Government-funded programmes and services for vulnerable - Unicef

Government-funded programmes and services for vulnerable - Unicef Government-funded programmes and services for vulnerable - Unicef

22.10.2014 Views

Department of Health rights of vulnerable children and their families to health and related care: ● the right of everyone to healthcare services, including reproductive healthcare services (section 27(1)(a)); ● the right of everyone to emergency medical treatment (section 27(3)); ● the right of all children to basic nutrition and healthcare services (section 28(1)(c)). Key policies 60 ● White Paper for the Transformation of the Health System in South Africa, 1997 ● Patient Rights Charter, 1999 ● Free Health Care Policy, 1994 ● Free Primary Health Care Policy, 1996 ● Breastfeeding Guidelines for Health Workers, 2000 ● Policy Guidelines for the Management and Prevention of Genetic Disorders, Birth Defects and Disabilities, 2001 ● Strategy for the Implementation of the Baby Friendly Hospital Initiative, 2001 ● Integrated Food Security and Nutrition Programme, 2002 ● Integrated Food Security Strategy for South Africa, 2002 ● The Primary Health Care Package for South Africa, 2002 ● Comprehensive HIV and AIDS Care, Management and Treatment Plan, 2003 ● The Assistive Devices Policy, 2003 ● The Standardization of Provision of Assistive Devices in South Africa, 2003 ● Free Health Care for Disabled People at Hospital Level, 2003 ● The National Adolescent-friendly Clinic Initiative, 2003 ● School Health Policy and Implementation Guidelines, Department of Health, 2003 ● Policy Guidelines on Child and Youth Mental Health Services, 2004 ● Guidelines for the Management of HIV-infected Children, 2005 ● Policy Framework on Orphans and Other Children Made Vulnerable by HIV and AIDS South Africa, 2005 ● The National Integrated Plan for Early Childhood Development in South Africa, 2005– 2010 ● Infant and Young Child Feeding Policy, 2007 ● South African National Guidelines on Nutrition for People Living with HIV, AIDS, TB and other Chronic Debilitating Conditions, 2007 ● The HIV and AIDS and STI National Strategic Plan, 2007–2011 ● Policy Guidelines – Child and Adolescent Mental Health, 2007 ● Policy and Guidelines for the Implementation of the PMTCT Programme, 2008 ● ● ● ● The National Action Plan for Orphans and Other Children Made Vulnerable by HIV and AIDS South Africa, 2009–2012 The Expanded Programme on Immunisation – Revised National Immunisation Schedule as at 1 April 2009 Strategic Plan 2010/11–2012/13, National Department of Health Policy Guidelines for HIV Counselling and Testing, National Department of Health, 2009 60 The process of identifying and documenting all health-related policies was challenging due to the number of policies and the diversity of publication media and sites. Not all policies are published on the DoH’s website. The process of identification was made much easier by a number of earlier mapping projects to which the author turned for significant guidance in this regard, including Kallmann (2008), Giese and Koch (2008a), Coetzee and Streak (2004), Save the Children UK (2006), and Khoza (2007). 81

Government-funded programmes and services for vulnerable children in SA ● Clinical Guidelines: PMTCT (Prevention of Mother-to-Child Transmission) 2010, National Department of Health, South African National Aids Council ● Guidelines for the Management of HIV in Children, 2nd Edition, 2010, National Department of Health, 2010, National Department of Health and SANAC ● Clinical Guidelines for the Management of HIV and AIDS in Adults and Adolescents, 2010, National Department of Health and SANAC ● The South African Antiretroviral Treatment Guidelines, 2010, National Department of Health and SANAC Key legislation ● Constitution of the Republic of South Africa, Act No. 108 of 1996 ● National Health Act, No. 61 of 2003 ● The Children’s Act, No. 38 of 2005 as amended by Act No. 41 of 2007 ● The Criminal Law (Sexual Offences and Related Matters) Amendment Act, No. 32 of 2007 Programmes and services provided The following programmes and services are provided by the DoH to realise and protect the rights of vulnerable children: ● free primary, secondary and tertiary healthcare services for pregnant and lactating women – at primary, secondary and tertiary level; ● free primary, secondary and tertiary healthcare services for children under six; ● free primary healthcare for all children aged 6–18 years and their family members; ● free secondary and tertiary healthcare for children older than six whose parents/ caregivers are unemployed and/or receive one of the children’s grants; ● subsidised secondary and tertiary healthcare for children aged 6–18 and their families where the families benefit from some income other than social grants; ● free primary, secondary and tertiary healthcare services for children and adults with moderate and severe disabilities; ● Integrated Nutrition Programme (INP): ■ vitamin A supplementation programme, ■ nutrition supplementation programme, ■ the baby-friendly hospital initiative, ■ infant and young child feeding, ■ growth monitoring and promotion, ■ national food fortification programme, ■ nutrition promotion, education and advocacy; ● comprehensive HIV/AIDS care, management and treatment plan; ● PMTCT; ● HIV counselling and testing; ● access to contraceptives; ● ART; ● post-exposure prophylaxis (PEP); ● integrated management of childhood illnesses (IMCI) programme; ● extended programme on immunisation; ● school health services and health-promoting schools. 82

