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Right to Care is at the vanguard in supporting and delivering prevention, care, and treatment services for HIV and associated diseases. We work with government and communities to find pioneering solutions to build and strengthening public healthcare.
We embrace a strong entrepreneurial culture and focused on innovation and the use of technology to enhance services, address skills shortages, and deliver quality healthcare outcomes. Our areas of expertise include HIV and TB care and treatment, pharmacy automation, medical male circumcision, and cervical cancer diagnosis and treatment.
Research fortifies our work in every field. Our experts share their knowledge at conferences, through certified training and articles published in peer-reviewed journals.
Our history
In 2001, our founder Prof Ian Sanne registered Right to Care as a non-profit (Section 21) organisation in Johannesburg. A year later our first funding was received from the international aid agency USAID.
In 2004, we moved into our current offices at Helen Joseph Hospital, Johannesburg, and began providing clinic services funded by the Pepfar, a fund administered by USAID. By this time, Right to Care had matured from a start-up, pioneer-led organisation to a well-established donor-funded NGO. Within a few years, we were providing tens of thousands of patient with ARV and TB treatment in multiple provinces.
In 2010, with a growing compliment of 500 staff members, we were appointed principal recipient for the Global Fund (Round 10). Around that time, we began a USAID-led transition from direct service delivery to technical assistance, primarily to the Department of Health. Our partnership with the Department of Health was strengthened and a renewed focus was on supporting their initiatives.
Today we have over 1500 staff members and this is growing. Our mission stretches beyond South African borders and we are providing assistance internationally.
Our vision
That every individual will have ready and affordable access to quality evidence-based medical services.
Our mission
To respond to public health needs by supporting and delivering innovative, quality healthcare solutions, based on the latest medical research and established best practices, for the prevention, treatment, and management of infectious and chronic diseases.Description
PROJECT PLANNING
10% Take burden of disease in consideration when doing planning e.g., chronic disease area needs less service than an identified TB hotspot area
Use strengths and weaknesses of team when placing them e.g., a specific CHW can be excellent providing adherence support whilst another is better with demand creation
Professional Nurses must submit a monthly programme with the estimated kilometres to the Project Coordinator
Professional Nurse for Community Based Service Team must take the following in consideration when planning the month programme;
Coordinates basic care (1st and follow up visits) rendered by the CHW – who is doing the basic care, number of basic care per area, how many CHW’s allocated, frequency of the visits and due date for review (6 weeks)
Alternative Distribution Sites – when and where are these sites, how many CHW’s with home-based care experience and CHW’s with lay counsellor experience needed
Creche visits (registered and unregistered) – who are the creches, how many children, frequency of visits i.e., visiting unregistered creches more often than registered creches, how many CHW’s to allocate to the visit
Number of household assessments per month per catchment area and CHW allocation
Allocate days for CHW with lay counsellor experience in the facility and community and ensure that health talks will continue as per planned roster
For Wellness Services and Community Based Services as part of the COPC approach, the team must take the following in consideration when planning the month programme
Outreaches / wellness events / youth and workplace activities / focus on adherence groups – take events calendar in consideration and Departmental / stakeholder request, will it be during working hours, after-hours or weekends / Public Holidays, logistics with regards transport, staffing requirement, equipment, and time-off in lieu should team be required to work overtime
Different types of services can be delivered in different settings e.g., adherence support in a community, school or church hall, screening and testing at a taxi rank, and health education on the grounds of a sports club and plan accordingly
Include community health workers with home based care experience as well as community health worker with lay counsellor experience
Alternative distribution sites – to allocate a community health worker with lay counsellor experience whose strength it is to work with non-adherent clients
