sector skills plan for the health sector in south africa

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c) The Human Sciences Research Council The Human Sciences Research Council (HSRC) conducts large-scale social-scientific projects for the public sector, NGOs and international development agencies. 28 One of the HSRC’s main research units focuses on the social aspects of HIV and AIDS and health. Research is conducted on the social determinants of health, in particular HIV and AIDS and on public health in general. Epidemiology in infectious disease is undertaken to understand how often and why diseases occur in the population, and the information is used to influence the development of health policies and strategies. Specific research is also directed at health systems, including the development and evaluation of relevant healthcare interventions. 29 d) Onderstepoort Veterinary Institute The Onderstepoort Veterinary Institute (OVI) has been engaged in veterinary research for more than a century. 30 Today it is one of several research institutes of the Agricultural Research Council (ARC), established to undertake research, development and technology transfer in the use and improvement of agricultural resources. 31 Specific research is undertaken in viral diseases that have a major economic impact, such as foot and mouth disease, rabies, African swine fever, blue tongue, lumpy skin disease, African horse sickness and Rift Valley fever. 2.4.3 EMPLOYER ORGANISATIONS The Hospital Association of South Africa (HASA) is an industry association that represents the interests of the majority of private hospital groups and independentlyowned private hospitals in the country. HASA is a key role-player in the health sector and represents approximately 90% of the private hospital industry. As the official mouthpiece of the private hospital industry, it promotes entrepreneurship and free market economic principles, engages with government on proposed legislation and policy matters, represents the industry at commissions and institutions, and markets the industry and its services to the public. The private hospital industry employs approximately 60 000 people. 32 2.4.4 NON-GOVERNMENTAL ORGANISATIONS Several hundred NGOs operate within the health sector and participate in and support various health programmes at national and provincial level. Many NGOs and non-profit organisations have entered into partnerships with provincial health departments and district municipalities to improve the organisation and management of health systems and monitor the delivery of health services. As such, NGOs play crucial roles in the healthcare sector. They contribute to research, policy advocacy, 28 Established by the Human Sciences Research Act 23 of 1968. The new Human Sciences Research Council Act 17 of 2008 has been adopted by Parliament, but was not in operation by August 2010. 29 Human Sciences Research Council. 2010. Social aspects of HIV/AIDS and Health Research Programme. Published at: http://www.hsrc.ac.za/SAHA.phtml. (Accessed August 2010). 30 The Onderstepoort Veterinary Institute was founded in 1908 by Sir Arnold Theiler. 31 The Agricultural Research Council is established by the Agricultural Research Act 86 of 1990. Published at http://www.arc.agric.za/home.asp?pid=1118&sec=792. (Accessed August 2010). 32 Hospital Association of South Africa. 2010. Published at http://www.hasa.co.za/about. (Accessed August 2010). 11
development and care in areas such as HIV and AIDS, tuberculosis, mental health, cancer, disability, women’s health, family planning, orphans and vulnerable children, palliative care, and primary healthcare. Their activities involve directly observed treatment support for tuberculosis patients, homebased care and community care, and voluntary counselling and testing for HIV and AIDS. 33 A number of NGOs are involved in the recruitment, training and orientation of health professionals for deployment in the public sector. 34 2.4.5 PROFESSIONAL ASSOCIATIONS The health sector accommodates numerous voluntary organisations and associations that generally promote the interests of specific healthcare professions, specialised fields of professional practice and their members. More specifically, these associations aim to protect and promote the professional, educational and economic interests of their members and the public image of their respective professions. Through advocacy, lobbying and negotiating the organisations seek to advance their members’ positions and integrity as well as the standing and sustainability of their particular profession. Typically these voluntary organisations provide information to their members on the state of the profession and updates on regulatory changes, ethical matters, employment relations and practice news. Several of the associations act as mouthpieces to influence health legislation and policies. Membership of these voluntary organisations also entitles practitioners to gain access to conferences, seminars, lectures and international associations in the same field of medical practice. A number of associations publish clinical and scientific journals and technical newsletters to keep their members abreast of technological advancements and the latest medical research in their field. Some also support their members to record and meet requirements for CPD set by their respective regulatory professional councils. Examples of these voluntary associations are: the South African Medical Association (for medical practitioners), the South African Veterinary Association, the South African Dental Association, the Ophthalmological Society of South Africa, the South African Society of Physiotherapy, the Pharmaceutical Society of South Africa, the Veterinary Nurses Association of South Africa, the Chiropractic Association of South Africa and the Homeopathic Association of South Africa. 2.4.6 LABOUR UNIONS Labour and trade unions are well organised and mobilised within the health sector. Trade unions play a formative role in shaping labour market policies, labour relations practices and human resources management in the health sector. Acting on behalf of their members, labour unions engage with employers over better employment conditions, more beneficial contractual arrangements and safer 33 Department of Health. “Partnerships for Primary Health Care”. Published at http://www.doh.gov.za/pdphcp/main.php?include=prog_strategies/logframe.html. (Accessed August 2010); Burger D. 2009. South Africa Yearbook 2009/10. Published at http://www.gcis.gov.za/resource_centre/sa_info/yearbook/2009-10.htm. (Accessed August 2010). 34 Africa Health Placements. 2010. Published at http://www.ahp.org.za. (Accessed August 2010). 12
Page 1 and 2: SECTOR SKILLS PLAN FOR THE HEALTH S
Page 3 and 4: 2.4.6 LABOUR UNIONS ...............
