Exploring occupational therapy graduates’ conceptualisations of occupational justice in practice: Curriculum implications

Hess-April, Lucia; Smith, Joanna; Jongh, J

doi:10.7196/ajhpe.2016.v8i2.609

Cited by 6 publications

(19 citation statements)

References 7 publications

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“…The above-mentioned problems were a result of the insufficient attention given to disease prevention, health promotion and community participation as part of the implementation of PHC (Dookie & Singh 2012 ; Hess-April 2013 ; Mji 2012 ; Sherry 2015 ). Following these failures, PHC re-engineering which emphasised community-based services by reaching out to households (DOH 2010 ) and NHI (DOH 2011a ) were introduced.…”

Section: Challenges With Implementation Of Primary Healthcare In Soutmentioning

confidence: 99%

“…In response to these developments, the Western Cape DOH ( 2013 ) developed the Healthcare 2030 draft, which also poorly defined rehabilitation services. Part of the challenge is that none of these above-mentioned policies developed a service package for rehabilitation services (Hess-April 2013 ). The shortcoming was then acknowledged and a national task team was constituted to formulate a rehabilitation service delivery strategy within the PHC framework.…”

Section: Challenges With Implementation Of Primary Healthcare In Soutmentioning

confidence: 99%

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The experiences and challenges faced by rehabilitation community service therapists within the South African Primary Healthcare health system

2017

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BackgroundTwenty-two years after the promulgation of a plethora of progressive health policies since 1994, the South African public health system reflects a number of stumbling blocks regarding implementation. Rehabilitation professionals are not sufficiently equipped nor allowed the opportunity to comprehensively implement Primary Healthcare (PHC) from a bottom-up approach, thus engaging communities. Training on addressing social health determinants and their impact on ill-health and health outcomes is inadequate. The inadequate understanding of the advocacy role that rehabilitation professionals could play in addressing social health determinants remains a challenge in healthcare. Rehabilitation, a pillar of PHC, remains poorly understood in terms of its role within the health system.AimWe argue for rehabilitation as a vehicle for addressing social determinants of health with community service practitioners playing a critical role in addressing the inequities within the healthcare package.SettingThe article reflects the opportunities and challenges faced by rehabilitation community service therapists in the delivery of rehabilitation services in a rural area of the Eastern Cape province of South Africa.MethodsA single case study from the perspective of a researcher was used to explore the experience and reflection of the first author during her community service as an occupational therapist.ResultsThe case study highlights some existing gaps within the delivery of rehabilitation services in the rural Eastern Cape. A community service package with a specific approach towards addressing social determinants of health for persons with disability at a community level is suggested.ConclusionAdvocating for a rehabilitation service package to shift to community-based levels is critical. It is envisaged that a community-based approach will facilitate an understanding of the barriers faced by persons with disabilities as constituting disability, thus facilitating learning about the disabling consequences of the rural environment coupled with the system as experienced by persons with disabilities.

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Section: Challenges With Implementation Of Primary Healthcare In Soutmentioning

confidence: 99%

Section: Challenges With Implementation Of Primary Healthcare In Soutmentioning

confidence: 99%

The experiences and challenges faced by rehabilitation community service therapists within the South African Primary Healthcare health system

2017

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“…Hand searches located 19 opinion pieces involving 23 authors [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] . E-mail correspondence with the heads of occupational therapy education programmes at the time confirmed that no studies on CS occupational therapists' experiences had been conducted, but one related PhD study 42 was in progress.…”

Section: Introductionmentioning

confidence: 99%

“…Challenges encouraged resourcefulness and an ability to adapt 26,28,36,40 . The CS year facilitated the development of experience, knowledge and confidence which was enriched through exposure to colleagues from other universities 30,32,[34][35][36][37][38][39][40][41][42][43][44][45][46][47][48] . The gratitude of patients, their families and communities, was identified repeatedly as a highlight of the CS experience 27,28,30,32,33,37,44 .…”

Section: Introductionmentioning

confidence: 99%

“…While it cannot be assumed that these referrals are reflective of overall community needs, they may, in part, represent the commonly understood role of the occupational therapist within the multidisciplinary team (MDT) as well as the community. They may also reflect the under-servicing of mental health needs in South Africa 63 , the practice preferences and experience areas of individual participants, or the continued dominance of the medical model orientation of the health system 42,60 . Referrals had a curative and rehabilitative focus and appeared to be largely focused on individual clients.…”

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confidence: 99%

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