Dr Shabir Moosa, MMed, MBA, PhD

CCP Resources

Access literature on COPC

Do you want to do research at Chiawelo Community Practice? Go here. Try developing a draft protocol using this Research Concept Note. Join the CARTA programme at Wits. See list of Prof Moosas publications and CCP Research Projects underway here.

The following documents are useful to understand the NHI and PHC Re-engineering:

The following forms are required by Community Health Workers (CHWs) in the PHC Outreach Team:

The CHWs keep the blank forms in a flip file and collect filled forms into a lever arch file using the following contents page – CHW File Cover – and key tools to make sense of the data collected on Household Registration Forms: Street Summary Sheets and CHW Family Profiles

The following forms are required for set up by the Team Leaders (TLs):

The following forms are required for monthly evaluation of CHWs by TLs:

The Chiawelo Community Practice reports monthly using the tool: Chiawelo Monthly Report Form.

The Household Registration form (as well as Individual/Maternal forms) gets placed in a CHW file per family once captured on the CHW Family Profiles. A blank page is added for notes. The CHWs file has a cover page (Chiawelo CP Folder Family) and a genogram inside (Chiawelo CP Folder Genogram).

The CHWs file is kept together with the Community Practice records: a Family Folder ((Chiawelo CP Folder Family) a Patient Folder for all members of the member (Chiawelo CP Folder Patient) with a Problem List on the inside cover of each Patient Folder (Chiawelo CP Folder Problem List). All Household Registration respondents and patients visiting the Community Practice sign a Consent Form (Gauteng FM Consent Form). Clinicians occasionally use the International Classification of Primary Care 2-pager (ICPC Code Sheet) to collect data using the ICPC 2 Data_Collection_Sheet in addition to collecting DHIS data. Each clinician is given instructions for clinicians to the clinical workings of CCP. Students are schooled on good consultation approaches using the following three articles.

We are also working hard to improve Ongoing Care. We have a record kept by clinicians CCP Ongoing Care Record 17-05-24, supplemented by a record of functionality CCP Review of functioning and ability. We also encourage clinicians to engage in strong teamwork with CHWs by providing notes in the CHW folder especially on psychosocial / education challenges that are then handed to CHWs. As we manage the patient we decide if the patient is stable and plan investigations / followup using the Ongoing Care Records, often 6-12 monthly. CHWs are expected to visit chronic patients three-monthly, especially to address medication adherence. We have also introduced a strong individual prevention programme using the CCP Preventive Care Record 18-06-08. It is premised on high-level evidence from the US Preventive Services Taskforce.

Patients are overjoyed!

There are a host of Wits students already going through Chiawelo Community Practice and benefiting from this experience:

  1. Postgraduates
    1. Family Medicine Registrars – 2-3 x 1 month (See Registrar COPC Assignment and COPC Resources)
  2. Medical Students
    1. 6th Year (GEMP4) Integrated Primary Care Block: 4-5 students x 6 weekly (See _GEMP4 IPC Block Plan CCPIPC Guide 06 April 2016 and IPC Logbook 06 April 2016)
    2. 5th Year (GEMP3) Public Health Block: 8 students x 2 weekly for half a day
    3. 3rd Year (GEMP1) Community Visits: 25-50 students x 9 days per year
  3. Clinical Associate Students
    1. 2nd Year – 3-6 x 6-7 weekly x twice yearly
  4. Occupational Therapy Students
    1. 4th year
  5. Speech/Audiology Students
    1. 4th Year: 8 students x 6-7 weekly annually
  6. Humanities
    1. Sociology students – 1 visit per year

We also have interns joining us every two weeks. Weekly CCP Plan for Interns 2021

Join the CCP Clinician WhatsApp group when you join us at CCP.

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