scholarly journals Might first-hand experience of ill-health and economic hardship during the COVID-19 pandemic strengthen public support for vaccination and the reallocation of health sector funding towards health emergency preparedness in South Africa?

2021 ◽  
Author(s):  
R Mattes ◽  
K Dalal ◽  
H Rhoma ◽  
S Lambert ◽  
T De Wet ◽  
...  
Keyword(s):  
South Africa ◽  
Service Delivery ◽  
South African ◽  
Public Service ◽  
Emergency Preparedness ◽  
Economic Activity ◽  
Public Support ◽  
Health Sector ◽  
Economic Hardship ◽  
Vaccine Hesitancy

AbstractAimsWe examined whether first-hand experience of ill-health and economic hardship during the COVID-19 pandemic might strengthen public support for vaccination, and for the reallocation of health sector funding towards health emergency preparedness in South Africa – a country in which high rates of vaccine hesitancy go hand in hand with widespread discontent regarding public service delivery.MethodsUsing data from 1,600 South African respondents who were surveyed during 2021 for the Eighth Round of Afrobarometer (AB-R8), discrete measures of household- and individual-level sociodemographic and economic factors were generated to permit confounder-adjusted analyses of probabilistic causal relationships between self-reported measures of: personal/household COVID-19 illness and job/income/business loss as a result of COVID-19; and the likelihood that respondents would accept a (government-approved) COVID-19 vaccine, or support the reallocation of health sector funding towards health emergency preparedness.FindingsThere was little evidence that personal/household experience of COVID-19 illness was associated with the likelihood that respondents would (or would not) accept a (government-approved) COVID-19 vaccine (OR: 0.96; 95%CI: 0.72,1.28); or that these respondents would (or would not) support the reallocation of health sector funding towards health emergency preparedness (OR: 0.95; 95%CI: 0.71,1.26), even after adjustment for individual- or household-level sociodemographic and economic covariates considered likely confounders. There was similarly little evidence that personal/household experience of job/income/business loss as a result of the COVID-19 pandemic was associated with support for the reallocation of health sector resources for emergency preparedness (OR: 1.02; 95%CI: 0.80,1.30); again, even after adjustment for potential confounders.However, respondents who reported that they or someone in their household had lost their job/income/or business as a result of the COVID-19 pandemic had only around half the odds of reporting that they would accept a (government-approved) COVID-19 vaccine (OR: 0.60; 95%CI: 0.47,0.77) – and this finding, like the others in these analyses, was largely unaffected by the inclusion/exclusion of covariates considered susceptible to change following the onset of the COVID-19 pandemic (i.e. those covariates potentially operating as colliders rather than genuine confounders).ConclusionsThese findings suggest that – despite the postulated ‘experiential dividend’ of COVID-19 illness (i.e. its expected impact on vaccine hesitancy and support for the reallocation of health sector resources for health emergency preparedness) – no such ‘dividend’ was observed in this broadly representative sample of South African adults. Indeed, job/income/business loss (and associated economic hardship) also had little effect on support for the reallocation of health sector resources for health emergency preparedness; yet this was somewhat paradoxically associated with a much lower odds of vaccine acceptance – paradoxically, since vaccination has been widely viewed as a pragmatic (if somewhat neoliberal) intervention to protect economic activity. However, these findings might simply reflect inadequate confounder adjustment for preceding and entrenched attitudes towards vaccination amongst those South Africans who are also most vulnerable to job/income/business loss as a result of the COVID-19 pandemic. Protecting the livelihood and health of such individuals and households is likely to remain a substantial challenge and key priority for future emergencies in which economic activity is compromised.AimThe aim of the present study was to examine whether first-hand experience of ill-health and economic hardship during the COVID-19 pandemic might have strengthened public support for vaccination, and for the reallocation of health sector funding towards health emergency preparedness in South Africa – a country in which high rates of vaccine hesitancy go hand in hand with widespread discontent regarding public service delivery. To this end we drew on data generated by the eighth round of household surveys undertaken by Afrobarometer (AB-R8) which interviewed 1,600 respondents across South Africa during 2021 – more than a year after the country’s first confirmed case of COVID-19 on 5 March 2020.

scholarly journals Actions and Behaviours Essential for Monitoring & Evaluation to Succeed in South African Public Service

