Health Sector Reforms: Implications for Maternal and Child Healthcare in South Africa

Jumare, Fadila; Ogujiuba, Kanayo; Stiegler, Nancy

doi:10.5901/mjss.2013.v4n6p593

Cited by 2 publications

(2 citation statements)

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“…Many studies in Africa have indicated the need for primary health care (PHC) reform, not merely to transform the health system but also to ensure a better life for all. 4 Reforms include changes in financing, privatisation, decentralisation, integration of service delivery, and improvement of efficiency, equity and effectiveness of the health sector in general. 4 …”

Section: Introductionmentioning

confidence: 99%

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Baseline measures of primary health care team functioning and overall primary health care performance at Du Noon Community Health Centre

Mukiapini

Bresick

Sayed

et al. 2018

Afr. j. prim. health care fam. med.

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BackgroundResearch consistently demonstrates the importance of effective team work for improving the quality of health care. We conducted a baseline measure of primary health care (PHC) team effectiveness and overall PHC performance at a primary care facility.AimTo improve PHC team effectiveness and ultimately the quality and user experience of primary care at a community health centre (CHC).SettingDu Noon CHC in the southern and western substructure of the Cape Town Metro district services (MDHS).MethodsA cross-sectional study using a combination of the Nominal Group Technique (NGT) consensus method and the South African Primary Care Assessment Tool (ZA PCAT) to assess PHC team effectiveness and PHC organisation and performance.ResultsThe ZA PCAT was administered to 110 CHC users (patients) and 12 providers (doctors and clinical nurse practitioners). Data from 20 PHC team members showed they perceived their team as well functioning (70% agreement on a 7-item PHC team assessment tool incorporated into the ZA PCAT). The NGT method achieved participant (20) consensus on communication and leadership as the main challenges to effective team functioning and on ideas to overcome the challenges. The ZA PCAT user data showed 18.2% of users rated first contact access as acceptable to good; 47.3% of users rated ongoing care as acceptable to good. Provider data showed that 33% of providers rated first contact access as acceptable to good; 25% of providers rated ongoing care as acceptable to good. First contact access received the lowest acceptable to good score (18.2%) and comprehensiveness (services available) the highest score (88.2%) from users. For the providers, the lowest acceptable to good score was for ongoing care (25%) and the highest acceptable to good score was for primary health care team availability (100%). The ZA PCAT total primary scores were good (above 60%) for both users and providers but moderately higher for the providers.ConclusionKnowledge of how teams perceive their effectiveness can motivate them to generate ideas for improving performance. There were discrepancies between providers’ assessment of team functioning using the ZA PCAT measure and the NGT method results. The ZA PCAT also showed differences between providers’ and users’ perceptions of PHC performance – consistent with the findings of the multi-CHC Western Cape ZA PCAT study. These findings should encourage and support CHC and district level staff in their efforts to improve the quality and user experience of primary care, as well as PHC team performance.

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Section: Introductionmentioning

confidence: 99%

“… 4 Reforms include changes in financing, privatisation, decentralisation, integration of service delivery, and improvement of efficiency, equity and effectiveness of the health sector in general. 4 …”

Section: Introductionmentioning

confidence: 99%

Baseline measures of primary health care team functioning and overall primary health care performance at Du Noon Community Health Centre

Mukiapini

Bresick

Sayed

et al. 2018

Afr. j. prim. health care fam. med.

View full text Add to dashboard Cite

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Abortion in South-Africa: Does a liberal legislation really impact safe access and use?

Hera,

Nojoko,

Stiegler

et al. 2024

Annales Médico-psychologiques, revue psychiatrique

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Health Sector Reforms: Implications for Maternal and Child Healthcare in South Africa

Abstract: Generally, public health facilities in developing countries tend to be underfunded and inefficient. In South

Cited by 2 publications

References 25 publications

Baseline measures of primary health care team functioning and overall primary health care performance at Du Noon Community Health Centre

Baseline measures of primary health care team functioning and overall primary health care performance at Du Noon Community Health Centre

Abortion in South-Africa: Does a liberal legislation really impact safe access and use?

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