2023 Budget vote Health (Vote 18)2023 ENE - Vote 18 Health
Food-based dietary guidelines (FBDGs) are short, positive, science-based messages that aim to change the eating
behaviour of the general population towards more optimal diets that meet energy and nutrient requirements, while
simultaneously helping to protect against the development of noncommunicable diseases. Abstract Voster, Badham and Venter
This work must be cited as follows: Vorster HH, Badham JB, Venter CS. An introduction to the revised food-based dietary guidelines for South Africa. S Afr J Clin Nutr 2013;26(3):S1-S164 FrontFood-based dietary guidelines
Also known as the FDSR. The strategy expired in 2020 without evidence of an NDoH review. It is one of several national disability policies spread across national departments.
Goal 1 is interesting because it speaks to disability and rehabilitation in priority health programmes. The trouble is that the NDoH NCDs sub-programme is not on the list as there are not considered a national priority in the National Development Plan. Integration is not possible as long as we have policy and funding silos.
The monitoring and evaluation framework was due for implementation in full by March 2020. A recent WHO global report highlights health inequity for people with disabilities.
GOAL 1: Integrate comprehensive disability and rehabilitation services within priority health programmes (including Maternal and Child Health, District Health Services, HIV/AIDS, TB, Health Promotion, Nutrition, Mental Health and Substance Abuse and Human resources) from primary to tertiary and specialised health care levels.
Rehabilitation: is a goal-directed process to reduce the impact of disability and facilitate full participation in society by enabling people with disability (PwD) to reach optimum mental, physical, sensory and/or social functional levels at various times in their lifespan. The rehabilitation process has levels or stages with specific outcomes for participation throughout the lifespan. (see page 22 FDSR)
Impairment: a loss or abnormality in body structure or physiological function, including mental function. It may be temporary or permanent; progressive, regressive or static; intermittent or continuous. The deviation from the norm may be slight to severe and may fluctuate over time. The presence of impairment necessarily implies a cause. However, the cause may not be sufficient to explain the resulting impairment. It may be part of, or an expression of a health condition, but it does not necessarily indicate that a disease is present or that the individual should be regarded as sick. A primary impairment may result (see page 22 FDSR) 2015 - Framework and strategy for disability and rehabilitation services in South Africa 2015-2020-annotated
This is a special kind of health stakeholder consultation in terms of the National Health Act. It set the standard for the future and not a high one. The national Department of Health special. Short notice with little choice of topic Since then the notice is much shorter. Inclusion is still a mystery. In 2006 it was based on which organisations the Minster liked. Mostly anything but HIV.
The attached programme is illustrative of the era. These were tough times. Getting an invitation was like a poison chalice. It showed the rift between the Mbeki administration and the people. AGISA was incomprehensible and deliver at great length.
Disability access was laughable. The minister injured a foot and arrived late in a wheelchair. The usually constructed stage had no disabled access certainly not for a wheelchair. So it took great deliberation to find 4 strong people to lift the wheelchair and minister onto the stage. The rest is a bit of a blur until lunch.
I chose a table near the door and went to get lunch. When I came back the minister and health MECs filled the table it was a conventient spot for a wheelchair bound person. The minster ordered wine, the only person in the room to do so. I had a diet cold drink. The minister stated how poor my choice refreshement was, all the artifical sweetners were terribly bad for me. The MEC ssat sicophantically by and one even pretended to drink wine.
Memories of a survivor