2017 - A YEAR OF HEALTHY LIVING TOWARDS A HEALTHY LIFESTYLE FOR ALL.
The department has been rendering Emergency services using an old fleet, with more than 60% of the fleet having travelled more than 200 000 km.
However, in 2014/15, in response to the Premier’s budget speech, as well as the Speech of the MEC of Health, the department has succeeded in procuring 50 new Ambulances. 23 are already operational, and the remaining 27 ambulances are being registered for operationalization. All the new vehicles are fitted with new equipment. Further, the department is planning on procurement of 100 more Ambulances in 2015/16.
In implementing the Millennium Development Goals (MDG’s 4, 5 & 6) as well as CARMMA strategy, all aimed at reducing both maternal and Infant mortality, EMS has developed a fully-fledged Obstetric service, with a dedicated co-ordinator. The department has received a donation of 1 Obstetric Ambulance from The People of the Republic of Turkey, in October 2014. In addition, the department has been allocated a budget by NDOH, and has commenced process of procurement of 5 additional Obstetric ambulances for the 2014/15 FY.
In addition, the department has trained 30 personnel (ILS category) on ESMOE. This will be an additional cadre of health Professionals who will work under the Supervision and support of Paramedics (Advanced Life Support). This training is ongoing.
The department has secured and utilizes the Aeromedical services on contract. Currently there is only 1 chopper that is operational province wide. Most of the patients transported are maternal and child category, in addition to accident patients, who need emergency transport at the shortest period to save lives.
Rescue services are another component of EMS. In cases of floods and other disasters, a team of trained Paramedics and EMS Practitioners are dispatched to the rescue missions, and a sterling work has been done over a long time by the dedicated staff in EMS.
The Limpopo College of Nursing in association with the University of Limpopo is nurse training institution under the Department of Health and Social Development.
The College was established in terms of the Northern Province College of Nursing act, Act No 3 of 1996. It was established by the amalgamation of the former Gazankulu College of Nursing, Groothoek Nursing College and Venda Nursing College. The College consists of a head office and at a present three campuses, namely: Sovenga Campus, Giyani Campus and Thohoyandou Campus.
The College offers basic and post basic programmes at its campuses, in association with the University of Limpopo.
The four year basic diploma program is presented in accordance with the South African Nursing Council (SANC) Regulation R425. On completion of the course the candidate will obtain a diploma endorsed by the University of asssociation which allows dor registration with SANC as a Professional Nurse (General, Psychiatric and Community) and Midwifery.
Centre of excellence for nurse training and education.
The College is committed to facilitate community and outcome based, quality, scientific nursing education and training that is sensitive to human rights in a multi-sectoral environment.
Programmes offeredInformation for Alumni
The Nursing services Directorate was established in July 2001 with the aim of improving the quality of care. Its sub-programmes include nursing practice, professionalism and nursing management.
It ensures quality nursing care through the development of policies, guidelines and standardized operational procedures for nursing practice, development of action plans in line with service delivery needs and resources, linkage of theory and research to practice as well as assurance of better improved quality of supervision. It includes the establishment of quality nursing teams and facilitation of peer reviews at facility, local area, district and inter-district level. Monitoring and Support visits to facilities are conducted to support nurses.
It deals with the restoration, promotion and maintenance of professionalism and a caring ethos through moral regeneration events; ensures compliance to professional registration, scope of practice and the enhancement of the corporate image. Annually Limpopo nurses take part in the International Nurses’ Day celebrations.
It provides and promotes support to nurse managers. This is realized through professional and Leadership Development programmes, management and career development in accordance with health service delivery needs, exposure programmes, mentorship and coaching programmes, recognition and reward for outstanding performance. Peer reviews are conducted and best practices shared during district and provincial nurse managers’ forums. Community service programme for nursing personnel is implemented.
Nursing is provided in all health facilities with nurses working in hospitals (general and specialized nursing) and in Primary Health Care facilities. Nurses are involved in different programmes inter-alia, Public Health programmes, Tuberculosis Control, HIV and AIDS and Sexually Transmitted Diseases, Integrated Primary health care, Maternal, Child and Women’s health programmes and Nursing Education.
