Transcript PROMOTING HEALTH IN THE WORKPLACE : Applying the …

PROMOTING HEALTH IN THE WORKPLACE :
Applying the WHO HPH tool in Public Hospitals
in KwaZulu-Natal, South Africa
Ramdas P Geddes R Jinabhai C Cassimjee M Zungu S M
KwaZulu-Natal HPH Committee-Department of Health; School of Public Health,
University of KwaZulu-Natal.
Acknowledgement
Dr S. Sirkar
Dr C. Bhagwandeen
Ms V. Moodley
Mrs A. Khathi
Ms J. Maher
Mr C. Shawe
Dr V. Maistry
Ms H. Findlay
Ms. V. Bawany
Ms R. Jele
Ms U. Sooruth
Ms N. Mbambo
– Path Technical Co-ordinator
– Human Resource Support Unit
– Health Promotion Unit
– Quality Assurance & Accreditation Unit
– Quality Assurance & Accreditation Unit
– Quality Assurance & Accreditation Unit
– Edendale Hospital
– Greys Hospital
– Lower Umfolozi War Memorial Hospital
– Ngwelezana Hospital
– Northdale Hospital
– Inkosi Albert Luthuli Central Hospital
Background
• The Department of Health, KwaZulu-Natal,
piloted the WHO Self-Assessment Tool
(SAT), in six public hospitals, as part of an
international collaboration with WHO,
Barcelona Office.
70% of global total
SAHARA
SUB – SAHARAN
AFRICA
SOUTH AFRICAN
DEVELOPMENT
COMMUNITY (SADC)
SOUTH AFRICA
KWAZULU
-NATAL
Socio – Demographic Profile Of
KwaZulu- Natal
TOTAL POPULATION
KZN
RSA
9.4m(20%) 44.8
POPULATION GROWTH RATE
2.8%
ADULT LITERACY RATES 84%
2.4%
82%
UMEMPLOYMENT RATE
39%
33%
PER CAPITA INCOME
R1910
R2566
ACCESS TO SAFE DRINKING WATER
50%
Epidemiological Profile
• Triple burden of disease
• HIV sero-prevalence –32%
KZN
RSA
NEONATAL MORTALITY
23.2
19.8
INFANT MORTALITY
52.1
45.4
<5 MORTALITY
74.5
59.4
MATERNAL MORTALITY
170
150
Background
Dept of Health KZN
Hospitals
83
Clinics
434
Community Health
Centres
14
Health Budget
2005/2006
R 10.3 billion
(US$ 1.7 billion)
Background
Dept of Health KZN
Total staff number
65 000
Category
Percentage
Managers, Administrators &
Logistical Support Staff
49%
Nurses
38%
Allied Health Professionals &
Technical Staff
8%
Doctors and Pharmacists
5%
Aims
• This study assessed staff health, staff
development and their involvement in
hospital management.
Methods
• Cross sectional descriptive study
• Six selected hospitals – all 3 levels of care
• Sample of all health workers – sample size of
2105
• Data source :
Self administered questionnaires
Hospital staff records
Hospital financial records
• Authorisation to undertake the study
Results & Discussion
Total staff 6905
2105 administered
1610 staff questionnaires analysed
response rate 76%.
First study conducted in DOH
No provincial standards or norms
A : Staff Health
CRITERIA
PERCENT
COMMENTS
smokers
9%
Legislation, sin taxes,
awareness campaigns
Knowledge of own HIV
sero status
66%
Epicentre of epidemic
VCT, ARV’s, PEP policies
& programes
Workplace based response
Absenteeism: nursing
staff
2.1%
Malingering
Burn-out
Needle stick injuries
4.2%
Policies, proceduresUniversal precautions
High risk for seroconversion
B: Staff Development
CRITERIA
PERCENT
COMMENTS
Job descriptions on
commencement
61%
Impact on stds
setting,personal
development,
performance
Aware of
51%
performance
appraisal system
Participation in CPD 78%
programme
Impact on
performance and
moral
Enforced through
professional bodies
C: Hospital Management
CRITERIA
PERCENT
COMMENTS
Involvement in hospital
policy-making
38%
Democratization of
the workplace
Awareness of risk
79%
management procedures
20% pose a hazard
Estimated budget for
staff Health Promotion
No dedicated budget
for HP or EAP
R111,70 per
employee per
year
Conclusion & Recommendation
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HPH tool contextualised for South Africa
Policy implications
Improvements at hospital level
Deepened staff involvement in Health Promotion
Created awareness of own health status
Management areas for concerned
Improved relationships between management and staff
Expansion of projects to all hospitals