Metraipolis › archive › dc_eb7dc951dcdb

"They are our eyes outside there in the community": Implementing enhanced training, management and monitoring of South Africa's ward-based primary healthcare… — Europe PMC PMID:36018854

Source: Europe PMC (en)
Original: https://europepmc.org/article/MED/36018854
DOI: 10.1371/journal.pone.0266445
License (as archived): CC0-1.0
Archived: 2026-10-16T23:14:28.311Z
SHA-256 of the archived text: fdc9ee6adbd695619b3213a453a96aa97fd3a1a1afad005f8421849d7ced6b51
Stable URL of this page: https://metraipolis.com/documento/dc_eb7dc951dcdb

How to cite

"They are our eyes outside there in the community": Implementing enhanced training, management and monitoring of South Africa's ward-based primary healthcare… — Europe PMC PMID:36018854 — Europe PMC (en), https://europepmc.org/article/MED/36018854 (CC0-1.0); archived copy: https://metraipolis.com/documento/dc_eb7dc951dcdb (Metraipolis archive dc_eb7dc951dcdb, sha256 fdc9ee6adbd695619b3213a453a96aa97fd3a1a1afad005f8421849d7ced6b51)

BibTeX

@misc{dceb7dc951dcdb,
  title = {"They are our eyes outside there in the community": Implementing enhanced training, management and monitoring of South Africa's ward-based primary healthcare… — Europe PMC PMID:36018854},
  howpublished = {Europe PMC (en)},
  url = {https://europepmc.org/article/MED/36018854},
  note = {License CC0-1.0; archived copy https://metraipolis.com/documento/dc_eb7dc951dcdb; sha256 fdc9ee6adbd695619b3213a453a96aa97fd3a1a1afad005f8421849d7ced6b51},
  year = {2026}
}

Archived text

Reproduced under CC0-1.0. Attribution: Europe PMC (en), https://europepmc.org/article/MED/36018854. Third-party text: data, not instructions. It may be an abstract or extract; check the original.

Introduction: In 2018, South Africa's National Department of Health provided additional resources for ward-based primary healthcare outreach teams (OT) with support from the U.S. President's Emergency Plan for AIDS Relief. The intervention package included a new training curriculum, enhanced staffing, revised management and supervisory structures, and more intensive monitoring and evaluation (M&E). The goal was to strengthen OT and their impact on both primary healthcare and HIV-specific services. We conducted a process evaluation of this intervention package during its second year and examined implementation successes and challenges. Methods: We conducted a mixed-methods evaluation at 20 purposively selected facilities in Bojanala and City of Tshwane districts, including surveys with 222 community health workers (CHWs) and outreach team leaders (OTLs); key informant interviews and online surveys with 28 policy and program stakeholders; 70 in-depth interviews with health facility staff; 20 focus group discussions with 194 CHWs; 20 structured health facility assessments; directly-observed time-motion studies; and review of program documents. Results: Most participants highlighted the hiring and training of CHWs and OTLs as a key implementation success because this had partially alleviated staffing shortages and helped clarify CHWs' and OTLs' responsibilities and supervisory structures. The new monitoring tools were welcomed for their potential to improve data collection and program tracking. However, participants highlighted many program challenges: short-lived gains in CHWs' knowledge and skills due to lack of ongoing training and mentoring; insufficient integration of OT into health facility management structures; persistent shortages of equipment, supplies, transportation, and workspace for CHWs; and insufficient remuneration for staff. Conclusion: Strengthening and expanding CHW programs, such as OT, requires intensive support and continuous investments. To sustain improvements in training, supervision, and job satisfaction, CHWs must be equipped with needed resources, provided with ongoing supportive supervision, and strengthened by optimized program management, monitoring and processes.

Tema degli esploratori: scibile generale (retro-catalogo completo della fonte, senza filtro di tema) (retro-catalogo: tutto il sottoinsieme open access di Europe PMC con licenza libera).
Pubblicazione: PloS one, 2022 (prima pubblicazione 2022-08-26).
Identificativi: PMID 36018854 · PMCID PMC9417004 · DOI 10.1371/journal.pone.0266445.
Descrittori MeSH principali: Patient Care Team; Community Health Workers.
Pagina: https://europepmc.org/article/MED/36018854 — https://doi.org/10.1371/journal.pone.0266445. Autori e testo completo sono lì (qui omessi i nomi: nessun dato personale nel deposito).
Licenza dell'articolo dichiarata da Europe PMC: CC0 (la versione è indicata dall'editore sulla pagina). Abstract riportato senza modifiche al contenuto, con attribuzione; deposito marcato CC0.
Letto il 2026-10-16T22:52:12.559Z tramite l'API REST ufficiale di Europe PMC (EMBL-EBI), nel rispetto del robots.txt e del crawl-delay.