We are working hard to improve Ongoing Care. This is based on the Integrated Chronic Disease Management programme in the National Department of Health. We have a a record kept by clinicians CCP Ongoing Care Record CLINICIAN 14-10-16, supplemented by a record of functionality CCP Review of functioning and ability. We also work with CHWs to follow up and provide them a plan/record for follow up CCP Ongoing Care Record CHW 14-10-16. This is kept in the CHW folder. As we manage the patient month-by-month we decide that if the patient is stable and not needing monthly visits to us that we can plan it accordingly using the Ongoing Care Records. We ensure the patient gets their medication safely and securely and is followed up regularly by CHWs with a CHW Delivery System using a CCP Chronic Script and a CCP Chronic Delivery form. The CHW record and copies of delivery are kept in the patients folder enabling clinicians to see them for any acute condition and check on their ongoing care. Patients are overjoyed!
Category Archives: News
News
HealthOne being deployed in CCP
Senior executives of HealthOne (from Medemass) in South Africa visited Chiawelo Community Practice on Wednesday to explore the set up of HealthOne Patient Record System as their contribution to CCPs service innovation, training, advocacy and research. They felt that CCP was a very useful model for the planned NHI and will be writing up the CCP implementation as a case study. Whilst the system will be implemented mostly using current functionality of the software e.g. records, pharmacy management, etc. the team will be exploring enhancements e.g. genograms, CHW records linked and stronger guideline support. This project promises to show all the possibilities in an NHI system where GPs are allowed to contract.
Oxfam report shows a quarter of SA suffer from hunger
A QUARTER of South Africans regularly suffer from hunger, a study released on Thursday found. “South Africa is supposed to be a food secure nation, producing enough food to adequately feed everyone but the reality is that one in four people currently suffers hunger on a regular basis,” Oxfam’s economic justice campaign manager, Rashmi Mistry, said. “Hunger strips away people’s dignity and perpetuates people’s problems.”….more and more
CCP Open Day
Chiawelo Community Practice is planning an Open Day next week. It is aimed at key stakeholders in Soweto…. part of our advocacy! A chance for key people to go through the practice with fine tooth comb, guided by CHWs mostly.
CCP awareness campaign
We are not sitting back! CCP is organising an awareness campaign for each of over October-November ending with a Family Sports Day. A ward committee member, Mr Sibisi, will be going with his kombi and loudhailers every Friday afternoon to tell people to come to a march the following Saturday 7-8am, a meeting 8-9am and then screening9am-1pm. This will be for each of the 5 areas (with 3 CHWs). We will introduce the CHWs and the services at the practice (especially family planning / immunisation). We will then do screening for HIV, TB, Obesity, Hypertension and Diabetes. CHWs will have a chance to increase their screening impact for their communities. See the details CCP Campaign 14-10-07 Awareness
CCP utilisation low
The use of CCP appears to be actually quite low with visits from the 10000 people number about 40 a day – producing a persistent utilisation rate of ±1 visit per person per annum. This is a far cry from the current public services 2 visits per annum, the cash GP visits of 4 per annum and medical aid GP visits of 6 per annum. Does this mean that patients are not aware or not choosing to come to us or is the utilisation elsewhere actually over-utilisation driven by other considerations?
CHW screening progress in CCP
CHWs have collected all their data manually off their family summary sheets. It shows that they are focusing considerably on chronic care e.g. DM/HT – following them up (right side). However there has been limited follow up / resolution on HIV testing (tall green left side). There has been some follow up on TB (the initial priority) with 8 of the 38 being resolved and 22 STILL being followed up. An enrolled nurse has been employed to work with CHWs on followup of these issues.
CCP pinboard map
This is a map on the wall in the Chiawelo Community Practice’s Seminar Room. We have been able to demarcate each CHWs streets. We have grouped three CHWs in an area – this will be the focus of much of the activity in the community e.g. daily walking club and weekly health meeting. The workload does add up to quite a bit. There are 2703 Lots in this area with 6457 families identified. This means 2.4 families per lot. CHWs have registered only 2340 families and identified 10046 people. This means 4.5 persons per family. At this rate we may have well over 20 000 people in half the ward. The board is a large 1.6m x 1.6m but the lots are about 1cm on it – impossible to pin up all the problems in such small space for 2-3 families. We will have to prioritise problems and use it to visualise temporarily….
Simpler CCP model to move from cure to health promotion
IFCHC highlights Chiawelo Community Practice
Located in Soweto, the Chiawelo Community Practice (CHC) is the first South African member of the International Federation of Community Health Centres. Learn more about the IFCHC’s growing membership throughout Africa and access the following resources about/from the Chiawelo Community Practice: See the post
“African Community Practice” Project workshop held in Wits 10th Oct 2014
A Wits University-wide workshop was held in the Department of Family Medicine 1oth October 2014 to explore the work being done in Chiawelo Community and the idea of the African Community Practice as an interdisiciplinary / intersectoral platform for collaboration.
