The “Kampala Commitment 2019” from the WONCA Africa Conference in June was finalised and is supported by a range of organisations. See the draft web version here. The official version will be published shortly in the African Journal of PHC and Family Medicine, the official journal of WONCA Africa. Family doctors show their commitment to universal health coverage, primary health care and building the capacity of primary health care teams at scale in Africa. See the commitment in the reflections of family doctors at the WONCA Africa Conference.
However, we are very concerned that the draft UHC statement, to be adopted at the High-Level Meeting on Universal Health Coverage in New York in September 2019, does not address human resources for PHC, specifically the need for everyone to have access to a family doctor. In Africa this is possible with a family doctor-led team of clinical officers, nurses, community health worker etc. but instead family doctors are simply ignored and it is planned that Africans should be happy with an unsupported community health worker for first contact care. See our response to a BMJ articleto show the concern shared by family doctors globally. I have been informed that this UHC statement can now only be amended by national governments. I urge you to support a campaign. Circulate this in your country and aim it at your national government. Do it for Africa!
A WONCA Africa delegation is scheduled to visit WHO AFRO in Brazzaville 13-14th August to get to know each other. The President-elect and I are later to join the Annual WHO AFRO Regional Committee Meeting of Ministers of Health in Africa 19-23rd August. A key outcome is how we can support each other in leaving no-one behind in African health. See the reflection by Dr. Tumusiime of WHO AFRO. We hope to contribute to how district health services emerge in Africa and how best to build capacity of the PHC team in Africa. We plan that WHO AFRO Country Representatives facilitate interactions between our country Member Organisations and high-level government officials in those countries to address challenges of PHC and the role of family doctors there. Hope to keep you posted. Get organised at a country level in Africa and contact us.
We also don’t want to leave our PHC team colleagues behind. One of the proposals that came out of the WHO AFRO Workshop in Kampala was to set up an African Forum for Primary Care, bringing together all healthcare professionals/workers at the African coalface in primary care and ensuring that we ALL have a voice in policy on primary health care in Africa. We are reaching out to clinical officer organisations, nursing organisations, CHW organisations and a range of the others interested/involved in PHC in Africa to develop such a forum. Towards Unity for Health have allowed WONCA Africa to use their online platform as a communication vehicle for the African Forum for Primary Care (AFPC), without the usual cost to you. If you would like to be part of developing the AFPC then email me at firstname.lastname@example.org and let us get the conversation going. PLEASE share this with any of your local colleagues in the PHC team in Africa.
In terms of developing this African Forum for Primary Care I am attending the 2nd Interprofessional Education and Collaborative Practice for Africa Conference in Nairobi. I hope to be able to engage with other disciplines as well as AMREF to build support for it. It is vitally important that African plans for UHC do not pay lip service to PHC whilst resources and policy focus on hospitals and specialists. We need to collectively advocate for strong PHC in Africa. I also hope to engage in Nairobi with Mr Nathaniel Otoo current Director of Strategic Purchasing: Africa Resource Centre (SPARC). This is an African support network (and part of the Joint Learning Network) to assist African governments in reforming payment systems for universal health coverage. We will explore a partnership between SPARC and WONCA Africa/African Forum for Primary Care. See Mr. Otoo’s reflection at our Conference.
Do you want to do a PhD? Join an online webinar 8pm (GMT+2) on Thursday 18th July 2019. Register here. Prof. Sebastian Magobatha will present his PhD work in progress on “Outcomes of hip replacement between hospitals in Gauteng, South Africa” We will also discuss simple referencing systems. Do you want to support African family doctors to do their PhD at your university? Email me with your details and your research interests so that we can match them to you. See more at the WONCA Africa Ph.D. Forum.
Do you want to develop your academic skills, starting with doing MCQs? Join an online webinar 8pm (GMT+2) on Thursday 25th July 2019. Register here. Prof Mergan Naidoo of University KwaZulu Natal and MCQ lead for the examinations of the SA College of Family Physicians will be doing a series on developing multiple choice questions for examinations.
Keep in touch. Visit the WONCA Africa website and join WONCA Africa colleagues on Facebook, Twitter, YouTube orTelegram. Feel free to circulate this email to colleagues. Ask them to join the email list here. Don’t forget to join us for the WONCA2020 Conference in Abu Dhabi.
Join the Health System Science (HSS) Webinar 8-9pm (SA Standard Time), 15th July 2019 on ” Informatics in medical education – Perspectives from the U.S. and South Africa” Register here
Check out www.ProfMoosa.com for more useful stuff e.g.
- Cabinet approves National Health Insurance Bill
- A Digital Path to Health for All
- China’s Health System reforms: review of 10 years of progress
- Moving Together to Build a Healthier World: Key Asks from the UHC Movement UN High-Level Meeting on Universal Health Coverage
Assoc. Prof. S. Moosa
MBChB, MFamMed, MBA, PhD
Jhb-Wits Family Medicine / Wonca Africa
+27(0)824466825 / +27(0)11–9840128
ProfMoosa | AfroCP | WoncaAfrica | WitsHSS
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