Exploration of Community Health Workers' views about in their role and support in Primary Health Care in Northern Cape, South Africa.
Community health workers (CHWs) play a significant role in Primary health Care due to their proximity to households, communities and the health care system. Many studies focus on CHWs and the work they do. However, few have examined their experiences and identity and how that might influence how the...
| Publicado en: | Journal of Community Health Vol. 45; no. 1; pp. 55 - 63 |
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| Formato: | Artículo |
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Springer Nature
Feb2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=141168629&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 141168629 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Feb2020 vid: 45 iid: 1 pid: 237 pub: Springer Nature artinfo: ui: 141168629 10.1007/s10900-019-00711-z ppf: 55 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P size: 525KB tig: atl: Exploration of Community Health Workers' views about in their role and support in Primary Health Care in Northern Cape, South Africa. aug: au: Ramukumba, Mokholelana Margaret affil: Department of Health Studies, University of South Africa, P O BOX 392, 0003, Pretoria, South Africa su: South Africa Community health services Focus groups Interprofessional relations Interviewing Occupational achievement Primary health care Work environment Employees' workload Qualitative research Occupational roles Psychosocial factors Social support Community health workers Research Thematic analysis sug: subj: Community health services Focus groups Interprofessional relations Interviewing Occupational achievement Primary health care Work environment Employees' workload Qualitative research Occupational roles Psychosocial factors Social support South Africa All Other Outpatient Care Centers Residential Mental Health and Substance Abuse Facilities Other Individual and Family Services Community health centres Other local, municipal and regional public administration Community health workers Research Thematic analysis keyword: Community mobilisation Community-based care Ward-based primary health care outreach teams Community mobilisation Community-based care Ward-based primary health care outreach teams ab: Community health workers (CHWs) play a significant role in Primary health Care due to their proximity to households, communities and the health care system. Many studies focus on CHWs and the work they do. However, few have examined their experiences and identity and how that might influence how they view and perform their roles. The objectives of the study were to: Describe the role of CHWs in community-based health care in Northern Cape, Identify the perceived barriers and enablers to CHWs role performance, Explore CHWs views regarding the support from the communities and the formal healthcare system in Northern Cape. An exploratory qualitative design using focus groups was adopted. Forty-six (46) CHWs were purposively selected using the critical case sampling approach. Data were collected through three focus group interviews in three regions. Analysis followed the Graneheim & Lundman thematic analysis. Three themes emerged from data: perceived contribution to Primary Health Care, recognition of CHWs role, measures to improve working conditions. Findings showed that CHWs were engaged in various health and social care roles, they believed that they made a significant contribution to PHC, and that the health system persistently relied on their services. The enabler for finding meaning in their work was the positive community response and the good relations they had with the team leaders. The major barrier was the structure of the CHWs programme and the perceived lack of support by the government. The complex issues CHWs address in the community call for a review of their roles and workload as well as the support they receive from the formal healthcare system. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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