nhi progress in umgungundlovu health district : april … · leaners from schools in umgungundlovu...

NHI PROGRESS IN

UMGUNGUNDLOVU HEALTH

DISTRICT

UMGUNGUNDLOVU HEALTH DISTRICT

APRIL 2014

MAHLUTSHINI AND NXAMALALA CLINIC OFFICIAL OPENNING MAHLUTSHINI AND NXAMALALA CLINIC OFFICIAL OPENNING MAHLUTSHINI AND NXAMALALA CLINIC OFFICIAL OPENNING

For decades, the community of Mahlutshini did not have ac‐

cess to health‐care services. The only me they would receive

healthcare was when a mobile clinic visited the area on certain

days. This community of over 10 000 people forms part of IM‐

pendle Municipality which is in the west side of UMgungund‐

lovu District Municipality. The community had to travel over

50km to visit the nearest primary health care facility in Mpen‐

dle.

The official opening of Mahlutshini Clinic by the honorable

MEC for Health Dr Sibongiseni Dhlomo, is part of the govern‐

ment’s plan to accelerate service delivery and infrastructure

development in rural areas. Two new clinics in as many years

have been built in uMgungundlovu District. A third one built in

Mshwathi Municipality is ready to be handed over to the com‐

munity. “The government is priori zing rural development, we

will con nue to built clinics, roads and other essen al infra‐

structure projects to ensure that the lives of our people are

improved for the be er. held at Mahlutshini sports grounds.

Today I handed over a new building at Nxamalala Clinic which

is an extension to the exis ng building” the MEC Dr S Dhlomo

said while delivering the keynote address during the event

a ended by over 3000 community members

“My community is faced with a number of challenges when it

comes to access to health care services, some of them are as a

result of shortage of ambulances” said Inkosi S E Zuma, during

his welcome speech. The MEC promised that by the 1st of

April, an ambulance will be sta oned at Gomane clinic which is

a central point, and will be focusing on the three clinics which

fall under IMpendle Municipality. This will help reduce re‐

sponse me in cases of emergency.

The new clinic will help streamline the referral pa erns of the

community of Mahlutshini. They have been complaining about

the fact whenever they called an ambulance, when it eventual‐

ly came, it will take pa ents to St Appolinaris Hospital which is

in Creighton, Sisonke District. Due to unavailability of

transport, it made it difficult for family members to visit their

loved ones.

District Manager: Mrs. N M Zuma‐Mkhonza, Mr. Zuma, Inkosi S E Zuma, MEC Dr S Dhlomo, Mayor Cllr S G Ndlela, Inkosi N Zondi


2


3

OM Sister Mbanjwa, S Moody, MEC Dr Dhlomo, Inkosi SE Zuma, Inkosi N Zondi

MEC Gree ng community members

MEC handing over blankets to elderly people

MEC Dr S Dhlomo, DM Mrs N M Zuma‐Mkhonza, HOM Mr B Nzimande

Edendale Choir DM Mrs NM Zuma‐Mkhonza, MEC Dr S Dhlomo, OM Mpanza, Ms K J Mngadi

IN PICTURES

THE INTRODUCTION OF FAMILY HEALTH TEAMS

4

UMGUNGUNDLOVU HEALTH DISTRICT: NHI

As part of the NHI pilot programme, a number of family health teams have been introduced in a number of wards within the district. The role of the family health team is to ensure that health services are brought to the door‐step of our communi es. A breakthrough in access to health services, the family health team is made up of a Professional Nurse and Three Enrolled Nurses. When visi ng a home, they are accompanied by the CCG who then introduces them to the family before they engage in their du es. They do screening for diseases such as diabetes, blood sugar, blood pressure, and any other medical condi‐on.

When entering a household, the family health team does not only focus on health related issues, but they look at the family as a whole, the environment they live in, if they have a garden, if the children are a ending school and receiving grants that they qualify for. If they iden fy a problem, they will refer it to the local war room for other government departments to follow up. “We are grateful to the department of health for looking a er us in the manner they have, when I grew up, there was nothing like this. You had to travel long distances to access healthcare services” these were the words of an elderly woman from Efaye who was paid a visit by the family health team.