South Africa is undertaking a major health financing reform trajectory. A National Health Insurance (NHI) is the vehicle which is intended to bring about the desired health reforms and is expected to have a significant impact on the health of all South Africans. The Green Paper on NHI described the policy objective of NHI as to ‘ensure that everyone has access to appropriate, efficient and quality health services’. Intended to be phased in over a period of 14 years, such a system will require significant overhaul of existing service delivery structures, administrative and management systems.
In summary, the NHI will improve access to quality healthcare services and provide financial risk protection against health-related catastrophic expenditures for the whole Population as required by the World Health Organisation’s Universal Health Coverage (UHC). Such a system will provide a mechanism for improving cross-subsidisation, according to which funding contributions would be linked to an individual’s ability to pay and benefits from health services would be in line with an individual’s needs. Everyone will have access to a comprehensive package of healthcare services, provided through accredited and contracted public and private providers, with a strong focus on health promotion and prevention services at the community and household level. There will be clear lines of accountability at all levels of the health service and transparency of decision making.
Since the NHI Green Paper was launched in August 2011 there has been considerable progress in preparing the final NHI policy and in preparing South Africa’s health system for the introduction of NHI. At national level, progress has been registered against key features of the NHI’s development as outlined in the Green Paper and includes inputs on key areas and initiatives that have been identified for the successful implementation of NHI. This includes, amongst others, management reforms, hospital reimbursement reforms, establishment of the Office for Health Standards Compliance, undertaking of the national health facility audit, quality improvement and certification, and strengthening of district health authorities. At provincial level, NHI pilot districts are implementing various health systems strengthening innovations to prepare for the full introduction of the NHI beyond the first five years of the pilot phase. In Vhembe progress has been recorded on the following key NHI deliverables between 2012/13 and 2013/14 financial years: Governance and coordination: the Executive Management approved the Provincial Governance & Coordination Framework. There are coordination structures at provincial and district level to ensure coordinated planning and implantation, including stakeholder participation.
The NHI Conditional Grant has contributed significantly to progress in NHI implementation, principally through staff training, provision of equipment, and refurbishment of health facilities. Over 100 PHC facilities have received new basic medical equipment while over 100 facilities managers and health managers have received training in key areas of supply chain management, health planning and health information management.
Bench-marking Visits to other provinces and lessons learnt:
NHI Communication strategy: Municipal–based Road-shows were implemented under the leadership of the MEC to improve stakeholder NHI awareness. Lessons learnt from this activity is that it should be undertaken annually at scale in all municipalities;
Notable progress has been made on PHC Re-engineering streams. Integrated School Health services are being accelerated as more school health teams are being established to provide key school health services at various schools to ensure prevention, early detection of childhood illnesses and appropriate referral to health facilities where necessary. A District –based Clinical Specialist Team has been established to develop discipline-specific service delivery guidelines and protocols, district profiling and implementation of targeted training in key areas of promotion and prevention, reduction of child and maternal mortalities and morbidity. An option of recruiting retired registered specialists is being considered to address the challenge of scarce specialties such as paediatrics as well as obstetrics and genecology. 85 functional Municipal-based Outreach Teams have been established and these teams have made progress in household profiling, disease prevention and referrals to PHC facilities. To date, Vhembe District has recruited and contracted over ten General Practitioners (GPs) to improve doctor-coverage at key rural PHC facilities. National health is busy addressing the challenge of private provider reimbursement system to unlock barriers to scaling up of GP contracting efforts.
Field-testing of a referral system: a service provider has been appointed to field-test the Referral Communication System with the aim of proving access to telephone communication between Community-based Health Workers, PHC Nurses and designated referral doctors at district hospitals to ensure a seamless continuity of care for clients between tiers of the healthcare delivery platform.
A District Central Chronic Medicines Dispensing and Distribution (CCMDD) project has been established. The principal purpose of this project is to decongest PHC facilities by establishing decentralised medicines pick-up points to enable stable chronic clients to collect medicines closer to their homes. To date, 15 010 clients have been enrolled and a plan is underway to expand these services to also cover non-communicable chronic diseases of lifestyles and rolling out the project to other health districts.
Performance against key Health Indicators: Based on the National Health Indicator Dashboard, Vhembe District ranks top in the province and number 5 nationally after the top four leading health districts in Western Cape.
