spaces by the Cuban government.

Budget is determined by intake of the year


NB. All these students have been identified from the six (6) districts in the Province. The academic performance of the students currently in Cuba is satisfactory and they find the programme responsive to the needs of Limpopo Province. As part of student support and enhancing the already friendly relationship with the Republic of Cuba, two members of Executive Management visited Cuba in May 2006.

2. Government of Limpopo (SA) and Zimbabwe (Matebeleland North & South)

2000 Health Malaria control

Action plan developed for scaling up malaria control in Matabeleland South province. Meeting planned for 4-5 July to obtain support for the action plan from Zimbabwe Ministry of Health

To scale up malaria control in Matabeleland south including strengthening of malaria case management

Health & Social Development, Limpopo

3. Lubumbo Spatial Development initiative malaria control project between South Africa, Mozambique and Swaziland

1999 Health Malaria Control

Plan developed for expanding malaria control to Gaza Province, Mozambique.

To establish malaria control structure in Gaza province and to commence with indoor residual spraying

Project fully funded by the Global Funds for HIV/ Aids, TB & Malaria.

4. SA - BELGIUM ( through the Belgian Technical

2003 Health HIV and TB support programme

19 sub-districts –Implementing after having trained health professionals and care workers.

To roll-out the expansion of TB/HIV/STI

2006 approved business-plan budget :


cooperation)

prevention ,care and support to all the districts in Limpopo The appointment of the Limpopo Provincial TB HIV collaboration coordinator

R984 000 ( R 592 866 ) transferred to the Province

Health Care workers, professional and program managers trained. Doctors : 31 Nurses : 370 Lay counselor : 270 PHC supervisors : 46 Trainers for TB/HIV : 52 HIV and AIDS coordinators trained : 14

To train more health professionals on TB/HIV collaboration




Procurement of the training manuals. 200 TB/HIV clinical manuals procured. 1400 folders procured.

Support visits done to all districts and HAST committees established

To integrate all HIV and AIDS programs during District HAST committee meetings

5. SA FLEMISH 24/3/04 Health: HIV & AIDS, STI Directorate

Voluntary Counselling & Testing: VCT

*Funds requested from Provincial treasury. (11/3/05) & were transferred to the provincial account. *Budget itemized *Submission for advertisement of Project manager approved. Advertisement & appointment pending.

Appoint project manager & commence project implementation

R 3, 647, 381. 31




6. SA Flemish Government

01 June 2005 Health: HIV & AIDS, STI Directorate

HCBC: Home and Community Based Care programme

*Funds requested from Provincial treasury to transfer to the provincial account. *Budget itemized

• Submission for advertisement of Project manager compiled.

• Advertisement & appointment pending.

R 6, 731, 448

7. SA- DFID Partnership (Limpopo-KZN-E-CAPE

Health on Functional integration of HIV/AIDS

*Work-plan developed by Department and DFID *Consultant appointed to facilitate finalization of implementation plan *Approval of the appointment of a TB Project Manager secured *Terms of Reference for the following projects developed and some advertised:

- HIV in the Workplace training - Training EAP practitioners on

HIV in the workplace * strengthening leadership and

management skills of nurse

managers.

- Training on Comprehensive Reproductive Health Course

Appoint a Project Manager Implement work*plan with assistance of appointed service providers/ consultants


8. SA (LIMPOPO)- UNDP

1997 Health An Integrated Response to HIV, AIDS and Poverty Project

• Fanang – Diatla Project funded (R400 000.00)

• Mid-Term Review of the project conducted

• Re-engineering and transformation of the Project to focus on Service Delivery Approach.

Provided by UNDP Country Office in Pretoria


Date signed

Sector Projects Progress Future Plans Budget

9. SA-UNDP (Limpopo-UNDP Partnership) on Service Delivery Optimization

2005 Health & Social Development

Service Delivery Optimization Process

• Executive and Senior Managers of the Department Trained of Service Delivery Optimization (The Context, Leakages and Pillars of Delivery)

• Six districts middle management targeting 100 people underwent sensitization process on service delivery

• Pre-Analysis Training conducted targeting Quality assurance coordinators

• Refinement session conducted for teams identified to conduct analysis in Health and Social Development facilities.

