Rights-Based Training Enhancing Engagement of Health Providers With Communities, Cape Metropole, South Africa
Bibliographic Data
| ID | 13076550 |
|---|---|
| Authors | Gimenne Zwama (0000-0001-9458-522X, University of Cape Town, corresponding author), Maria Stuttaford (0000-0002-3948-2196, St George's, University of London), Hanne Jensen Haricharan (0000-0002-7688-248X, University of Cape Town), Leslie London (0000-0003-1297-2758, University of Cape Town) |
| Year | 2019 |
| Volume | 4 |
| Pages | 35-35 |
| Publication date | 2019-04-30 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Sociology (JOURNAL) |
| Journal identifiers | ISSN: 2297-7775 • E-ISSN: 2297-7775 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fsoc.2019.00035 |
| PMID | 33869358 |
| OpenAlex | W2942879119 |
| Language | EN |
| Citations received | 2 |
| References cited | 13 |
Community participation, the central principle of the primary health care approach, is widely accepted in the governance of health systems. Health Committees (HCs) are community-based structures that can enable communities to participate in the governance of primary health care. Previous research done in the Cape Town Metropole, South Africa, reports that HCs' potential can, however, be limited by a lack of local health providers' (HPs) understanding of HC roles and functions as well as lack of engagement with HCs. This study was the first to evaluate HPs' responsiveness towards HCs following participation in an interactive rights-based training. Thirty-four HPs, from all Cape Metropole health sub-districts, participated in this qualitative training evaluation. Two training groups were observed and participants completed pre- and post-training questionnaires. Semi-structured interviews were held with 10 participants 3-4 months after training. Following training, HPs understood HCs to play an important role in the communication between the local community and HPs. HPs also perceived HCs as able to assist with and improve the quality and accessibility of PHC, as well as the answerability of services to local community needs. HPs expressed intentions to actively engage with the facility's HC and stressed the importance of setting clear roles and responsibilities for all HC members. This training evaluation reveals HPs' willingness to engage with HCs and their desire for skills to achieve this. Moreover, it confirms that HPs are crucial players for the effective functioning of HCs. This evaluation indicates that HPs' increased responsiveness to HCs following training can contribute to tackling the disconnect between service delivery and community needs. Therefore, the training of HPs on HCs potentially promotes the development of needs-responsive PHC and a people-centred health system. The training requires ongoing evaluation as it is extended to other contexts
Business · Cape · Community engagement · Community health · Corporate governance · Family medicine · Geography · Medical education · Political science · Public health · Public relations · Qualitative research · Sociology · Training (meteorology · Global Maternal and Child Health · Healthcare Systems and Reforms · Human Rights and Development · Medicine · Nursing · Psychology
Community Participation in Health Systems Research
Implementing community participation through legislative reform
Anchoring contextual analysis in health policy and systems research
Health provider responsiveness to social accountability initiatives in low- and middle-income countries
A systematic review of the literature for evidence on health facility committees in low- and middle-income countries
Health Systems and the Right to the Highest Attainable Standard of Health
Strengthening user participation through health sector reform in Colombia
Building Trust amidst Corruption in Bangladesh
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2022 - 2023 (2) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |