ArticleAfrican journal of primary health care & family medicine2017
Which primary care model? A qualitative analysis of ward-based outreach teams in South Africa.
Article in African journal of primary health care & family medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- Trial
- Implementing active surveillance for tuberculosis: A quality improvement project.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Article
- Community caregivers' perceptions: Family-centred postnatal care in KwaZulu-Natal, South Africa.African journal of primary health care & family medicine · 2025Article
- Home visits for preterm/low birthweight infants in South Africa: Qualitative evidence synthesis.African journal of primary health care & family medicine · 2024Article
- An ICT-enabled community oriented primary care intervention in mining communities during COVID-19 (2019-2022): perceived changes in the role and place of community health workers.BMC primary care · 2024Article
- The Wellbeing of Healthcare Workers during COVID-19 Era in Public Primary Health Facilities in Johannesburg, South Africa.International journal of environmental research and public health · 2024Article
- A stroke rehabilitation training program for community-based primary health care, South Africa.African journal of disability · 2023Article
- Human resource time commitments and associated costs of Community Caregiver outreach team operations in South Africa.PloS one · 2023Article
- The role of community health workers in palliative care in a rural subdistrict in South Africa.African journal of primary health care & family medicine · 2022Article
- Exploring primary healthcare practitioners' experiences regarding the coronavirus disease 2019 (COVID-19) pandemic in KwaZulu-Natal, South Africa.Primary health care research & development · 2022Article
- Moving from community-based to health centre-based management: impact on urban community health worker performance in Ethiopia.Health policy and planning · 2022Article
- Factors Associated With Workplace and Interpersonal Trust in the Supervisory System of a Community Health Worker Programme in a Rural South African District.International journal of health policy and management · 2022Article
- Patient- and Community-Oriented Primary Care Approaches for Health in Rural, Remote and Resource-Dependent Places: Insights for Eco-Social Praxis.Frontiers in public health · 2022Review
- Article
- Professional experiences in the transition of Cuban-trained South African medical graduates.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021Article
- Developing a district level supportive supervision framework for community health workers through co-production in South Africa.BMC health services research · 2021Article
- An analysis of the services provided by community health workers within an urban district in South Africa: a key contribution towards universal access to care.Human resources for health · 2021Article
- Article
- A framework for implementation of community-orientated primary care in the Metro Health Services, Cape Town, South Africa.African journal of primary health care & family medicine · 2020Article
- The three-stage assessment to support hospital-home care coordination in Tshwane, South Africa.African journal of primary health care & family medicine · 2020Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Globally, models of extending universal health coverage through primary care are influenced by country-specific systems of health care and disease management. In 2015 a rapid assessment of the ward-based outreach component of primary care reengineering was commissioned to understand implementation and rollout challenges.
aimThis article aims to describe middle- and lower-level managers' understanding of ward-based outreach teams (WBOTs) and the problems of authority, jurisdiction and practical functioning that arise from the way the model is constructed and has been operationalised.
settingData are drawn from a rapid assessment of National Health Insurance (NHI) pilot sites in seven provinces.
methodsThe study used a modified version of CASCADE. Peer-review teams of public health researchers and district/sub-district managers collected data in two sites per province between March and July 2015.
resultsRespondents unequivocally support the strategy to extend primary health care services to people in their homes and communities both because it is responsive to the family context of individual health and because it reaches marginal people. They, however, identify critical issues that arise from basing WBOTs in facilities, including unspecific team leadership, inadequate supervision, poorly constituted teams, limited community reach and serious infrastructural and material under-provision.
conclusionMany of the shortcomings of a facility-based extension model can be addressed by an independently resourced, geographic, community-based model of fully constituted teams that are clinically and organisationally supported in an integrated district health system. However, a community-oriented primary care approach will still have to grapple with overarching framework problems.
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