The%20Role%20of%20the%20Department%20of%20Health%20in%20giving%20effect%20to%20U%20N%20Convention%20on%20the%20Rights%20of%20Persons%20with%20Disabilities - PowerPoint PPT Presentation

View by Category
About This Presentation
Title:

The%20Role%20of%20the%20Department%20of%20Health%20in%20giving%20effect%20to%20U%20N%20Convention%20on%20the%20Rights%20of%20Persons%20with%20Disabilities

Description:

Title: Portfolio and Select Committee on Women, Children and People with Disabilities Author: User Last modified by: User Created Date: 8/17/2012 10:32:21 AM – PowerPoint PPT presentation

Number of Views:52
Avg rating:3.0/5.0
Slides: 22
Provided by: amaz262
Learn more at: http://pmg-assets.s3-website-eu-west-1.amazonaws.com
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: The%20Role%20of%20the%20Department%20of%20Health%20in%20giving%20effect%20to%20U%20N%20Convention%20on%20the%20Rights%20of%20Persons%20with%20Disabilities


1
The Role of the Department of Health in giving
effect to U N Convention on the Rights of Persons
with Disabilities
  • Portfolio and Select Committee on Women, Children
    and People with Disabilities
  • 21 August 2012

2
Outline
  • Within a Framework of giving effect to the U N
    Convention, the following matters will be
    addressed
  • The status on rehabilitation personnel including
    retention and recruitment
  • Creating access to rehabilitation services at all
    levels of care with a focus on Primary Health
    Care
  • Extending Rehabilitation beyond Health
  • Providing assistive devices

3
No of qualified practitioners on the HPCSA
register as at March 2012
Category Number
Occupational therapists 3816
Occupational therapy assistants 344
Occupational therapy technicians 354
Physiotherapists 6162
Physiotherapy assistants 270
Audiologists 256
Speech therapists 572
Speech therapists and audiologists 1439
Community speech and hearing workers 22
Medical orthotists and prosthetists 419
Orthopaedic footwear technicians 57
4
Note on HPCSA numbers
  • HPCSA numbers contain total of all practitioners
    registered
  • Contain both in public and private sectors
  • Also contain retired and non practicing
    practitioners
  • On average only a quarter are in the public
    health system

5
Psychologists
PROVINCE TOTAL NO OF PSYCHOLOGISTS IN HOSPITALS IN DISTRICTS/COMMUNITY
GAUTENG 93 48 45
LIMPOPO 50 50 -
NORTH WEST 10 6 4
NORTHERN CAPE 8 4 4
MPUMALANGA 18 18 -
FREE STATE 25 19 6
EASTERN CAPE 42 31 11
WESTERN CAPE 75 69 6
KZN 48 45 3
6
No of Rehabilitation Personnel in the public
health service
Province Occ Ther Physio Ther MED OP Speech Ther
GP 175 239 19 143
FS 85 86 13 20
WC 32 37 4 12
NW 34 44 2 10
NC 36 48 3 22
MP 69 61 7 30
LP 138 155 4 56
KZN 121 236 8 75
EC 104 134 22 35
TOTAL 794 1040 82 403
7
No of health professionals per 100000 in GP NW
OT PT MOP STA
2 2.5 0.2 1.5

0.9 1.1 0.02 0.3

Work is underway to develop staffing norms for different levels of rehabilitation services Most regional, tertiary and specialized hospitals have a full compliment of professionals Specialised hospitals are limited Occupational therapists and physiotherapists also available at district level attached to clinics CHCs Speech Language and hearing services are the least available at primary level Work is underway to develop staffing norms for different levels of rehabilitation services Most regional, tertiary and specialized hospitals have a full compliment of professionals Specialised hospitals are limited Occupational therapists and physiotherapists also available at district level attached to clinics CHCs Speech Language and hearing services are the least available at primary level Work is underway to develop staffing norms for different levels of rehabilitation services Most regional, tertiary and specialized hospitals have a full compliment of professionals Specialised hospitals are limited Occupational therapists and physiotherapists also available at district level attached to clinics CHCs Speech Language and hearing services are the least available at primary level Work is underway to develop staffing norms for different levels of rehabilitation services Most regional, tertiary and specialized hospitals have a full compliment of professionals Specialised hospitals are limited Occupational therapists and physiotherapists also available at district level attached to clinics CHCs Speech Language and hearing services are the least available at primary level
8
Example of Vacancy rate in Gauteng
Category No of posts Posts filled Posts vacant Vacancy rate
OT 191 175 16 8.3
PT 250 239 13 5.2
MOP 19 19 0 0
Sp Therapist 43 43 0 0
Audiologist 10 10 0 0
STA 96 90 6 6.2

