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38

HSRC Annual Report 2016/17

TeenMomconnect

This health service and health systems project aims to reduce the four leading causes of maternal mortality in pregnant

teenage girls, namely, hypertension, non-pregnancy related infections (HIV/AIDS-related, TB or pneumonia), obstetric

haemorrhage, and medical and surgical disorders.

The project is a mixed method study to design, pre-test, and pilot a health intervention that has two parts:

Firstly, a SMS intervention that is appropriate to the age, culture, and language of teenagers; and

Secondly, a motivational interviewing intervention, to be delivered by healthcare workers.

TeenMomconnect aims to extend the traditional school- and community-based platform delivery models and involve

innovative technologies, such as the use of cell phones, to maximise health coverage and shape health and wellbeing

in pregnant teenagers.

HealthRise

HealthRise is aligned with the South African Government’s goal of reducing premature mortality fromNCDs, cardiovascular

diseases (CVDs) and diabetes in the Pixley ka Seme District in the Northern Cape and the uMgungundlovu District in

KwaZulu-Natal.

The two districts are among the 11 National Health Insurance (NHI) pilot sites. These sites were selected because they

are particularly underserved, with poor health outcomes and in urgent need of quality improvement and health system

strengthening.

HealthRise South Africa appointed two local grantees, Project HOPE for the Northern Cape and Expectra for KwaZulu-

Natal, to implement demonstration projects aimed at achieving specific, targeted percentages to increase screening,

diagnosis, management and control of CVD and diabetes by September 2018, based on the burden of disease and the

context of their targeted geographies. The demonstration projects are innovative, replicable, scalable, and designed

for sustainability.

Lifestyle Diseases in Gauteng

This project aimed to estimate the prevalence of diabetes, CVD, obesity, and the use of tobacco, alcohol and other drugs

among the general population in Gauteng, to develop innovative and province-specific recommendations to improve

existing measures aimed at preventing and reducing lifestyle diseases at various levels of impact.

Malnutrition in Gauteng

The prevalence of undernutrition (wasting, stunting and underweight), micronutrient malnutrition (iron, vitamin A), and

over nutrition (overweight and obesity) in children aged 0–5 years in Gauteng was estimated, to provide an understanding

of the determinants of malnutrition and to formulate innovative and province-specific recommendations to curb and

minimise malnutrition.

Evaluation of Informal Settlements

This was the first comprehensive survey that examined access to basic services; physical environment; health; food and

nutrition security; crime and safety; economic activities; social capital and community empowerment; and attitudes

towards foreigners, to strengthen implementation and improve the performance of the Upgrading of Informal Settlements

Programme (UISP). It determined the nature and sustainability of the UISP outcomes, and measurable impacts on

beneficiaries and communities in the UISP.

The key question that the baseline study posed was: What is the current status of informal settlements targeted for

upgrading? This survey examined a nationally representative sample of 2 380 households and over 9 000 household

members residing in 78 informal settlements out of a targeted 119.

PART B: Performance Overview