POST 00710E : LOGISTICS TRAINING
Follow-up on Posts 00689E, 00697E, 00703E and 00707E
25 August 2004
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Auguste Ambendet (mailto:[email protected]) from WHOAFRO responds to
Jean Bomani while drifting away somehow from the topic of training as such.
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Dear all,
I would like to respond to Jean Bomani from EPI/Tanzania in relation to
supervision of immunization services. The District Health System is an
integrated health system. The Health District constitutes a territorial
entity made of a network of Health Centres or peripheral Health Units,
which gravitate around a referral hospital and is under the management of a
District Management Team.
Because of the lack of personnel in rural settings and considering the
peculiar relationship between the health system and the population,
peripheral health unit staff is polyvalent. It is the same personnel which
give curative and preventive care (including immunization), integrated care
(curative, preventive and promotional), and continuous care (referral to
District Hospital and counter-referral).
Generally, hospitals do have personnel in charge of logistics. If the
hospital is well rationalized, the logistics agent is integrated to the
district management team. As far as the District Management Team is
concerned, the modalities have for a long time been forgotten. But with the
launching of the "RED" approach (Reach Every District) or ACD (Atteindre
Chaque District) in French, some changes are being introduced. The case of
the Health District of Bafia in Cameroun is a good example. The
implementation of the RED approach started with strengthening of the
district organizational structure, whereby the following units were put
into place:
EPI Unit in charge of vaccines and Cold Chain equipment,
Information and Statistics Management Unit for EPI, and
Social Mobilisation Unit.
In conclusion, everything is centered round the district health system and
it is therefore important to take into consideration the main
characteristics of this system, i.e. an integrated continuous health care,
polyvalent personnel and a decentralized system.
Thank you.
Auguste Ambendet
Routine EPI Officer
VPD/AFRO/HARARE
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