INTEGRATED SOCIAL SERVICES INTEGRATED SOCIAL SERVICES FRAMEWORK FRAMEWORK

COMMUNITY CAREGIVERS PROGRAMMECOMMUNITY CAREGIVERS PROGRAMME

MARCH 2011MARCH 2011

INTEGRATED SOCIAL SERVICES INTEGRATED SOCIAL SERVICES FRAMEWORK FRAMEWORK

COMMUNITY CAREGIVERS PROGRAMMECOMMUNITY CAREGIVERS PROGRAMME

MARCH 2011MARCH 2011

BackgroundBackground• 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.

RATIONALERATIONALE• 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

CCG INTEGRATED PROGRAMME 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

Status Quo: Community Caregivers Status Quo: Community Caregivers DISTRICT YOUTH

AMBASSADORS(MASUPATSELA)

CHW HCBC STIPENDED HCBC NON STIPENDED

Amajuba 52 231 248 211

Ethekwini 162 912 1888 2943

Ilembe 33 345 475 216

Sisonke 35 402 436 259

Ugu 40 497 447 686

UMgungundlovu

72 434 252 340

Umkhanyakude 62 420 398 1122

Umzinyathi 65 300 203 638

Uthukela 55 429 328 265

Zululand 59 526 276 342

Uthungulu 55 372 599 746

Total 690 4868 5841 8368

PROCESS PLAN ELEMENTS 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

PROGRESS REPORT 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

 

KEY PERFORMANCE AREASKEY 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

CCG’S FUNCTIONSCCG’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

Corporate Performance Management Corporate Performance Management (CPM)(CPM)

Spatial Dimension

and Referral System

Spatial Dimension

and Referral System

Local Governance framework: IDP, LUMS,

Local Governance framework: IDP, LUMS,

CPMCPM

Responsibility matrix for all

key roleplayers

Responsibility matrix for all

key roleplayers

Criterion System for Financial Awards

Criterion System for Financial Awards

Household Profiles,

community needs

Household Profiles,

community needs

PROGRAMMES DEMONSTRATING PROGRAMMES DEMONSTRATING PERFORMANCEPERFORMANCE

• 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

CAREER DEVELOPMENT OPPORTUNITIES 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

WORK IN PROGRESSWORK 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

THANK YOU