Partnerships: the district has a strong partnership with the Foundation for Professional Development (FPD). This bilateral collaboration provides key health professionals to the ARV Programme, technical support to the District NHI Coordination Office as well as health information management, monitoring and evaluation initiatives. While the above represent a significant progress in the implementation of NHI, however, barriers and challenges exist. These include huge health system strengthening challenges e.g. infrastructure backlogs, health information management deficiencies, essential health technologies, health workforce needs at various levels of the system, supply chain management practices and general system’s capacities to provide high quality services. There are multi-pronged interventions to address these challenges and an attempt will be made to chronicle key ones in the next edition of the newsletter. There are also stakeholder ‘perceptions’ about what NHI is and ought to be providing. It need to be noted that funding for the general health infrastructure is funded the relevant conditional grants streams outside the NHI Conditional Grant funding arrangements. Equally, essential medical equipment, health workforce needs and Health Information Management are funded from the Equitable Share funding i.e. the main health budget vote. At the recent Communications Strategic Planning session, the District and its partners recognised the centrality of comprehensive communications strategies to continually address targeted community awareness issues, general needs for information dissemination efforts and stakeholder participation in all NHI initiatives and the broader provision of healthcare to the population.
Pharmaceutical services are provided through the Provincial Depot and Pharmacies in our health facilities. Key Leadership posts have been filled at Provincial Pharmaceutical and District, except in 1 District (Sekhukhune, recently vacated).
The depot is the supplier of medicines and Surgical sundries for most of the health facilities, except for those that have now been rolled out for Direct Deliveries and Direct Procurement. The facility is also accredited in 2014 for training of Pharmacist Assistants, which is one of major breakthroughs.
Stock availability, a key strategic objective for Pharmaceutical services, has improved quite significantly over the past 2 years. The following depicts the vast improvement at the different levels of care:
|Performance Indicator (Percentage availability of essential medicines)||Actual Achievement 2012/13||Planned target 2013/14||Actual achievement 2013/14|
Challenges are continuously being addressed to improve stock availability at ll levels, per service package
The department commenced the process of Direct Deliveries (DDV’s) for ARV’s and Oncology medicines in 2012, for all facilities. The aim of the DDV’s is to improve stock availability at facilities, by placing orders central, and getting deliveries directly to facilities. This cuts out the logistics and challenges faced with receiving medicines through the depot.
In response to the Minister’s directive on implementation of DDV’s in Central and Tertiary hospitals, Pietersburg and Mankweng Hospitals commenced with Direct Procurement of Medical and Surgical items in November 2013. Further, in response to the directives by the MEC’s, the department commenced rollout of DDV’s, starting at 4 Regional hospitals (Letaba, Mokopane, St. Ritas and Philadelphia), with effect from September 2014. There is a plan to continue with the roll-out to other facilities, once systems are in place.
At the end of 2013, the department entered into an agreement with Management Sciences For Health (MSH), for provision of an electronic stock management system to be installed in all facilities, including the depot. The aim was to have a system that can operated, that would assist to identify challenges in stock management at facilities, at the press of a button. The Rx solution was hence rolled out in 2014. Up to date, 7 hospitals are live on the Rx solution. These include: Pietersburg, Mankweng, Bela-bela, Ellisrus, George Masebe, FH Odendaal, Mokopane. The following Development partners, in addition to MSH, has also come on board, to provide support ( technical training or procurement of equipment).
Rollout of the Rx solution is progressing to other facilities, as per plan and availability of technical support.
The Adolescent and Youth Friendly Services (AYFS) is a strategy that addresses the health needs and challenges of the young people especially at the Primary Health Care facilities. The strategy encourages young people to access the services provided at the Primary Health Care facilities and also capacitate the Health Professionals on positive attitude towards Adolescents and Youth. AYFS aim at reducing Youth Risky Behaviours like teenage pregnancy; substance abuse, STI; HIV and AIDS etc.
Limpopo is one of the provinces with high rate of teenage pregnancy. In 2012/13 were 7.8 and in 2013/14 were 7.9. One of the strategies to address this challenge is implementation of Adolescent and Youth Friendly Services.
There are 117 Primary Health Care facilities implementing Adolescent and Youth Friendly Services in Limpopo. There are trained young people (Peer Educators) placed in some of the clinics to assist the Adolescent and the Youth visiting the clinics.
