Lesson learnt in the implementation of PHC - Health Systems Trust

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Capacity Building of Health Councillors in Kgalagadi District Municipality, North West & Northern Cape 1 Strengthening the District Health System ➢ ➢ Councillors now carry out clinic visits to support the clinic nurses and to gain deeper insight into the problems that the clinic nurses encounter Through the pressure applied by the councillors, the district manager on the North West side of Kgalagadi responded positively by acting immediately to the recommendations made by the review team. 4. Improving management systems A district health expenditure review (DHER) was conducted and completed in May 2003. The councillors participated in the long process of data collection and continuous verification. This was an opportunity for councillors to understand the link between finance, population and services. A number of questions were asked especially around workload indicators. This has assisted councillors to respond with insight on issues such as shortage of staff. LESSONS LEARNT ❖ ❖ ❖ Councillors are a force to be recognised in health and development. The councillors in Kgalagadi have made strides to improve health services in the district. Their interest and commitment (irrespective of political affiliation) has contributed to the successes in the district. If one wishes to work with councillors it is crucial to first establish good relationships with them. It is a process that requires patience, acknowledgement and mutual respect. Role clarification of councillors and health managers is important in order to ensure that health workers are not threatened by the presence of councillors and that councillors do not overstep their role. Recommendation Basic information around primary health care and about specific local problems should be provided to all local politicians so that they can use their political influence to the benefit of the community. 3
1 Strengthening the District Health System Functional Integration in Chris Hani District Municipality, Eastern Cape The joint prioritisation and planning process is extremely important for team building by focusing on common health problems and the improvement of the quality of care of the PHC programmes. The Chris Hani District Municipality is one of the biggest district municipalities in the Eastern Cape. After the municipal elections in November 2000, in line with the new municipal boundaries, a new restructuring of the health services took place. The Chris Hani District Municipality (Category C) was born, composed of eight local municipalities (Category B). Based on the size of the population, these eight category B local municipalities were combined into 6 health sub-districts by the Eastern Cape Department of Health. These are: ➢ ➢ ➢ ➢ ➢ ➢ Inxuba Yethemba Lukhanji Intsika Yethu Emalahleni Sakhisizwe Engcobo. The first 4 health sub-districts have both local government and provincial health workers, whilst the last two have only provincial health workers. Northern Cape Umtata CHRIS HANI Port St Johns DISTRICT MUNICIPALITY Eastern Cape Eastern Cape East London KEY Health District (C Municipality Boundary) B Municipality Boundary Port Elizabeth Provincial Boundary Original source - Municipal Demarcation Board. Updated through other sources 4
Page 2 and 3: LESSONS LEARNT IN THE IMPLEMENTATIO
Page 4 and 5: Acknowledgements Acronyms Introduct
Page 6 and 7: Introduction There are a great many
Page 8 and 9: Capacity Building of Health Council
Page 12 and 13: Functional Integration in Chris Han
Page 14 and 15: Functional Integration in Chris Han
Page 16 and 17: Structural Management and Support S
Page 18 and 19: 1 Strengthening the District Health
Page 20 and 21: Decentralising TB Management from a
Page 22 and 23: 1 Strengthening the District Health
Page 24 and 25: Clinic Supervision in the Sekhukhun
Page 26 and 27: The District Health Expenditure Rev
Page 28 and 29: Improving the Quality of Routine Pr
Page 30 and 31: Improving the Quality of Routine Pr
Page 32 and 33: Drug Supply and Management City of
Page 34 and 35: Improving the Quality of STI Manage
Page 36 and 37: Improving the Quality of STI Manage
Page 38 and 39: 3 Quality of Care The Use of the Di
Page 40 and 41: The Use of the District Quality of
Page 42 and 43: Monitoring Quality of Care in Mater
Page 44 and 45: Monitoring Quality of Care in Mater
Page 46 and 47: Addressing Maternal Mortality Rate
Page 48 and 49: 3 Quality of Care The TB Control Pr
Page 50 and 51: The TB Control Programme, Elundini
Page 52: Primary health care is essentially

Lesson learnt in the implementation of PHC - Health Systems Trust

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