Community care workers, poor referral networks and consumption of personal resources in rural South Africa
| Autor: | Francoise Barten, Helen Schneider, Ahmad Haeri Mazanderani, Mosa Moshabela, Ilona Sips, Minrie Greeff |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Rural Population
Bacterial Diseases Viral Diseases Health services administration Health Care Providers lcsh:Medicine Global Health South Africa Health care Medicine and Health Sciences Quality of Care Public and Occupational Health Home care services--Administration Health Systems Strengthening lcsh:Science Referral and Consultation Medical care Multidisciplinary Palliative Care Health services research Community health services Home care services AIDS Infectious Diseases Caregivers Work (electrical) Medicine Health Services Research Research Article Home care services--Standards medicine.medical_specialty Referral Sexually Transmitted Diseases MEDLINE Nursing Acquired immunodeficiency syndrome (AIDS) medicine Humans Tuberculosis Health Care Quality Consumption (economics) Health Care Policy Data collection Home care services--Employees business.industry lcsh:R Communication in Health Care Business referrals Tropical Diseases medicine.disease Long-Term Care Health Care lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4] Family medicine lcsh:Q business |
| Zdroj: | PLoS ONE, Vol 9, Iss 4, p e95324 (2014) PLoS One, 9, 4 PLoS One, 9 PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | Contains fulltext : 137669.pdf (Publisher’s version ) (Open Access) Although home-based care (HBC) programs are widely implemented throughout Africa, their success depends on the existence of an enabling environment, including a referral system and supply of essential commodities. The objective of this study was to explore the current state of client referral patterns and practices by community care workers (CCWs), in an evolving environment of one rural South African sub-district. Using a participant triangulation approach, in-depth qualitative interviews were conducted with 17 CCWs, 32 HBC clients and 32 primary caregivers (PCGs). An open-ended interview guide was used for data collection. Participants were selected from comprehensive lists of CCWs and their clients, using a diversified criterion-based sampling method. Three independent researchers coded three sets of data - CCWs, Clients and PCGs, for referral patterns and practices of CCWs. Referrals from clinics and hospitals to HBC occurred infrequently, as only eight (25%) of the 32 clients interviewed were formally referred. Community care workers showed high levels of commitment and personal investment in supporting their clients to use the formal health care system. They went to the extent of using their own personal resources. Seven CCWs used their own money to ensure client access to clinics, and eight gave their own food to ensure treatment adherence. Community care workers are essential in linking clients to clinics and hospitals and to promote the appropriate use of medical services, although this effort frequently necessitated consumption of their own personal resources. Therefore, risk protection strategies are urgently needed so as to ensure sustainability of the current work performed by HBC organizations and the CCW volunteers. |
| Databáze: | OpenAIRE |
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