AfroCP.or g.za “African Community Practice” Project Department of Family Medicine University of Witwatersrand
Jan 04, 2016
AfroCP.org.za
“African Community Practice”Project
Department of Family MedicineUniversity of Witwatersrand
AfroCP.org.za
Chiawelo Community Practice
Cure
Health PromotionRe-engineer
PHC
Deploy
CHWs En
gage
stake
holders
AfroCP.org.za
CHWs deployed
• 15 CHWs – Support / ongoing training• Mapping / registration of Ward 11• Progress (15 CHWs)– Lots: 2703/Families identified: 6457/Fam/Lot: 2.4– Fam reg:2340 /Ppl reg: 10046 /Ppl/fam: 4.5– Screening:
• Challenges: social structure-dynamics, language-history, infrastructure, economics, politics, law, safety
AfroCP.org.za
• Monthly Meeting– Priorities: communication, confidentiality, food
security, poor family support, environment, alcohol-drugs, unemployment, overcrowding, transport, elder care, migration
Stakeholders engaged
AfroCP.org.za
• Simple clinic – basics!• Full range of services• Family / Community-based records• Integrated Chronic Disease Mgmt+• CHW core to process and teamwork• Challenges: Management (HR-Fin), ICT,
Infrastructure, Referral, Teamwork, Systems
February March April May June July August September October November December0.0
0.2
0.4
0.6
0.8
1.0
1.2
Utilisation
PHC Re-engineered
AfroCP.org.za
Health Promotion
• Coordinator: Nkosinathi Makhubo• Plans– Awareness Campaign (incl. Services) + Screening– Daily CHW Walking Club– Weekly CHW Health Literacy Group– School Health
• Challenges: Behaviour change, peers, social structure, politics, empowerment
AfroCP.org.za
Future?
• Students for 2015: – 4-5 GEMP4 per 6 weeks– 18 GEMP3 x 2 weeks (Public Health Block)? – 300 GEMP1/2 x 6 visits per year (10 per CHW pm)?– 8 Speech Therapy x 1 day/week – 6-7 weeks x 4– OT students
• Sustainability– FP / CA employed by GDOH– Request to mgmt to take over 20 CHWs + 0.5 PHCN / 1.5 EN by
March 2015 – under consideration– Stephen/Shehnaz – HURAPRIM ends Feb 2015– NIH grant failed exploring re-send + others
AfroCP.org.za
So WHAT for Wits?
Contact details:• [email protected] • 0824466825• More at www.AfroCP.org.za