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The comparative strengths and advantages – faith-based networks in health programmes

NRASD Health and Community Care Programme , SA. The comparative strengths and advantages – faith-based networks in health programmes. Presentation by: Dr Renier Koegelenberg. Ahimsa Round Table on Global Health and Faith based Communities 16-18 June 2013, Lyon, France.

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The comparative strengths and advantages – faith-based networks in health programmes

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  1. NRASD Health and Community Care Programme , SA The comparative strengths and advantages –faith-based networks in health programmes Presentation by: Dr Renier Koegelenberg Ahimsa Round Table on Global Health and Faith based Communities 16-18 June 2013, Lyon, France

  2. Presentation Outline • Introduction • Poverty in a rich country:South Africa • Challenges of healthcare in South Africa • Challenges of religious healthcare programmes • NRASD health and community care programme • Conclusion • Challenges and gaps

  3. Introduction • Historic role • Current role • Potential - primary healthcare (WHO) • Weaknesses & strengths

  4. Poverty in a rich country -SA • legacy of colonialism and apartheid • 50% of the population lives in chronic poverty; • 40% of the potential labour force is unemployed; • The richest 20% receives 74.3% of all income; 3.4% of income goes to the lower 30% of population • not limited to rural, remote areas

  5. Challenges of healthcare in SA • 175th out of 190 countries – South Africa has 5.5 doctors per 100,000 people • Burden of disease: • HIV/AIDS and TB • maternal and child morbidity and mortality; • non-communicable diseases • violence, injuries and trauma

  6. Priorities to address challenges • Developing strong leadership to turn around healthcare outcomes; • Implementing a National Health Insurance (NHI); • Overhauling healthcare systems and management; • Improving human resources and physical infrastructure; • Accelerated implementation of an HIV/AIDS plan and reduction of TB deaths; etc.

  7. Challenges of religious healthcare • Competition for scarce resources; • Unintended negative consequences of donor principles • E.g. PEPFAR ART programme • Global Fund programme • Financial concepts versus caring communities

  8. NRASD Programme • Developing strong leadership to turn around healthcare outcomes; • The ambiguity of religious communities • Responding to shortage of doctors, nurses • Establishing smart partnerships

  9. Conclusion • Tension: a biomedical versus a holistic and human behaviour approach • Tension: investment language versus caring communities • Challenge: cooperation between sectors

  10. Challenges/gaps • Balance between emergency, vertical responses - more horizontal, sustainable solutions • Flexibility & smart partnerships • Challenge to keep qualified staff • Foster inter-sectoral partnerships (leverage) • Community system strengthening – based on local needs

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