WORKPLACE WELLNESS

PROGRAMME

Workplace & HIV/AIDS Unit

Department of HIV/AIDS Prevention & Care

PEPFARPartners Meeting06/05/2010

GICC

INTRODUCTION

An initiative that dates back to 1990s Health Workers the backbone of the health care

system- forefront of prevention, treatment, care and support services

Impact of HIV/AIDS on Botswana Health Care System-Increased physical and emotional demand on Health

Worker-Emerging and re-emerging health problems impacting

further on already over-stretched workforce-Work environment a major source of stress,

discontent and burnout for health workers Health workforce a scarce resource with chronic

shortages hence the TTR WHO initiative 2006 Health Workers seek services late due to fear, stigma and

discrimination hence the WWP

SUMMARY OF ACHIEVEMENTS

2005/2006 MOH providing leadership and technical guidance with

PEPFAR support Programme Coordinator appointed in 2005 (supported

by PEPFAR) National steering committee in place for technical

guidance National needs assessment conducted in 2005 Sensitization of leadership at national and district level Development of Programme’s 3 year planGOAL: To provide services and support to enhance the

well-being and job-satisfaction of health workers in order to improve their emotional and physical health, prevent burnout, enhance staff retention and have a positive impact on patient care.

CARING FOR HEALTH WORKERS – A National Strategy for Botswana October 2006

Prayer session

Counselling

Prof. Counselling

Peer Counselling

Support Groups

Motiv. Talks

Stress mgt w

orkshops

Meditation training

Staff Resource Center

0

10

20

30

40

50

60

70

80

Available

Desired

SUMMARY OF ACHIEVEMENTS CONT..

2007 Facility Readiness Assessment conducted Supportive structures in place to drive implementation

o Operational Guidelines developed- minimum package services to be offered

o Workplace Wellness Committees (18 hospitals, 3 headquarters units)

o Quarterly reporting tool developedo Facility Support Visits conducted

Development of Health Promotion Materials Development of Capacity Building Modules on Stress

Management, Occupational Health Safety, Death & Dying and Team Building

o Commenced Training of TOTs and Support Group Facilitators

Programme Materials

STRESS MANAGEMENT

A Handbook for Health Workers

January 2008

TEAMBUILDING

A Handbook for Health Worker

January 2008s

O CCUPATIO NALO CCUPATIO NALO CCUPATIO NAL HEALTHHEALTHHEALTH

HAZARD SHAZARD SHAZARD S

A HANDBOOK FOR THE WORKFORCE

JANUARY 2008

Republic of Botswana

Handbooks

Posters

Journals

Brochures

Get Involved Today!Get Involved Today!Get Involved Today!

Contact your Workplace Wellness Com m ittee Contact your Workplace Wellness Com m ittee

Workplace Wellness Program for Health WorkersWorkplace Wellness Program for Health Workers Workplace & HIV/ AIDS Unit/ Department of HIV/ AIDS Prevention & CareWorkplace & HIV/ AIDS Unit/ Department of HIV/ AIDS Prevention & Care

Ministry of Health 3170585Ministry of Health 3170585

Caring for the Caregiver ProjectCaring for the Caregiver Project Nurses Association of BotswanaNurses Association of Botswana

39538403953840

J oin HandsJoin HandsJoin Hands

Be Em pow ered to be Healthy! Be Em pow ered to be Healthy! Be Em pow ered to be Healthy!

Support Groups Support Groups Support Groups for for for

Health WorkersHealth WorkersHealth Workers

Support Groups

For Health Workers

Government of Botswana

Wellness Program for

Health Workers

Ministry of Health

Botsogojwa

Badiri

Lephata la Botsogo

Government of Botswana

Staff Morale

A Handbook for Supervisors and Managers

In Health InstitutionsAugust 2007

W elln ess W elln ess Pro g ram Pro g ram

fo r fo r H ea lth H ea lth

W o rkersW o rkers

Therapeutic Recreation

Support Groups

Health Screening

Counselling

Training/Education

Department of HIV/ AIDS Prevention & Care Ministry of Health 3632511/ 3632093

Empowering Empowering YO UYO U

to be Healthy! to be Healthy!

G E T I N V O L V E D T O D A Y !G E T I N V O L V E D T O D A Y !

Folders

Pens

Lanyards

STRESS MANAGEMENTTEAM BUILDINGOCCUPATIONAL HEALTH & SAFETY

FACILITATOR TRAINING GUIDE

Capacity Building Modules

- Facilitator Manuals- Participant Journals

- Facilitator’s Guide- Member’s Guide

SUPPORT GROUPS

2008 Scaling up training at facility level on Stress

Management, Occupational Health Safety, and Team Building including support groups

Launch of the Programme by the Honorable Minister of Health

Held the First Annual National Review and Planning Seminar - Focal Officers opportunity for sharing Best Practices

Poster presentation of 2 Abstracts at the HIV/AIDS International Conference in Mexico

Commenced development of M&E Framework Developed Post Exposure Prophylaxis Algorithm

SUMMARY OF ACHIEVEMENTS CONT..

WORKPLACE WELLNESS

PROGRAMME

LAUNCH OCTOBER 6TH,

2008

Hon. Minister of Health – Opening Remarks MOH Staff

Hon. Minister of Health – Touring Wellness Stalls

MOH Staff enjoying Healthy refreshments

MOH Staff – Aerobics Session WWP Launch – Organizing Committee

SUMMARY OF ACHIEVEMENTS CONT..

2009 TB/HIV Education and Care for high risk health

care workers commenced in collaboration with BNTP, ARV and Upenn. Infection Prevention and Control an integral component of this initiative

WWP contributed to the DHAPC website Completion of ‘Facility Resource Toolkit’

Development of the ‘Daily Health Promotion /Inspiration Book’

Development of Programme Logo

Recreation

Health screening

Treatment and care

Psychosocial support

Spiritual care

Capacity building

Lifestyle

Stress management

SUMMARY OF ACHIEVEMENTS CONT..

Statistical HIGHLIGHTS Stress Management/Team Building/Occupational Health

o TOTs – 273o Managers – 84 (+ 20 I H S Managers on SM)

Support Group Facilitators – 190 Aerobics Instructor Training – 56 Monitoring & Evaluation – 70 TB/HIV – 2232, screened for TB - 941, screened for HIV - 535

(Dec 2009 for PMH, SEDC incl BLH, Kgatleng incl DRM) expansion ongoing to incl Kanye Nyangabgwe,SLH, Athlone etc

22/28 Hospitals plus MOHHQ, CMS, NHL offering wellness services (at varying levels of implementation)

49 Support Groups in 19 health facilities 15 Hospitals scaled up training to over 800 health workers 16 Hospitals have conducted annual wellness days Over 400 Peer Educators trained

PLANS FOR 2010-2011

Continuation of capacity building scale up at facilities

Development of Workplace Peer Counsellor Manual Evaluation of Peer Education Dissemination of PEP Algorithm Facilitation of training on infection control protocols Scale up of TB/HIV Education and Care for high risk

health workers Development of target specific health promotion

materials especially for youth, men and women Quarterly technical support visits

WORKPLACE WELLNESS PROGRAMME

3632328363258936320523632236

DEPARTMENT OF HIV/AIDS PREVENTION & CARE

3632093www.hiv.gov.bw

MINISTRY OF HEALTH3170585

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THANK YOU

Ministry of Health