ruresa_nhi_2011.doc - RURAL REHAB SOUTH AFRICA SUBMISSION...

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RURAL REHAB SOUTH AFRICA: SUBMISSION TOWARDS THE NHI November 2011 RuReSA (Rural Rehab South Africa) is a group of concerned and committed rural Physio, Occupational, Speech and Language Therapists, Audiologists and Psychologists. The group seeks to promote access to appropriate rehabilitation services in rural areas by addressing current policy, inputting on curriculum, providing a support network for current rural therapists and promoting advocacy for accessible service delivery for children and adults with disabilities in South Africa. 1. Acronyms ……………………………………………………………………………………………… …2 2. Introduction ……. …………………………………………………………………………………………4 3. Re-engineering Primary Health Care (PHC. ……………………………………………... 6 4. National Health Insurance (NHI). ……………………………………………………………. 13 5. References ………….. ………………………………………………………………………………… 16 1
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Acronyms ANC Antenatal Care ARVs Antiretrovirals Audio Audiologist CBC Community Based Caregiver/Care CBR Community Based Rehabilitation CCG Community Care Givers CHC Community Health Centre CHW Community Health Workers CwD Children with Disabilities DoE Department of Education ECD Early Childhood Development DoH Department of Health HAART Highly Active Antiretroviral Therapy HIV Human Immunodeficiency Virus HBC Home Based Care HR Human Resources M&E Monitoring and Evaluation MDR-TB Multi-drug resistant Tuberculosis MHC Mental Health Care 2
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MLW Midlevel Workers MOU Memorandum of Understanding NHI National Health Insurance OT Occupational Therapy/ist OTT Occupational Therapy Technician PHC Primary Health Care PMTCT Prevention Mother to Child Transmission PwD People with Disabilities PT Physiotherapist OT Occupational Therapist RuReSA Rural rehab South Africa SALT Speech and Language Therapist TB Tuberculosis WHO World Health Organization 3
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1. Introduction As rural therapists, we welcome the chance to comment on the proposed Primary Health Care (PHC) strategy for delivering healthcare services to rural communities through the NHI. We are concerned that, despite access to health care being a priority in the NHI, rehabilitation and MHC (Mental Health Care) services are scarcely mentioned. As 24% of South Africans are estimated to have at least one disability [1], the Department of Health (DoH) cannot hope to achieve universal PHC coverage without explicitly addressing the access challenges faced by children and adults with disabilities , which include the provision of the specific services that they require. Disability impacts not only on the disabled individual but also on their entire household [2], especially in impoverished rural areas. It thus must be acknowledged that promoting access to care for disabled children and adults will enhance access to care for many others as well. For
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  • Spring '14
  • AntonioBaez

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