Discreet facility makes it easier for men to seek help for personal health problems
Department of Health (South Africa)
The purpose of this manual is to provide a set of flexible, adaptable tools and guidelines to facilitate quality clinic supervision. Extensive resources are available which deal with improving supervisor-supervisee relationships. This manual attempts to provide concrete tools for organising and carrying out the complex and multi-faceted task of the clinic supervisor. Materials provided here have been drawn from a number of sources, all of which have been field tested. The ultimate aim of the manual is to support supervisors in their role of improving the quality of care in the clinics.
The quality of primary health care (PHC) delivered to people in developing countries is often poor and coverage is not yet universal. This is despite a focus on the public delivery of comprehensive PHC over the past 20 years. People frequently consult private providers including qualified medical professionals and unqualified health practitioners. A better use of private care providers, therefore, might be a potential solution, including contracting them to provide services on behalf of the public sector.
|These sentiments opened a discussion that included attempts to define "minor ailments", how to deal with the problems of excessive workload and the lack of staff at clinics.|
Definition of "minor ailments"
FEES FOR PHC SERVICES
The ANC Health plan for South Africa states: -
They wait for long hours in hospitals and clinics, often there are no medicines and healthcare personnel sometimes treat them rudely. Last week hundreds of community members shared their experiences of healthcare in the country. During a health imbizo attended by provincial Minister of Health Zweli Mkhize, at the Wiggins Community Hall, the community of Durban's Cato Manor and surrounding areas told Mkhize about the problems that they were experiencing.(Source: Bhavna Sookha: The Daily News, 23 February 2004)
Health Systems Trust
An in-depth case study was done looking at two primary care clinics serving the same community. One clinic is a typical government-funded public sector clinic offering a comprehensive 24-hour service the other is an NGO-funded day clinic offering a range of primary care services. The aim of the research was to understand and explore key issues in the functioning of the two clinics, in order to draw out lessons for district management teams. A variety of information was collected, using different methods. This included patient statistics, staff numbers, stock levels of drugs, perceptions of patients in the clinic and of people in the surrounding community, perceptions of staff using both questionnaires and individual interviews, perceptions of students, participant observations, etc. Comparison of each set of data collected in the two clinics was done, to highlight common issues and to understand similarities and differences.
The R3,1bn empowerment deal concluded by empowerment consortium Bidco to acquire 75% of Afrox Healthcare (AHealth) signals the beginning of major efforts to transform the South African healthcare industry. The deal is said to be the biggest major empowerment transaction outside the mining sector, overtaking Bidvest's R2,1bn empowerment transaction with the Dinatla Investment consortium earlier this year. Empowerdex executive chairman Vuyo Jack said it would be interesting to see how the Competition Commission evaluated this deal in terms of Medi-Clinic being a competitor on one hand and a shareholder on the other. Medi-Clinic's influence over the empowerment partners could be an issue too. (Source: Patrick Wadula, Business Day, Nov 18 2003)
Previous research has shown that nurses providing Primary Health Care in local clinics are burdened with a large administrative task. The time devoted to administrative tasks, to a large extent, negatively affects the devoted to direct patient care, their primary function.