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Launch: Rural Proofing Guidelines Launch: Rural Proofing Guidelines

Launch: Rural Proofing Guidelines - PowerPoint Presentation

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Launch: Rural Proofing Guidelines - PPT Presentation

Response from NDoH Jeanette R Hunter 29 January 2015 Problem Statement Policy limitations and rural realities Vuyokazi Gonyela The difficulty with policy implementation in a rural province ID: 599709

ideal rural clinics health rural ideal health clinics policy vhembe clinic specific implementation problem district services system status guidelines

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Presentation Transcript

Slide1

Launch: Rural Proofing GuidelinesResponse from NDoH

Jeanette R Hunter

29 January 2015Slide2

Problem StatementPolicy limitations and rural realities – Vuyokazi GonyelaThe difficulty with policy implementation in a rural province - Andrew Robinson Slide3

Problem StatementProblem statementPolicy formulated to address statementImplementation preparationImplementationApplying a systematic approach on a system

Result

Hit and

miss

- mostly

miss

Why ?????Slide4

Problem StatementPolicy limitations and rural realities – Vuyokazi GonyelaOut of stock medicinesLong queues, resulting in impossible waiting timesFunctionality of CHEs

Problems to information systemsSocial Determinants of HealthSystems inability to cope with the demand (CD4 of <500)The difficulty with policy implementation in a rural province - Andrew Robinson

A facilitator of services to communities feeling let down by the system, (peers and principals)

MISS in Hit and MissSlide5

Rural Proofing guidelinesDaygan: “The Guidelines are not going to propose solutions, its going to enable us to THINK RURAL”Thus on its own it will not improve the REAL SITUATION on the ground for communitiesSlide6

Development MUST be supported where people liveHealth System activities MUST support developmentSlide7

WHY the MISS in ImplementationNo blanket answer that will suffice for the entire health service environmentIn spite of good policies there are very specific problems from setting to settingIssue of funding is a good example of thisIan’s point about Equity – act in terms of specific need Slide8

HOWIdeal DHMT

Adequate Health Services

Ideal Clinic (rural/urban)

Ideal National Health Management

Ideal Provincial Management

Ideal Community Services

Ideal Political Leadership in Health

Slide9

Vhembe District Ideal Clinic StatusTotal of 120 clinics and CHCs in Vhembe health district Of these 61 have determined their Ideal Clinic status between April and October 2014The remaining 59 will be done by end January 2015The status determination is done by the Permanent Perfect Team for Ideal Clinic Realisation and Maintenance (PPTICRM) with the help of a PEPFAR funded implementation partner

The corrective interventions are done by the PPTICRM under guidance of the acting district manager and the team member from the NDoH who is responsible for VhembeSlide10
Slide11
Slide12

The following slides contain the summarised and aggregated results for the 61 clinics and CHCs in VhembeSlide13
Slide14
Slide15
Slide16

Additional Consultation rooms have been completed for the clinics below 1

Matsheka

The additional doctors rooms for these clinics have been completed. Waiting for Municipality to sign off the occupation certificate before it can be practically handed over for

use

2

Nghezimane

3

Xhikundu

4

Duvhuledza

5

Tshifudi

6

Mukula

7

Phiphidi

8

Murangoni

9

Thondo

Tshivhase10Sambandou11Mutale

12Manenzhe13Makhado14Nkhensani15MuilaSlide17
Slide18

Political CommitmentPressure from leadershipPremier in KZN now to be followed by premiers in other provinces steered by the deputy presidentService delivery committee chaired by Minister Gorhan, Task team chaired by DG Coperative governance with a very specific and practical approachMinister of Health – Operation PhakisaNDoH

using a population indicator approach (diarrhoea in children under 5)

Social Determinants of HealthSlide19

Thank youKeeping Rural In mindEducationalInstructive (Identify rural clinics as part if IC Process)Facilitate improvementBut only if we keep our eye on, plan for and make specific interventions

Value of Rural-Proofing GuidelinesSlide20

THANK YOU FOR YOUR ATTENTION!www.doh.gov.za