<strong>Government</strong>-<strong>funded</strong> <strong>programmes</strong> <strong>and</strong> <strong>services</strong> <strong>for</strong> <strong>vulnerable</strong> children in SA<br />

● Clinical Guidelines: PMTCT (Prevention of Mother-to-Child Transmission) 2010,<br />

National Department of Health, South African National Aids Council<br />

● Guidelines <strong>for</strong> the Management of HIV in Children, 2nd Edition, 2010, National<br />

Department of Health, 2010, National Department of Health <strong>and</strong> SANAC<br />

● Clinical Guidelines <strong>for</strong> the Management of HIV <strong>and</strong> AIDS in Adults <strong>and</strong> Adolescents,<br />

2010, National Department of Health <strong>and</strong> SANAC<br />

● The South African Antiretroviral Treatment Guidelines, 2010, National Department of<br />

Health <strong>and</strong> SANAC<br />

Key legislation<br />

● Constitution of the Republic of South Africa, Act No. 108 of 1996<br />

● National Health Act, No. 61 of 2003<br />

● The Children’s Act, No. 38 of 2005 as amended by Act No. 41 of 2007<br />

● The Criminal Law (Sexual Offences <strong>and</strong> Related Matters) Amendment Act, No. 32 of<br />

2007<br />

Programmes <strong>and</strong> <strong>services</strong> provided<br />

The following <strong>programmes</strong> <strong>and</strong> <strong>services</strong> are provided by the DoH to realise <strong>and</strong> protect<br />

the rights of <strong>vulnerable</strong> children:<br />

● free primary, secondary <strong>and</strong> tertiary healthcare <strong>services</strong> <strong>for</strong> pregnant <strong>and</strong> lactating<br />

women – at primary, secondary <strong>and</strong> tertiary level;<br />

● free primary, secondary <strong>and</strong> tertiary healthcare <strong>services</strong> <strong>for</strong> children under six;<br />

● free primary healthcare <strong>for</strong> all children aged 6–18 years <strong>and</strong> their family members;<br />

● free secondary <strong>and</strong> tertiary healthcare <strong>for</strong> children older than six whose parents/<br />

caregivers are unemployed <strong>and</strong>/or receive one of the children’s grants;<br />

● subsidised secondary <strong>and</strong> tertiary healthcare <strong>for</strong> children aged 6–18 <strong>and</strong> their families<br />

where the families benefit from some income other than social grants;<br />

● free primary, secondary <strong>and</strong> tertiary healthcare <strong>services</strong> <strong>for</strong> children <strong>and</strong> adults with<br />

moderate <strong>and</strong> severe disabilities;<br />

● Integrated Nutrition Programme (INP):<br />

■ vitamin A supplementation programme,<br />

■ nutrition supplementation programme,<br />

■ the baby-friendly hospital initiative,<br />

■ infant <strong>and</strong> young child feeding,<br />

■ growth monitoring <strong>and</strong> promotion,<br />

■ national food <strong>for</strong>tification programme,<br />

■ nutrition promotion, education <strong>and</strong> advocacy;<br />

● comprehensive HIV/AIDS care, management <strong>and</strong> treatment plan;<br />

● PMTCT;<br />

● HIV counselling <strong>and</strong> testing;<br />

● access to contraceptives;<br />

● ART;<br />

● post-exposure prophylaxis (PEP);<br />

● integrated management of childhood illnesses (IMCI) programme;<br />

● extended programme on immunisation;<br />

● school health <strong>services</strong> <strong>and</strong> health-promoting schools.<br />

82

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