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2010 FIFA World Cup “A Health Strategy”

This strategy outlines ministerial guarantees, legislation, roles of health departments and LOC, responsibilities, and the health planning cycle for the event.

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2010 FIFA World Cup “A Health Strategy”

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  1. National Department of Health 2010 FIFA World Cup “A Health Strategy” 14 October 2009

  2. Contents • Ministerial Guarantees • Legislation • Role of Department of Health • Role of the LOC • DOH / LOC Relationship • Impact Areas : DOH • Impact Areas : Host City • Scope of Responsibility • Health Technical Task Team • Responsibility Linkages • Health & Medical Services Planning Cycle • Preparations • Budget • 2009 FIFA Confederations Cup • Activities • Challenges Department of Health

  3. Contents • Ministerial Guarantees Department of Health

  4. Ministerial Guarantees to FIFA • Health and Medical Services “The infrastructure of the South African National Health System, with specific regard to the availability of a comprehensive medical service (including 24-hour emergency medical treatment) and disaster management, will be put at the disposal of the 2010 FIFA World Cup in the cities where the games will be played.This applies to both foreign and local delegations including the FIFA delegation and representatives, SAFA, players, management and coaching staff, foreign and local spectators, media, sponsors, officials, administrators and the small business sector servicing the spectators at the respective venues.” Department of Health

  5. Ministerial Guarantees to FIFA cont. • The existing health infrastructure will be significantly upgraded in keeping with the governments mission to promote the health of all people of South Africa, and to provide caring and effective services ” Department of Health

  6. Ministerial Guarantees to FIFA cont. • Accreditation of Foreign Medical Personnel • Approval of medicines, scheduled substances and medical substances • Marketing, distribution, serving and consumption of Alcohol Department of Health

  7. Contents • Ministerial Guarantees • Legislation Department of Health

  8. Legislation • Special Measures Acts 11 & 12 • National Health Act • Regulations • Health and Medical Services for Mass Gatherings • Emergency Centres • Emergency Medical Services Department of Health

  9. Contents • Ministerial Guarantees • Legislation • Role of Department of Health Department of Health

  10. Role of Department of Health • Minister • Custodian of health system • Public • Private • Government Guarantees • Minister has provided guarantee for health services • Department of Health • mandated to ensure overall coordination and provision of health services Department of Health

  11. Contents • Ministerial Guarantees • Legislation • Role of Department of Health • Role of the LOC Department of Health

  12. Role of the LOC2010 FIFA World Cup • Organisation Association Agreement (OAA) • “36. Medical Services • The Organising Association shall ensure and guarantee the availability of medical services and equipment of international standard throughout the Championship at all locations necessary for all people concerned also in line with the List of Requirements. • By 30 June 2009 the Organising Association shall submit a concept for the provision of medical services and respective emergency measures (including 24-hour emergency services, blood conserves and repatriation). • FIFA may at all times require additional measures to cover medical services necessary for the Championship.” Department of Health

  13. Contents • Ministerial Guarantees • Legislation • Role of Department of Health • Role of the LOC • DOH / LOC Relationship Department of Health

  14. DOH / LOC Relationship • Overlap in service responsibilities • Limited resource pool in the health sector • Country event • Establishment of a Memorandum of Understanding in June 2008 • Established a Responsibility Matrix • This is used mainly to determine who pays for what! Department of Health

  15. DOH / LOC Relationship cont. Stadia Casualty Clearing Station Spectator Medical Centre Players Medical Centre Spectator Medical Post VIP Medical Centre Government OC On – Field Personnel Tier Personnel Doping Control Precinct Patrols Environmental Health

  16. DOH / LOC Relationship cont. • Sole Service Provider • Players Medical Centre • VIP Medical Centre • On-field Personnel • FIFA Motorcades • FIFA Headquarters • FIFA Headquarter Hotels • Team Base Camps • Team Training Grounds • Team Training in Stadia • Referee Headquarters • Referee Training Site • Stadia Set Up and Breakdown • FIFA Emergency Number • Football for Hope • Final Draw

