INTEGRATED SOCIAL SERVICES
FRAMEWORK
COMMUNITY CAREGIVERS PROGRAMME
MARCH 2011
Background
• The essential elements of Community Caregivers
emanated from the National Community Health Worker
Policy Framework, which was drafted in 2004
• A fundamental principle of Community caregivers is to
enhance relationship between individual households
with all levels of service delivery units
• Each household is connected through a seamless
continuum of services arriving at the appropriate time
of giving optimal attention
• This assures that the most common and often important
measures are available nearest to home and convenient
to each citizen
• Effective referral has clear communication to assure
that citizens receive optimal care at each level of the
system.
RATIONALE
• There is a lack of reliable evidence of qualitative impact of
CCG’s programme
• Lack of uniform approach integrated developmental social
services
• No generic model for responsibility matrix between
government departments
• The absence of baseline information and adequate monitoring
systems
• There is even less firm data with which to assess the impact of
CCG’s interventions
• Poor Monitoring, evaluation and reporting systems
• Disjointed CCG’s community intervention between government
and NGO’s
• There is a paucity of data and information from which to draw
firm conclusions about the impact of CCG funded projects
CCG INTEGRATED PROGRAMME
• Cabinet Decision: Integrated programme for community
Care Givers (CCG’s): Lead Dept: DSD & DOH
• Developed a volunteer-based caregiver services model
program for needy households
• Four levels of qualification have been registered with
the South African Qualification Authority.
• Accreditation will provide CCG’s with opportunities for
career advancement and the ability to operate in a more
generalist manner.
• The promotion of intra- and inter-sectoral collaboration
for appropriate coordination mechanisms for household
needs with service delivery programs
Status Quo: Community Caregivers
DISTRICT
YOUTH
AMBASSADORS
(MASUPATSELA)
CHW
HCBC STIPENDED
HCBC NON STIPENDED
Amajuba
52
231
248
211
Ethekwini
162
912
1888
2943
Ilembe
33
345
475
216
Sisonke
35
402
436
259
Ugu
40
497
447
686
UMgungundlovu
72
434
252
340
Umkhanyakude
62
420
398
1122
Umzinyathi
65
300
203
638
Uthukela
55
429
328
265
Zululand
59
526
276
342
Uthungulu
55
372
599
746
Total
690
4868
5841
8368
PROCESS PLAN ELEMENTS
• Community Health Workers and stipended HCBC to
be administered by Government as Community
Caregivers
• Non stipended HCBC to be part of the NGO and
funded through financial policy awards of NGO’s.
• Process plan for filling the prioritised gaps
• Modular system of training & career development
• Responsibility Matrix between the NGO’s &
Government
• Exit strategies based on developmental capabilities
• Performance Appraisal: Qualitative impact feedback
PROGRESS REPORT
• Consultation meetings were held between the two lead
departments, and a decision was taken that the project will
start in uMgungundlovu District Municipality
• An operational plan for the implementation of the integrated
community-based services programme has been developed
• Situational analysis has been conducted by both departments,
with the aim of identifying existing resources in terms of
existing community cadres: Community Health Workers, Home
Based Carers, Community Caregivers, EPWP Caregivers, ECD
Practitioners, ECD Family Facilitators, Child and Youth Care
Workers,
• Prioritization of wards is being conducted, using the
information gathered from the mapping exercise
• The team is currently in the process of finalizing the identified
gaps in terms of coverage based the households (norms &
standards)
• Both departments have completed the skills and knowledge
audit for the existing Community Caregivers
KEY PERFORMANCE AREAS
• Substance Abuse, Prevention and Rehabilitation
• Care and Services to Older Persons
• Crime Prevention and Support
• Services to people with Disabilities
• Child Care and Protection Services
• Victim Empowerment
• HIV and AIDS programme
• Care and Support Services to Families
• Social Relief Programme
CCG’S FUNCTIONS
• Provide basic information on HIV, AIDS, STI and Male Medical
Circumcision
• Promote personal safety, hygiene and infection control at
community level
• Minor ailments management
• Promote immunization, Family planning, Ante Natal and
Postnatal care
• Provide basic palliative care and support including terminal
care and the last offices
• Preventive, promotive and rehabilitative health services
• Basic environmental health, safety and poor sanitation and
water preservation
• Social services care of OVC’s, disabled and other vulnerable
groups
• Promote basic human rights and responsibilities of citizens
• Basic home nursing care
Corporate Performance Management
(CPM)
Local
Governance
framework:
IDP, LUMS,
Spatial
Dimension
and Referral
System
Criterion
System for
Financial
Awards
Responsibility
matrix for all key
roleplayers
CPM
Household
Profiles,
community
needs
PROGRAMMES DEMONSTRATING
PERFORMANCE
• Accessibility: The extent to which clients can readily
reach services when required
• Turnaround The extent to which clients receive all
forms of services in a timely fashion
• Overall Satisfaction: The extent to which clients are
satisfied with services from inside and outside the
Department
• Qualitative Impact on Clients: The extent of
contribution on pre-selected strategic objectives
• Cost of Delivering the Services: Economies of scale
and scope, 80/20 principle, rate of return and value for
money
• Budget Performance: The extent to which approved
budgets for total services spending are met
CAREER DEVELOPMENT OPPORTUNITIES
• National Certificate in Community Health Work (NQF
level 3
• Counseling courses
• ARV treatment and adherence course
• First Aid
• HCBC and basic palliative care
• Nutrition
• Health Promotion and healthy lifestyle
• Community component IMCI
• Enrolled Nursing to those that qualify
• ECD Practitioners – NQF Level 4 learnership through
EPWP
• Community Care Givers - NQF level 3 - Thogomelo –
care of the caregiver
WORK IN PROGRESS
• Developing the standardized Training Curriculum and toolkits
• Desk top: re-allocation of CCGs based on targeted number of
households
• Finalising the framework: Orientation of CCGs on revised
scope of practice, basic conditions of employment
• Developing responsibility matrix for Provincial Government,
Local Government and community structures
• Revised M&E data elements and collection tools
• Revising the scope of CCG’s practice and relationship with
other field cadres
• Finalising CCG spatial distribution as informed by Poverty
index and Population distribution
THANK YOU