FROM TINAthere is no alternative TO THEMBA there must be an alternative CASE STUDY PRESENTATION FOR

1
FROM TINA(there is no alternative) TO THEMBA
(there must be an alternative) CASE
STUDYPRESENTATION FOR BATHO PELE LEARNING NETWORK

• MS MUNENE NUKEYE
• COMMUNITY DEVELOPMENT WORKER
• GREATER TZANEEN MUNICIPALITY

2
BACKGROUND

• Mavele village is located in the Greater Tzaneen
  Municipality in Limpopo. The village consists of
  approximately 3000 households.
• Most of the villagers are very poor since
  unemployment is high. There are only two
  community projects in the village.

3
CHALLENGES CONTI..

• While conducting a community profile in the
  Mavele Village, I found that section of the local
  Dr Hugo Nkabinde clinic had been closed.
• I further noticed that wards and passages in the
  clinic were also very dirty and the floor was
  soiled with blood.
• There was a shortage of water and maternity
  patients were required to carry water in buckets
  from their respective homes.

4
CHALLENGES CONTI

• Staff members were bound to leave the clinic
  because they were demoralized.
• People with cuts, injuries or open wounds were
  being sent away to Letaba Hospital which is 45kms
  away from the village in order to get help.
• The other alternative health facility in the area
  was 15kms away from the clinic.
• The situation was desperate and posed a serious
  health risk to the community where I operate.

5
RESPONSES

• Because of the unsanitary conditions of the
  clinic which of course shocked me, I then decided
  to arrange a meeting with the clinic committee
  and representatives from other government
  institutions to discuss the situation.

6
RESPONSES CONTI

• The meeting included, representatives from the
  local municipality, the Department of Water
  Affairs and Forestry, the Department of Health
  and Social Development and the Government
  Communication and Information System (GCIS) so as
  to come up with the integrated plan and approach
  to the problem.

7
RESPONSES CONTI

• Initially I met stiff opposition from the
  government departments. Officials were reluctant
  to get involved as they did not understand why
  this particular clinic should be given priority
  when there were so many others that faced the
  same predicament.
• They also did not like the idea of spending large
  amounts of money on one clinic only.

8
RESPONSES CONTI

• The spirit of Batho Pele was not evident to start
  with! After I had some persuasive arguments with
  the above mentioned departments, immediate
  Department of Water Affairs and Forestry
  intervened by delivering water to the clinic by
  truck twice a week as a temporary relief.

9
RESPONSES CONTI

• Though the agreement with DWAF was that they
  should deliver water twice a week, they had their
  own challenges, one was that they had one water
  truck at their disposal which often broke down
  and it was continuously taking us from pillar to
  post .A more affordable and longer term solution
  was therefore required.

10
RESPONSES CONTI

• Looking at Dwarfs situation, I realized that the
  only solution to the problem was to repair the
  borehole at the clinic. Although the Department
  of Health was concerned about the cost of the
  repairs, the urgency of the situation was clearly
  spelt out. Without preventative action, typhoid
  and diarrhea could break out at the clinic at any
  time.
• The departments developed a plan that involved
  working together to provide the necessary
  resources including the new borehole, a water
  pump and a tank.

11
ACHIEVEMENTS

• The project has been a huge success as the clinic
  operates 24 hours. All emergencies including
  Maternity, injuries or open wounds are now
  receiving full medical attention without being
  referred to the hospital which is 45 kms away.
• Another advantage is that the community members
  have access to water for household usage from the
  borehole whenever there is a need. The
  communities of Mavele, Joppie, Runnymede, and
  Pjapjamela have also benefited in that they are
  now getting health services at the clinic.

12
ACHIEVEMENTS CONTI

• Three other clinics that had experienced similar
  problems have received boreholes following the
  success of the project at Dr. Hugo Nkabinde
  Clinic.

13
ACHIEVEMENT CONTI

• I managed to encourage public servants to face
  the challenges they come across when performing
  their duties and it was my responsibility to be
  focused, firm and rigorous in following up on
  decisions that had been taken.

14
LESSONS LEARNED

• A coordinated effort may be the best way of
  dealing with difficult problems in our
  communities.
• To move a mountain of resistance needs one to
  understood that dealing with resistance is just
  part of the process.

15
LESSONS LEARNED

• By bringing together all the stakeholders,
  community members, government departments and
  service delivery agents, we are more likely to
  get them to understand the urgency of the problem
  and to find a solution that is acceptable to all
  of us.

16
RECOMMENDATIONS

• If people in our communities are feeling
  despondent because services are not being
  properly provided, we must take up matters with
  our CDWs who will assist us in bringing them to
  the attention of the relevant authorities.
• Let us try to find out whether similar problems
  such as this one occurs in other communities and
  whether the lessons and experiences gained in
  this Community could also be helpful elsewhere.

17

• CDWs CONFRONTING SERVICE DELIVERY BACKLOG
• HEAD ON!

18

• INKOMU !