AfroCP.org.za

“African Community Practice”Project

Department of Family MedicineUniversity of Witwatersrand

AfroCP.org.za

Chiawelo Community Practice

Cure

Health PromotionRe-engineer

PHC

Deploy

CHWs En

gage

stake

holders

AfroCP.org.za

CHWs deployed

• 15 CHWs – Support / ongoing training• Mapping / registration of Ward 11• Progress (15 CHWs)– Lots: 2703/Families identified: 6457/Fam/Lot: 2.4– Fam reg:2340 /Ppl reg: 10046 /Ppl/fam: 4.5– Screening:

• Challenges: social structure-dynamics, language-history, infrastructure, economics, politics, law, safety

AfroCP.org.za

• Monthly Meeting– Priorities: communication, confidentiality, food

security, poor family support, environment, alcohol-drugs, unemployment, overcrowding, transport, elder care, migration

Stakeholders engaged

AfroCP.org.za

• Simple clinic – basics!• Full range of services• Family / Community-based records• Integrated Chronic Disease Mgmt+• CHW core to process and teamwork• Challenges: Management (HR-Fin), ICT,

Infrastructure, Referral, Teamwork, Systems

February March April May June July August September October November December0.0

0.2

0.4

0.6

0.8

1.0

1.2

Utilisation

PHC Re-engineered

AfroCP.org.za

Health Promotion

• Coordinator: Nkosinathi Makhubo• Plans– Awareness Campaign (incl. Services) + Screening– Daily CHW Walking Club– Weekly CHW Health Literacy Group– School Health

• Challenges: Behaviour change, peers, social structure, politics, empowerment

AfroCP.org.za

Future?

• Students for 2015: – 4-5 GEMP4 per 6 weeks– 18 GEMP3 x 2 weeks (Public Health Block)? – 300 GEMP1/2 x 6 visits per year (10 per CHW pm)?– 8 Speech Therapy x 1 day/week – 6-7 weeks x 4– OT students

• Sustainability– FP / CA employed by GDOH– Request to mgmt to take over 20 CHWs + 0.5 PHCN / 1.5 EN by

March 2015 – under consideration– Stephen/Shehnaz – HURAPRIM ends Feb 2015– NIH grant failed exploring re-send + others

AfroCP.org.za

So WHAT for Wits?

Contact details:• shabir@drmoosa.co.za • 0824466825• More at www.AfroCP.org.za