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Health Overview

Updated: April 2006

Objectives

The Health functional area seeks to provide a single, coordinated health system that is well managed, effective, and accessible to every resident in Alexandra.

Details follow below


       


Developing a coordinated health service for Alexandra

  • Development of an effective District Health management framework.

  • Development of an effective central health information database for Alexandra.

  • Upgrading of Edenvale hospital so that it can be used as a referral hospital for Alexandra.


Building the capacity of primary health workers

  • Audit of clinic worker skills to determine skill needs and the particular strengths and focus areas of existing clinics.

  • Establishing a holistic programme of staff skills development and morale enhancement including management and professionalism training.

  • Exposure of staff to the health needs and services of all providers to assist in the coordination of activities

  • A communication and awareness strategy incorporating consumer education and communication with patients, the development of effective education programmes and campaigns around patient rights.


Strengthening primary health care facilities in Alexandra

  • Streamlining and coordination of clinic services with a focus on facilities, resources and staffing requirements.

  • Upgrading of East Bank clinic to offer a higher scale of services.

  • Investigation into the need for additional clinic services in the Far East Bank/ Riverpark area.


Enhancement of emergency medical services

  • Community-based first aid/community service programme.

  • Providing community training and certification in first aid, environmental health, emergency response, etc.


Reducing the rate of increased spread and decrease the impact of HIV/AIDS

  • Establishing a fulltime AIDS coordinator for the Greater Alexandra area.

  • Developing an HIV/AIDS education programme to change sexual behaviour and aimed at youth, people at risk (such as hostel residents) and in the workplace.

  • Focus on the optimal management of STDs, on widespread condom supply and on the promotion of voluntary testing, with allied counselling. The project includes an audit of current STD management.

  • A support service for people living with HIV/AIDS

  • Capacity building programme for both professional medical staff and community based caregivers.

  • Enhancing existing services to meet the medical needs of HIV/AIDS patients and for patients with TB and other illnesses related to HIV.

  • Establishment of an AIDS hospice within Alexandra.

  • Health support focusing on the physical and mental health needs of AIDS orphans and families of AIDS victims.


Combating communicable disease in Alexandra

  • Establishing an infectious diseases unit in Alexandra to treat patient with TB, STDs (link to AIDS), Bilharzia, Malaria and other parasitic infections.

  • Improving the immunisation programme: to increase the number of children being immunised from 79% to 90%.


Upgrading the quality of care in particular focus areas

  • Improving medical services for children through dedicated, frequent general health screening, eye testing, hearing testing and oral health assessment.

  • Enhancing medical services for the aged including services for hypertension, osteo-arthritis, diabetes, ulcers, and stress.

  • Developing an integrated policy for the care of the disabled in Alexandra that clarifies the responsibilities of both provincial and local government.

  • Establishing feeding schemes and home-visit programmes, amongst others, for the disabled.


Developing appropriate Mental Health Programmes

  • Outreach programmes to provide educational, emotional and social support to parents of young children.

  • Training and skills development of lay counselors to expand minimal support resources and services available to Alexandra residents.

  • Psychiatric admissions ward at Edenvale Hospital.

  • Antenatal parent and child programme with special attention to the needs of single and teenage parents will be developed.

  • Child and Youth Mental Health services addressing adolescent heath issues, teenage pregnancy, sexual abuse and substance abuse.

  • Peer-counselling programme attached to a support service offering professional counselling at secondary school level.

  • Resourcing and extending the Alex/Tara programme of training community care workers in Alexandra.

  • Developing an integrated approach to children's emotional and social problems needs between health, welfare, justice and education agencies.

  • Programme for the raising of residents' awareness of mental health problems and the care of mental health disorders.


Intersectoral health/welfare and education programmes

  • Developing a school based health service including mental health professionals linked with schools in Alexandra.

  • Programme of screening the intellectual, physical and emotional status of pre-school children.

  • A mentoring service for teachers to identify, refer and intervene in mental health and learning needs of children.

  • Development of a dedicated Alexandra programme addressing social problems including alcohol abuse, rape, violence, abuse, abandonment of children and trauma.

  • Training of community members as caregivers.
     

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