The following information is given to the Adolescent and the Youth visiting the PHC facilities among others:
ISHP is a more comprehensive package of services, which addresses not only barriers to learning, but also other conditions which contribute to morbidity and mortality amongst learners during both childhood and adulthood. It involves provision of services to learners in Quintile 1 and Quintile 2 schools; in all educational phases (foundation (Grades R-3); intermediate (Grades 4-6); senior (Grades 7-9); and Further Education and Training (FET) (Grades 10-12).
All learners repeating grades Learners from other grades can be assessed if the educator; parent or self-referred to the school health nurse. Health promotion – All learners are given health promotion according to their age cohort.
The parent or legal guardian should sign the consent form for the learner to be screened. If the consent form is not signed; the learner will not be screened or will not receive the service. It is the responsibility of the parent or legal guardian to take the referred learner to the clinic or referred institution. It is important for the parent or legal guardian to write on the consent form if the learner has any allergy to any medication or to write anything that will assist the nurse during the screening,
Mrs Alice Nkoana
015 293 6042
Integrated Management of Childhood illness (IMCI)
IMCI is an intervention strategy designed by the World Health Organisation and UNICEF to address common childhood illness namely Pneumonia Diarrhoea, Malnutrition, Malaria and HIV/ AIDS. The strategy offers a set of intervention that promote rapid recognition and effective treatment of common childhood illness in children less than 5 years of age.
All Primary Health care facilities are implementing IMCI
What communities should know about the care of Children?
1. Feeding your baby
Breastfeed the baby( only breast milk) for the first 6 months of life, Breastfeed whenever the baby wants at least 8 times in 24 hours
At 6 months, start feeding the child freshly prepared nutritious food that is available at home and continue to breastfeed until the child is at least 2 years old.
2 years and older- feed 5 times a day, Give family foods 3 meals each day, twice daily give nutritious snacks between meals such as bread with peanut butter or margarine, Fresh fruit and full cream milk.
Feed using a spoon and plate
2. Vitamins and Minerals
Give your child foods which are rich in Vitamin A, iron and iodine. These foods include pawpaw, mangoes, Peaches, apricot, Pumpkin, Butternut, carrot and green leafy vegetables like spinach. Fish, meat, Chicken and chicken liver.
3. Baby’s development
Mothers and fathers spend time with your child, talking, listening, playing and showing your child love. This will help your child to grow properly.
Take your child for growth monitoring and promotion to detect growth faltering
Provide ways for the child to see, feel and move
Have large colourful things for your child to reach for, and new things to see
Give your child safe household things to handle, bang and drop
Give your child things to stack up, and put into containers and take out
Help your child count, name and compare things, Make simple toys for your child
4. Water and sanitation
Dispose faeces safely
Wash hands with water and soap after changing children’s nappies, before preparing meals, and before feeding children
Ensure that clean water is used for drinking
Take your child to the clinic for deworming every 6 months, starting at 12 months of age
Know the signs of malaria in children: Fever, fast breathing, headache and sweating and take child to the clinic
Allow indoor insecticides house spraying
6. Child Abuse
Watch over and protect children from abuse and neglect, and give them loving care so that they can grow and develop well
When the child has been abused take urgent steps to comfort and take the child to the nearest clinic
7. Accident at Home
Watch over children carefully to make sure they do not get hurt
Keep potentially dangerous items out of reach of children
Young children should be kept away from dangerous areas
If the child is injured take the child to the nearest clinic as soon as possible
Prevention of HIV in children is best achieved by prevention of infection in men and women. For the sake of your baby know your status and practice safe sex at all times
Children need constant supervision and protection from abuse
Children need to be well nourished
Orphans and vulnerable children whose parents are ill need particular care, love, education, shelter and support from families, communities and health workers
Antiretroviral must be taken correctly every day
9. Birth registration
Make sure that you register the birth of your child within the first month of life
10. Home care for sick children
Continue to feed the child when sick
If the child is breastfed, breastfeed more often
If the child is not breastfed, increase fluids in small amounts
If the child has diarrhoea give sugar- salt solution. (SSS) also known as Motswako
Give the SSS after every loose stool – under 2 years give half a cup, 2 years to 5 years give 1 cup
If the child vomits, wait 10 minutes then continue, but more slowly
Continue giving SSS until the diarrhoea stops
If the child is being breastfed continue to breastfeed frequently and for longer
Take the child to the clinic for ZINC and assessment
10. Children must be taken urgently to the nearest clinic when any of these danger signs occur
Child unable to drink or breastfeed
Child Vomits everything
Child lethargic or unconscious
11. After you have been to the clinic
Give the child the full course of medicine even when the child appear to be getting better
Children who are taking Antiretroviral for HIV or anti TB treatment must take every tablet or medicine as prescribed even if they are feeling better
Go back for follow up at the clinic as discussed with the health worker if the child is getting sicker or even if the child appears to be getting better
Go back to the same clinic or Doctor if the child is not getting better
Take your child to the hospital if the health worker asks you to do so
Remember always to take the Road To Health Booklet with you when visiting the clinic or hospital
Take your child for a full course of immunisation according to the time table marked on the Road to Health Booklet
Manager Child Health
Email: Beatrice. Mlati@dhsd.limpopo.gov.za
Promotes positive pregnancy outcomes- a healthy mother and a healthy baby through.