2014 ◽  
Vol 2 (3) ◽  
pp. 5
Author(s):  
Malefetsane Mofolo ◽  
Lungepi Mkuyane ◽  
Tembile Skade
Keyword(s):  
South Africa ◽  
Service Delivery ◽  
South African ◽  
Public Service ◽  
Monitoring And Evaluation ◽  
The Body ◽  
Public Servants ◽  
The Public ◽  
Body Of Knowledge ◽  
Regulatory Frameworks

As an intervention mechanism to improve service delivery, the concepts of Monitoring and Evaluation (M&E) is recently growing in popularity among countries, including South Africa. To this end, questions are posed in this article to establish the effect of making use of M&E in the South African public service. These are posed in view of the fact that South Africa has established a number of sound regulatory frameworks in the past, which should serve as a ‘fertile’ environment for effective service delivery. On this basis, attempts are made to investigate the answers to such questions, and then the body of knowledge through literature review was consulted so as to contextualise and conceptualise arguments and recommendations that could be made at the end of the article. Monitoring and Evaluation could be seen as a critical tool for government institutions to be effective towards achievement of their goals and objectives, as well as making an impact on the lives of South African citizens. In view of this, much needs to be done to several unresolved issues, particularly issues around the organisational/operational culture, peculiar public servants’ attitudes, inefficiency and incompetence, as well as non-compliance with relative legislation. Recommendations with regard to the required actions and behaviours in the public service are, therefore, proposed for consideration.

Influence of Knowledge Management Practices on Public Service Delivery by Municipalities

Mousaion ◽  
2019 ◽  
Vol 37 (3) ◽  
Author(s):  
Charleen Musonza ◽  
Ndakasharwa Muchaonyerwa
Keyword(s):  
South Africa ◽  
Knowledge Management ◽  
Service Delivery ◽  
Public Service ◽  
Qualitative Data ◽  
Management Practices ◽  
Integrated System ◽  
Eastern Cape Province ◽  
Eastern Cape ◽  
Public Service Delivery

This study examines the influence of knowledge management (KM) practices on public service delivery by municipalities in the Eastern Cape province of South Africa. The study sought to determine the factors that have triggered the implementation of KM practices; the effectiveness of KM practices towards public service delivery; and the extent to which KM practices have influenced public service delivery by municipalities in the Eastern Cape province of South Africa. Both quantitative and qualitative methods were employed in this study. Quantitative data were collected through a survey questionnaire administered to a sample of 202 employees at the Raymond Mhlaba Municipality in the Eastern Cape. Qualitative data were collected through observations and interviews of 2 senior managers. The data collected gave a response rate of 72 per cent. The quantitative and qualitative data were analysed descriptively and presented verbatim respectively. The results indicated that the internal and external factors included in this study have contributed to the implementation of KM practices in the municipality. Furthermore, the effective use of KM practices has increased the organisational KM initiative, as well as the provision of services such as electricity, education, transport, and social services by the municipality. The study recommends the establishment of KM awareness and the establishment of an integrated system that will assist in effective knowledge sharing, retention and acquisition across municipalities in the Eastern Cape.

Social innovation and service delivery in Belgium and South Africa

2019 ◽  
Vol 13 (2) ◽  
pp. 143-158 ◽  
Author(s):  
Maréve Inge Biljohn ◽  
Liezel Lues
Keyword(s):  
South Africa ◽  
Service Delivery ◽  
South African ◽  
Citizen Participation ◽  
Organizational Context ◽  
Social Innovation ◽  
Value Proposition ◽  
Content Type ◽  
Public Sector Service ◽  
Sector Service

