The United Nations Sustainable Development Goals, that all UN Member States have agreed to try, aim to achieve Universal Health Coverage by 2030. This includes financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all.
The WHO Family of International Classifications (WHO-FIC) is pivotal in delivering Universal Health Coverage in the African region.
The WHO-FIC includes three classifications
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The WHO-FIC Collaborating Centre for the African region is hosted by the South African Medical Research Council in Cape Town, South Africa. The Centre supports the development, implementation and maintenance of the WHO-FIC across the region, and through the global WHO-FIC Network.
Due to limited resources, activities of the Centre to date have been restricted. Improved cooperation with WHO-AFRO provides opportunities for strengthening virtual networks of WHO-FIC stakeholders in the region.
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The ongoing implementation and maintenance of ICD-10 for mortality and morbidity coding remain a core focus of the Centre. Inputs to the development of ICD-11 are essential to ensure that the classification meets regional needs.
WHO-FIC SSA contributes to the development of ICHI through participation in the Family Development Committee of the WHO-FIC Network, the ICHI development group, and the WHO ICHI Task Force.
The planned availability of an ICHI beta version before the end of 2017 has elicited interest among stakeholders in Sub-Saharan Africa in testing ICHI as a potential procedure coding standard.
Colleagues in universities and other organisations continue to undertake education, research and service activities using ICF.
The interest in ICF is reflected in the strong local participation in a meeting of the Functioning and Disability Reference Group of WHO-FIC in June 2017, held in Stellenbosch, South Africa. The enthusiasm was further demonstrated through the Second International Symposium: ICF Education which attracted 154 participants, with locally-based therapists, other clinical personnel and researchers in the overwhelming majority.
The Symposium was co-hosted by the SAMRC, the Western Cape provincial Department of Health, Stellenbosch University and the University of Cape Town.
In collaboration with the Centre for Community Technologies at the Nelson Mandela University the www.ICFEducation.org website was developed, allowing persons to find and share ICF resources and to register as ICF Advisors / Educators.
Dr Stefanus Snyman, project manager of the Collaborating Centre, serves as the facilitator of the International mICF Partnership, a project of the Functioning and Disability Reference Group of WHO-FIC developing the ICanFunction mHealth Solution. here was global consensus to proceed in developing the ICanFunction mHealth Solution (mICF). mICF will enable a person to direct, own and share functional and contextual information – based on ICF – to facilitate a person-centred bio-psycho-social-spiritual approach to service provision and act as catalyst for shared decision-making, common goal setting and the continuity of care.
WHO-FIC SA, supported by SAMRC, has worked with Dr Hongyi Xu of WHO-AFRO to support the activities of WHO-AFRO for strengthening civil registration and vital statistics (CRVS) systems in the African region, with a focus on cause of death coding using ICD.
Joint posters submitted for the WHO-FIC 2017 annual meeting (see below) reflect a wide range of initiatives in multiple African countries, aimed at monitoring planning for and reporting on progress towards achievement of Universal Health Coverage (UHC; SDG target 3.8), and related SDG goals.
A current focus of WHO-FIC SA activities is on the development and maintenance of a virtual network of WHO-FIC stakeholders in the WHO African region. The establishment of a database of WHO-FIC educational resources in the region, including human resources, is also planned.
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