• 39 Health & Social Development facilities identified and analyzed

• Training Mopani and Waterberg Districts on Analysis of Challenges Methodology

• Drawing a proposal detailing areas of intervention, risks and mitigation plans

• Draw an implementation plan

• Enter into an Agreement or signing of MOU with the Department of Health and Social Development

Provided by UNDP Country Office in Pretoria


during the period 16 January -24 February 2006.

• 310 Process owners and managers from identified facilities were trained in Process Mapping, Task Assignment and Task Tracking

• 1501 challenges were identified and assigned

• 881 were challenges attained at facility

• 10 Broad challenges identified from analysis phase.

• Draft approach circulated to steering committee for inputs and comments

10. GOVERNMENT OF SA AND THE UNDP

Phase II December 2004

Health

UNV Support to the Health Sector in Limpopo Province

*Project Document for implementation of Phase (II) signed in December 2005. *Sourced and duly selected for registration about 20 specialist international volunteer doctors. *In the past three months the 20 specialist doctors are waiting for registration by the HPCSA. *The HPCSA is waiting for

*Provide support through capacity building and Provision of 40 specialist volunteer doctors. *Volunteer doctors will provide hands-on training by mentorship approach to South African Doctors/Interns in the rural areas where expertise is unavailable or in

R31.11m


clearance by the National Department of Health before the doctors are registered. *In order to promote the volunteerism campaign programme with different products to appeal to the various sectors in the community *Proposal for Steering Committee Membership awaiting approval. *In the process of preparing the Monitoring and Evaluation programme.

short supply. *Increase retention rate of Medical Doctors/Interns after serving specialized studies in the province. *Improve quality and quantity of health service delivery *Enhance commitment of local doctors to serve in disadvantaged areas resulting from appreciation of volunteerism instilled by the specialist volunteer doctors.

11. Limpopo-Japanese Government ( through the Japanese International Cooperation Agency- JICA)

November 2004

Health Improvement of health facilities

Tenders for both the construction work and procurement of medical equipment have been awarded. The constructor is already on site. Medical Equipment will be delivered to facilities during the course of this financial year.

To improve health facilities in Greater Tzaneen Municipality that is: The construction of 3 new clinics at Letsitele , Maake, and supply of medical equipment for 27 PHC Clinics, Letaba and Dr C.N. Phatudi Hospitals.

R 28.8 million


12. Limpopo (SA)- UK October 2003

Health Reciprocal exchange of health care concepts and personnel

Four nurse managers selected to attend exchange programme in England. (Still a problem with funding for the programme)

To enhance clinical/technical and explore best practice in health care delivery.

13. EU-SA PARTNERSHIP (FINANCING AGREEMENT)

March 2002

Health Delivery of Primary Health Care including HIV/AIDS.

232 members of the Hospital board in the six districts and the district Health Council members in Sekhukhune and Bohlabela district completed the training. The database updated Annual programmes for district task team developed for Sekhukhune, Bohlabela and Waterberg, districts. Waterberg Task Team established. Mapping exercise facilitated in Maruleng , Marbell Hall and Tubatse municipalities. The contract for the implementation of the national Youth programme has been signed

To provide accessible, affordable quality primary health care for the poorest communities in Limpopo .

R15m allocated as first crunch and as of march 2006 R7,027,938 m has been added to give us the value of R22,027,938


Training is underway for contracted NPO’s. Manual for development of partnership agreement has been developed and stakeholders have been workshoped. Tenders for training for community health workers has been signed and training will commence July 2006.