School Health Teams

5


Leaners from schools in UMgungundlovu District have

already started benefi ng from the introduc on of the

Na onal Health Insurance programme. The launch of

the school health programme is part of the effort to

ensure that health‐care is delivered where the people

are. This programme focuses on methods that involve

promo on of healthy lifestyle and preven on of infec‐

ons in schools.

There are 23 school health teams in UMgungundlovu

District. Each team is made up of a Professional Nurse

and Enrolled Nurse. For now, the focus of the school

health team is quintal 1 and quintal 2 schools due to

the socio‐economic profile of the leaners and the com‐

muni es they come from. There are 78 Quintal 1

schools and 140 quintal 2 schools in UMgungundlovu

District. During this introductory phase, the teams are

focusing on entry level grades of founda on, intermedi‐

ate and senior phase of schooling.

The package of services offered differ according to the

phase of schooling. For the founda on phase, the focus

is on deworming, immuniza on, oral health and minor

ailments. They also provide health educa on on hand

washing, personal and environmental hygiene, poison‐

ing and all kinds of abuse.

For intermediate phase they do the above but also in‐

clude counseling and referral for sexual and reproduc‐

ve health as needed. Health educa on is also offered

on a range of topics which includes puberty, drug

abuse , nutri on and Male Medical Circumcision.

For senior phase, all of the above are offered including

sexual reproduc ve health with a focus on menstrua on,

contracep on's, STI’s, HIV & Aids, MMC, teenage preg‐

nancy, CTOP, PMTCT, HCT, s gma mi ga on, drug and

substance abuse and suicide.

The na onal department of health made available three

specialized vehicles to support the school health pro‐

gramme. These specialized vehicles, cos ng millions of

rands, come fully equipped to provide a service equiva‐

lent to a health facility. School Health Services vehicle is

equipped to provide family planning, HCT, STI Syndromic

management and condom distribu on. Eye programme

vehicle is equipped to provide vision screening, ra fica‐

on, provision of glasses and treatment of eye condi ons.

Oral health vehicle is equipped for screening, tooth ex‐

trac on, filling inns, x‐rays, topical fluoride applica ons,

fissure fillings, scaling and polishing.

While visi ng Umsilinga Primary School which is situated

in Northdale, north of Pietermaritzburg, during the launch

of the programme, the District Manager Mrs. N M Zuma‐

Mkhonza tested the equipment in the vehicles. “This is

the milestone in our district, now people are begging to

see what NHI is all about” she commented.

All three vehicles visit one school at a me. According to

the plan, the rest of the district will be covered by the end

of the 4th quarter.

School Health Specialised Vehicles

6


DCST, Pharmacy Assistants and the contrac ng of GP’s

7


District Specialists Team with the Minister Dr Motsoaledi and District Manager Mrs N M Zuma‐Mkhonza

As a district, we have entered a second year as an NHI pilot district. We have undergone a lot of changes in the manner to which we provide ser‐vices to our more than 1 million clients. Although the funding for the project from na onal has dropped from the ini al 11 million to about 4 million, we have managed to improve in a number of areas. Na onal has indicated that infrastructure projects in rela on to NHI will be handled by them, the 4 million allocated is meant to improve systems such as Supply Chain Management and Human Resource processes. A number of ini a ves such as the contrac ng of GP’s, the launch of family health teams and school health teams are already taking shape. Also, a number of pharmacy assistants have been em‐ployed and placed at clinics to assist with pharma‐cy. This will ensure that nurses focus on client care. This is part of the PHC re‐engineering strate‐gy to strengthen health systems effec veness. His‐tory has taught us that if we are to win the fight against diseases, emphasis has to be put on prima‐ry health care. A number of teams from na onal have been dis‐patched to our district to focus on areas such as Na onal Core Standards and Facility Improve‐ment. The teams are coming with different tools to assess our facili es, iden fy gaps and assist us to develop plans to address those gaps. Two of our facili es namely Faye Clinic and Phatheni Clinic have been iden fied by na onal as prototype clinics. These two form part of a num‐ber of clinics that have been iden fied na onally to be prototype clinics. What this means is that, a er undergoing a process of improvement, these clinics will represent what a typical clinic in South Africa should be. They will be a benchmark of what a clinic should be like and every clinic in the country is expected to work towards achieving those standards. The na onal minister Dr. A Motsoaledi is expected to officially launch these clinics soon.

