The Impact of Social Grants on Poverty Reduction in South Africa

Satumba, Takunda; Bayat, Amiena; Mohamed, Seeraj

doi:10.1080/09765239.2017.1336304

Cited by 34 publications

(26 citation statements)

References 8 publications

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“…Where households could be directed to get a birth certificate for a child or an identity document for an elderly person, it meant access to financial support through various welfare grants in South Africa. Accessing these grants would mean access to food, money for medicines, schooling and other essentials [ 39 ]. Even though South Africa emphasized a primary health care approach in health policies from 1994; PHC delivery was more curative and clinician driven, with less emphasis on psycho-social services [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

An analysis of the services provided by community health workers within an urban district in South Africa: a key contribution towards universal access to care

2021

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Introduction Community health worker teams are potential game-changers in ensuring access to care in vulnerable communities. Who are they? What do they actually do? Can they help South Africa realize universal health coverage? As the proactive arm of the health services, community health workers teams provide household and community education, early screening, tracing and referrals for a range of health and social services. There is little local or global evidence on the household services provided by such teams, beyond specific disease-oriented activities such as for HIV and TB. This paper seeks to address this gap. Methods Descriptive secondary data analysis of community health worker team activities in the Ekurhuleni health district, South Africa covering approximately 280,000 households with 1 million people. Results Study findings illustrated that community health workers in these teams provided early screening and referrals for pregnant women and children under five. They distributed condoms and chronic medication to homes. They screened and referred for hypertension, diabetes mellitus, HIV and TB. The teams also undertook defaulter and contact tracing, the majority of which was for HIV and TB clients. Psychosocial support provided was in the form of access to social grants, access to child and gender-based violence protection services, food parcels and other services. Conclusion Community health workers form the core of these teams and perform several health and psychosocial services in households and poor communities in South Africa, in addition to general health education. The teams studied provided a range of activities across many health conditions (mother and child related, HIV and TB, non-communicable diseases), as well as social services. These teams provided comprehensive care in a large-scale urban setting and can improve access to care.

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Section: Discussionmentioning

confidence: 99%

An analysis of the services provided by community health workers within an urban district in South Africa: a key contribution towards universal access to care

2021

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“…Accessing these grants would mean access to food, money for medicines, schooling and other essentials. [39] Even though South Africa emphasized a primary health care approach in health policies from 1994; PHC delivery was more curative and clinician driven, with less emphasis on psycho-social services. [40] In discussions with CHW teams they emphasized what they believed is their critical contribution to addressing psycho-social challenges, however no data is collected to support this.…”

Section: Discussionmentioning

confidence: 99%

An analysis of the services provided by Community Health Workers within an urban district in South Africa: a key contribution towards universal access to care.

Thomas

Buch

Pillay³

2021

Preprint

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Introduction: Community health worker teams are potential game-changers in ensuring access to care in vulnerable communities. Who are they? What do they actually do? Can they help South Africa realize universal health coverage? As the proactive arm of the health services, community health workers teams provide household and community education, early screening, tracing and referrals for a range of health and social services. There is little local or global evidence on the household services provided by such teams, beyond specific disease-oriented activities such as for HIV and TB. This paper seeks to address this gap.Methods: Descriptive secondary data analysis of community health worker team activities in the Ekurhuleni health district, South Africa covering approximately 280 000 households with one million people. Results: Study findings illustrated that community health workers in these teams provided early screening and referrals for pregnant women and children under five. They distributed condoms and chronic medication to homes. They screened and referred for hypertension, diabetes mellitus, HIV and TB. The teams also undertook defaulter and contact tracing, the majority of which was for HIV & TB clients. Psychosocial support provided was in the form of access to social grants, access to child and gender-based violence protection services, food parcels and other services.Conclusion: Community Health Workers form the core of these teams and perform several health and psychosocial services in households and poor communities in South Africa, in addition to general health education. The teams studied provided a range of activities across many health conditions (mother & child related, HIV & TB, non-communicable diseases), as well as social services. These teams provided comprehensive care in a large-scale urban setting and can improve access to care.

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“…Accessing these grants would mean access to food, money for medicines, schooling and other essentials. [42] Even though South Africa emphasized the primary health care approach into its health system in 1994; the focus was more on the curative, nurse-doctor driven model of care in clinics. [43] What this study was showing was that it was not just health behaviour outputs that CHWs were in uencing but social factors too.…”

Section: Discussionmentioning

confidence: 99%

An Analysis of the Services Provided by Municipal Ward Based Primary Health Care Outreach Teams in an Urban District in South Africa: A Key Contribution Towards Universal Access to Care.

Thomas

Buch

Pillay³

2020

Preprint

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Introduction: Municipal Ward based PHC Outreach Teams are potential game-changers in ensuring access to care in vulnerable communities. Who are they? What do they actually do? Can they help South Africa realize universal health coverage?Methods:Descriptive secondary data analysis of team activities in the Ekurhuleni health district, South Africa covering approximately 280 000 households with one million people. This was part of a larger study exploring the effectiveness of these teams.Results:Study findings illustrated that CHWs in these teams provided early screening and referrals for pregnant women and malnourished children. They distributed condoms and chronic medication to homes. They screened and referred for hypertension, diabetes mellitus, HIV and TB. The teams also undertook defaulter and contact tracing, the majority of which was for HIV & TB clients. Psychosocial support provided was in the form of access to social grants, access to child and gender based violence protection services, food parcels and other services.Conclusion:Community Health Workers form the core of these teams and perform several health and psychosocial services in households and to poor communities in South Africa, in addition to general health education. The teams studied provided a range of activities across many health conditions (mother & child related, HIV & TB, non-communicable diseases), as well as social services. Ward based outreach teams provided comprehensive care in a large-scale urban setting and can improve access to care.

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The Impact of Social Grants on Poverty Reduction in South Africa

Cited by 34 publications

References 8 publications

An analysis of the services provided by community health workers within an urban district in South Africa: a key contribution towards universal access to care

An analysis of the services provided by community health workers within an urban district in South Africa: a key contribution towards universal access to care

An analysis of the services provided by Community Health Workers within an urban district in South Africa: a key contribution towards universal access to care.

An Analysis of the Services Provided by Municipal Ward Based Primary Health Care Outreach Teams in an Urban District in South Africa: A Key Contribution Towards Universal Access to Care.

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