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WHY COBES?. DECENTRALISATION RURAL DEPLOYMENT HEALTH SECTOR STRATEGIC PLAN (HSSP) PRIVATISATION MARKET FORCES. COBES AS A TOOL. INTEGRATING STRATEGIC INTERESTS PROVIDING COMMUNITY INTERNSHIP EMPOWERING THE COMMUNITIES PROVIDING HOME BASED MODELS ACHIEVING EQUITY
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WHY COBES? • DECENTRALISATION • RURAL DEPLOYMENT • HEALTH SECTOR STRATEGIC PLAN (HSSP) • PRIVATISATION • MARKET FORCES
COBES AS A TOOL • INTEGRATING STRATEGIC INTERESTS • PROVIDING COMMUNITY INTERNSHIP • EMPOWERING THE COMMUNITIES • PROVIDING HOME BASED MODELS • ACHIEVING EQUITY • EFFECTIVE PRIMARY HEALTH CARE (PHC) • FAMILY MEDICINE/COMMUNITY PRACTICE
COBES MODELS • OUTREACH SERVICES • SINGLE YEAR EXPOSURE • FAMILY DOCTORS • ‘INDUSTRIAL’ ATTACHMENT/INTERNSHIP
GENERAL OBJECTIVES • INTEGRATING PRIORITY NATIONAL HEALTH PROGRAMMES INTO THE TRAINING • PRODUCE HEALTH PROFESSIONALS WHO SUITABLY TRAINED AND EQUIPPED TO IMPLEMENT PRIORITY NATIONAL HEALTH PROGRAMMES
SPECIFIC OBJECTIVES • To synchronize the strategic interests and responsibilities of stakeholders in Health with the objectives of HSSP • To design and develop a community based model for implementing COBES (both training and service) with relevant stakeholders • To disseminate the COBES model in appropriate fora to all stakeholders • To identify and develop COBES sites in most districts over a four year period • To provide multi-purpose Training, Research and Resource Centres in the Districts
SPECIFIC OBJECTIVES cont. • To integrate Community Practice/Family Medicine into the undergraduate training through COBES • Focus on and utilise the Households as the locus of health interventions • To build capacity and empower Households to promote health and prevent disease through of self-reliance • To evaluate the effectiveness and impact of the training on key health problems • To produce Health Workers who are Community Leaders, Development Agents, Service providers, Educators and Community Researchers
STRATEGIC INTEREST • MINISTRY of HEALTH • MINISTRY of LOCAL GOVERNMENT • DISTRICTS • COMMUNITIES • NON GOVERNMENTAL ORGANISATIONS • COMMUNITY BASED ORGANISATIONS • RESEARCH ORGANISATIONS
IMPLEMENTATION • DISTRICT COBES SITES • SITE TUTORS • MULTI-SECTORAL TEAMS • HOME ALLOCATION • 1ST – 4TH YEAR