#IRSS DHS PROGRAM SERIES#
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In West Africa, however, we know health systems are precarious, with significant and recurrent dysfunctions, 6 inadequate funding, insufficient numbers of health personnel, and continued poor responsiveness to the needs of patients and citizens. 1–3 Of course, this concept is neither new nor original, nor even specific to Africa we have only to recall Texas in the USA, 1 or France, where more than 15 000 people perished in the heat wave of 2003 4 when the health system, taken in the broadest sense, 5 was unable to cope with this shock. In other words, it underscored yet again the concept of health system resilience. The Ebola outbreak in West Africa was a stark reminder of the importance of ensuring health systems' capacity to contend with a health crisis. Health crises testing the resilience of health systems in Africa Healthcare facilities need to be better prepared. Health personnel should be better trained to manage crises. Recommendations for policyĪ crisis response plan should be formulated and put in place.

#IRSS DHS PROGRAM FREE#

The continuity of medical and psychological services provided, and their continued provision free of charge, should be monitored.

#IRSS DHS PROGRAM SERIES#

The series of political and terrorist events since 2014 have prompted the actors to adapt. What are the new findings?īurkina Faso's health system has always made marginal changes, without major reforms. Terrorist attacks in Africa are increasing and pose challenges for health systems. Health systems in West Africa are precarious, not very responsive, and dysfunctional. The concept of health system resilience is still new. To apply for IHSS, complete an application and submit it to your county IHSS Office.Key questions What is already known about this topic?

If the provider qualifies, the State withholds the applicable amounts for disability insurance and Social Security taxes. The State issues all checks for individual provider payments. Because unions negotiate with the employer of record in each county, the wage rates may vary from county to county. You may contact the social worker assigned to your case to determine the IHSS hourly rate in your county.

If your county has homemaker employees, you may receive services from a county homemaker.If your county has contracted IHSS providers, you may choose to have services provided by the contractor.

You are considered your provider's employer and, therefore, it is your responsibility to hire, train, supervise, and fire this individual.

If you are approved for IHSS, you must hire someone (your individual provider) to perform the authorized services.

If approved, you will be notified of the services and the number of hours per month which have been authorized for you. If denied, you will be notified of the reason for the denial.

You will be notified if IHSS has been approved or denied.

A completed Health Care Certification (SOC 873) must be received by the county prior to authorization of services.

This assessment will include information given by you and, if appropriate, by your family, friends, physician or other licensed health care professional. Based on your ability to safely perform certain tasks for yourself, the social worker will assess the types of services you need and the number of hours the county will authorize for each of these services.

A county social worker will interview you at your home to determine your eligibility and need for IHSS.

You must submit a completed Health Care Certification form.

You must live at home or an abode of your own choosing (acute care hospital, long-term care facilities, and licensed community care facilities are not considered 'own home').

You must have a Medi-Cal eligibility determination.

You must also be a California resident.

You must physically reside in the United States.

The types of services which can be authorized through IHSS are housecleaning, meal preparation, laundry, grocery shopping, personal care services (such as bowel and bladder care, bathing, grooming and paramedical services), accompaniment to medical appointments, and protective supervision for the mentally impaired.Įligibility criteria for all IHSS applicants and recipients:

Disabled children are also potentially eligible for IHSS. IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities. To be eligible, you must be 65 year of age and over, or disabled, or blind. The IHSS Program will help pay for services provided to you so that you can remain safely in your own home. In-Home Supportive Services (IHSS) Program

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