Carefully identifying risk factors, diagnosing complications early, managing the complications and providing health education for mothers and their unborn babies to remain healthy.
This is best achieved when mothers book early for antenatal care, preferably as soon as a menstrual period is missed-(within first 3 months of pregnancy- confirmed through pregnancy test)
Best ensured by skilled health professionals when monitoring labour, performing deliveries and during postnatal care
That ensure care is provided for high risk pregnancies and complications during antenatal period, labour, delivery and postnatal care
Pregnant mothers enjoy the privilege of being registered on the programme and receive supportive messages throughout pregnancy and after delivery.
Mothers are encouraged to breastfeed their babies exclusively for six months while actively involved in spacing and timing for the next pregnancy through prevention using Family planning methods while supported by their partners.
Should a woman lose her life while pregnant or within 42 days after delivery. The department must be notified.
ENJOY SERVICES PROVIDED BY HEALTH PROFESSIONALS IN MATERNAL HEALTH! CHILDREN ARE THE FURTURE!!
Department of Health’s vision is that every woman shall have access to Sexual and Reproductive health services
Programme objective – is geared towards improving health status and quality of life of women and girl children through increasing access to their reproductive health rights.
Services that contribute to the health of women
1. Family Planning services/Contraception services
In simple term Family planning is birth control or fertility control
Methods of Family Planning/contraceptives available from public facilities
Female and male condoms
Pill/ oral contraceptives
Injectable ( Nuristrate or Petogen)
Sub dermal contraceptive implant (Implanon)
Loop/ IUCD ( intra uterine contraceptive device)
Female sterilization ( Tubal Ligation)
Male sterilization ( Vasectomy)
Emergency contraception (morning after pill or IUCD) for women who had unexpected unprotected sex within 5 days of the sexual relationship – BUT remember you should also need to check for STI and HIV.
THE EMPHASIS IS ON DUAL PROTECTION
2. Cervical cancer screening services
Every woman from the age 30 years and older should be screened for cervical cancer using a Pap smear test.
Pap smear test is available in all health facilities for screening of cancer of the cervix for free.
3. Breast cancer screening
The objective is to create awareness amongst the general population.
Provision of women with skills of Breast Self-Examination
Encourage women to seek professional help as soon as abnormalities are detected
NB: Breast abnormalities to be reported:
4. Safe Termination of Pregnancy
Termination of Pregnancy Act (Act No. 92 of 1996 as amended) gives women the right to choose whether they want to continue with their pregnancy or not.
To reduce maternal deaths caused by illegal unsafe abortion.
To provide accessible, efficient, user friendly safe termination of pregnancy.
NB: TERMINATION OF PREGNANCY IS NOT SUPPOSED TO BE USED AS A FAMILY PLANNING METHOD AS THIS CAN BE DANGEROUS TO THE BODY OF A WOMAN IN HER LIFESPAN.
