ArticleAfrican journal of primary health care & family medicine2020
A framework for implementation of community-orientated primary care in the Metro Health Services, Cape Town, South Africa.
Article in African journal of primary health care & family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Siyakhana: A hybrid type 2 effectiveness-implementation stepped-wedge trial to reduce stigma towards substance use and depression among community health workers in HIV/TB care in South Africa.Journal of substance use and addiction treatment · 2025Trial
- Evaluating the implementation of group empowerment for people with type 2 diabetes at Grassy Park Community Day Centre, Cape Town: A convergent mixed-methods study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Article
- Scaling COPC in South Africa: Insights and Priorities from the 2024 National Workshop.African journal of primary health care & family medicine · 2025Article
- The effectiveness of a community-orientated model of primary care for type 2 diabetes compared to standard care.African journal of primary health care & family medicine · 2025Observational
- 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
- Review
- Service guidelines, models, and protocols for integrating rehabilitation services in primary healthcare in Brazil, Russia, India, China, and South Africa: a scoping review.Disability and rehabilitation · 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
- From the periphery to inclusion within the health system: promoting community health worker empowerment as a way forward.BMC primary care · 2024Article
- The role of community health workers in non-communicable diseases in Cape Town, South Africa: descriptive exploratory qualitative study.BMC primary care · 2024Article
- Evaluating the new family medicine internship programmes in the Western Cape, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Longitudinal integrated clerkships from start to finish: A medical curriculum innovation.African journal of primary health care & family medicine · 2024Article
- Let the records speak: an exploration of rehabilitation services offered in primary healthcare, Johannesburg metropolitan district.BMC health services research · 2024Article
- Implementing active surveillance for TB: A descriptive survey of healthcare workers in the Eastern Cape, South Africa.African journal of primary health care & family medicine · 2024Article
- Community health worker training to reduce mental health and substance use stigma towards patients who have disengaged from HIV/TB care in South Africa: protocol for a stepped wedge hybrid type II pilot implementation trial.Implementation science communications · 2024Article
- Primary healthcare rehabilitation users' views on activity limitations and participation in South Africa.African journal of disability · 2024Article
- Opportunities for primary health care in South Africa - Reflections from the USA.African journal of primary health care & family medicine · 2023Article
- Piloting of virtual group education for diabetes in Cape Town: An exploratory qualitative study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023Article
- Community-orientated primary health care: Exploring the interface between community health worker programmes, the health system and communities in South Africa.PLOS global public health · 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
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In South Africa, the national policy on re-engineering primary health care (PHC) supports the implementation of ward-based outreach teams with community health workers. In the Western Cape, a community-orientated primary care (COPC) approach has been adopted in provincial goals for 2030 and the key strategies for the improvement of district health services. This approach is expected to improve health and also save costs. A task team was established in the Metropolitan Health Services to develop an implementation framework for COPC. The framework was developed in an iterative process with four learning sites in the metropole over a period of 18 months. The framework consists of 10 inter-related elements: geographic delineation of PHC teams, composition of PHC teams, facility-based and community-based teamwork, partnership of government and non-government organisations, scope of practice, information system, community engagement, stakeholder engagement, training and development of PHC teams, system preparation and change management. This framework was implemented at the four learning sites and is now being taken to scale and further assessed in the metropole.
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