Purpose Social innovation (SI) remains a latent area in the South African local government (LG) sphere despite its growing use in public-sector service delivery globally. This paper aims to investigate the use of SI in the service delivery of LG through a comparison between the City of Ghent (CoG) (Belgium) and the Mangaung Metropolitan Municipality (MMM) (South Africa). Design/methodology/approach Through a comparative case study approach, qualitative research methods were used to both collect and analyze the data. Data collection instruments included document analysis (naturally occurring data), semi-structured interviews (generated data) and focus group discussions (generated data). Findings Although LG is obliged to collaborate with citizens, various factors influence citizens’ ability to make contributions, even when platforms are created. Collaborative initiatives aid in the realization of collective development visions and enhance citizen participation in a more responsive and inclusive approach to service delivery. Collaborations would require citizens and LG officials to be empowered by finding new ways of working together, as well as developing skills. Practical implications Citizens’ participation when SI is used to enhance service delivery should be meticulously planned. Co-producing services require a conducive internal organizational context that advances citizen participation in the governance and decision-making of service delivery, which is likewise optimal for enhancing the use of SI during the respective co-production service delivery stages. Achieving a conducive internal organizational context is influenced by the role of LG officials and politicians in understanding the value proposition of participation in service delivery to citizens. This value proposition is crucial to building and establishing a trust relationship between citizens, LG officials and politicians. Finally, consensus concerning the concept of SI and its use and implementation is important to ensure its consistent use and application by a municipality, and thus calls for further in-depth investigation. Originality/value SI is a nascent area for which the discourse is still under development, and it is a concept that is often the subject of debate in literature. This paper is justified by the fact that the use of SI in the South African LG sphere lags behind the growing use thereof in public-sector service delivery by LGs globally. In addition, the study presents novel insights regarding similarities and differences in the use of SI through a comparison between two LGs, namely, the MMM and the CoG.

scholarly journals Integrated Financial Management Information Systems: Guidelines for effective implementation by the public sector of South Africa

2012 ◽  
Vol 14 (1) ◽  
Author(s):  
Christoffel J. Hendriks
Keyword(s):  
South Africa ◽  
Information Systems ◽  
Public Sector ◽  
Best Practices ◽  
South African ◽  
Public Service ◽  
Financial Management ◽  
Management Information Systems ◽  
Management Information ◽  
The South

Background: Integrated Financial Management Information Systems (IFMIS) can improve public sector management by providing real-time financial information to managers in order to enhance their decision-making capabilities. The South African Public Service is currently busy with the implementation of an IFMIS. However, the implementation of such a project has proved to be a very demanding undertaking and has not been met with resounding success.Objectives: The research was conducted in order to identify the challenges and risks that are involved in the implementation of the IFMIS in South Africa. After identification of the challenges and risks, solutions or guidelines were developed that may make the implementation more successful.Method: The methodology that was used is that of a literature study where theories were explored and used to solve a research problem. Based on the theoretical research, solutions and guidelines were developed to solve challenges and risks experienced.Results: The results indicated that there are a number of challenges involved with the implementation of an IFMIS. A set of best practice guidelines was developed that may make the implementation more successful.Conclusion: The sheer size and complexity of an IFMIS poses significant challenges and a number of risks to the implementation process. There are, however, critical success factors or best practices that can be used for the project to succeed. It is recommended that these best practices be used by the South African Public Service. 

scholarly journals An Empirical Study of Service Delivery within the Provincial Hospital of Kwa-Zulu Natal South Africa-A case Study

2013 ◽  
Vol 5 (7) ◽  
pp. 439-448
Author(s):  
A. Deen
Keyword(s):  
South Africa ◽  
Service Delivery ◽  
South African ◽  
Health Care Services ◽  
Management Practices ◽  
Structured Interview ◽  
Provincial Hospital ◽  
Care Services ◽  
Kwazulu Natal ◽  
Key Participants

Health care services are an essential component of South African government policy and this is regulated by the Health Act, Act 61 of 2003. The study explores the services offered by the Provincial Hospital KwaZulu Natal, South Africa in relation to service delivery and management practices. The key participants to the study are the patients and staff of the hospital. A structured questionnaire to the patients and departmental heads of the hospital was applied. A structured interview was conducted with strategic level management of the hospital. The results of the study were organized thematically and were triangulated between the results of the various data collecting instruments. A presentation of graphs and tables would be used to facilitate the results of the data. The paper provides sound conclusions and recommendations for efficient and effective management and service delivery within the provincial hospital and which are applicable to many of the provincial hospitals in the country.

scholarly journals Effects of Brain Drain on the South African Health Sector; Analysis of the Dynamics of its Push Factors

2017 ◽  
Vol 9 (4(J)) ◽  
pp. 62-72
Author(s):  
Victor H. Mlambo ◽  
Toyin Cotties Adetiba
Keyword(s):  
South Africa ◽  
South African ◽  
Brain Drain ◽  
Health Professionals ◽  
Health Workers ◽  
Health Sector ◽  
The South ◽  
Push Factors ◽  
African Health ◽  
South African Health

