QUESTIONS |
ANSWERS |
- What criteria do you to determine which disabled people receive free health care
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No criteria for disabled to receive services. We use existing criteria used by the Welfare Department
4.8% of the total populace are disabled – per information from social services |
What stock control systems do you use? |
Stock control system works well in the big hospitals, but in clinics there are still problem, health workers order drugs at the last minute |
What is your immunisation coverage? |
About 90% |
What is the distribution of mental health personnel in the provinces |
1 psychiatrists exists in N. Cape
Occupational therapist are appointed n different districts, but psychologists are difficult to get hold of |
How far are you with roll out of the Comprehensive Plan |
N. Cape has not yet started to roll-out, working together with the NDoH to ensure a sustainable programme
Supply of ARVs is a problem currently, 3TC has run out in the entire country |
Why do you have one crew member in the EMS |
Yes, we still do. But we are training 200 EMS patient
Air Force has agreed to have a partnership with the N. Cape DoH |
How many mobile clinics in Northern Cape |
N. Cape does have mobile clinics, but N. Cape prefer to build visiting points |
Can you separate acute from chronic medication, and tell us about the supply of each? |
We do know the numbers of our chronic patients and their medicine is not difficult. But acute medication is a problem in terns of supply |
Why are you training only 5 PHC Nurses when there are no doctors in rural areas |
We will be training 300 in the Northern Cape |
In which are groups are HIV infections reducing |
Decrease is still general – but between 19-25 this is where we see a maturing epidemic with less infections |
What governance structures do you have? |
Hospital boards have a new role. It is a must that we have hospital boards.
N. Cape has the smallest management structures at Provincial level but we are improving governance at both levels |
How have you transferred lessons fro, Kimberly hospital to the rest of the province |
New managers for some district hospitals and have been linked to Kimberly hospital
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- We are trying to improve our budgets ad effective. We have developed a cost-centre approach. This has had positive spin offs
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QUESTIONS |
ANSWERS |
- Congratulations on training auxiliary workers
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Yes, we take general assistants are train them as auxiliary nurses, and their level of morale is very high
Salaries of nursing educators have been elevated to that of a unit manager |
Community-based psychiatry |
First challenge was to increase number of nurses with a post-basic qualification in the community, then psychiatrists visits |
Do you have organisations such as Love Life programmes |
One LL centre in Colesburg exist, and N. Cape has developed 3 youth health centres of its own |
How are your Termination of Pregnancy services |
I did not put in a slide, but information shows that illegal abortions are still happening
We have explained that parents do not have to give permission for you to have TOP
TOP centres exist in every town |
How will you address the issue of cross-boundary patient flows |
North West and Free State pose problems to us with regard to cross-boundaries
We are see more numbers from their side
We are negotiating with NW to share costs |
Do you have a TB DOTS programme |
We need to train Community Health Workers to eliminate disparity – one CHW must be able to do VCT, DOTs, home-based care |
How do you improve the efficiency of your management systems |
Need to improve systems internally and externally
We have introduced cost-centre management approach and stock control approach
We are training our managers in all respects, we are delegating to the HR functions, labour relations and finance |
Comment on outsourcing of services |
Outsourcing means we are admitting that we cannot manage, running service internally is cheaper,
We terminated the contract of Sekunjalo for the supply of medication
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