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Ward-based primary health care outreach teams in South Africa: developments, challenges and future directions
(Health Systems Trust, 2018)
In 2011, South Africa adopted the Ward-based Primary Health Care Outreach
Team (WBPHCOT) Strategy. The WBPHCOTs are made up of generalist community
health workers (CHWs) supported by nurse team leaders, and linked to ...
Practicing governance towards equity in health systems: LMIC perspectives and experience
(BMC, 2017)
The unifying theme of the papers in this series is a concern for understanding the everyday practice of governance
in low- and middle-income country (LMIC) health systems. Rather than seeing governance as a normative ...
Leadership and governance of community health worker programmes at scale: a cross case analysis of provincial implementation in South Africa
(BMC, 2017)
BACKGROUND: National community health worker (CHW) programmes are returning to favour as an integral part of
primary health care systems, often on the back of pre-existing community based initiatives. There are ...
Lenses and levels: the why, what and how of measuring health system drivers of women’s, children’s and adolescents’ health with a governance focus
(BMJ, 2019)
Health systems are critical for health outcomes as they
underpin intervention coverage and quality, promote users’
rights and intervene on the social determinants of health.
Governance is essential for health system ...
Integrating community health assistant- driven sexual and reproductive health services in the community health system in Nyimba district in Zambia: Mapping key actors, points of integration, and conditions shaping the process
(Reproductive Health, 2019)
Introduction: Although large scale public sector community health worker programs have been key in providing sexual and reproductive health (SRH) services in low- and middle-income countries, their integration process into ...
National guidance and district-level practices in the supervision of community health workers in South Africa: A qualitative study
(Human Resources for Health, 2019)
Background: Supportive supervision is considered critical to community health worker programme performance, but there is relatively little understanding of how it can be sustainably done at scale. Supportive supervision ...
The supervisory relationships of community health workers in primary health care: Social network analysis of ward-based outreach teams in Ngaka Modiri Molema District, South Africa
(BMJ Global Health, 2019)
Introduction Supportive supervision remains a key challenge to the sustainability of community health worker (CHW) programmes globally. The aim of the study was to identify critical actors and patterns of relationships in ...
A health system framework for perinatal care in South African district hospitals: A Delphi technique
(BMC Health Services Research, 2019)
The majority of perinatal deaths occurring in low- and middle- income countries are preventable. South Africa is a middle-income country with consistently high perinatal mortality rates and most factors contributing to ...
The governance of local health systems in the era of Sustainable Development Goals: reflections on collaborative action to address complex health needs in four country contexts
(BMJ Global Health, 2019)
This analysis reflects on experiences and lessons from four country settings - Zambia, India, Sweden and South Africa - on building collaborations in local health systems in order to respond to complex health needs. These ...
District governance and improved maternal, neonatal and child health in South Africa: Pathways of change
(Health systems and reform, 2020)
District-level initiatives to improve maternal, neonatal and child health (MNCH) generally do not take governance as their primary lens on health system strengthening. This paper is a case study of a district and sub-district ...