Occupational Therapy Association of South Africa (OTASA). Position Statement on Occupational Therapy in Primary Health Care (PHC)

Unknown, Unknown

doi:10.17159/2310-3833/2015/v45n3/a11

Cited by 6 publications

(6 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Occupational therapists expressed limited views on the competencies required by graduates to practice health promotion and prevention in PHC settings which may be due to their lack of training and practice experiences in the PHC setting. The uncertainty remains despite the policy imperatives both by SA's National Department of Health [ 7 ] and the Occupational Therapy Association of South Africa advocating for more health promotion and prevention in service delivery by public sector therapists [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…While South African studies highlighted a need for occupational therapists to work at primary healthcare levels [ 20 , 21 ], they also acknowledge how human resource constraints led to a prioritization of hospital-based interventions over population-based approaches. In alignment with the White Paper, the Occupational Therapy Association of South Africa (OTASA) formulated a position statement on the proposed roles of an occupational therapist in primary healthcare [ 22 ]. The statement emphasizes the relevance of the PHC approach in the South African context, and it supports the inclusion of occupational therapy services in emergent practice settings.…”

Section: Introductionmentioning

confidence: 99%

“…The position paper proposes for occupational therapists to play multiple roles at the PHC level. Occupational therapists are expected to accept nontraditional roles in new complex environments, initiate and participate in intersectoral collaboration, and contribute to management structures in the PHC system [ 16 , 19 , 21 , 22 ]. For example, in 2019, South Africa, a low-middle-income country, reported a 40.7% unemployment rate amongst 15- to 34-year-olds [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Competencies Required to Deliver a Primary Healthcare Approach in the Occupational Therapy: A South African Perspective

Naidoo

Wyk

2023

Occupational Therapy International

View full text Add to dashboard Cite

Introduction. The South African government introduced a reengineered primary healthcare approach to promote universal health coverage. The approach was to ensure equitable, efficient, and quality health services for consumers in private and public healthcare sectors. The transition toward a more comprehensive primary healthcare approach to intervention requires occupational therapists who predominantly worked in private and hospital settings to extend their services to clients who previously would have had little access to such services. This study was conducted to identify the key competencies required by occupational therapists to deliver appropriate primary healthcare services to communities from previously disadvantaged periurban and rural areas. Methods. An exploratory, qualitative study design was used. Through the use of policy documents and data from key informants ( n = 5 ), established therapists ( n = 14 ), and novice occupational therapy graduates ( n = 39 ), the study identified and mapped the stakeholders’ perspectives of the competencies required by graduates to practice in periurban and rural settings in KwaZulu-Natal in South Africa. Data was collected using semistructured interviews, a focus group discussion, a document review of the university’s curriculum, and the local and global regulatory documents. A framework based on the seven roles of the university’s competency framework informed the data analysis process. The seven roles are health practitioner, communicator, collaborator, health advocate, leader and management, scholar, and professional. Findings. Participants highlighted the need for graduates to have adequate knowledge and understanding of the impact of the Department of Health policies and social determinants of health on occupation and the client’s health. They also needed to be suitably skilled in culturally sensitive communication, negotiating shared goals with the stakeholders, and managing a department. Graduates needed to be socially accountable and develop services to advocate for their clients. Conclusion. The study offered insights into the essential graduate competencies identified by the stakeholders and recommended measures to prepare rehabilitation graduates for service delivery in primary healthcare contexts.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Competencies Required to Deliver a Primary Healthcare Approach in the Occupational Therapy: A South African Perspective

Naidoo

Wyk

2023

Occupational Therapy International

View full text Add to dashboard Cite

show abstract

“…The presence of occupational therapists working in the inter-professional PHC team has been documented both locally and internationally resulting in increased access to immediate and collaborative needs-based care, while also saving costs 12,14,15 . Thus, occupational therapy in South Africa should form an essential component of PHC services, based on the CBR framework as highlighted in position statements from both national and international Occupational Therapy Associations 44,45 .…”