  17. DOH / LOC Relationship cont. • Budget Cost • R 30,152,000 • Formal Contract • Special Conditions • Based on 2008 UPFS tariffs (to increase with new UPFS tariffs) • Ambulances charges on standby rates only • If patients transported then to the cost of OC • Aero-medical Services standby will incur costs • Motorcades charged for actual time deployed • Costs for additional services not specified • 50% up front to pay for additional equipment required • Reconciliation post event

  18. DOH / LOC Relationship cont. Government SA Football Assoc Strategic Structure Chief Medical Officer DOH World Cup Unit Medical Advisory Board Health Technical Task Team Department of Health

  19. DOH / LOC Relationship cont. Government SA Football Assoc Tactical Structure DOH World Cup Unit Chief Medical Officer Health Technical Task Team Medical Advisory Board Provincial Health 2010 Program Managers LOC Medical Officers Host Cities Department of Health

  20. DOH / LOC Relationship cont. Government SA Football Assoc Operational Structure Provincial Health 2010 Program Managers LOC Medical Officers Host Cities Department of Health

  21. Contents • Ministerial Guarantees • Legislation • Role of Department of Health • Role of the LOC • DOH / LOC Relationship • Impact Areas : DOH Department of Health

  22. Impact Areas : DOH • Ports of Entry • International Health Regulations • Monitoring of communicable disease • Teams Medical Equipment / Drugs • Emergency Medical Services • Headquarter Hotels (Govt. VIPs) • Medical Post • Standby Medical Practitioners / Specialists • Motorcade Routes (Govt VIPs) • Strategic Deployment of Emergency Medical Services Department of Health

  23. Impact Areas : DOH cont. • General accommodation areas • Mass casualties • Mass deaths • Repatriation of patients / bodies • Recreational areas • Tourist destinations • Tourist routes Department of Health

  24. Impact Areas : DOH cont. • Practice Sessions • Spectator Medical Centre / Medical Post Department of Health

  25. Stadium Govt VIPs Spectators Support Personnel Vendors Service Providers Media Medical Centres Medical Posts Casualty Clearing Station Ambulances Response Units Disaster Vehicles Rescue Units All Terrain Vehicles Golf Carts Impact Areas cont. Department of Health

  26. Contents • Ministerial Guarantees • Legislation • Role of Department of Health • Role of the LOC • DOH / LOC Relationship • Impact Areas : DOH • Impact Areas : Host City Department of Health

  27. Impact Areas : Host City • Primary • Environmental Health • Secondary • Clinics • Communicable Disease • FIFA Fan Parks • Public Viewing Areas Department of Health

  28. Contents • Ministerial Guarantees • Legislation • Role of Department of Health • Role of the LOC • DOH / LOC Relationship • Impact Areas : DOH • Impact Areas : Host City • Scope of Responsibility Department of Health

  29. Scope of Responsibilities • Command and Control • Management and Coordination • Planning • National Health Ops Centre (NatHOC/ProvHOC) • Communications (Media) • Communications (Radio) • Information Systems • Legislation, Policy and Guidelines • Finance Department of Health

  30. Scope of Responsibilities cont. • Health Services • Environmental Health • Port Health • Travel Medicine • Communicable Disease • Hospitals • Health Promotion • Pharmaceuticals / Medical Equipment • Forensic Pathology Department of Health

  31. Scope of Responsibilities cont. • Medical Services • EMS • Medical Centres / Medical Posts • Mass Casualty / Deaths Contingency Planning • Aero-medical • Chemical, Biological, Radiological and Nuclear Hazards Department of Health

  32. Contents • Ministerial Guarantees • Legislation • Role of Department of Health • Role of the LOC • DOH / LOC Relationship • Impact Areas : DOH • Impact Areas : Host City • Scope of Responsibility • Health Technical Task Team Department of Health

  33. Role Players Dept of Health (convener) Provincial Health Dept. SAMHS SA Police Services Host Cities SALOC SALGA Private Sector NGOs Professional Assoc. Statutory Bodies Health Technical Task Team Department of Health

  34. Role Players Dept of Health (convener) Provincial Health Departments SAMHS SA Police Services Host Cities SALOC SALGA Private Sector NGOs Professional Associations Statutory Bodies 14 Expert workgroups Health Technical Task Team Department of Health

