Recommendations to improve the National Development Plan for Health

Jager, Pieter de; Hofman, Karen; Khan, Taskeen; Volmink, Heinrich; Jina, Ruxana

doi:10.7196/samj.6160

Cited by 6 publications

(9 citation statements)

References 20 publications

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“…There were plentiful and broad descriptions regarding critical success factors of multisectoral collaboration or partnerships [47–50, 54, 77, 78]. It is beyond the scope of this paper to elaborate in detail on success factors, however, the need for effective mechanisms, structures, processes, and facilitative infrastructure for coordination, collaboration, and relationship building were widely discussed [16, 19, 28, 74, 77, 79–82]. Woulfe et al [77] maintained that collaborative partnerships were in essence the system for CDP.…”

Section: Resultsmentioning

confidence: 99%

“…Although global [37, 94], state [82, 104] and local levels [40] were discussed, it was national- level leadership that was most frequently reported as important to effective systems for CDP [17, 44, 45, 54, 76, 97, 110, 111]. National leadership was considered critical to oversee and integrate strategic policy frameworks [5, 44, 74], align vision, strategy and mission [19, 83] in integrated plans and joined up governance structure [46, 51, 58, 65, 67, 69, 74, 76, 79, 112–116]. Leadership at many levels in many sectors was often reported as essential [98, 117], for example, public sector leadership at all jurisdictional levels was emphasized by Manson et al [14] and Swinburn [97].…”

Section: Resultsmentioning

confidence: 99%

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Strengthening complex systems for chronic disease prevention: a systematic review

Littlejohns

Wilson

2019

BMC Public Health

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Background While frameworks exist for strengthening health care systems and public health systems, there are no practical frameworks to describe, assess and strengthen systems for chronic disease prevention (CDP) using complex systems approaches. Methods A systematic and integrative review of peer reviewed literature was conducted to answer the following questions: How can systems for CDP be defined? What are key attributes of effective systems? How are complex systems approaches discussed? Search terms were identified and the Medline, SCOPUS, and Global Health databases were searched December 2017 and January 2018. Reference lists and selected journals were hand searched. A working definition for a system for CDP was developed to provide a guideline for inclusion. Key exclusion criteria were literature did not address the research questions or working definition; was published in a language other than English and before 2000; focused on specific chronic diseases and/or risk factors and not CDP broadly; concentrated on the health care sector and clinical services and/or health status and surveillance data; and described evaluations of setting specific actions such as policies, programs, interventions, approaches, projects, laws, or regulations. Selected literature ( n = 141) was coded in terms of the extent to which the research questions and the working definition of systems for CDP were addressed. Data was then analysed and synthesized to determine key themes. Results A revised definition of systems for CDP and seven attributes of effective systems for CDP are reported (collaborative capacity, health equity paradigm, leadership and governance, resources, implementation of desired actions, information and complex systems paradigm). A framework was developed to provide a foundation for describing, assessing and strengthening systems for CDP. Conclusions The results of this literature review provide a strong foundation for a framework to help strengthen systems for CDP. The framework consolidates not only well-established attributes of effective CDP but also highlights theoretical and practical insights from complex systems perspectives. Electronic supplementary material The online version of this article (10.1186/s12889-019-7021-9) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Strengthening complex systems for chronic disease prevention: a systematic review

Littlejohns

Wilson

2019

BMC Public Health

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“…In some settings, additional primary care services have been implemented in the EC to deal with non-urgent patients. 2 …”

Section: Discussionmentioning

confidence: 99%

“…South Africa is facing a quadruple burden of disease: 1 HIV with tuberculosis (TB), increased maternal and child mortality, injuries/violence, and the growing burden of non-communicable diseases. 1 , 2 The Medical Research Council of South Africa estimated 10.5% of the national mortality is due to homicide, violence, and road traffic accidents. 1 Seventy thousand South Africans are killed by trauma and a further 3.5 million seek trauma care on a yearly basis.…”

Section: Introductionmentioning

confidence: 99%

Patients’ perceptions of the triage system in a primary healthcare facility, Cape Town, South Africa

Adeniji

Mash

2016

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

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BackgroundIn public healthcare facilities, where the patient numbers and the available resources are often disproportionate, triage is used to prioritise when patients are seen. Patients may not understand the triage process and have strong views on how to improve their experience.AimThis study explored the views of patients who had undergone triage in the emergency centre of a primary care facility.SettingGugulethu Community Health Centre, Cape Town.MethodsA purposive sample consisted of five women (one coded green, three orange, one yellow) and four men (one coded green and three yellow). A semi-structured qualitative interview was conducted in either Xhosa or English and the transcripts analysed using the framework method.ResultsAll of the respondents complained of a lack of information and poor understanding of the triage process. Those coded green experienced the process as biased and unfair and reported that the triage nurse was rude and unprofessional. By contrast, those coded yellow or orange found the triage nurse to be helpful and professional. Most patients turned to support staff (e.g. security staff or cleaners) for assistance in dealing with the triage system. Most patients waited longer than the guidelines recommend and the green-coded patients complained about this issue.ConclusionPatients did not have a good experience of the triage system. Managers of the triage system need to design better strategies to improve patient acceptance and share information. The important role of support staff needs to be recognised and strengthened.

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“…21 An emphasis on health promotion initiatives with the specific aim of improving NCD prevention and control, such as those which concentrate on health promotion at homes, communities and workplaces, therefore needs to be advanced. 22 In a recent attempt to accelerate national efforts to address NCDs, several member States, including LMICs, have adopted the WHO specified time-bound commitments to promote healthy diet. These member States agreed to work towards the goals set for 2016.…”

Section: Interventions Involving Non-communicable Diseasesmentioning

confidence: 99%

Healthy Diets and Sustainable Development Goals

Chigumete¹,

Rath²,

Bosman³

et al. 2016

IJOPP

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Populations throughout the world are facing immense challenges caused by a global rise in non-communicable diseases and ongoing economic crises. Non-communicable diseases impose a large financial burden on many populations, but there continues to be an underinvestment in factors that negatively affect health. One of the targets of the Sustainable Development Goal 3 is to reduce non-communicable diseases by one third. Evidence shows that diet-related non-communicable diseases are the leading cause of death and morbidity, and that their burden is likely to increase if urgent remedial actions are not initiated on a large scale. Successful implementation and execution of diet-related health promoting policies are required to promote sustainable human development. Control measures and improved understanding of the benefits of healthy diets, as well as changes in population attitudes and practices towards healthier diets are required to reduce the prevalence of diet-related noncommunicable diseases successfully. Programs that are currently implemented have not reduced the burden of diseases significantly due to narrow goals and their limited rates of implementation.

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Recommendations to improve the National Development Plan for Health

Cited by 6 publications

References 20 publications

Strengthening complex systems for chronic disease prevention: a systematic review

Strengthening complex systems for chronic disease prevention: a systematic review

Patients’ perceptions of the triage system in a primary healthcare facility, Cape Town, South Africa

Healthy Diets and Sustainable Development Goals

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