Government-funded programmes and services for vulnerable - Unicef
Government-funded programmes and services for vulnerable - Unicef Government-funded programmes and services for vulnerable - Unicef
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
- Page 41 and 42: Government-funded programmes and se
- Page 43 and 44: Government-funded programmes and se
- Page 45 and 46: Government-funded programmes and se
- Page 47 and 48: Government-funded programmes and se
- Page 49 and 50: Government-funded programmes and se
- Page 51 and 52: Government-funded programmes and se
- Page 53 and 54: Government-funded programmes and se
- Page 55 and 56: Government-funded programmes and se
- Page 57 and 58: Government-funded programmes and se
- Page 59 and 60: Government-funded programmes and se
- Page 61 and 62: Government-funded programmes and se
- Page 63 and 64: Government-funded programmes and se
- Page 65 and 66: Government-funded programmes and se
- Page 67 and 68: Government-funded programmes and se
- Page 69 and 70: Government-funded programmes and se
- Page 71 and 72: Government-funded programmes and se
- Page 73 and 74: Government-funded programmes and se
- Page 75 and 76: Government-funded programmes and se
- Page 77 and 78: Government-funded programmes and se
- Page 79 and 80: Government-funded programmes and se
- Page 81 and 82: Government-funded programmes and se
- Page 83 and 84: Government-funded programmes and se
- Page 85 and 86: Government-funded programmes and se
- Page 87 and 88: Government-funded programmes and se
- Page 89 and 90: Government-funded programmes and se
- Page 91: CHAPTER 4 Department of Health Intr
- Page 95 and 96: Government-funded programmes and se
- Page 97 and 98: Government-funded programmes and se
- Page 99 and 100: Government-funded programmes and se
- Page 101 and 102: Government-funded programmes and se
- Page 103 and 104: Government-funded programmes and se
- Page 105 and 106: Government-funded programmes and se
- Page 107 and 108: Government-funded programmes and se
- Page 109 and 110: Government-funded programmes and se
- Page 111 and 112: Government-funded programmes and se
- Page 113 and 114: Government-funded programmes and se
- Page 115 and 116: Government-funded programmes and se
- Page 117 and 118: Government-funded programmes and se
- Page 119 and 120: Government-funded programmes and se
- Page 121 and 122: Government-funded programmes and se
- Page 123 and 124: Government-funded programmes and se
- Page 125 and 126: Government-funded programmes and se
- Page 127 and 128: Government-funded programmes and se
- Page 129 and 130: Government-funded programmes and se
- Page 131 and 132: Government-funded programmes and se
- Page 133 and 134: Government-funded programmes and se
- Page 135 and 136: Government-funded programmes and se
- Page 137 and 138: Government-funded programmes and se
- Page 139 and 140: Government-funded programmes and se
- Page 141 and 142: Government-funded programmes and se
<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