Page 5 and 6: 5.2 THE SOUTH AFRICAN SECONDARY SCH
Page 7 and 8: LIST OF TABLES Table 2-1 Total empl
Page 9 and 10: ABBREVIATIONS AND ACRONYMS ABET Agr
Page 11 and 12: EXECUTIVE SUMMARY INTRODUCTION The
Page 13 and 14: Health professionals and practition
Page 15 and 16: Implementation of these policies dr
Page 17 and 18: statistics are for 2008 when the Ne
Page 19 and 20: In collaboration with the professio
Page 21 and 22: Information submitted by the depart
Page 23 and 24: 2 PROFILE OF THE SECTOR 2.1 INTRODU
Page 25 and 26: 2.3 EMPLOYERS IN THE SECTOR The hea
Page 27 and 28: ) The South African Nursing Council
Page 29: several institutions are specifical
Page 33 and 34: PERSAL database The PERSAL system k
Page 35 and 36: African Coloured Indian White Total
Page 38 and 39: In 2010, 460 000 people are employe
Page 40 and 41: Table 3-1 Health expenditure in pub
Page 42 and 43: According to the Development Bank o
Page 44 and 45: Table 3-3 Primary healthcare visits
Page 46 and 47: 3.4 THE MOBILITY OF LABOUR In 2006
Page 48 and 49: Arguably, many of the driving facto
Page 50 and 51: 3.8 MANAGEMENT OF THE HEALTH SYSTEM
Page 52 and 53: 3.9.2 REGULATION OF QUALITY Strict
Page 54 and 55: service are not well defined. 113 S
Page 56 and 57: ) Challenges These proposals aim to
Page 58 and 59: 3.10.5 STRATEGY TO FIGHT TUBERCULOS
Page 60 and 61: Veterinary skills are in demand glo
Page 62 and 63: 4 THE DEMAND FOR SKILLS 4.1 INTRODU
Page 64 and 65: Table 4-2 Total professional positi
Page 66 and 67: Organisations are also required to
Page 68 and 69: 4.4 FUTURE DEMAND 4.4.1 SKILLS DEVE
Page 70 and 71: 4.5.3 MATERNAL, CHILD AND WOMEN’S
Page 72 and 73: 4.6 CONCLUSIONS The growing demand
Page 74 and 75: 5 THE SUPPLY OF SKILLS 5.1 INTRODUC
Page 76 and 77: Table 5-3 shows that the total numb
Page 78 and 79: 5.3 INSTITUTIONAL ARRANGEMENTS AND
Page 80 and 81:
5.3.4 PRIVATE HOSPITALS Private hos
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Table 5-5 shows the registration fi
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5.4.3 REGISTRATIONS WITH THE SOUTH
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Table 5-10 Number of health-related
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The HWSETA has also registered seve
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5.7.3 INTERNSHIPS The HWSETA has su
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5.8 FACTORS INFLUENCING THE SUPPLY
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d) The introduction of mid-level sk
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of legally enforceable nurse/patien
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annual growth rate in professional
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Therefore, the HWSETA’s skills de
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In Chapter 5 it was mentioned that
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Cape Peninsula University of Techno
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http://www.hwseta.org.za/upload/sec
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National Treasury. 2009. “Health
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assistants”. Published at http://
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APPENDIX A SCARCE SKILLS LIST - PRI
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OFO Code OFO description Private he
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