CLOTHING INDUSTRY HEALTH CARE FUND Reproductive Health

THE FUND Who are we?  The Health Care Fund forms part of the National Bargaining Council for the Clothing Manufacturing Industry  Registered with the Department of Labour (Section 28(1)(c) of the Labour Relations Act of 1995 )  A private not-for-profit funder and provider of primary health care services to clothing and textile workers  Privately funded by contributions from clothing employees and employers  Services are free at the point of service with the patient only needing to provide proof that they are bona fide members of the fund Established?1948 Parties/Board to the Fund? The Cape Clothing Association (CCA) South African Clothing and Textile Workers Union (SACTWU) Who do we provide services to? clothing and textile members dependants

T HE F UND What services do we provide? A package of primary care services:  Acute & Chronic Medical Care  Oral Health Services  Optical Care  Social Worker & Psychology Services (UWC students)  Health Education and Promotion  HIV/AIDS Counseling & Testing (with SACTWU worker health programme)  Physiotherapy (UCT students) Where do we provide services?  7 health centers: Athlone, Atlantis, Belhar, Elsies River, Grassy Park, Mitchells Plain and Salt River  Panel doctors: only principal members i.e. 8 visits per year Who provides these services? Multidisciplinary teams:  Medical officers, nurses, social workers & social auxiliary worker, students: physiotherapy, social workers, psychology, HIV lay counsellors  Dentists, oral hygienists, dental assistants  Health promotion coordinator & peer educators  Admin staff: receptionist, data capturers

F UND M EMBERS

F UND B ENEFICIARIES

F UND B ENEFICIARIES A GE G ROUPS

R EPRODUCTIVE HEALTH ObjectiveSteps To offer information re contraceptive health and promote safe sex practices  Talks (at centres and factories)  Posters and leaflets  DVD’s To monitor reproductive health in our clients  Regular family planning visits  Factory visits for family planning To screen all clients  Breast screening (twice a year; self examination)  Pap smears (min 3 in each woman’s lifetime)  VCT  STI’s ( according to symptoms or on request) To offer optimal health care to our clients  Do the appropriate referrals:  MOU: antenatal care  Tertiary institutions: TOP’s, sterilisation, pathology

F UND FEMALE A GE G ROUPS

R EPRODUCTIVE HEALTH AGE GROUPS

R EPRODUCTIVE HEALTH PROCESS ProcessSteps AccessibilityPatients can attend the Clinic at any time Initial visit  A thorough reproductive health history is taken  Future care is outlined  Necessary observations done i.e. BP, Weight, Urine, Breast examination Subsequent visits  If asymptomatic: the patient can just receive contraception  A full consultation is required every 6 months to monitor: weight, BP, breast examination and to monitor effect of contraception

REPRODUCTIVE HEALTH STATISTICS

R EPRODUCTIVE HEALTH Pap Smears Pap Smear Appointments  Two Pap Smears booked every day (mornings)  No bookings are made telephonically : to avoid inappropriate Pap Smear appointments  If symptomatic: patients are screened at any time MonitoringSystem in place to ensure that results are documented and followed up Reproductive Health Challenges  Social Issues  Time off from work  Education

P AP SMEAR RESULTS 2010

HIV/AIDS A WARENESS Awareness  Daily talks in Reception: VCT Counsellor –  Posters & Literature  One on one conversations Process  Referred to a Consultant for testing  Pre & Post test Counselling  STI & TB Screening according to symptoms/history  IF positive:  regular CD4 Counts;  Annual Pap Smears;  Vitamins;  Staging;  Referral for ARV’s;  S/W support NB. Confidentiality respected

T HANK YOU