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dc.rights.licenseCreative Commons Attribution License (CC BY)
dc.contributor.authorZwama, Gimenne
dc.contributor.authorStuttaford, Maria Clasina
dc.contributor.authorHaricharan, Hanne Jensen
dc.contributor.authorLondon, Leslie
dc.identifier.citationZwama, G., Stuttaford, M. C., Haricharan, H. J. & London, L. (2019) Rights-based training enhancing engagement of health providers with communities, Cape Metropole, South Africa. Frontiers in Sociology, 4:35.
dc.descriptionFrom Frontiers via Jisc Publications Router
dc.description.abstractCommunity 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.
dc.publisherFrontiers Media S.A.
dc.relation.ispartofFrontiers in Sociology
dc.rightsLicence for this article:
dc.rightsCopyright © 2019 Zwama, Stuttaford, Haricharan and London.
dc.sourceeissn: 2297-7775
dc.subjectHealth Providers
dc.subjectCommunity Participation
dc.subjectHealth Committees
dc.subjectSouth Africa
dc.titleRights-based training enhancing engagement of health providers with communities, Cape Metropole, South Africa
qmu.authorZwama, Gimenne
qmu.centreInstitute for Global Health and Development

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Creative Commons Attribution License (CC BY)
Except where otherwise noted, this item's license is described as Creative Commons Attribution License (CC BY)