ICRM Peer Review Feedback and Planning Presentation Presenter: Ms Maneo Dichaba Date: 21 April 2016

Outline of presentation  Background of PPTICRM  Composition of PPTICRMs and responsibilities  Current status of PPTICRM at Provinces  Challenges  Conclusion

 Completion of pilot phase of ICRM in 2014  Need to roll out  Establishment of programme drivers - PPTICRM  National conducted 4 Provincial workshops facilitated by HST  Outcome –PPTICRM composition, team leader, roles and responsibilities, communication channels. - Steering Committee ( enabler) composition, roles and responsibilities  Background of PPTICRM

 Core business of PPTICRM –move / change red and amber colours to green and sustained ( National Core Standards)  6 weeks Operation Phakisa Health lab in 2014 came up with initiatives to improve service delivery from ( 8 work streams)  One recommendation from the scale up and sustainable work stream was establishment of delivery units at different levels of Health Management for ICRM to be realised.

 National DG: (chairperson)  Provincial HODs  National DDG: PHC (National ICRM Champion)  National CFO  Co-opted Officials (Infrastructure, HR, Pharmaceutical and Health Information Management)  DG nominated stakeholders Composition at National Executive level (NHC Tech)

 Administrative oversight  Mobilise resources  Remove implementation bottlenecks  Monitoring and evaluation Role of NHC Tech

 DDG: PHC (chairperson)  National Provincial ICRM Managers  Chief Director :DHS  Senior Manager: PHC  Technical Support Team  Quality representative  Infrastructure Representative  Finance Representative Composition of National PPTICRM

 Oversee overall ICRM implementation  Support implementation in provinces  Escalate bottlenecks to the NHC Tech after communicating them to the provinces. National PPTICRM Roles and Responsibilities

 Head of Department: Chairperson  Deputy Director General: Clinical Health  Deputy Director General: NHI  Provincial: CFO  Chief Director: DHS  Chief Director: HR Provincial Executive Committee composition

Provincial Executive Management Committee Role and Responsibilities  Administrative oversight  Mobilise resources  Remove implementation bottlenecks  Monitoring and evaluation

Provincial PPTICRM Composition  Provincial Manager: Quality: Chairperson  Provincial Manager: PHC  Finance Representative  District Managers  Infrastructure Representative  Finance Representative

Provincial PPTICRM Roles and Responsibilities  Oversee overall ICRM implementation  Support implementation in provinces

District PPTICRM Composition  District Manager: Chairperson  PHC Manager  Finance manager  HR Manager  Infrastructure Manager  Quality Assurance: Manager  Sub-District manager  Pharmacy Manager  :ICRM Champion choice....

District PPTICRM Roles and Responsibilities Facilitate and support overall ICRM implementation  Status determination  Peer reviews  Facility improvement plans

Current status of PPTICRMs at Provinces

 Provincial PPTICRMs in some provinces not formally appointed resulting in low levels of commitment.  Ideal Clinic activities are not seen as part of core responsibilities.  District champions are also responsible for other programs, e.g. Risk Management, MCWH,NCS, Infection control and complaints managements,etc.  Team members are allocated other ad hoc responsibilities by their immediate supervisors Challenges of PPTICRMs

CONCLUSION  The is a need for provinces/districts to operationalise resolutions of the Operation Phakisa ICRM Lab as approved by Departments of Health and The Presidency.