Lynda Toussaint - Unjani clinic npc - case study
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Transcript of Lynda Toussaint - Unjani clinic npc - case study
“Empowering Healthcare” 5 May 2015
• Non-Profit Company, without members • Imperial Group’s enterprise development initiative • Empowering black women Professional Nurses • Creating employment • Improving healthcare access • Taking healthcare to our communities • Providing an affordable alternative • Improving healthcare quality • Mirroring NDOH Treatment Protocols & Guidelines
“Quality, affordable private healthcare”
• Concept developed out of the need for the urgent transformation in the healthcare system in South Africa;
• Fact that our country faces the triple affliction of HIV, AIDS & TB;
• Fact that 84% of our population are dependent on an overburdened Public Sector system; and
• A costly curative-care based model vs. disease prevention and promotion
• the concept was developed out of the need for the urgent transformation in the healthcare system in South Africa;
• the fact that our country faces the triple affliction of HIV, AIDS & TB;
• the fact that 84% of our population are dependent on an overburdened Public Sector system; and
• a costly curative-care based model vs. disease prevention and promotion
• Founded on an owner-operator model;
• Serving the “bottom of the pyramid” and under-served markets;
• An affordable, quality primary healthcare service and supply of quality medicines; and
• Based in our communities ensuring that the service is delivered at the point of need
• Objectives of initiative
• Establish sustainable primary healthcare clinics;
• Empower black female professional nurses;
• Create jobs;
• Provide alternative access to quality primary healthcare
• Project design
• Enterprise development funding;
• Simple, easily replicable model;
• Systems – education, operational, financial, clinical;
• Social franchise principals
• Unjani started with the opening of its first pilot in Etwatwa (Barcelona - Ekurhuleni) in 2010
• Subsequent openings: • Kwaggafontein (Mpumalanga) – Sept 2012 {ave 180 patients} • Villa Lisa (Ekurhuleni) – Oct 2012 {ave 280 patients} • Bram Fischerville (Soweto) – Feb 2013 {ave 222 patients) • Delft (Western Cape) – Feb 2013 {ave 275 patients} • Orange Farm (City of Johannesburg) – Feb 2013 {ave 298 patients}
• All of these Clinics have been in the Network for over 2 years now
• Average patient numbers per month = 250 odd
• From Sept 2014 to date, we have opened a further 8 Clinics: • Tembisa (Ekurhuleni) – 9 Sept 2014 {ave 282 patients} • Daveyton (Ekurhuleni) – 15 Sept 2014 {ave 316 patients} • Windmill Park (Ekurhuleni) – 21 Oct 2014 {ave 267 patients} • Winterveld (City of Tshwane) – 25 Nov 2014 {ave 170 patients} • Buhle Park (Ekurhuleni) – 28 Jan 2015 {ave 249 patients} • Klipfontein View (City of Johannesburg) – 12 Mar 2015 • Hebron (City of Tshwane) – 19 Mar 2015 • Tokoza (Ekurhuleni) – 15 Apr 2015
• All of these Clinics have signed 5 year Enterprise Development Agreements with the NPC
• Average patient numbers = 200 odd (in less than 9 months)
• Main activities • At the core is the provision of primary healthcare treatment • PHC Consultation @ R150 (incl. meds) • Education, baby clinics, ante and post natal care, wound care,
basic eye tests, blood screening and testing • Other services based on time and consumables cost
• Community outreach and NDOH campaign participation
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10 000
20 000
30 000
40 000
50 000
60 000
70 000
247 293 333 400
Income
Nurse Salary
• Impact & Successes
• 14 Clinics opened to date
• Patient numbers
• Reduced burden on State facilities
• Improved quality of care
• Nurses are returning to the profession
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50
100
150
200
250
300
350
400
450
Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec
Bram Fischerville
Daveyton
Delft
Etwatwa
Kwaggafontein
Orange Farm
Tembisa
Villa Lisa
Windmill Park
Winterveldt
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50
100
150
200
250
300
350
400
Jan-15 Feb-15 Mar-15
Bram Fischerville
Buhle Park
Daveyton
Delft
Etwatwa
Hebron
Klipfontein
Kwaggafontein
Orange Farm
Tembisa
Villa Lisa
Windmill Park
Winterveldt
• Challenges & Learnings
• Site selection
• Operator selection
• Resistence to technology
• Recognition from NDOH / Local Health Authorities
• Imperial Funded • 25 Clinics by June 2016
• Open up funding to Imperial Partners from July 2016 • Add 12 Clinics by June 2017
• Add another 13 Clinics by June 2018
50 Clinics in 5 years (2013 to 2018)
Serving between 150 000 & 240 000 patients annually
150 Jobs created