Primary health care service delivery in South Africa
SOURCE: International Journal of Health Care Quality Assurance
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2008
TITLE AUTHOR(S): N.Phaswana-Mafuya, G.Petros, K.Peltzer, S.Ramlagan, N.Nkomo, G.Mohlala, M.Mbelle, J.Seager
KEYWORDS: PRIMARY HEALTH CARE, PRIMARY HEALTH CARE CENTRES
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 5628
HANDLE: 20.500.11910/5067
URI: http://hdl.handle.net/20.500.11910/5067
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2008
TITLE AUTHOR(S): N.Phaswana-Mafuya, G.Petros, K.Peltzer, S.Ramlagan, N.Nkomo, G.Mohlala, M.Mbelle, J.Seager
KEYWORDS: PRIMARY HEALTH CARE, PRIMARY HEALTH CARE CENTRES
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 5628
HANDLE: 20.500.11910/5067
URI: http://hdl.handle.net/20.500.11910/5067
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
The paper's aim is to determine the role of non-profit organizations (NPOs) in filling possible gaps in primary health care (PHC) service provision. District (n=10) and sub-district needs (n=14) analyses were conducted in five South African provinces. In each case, the district/sub-district manager was interviewed using a semi-structured interview guide. The service gaps identified were understaffing/lack of capacity, difficulty in retaining and recruiting staff, service disparities, inaccessibility of services/low-service utilisation and limited funding. It was believed that NPOs could fill these gaps. About 83 per cent perceived the relationship between government and NPOs as good. Contract monitoring, quality of service, communication and quality control were said to be unsatisfactory. The majority of sub-districts (11) indicated that they provided supplies to NPOs; 50 per cent perceived the relationship between the sub-districts and NPOs as good or very good. NPOs have critical role to play in PHC service delivery. The study provides critical information required to make informed effective strategic decisions that support district/sub-district performance and sustainability in a decentralized health system.-
Related Research Outputs:
- Baseline assessment: European Union partnerships for the delivery of primary health care programme in South Africa
- Prevalence of alcohol use by rural primary care outpatients in South Africa
- Prevalence and correlates of substance use among South African primary care clinic patients
- An assessment of factors influencing levels of patient satisfaction in Kouga primary health care facilities in Cacadu district (Eastern Cape Province) in 2009
- Behaviour change counselling for ARV adherence support within primary health care facilities in the Western Cape, South Africa
- Primary health care in the era of HIV/AIDS. Some implications for health systems reform
- Evaluation of the quality of care for sexually transmitted infections in primary health care centres in South Africa
- Integrating services, marginalizing patients: psychiatric patients and primary health care in South Africa
- Putting HIV/AIDS counselling in South Africa in its place
- Reflective practice: psychodynamic ideas in the community
- The "good enough" community: power and knowledge in South African community psychology
- South African Epidemiology Network on Drug Use (SACENDU): July-December 1999: (phase 7)
- South African Community Epidemiology Network on Drug Use (SACENDU): January - June 2000: (phase 8)
- South African Community Epidemiology Network on Drug Use (SACENDU): July-December 2000: (phase 9)
- South African Community Epidemiology Network on Drug Use (SACENDU): alcohol and drug abuse trends: July-December 2001
- South African Community Epidemiology Network on Drug Use (SACENDU): key alcohol and drug abuse trends: January-June (Phase 12)
- An initiative to provide primary health care using telemedicine: observations from a reconnaissance study
- The evaluation of immediate behavioural outcomes of the syndrome case management approach for the treatment of patients with sexually transmitted infections at PHC centres in South Africa: knowledge, attitudes, beliefs and sexual behaviour
- Community perception of quality of (primary) health care services in a rural area of Limpopo Province, South Africa: a qualitative study
- Substance abuse and HIV risk behaviours amongst primary health care service users in Cape Town