Designated facilities providing safe termination of pregnancy for women up to 12 weeks of pregnancy as follows:
1. Helena Franz hospital
2. Lebowakgomo hospital
3. Mankweng hospital
4. Pietersburg hospital
5. Seshego hospital
6. W F Knobel hospital
7. Zebediela hospital
8. Rethabile CHC
9. Endermark clinic
10. Seshego Zone 4 clinic
11. Maggie’s Reproductive Health clinic – Private designated facility
Greater Sekhukhune district
1. Jane Furse hospital
2. Matlala hospital
3. Ikageng clinic
4. Nchabeleng CHC
1. C N Phatudi hospital
2. Letaba hospital
3. Nkhensani hospital
4. Sekororo hospital
5. Duiwelskloof CHC
6. Duiwelskloof clinic
7. Mabins clinic
8. Mariveni clinic
9. Mashishimale clinic
10. Mogapeng clinic
11. Raphahlelo clinic
12. Seloane clinic
13. Shotong clinic
1. Donald Fraser hospital
2. Elim hospital
3. Louis Trichardt hospital
4. Malamulela hospital
5. Siloam hospital
6. Tshilidzini hospital
7. Makhado CHC
8. Tiyani CHC
9. Tshilwabusiku CHC
1. Ellisras hospital
2. George Masebe hospital
3. Witpoort hospital
4. Voortrekker hospital
5. Mookgopong CHC
6. Thabaleshoba CHC
It is estimated that about 1million children less than 5 years old, die globally every year. Most of these deaths can be prevented by immunization. Immunisation is a process whereby a vaccine (preparation made from the non-dangerous part of a germ) is given to an individual either through injection or orally in order to stimulate immunity (protection against a particular disease).
Vaccines against a number of childhood illnesses are available at all Primary Health Care Clinics in the Province at no cost or free of charge. Every day is immunization day in all of the Province’s 469 facilities.
Limpopo is at the southern extreme of malaria distribution in Africa . Historically, the entire Limpopo was at risk of Malaria. Through targeted and sustainable Malaria Control interventions over a period of 65 years, malaria is now restricted to the eastern & northern low – lying areas of Mopani & Vhembe districts. These areas are prone to frequent explosive epidemics during the summer rainy season. Areas in southern Sekhukhune and western Waterberg are also prone to low – intensity focal outbreaks during the summer rainy season. Malaria is viewed as a priority disease in Limpopo, due to its potential to cause epidemics, with accompanying high morbidity and mortality. In order to control Malaria in Limpopo, the Department has the following strategic objectives :
Malaria is endemic in the low – altitude areas of the northern and eastern parts of Limpopo along the border with Mozambique and Zimbabwe. Malaria transmission is distinctly seasonal, with transmission limited to the warm and rainy summer months (September to May) ; hence malaria is unstable and epidemic – prone. These seasonal epidemics are mostly as a result of favourable climatic conditions, including floods and droughts, which are conducive to mosquito breeding and parasite development. Increase in malaria drug resistance and movement of people between risk areas and control areas are also major contributing factors to increased malaria transmission. A major threat to the success of the Limpopo malaria control programme is the lack of control activities across our country borders in Zimbabwe & Mozambique.
Over the past 12 Financial years, malaria cases have declined from around 10,000 per year, to less than 5,000 cases over the past three years. The malaria case fatality rate has remained at higher levels namely between 0.78 % in2001/02 and 1.68 % in 2003/04.
All malaria cases are notified to the malaria control programme. Case information is entered into a database that is used for monitoring the malaria distribution in the province and evaluate malaria control operations. A definitive diagnosis, either through bloodsmear or through a rapid malaria diagnostic test is used at all levels of health care.
Over the past 12 Financial years, malaria cases have declined from around 10,000 per year, to less than 5,000 cases over the past three years. The malaria case fatality rate has remained at higher levels namely between 0.78 % in 2001/02 and 1. 68 % in 200 3/04. All malaria cases are notified to the malaria control programme. Case information is entered into a database that is used for monitoring the malaria distribution in the province and evaluate malaria control operations . A definitive diagnosis, either through bloodsmear or through a rapid malaria diagnostic test is used at all levels of health care.