9
Retention and expansion of training of personnel
  • As a retention strategy, therapists receive
    Occupational Specific Dispensation (OSD).
  • Human Resource for Health Plan
  • Inform Planning of required posts and cadres
  • Expanded training opportunities
  • Medical orthotists and prosthetists programme at
    Walter Sisulu University
  • New training programmes for speech therapy and
    audiology at Fort Hare and Walter Sisulu
    considered
  • Training of Orientation Mobility Instructors
    requires follow-up

10
Increasing access through NHI
Examples of Rehab therapists per population (SA as a whole) Rehab therapists in private sector per population Rehab therapists in public sector per population
1 OT per 14 500 pop  1 Physio per 9 000 pop 1 OT per 2 800 population 1 Physio per 1 600 population 1 OT per 53 000 population 1 Physio per 50 000 population

11
Creation of additional post to meet priority
service needs
  • The inclusion of rehabilitation in the Primary
    Health Care Package and integration in the
    re-engineering of PHC process creates urgent
    demand for posts and improving the conditions of
    service of rehabilitation personnel and enhanced
    health services for persons with disabilities
  • Screening for visual hearing impairment
    development is part of the school health policy
    protocols have been developed.
  • Rehabilitation competencies are recommended for
    inclusion in the CHW Training
  • Rehabilitation personnel are to be included in
    developing the HR norms for PHC re-engineering

12
Integration with priority programmes
  • Rehabilitation was considered a vertical
    programme in the past. Integration with
    programmes _at_ policy planning and implementation
    levels is necessary for comprehensive care
  • Mandatory audiological evaluation for TB patients
    who are at risk for ototoxic hearing loss
  • The Road to Health Chart is an effective tool for
    early identification of impairment and
    disability. However optimal impact of the tool
    requires improved utilization and the
    availability of referral paths.

13
Integration with chronic diseases
  • Non-Communicable
  • Rehabilitation is part of comprehensive service
    delivery to patients with secondary complications
    of NCDs including Stroke.
  • This role was re-affirmed in the Declaration of
    the S A Summit on NCDs ( September 2012)
  • HIV AIDS
  • Rehabilitation personnel are responsive to the
    needs of children and adults with HIV AIDS
  • There is an increasing knowledge base on the
    rehabilitation needs of this target group.

14
Further enhancing assess to services
  • Creating physical access at facilities
  • A 2010 report on accessibility showed status at
    hospitals, District hospitals were least
    accessible
  • Environmental accessibility of hospitals included
    _at_ NHI pilot sites
  • Health Facilities Planning developing norms and
    standards for rehabilitation inclusive of
    accessibility requirements
  • enhancing quality of service delivery through a
    survey to be lead by the NCD Cluster.

15
The Department acknowledges that Rehabilitation
extends beyond the health domain and adopts an
intersectoral approach to comprehensive management
16
Government departments we collaborate with on
disability
Name of department Issues for collaboration
Social Development Social security , assessment instruments
Services for persons with disabilities
Children with disabilities
DWCPD UN Convention
Disability Machinery
Disability research
Basic Education Implementing White paper 6
School health
Assistive devices provision

17
Government departments we collaborate with on
disability
Name of department Issues for collaboration
National Treasury National contracts for wheelchairs and hearing aids
Higher Education Training of professionals
Training of midlevel workers
StatsSA Disability in Census
Implementing WHO classifications ICD10 ICF
SABS Standards for wheelchairs and fastening devices
Accessibility to buildings
Standards for accessible transport

18
Collaboration with civil society and professional
associations
Name of organization Issues for collaboration
SA Disability Alliance Access to health services
Assistive devices provision
Orientation and mobility services
SA Society for Physiotherapists Training of midlevel workers
General rehab services
Occupational Therapy Association of SA Training of midlevel workers
Staffing norms
General rehab services
SA Speech, Hearing Language Association Early hearing detection and intervention

19
Assistive devices provision
  • Wheelchairs, hearing aids and artificial limbs
    are prescribed and fitted by appropriately
    trained professionals
  • Recipients are trained to use and care for the
    device properly
  • It is important that a recipient receives the
    correct device
  • More therapists are specializing in seating to
    give optimum service based on scientific evidence

20
Assistive devices provision
  • With new technology audiologists have migrated
    from analogue hearing aids to issuing digital
    hearing aids
  • New wheelchair contract contains motorized
    wheelchairs to cater for quadriplegics who need
    them
  • About 16 cochlear implants are also performed per
    annum
  • More than R50million was spent on wheelchairs in
    2010/11
  • However we are aware of failure to receive
    assistive devices due mainly to financial
    limitations

21
Conclusion
  • The DOH acknowledges that persons with
    disabilities the families/caregivers experience
    barriers accessing health rehabilitation
    services.
  • Present policy development planning creates
    significant opportunities for an increase in the
    number of posts and the enhancement of quality
    rehabilitation and health services provided to
    persons with disabilities
  • Enhanced priority is expected to increase funding
    allocation for assistive devices.
About PowerShow.com