Section: Literature Review Rehabilitation At a Primary Health Care Lementioning

confidence: 99%

Occupational therapy services and perception of integration of these at primary healthcare level in South Africa

Jejelaye¹,

Maseko²,

Franzsen³

2019

S. Afr. j. occup. ther.

View full text Add to dashboard Cite

Background: Literature indicates that access to rehabilitation services in South Africa is limited. Recent policy documents by the National Department of Health related to disability and rehabilitation propose the integration of occupational therapy services in primary healthcare (PHC). However, the implementation strategies concerning integration are not clear as there is inadequate evidence locally on the occupational therapy service provision in PHC even though there is growing evidence internationally.Purpose: This study sought to determine the services provided by occupational therapists in PHC and to explore the perceptions of the occupational therapists on the integration of occupational therapy services within the PHC reengineering streams of the National Health Insurance (NHI).Method: A two-phase explanatory sequential mixed method strategy was utilised in this study. A quantitative survey was sent to members of the occupational therapy professional association and an organisation of professionals providing rehabilitation services in rural communities. Qualitative data were then collected using semi-structured interviews with five therapists who completed the survey.Findings: Findings from this study showed there is increasing alignment of occupational therapy services in PHC with the communitybased rehabilitation (CBR), the Social Model, the International Classification of Functioning, Disability and Health (ICF), and the Medical Model using client self-management and case-management intervention approaches. The majority of occupational therapists are currently based in district hospitals (42%), community health centres (16%), community organisations (8%), and clinics (8%). Those working in the community indicated they work in a multidisciplinary team (MDT). They also use PHC service delivery models to manage people with disabilities (PWDs). Occupational therapists in PHC have a strong perception of their relevance in the PHC reengineering streams, despite the numerous barriers and few facilitators to the integration of occupational therapy services in the PHC reengineering streams of the NHI.Conclusion: The perception of the study participants is that occupational therapy service integration in the PHC reengineering streams will lead to improved healthcare. However, they are also of the opinion that integration will not happen without advocacy from occupational therapists or occupational therapy being adequately supported in PHC.✥ Anthony Jejelaye -Postgraduate student -conceptualisation and completion of project and article manuscript. ✥ Lebogang Maseko -supervisor of MSc project -helped with the conceptualisation and guidance for completion of project. ✥ Denise Franzsen -supervisor of MSc project -helped with the conceptualisation and guidance for completion of project.

show abstract

“…The Occupational Therapy Association of South Africa (OTASA) also refers to the above mentioned definition of spirituality in their position statement (Mthembu et al, 2016;Puchalski et al, 2014;Soomar et al, 2018). When framing spirituality from an occupational therapy perspective, it is evident that spirituality can be described subjectively, resulting in various meanings, including religious and secular definitions.…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Study of Occupational Therapists’ Understanding of Spirituality in South Africa

et al. 2022

View full text Add to dashboard Cite

Occupational therapy is a holistic profession that assists clients to restore meaning to their lives-a vital spiritual task. Spirituality is a multifaceted and multidimensional construct that occupational therapists need to integrate into everyday practice. In this study, Occupational Therapy educators' and clinicians' understanding of spirituality in their practice was qualitatively explored by purposively selecting 24 participants who attended a workshop based on an appreciative approach, in Gauteng, South Africa. Data were collected through self-report interview schedules and focus group inquiries and were analysed using the creative hermeneutic method. Participants expressed spirituality in occupational therapy as connectedness, meaning of life and client-centred practice.

show abstract

Occupational Therapy Association of South Africa (OTASA). Position Statement on Occupational Therapy in Primary Health Care (PHC)

Cited by 6 publications

References 6 publications

Competencies Required to Deliver a Primary Healthcare Approach in the Occupational Therapy: A South African Perspective

Competencies Required to Deliver a Primary Healthcare Approach in the Occupational Therapy: A South African Perspective

Occupational therapy services and perception of integration of these at primary healthcare level in South Africa

A Qualitative Study of Occupational Therapists’ Understanding of Spirituality in South Africa

Contact Info

Product

Resources

About