Re-Establishing Africa’s first Children’s Hospital

Addington Children’s Hospital, Durban1931

Project Background

• The 1st Children’s Hospital on the African continent

• 3,5 acres on Durban beachfront - 7 buildings, 4 are heritage

• A Public Sector Hospital closed by the SA apartheid govt. in 1984

• Remained closed for 28 years and deteriorated over time

• Since 2010 we have been re-establishing the hospital through a Public- Benefit Trust

• 5 year project – 2012 -2017

South Africa and the Struggle for Freedom from Tyranny- Freedom from Ill health, disease and want , as much as Freedom from racial oppression

Vision

To develop a world-class children’s hospital in South Africa that is:

• Cost–effective and financially sustainable • Not tertiary care but ‘filling niches’ in public sector health services• Open to all children and their care-givers regardless of economic

background or social standing• Environmentally-friendly

Stakeholders

KZN Department of Health KZN Children’s Hospital Trust MatCH Health Systems Other govt depts, Academic institutions,

Other NGOs, Donors, Community

How it all works

DOH facility- specialised provincial hospital DOH owns the property DOH funds operational costs

Non-profit public benefit Trust Beneficiaries are the children of KZN Trust has SLA and MOU with DOH to

manage project and fundraise

KZNChildren’sHospital

Ambulatory/Out-PatientSpecialised Chronic & Preventive Care Clinics • Child Development Assessment Centre

• Special Needs• HIV Exposed Children• Management of Childhood Illnesses

• Adolescent Drop In Centre • Paediatric TB Centre• Oro-Facial Unit

Regional Training Centre (Paediatric & Adolescent)

Auditorium/Tele-Health/Skills Building Labs; Under-graduate/ In-Service • Health Care Workers• Community Caregivers • Clients, Caregivers & Parents

• ECD providers

In – Patient Acute Rehab ward• Psychiatric (child) – Step-down

• Adolescent - substance use, eating disorders (10-14 days)

• Adolescent – Step-down• End of Life Care/Palliative Care

• Lodging for Caregivers • Lodging for Health providers

Rehab/ Remedial Services

• Speech Therapy• Therapeutic Audiology• Physiotherapy• Rehab pool• Occupational Therapy• Music, Art therapy• Play therapy• Social Workers

Community Outreach• Community Caregivers

• Operation Sukuma Sakhe

• Community Health Programmes

• Mobile Services Outreach

• Training & Mentoring

Growth & Nutrition Centre

• Nutritional Assessment• Training, Research & Implementation

• Growth & Development Monitoring

• Infant & Young Child Feeding, Micro Nutrients

• Nutritional Modeling• Food Security, Food garden

Mental Health/Counselling

• Specialised Counselling

• Family Therapy • Support Groups• Play Therapy • GBV; Child Abuse• Substance Abuse• Special Needs e.g. Autism

• Adolescents• Eating disorders• Genetic counseling

Social Protection Services‘Child Focused’ NGO Offices• Social Work • Hospice, Palliative

Care; • Children’s Rights,• Child Welfare;

ChildLine• Medico- Legal Centre• Post Trauma Crisis

Centre • Home Affairs etc

Research• Research activities across the spectrum of Child Health

• Training in Research (Post Graduate Nurses)

Master-plan of Phased Development: 2012- 2016

Phase 1 – OPD 2012

Phase 1 - 2012

11July 2011

OPD Services

Child Development Assessment Centre

- multidisciplinary

- neuro, speech, hearing, vision, growth screening etc

- pyschosocial support, rehab, nutrition support

Training Centre ( Auditorium, Skills labs/ Telehealth)

Renovated OPD building

Waiting area

Regional Paediatric & Adolescent Training Centre

MECHANISM

S

• Tele-Health/Tele-Medicine Skills Labs Workshops

• Lectures/Seminars /Modules Practical Training

TRAINING PACKAGES

TARGET

GROUPS

• TB/HIV Integration • Paediatric/ Adolescent

TB• Paediatric/ Adolescent

HIV• PMTCT • Infant & Young Child

Feeding• Adolescent SRH • Palliative Care

Neonatal Resuscitation Neonatal Care Kangaroo Mother CareIMCI/ e-IMCIETATESMOENutrition Assessment

• CMAM (Community based Management of Acute Malnutrition)

• Genetic Counseling • Growth Monitoring

and Assessment • Child Sexual

Assault • Community Care-

Givers• Clients• CBOs/NGOs/FBO

• Health Care Providers

• Caregivers/Parents • ECD providers

Phase 2 - commenced 2013

Phase 2A –Main Hospital Building

Phase 2B – Bulk services

Planning for entire site Civil work, Sewers, Electrical, IT etc In ‘design phase’

Phase 2C – Old Nurses Home

Phase 2C – Old Nurses Home

Old Nurses Home - May 2014

Phase 3 (2014) Demolish existing museum & old dining hall New basement

Phase 4 OLD CHILDRENS' HOSPITAL (Main bldg) Internal Work SERVICES ZONE IN BASEMENT BULK SERVICES HUB

Phase 5 Old Nurses' Home internal work (new rehab centre) Phase 6 New Adolescent centre & Hospital Admin offices

Services zone in Adolescent centre / Admin offices Phase 7 New in-patient wards (old central museum area) Phase 8 Refurbishment of Old Central nurses home

Refurbishment of Prince wing Phase 9 Overhead bridge to Addington hospital

External works, Outdoor therapeutic areas & landscaping *PHASES MAY OCCUR CONCURRENTLY IF SUFFICIENT FUNDING IS RAISED

Next Steps

We still need: ±USD 40 million

NGIYABONGA