14. SA (Limpopo)-FRANCE

April 2003 HEALTH MANAGEMENT OF HUMAN RESOURCES, TRAINING OF HOSPITAL PROFESSIONALS, HEALTH TECHNOLOGY MANAGEMENT, ROLES OF MEDICAL COMMITTEES AND HOSPITAL BOARDS.

Funds for the programme have since been exhausted.

To assist with management services and development of health services and thus creating a training system for public hospital managers in South Africa.

15.SA-DFID/DEVELOPMENT COOPERATION IRELAND(LIMPOPO-DFID/DCI

16.SA-USAID GOVERNMENT(LIMPOPO-USAID) On the

2004 Health Institutionalization of quality assurance in two

Trained staff and NPO’s in quality assurance principles and approaches.

Continue to strengthen capacity in quality assurance

Budget is controlled at By HO in


Institutionalization of Quality Assurance

district sekhuhkhune and bohlabela

Supported baseline assessment of facilities, conducted PDSA circles within facilities, developed intervention plan with facilities staff in PMTCT, VCT, Basic Care and HIV/TB. Did rapid clinic appraisal in selected sites. Data collected on TB management from the past 18 months to trace TB outcomes

and improvement strategies within the two districts. Continue to couch, mentor and train staff in line with provincial and national guidelines

Pretoria

17.SA-POLISH GOVERNMENT( THROUGH THE POLISH ACADEMY OF SCIENCE)

18. SA-FLEMISH( Shiluvane hospital Eye Project)

Health Eye Care Project

The services are continuing The problem is, accessing funds. The Flemish government has paid R674 700 which we are unable to use. The first million has been exhausted. We are currently using our own staff for service to continue. The Flemish Government


have discussed with Premiers office for this problem. It took the department 8 months to request the funds from the treasury.

19. SA-USAID Capacity building

20.Limpopo( university of Virginia(USA)

Health research, Forensic nursing training and students exchange.

21. GOVERNMENT OF SA AND THE GOVERNMENT OF IRELAND

Health District Health System

22.The government of Flanders and the Government of South Africa

Health and social development( intergrated service delivery for people with disability.

The project has been stopped in March 2006. The department took 16 months without success to sign project implementation documents

Project Stopped Original project budget was R4,293,260. The department had used only R1,200 000

23. SA- Flemish government

Health Home based care The project was supposed to start in June 2005. 3,000 000 (national Treasury_)

To implement the project( project business plan)

R3, 000 000


The money has not been requested The codes has to be created Appoint staff project manager The CFO to ask money from treasury


The above-mentioned international agreements and their implementation are at varying stage. Some of the proposed international areas of cooperation especially in the nursing areas are as follows: FOCUS AREA NO: 1 ANAESTHETIC NURSING TRAINING IDENTIFIED COUNTRY(IES)

FOCUS AREAS OF COOPERATION/PROGRAMMES

ACTIVITIES (What you are going to do/what you want to learn from counterparts)

TARGET AUDIENCE (e.g. nurses)

ANTICIPATED OUTPUT

ANTICIPATED OUTCOME

CONTRIBUTION TO PGDS

Lesotho Zambia Tanzania SADC countries Any other countries offering the programme

Anaesthetic nurse training

Benchmarking with the stated countries and any other countries to check the feasibility and sustainability of the anaesthetic nurse programme The stated countries to visit the province to offer assistance, guidance and support

Registered nurses

To visit the stated countries and any other countries for benchmarking Start with development of the programme, depending on the outcome of

The anaesthetic nurses will render this service in order to reduce the workload for doctors The stated countries to visit the province to offer assistance, guidance and support

To improve the quality of life of people of Limpopo Growing the economy, sustainable jobs, innovation and competitiveness Improve the Institutional Efficiency and Effectiveness of government Address priorities such as HIV/AIDS, etc. Attain Regional Integration


FOCUS AREA NO: 2 CLINICAL EXPOSURES IN THE MIDWIFRERY HOSPITALS Gaza province SADC countries Any other countries

