INTEGRATED SOCIAL SERVICES FRAMEWORK COMMUNITY CAREGIVERS PROGRAMME MARCH 2011

1. INTEGRATED SOCIAL SERVICES FRAMEWORK COMMUNITY CAREGIVERS PROGRAMME MARCH 2011

2. Background • The essential elements of Community Caregivers emanated from the National Community Health Worker Policy Framework, which was drafted in 2004 • A fundamental principle of Community caregivers is to enhance relationship between individual households with all levels of service delivery units • Each household is connected through a seamless continuum of services arriving at the appropriate time of giving optimal attention • This assures that the most common and often important measures are available nearest to home and convenient to each citizen • Effective referral has clear communication to assure that citizens receive optimal care at each level of the system.

3. RATIONALE • There is a lack of reliable evidence of qualitative impact of CCG’s programme • Lack of uniform approach integrated developmental social services • No generic model for responsibility matrix between government departments • The absence of baseline information and adequate monitoring systems • There is even less firm data with which to assess the impact of CCG’s interventions • Poor Monitoring, evaluation and reporting systems • Disjointed CCG’s community intervention between government and NGO’s • There is a paucity of data and information from which to draw firm conclusions about the impact of CCG funded projects

4. CCG INTEGRATED PROGRAMME Cabinet Decision: Integrated programme for community Care Givers (CCG’s): Lead Dept: DSD & DOH Developed a volunteer-based caregiver services model program for needy households Four levels of qualification have been registered with the South African Qualification Authority. Accreditation will provide CCG’s with opportunities for career advancement and the ability to operate in a more generalist manner. The promotion of intra- and inter-sectoral collaboration for appropriate coordination mechanisms for household needs with service delivery programs

5. Status Quo: Community Caregivers

6. PROCESS PLAN ELEMENTS Community Health Workers and stipended HCBC to be administered by Government as Community Caregivers Non stipended HCBC to be part of the NGO and funded through financial policy awards of NGO’s. Process plan for filling the prioritised gaps Modular system of training & career development Responsibility Matrix between the NGO’s & Government Exit strategies based on developmental capabilities Performance Appraisal: Qualitative impact feedback

7. PROGRESS REPORT • Consultation meetings were held between the two lead departments, and a decision was taken that the project will start in uMgungundlovu District Municipality •  An operational plan for the implementation of the integrated community-based services programme has been developed • Situational analysis has been conducted by both departments, with the aim of identifying existing resources in terms of existing community cadres: Community Health Workers, Home Based Carers, Community Caregivers, EPWP Caregivers, ECD Practitioners, ECD Family Facilitators, Child and Youth Care Workers, • Prioritization of wards is being conducted, using the information gathered from the mapping exercise • The team is currently in the process of finalizing the identified gaps in terms of coverage based the households (norms & standards) • Both departments have completed the skills and knowledge audit for the existing Community Caregivers

8. KEY PERFORMANCE AREAS • Substance Abuse, Prevention and Rehabilitation • Care and Services to Older Persons • Crime Prevention and Support • Services to people with Disabilities • Child Care and Protection Services • Victim Empowerment • HIV and AIDS programme • Care and Support Services to Families • Social Relief Programme

9. CCG’S FUNCTIONS • Provide basic information on HIV, AIDS, STI and Male Medical Circumcision • Promote personal safety, hygiene and infection control at community level • Minor ailments management • Promote immunization, Family planning, Ante Natal and Postnatal care • Provide basic palliative care and support including terminal care and the last offices • Preventive, promotive and rehabilitative health services • Basic environmental health, safety and poor sanitation and water preservation • Social services care of OVC’s, disabled and other vulnerable groups • Promote basic human rights and responsibilities of citizens • Basic home nursing care

10. Corporate Performance Management (CPM) Local Governance framework: IDP, LUMS, Responsibility matrix for all key roleplayers Spatial Dimension and Referral System CPM Household Profiles, community needs Criterion System for Financial Awards

11. PROGRAMMES DEMONSTRATING PERFORMANCE Accessibility: The extent to which clients can readily reach services when required Turnaround The extent to which clients receive all forms of services in a timely fashion Overall Satisfaction: The extent to which clients are satisfied with services from inside and outside the Department Qualitative Impact on Clients: The extent of contribution on pre-selected strategic objectives Cost of Delivering the Services: Economies of scale and scope, 80/20 principle, rate of return and value for money Budget Performance: The extent to which approved budgets for total services spending are met

12. CAREER DEVELOPMENT OPPORTUNITIES National Certificate in Community Health Work (NQF level 3 Counseling courses ARV treatment and adherence course First Aid HCBC and basic palliative care Nutrition Health Promotion and healthy lifestyle Community component IMCI Enrolled Nursing to those that qualify ECD Practitioners – NQF Level 4 learnership through EPWP Community Care Givers - NQF level 3 - Thogomelo – care of the caregiver

13. WORK IN PROGRESS Developing the standardized Training Curriculum and toolkits Desk top: re-allocation of CCGs based on targeted number of households Finalising the framework: Orientation of CCGs on revised scope of practice, basic conditions of employment Developing responsibility matrix for Provincial Government, Local Government and community structures Revised M&E data elements and collection tools Revising the scope of CCG’s practice and relationship with other field cadres Finalising CCG spatial distribution as informed by Poverty index and Population distribution

14. THANK YOU