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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.
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PROMOTING HEALTH IN THE WORKPLACE : Applying the WHO HPH tool in Public Hospitals in KwaZulu-Natal, South AfricaRamdas PGeddes R Jinabhai C Cassimjee M Zungu S MKwaZulu-Natal HPH Committee-Department of Health; School of Public Health, University of KwaZulu-Natal.
Acknowledgement Dr S. Sirkar – Path Technical Co-ordinator Dr C. Bhagwandeen – Human Resource Support Unit Ms V. Moodley – Health Promotion Unit Mrs A. Khathi – Quality Assurance & Accreditation Unit Ms J. Maher – Quality Assurance & Accreditation Unit Mr C. Shawe – Quality Assurance & Accreditation Unit Dr V. Maistry – Edendale Hospital Ms H. Findlay – Greys Hospital Ms. V. Bawany – Lower Umfolozi War Memorial Hospital Ms R. Jele – Ngwelezana Hospital Ms U. Sooruth – Northdale Hospital Ms N. Mbambo – 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 ProfileOf KwaZulu- NatalKZN RSATOTAL POPULATION 9.4m(20%) 44.8POPULATION GROWTH RATE 2.8% 2.4%ADULT LITERACY RATES 84% 82%UMEMPLOYMENT RATE 39% 33%PER CAPITA INCOME R1910 R2566ACCESS TO SAFE DRINKING WATER 50%
Epidemiological Profile • Triple burden of disease • HIV sero-prevalence –32% KZN RSANEONATAL MORTALITY 23.2 19.8INFANT MORTALITY 52.1 45.4<5 MORTALITY 74.5 59.4MATERNAL MORTALITY 170 150
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
Conclusion & Recommendation • 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