A national audit of home and community-based care (HCBC) organisations in South Africa

Ogunmefun, Catherine; Friedman, Irwin; Mothibe, Nandy; Mbatha, Thokozani

doi:10.1080/17450128.2012.673754

Cited by 4 publications

(2 citation statements)

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“…Yet, while supervisor positions in CBOs represent good opportunities for CHWs to learn new skills, advance their careers and earn an income, CBOs confront major funding problems that make it difficult to remunerate CHWs and support supervisor positions [7, 11]. A study among supervisors of community peer counsellors in South Africa showed that supervisors had to deal with attrition among community peer counsellors which the supervisors attributed to the low remuneration received by the CHWs [32].…”

Section: Discussionmentioning

confidence: 99%

Factors influencing motivation and job satisfaction among supervisors of community health workers in marginalized communities in South Africa

Akintola

Chikoko

2016

Hum Resour Health

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BackgroundManagement and supervision of community health workers are factors that are critical to the success of community health worker programmes. Yet few studies have explored the perspectives of supervisors in these programmes. This study explored factors influencing motivations of supervisors in community health worker programmes.MethodsWe conducted qualitative interviews with 26 programme staff providing supervision to community health workers in eight community-based organizations in marginalized communities in the greater Durban area of South Africa from July 2010 to September 2011.ResultsFindings show that all the supervisors had previous experience working in the health or social services sectors and most started out as unpaid community health workers. Most of the participants were poor women from marginalized communities. Supervisors’ activities include the management and supply of material resources, mentoring and training of community health workers, record keeping and report writing. Supervisors were motivated by intrinsic factors like making a difference and community appreciation and non-monetary incentives such as promotion to supervisory positions; acquisition of management skills; participation in capacity building and the development of programmes; and support for educational advancement like salary, bonuses and medical benefits. Hygiene factors that serve to prevent dissatisfaction are salaries and financial, medical and educational benefits attached to the supervisory position. Demotivating factors identified are patients’ non-adherence to health advice and alienation from decision-making. Dissatisfiers include working in crime-prevalent communities, remuneration for community health workers (CHWs), problems with material and logistical resources, job insecurity, work-related stressors and navigating the interface between CHWs and management. While participants were dissatisfied with their low remuneration, they were not demotivated but continued to be motivated by intrinsic factors. Our findings suggest that CHWs’ quest for remuneration and a career path continues even after they assume supervisory positions. Supervisors continue to be motivated to work in mid-level positions within the health and social services sectors.ConclusionsGlobal efforts to develop and increase the sustainability of CHW programmes will benefit immensely from insights gained from an exploration of supervisors’ perspectives. Further, national CHW programmes should be conceptualized with the dual purpose of building the capacity of CHWs to strengthen health systems and reducing unemployment especially in marginalized communities with high unemployment and low-skilled labour force.

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Section: Discussionmentioning

confidence: 99%

Factors influencing motivation and job satisfaction among supervisors of community health workers in marginalized communities in South Africa

Akintola

Chikoko

2016

Hum Resour Health

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“…The WHO (2002, p. 6) states that the aim of CHBC is "to provide hope through high-quality and appropriate care that helps ill people and families to maintain their independence and achieve the best possible quality of life". The impact of CHBC on South African society is substantial with a 2012 audit revealing that there were approximately 2000 CHBC organisations in South Africa (Ogunmefun, Friedman, Mothibe, & Mbatha, 2012). However, it is not clear how such organizations and the communities in which they operate influence the care provided by volunteer caregivers to PLHAs.…”

Section: Introductionmentioning

confidence: 98%

Support for volunteer caregivers and its influence on the quality of community home-based care in the Eastern Cape, South Africa

Morton

Mayekiso

Cunningham

2015

Journal of Psychology in Africa

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The factors influencing the quality of community home-based care (CHBC) were explored from the perspective of volunteer caregivers, their clients and key informants in a South African Eastern Cape district. Focus group discussions and semi-structured interviews were used to collect data on the perceptions of quality of care from 32 volunteer caregivers, 32 clients and 12 other key informants. The survey data were descriptively analyzed and the qualitative data thematically coded. The results showed that supervisor support, peer support, community support and family support of the volunteer caregivers influenced their ability to provide quality CHBC to their clients.

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Public works programme and primary health care in South Africa: Creating jobs for health systems strengthening?

Akintola

2015

Development Southern Africa

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A national audit of home and community-based care (HCBC) organisations in South Africa

Cited by 4 publications

References 0 publications

Factors influencing motivation and job satisfaction among supervisors of community health workers in marginalized communities in South Africa

Factors influencing motivation and job satisfaction among supervisors of community health workers in marginalized communities in South Africa

Support for volunteer caregivers and its influence on the quality of community home-based care in the Eastern Cape, South Africa

Public works programme and primary health care in South Africa: Creating jobs for health systems strengthening?

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