While there has been a plethora of studies that addresses migration in Africa, many have yet to successfully unpack the effects of brain drain on the South African health sector. Using textual analysis of the available literature relevant to the topic under consideration; this work seeks to identify the major structural and socio-economic push factors that drive the migration of health professionals in South Africa, relying on Revestain’s laws of migration and Lee’s push/pull theory of migration. The study also looks at explaining other factors that contribute to the migration of health professionals in South Africa. We argue that for South Africa to retain health professionals, the government needs to increase the training of health workers, improve their working conditions and security, upgrade infrastructure and ensure availability of resources as well as develop a more open immigration policy prioritizing skilled immigration.

scholarly journals Reforming the health sector in South Africa – Post 1994

2015 ◽  
Vol 5 (3) ◽  
pp. 167-179
Author(s):  
Melody Brauns ◽  
Anne Stanton
Keyword(s):  
Economic Growth ◽  
South Africa ◽  
South African ◽  
Health Sector ◽  
South African Government ◽  
The South ◽  
African Government

This article reviews the efforts of the South African government in recognising development challenges of the post-apartheid era and assesses the approaches employed to bring about economic growth and to address inherited inequalities.

scholarly journals Strategy And Planning As An Enabler For Strategy Execution In South African Municipalities

2014 ◽  
Vol 13 (6) ◽  
pp. 1231
Author(s):  
J. H. Leibbrandt ◽  
C. J. Botha
Keyword(s):  
South Africa ◽  
Service Delivery ◽  
South African ◽  
Research Problem ◽  
Strategy Execution ◽  
Strategy Formulation ◽  
High Performing ◽  
Ways Of Thinking ◽  
Made In

Literature confirmed that whilst progress has been made in recent years, there is still a pressing need amongst communities in South Africa for improved service delivery. There is also increasing frustration and anger at the inability of municipalities to do what is expected of them. Municipalities, in general, have a poor record in respect of execution of strategy. The research problem - what prevents Gauteng municipalities in South Africa to successfully execute its strategies and what can be done to address the situation?- will be answered and dealt with when the findings and conclusions relevant to each research objective are discussed. Research and literature to date focused primarily on planning and strategy formulation but neglected the very important execution process. Whilst strategy execution is a dismal failure in most organizations, to date, very little research has focused on strategy execution. Managers and their employees must apply new ways of thinking and they point out that todays high performing organizations are able to bridge the strategy-execution gap due to the fact that their strategies translate to specific operational goals, their employees understand the context and purpose of their work, and they can readily measure how well they are performing.

scholarly journals The emergence of collectively owned self-supply water supply systems in rural South Africa – what can we learn from the Tshakhuma case in Limpopo?

Water SA ◽  
2021 ◽  
Vol 47 (2 April) ◽  
Author(s):  
Moritz Hofstetter ◽  
Barbara van Koppen ◽  
Alex Bolding
Keyword(s):  
South Africa ◽  
Service Delivery ◽  
Public Service ◽  
Alternative Pathway ◽  
Governance Structure ◽  
Lessons Learned ◽  
Limpopo Province ◽  
Water Supply Systems ◽  
Community Members ◽  
Public Service Delivery

Despite the rapid extension of public service delivery since the end of Apartheid, many rural citizens in South Africa still rely on their own initiatives and infrastructure to access water. They construct, improve, operate and maintain infrastructure of different complexities, from individual wells to complex collectively owned water schemes. While most of these schemes operate without legal recognition, they provide essential services to many households. In this article we will first provide an overview of the growing international body of literature describing self-supply as an alternative pathway for public service delivery. We then take a historical perspective on the role of communities and self-supply in South Africa and describe the emergence of six collectively owned, gravity-fed, piped schemes in Tshakhuma, Limpopo Province. We describe and compare these systems using key characteristics like resource access, investment, construction, operation, maintenance and institutional governance. We further assess their performance with regard to coverage, service level, reliability, governance structure, accountability and water quality. We do so because we are convinced that lessons learned from studying such schemes as locally adapted prototypes have the potential to improve public approaches to service delivery. The described cases show the willingness of community members to engage with service delivery and their ability to provide services in cases where the state has failed. The assessment also highlights problematic aspects of self-supply related to a lack of accountability, technical expertise and the exclusion of disadvantaged community members. By describing and assessing the performance of rural self-supply schemes, we aim to recognize, study and learn from such schemes. We consequently do not conclude this article by providing answers, but by raising some pertinent, policy-relevant questions.

Sign in / Sign up

Export Citation Format

Share Document