Participants from almost all faculties in Wits were present: Health Sciences, Humanities and Engineering-Built Environment with representatives from Commerce, Law and Management apologising. There were also community representatives from the District Health Forum of Soweto and Peoples Health Movement. There was overwhelming support for the work being done and enthusiasm to support the work further. There has been keen interest in using the platform for training and research and active support for Wits involvement in service development and advocacy for the work being done.
There are plans to continue the networking around CCP and explore the way forward.
WONCA E-update 10th October 2014
Access the latest WONCA News here, to read all the latest news, reports, details of past and forthcoming conferences and much more.
Top RACGP Award to WONCA President
At this week’s Annual Conference of the Royal Australian College of GPs, WONCA President Professor Michael Kidd was honoured by his Australian peers with the prestigious Rose-Hunt Award – the highest accolade awarded by RACGP. The Rose-Hunt Award is awarded to the RACGP Fellow or Member, who has rendered outstanding service in the promotion of the objects of the RACGP, either by individual patient care, organisation, education, research or any other means.
Prof Kidd also delivered the William Arnold Conolly Oration, named after the first recipient of the Rose-Hunt Award. Read more about the award, and read Professor Kidd’s Oration here.
Ebola continues to make devastating headlines around the world. A patient has just died in USA from the disease, whilst a health worker in Spain has been diagnosed with the disease. One in 5 patients in West Africa is a health professional. A reminder that WONCA’s website has some useful information on the disease, including key information from WHO and free access to the chapter on Ebola and Marsburg Viruses in Harrison’s Principles of Internal Medicine, 18th ed.
WONCA News this month contains the first of a series of articles on workers’ health by Peter Buijs and Frank van Dijk, members of ICOH, the International Commission on Occupational Health. WONCA and ICOH agreed a joint statement on workers’ health, which can also be accessed via the WONCA website. These articles will provide a useful resource for family doctors wanting to learn more about occupational health issues and the impact on their patients.
Next year will be a very busy one for WONCA conferences, with six of the seven regions holding a regional event, as well as the rural health conference in Dubrovnik. Next week Karen Flegg, the WONCA Editor, will be producing a “Conferences and Awards supplement” giving full details of all the events and of the awards and bursaries available to help people to attend Look out for that next week.
Global Health Care: Green Time 394
This Green Time TV original production reviews the application of the Cuban healthcare model to the health problems of western African, specifically Gambia. The poor African country of Gambia would never be able to afford a US model of health care, which is both enormously expensive and environmentally destructive. But the Cuban approach of primary and preventive health care is within the budgets of poor countries and highly effective at reducing disease. Don Fitz and Zaki Baruti of the Universal African Peoples Organization discuss health care challenges to countries like Gambia , which is implementing the Cuban model.
Community Oriented Primary Care (COPC) in Tshwane, South Africa
Ebola challenge ‘biggest since Aids’
The Ebola outbreak in West Africa is the world’s deadliest to date and the World Health Organization has declared an international health emergency as more than 3,850 people have died of the virus in Guinea, Liberia, Sierra Leone and Nigeria this year. What is Ebola? ….more
11 fresh African blogs to bookmark
The best kinds of lists are the subjective ones – much like the best blogs, writes arts and culture editor Zodwa Kumalo-Valentine…..more
EDITORIAL: SA is headed for a fiscal cliff
WHATEVER else the ANC’s “developmental state” has done for the country, it cannot be contested that the state has developed itself munificently. The number of government employees has increased steadily over the past two decades. Between 2005 and 2012, total employment in central and provincial government rose 27%. These employees’ average annual per capita remuneration doubled in that period, from R10 1980 to R21 1788. Between 2008 and 2012, total state employment rose by 13%, but the remuneration bill went up 76%…..more
SA’s best universities still fail to make it into top 100
ALL three of the major and most respected international rankings of universities have now been released for 2014 — the Shanghai, the QS and the Times Higher Education evaluations. Once again, we did not perform well. Our top three universities are clearly the University of Cape Town, Wits and Stellenbosch and they are rightly proud of this. In spite of their modest budgets they manage to hold their own in the top 300, at least in one of the rankings. But the harsh truth is that only these three of our 25 universities appear consistently in the rankings at all. Local universities of which much is made, such as the Universities of Pretoria, Johannesburg, Western Cape, KwaZulu-Natal and Rhodes barely appear at all, or if they do, it is largely below the 400 level…..more
Gordhan slams municipalities for underspending
Co-operative Governance and Traditional Affairs Minister Pravin Gordhan has lashed out at municipalities for failing to spend over 20% of their budgets last year even as service delivery levels were not up to scratch. Gordhan was today addressing the media on the sidelines of the Presidential Co-ordinating Committee meeting at the Union Buildings in Pretoria. The meeting was chaired by President Jacob Zuma…..more
Dry taps: Brace for round 2, 3, 4…
Continuous restructuring at the department of water affairs and sanitation could see the water crisis that hit Gauteng reoccurring, a water expert warned this week. Anthony Turton, a water expert previously with the CSIR, said the water system had been undermined by restructuring at the government department dealing with water affairs since 1994…..more
AfroPHC 