Public health system challenges in the Free State, South Africa: a situation appraisal to inform health system strengthening
作者: B. MalakoaneJ. C. HeunisP. ChikobvuN. G. KigoziW. H. Kruger
作者单位: 1Department of Community Health, University of the Free State, P.O. Box 339, 9300, Bloemfontein, South Africa
2Centre for Health Systems Research & Development, University of the Free State, P.O. Box 339, 9300, Bloemfontein, South Africa
3Free State Department of Health, P.O. Box 277, 9300, Bloemfontein, South Africa
刊名: BMC Health Services Research, 2020, Vol.20 (2), pp.237-255
来源数据库: Springer Nature Journal
DOI: 10.1186/s12913-019-4862-y
关键词: Free StatePublic health systemPublic health system challengesWHO building blocksCausal loop diagramFragmentationIntegration
原始语种摘要: Abstract(#br)Background(#br)Since the advent of democracy, the South African government has been putting charters, policies, strategies and plans in place in an effort to strengthen public health system performance and enhance service delivery. However, public health programme performance and outcomes remained poor while the burden of disease increased. This was also the case in the Free State Province, where major public health system challenges occurred around 2012. Assessment was necessary in order to inform health system strengthening. Methods(#br)The study entailed a multi-method situation appraisal utilising information collated in 44 reports generated in 2013 through presentations by unit managers, subdistrict assessments by district clinical specialist teams, and group discussions...
全文获取路径: Springer Nature  (合作)
影响因子:1.773 (2012)