Home Page

                  

"Compassionate health care in the service of Christ"

Home
Vision
History
Conferences
Membership
Global Fund
Members
HIV/AIDS
Information
Staff
Links
Structure
Legislation
Parish Nursing
Year Plan
World Day of Sick
International Congress
Statistics
Zimbabwe Crisis
Board

 

      Welcome to the CATHCA Website!

Who we are:

CATHCA is the Catholic Health Care Association of Southern Africa. Some of us are doctors, some nurses, some community health workers, or other health professionals, and many of us are lay people doing voluntary work as home based caregivers, administrators, bookkeepers, or looking after orphans or the elderly in homes and care centres across the country. 

Where we are:

We work around the country in all nine Provinces of South Africa, and in Botswana and Swaziland, in 38 clinics, two hospitals, many old age homes, hospices, orphanages and many Diocesan and parish projects combating HIV/AIDS.  See the button marked "Members" to the left.  

News from the National Office - Summer 2011

 

This Christmas, may we appreciate the great gift that God has given us in Jesus, and may our gratitude be deep and lasting.

 Wishing you a blessed and peace-filled Christmas!

 From all at CATHCA

 In this edition:

HBC carers finish their training, thoughts on the future of Catholic health care, report on the Limpopo , Mpumalanga Swaziland regional conference and how community health workers can help reduce TB prevalence.

 News from the CATHCA office

Our home-based care learners in Mpumalanga wrote their exams in October, and we are currently waiting for verification of their results by the Health & Welfare SETA.  Yvonne addressed the Archdiocese of Johannesburg’s AIDS department AGM on the new government primary health care model and its possible effect on Catholic health care organisations in mid-October.

Loek manned a CATHCA information stand at the Hope & Joy one-day conference in October, where we sold our book, while Yvonne attended the Siyabhabha Trust board meeting on November 15th in Pretoria . The Gautrain makes travel to the SACBC much easier!

 Ellen arranged for the organisation People Against Women Abuse, (POWA), to run a three day workshop for her Mpumalanga learners on gender issues in home-based care, which provided, as one leaner put it ‘ eye-opening information”!

 The CATHCA board met for the last time in 2011 on November 21st, and Yvonne attended a very interesting 3-day Misereor workshop on monitoring and evaluation in the Natal Midlands at the end of November, the purpose being to provide some organisations with the M & E skills to assist other organisations with their funding proposals and reports. 

Finally, Loek ran a morning workshop on minute-taking for all CATHCA staff in late November - CATHCA staff take turns chairing and taking minutes for all their regular staff meetings during the year, so this is a necessary skill.

 The Future of Catholic health care in Southern Africa

CATHCA did a presentation to the Southern African Bishops’ Conference (SACBC)’s Admin Board on its work in early November, where the future of Catholic health care came under discussion. An abbreviated version is included here.

 Challenges facing Catholic health care

CATHCA considers the most significant challenges facing Catholic health care in the region to be:

-          a smaller pool of religious health professionals, with a resultant significant rise in running costs

-          a corresponding ongoing need to train lay staff replacing religious in Catholic health organisations in the Catholic ethos

-          pressure from government to carry out abortions and to provide emergency contraception and artificial birth control

-          a shrinking international funding base coupled with a reluctance by govenrment to pay caregivers stipends or clinic salaries for independent health care organisations

-          BUT a growing need for the Christ-driven service provided by Catholic health care organisations by poor communities in the light of the government’s failure to provide an adequate, compassionate and efficient health system.

What might Catholic health care look like in future?

Many of CATHCA’s members work in rural communities, offering clinic and home-based care services, and will be affected in some way or another by government’s decision to implement a primary health care programme that now includes community health care. But the government is currently unable to provide adequate health care in every rural community. It will not be able to do so for some years, even with considerable investment in community health, as its present health facilities and staff require much attention first. This means that while one province has stopped working with community NGOs, others may well include them in the work, or to continue to fund them to carry it out. This may lead to a new and mutually beneficial relationship for Catholic health facilities and projects with government.

 What may be needed now is a re-thinking of what Catholic health offers, rather than an abandoning of Catholic health services; seeking to partner with government to help it achieve its ambitious goals rather than working in isolation; doing a thorough assessment of the value of each organisation’s work to the community, and finally establishing goals for the future.

 It could be that Catholic organizations expand their services to include new areas of need, such as;

·        The provision of care, including health care, to orphans and vulnerable children and youth, whose numbers are growing significantly due to AIDS

·        Contracting with government to provide specific services such as medical male circumcision, ante-natal care, provision of anti-retroviral medication, down-referral clinics, palliative care, school health services, running community wellness centers, etc.

 This is not a bad thing! It may prove to be a much-needed re-affirmation of Catholic health values and a re-dedication to Catholic health service, for the Church in Southern Africa . While some may change direction, others may find renewed energy and a more focused commitment to their work. Some may even introduce new health services, in response to government’s call. It is a time for spiritual and organizational renewal.

Send us your views on this! to director@cathca.co.za

 CATHCA’s role in this

CATHCA’s role is a supportive and an energizing one, encouraging its members to think creatively and realistically about their work. It plans to register as a training service provider in home-based and community health care, to keep its members up to date with all the changes in the health system being introduced in South Africa , and to build their sustainability while also focusing on spiritual accompaniment.

