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MPUMALANGA   DEPARTMENT OF HEALTH BRIEFING TO THE SELECT COMMITTEE ON WOMEN, CHILDREN AND PEOPLE WITH DISABILITIES 05 JANUARY 2014 COMMITTEE ROOM 2, 120 PLEIN STREET CAPE TOWN. Presentation Outline. Purpose Background Stakeholders Strategies Role of the Department

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MPUMALANGA  DEPARTMENT OF HEALTHBRIEFING TO THE SELECT COMMITTEE ON WOMEN, CHILDREN AND PEOPLE WITH DISABILITIES 05 JANUARY 2014COMMITTEE ROOM 2, 120 PLEIN STREET CAPE TOWN


Presentation outline
Presentation Outline

  • Purpose

  • Background

  • Stakeholders

  • Strategies

  • Role of the Department

  • Role of the Ingoma Forum

  • Responsibility of the initiate

  • Responsibility of the Ingoma Holder

  • Training of Traditional Surgeons


Purpose
Purpose

To brief the Committee on:

  • Circumcision deaths in the province during the 2013 season

  • Strategies by the Provincial Department of Health to prevent further deaths


Background
Background

  • 2009 has seen an unprecedented incidents of complicationspresenting at the Health facilities from Traditional Circumcision Sites.

  • Such cases from initiation schools needed attention on corrective surgery and management.

  • The Department responded by Establishing a team for medical and surveillance support to the Ingomas.


Background1
Background

In the year 2013:

  • 134 Traditional Leaders were authorised by His Majesty.

  • 57 traditional surgeons were trained by the forum.

  • 30 148 initiates were covered by the Ingoma forum

  • 31 deaths were experienced.


Stakeholders
Stakeholders

  • MDOH

  • COGTA

  • SAPS

  • General Practitioners

  • Traditional Leaders

  • Social Development

  • Local Municipalities


Strategies
Strategies

  • Strengthening planning prior departure of initiates and monitoring of the initiation schools

  • Dedicate more health professionals to upscale support to the traditional leaders on health related issues

  • Legislation of the Ingomas to get them regulated.


Strategies1
Strategies

To mitigate against the loss of life during the initiations focus

should be on the promulgation of the Ingoma Bill.

The main objective of the Bill:

  • To regulate the holding of the Ingoma

  • To provide for the prohibition of forced attendance of the Ingoma


Objectives of the ingoma bill cont
Objectives of the Ingoma Bill cont..

  • To provide commodities for the implementation and monitoring of health and hygienic standards

  • To prevent unnecessary loss of life that seeks to undermine the cultural practice.


Role of the d epartment
Role of the Department

  • To ensure availability of resources to train traditional surgeons.

  • To conduct health screening to all registered initiates and treat all minor ailments detected prior to traditional circumcision.

  • High risk cases will be classified as not fit to undergo traditional circumcision.


Role of the d epartment cont
Role of the Department cont……

  • To provide necessary commodities for the period (gloves and surgical blades)

  • All initiates on Chronic medication will be given enough supply to cover the initiation period

  • Health professionals both from the department and private practitioners who have undergone initiation to be deployed to assist during Ingoma at all sites


Role of the department cont
Role of the Department cont……

  • EMS services will be on standby to assist in case of

    any eventuality.

  • Tents will be erected on major site for the management of minor

    adverse events and assess initiates for quick referral to the hospital.

  • Ensuring availability of transport for health professional to

    support all the Ingoma sites as per the demarcation/clustering.


Role of the department
Role of the Department

  • Provision of Forensic Pathology Services.

  • Development of a data base for all traditional Initiation Schools.


Role of the ingoma forum
Role of the Ingoma Forum

  • To provide platform for male discussion and dialogue talks

  • To share ideas relating to male initiation

  • To harmonize ideas between tribal and health so as to ensure safe initiation process.

  • The identification and co-ordination of stakeholders, their roles, needs and expectations

  • Ensure that all Ingoma Holders are authorised by the House of Traditional Leadership


Responsibility of initiate
Responsibility of initiate

  • The initiate (minor) must obtain a signed consent form from parent/guardian

  • Produce the consent form for the general health screening which is to take place at least two months before initiation begins (Ukugwaba)

  • Take treatment as prescribed by a health professional.

  • Report without any delay any adverse event for management .


R esponsibility of the ingoma holder
Responsibility of the Ingoma Holder

  • The person who wants to hold Ingoma must first obtain approval for such from the king, queen of the traditional community or the MEC for COGTA

  • She/he must also obtain approval for the use of the private land from the owner or the municipality


Conclusion
CONCLUSION

The Department acknowledges that South Africa is a country that

embraces cultural diversity. The department strives to create an

enabling and conducive environment .



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