Good Practices and Innovations in Public Governance 2003-2011

Good Practices and Innovations in Public Governance 2003-2011 Good Practices and Innovations in Public Governance 2003-2011

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Good Practices and InnovATIONS in Public Governance 2009 Category 2 Improving the Delivery of Public Services Region Country Initiative Description Pg Africa South Administrative Support for Improving Tuberculosis cure rate by bringing a new 179 Africa TB Programme, Cape Town layer of staff to strengthened clinics’ capacity Africa Zambia Integrated Health Services, Itezhi Tezhi District Health Office Improving the overall health of the community through improving access and utilization 180 Asia and the Pacific Thailand Medical Services, Maharaj Nakorn Chiang Mai Hospital Streamlining hospital admin. processes and forming health care networks with other hospitals 181 Europe and North Am. Slovenia One-Stop-Shop for Companies (e-VEM) Establishing a one-stop-shop for company registration, drastically reducing registration time 182 Western Asia Egypt e-Tanseek, University Enrollment Project Comprehensive web-based application assisting students enrollment in colleges and universities 183 Western Asia Oman Civil Status Systems (National Registration System) A state-of-the-art system designed to store and retrieve data through the Civil Register 184 Rep. of Korea Canada Sweden South Africa Zambia Thailand Slovenia Egypt Oman 178

2009 Category 2: South Africa Africa South Africa 2009 Category 2 Finalist City Health, Metro District Health Services and TB/HIV Care Association, Cape Town Recipients on behalf of the institution Dr Keith Cloete Chief Director, Metro District Health Services Provincial Government of the Western Cape Department of Health Ms. Judy Caldwell Project Manager, TB Control Programme Summary The Administrative Support for the Tuberculosis Programme in City Health, Cape Town in South Africa has strengthened the capacity of clinics to improve their cure rate by bringing a new layer of staff into the normal day-to-day operations of the clinics. Door-to-door follow-up visits to patients, specifically those who have been diagnosed with Tuberculosis and registered at the clinic, are carried out by trained Tuberculosis Assistants who make sure that the patients do not interrupt their treatment. The Problem Chronic Tuberculosis has been a consistent problem in South Africa, particularly in poor sub-districts of Cape Town where budget constraints and heavy demand for treatment along with lack of skilled health officials resulted in poor treatment outcomes. The main challenge, therefore, was twofold: to provide support to clinic staff and to increase the TB cure rate. The Solution The programme is located in 27 of the 93 TB clinics spread throughout the eight subdistricts of the Cape Town City Health Department. It builds the capacity of the clinics to improve their cure rates by bringing in a new layer of staff into the normal day-to-day operations of the clinics. The new staff are recruited mostly from among the unemployed high school graduates who live in the vicinity of the local clinics. They are trained in two specific roles: as TB Assistants whose principal task is to carry out door-to-door follow-up visits to patients who have been diagnosed with TB and registered at the clinic, or as TB Clerks who assist in the management-related activities at the clinics. 179

<strong>Good</strong> <strong>Practices</strong> <strong>and</strong> InnovATIONS <strong>in</strong> <strong>Public</strong> <strong>Governance</strong><br />

2009 Category 2<br />

Improv<strong>in</strong>g the Delivery<br />

of <strong>Public</strong> Services<br />

Region Country Initiative Description Pg<br />

Africa South Adm<strong>in</strong>istrative Support for Improv<strong>in</strong>g Tuberculosis cure rate by br<strong>in</strong>g<strong>in</strong>g a new 179<br />

Africa TB Programme, Cape Town layer of staff to strengthened cl<strong>in</strong>ics’ capacity<br />

Africa Zambia Integrated Health Services, Itezhi<br />

Tezhi District Health Office<br />

Improv<strong>in</strong>g the overall health of the community through<br />

improv<strong>in</strong>g access <strong>and</strong> utilization<br />

180<br />

Asia <strong>and</strong><br />

the Pacific<br />

Thail<strong>and</strong><br />

Medical Services, Maharaj<br />

Nakorn Chiang Mai Hospital<br />

Streaml<strong>in</strong><strong>in</strong>g hospital adm<strong>in</strong>. processes <strong>and</strong> form<strong>in</strong>g<br />

health care networks with other hospitals<br />

181<br />

Europe <strong>and</strong><br />

North Am.<br />

Slovenia<br />

One-Stop-Shop for<br />

Companies (e-VEM)<br />

Establish<strong>in</strong>g a one-stop-shop for company registration,<br />

drastically reduc<strong>in</strong>g registration time<br />

182<br />

Western<br />

Asia<br />

Egypt<br />

e-Tanseek, University<br />

Enrollment Project<br />

Comprehensive web-based application assist<strong>in</strong>g<br />

students enrollment <strong>in</strong> colleges <strong>and</strong> universities<br />

183<br />

Western<br />

Asia<br />

Oman<br />

Civil Status Systems<br />

(National Registration System)<br />

A state-of-the-art system designed to store <strong>and</strong><br />

retrieve data through the Civil Register<br />

184<br />

Rep. of Korea<br />

Canada<br />

Sweden<br />

South Africa<br />

Zambia<br />

Thail<strong>and</strong><br />

Slovenia<br />

Egypt<br />

Oman<br />

178

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