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District Clinical Specialist Teams

District Clinical Specialist Teams. INDUCTION AND ORIENTATION PROGRAMME. Background. PROBLEM Life expectancy at birth was 56.5 years (54 for males and 59 for females) in 2009 (2014 target of 58.5 years); Under 5 mortality in 2009 was 56/1000 live births (target of 50/1000 in 2014);

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District Clinical Specialist Teams

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  1. District Clinical Specialist Teams INDUCTION AND ORIENTATION PROGRAMME

  2. Background PROBLEM • Life expectancy at birth was 56.5 years (54 for males and 59 for females) in 2009 (2014 target of 58.5 years); • Under 5 mortality in 2009 was 56/1000 live births (target of 50/1000 in 2014); • Infant mortality of 40/1000 live births in 2009 (target of 36/1000 in 2014); • Neonatal mortality of 14/1000 live births (target of 12/1000 by 2014); • Maternal mortality ratio of 310/100 000 (270/100 000 by 2014) (Health Data Advisory and Co-ordination) Committee (HDACC)

  3. Background District Clinical Specialist Teams Purpose: To strengthen primary health care and the district health system to reach the MDG targets by 2015 and beyond How: Focus on the health outcomes of districts and design and implement plans to improve health status through a focus on improved clinical governance Goal: To reduce maternal, infant and child mortality in each district as rapidly as possible • the municipal ward based PHC outreach teams • school health Programme To strengthen primary health care and the district health system.

  4. DCSTs – Role To provide support and facilitate the delivery of effective services as per the District Plans that focus on quality of health care and improved health outcomes for mothers, newborns and children within a health district

  5. Key functions • Know the district that they work in: understanding the demography, the disease trends, the major causes of mortality, the availability of health services in terms of both coverage and quality; • Provide strategic leadership and support to the district with particular emphasis on maternal and child health; an • Provide clinical leadership and mentorship to ensure that doctors and nurses especially are adequately trained and supervised.

  6. Key functions • Monitor the various Programme areas so that appropriate and early action can be taken to mitigate any clinical risks that may arise

  7. Reporting Arrangements • Administratively the DCST reports to the District Manager (Activities of the DCSTs must be reflected in the District Health Plans) • Clinically the reporting line is to the province

  8. Induction and Orientation Programme Objectives • By the end of the induction and orientation DCST members should be able to: • Describe their vision and specific goals for the work of the team in their specific district; • Use a range of methods to improve the quality of clinical care; • Provide effective education and clinical training to individuals, small and large groups;

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