NCDs integrated persons centred health servicies

Most of the South African health services are provided in siloes contrary to the sustainable development agenda. This document shows civil society’s vision of integrated care to the NDoH Technical Committee. It highlights integrated care is a multi-dimensional continuum and stacked with multiple axes.The focus is on “all of society” and “all of government. ”

#1 killers in South Africa = strokes & diabetes

In the death stakes #1 is the position to avoid. Stroke and diabetes are the 2nd and 3rd main causes of death in South Africa according to the 2014 figures just released by StatisticsSA. TB remains in unenviable pole position but the number of deaths are dropping each year. Great news.

The ranking looks very different if diabetes and heart/ blood vessel disease are grouped. This makes sense because essentially they kill you in the same way, by cardiovascular diseases (CVD.) So this is what the figures look like done that way around

  • 18.7%  CVD  (stroke, heart attacks, diabetes and other heart conditions) with <0.2% national budget and NO  provincial NCDs budgets

health budget by programme

  • 13.2%   TB &  HIV/AIDS with 39.6% funding (see figure 2 right.)

Deaths from NCDs increase every year while HIV/AIDS and TB deaths have declined each year since 2007. And that is really good news. (See figure above.) However, it is disheartening that NCDs deaths continue upwards.

TB leads the number of deaths in the 15-64 age groups. The between 15-44 years infections are the big killers with HIV/AIDS in 2nd spot. NCDs don’t feature in the top ten but this changes in those over 44 year. NCDs play a much more important part.

How cost effective is screening 8 million people with diabetes and hypertension  via the HIV/AIDS Counselling and Testing (HCT) programme?  The stats seem to indicate different target age groups for HCT versus NCDs screening which is for at least those older than 45 years. What do you think?

The provincial ranking places the Western Cape in top CVD position followed closely by KwaZulu-Natal.

To get the full picture read the StatisticsSA report.

Thumbs up on national cancer control plan inclusivity

Thumbs up to the NCDs cluster of the National Department of Health (NDoH) for its responsiveness to stakeholder recommendations. The draft cancer plan, National Plan for the Prevention and Control of Cancer 2015 – 2020 (NCCP) is being reviewed by multisector – all of society stakeholder meeting early next month. Click here to review this draft.

Feedback from stakeholders on the 2014 a draft NCCP made it clear that more consultation was needed. The initial stakeholder meeting to its content (organisational structure) and process of development (planning process) in Pretoria on 6 February 2015.

The aims of the meeting include:

  • Identifying priorities in cancer prevention and control;
  • Setting goals and objectives;
  • Setting strategies for intervention;
  • Setting processes and timelines to achieve a final draft.


Professor Melvyn Freeman and the cluster team are to be congratulated on the transparent and inclusive step. The 1999 NCCP needs urgent revision to provide an integrated, comprehensive people-centered plan for South Africa. The new plan must take into account:

  • changing demographic and epidemiological trends
  • global and national targets
  • the health and developmental agendas.

For more information contact Elmie Engelbrecht at [email protected]

Click here to download the revised draft outline for consideration.

Patient-centred cancer care (PCCC) 7 building blocks

7 PCCC building blocks revPatient- or person-centred care is the next paradigm shift in healthcare systems strengthening and it has the power to change lives. It shows the way to integrated NCDs care.

Understand more about PCCC by watching this series of 4 videos.

The 7 PCCC building blocks were developed by the LIVESTRONG Foundation has published the outcome of a symposium on patient-centred cancer care. It research list 7 key building block that can be utilised to deliver cancer care across a variety of settings.

Click here to download the PCCC report.


“Ideal Clinic Initiative” welcomed by Cabinet

Source   20 November 2014

Cabinet has welcomed the launch of Operation Phakisa 2 which aims to transform all public sector clinics into “ideal clinics” that will provide good quality care to all communities.

President Jacob Zuma launched Operation Phakisa 2: Scaling up Ideal Clinic Realisation and Maintenance Programme on Tuesday.

Speaking at a post-Cabinet briefing in Cape Town on Thursday, Minister in the Presidency responsible for Planning, Performance, Monitoring, Evaluation and Administration, Jeff Radebe, said Operation Phakisa 2 seeks to improve the quality of care provided in 3 500 primary health care facilities, consisting of government clinics and community health centres.

“The expected outcomes entails transformation of the existing clinics and community health centres into centres of excellence, which will be used by all South Africans, due to the enhanced quality of services they will provide,” said Minister Radebe

Over the last five weeks, a team of 164 senior managers from the national, provincial and local government spheres of government, together with their counterparts from the private sector, organised labour, academia, civil society and public entities, participated in an Operation Phakisa laboratory to devise ways and means of making the ideal clinic concept a reality.

They were supported in this process by officials from the Performance Management and Development Unit in Malaysia, where they learned about the Big Fast Results delivery model.

Operation Phakisa: Ideal Clinic Initiative was organised into eight work streams, focusing on the different building blocks of an Ideal Clinic capable of delivering good quality health services.

The work streams include service delivery, waiting times, human resources, infrastructure, financial management, supply chain management, scaling up and sustainability and institutional arrangements.


In July, the President launched the first phase of Operation Phakisa which focuses on unlocking the economic potential of South Africa’s oceans.

Operation Phakisa is an adaptation of the Big Fast Results methodology that was first applied by the Malaysian Government, successfully, in the delivery of its economic transformation programme.

The operation addressed their national key priority areas such as, poverty, crime and unemployment.

It involves setting up clear targets and follows up with on-going monitoring process which makes the results public.

Through this initiative, the Malaysian government was able to register impressive results within a short period.

President Zuma said South Africa has renamed the Malaysian Big Fast Results approach as Operation Phakisa – from a Sesotho word, which means “Hurry Up”, to highlight the urgency with which government wants to deliver on some of the priorities encompassed in the NDP.

The initiative will initially be implemented in two sectors, the ocean economy and health sector, especially clinics. –