 In the Service of Healing’ – a history of Catholic health care in Southern Africa

Orders for this book at R60 + postage can be sent to Loek at admin@cathca.co.za; she can also be contacted at 011 880 4022.

 2011 Regional Conferences

The Limpopo , Mpumalanga and Swaziland Regional Conference – October 21 -23.

Lulu, Yvonne and Vida headed for Hazyview in Mpumalanga on October 21st for the final regional conference of the year, attended by 23 delegates from 9 CATHCA member organisations. Numbers were down, despite much encouragement from CATHCA, and this may be due to many organisations ‘feeling the pinch’ in their finances.

 Mr Moses Siwelane from the Mpumalanga Dept of Health talked about the department’s plans and encouraged community-based organisations to stay in touch with their local district, providing us with the district contact numbers and people. We held training sessions on work ethics and fundraising, talked about the government’s new primary health care plan and CATHCA’s work during 2011 and ended with discussions on what people would take away from the conference for their own organisations. It was a good ending to a long year of regional conferences, which are an essential part of CATHCA’s communication with its members.

   Useful links and articles

1.       Test, treat and keep on treatment –Health e-news, December 3rd 2011 .

People with HIV who are on antiretroviral medicine and have an undetectable level of the virus are at virtually no risk of infecting their partners.This ground-breaking new research makes it possible for South Africa to cut HIV transmission substantially by using ARV treatment.

Research involved 1 763 couples in nine countries, including South Africa., where one was HIV positive and the other HIV negative.All the HIV positive partners had CD4 counts of between 350 and 500, which means that they did not yet need ARVs.The couples were randomly divided into two groups. In the first group, the HIV positive partners were put onto ARVs immediately. In the second group, ARVs were delayed until the partners with HIV reached a CD4 count of 250 or they developed an AIDS-related illness.

There was a 96% reduction in transmission in the early treatment group. “I would say that people who are on successful ARV treatment are 100 percent safe and will not transmit the virus,” says Dr Francois Venter.

The implications for South Africa , where almost one in five adults (18%) are living with HIV, are massive. There could be a very substantial reduction in HIV transmission by testing and treating those who needed it. The challenges of implementing the treatment-as-prevention policy are test, treat and keep on treatment.

2.      New National Strategic Plan on HIV, STIs and TB 2012 – 2016

This plan has been released and is available on the SANAC website at http://www.sanac.org.za/ . It has 4 broad goals

1. Reduce new HIV infections by at least 50% using combination prevention approaches;

2. Initiate at least 80% of eligible patients on antiretroviral treatment (ART), with 70% alive and on treatment five years after initiation;

3. Reduce the number of new TB infections as well as deaths from TB by 50%;

4. Ensure an enabling and accessible legal framework that protects and promotes human rights in order to support implementation of the NSP; and

5. Reduce self-reported stigma related to HIV and TB by at least 50%.

Its strategic objectives are to:

1. Address social and structural barriers to HIV, STI and TB prevention, care and impact;

2. Prevent new HIV, STI and TB infections;

3. Sustain health and wellness; and

4. Increase protection of human rights and improve access to justice.

 3.      Door-to-door outreach cuts TB prevalence  - Plus News November 1, 2011
Home-based tuberculosis (TB)education and testing reduced community TB prevalence by about 20percent, according to findings of a large, two-country study released recently. Conducted among almost 963,000 people in
Zambia and South Africa , the ZAMSTAR study rolled out household education and TB testing to some communities while others received enhanced TB case detection, which included activities such as community dramas to raise TB awareness.

While enhanced TB case detection had no effect on new cases of TB or TB prevalence, household interventions reduced prevalence and reduced the risk of contracting TB among children in targeted communities by half.  

The study found that awareness-raising prompted more people to test for TB, which was conducted at clinics that fast-tracked TB screening and sputum collection or at community collection points that were no more than 30 minutes walk from patients’ homes.
http://www.plusnews.org/report.aspx?reportid=94117

 4.      Different’ sexual behaviours power HIV? –AfroAIDS Info – December 2011
This is a thought-provoking article based on a talk given by Professor Francois Venter encouraging researchers to investigate better sex behaviour science that is related to HIV transmission. Professor Francois Venter is the deputy executive director of the Wits Reproductive Health and HIV Institute in
South Africa . Read more.

5.        HIV: More Pregnant Mothers Infected  - SANGONET November 20th 2011

Health Minister Aaron Motsoaledi says that the HIV-prevalence among pregnant women in the country has increased from 29.4 to 30.2 percent, during the release of the National Antenatal Sentinel HIV and Syphilis Prevalence survey.  To read the article titled, “More pregnant women infected with Aids virus,” click here.

--------------------------------------------------------

     Subscribe:

CATHCA produces a regular e-mail newsletter called e-NEWS, with information about current CATHCA activities, new developments in the health field, courses and conferences, and news about health legislation.  If you wish to subscribe, fill in your details and click on the button marked "Subscribe" below:
 

More information

Click on a button on the left for more information about CATHCA, its history, membership, addresses of clinics and other institutions, structure, parish nursing programme, staff members, work with HIV/AIDS, and medicines.  

Contact details: CATHCA, P O Box 52015, Saxonwold, 2132

St. Vincent School for the Deaf, 158 Oxford Road, Melrose, Johannesburg

Telephone: +27 11 880 4022  Fax: +27 11 880 4084

E-mail : info@cathca.co.za