KEMPTON PARK/ TEMBISA

TEAM

DHS

DISTRICT HEALTH SERVICES

KEMPTON PARK / TEMBISA DISTRICT

Mr. Clement Kihinga

OBJECTIVE
To assessment of the progress of the
district health system in Kempton Park
/ Tembisa Metropolitan Local Council
District
To make recommendations tow ards
improvement in the future.

INTRODUCTION
What is a District Health System?
Why the District Health System?
District Health System Implementation

BACKGROUND
Historical background of Health Services in
South Africa
Geographical information
Demographic information
Social economic situation

ASSESSMENT
GOVERNANCE
DISTRICT HEALTH SERVICES
MANAGEMENT
PHYSICAL RESOURCES
FINANCIAL RESOURCES
HEALTH INFORMATION SYSTEM

ASSESSMENT .. cont
INTERSECTORAL COLLABORATIONS
COMMUNITY INVOLVEMENT
HUMAN RESOURCES DEVELOPMENT
PROVISION OF HEALTH SERVICES
ACTION PLANS

GOVERNANCE
STRUCTURE
Provincial
Local Authority
Interim Structure

DISTRICT HEALTH SERVICES

MANAGEMENT
Organogram
Common Vision and Mission
Scheduled Meetings

PHYSICAL RESOURCES
Structures
Mobile clinics
Winnie Mandela clinic
New clinic under construction

FINANCIAL RESOURCES
Metropolitan Local Council ow n
revenue
Subsidy
Provincial expenditure

INDICATIVE BUDGET:
1999-2000
50
45
40
35
30
25
20
15
10
5
0

Own
Susidy
Province

SOURC

HEALTH INFORMATION
SYSTEM
MDS in place since April 2000
Data used for Monitoring and Evaluation
Data used for Planning
Data used for Promotional Activities

INTER SECTORAL
COLLABORATIONS
No formal structure
Collaborations with some Govt. Depts
Collaborations with some Industrialists

COMMUNITY
INVOLVEMENT
Community Health Committees
Income Generating Projects
Crisis centre

HUMAN RESOURCES
Plan drawn for recruitment etc
Staff Training
Skills development plan on place
No employee assistance

PROVISION OF HEALTH
SERVICES
Health Education
Local disease control
Expanded Programme of Immunisation
Maternal and Child Health

Essential Drug Supply

PROVISION OF HEALTH
SERVICES ..cont
Nutrition
Treatment of Minor Ailments

Safe Water and Sanitation

Referral system

ACTION PLAN
Action Plan for district NA
Action for Kempton Park

Plan
Expected Outcome

DISCUSSION
Strengths
Weaknesses
Opportunities
Threats

RECOMMENDATIONS
Establish

district health council,

district development committee,
health development task,
district health budget

RECOMMENDATION cont
Make people buy to the responsibility
of the district health management
team.
Unified action plan for the Kempton
Park \ Tembisa Metropolitan Local
Council health sector

RECCOMMENDATIONS ..
cont

equitable distribution of financial

resources
managerial capacity of the actors should
be strengthened
a decentralisation of the management
structure.
comprehensive community health centres

RECCOMMENDATIONS ..
cont

clear and w ell-defined w orking relations

betw een programme
Establish Ante Natal services
Low er the clients per health facility ratio
Sensitised communities to pay their due
rents

RECOMMENDATIONS..cont
Legal framew ork document defining
the transfer of staff from the province
to the local authority

THANK YOU
THE END