NHI ACHIEVEMENTS FOR 2014/15

2 District Hospitals received medical equipment for casual‐ty and pediatrics department;

Training received on AMPD, Leading Change, Finance Management and EPMD development training courses (PALAMA);

Training on M&E and SCM conducted through Palama

Northdale Hospital new registry established and equip‐ment acquired;

3 new clinics commissioned

12 private GP’s contracted through the NHI condi onal grant to support PHC with special focus on former Local Government Clinics who previously had no medical cover‐age.

12 former local government clinics received basic clinical equipment ;

District Specialist Team appointed with Pediatric Nurse Specialist, Advanced PHC Nurse Specialist, Advanced Mid‐wife Specialist and Specialist Family Physician.

23 School Health Teams to support Quintal 1 and Quintal 5

14 School Health Team vehicles received and opera onal

3 specialized NHI Mobile Vehicles in opera on for Eye and Dental care.

16 schools accredited with Health Promo ng Schools con‐cept

7 Schools with established nutri on and physical pro‐grammes

13 family health teams with vehicles allocated visi ng ap‐proximately 25 000 households per quarter

NHI DEVELOPMENTS AT NORTHDALE HOSPITAL

8


Ward 0 suc on machine

Ward A: Laryngoscope machine Emergency trolley

CR machine Pharmacy PRE‐PACK MACHINE

Ultra sound machine

9


Ward 0 suc on machine

Ward A: Laryngoscope machine Emergency trolley

CR machine Pharmacy PRE‐PACK MACHINE

Ultra sound machine

TB DOOR TO DOOR CAMPAIGN AT TRUST FEED

TB TEAM FROM DISTRICT OFFICE TOGETHER WITH CCG’S AT TRUST FEED HALL.

HEALTH WORKERS VISITED LUTHULI FAMILY AT TRUST FEED.

The month of March is well known as a National TB month. On 26 March 2014 Umgungundlovu health district em-barked on a door to door campaign to raise awareness about TB. The cam-paign took place at Trustfeed, situated at uMshwathi Municipality, with a popula-tion of over 10 000 people. This place is surrounded by farms and most of the community members work as farm work-ers.

Mayizekanye clinic is the nearest clinic at ward 9 and the department has ar-ranged a mobile clinic which visit once a week on Wednesdays at Trust Feed Hall and the staff from Mayizekanye clinic also visit this area on Tuesday. Due to the increasing number of people who are affected by TB and the lack of infor-mation about TB and HIV/AIDS, the de-partment of health has organised door to door campaign and visited 5 areas un-der ward 9 including Gudlucingo, Jwabuzela, eMatsheni, Mamnani and Nonginqa.

The aim of this door to door campaign was to educate the community about TB signs and symptoms. The staffs from Umgungundlovu health district together with Community Care Givers, Red Cross, Thandanani and URC worked to-gether in this campaign. The theme of the campaign “Once you cough make sure to visit your nearest clinic” was em-phasized during the door-to-door. The community were provided with infor-mation about TB and were encouraged to go for HIV testing.

Pregnant women were also encouraged to visit nearest clinic on time for the Anti-Natal Care. During the campaign sputum were collected for TB check-up, screening for diabetes and also HIV testing was done.

IEC material in the form of posters, pamphlets, and flyers was distributed to the community members with information about TB, HIV and Aids, diabetes and other diseases.

By: S’BONGISENI HENRY DLAMINI

Revamping of the theatre at Appelsbosch Hospital

10


For informa on and comments please contact: Msawenkosi Mncwabe: Senior Communica ons Prac oner UMgungundlovu Health District 262 Langalibalele Street Brasfort House Pietermaritzburg E‐mail: [email protected] tell: 033‐897 100 fax: 033‐394 3235’ CONTRIBUTORS: Henry Dlamini Noxolo Dlamini

nhi progress in umgungundlovu health district : april … · leaners from schools in umgungundlovu...

Documents