Afro CP org za African Community Practice Project
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Afro. CP. org. za “African Community Practice” Project Department of Family Medicine University of Witwatersrand
Afro. CP. org. za Chiawelo Community Practice Health Promotion Re-engineer PHC sta Eng ke ag ho e lde rs oy pl s De W CH Cure
CHWs deployed Afro. CP. org. za • 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
Stakeholders engaged Afro. CP. org. za • Monthly Meeting – Priorities: communication, confidentiality, food security, poor family support, environment, alcohol-drugs, unemployment, overcrowding, transport, elder care, migration
PHC Re-engineered Afro. CP. org. za Utilisation • • • 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 1, 2 1, 0 0, 8 0, 6 0, 4 0, 2 0, 0 February March April May June July August September October November December
Health Promotion Afro. CP. org. za • 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
Future? Afro. CP. org. za • Students for 2015: – – – 4 -5 GEMP 4 per 6 weeks 18 GEMP 3 x 2 weeks (Public Health Block)? 300 GEMP 1/2 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
So WHAT for Wits? Contact details: • shabir@drmoosa. co. za • 0824466825 • More at www. Afro. CP. org. za