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Strategies to reduce child health issues within OSS DTT with interventions like PHC strengthening, nutrition, and community-level health promotion. Implementation in war rooms and targeted schools.
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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 @ 5th 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 • CCGs • OSS • New clinics • Data capturers • Nutrition advisors • OMs PHC Re-engineering • SHT • DCST • FHT • Phila Ma • PARTNERS PMTCT2000,RMCH+REDCROSS,UNFPA, BR,HST
PHILA MNTWANA CENTRES • Provincial Council on Aids resolution • Launched on 31/7/13 and pledge signed by Cabinet and PCA • Strategy for a comprehensive prevention and health promotion for children at Community level • implemented by community leadership/war room members • Using a simple diagnostic tool to assess and address factors affecting status of children in the community • Some key areas; Growth monitoring,Oral Rehydration, breastfeeding and immunisation
Location and operation • Within the context of OSS • Local Leadership to decide • Possible sites: ECDs, War Rooms • Early Luncheon Clubs • Other OPERATION • Services provided by CCG • Linked to PHC Clinic or mobile
Broader application for • TB Programme -adherence • ART-uptake and adherence • MNCHW-ANC/PNC/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), KwaLembe(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:???