Description:
49 Community Health Workers provide health services to community members, in the comfort of their own homes.
These services are provided to the community from Monday to Friday, with the focus on:
- Health Screenings
- Basic Care
- Referrals to Primary Health Care
- Prevention and Promotion
- Wellness and Self-Management
*** This program is funded by Department of Health, and the services are provided to the community free of charge. It is also in close partnership with Primary Health Care and Government structures.
Definition of Integrated Health and Wellness:
The provision of health services by formal/informal caregivers in the home; in order to promote, restore and maintain a person’s maximum level of comfort, function and health including care towards a dignified death.
Goals of Integrated Health and Wellness: 
- 10% Basic Care
- 90% Health Screenings of Households and Crèches; including promotion of Wellness and Self-Management with Primary Health Care support.
- To promote health and prevent illnesses.
- To support screening and health
- To mobilize around community needs.
- To identify household’s health needs.
- To provide psycho-social support to community members.
- To identify and manage minor health problems.
- To support screening and health promotions programs in the community.
- To support continuum of care.
- To ensure de-hospitalization and family involvement.
- To help users maintain independence and achieve best possible quality of life.
- To develop user’s ability to self-care.
Services and Guiding Principles:
Integrated Health and Wellness recognizes people’s capacity to self-help and involves a comprehensive range of context-specific interventions that positively influences environmental- and personal factors such as psycho-social abilities, lifestyle issues, behaviour patterns and habits. It’s an array of interventions that support the actions people take to maintain health and well-being; prevent illness and accidents; care for minor ailments and long-term conditions; and recover from periods of acute illness or hospitalization.
The services are Patient-centered and Multi-Professional. It follows a community-based and stakeholder participatory approach.
Typical Admission/Patient:
- Needs screening, health education and support to stay healthy, safe and free from abuse and neglect.
- Compromised functional status requiring personal care and support.
- Requires adherence support.
- Requires promotion of wellness.
- Requires guidance towards self-management.
- Requires Primary Health Care Interventions/Support.
- Requires end of life care.
- Requires multi-disciplinary interventions to be holistically healthy and function (as possible) as a member of a family/the community.
Staff Members:
- 1 Divisional Head
- 2 Professional Nurse Coordinators
- 1 Community Health Workers Supervisor
- 44 Community Health Workers
- 1 Integrated School Health care worker (** part of NHI Pilot project in Eden Health district)
- 1 Occupational Therapist
- 1 Occupational Therapy technician
- 1 Social worker (shared with Intermediate Care)
- Outsourced Physiotherapy: Integrated Physiotherapy (George)
- 1 Psychologist
Interventions:
- Health Screenings
- Referrals to Primary Health Care
- Wellness Support
- Basic Medical Care
- Palliative Care
- Occupational Therapy
- Provision of Assistive Devices and Wheelchairs
- Physiotherapy
- Adherence Support
- Psycho-social- and Emotional Care
- Spiritual Care
- Family Support and -Empowerment