The main Malaria Control Intervention is the indoor residual spraying programme. This activity is carried out by malaria spra y teams, divided into geographical areas called sectors. The malaria control programme has 42 malaria teams that are responsible f or the spraying of more than 955 ,000 structures each year. The spraying of houses with residual insecticides has been very suc cessful in reducing the prevalence of the malaria vector mosquitoes. Risk areas to be included for indoor residual spraying are determined through entomological and epidemiological data. The indoor residual spraying programme in Limpopo is one of the most successful disease prevention programmes which are operational at community level . As all community members are at equal risk of contracting malaria, this intervention provides appropriate protection at this level. The Malaria control is Managed from the P rovincial Malaria Control unit, based in Tzaneen.
In order to reduce the development of severe and complicated malaria and to prevent malaria deaths, the timely identification and treatment of patients with malaria is critical. All the Primary Health Care facilities and Hospitals in Limpopo are equipped to diagnose malaria through a bloodtest and commence treatment. In line with National and International recommendation's , the first line treatment administered to all uncomplicated mal aria cases is an artemisinin based combination therapy [ACT] . Complicated malaria cases are all referred to a higher level of care for appropriate management. Systems are in place to monitor drug efficacy on an ongoing basis. A major challenge remains the delay of patients seeking health – care when infected with malaria. These delays result in the development of severe and complicated malaria which in turn may lead to malaria related deaths.
An optimal and sustainable allied health support services in Limpopo Province.
Provision and promotion of a comprehensive, accessible and affordable quality allied health support services according to professional standards to improve the life expectancy of the people of Limpopo.
The purpose of the program is to render services required by the Department to realize its objectives of incorporating all aspects of Allied Health services. The disciplines within Allied Health are Optometry, Radiography, Physiotherapy, Occupational therapy, Medical Orthotics and Prosthetic services, Dietetics, Speech therapy and Audiology, Medical Social work and Laboratory services.
For assistance please call the district coordinator in your district OR provincial co-coordinator.
EARLY INTERVENTION IS MOST EFFECTIVE, SO DON’T DELAY!!!!!!!!!. VISIT YOUR ALLIED HEALTH SECTIONS TODAY!
Optometrists are primary health care specialists trained to examine the eyes to detect defects in vision, signs of injury, ocular diseases or abnormality. They are trained to examine, diagnose, treat, and manage some diseases and disorders of the eye and visual system. Optometrists are trained to examine the internal and external structure of the eyes to detect diseases such as glaucoma , retinal detachment , and cataracts .
A detailed examination of the eye can reveal conditions such as high blood pressure or diabetes. Optometrists make a health assessment, offer clinical advice and when necessary prescribe spectacles or contact lenses and low vision aids. In addition, optometrists can dispense, fit and supply spectacles or contact lenses and low vision aids.
Areas of practice in Optometry
There are many areas of practice in Optometry such as:
Binocular vision: The ability to maintain visual focus on an object with both eyes, creating a single visual image. Lack of binocular vision is normal in infants. Adults without binocular vision experience distortions in depth perception and visual measurement of distance.
Low vision is a reduced level of vision that cannot be fully corrected with conventional glasses. It is not the same as blindness. Unlike a person who is blind, a person with low vision has some useful sight. However, low vision usually interferes with the performance of daily activities, such as reading or driving. A person with low vision may not recognize images at a distance or be able to differentiate colours of similar tones.
You are legally blind when your best corrected central acuity is less than 20/200 (perfect visual acuity is 20/20) in your better eye, or your side vision is narrowed to 20 degrees or less in your better eye. People who are legally blind may still have some useful vision. If you are legally blind, you may qualify for certain government benefits. It is estimated that approximately 17 percent of people over the age of 65 are either blind or have low vision.
Clinical optometry defines the practice of diagnosing and treating disorders of the eye to improve vision in a clinic. During a clinical optometry examination, the optometrist measures the patient’s ability to see objects at various distances, along with the ability to see colour and light. An optometrist also looks for injury or disease that might be linked to declining eyesight. He or she typically measures pressure in the eye to detect glaucoma, a common disorder as people age, where too much fluid builds up in the eye. If left untreated, glaucoma could cause blindness.
Clinical optometry includes observation for cataracts, a condition marked by clouded lenses. Cataracts might cause vision loss and is also related to aging. If this disorder is discovered, the optometrist commonly refers patients to an ophthalmologist for surgery to remove cataracts. An optometrist also refers patients to medical doctors and specialists for other diseases or injuries that affect vision.
The optometrist is trained to diagnose and treat vision conditions such as: