The comparative strengths and advantages faith based networks in health programmes
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NRASD Health and Community Care Programme , SA. The comparative strengths and advantages – faith-based networks in health programmes. Presentation by: Dr Renier Koegelenberg. Ahimsa Round Table on Global Health and Faith based Communities 16-18 June 2013, Lyon, France.

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The comparative strengths and advantages – faith-based networks in health programmes

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The comparative strengths and advantages faith based networks in health programmes

NRASD Health and Community Care Programme , SA

The comparative strengths and advantages –faith-based networks in health programmes

Presentation by:

Dr Renier Koegelenberg

Ahimsa Round Table on Global Health and Faith based Communities

16-18 June 2013, Lyon, France


Presentation outline

Presentation Outline

  • Introduction

  • Poverty in a rich country:South Africa

  • Challenges of healthcare in South Africa

  • Challenges of religious healthcare programmes

  • NRASD health and community care programme

  • Conclusion

  • Challenges and gaps


Introduction

Introduction

  • Historic role

  • Current role

  • Potential - primary healthcare (WHO)

  • Weaknesses & strengths


Poverty in a rich country sa

Poverty in a rich country -SA

  • legacy of colonialism and apartheid

  • 50% of the population lives in chronic poverty;

  • 40% of the potential labour force is unemployed;

  • The richest 20% receives 74.3% of all income; 3.4% of income goes to the lower 30% of population

  • not limited to rural, remote areas


Challenges of healthcare in sa

Challenges of healthcare in SA

  • 175th out of 190 countries – South Africa has 5.5 doctors per 100,000 people

  • Burden of disease:

    • HIV/AIDS and TB

    • maternal and child morbidity and mortality;

    • non-communicable diseases

    • violence, injuries and trauma


Priorities to address challenges

Priorities to address challenges

  • Developing strong leadership to turn around healthcare outcomes;

  • Implementing a National Health Insurance (NHI);

  • Overhauling healthcare systems and management;

  • Improving human resources and physical infrastructure;

  • Accelerated implementation of an HIV/AIDS plan and reduction of TB deaths; etc.


Challenges of religious healthcare

Challenges of religious healthcare

  • Competition for scarce resources;

  • Unintended negative consequences of donor principles

    • E.g. PEPFAR ART programme

    • Global Fund programme

    • Financial concepts versus caring communities


Nrasd programme

NRASD Programme

  • Developing strong leadership to turn around healthcare outcomes;

  • The ambiguity of religious communities

  • Responding to shortage of doctors, nurses

  • Establishing smart partnerships


Conclusion

Conclusion

  • Tension: a biomedical versus a holistic and human behaviour approach

  • Tension: investment language versus caring communities

  • Challenge: cooperation between sectors


Challenges gaps

Challenges/gaps

  • Balance between emergency, vertical responses - more horizontal, sustainable solutions

  • Flexibility & smart partnerships

  • Challenge to keep qualified staff

  • Foster inter-sectoral partnerships (leverage)

  • Community system strengthening – based on local needs


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