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Shaping our Future : Creating centres of excellence .

Shaping our Future : Creating centres of excellence. Creating centres of excellence Objectives.

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Shaping our Future : Creating centres of excellence .

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  1. Shaping our Future:Creating centres of excellence.

  2. Creating centres of excellenceObjectives • To promote regional specialisation among public and private institutions and universities, in order to strengthen their ability to deliver quality of health services, health sciences training and research in areas of relevance to Africa • Promote regional specialisation among these role players in areas that address regional challenges and burden of disease. • Continuous improvement in health outcomes, quality of life and life expectancy and reduce the burden of disease.

  3. Creating centres of excellenceGoals To promote the development, evaluation, and implementation of an evidence-based and sustainable multi-faceted model of care that will result in the reduction of the burden of diseases and risk factors among the populations in Africa.

  4. NATIONAL HEALTH INSURANCE (NHI)IN SOUTH AFRICA • The objective of NHI is to achieve universal health coverage for all South Africans regardless of their socioeconomic status in order to achieve a long and healthy life. • The ultimate aim of Universal Health Coverage (UHC) is that every citizen must have the right to access quality affordable healthcare and such access must not determined by the socioeconomic status of an individual • NDP for SA: Vision 2030, indicates that UHC is critical towards realising the vision of a long and healthy life for all South Africans • In line with the 1978 Alma Ata Declaration of “Health For All”, the heartbeat of NHI is going to be Primary Health Care (PHC). Presenter logo to come here

  5. NATIONAL HEALTH INSURANCE (NHI)PRINCIPLES • Right to access health care • Social solidarity • Equity • Health care as a Public Good • Affordability • Efficiency • Effectiveness • Appropriateness Presenter logo to come here

  6. Life Expectancy 2001 -2013 (Source: Mid-year population estimates 2013 (StatsSA, May 2013)

  7. South Africa’s progress towards MDGs 4 and 5 • MDG 4: Reduce under 5 mortality rate by 2/3 • MDG 5: Reduce maternal mortality ratio by 3/4 Presenter logo to come here

  8. Infant and Child Mortality (Source: Stats SA 2013 Population Midyear Estimates) Presenter logo to come here

  9. Cause of under 5 deaths, 2010 Presenter logo to come here

  10. Cause of neonatal deaths - first 28 days Presenter logo to come here

  11. Maternal causes of death in SA 2010 Presenter logo to come here

  12. Estimated proportion of the total population with chronic diseases (Source: GHS 2012) Presenter logo to come here

  13. Estimated number of people living with HIV 2002-2013 Presenter logo to come here

  14. Specialist capacity in South Africa. South Africa has 11,473 specialists registered with the HPCSA.(excl oral health, public health, family medicine and pathology) However, only 2982 of these specialists are employed in the public sector Central, Tertiary and Regional Hospitals. It is therefore self evident that we will be unable to achieve our goal of Universal Health Coverage or Centres of Excellence unless we can find a structured process of collaboration between the Public and Private Sector.

  15. Distribution of Specialists in the Public Sector South Africa A recent audit done by the Department of Health demonstrated a wide variation of the presence of specialists in Regional, Tertiary and Central hospitals. The majority of our Regional and Tertiary hospitals and some of our Central Hospitals have a significant shortage of specialists.

  16. Useable beds per TOTAL SPECIALISTS (Regional Hospitals) Presenter logo to come here

  17. Useable beds per TOTAL SPECIALISTS (central and tertiary hospitals) Presenter logo to come here

  18. Creating centres of excellenceShaping our Future Potential Areas for development as centres of excellence • Achieving and improving on the MDG’s • Reducing the burden of NCD’s • Diabetes • Cardiovascular Diseases • Cancer • Mental Health • Achieving the goals of the NHI • Access: Reducing waiting lists. Surgery, Radiology • Quality: Improving health outcomes. • Affordability: Reducing costs, efficiency and improving value for money Presenter logo to come here

  19. Potential Areas for development as centres of excellence-Human Resources for Health(HRH) • Enhance competencies and skills of health personnel through transformative education approaches and continuous professional development opportunities; • Prioritize the development of the health workforce at the primary health care level to enhance equity in access; • Advance research and evidence-based practice to inform and maximize the return on HRH investment, including by enhancing data collection and strengthening information systems; and • Harness the potential of innovative approaches, including the promotion and use of technology, a more efficient balance of different cadres of health workers, including task-sharing, and innovative models for care delivery.

  20. Creating centres of excellenceShaping our Future Potential Areas for development as centres of excellence. Research: • Treatment of rare conditions. • Development of new and novel procedures to improve quality, access and efficiency. • Exploring new areas for integration and collaboration. • Hospital design for environmental sustainability, patient centredness and efficiency. Presenter logo to come here

  21. THANK YOU

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