Compile a roster with Operational Manager for CHW with lay counsellor experience to determine the days in the community and those in the facility
Attend to the service components: Community engagement and household assessment, Maternal and Newborn health, Child and Adolescent Health, Sexual Reproductive Health, Healthy Ageing
Focus on preventative, promotive, curative, rehabilitative and palliation activities
Focus on key populations and vulnerable communities as stipulated in the workplan
Specific to wellness services:
The services must be as convenient as possible to people in community and their living spaces with the
Professional Nurse must source spaces available that can be within the working, living, learning and social spaces of the community should the service be delivered at a fixed site or by using the mobile unit
The service must be free and accessible, not appointment based and be adequately marketed to target groups and / or key populations within the community
Focus on flexibility to respond to the needs and circumstances for individuals and groups of people
Schedule the RtC mobile unit to access hard-to-reach communities
RtC fixed Wellness Sites must ensure an (i) appropriate waiting area (ii) private and safe working environment (iii) adequate counselling space to ensure confidentiality (iv) sufficient space to conduct the test privately, and a safe environment for patient access according to all OHAS specifications
Link the NPO Wellness Centre to the HTA project ensuring an accessible service that suits the client’s working conditions / hours
Compile Annual Leave Planner CLINICAL CARE
40%Strengthen the clinical preventative activities within a community-based setting in working with the Wellness PN in COPC focus areas
Administration of immunisation in the community and ensure proper cold chain management
Administration of Vit A and deworming
Provision of Sexual Reproductive Health e.g., family planning
Men’s Health Screening and referral
Perform cervical screening and breast examination in an appropriate community venue
Take bedridden patient’s blood e.g., liver functions
Conduct on-the-spot HIV testing when needed
Support all health campaigns including visits to schools and creches and administering vaccinations e.g., measles, HPV, influenza, COVID19, when necessary BASIC CARE AND REHABILITATION
10% Assessment all referred clients within 3 days (72 hours) after referral
Determine type of nursing care such as bed wash, wound care, pressure sores, ulcer management, catheter care, feeding
Provide nursing care plan with interventions and treatments with an outcomes-based discharge plan
Allocated CHW’s to the client in the catchment area
Maintain a file of all patients referred to HCBS for Basic and Transitional Care
Accurate recordkeeping of patient progress, interventions and treatment with regards the outcomes- based nursing plan
Professional Nurse should provide CHW with relevant records for follow up visits
Record client on HCBS register
Professional monitoring and review of patients’ needs should take place at intervals no longer than six weeks and frequently as little as two weeks if possible
Treat client with dignity and respect
Ensure a safe, clean and secure working environment taking patient safety in consideration
Ensure that clinical records are stored in an appropriate safe lockable area
Ensure patient safety in the community such as storage of medicines and the procedure for medical waste management are applied to – educate CHW’s
Involve primary caregiver in the household and train primary caregiver to provide basic care to the client at home
Follow the Wound Care Guideline – 2021 – Assessment and care of the “hole within the whole”; all complicated wounds should be referred HEALTH PROMOTION AND WELLNESS
10%
Strengthen the more preventative and promotive health aspects within a community-based setting in working with the Wellness PN in COPC focus areas
Supervises and assists with wellness campaigns; community health promotion and marketing as well as WoW interventions
Ensure that the team identify clients in need of Child Health: Immunisation, Vit A, Deworming and nutrition; Women’s Health: Family Planning & Cervical Screening and breast examination and refer the non-adherent clients to the professional nurse
Support all health campaigns including visits to schools and creches e.g., measles, HPV, influenza
Planning meetings with the Operational Manager, Wellness Professional Nurse and other NGO projects, stakeholders working in the defined geographical area, having targeted interventions focusing on outcomes / impact
Follow the quarterly events plan according to the four seasons and Health Calendar i.e., April, July, Oct, Jan ADHERENCE SUPPORT
5% Liaises closely with PHC services in following up referred clients from and / to PHC
Provide assistance at the Alternative Distribution Sites.
