Accessibility of district health nursing services in the greater Bronkhorstspruit

Mashia, E O; Wyk, Neltjie C. Van

doi:10.4102/hsag.v9i1.154

Cited by 2 publications

(5 citation statements)

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“…This finding is in keeping with findings from other South African studies. 40 , 41 , 47 , 48 However, participants in other settings, even rural settings, could access pharmacies or secondary hospitals for supplies in instances where the clinic was out of stock. 40 The closest private pharmacy and secondary hospital to the current study setting is 200 km away, making this solution less feasible for the study population.…”

Section: Discussionmentioning

confidence: 99%

Implementation of the principles of primary health care in a rural area of South Africa

Visagie

Schneider

2014

Afr. j. prim. health care fam. med.

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BackgroundThe philosophy of primary healthcare forms the basis of South Africa's health policy and provides guidance for healthcare service delivery in South Africa. Healthcare service provision in South Africa has shown improvement in the past five years. However, it is uncertain as to whether the changes have reached rural areas and if primary healthcare is implemented successfully in these areas.ObjectivesThe aim of this article is to explore the extent to which the principles of primary healthcare are implemented in a remote, rural setting in South Africa.MethodA descriptive, qualitative design was implemented. Data were collected through interviews and case studies with 36 purposively-sampled participants, then analysed through Interpretative Phenomenological Analysis.ResultsFindings indicated challenges with regard to client-centred care, provision of health promotion and rehabilitation, the way care was organised, the role of the doctor, health-worker attitudes, referral services and the management of complex conditions.ConclusionThe principles of primary healthcare were not implemented successfully. The community was not involved in healthcare management, nor were users involved in their personal health management. The initiation of a community-health forum is recommended. Service providers, users and the community should identify and address the determinants of ill health in the community. Other recommendations include the training of service managers in the logistical management of ensuring a constant supply of drugs, using a Kombi-type vehicle to provide user transport for routine visits to secondary- and tertiary healthcare services and increasing the doctors’ hours.

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Section: Discussionmentioning

confidence: 99%

Implementation of the principles of primary health care in a rural area of South Africa

Visagie

Schneider

2014

Afr. j. prim. health care fam. med.

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“…Waiting times are affected by human resource and non-human resource-related factors. Human resourcerelated factors include that professional nurses, working in PHC facilities, might lack clinical skills and training to manage PHC patients (Lekhuleni, Khoza & Amusa 2013;Mashia & Van Wyk 2004;Thandrayen & Saloojee 2010) contributing to ineffective triage (Lekhuleni et al 2013;Mashia & Van Wyk 2004;Thandrayen & Saloojee 2010). The South African Nursing Council (SANC 2014:5) specified competencies to qualify as a PHC nurse specialist.…”

Section: Introductionmentioning

confidence: 99%

“…An inadequate ratio of PHC nurse specialists to patients affects PHC patients' waiting times (Couper et al 2007;Igumbor et al 2016;Masango-Makgobela, Govender & Ndimande 2013). Nurses' absenteeism, caused by attending training or meetings, being on maternity leave or being absent because of other legal reasons (Couper et al 2007) contributed to patients' extended waiting times because of overcrowding (Finamore & Turris 2009;Mashia & Van Wyk 2004;Rhoda et al 2010). The allocation of specific professional nurses to rendering a single service per day such as antenatal care or treating patients suffering from common conditions (Finamore & Turris 2009;Rhoda et al 2010) also plays a role in extending PHC patients' waiting times.…”

Section: Introductionmentioning

confidence: 99%

“…The allocation of specific professional nurses to rendering a single service per day such as antenatal care or treating patients suffering from common conditions (Finamore & Turris 2009;Rhoda et al 2010) also plays a role in extending PHC patients' waiting times. Non-human resource-related aspects include the lack of resources, shortage of medicines, lack of batteries, insufficient equipment maintenance (Mashia & Van Wyk 2004;Thandrayen & Saloojee 2010), the lack of transportation of specimens to laboratories and the unavailability of ambulances for transporting emergency cases (Couper et al 2007).…”

Section: Introductionmentioning

confidence: 99%

“…Waiting time is an indicator of the quality of a health care service. Therefore, it is unreasonable to expect patients to wait for hours to be attended to by a professional nurse (Horwitz, Green & Bradley 2010;Mashia & Van Wyk 2004). Extended waiting times affect the quality of PHC services and do not support the Batho Pele (people first) principles implemented by the South African government (Clarke 2014) for rendering good quality services (Hattingh, Dreyer & Roos 2012).…”

Section: Introductionmentioning

confidence: 99%

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The role of triage to reduce waiting times in primary health care facilities in the North West province of South Africa

Swart

Muller

Rabie

2018

Health SA Gesondheid

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Background: Worldwide, patients visiting health care facilities in the public health care sector have to wait for attention from health care professionals. In South Africa, the Cape Triage Score system was implemented successfully in hospitals’ emergency departments in the Cape Metropole. The effective utilisation of triage could improve the flow of primary health care (PHC) patients and direct the patients to the right health care professional immediately.Aim: No literature could be traced on the implementation of triage in PHC facilities in South Africa. Consequently, a study addressing this issue could address this lack of information, reduce waiting times in PHC facilities and improve the quality of care.Setting: PHC facilities in a sub-district of the North West province of South Africa.Method: A quantitative, exploratory, typical descriptive pre-test–post-test design was used. The study consisted of two phases. During phase 1, the waiting time survey checklist was used to determine the baseline waiting times. In phase 2, the Cape Triage Score system that triaged the patients and the waiting time survey checklist were used.Results: Data were analysed using Cohen’s effect sizes by comparing the total waiting times obtained in both phases with the waiting time survey checklist. Results indicated no reduction in the overall waiting time; however, there was a practical significance where triage was applied. Referral was much quicker to the correct health professional and to the hospitals.Conclusion: Although the results indicated no reduction in the overall waiting time of patients, structured support systems and triage at PHC facilities should be used to make referral quicker to the correct health professional and to the hospitals.

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Accessibility of district health nursing services in the greater Bronkhorstspruit

Cited by 2 publications

References 11 publications

Implementation of the principles of primary health care in a rural area of South Africa

Implementation of the principles of primary health care in a rural area of South Africa

The role of triage to reduce waiting times in primary health care facilities in the North West province of South Africa

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