Implementing Phila Mtwana and Integrated School Health Programme

Implementing Phila Mtwana and Integrated School Health Programme in reducing child health within OSS DTT 13/8/13 Veeran Chetty

2. A TOUGH CALL FOR ALL OF US • Maternal and Child health targets district targets issued • As @ 5 th August –we all have 895 days left to deliver on this • In 2015 the President of the country will have to account on the MDGs • Every manager in this room directly or indirectly contributes to the achievement of this goal

Various interventions PAST and PRESENT • PHC Strengthening q CCGs q OSS q New clinics q Data capturers q Nutrition advisors q OMs PHC Re-engineering Ø SHT Ø DCST Ø FHT Ø Phila Ma Ø PARTNERS PMTCT 2000, RMCH+REDCROSS, UNFPA, BR, HST

PHILA MNTWANA CENTRES q Provincial Council on Aids resolution q Launched on 31/7/13 and pledge signed by Cabinet and PCA q Strategy for a comprehensive prevention and health promotion for children at Community level q implemented by community leadership/war room members q Using a simple diagnostic tool to assess and address factors affecting status of children in the community q Some key areas; Growth monitoring, Oral Rehydration, breastfeeding and immunisation

Location and operation q Within the context of OSS q. Local Leadership to decide q. Possible sites: ECDs, War Rooms q. Early Luncheon Clubs q. Other OPERATION q Services provided by CCG q. Linked to PHC Clinic or mobile

Broader application for • • • TB Programme -adherence ART-uptake and adherence MNCHW-ANC/PMTCT/family planning Nutrition STI Management CDC-outbreak response Environmental Health improvement Improvement Of basic amenities Food security Tackling other social ills • etc

Expectations for PMC- • Every war room –PMC • Functional daily • Walk in, reporting, meeting, reporting, interventions • 72/84 war rooms currently functional in Ugu • 3 PMCs established- Mkholombe and Masinenge (Redcross willing to emply full time staff) • Other proposals: Mahlabathini( Iz), Kwa. Lembe(Vul-DOH), Fakazi ( Vul- COGTA) and Sheepwalk (Umzumbe-DOH)

Key decisions by OSS to implement PMCs • Focus on the 72 war rooms –re-establish as daily walk-in health screening , referral and resource centres • Relocate where necessary with wards-Local leadership decision • Free up a CCG/CCGs in the ward from profiling/or rotate CCG to man the PMCs /War rooms daily –daily screening and referral(Health and other needs). Profiling still to continue • Health to equip with health screening and training of CCG and link to support clinic/health facility • DSD –Implement poverty alleviation package • DOE-Link to ECDs • Resolutions of DTT: ? ? ?

Integrated School Health Programme( ISHP) • Removing barriers of learning • Targeted schools • Integrated approach

3 core departments • • DOH DOE DSD TO IMPLEMENTED WITHIN THE OSS STRATEGY

Key decisions by OSS to implement Integrated School Health Programme • 18 -20 schools already proposed by the 3 core Departments to pilot/start • Remainder of the • Other Departments and LTTs will be linked to community needs identified via schools • Resolutions of DTT: ? ? ?