  35. 14 Expert Work Groups = Command & Control Communications Media Stadia Emergency Medical Services Hospitals Environmental Health Port Health Health Promotion Communicable Disease Pharmaceuticals Human Resources Forensic Pathology Chem, Bio, Radiological & Nuclear Health Technical Task Team cont. Department of Health

  36. Contents • Ministerial Guarantees • Legislation • Role of Department of Health • Role of the LOC • DOH / LOC Relationship • Impact Areas : DOH • Impact Areas : Host City • Scope of Responsibility • Health Technical Task Team • Responsibility Linkages Department of Health

  37. Responsibility Linkages Department of Health

  38. Responsibility Linkages cont. Stadium Manager SAMHS SAPS CGTA Disaster Management OC Venue Medical Officer Department of Health OC Venue Manager Airport Company Host City Private Sector Department of Health

  39. Contents • Ministerial Guarantees • Legislation • Role of Department of Health • Role of the LOC • DOH / LOC Relationship • Impact Areas : DOH • Impact Areas : Host City • Scope of Responsibility • Health Technical Task Team • Responsibility Linkages • Health & Medical Services Planning Cycle Department of Health

  40. Health and Medical Services Planning Cycle • Phases • Phase 1 Master Planning 01/01/2008 – 31/03/2008 • Phase 2 Preparation 01/04/2008 – 31/01/2009 • Phase 3 Testing 01/02/2009 – 31/03/2009 • Phase 4 Confederation Cup 01/04/2009 – 31/07/2009 • Phase 5 Review of Plan 01/08/2009 – 31/01/2010 • Phase 6 Testing 01/02/2010 – 31/03/2010 • Phase 7 Final Preparation 01/04/2010 – 31/05/2010 • Phase 8 Execution of Plan 01/06/2010 – 31/07/2010 • Phase 9 Post Event 01/08/2010 – 31/03/2011 Department of Health

  41. Contents • Ministerial Guarantees • Legislation • Role of Department of Health • Role of the LOC • DOH / LOC Relationship • Impact Areas : DOH • Impact Areas : Host City • Scope of Responsibility • Health Technical Task Team • Responsibility Linkages • Health & Medical Services Planning Cycle • Preparations Department of Health

  42. Preparations • Web-based Project Management System • Web-site (http://www.doh.gov.za/sa2010) • Health Promotion • Volunteer Registration • Training • Clinical Forensic Medicine • Incident Management Department of Health

  43. Preparations cont. • Requirement for all areas; • Medical Facility norms • Medical personnel norms • Medical equipment norms • Drugs and surgical sundries norms • Vehicle norms • Training • Standard Operations Procedures • Ingress & egress routes Department of Health

  44. Preparations cont. • 2010 FWC Planning Framework • Environmental Health strategies • National Tenders and guidelines • Medical Equipment • Rescue Equipment • Aero-medical services (helicopters) • Uniforms • Emergency Vehicles • Mass casualty equipment Department of Health

  45. Contents • Ministerial Guarantees • Legislation • Role of Department of Health • Role of the LOC • DOH / LOC Relationship • Impact Areas : DOH • Impact Areas : Host City • Scope of Responsibility • Health Technical Task Team • Responsibility Linkages • Health & Medical Services Planning Cycle • Preparations • Budget Department of Health

  46. Budget • Funds allocated to Provinces for 2010 FWC (2007/8;2008/9;2009/10) R825 Department of Health

  47. Contents • Ministerial Guarantees • Legislation • Role of Department of Health • Role of the LOC • DOH / LOC Relationship • Impact Areas : DOH • Impact Areas : Host City • Scope of Responsibility • Health Technical Task Team • Responsibility Linkages • Health & Medical Services Planning Cycle • Preparations • Budget • 2009 FIFA Confederations Cup Department of Health

  48. 2009 FIFA Confederations Cup • Deployed from 30 May to 2 July 2009 • >98 000 deployment hours were utilised with between 225 medical personnel on non-match days and 690 on match days • 28 and 116 emergency medical vehicles were utilised. Department of Health

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