Ensure the venue, register and medications are ready for the club sessions at the right time
Measuring and monitoring blood pressure, blood glucose within the scope of practice of a CHW
Provide information on intake of medication, promotion of physical activity
Educate patients and their families on the importance of lifestyle changes
Information on health risks including tobacco use, hazardous use of alcohol, unhealthy eating habits, insufficient physical activity and effective prevention measures
Assess treatment literacy, support with quality educational tools
Finding ways to increase compliance with medication HUMAN RESOURCE DEVELOPMENT
10% Identify training needs and complete an annual in – service training roster and submit to the Project Coordinator
Coordinates formal CHW training (refresher course) and provide a replacement in the event of CHW absence
Apply different teaching and mentoring principles to ensure staff competencies and retention of knowledge
Employee Wellness: Project Coordinator must be informed of the procedure referring and employee to the Company’s Employee Assistance Programme ensuring the emotional, mental health and crisis related needs of staff
Project Coordinator and Professional Nurse should schedule a quarterly supervision combine with in – service training, WOW activities and feedback on progress made (M&E) to the team
Performance Management
Project Coordinator should explain the Annual Employee Performance Management Review to the Professional Nurse and provide in service training in using the prescribed manual that is available
Discuss individual targets to be achieved to the employee and obtain a signature as acknowledgement thereof
Conduct quarterly performance reviews focusing on indicators and individual targets to achieve QUALITY ASSURANCE
5% Applicable to RtC rented sites:
Professional Nurse and Project Coordinator should ensure that all areas identified by the Occupational Health and Safety Act No 85 of 1993 are in place
Evacuation Plan well displayed at all exits and control points
Emergency Plans are documented, up to date and emergency drill is practiced regularly
Emergency Numbers must be clearly displayed
Sufficient fire extinguishers and hoses are available, clearly marked and visible and are regularly serviced
Availability of first aid kits
Universal precautions are upheld
Trained and Appointed of Health Safety Officers i.e., Fire Marshall, First Aider, SHE representative
Monthly site SHE (Safety, Health, Environment) held and minutes submitted to the Provincial Health and Safety Committee
Submit 1st of the month the SHE Rep, Fire and First Aid Checklist to the Chairperson of the Health and Safety Committee
Educate staff in infection control from to convey the knowledge to their service users
Ensure the employees have an adequate understanding on Occupational Exposure to TB – how to apply basic infection prevention and control measures in high risk areas
Wear the appropriate personal protective equipment such as N95 masks, aprons, gloves
Ensure that proper hand wash technique applied – reminder that is also a requirement for NCS and the Ideal Clinic that all staff are properly trained in hand wash technique
Ensure a safe, clean and secure working environment for the team; apply personal infection control measures
Know in advance when riots will take place and do not allocate staff to the specific areas
Professional Nurse should do monthly Quality Assurance visits to monitor service delivery (Focusing on equity and efficiency) and evaluate the quality of screening done as well as surveying the clients for quality service rendering
Professional Nurse should do weekly Quality Assurance on the CHW daily collection tool to prevent fraudulent activities
Professional Nurse and Project Coordinator should analyse the monthly data and implement a quality improvement plan to improve on targets not reached
Ensure that the annual client satisfaction survey completed by the end of Sept
Demonstrate and understand traditional healing practices within the health care user’s belief RECORDKEEPING AND DATA COLLECTION
5%Assess the availability, usage and completeness of standardized forms and applicable registers
Explain data collection tools and definitions to the community health worker
Ensure all recordkeeping by Community Health Workers are completed and collated
Submit verified weekly and monthly data to the identified person responsible for M & E
Ensure all statistic totals are submitted timeously to the Project Coordinator and DoH
Compile a monthly report for Project Coordinator ADMINISTRATION
5%
Project Coordinator and Professional Nurse must have a good working relationship with the District and Sub District CBS manager and CBS coordinator
Attend all relevant Departmental meetings
Implementation of 2-weekly or at least once a month a meeting with PHC facility:
Has “back referral” as standing point on the agenda in order to measure the impact made by HCBS
Professional Nurse and Project Coordinator must have a monthly PDR meeting with the team
Submit annual leave end of June and ensure that all leave forms submitted to the SAGE impersonator
Monitor stock levels – apply the FIFO principle and ordering of consumables according to the prescribed dates of the PHC facility
Asset Management:
Ensure that the asset transfer form is completed and submit it to the Provincial Administrative Support who must place the item on the asset register
Ensure that the equipment is in a working condition and maintenance thereof
Report all broken and misplaced assets to the Project Coordinator
Requirements
Grade 12
Diploma in General Nursing
