1. CLOTHING INDUSTRY HEALTH CARE FUND Reproductive Health

2. 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? 22 600 clothing and textile members 28 400 dependants

3. 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

4. F UND M EMBERS

5. F UND B ENEFICIARIES

6. F UND B ENEFICIARIES A GE G ROUPS

7. 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

8. F UND FEMALE A GE G ROUPS

9. R EPRODUCTIVE HEALTH AGE GROUPS

10. 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

11. REPRODUCTIVE HEALTH STATISTICS

12. 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

13. P AP SMEAR RESULTS 2010

14. 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

15. T HANK YOU