- Title
- Perceptions and experiences of ward based outreach teams in implementation of primary health care reengineering at Mhlontlo and Nyandeni Sub District in OR Tambo Health District in the Eastern Cape Province- South Africa
- Creator
- Jack, Nomfanelo Mirriam
- Subject
- Primary health care Nurses--South Africa--Eastern Cape Primary health care--South Africa--Eastern Cape
- Date
- 2018
- Type
- Thesis
- Type
- Masters
- Type
- Public Health
- Identifier
- http://hdl.handle.net/10353/11085
- Identifier
- vital:37127
- Description
- This study focused on perceptions and experiences of Ward-Based Outreach Teams in implementing Primary Health Care Re-engineering at Nyandeni and Mhlontlo Sub-Districts in OR Tambo District. Primary Health Care (PHC) is defined as essential health care, devised to be universally accessible to the community through means acceptable to them, with their full involvement and at costs that the community can afford. The National Department of Health (NDoH) introduced the new strategy of Ward-Based Outreach Teams (WBOTs) that are regarded as the key stakeholders in this effort, as they render health services at households. WBOTs are allocated in different municipal wards and are supposed to visit the population, irrespective of race, socio-economic status and geographical setting. The aim of the study was to explore and describe the perceptions and experiences of Ward-Based Outreach Teams in implementing the RPHC at Mhlontlo and Nyandeni sub-districts. The qualitative research design was employed to reach the objectives of the study. The sample used was all WBOTs who had been working for more than one year and had undergone WBOTs training for ten days. Self- structured questionnaires, one-on-one interviews and a focus group were used to collect data from different categories of WBOTs. The researcher adhered to the ethical standards of nursing research as explained by the Democratic Nursing Organization of South Africa, such as anonymity, confidentiality, privacy and quality research. Participant’s names were not written on the questionnaires. The data was analyzed using themes, categories and sub categories, the statistical package for social sciences. Bar graphs and tables were used to communicate data. The results of the study showed that WBOTs are essential to needy households and individuals. The study revealed that the job of Community Health Workers (CHWs) involved community mapping, giving health education talks, household registration, tracing of defaulters, referring needy clients to health facilities depending on severity of illnesses and building relations with other government organizations, namely the Department of Home Affairs, to help clients obtain birth certificates and identity documents, the Department of Social Development, for social problems within households, and the Department of Education, acting as partner for the overall welfare of students. The results of the study revealed that shortage of outreach teams, limited resources, inconsistence in recruitment of Health Promoters and Community Health Workers causes psychological distress, frustration, absenteeism, less concentration when serving communities and impacts on the service delivery system. Therefore,it is recommended that the Department of health should provide outreach teams with medical equipment, dedicated transport, trainings and improve recruitment and retention strategy. In conclusion, the findings of this study indicated that the department of Health has taken the right direction with this programme and that some cooperation does exist between health and other departments.
- Format
- 102 leaves
- Format
- Publisher
- University of Fort Hare
- Publisher
- Faculty of Health Science
- Language
- English
- Rights
- University of Fort Hare
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UFH Department of Human Movement Studies
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | Nomfanelo Mirriam Jack - Dissertation 03.10.2018.pdf | 4 MB | Adobe Acrobat PDF | View Details Download |