WS07 REPORT.pdf - Training and Research Support Centre

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2.7 Mentored assignment one : On Public health This exercise aimed to use the teaching on public health to test how participants will apply this knowledge. It took the example of developing an action plan for district level to use resources to address the most important health problems through approaches outside the curative health services. Students were put in 5 groups mixing the different institutions. Each group was asked to prepare an plan for a non curative intervention at district level to manage a health problem in a district. They worked in groups and presented their plans in a plenary for discussion with guidance from Prof S Rusakaniko and Dr Loewenson. Participants developed assignments on the following areas Group One presented an intervention to reduce asbestosis among Zvishavane Mine Employees. The intervention presented aimed to sensitize all managers and line mangers on the effects of asbestosis and make respiratory health an organizational investment priority. The measures included those to equip them the organization with workplace safety behavior monitoring skills, training of 500 underground mine employees on Health Education and Promotion to raise awareness of asbestosis through literature and visual aides, and an evaulation to gauge the effectiveness of the intervention Group Two presented an intervention on Malnutrition in Zaka District. It aimed to identify the why there is a high prevalence of malnutrition in children under five leading to high mortality and morbidity rates. It proposed measures to enlist community and partner participation to enhance nutrition and create sustainable food resources. Group Three presented an intervention on a Diarrhea Outbreak In Epworth District. It provided measures to create awareness of the problem amongst key stakeholders, sensitization stakeholders to take social responsibility for the problem, particularly through school health masters and community health workers. It included a plan to develop safe water sources and to promote general and personal hygiene, sanitation and waste management. The intervention also included promotion of oral rehiyrdration solution and of food hygiene. Group 4’s presentation was on Rabies in Mangwe District: The group proposed measures to eliminate rabid dogs and reduce the number of people bitten by dogs in Mangwe district by 2010 by reducing contact between dogs and wildlife animals and reducing rabid dogs in the district. Their actions involved fencing of homesteads, securing game reserve fences, strict enforcement of by laws on poaching and building consensus through advocacy, vaccination of dogs, educating the community on rabies and rabies surveillance. Group 5 presented an intervention to deal with a cholera outbreak in Kwekwe Amaveni suburb. They outlined the context of the area in terms of the density of living conditions, poor waste disposal, overcrowding, bursting of sewage pipes, dumpsites located near houses, erratic water supplies and vegetable and fruit markets located where there are no toilets and water toilets. Their actions included dialogue with city fathers on relocation of dumpsites. repair of burst sewer pipes, regular collection of garbage and improved water supplies. They also proposed upgrading the vegetable market standards and carrying out public awareness campaigns. The group assignments were reviewed by the students and the facilitators and feedback given on each. 5
An Introduction to health systems 2.8 Zimbabwe’s health services and district health systems Mr S Chihanga, Ministry of Health & Child Welfare, talked about Zimbabwe’s health systems. He outlined the MOH&CW vision and mission, the organogram for the ministries and the health care providers in Zimbabwe. His presentation covered the relationships and operational context of the different providers, and the roles and responsibilities of different levels of the health system. Finally he outlined the composition of district health executives, including the role of local govt and community level representatives. 2.9 Primary health care policies and practice Mrs J Maradzika UZ-DCM introduced the concepts of Primary Health Care (PHC). She gave a background to PHC, its attributes and components and the PHC policies and practices in Zimbabwe within the context of the overall National Healthy policy framework and the mission and core values of the MOHCW. She gave examples of different aspects of PHC as practiced in Zimbabwe. She presented the value of these approaches in addressing the major health problems within districts, using specific examples. 2.10 Managing and retaining health workers at district level Mr A Mbengwa Zimbabwe Association of Church Hospitals outlined the human resources policy in the public sector, the challenges faced in relation to health worker migration, retention, production and distribution and the strategies used for retention of staff, including those relating to incentives and conditions of service. He outlined other strategies used by Ministry of Health to deal with health worker losses and provide for health system needs. He commended the establishment of the Primary Care Nurses through the PCN training programme and noted that this had alleviated the staffing problems at rural health centres. 2.11 Essential drug supplies and rational drug use Ms Simoyi National Pharmaceutical Services gave a lecture on the national essential drugs programme. She defined essential drugs and outlined the advantages of an essential drugs programme in a country like Zimbabwe, the components of the programme and the elements of drug management, including community roles in rational drug use. 2.13 Health care financing in Zimbabwe Mr Shepherd Shamu ZEPARU, gave a presentation on health care financing in Zimbabwe. He described how funds are raised for health across different sources, the levels of financing and how funds are distributed to different providers and consumers in Zimbabwe. He explained how national health accounts are carried out in Zimbabwe and what their results show. He discussed the major resource allocation approaches for health and their equity, adequacy, effectiveness and efficiency. Mr Shamu outlined how the current situation relates to national policy goals. 2.12 Financing of HIV and AIDS prevention, treatment and care Dr T Magure Executive Director National AIDS Council, in this paper presented on his behalf by Mr S Chirenje talked about demand for HIV and AIDS resources in Zimbabwe, the global and national resourcing of this demand and the current sources of funds for HIV and AIDS. This included the Global Fund and the National AIDS Trust Fund. He outlined the level of resources mobilised, the areas these resources are spent on, how funds are allocated and the mechanisms used for this at district and community level and 6
Page 1 and 2: TRAINING AND RESEARCH SUPPORT CENTR
Page 3 and 4: Executive Summary The University of
Page 5: An Introduction to public health 2.
Page 9 and 10: Through this they hoped to improve
Page 11 and 12: Table 1: Distribution of responses
Page 13 and 14: Appendix 1: Training programme 1.1
Page 15: Appendix 2 : Student list # Name, i

WS07 REPORT.pdf - Training and Research Support Centre

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