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dc.contributor.authorZwama, Gimenne; email: gimenne@gmail.com
dc.contributor.authorStuttaford, Maria Clasina
dc.contributor.authorHaricharan, Hanne Jensen
dc.contributor.authorLondon, Leslie
dc.date.accessioned2019-05-14T11:11:57Z
dc.date.available2019-05-14T11:11:57Z
dc.date.issued2019-04-30
dc.date.submitted2018-10-15
dc.identifierdoi: 10.3389/fsoc.2019.00035
dc.identifier.citationFrontiers in Sociology, volume 4, page 35
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/9736
dc.descriptionFrom Frontiers via Jisc Publications Router
dc.descriptionHistory: received 2018-10-15, collection 2019, accepted 2019-04-04, epub 2019-04-30
dc.descriptionPublication status: Published
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.languageen
dc.publisherFrontiers Media S.A.
dc.rightsLicence for this article: http://creativecommons.org/licenses/by/4.0/
dc.sourceeissn: 2297-7775
dc.subjectSociology
dc.subjecttraining
dc.subjecthealth providers
dc.subjectcommunity participation
dc.subjecthealth committees
dc.subjectgovernance
dc.subjectPHC
dc.subjectrights
dc.subjectSouth Africa
dc.titleRights-Based Training Enhancing Engagement of Health Providers With Communities, Cape Metropole, South Africa
dc.typearticle
dcterms.dateAccepted2019-04-04
dc.date.updated2019-05-14T11:11:56Z


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