1.2) Healthcare system

Question 1

SAs healthcare system consists of

Answer 1

large public sector
smaller but fast growing private sector
NGO sector

Question 2

How do NGOs contribute to the health sector

Answer 2

By focusing on HIV/AIDs and TB

Question 3

What funds the public healthcare sector

Answer 3

The National Treasury

Question 4

Public Healthcare system serves who

Answer 4

majority of population due to the country’s high levels of poverty and unemployment

Question 5

Optimal functionality of the public healthcare sector id hampered by

Answer 5

shortage of medical personnel

Question 6

How was the shortage of medical personnel addressed

Answer 6

-employment of foreign medical practitioners
- made it easier for foreign medical professionals to practice in SA
-newly qualified SA healthcare professionals do compulsory community service

Question 7

Level 1 consists of

Answer 7

3 types of facilities with a step up referral system

Question 8

What is a Primary Healthcare clinic

Answer 8

First line of access for people needing healthcare

Question 9

Primary Healthcare clinics offer

Answer 9

-immunisations
-family planning
- ante-natal care
-treatment of common diseases
-treatment and managemnt of TB
-HIV and AIDS counselling

Question 10

Cost of Primary healthcare clinics

Answer 10

Services are free of charge

Question 11

Next stop after Primary healthcare clinic

Answer 11

Community Healthcare clinic

Question 12

What is a Community Healthcare clinic

Answer 12

2nd step in providing healthcare but it can be used for first-contact care

Question 13

Community Healthcare clinics offer

Answer 13

-services similar to PHC
- 24hr maternity service
-emergency care
-casualty
-short-stay ward

Question 14

Next stop after CHC

Answer 14

District hospital when necessary

Question 15

What is a district hospital

Answer 15

3rd step in the provision of healthcare

Question 16

District hospitals receive

Answer 16

referrals from and provide generalist support to CHC and centres.

Question 17

District hospital services include

Answer 17

-diagnostic
-treatment
-care
-counselling and rehabilitation services

Question 18

District hospital clinical services include

Answer 18

-Surgery
-OBGYN
- Out-patients department
-Medicine
-Paeds
-Mental Health
-Geriatrics
-Casualty
-Clinical Forensic medical services

Question 19

Who delivers care at district hospitals

Answer 19

Medical Practitioners and nurses

Question 20

What happens if a District hospital cannot help a person

Answer 20

they will refer them to the local Regional Hospital

Question 21

What is a Regional Hospital

Answer 21

2nd level of healthcare

Question 22

Regional Hospitals provide

Answer 22

specialist support to several District hospitals

Question 23

Regional Hospitals refer patients to

Answer 23

Provincial Tertiary Hospital

Question 24

What is a Provincial Tertiary Hospital

Answer 24

3rd level of healthcare

Question 25

PTH provide

Answer 25

sub-specialist support to several Regional hospitals

Question 26

PTH offer

Answer 26

-Neurosurgery -neurology -plastic and reconstructive surgery -cardiology -urology -paediatric surgery -maxillo-facial surgery'-psychiatry -occupational health -Orthopaedics

Question 27

Who are the PTH staff

Answer 27

Specialists and Generalists

Question 28

PTH refer people to

Answer 28

National Central Hospital

Question 29

What is a National Central Hospital

Answer 29

4th and highest level of healthcare

Question 30

Central Hospitals consist of

Answer 30

Very highly specialised referral units

Question 31

Central hospitals provide

Answer 31

an environment for multi-specialty clinical services, innovation and research

Question 32

What are Specialised Hospitals

Answer 32

provide care only for certain specialised patients

Question 33

Specialised Hospitals include

Answer 33

-chronic psychiatric hospitals -TB hospitals -specialised spinal injury hospitals -acute infectious disease hospitals

Question 34

What is the NHLS

Answer 34

-largest pathology service in SA -provides diagnostic and health research services

Question 35

Referral system of Private healthcare

Answer 35

Referral system is medical aid scheme driven - GP has to refer the patient

Question 36

Funding of Private healthcare

Answer 36

by subscriptions of individuals to medical aid schemes

Question 37

System in place in private healthcare

Answer 37

A motivation system in order to obtain authorisation for chronic medication or specialised medication payment

Question 38

What is a country's burden of disease

Answer 38

an assessment that has been done on the mortality, morbidity, injuries, disabilities and other risk factors specific to a country

Question 39

Define Mortality rate

Answer 39

measures the no. of deaths in a particular population over a specific period

Question 40

Defines Morbidity rate

Answer 40

frequency or proportion with which a disease appears in a country's population

Question 41

SAs burden of disease

Answer 41

4 groups: -HIV/AIDs & TB -Other communicable diseases (flu, colds, COVID) - Non-communicable diseases (diabetes, CVD, Cancer, COPD -Injuries

Question 42

What does PASOP stand for

Answer 42

Prevet, Avoid, Stop, Overcome and Protect

Question 43

What is PASOP

Answer 43

A campaign launched in Nov 2014 to call on all comunities to join hands with the government in the fight against HIV, AIDs and TB

Question 44

PASOP prioritises who

Answer 44

specific populations and vulnerable groups such as women, youth, sex workers, LGBTI community