To provide clinical exposure in the midwifery hospitals

Tutor and student exposure in the midwifery hospitals Student exchange programme

Tutors and Students

To visit the stated countries and any other for benchmarking

Midwifery practice in the province will be improved This will also help in the reduction of the maternal and neonatal morbidity and mortality rates



FOCUS AREA NO: 3 FORENSIC NURSING TRAINING United Kingdom United States of America SADC countries

Forensic nurse training

Benchmarking with the stated countries and any other countries to check the feasibility and sustainability of the forensic nursing programme The stated countries to visit the province to offer assistance, guidance and support

Registered nurses To visit the stated countries and any other countries for benchmarking Start with development of the programme, depending on the outcome of the visit

Forensic nursing matters will be dealt with by the forensic nurses



FOCOS AREA NO: 4 FORENSIC PHYCHIATRIC NURSING

United Kingdom United States of America Any other countries

Forensic Psychiatric nursing

Benchmarking with the stated countries and any other countries to check the feasibility and sustainability of the forensic psychiatric nursing programme The stated countries to visit the province to offer assistance, guidance and support Start with development of the programme, depending on the outcome of the visit

Registered nurses

Start with offering of the programme, after approval by the South African Nursing Council

Nursing care of forensic psychiatric patients will improve



FOCUS AREA NO: 5 PRIMARY HEALTH CARE PUBLIC HEALTH

United Kingdom of Great Britain Northern Ireland SADC countries Any other countries

Primary Health care and Public Health

Benchmarking with the stated countries and any other countries to share best practices and strengthen management The stated countries should offer education and training in healthcare management The stated countries to visit the province to offer assistance, guidance and support

Registered nurses

Tutor, Primary health care supervisor and student exchange programme

Health professionals will be exposed to the first world clinical and educational experience Capacity building will be enhanced The experience of health professionals will be used to improve the quality of health care It will also act as a retention strategies for health care professionals. Involvement in Post graduate training



FOCUS AREA NO: 6 PROCESS ENGINEERING, ACTION LEARNING AND TELE-MEDICINE TO NURSE EDUCATORS AND STUDENTS

India SADC countries Any other countries

Process engineering, Action learning programme and Telemedicine to nurse educators and students

Benchmarking with the stated countries and any other countries to assist with process engineering, action learning programme and Telemedicine

Nurse educators and students

Tutor, and student exchange programme

This will improve the student output The learning and teaching process, on the part of tutors, will improve To improve the learning and teaching strategies of different programmes To improve educational teaching and management by nurse educators



FOCUS AREA NO 7. SADC countries Any other countries

To provide post basic nurse education and training: Critical care nursing science Orthopaedic nursing science Trauma nursing Occupational health nursing Oncological nursing science Operating theatre nursing Nephrology Child nursing science

Benchmarking with the stated countries and any other countries to share best teaching and clinical practices and strengthen management of the programmes The stated countries to visit the province to offer assistance, guidance and support

Nurse educators and students

Tutor, and student exchange programme

To improve the quality of life in the province Tutors and learners will acquire more skills and knowledge in rendering quality patient care



FOCUS AREA NO: 8 EXCHANGE TRAINING OF HEALTH RESEARCHERS

Cuba SADC countries Other countries

To provide exchange training of health researchers and specialists especially, nurses


Nurse educators and learners

The stated countries to visit the province for support and assistance Student exchange programme to continue

Research findings to be utilized to improve the quality of care



FOCUS AREAS NO 9. EDUCATIONAL MANAGEMENT AND LEADERSHIP PROGRAMME FOR NURSING

SADC countries United States of America United Kingdom Other countries

Educational management and leadership programme for nurse educators


Nurse educators

The stated countries to visit the province for support and assistance Student exchange programme to continue

This will improve the student output The learning and teaching process, on the part of tutors, will improve To improve the learning and teaching strategies of different programmes To improve educational teaching and management by nurse educators


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