A case study on a generalist service delivery model for street children in Durban, South Africa: Insights from the capability approach

2017 ◽  
Vol 23 (2) ◽  
pp. 297-306 ◽  
Author(s):  
Laura Van Raemdonck ◽  
Mariam Seedat-Khan
Keyword(s):  
South Africa ◽  
Service Delivery ◽  
Capability Approach ◽  
Street Children ◽  
Service Delivery Model ◽  
Delivery Model ◽  
The Capability Approach

scholarly journals Expansion of a National Differentiated Service Delivery Model Increases Access to Treatment for HIV and Other Chronic Conditions in South Africa

2021 ◽  
Author(s):  
Lingrui Liu ◽  
Sarah Christie ◽  
Maggie Munsamy ◽  
Phil Roberts ◽  
Merlin Pillay ◽  
...  
Keyword(s):  
South Africa ◽  
Service Delivery ◽  
Noncommunicable Diseases ◽  
People Living With Hiv ◽  
Service Delivery Model ◽  
Differentiated Service ◽  
National Scale ◽  
Access To Treatment ◽  
Delivery Model ◽  
Living With Hiv

Abstract Background: South Africa is home to 7.7 million people living with HIV and supports the largest antiretroviral therapy (ART) program worldwide. Despite global investment in HIV service delivery and the parallel threat of non-communicable diseases (NCDs), there are few examples of integrated programs addressing both HIV and NCDs through differentiated service delivery. In 2014, the National Department of Health (NDoH) launched the Central Chronic Medicines Dispensing and Distribution (CCMDD) program to provide patients with chronic disease, including HIV, with differentiated access to medications via community-based pick-up points. This study describes the expansion of CCMDD to national scale.Methods: Yale monitors CCMDD enrollment as part of its mixed methods evaluation of Project Last Mile (PLM), a national technical support partner for CCMDD since 2016. From March 2016 through October 2019, cumulative weekly data on CCMDD uptake [patients enrolled, facilities registered, pick-up points contracted], type of medication collected [ART only; NCD only; and ART-NCD] and of collection site used [external pick-up points; adherence/outreach clubs; or facility-based fast lanes], were extracted for descriptive, longitudinal analysis.Results: As of October 2019, 3,436 health facilities were registered with CCMDD across 46 health districts (88% national coverage), and 2,037 external pick-up points had been established. A total of 2,069,039 patients were active on CCMDD, a significant increase since 2018 (p<0.001), including 76% collecting ART [64% ART only, 12% ART plus NCD/comorbidities] and 479,120 [24%] collecting for chronic diseases only. Further, 734,005 (35%) of patients were collecting from external pick-up points, a 73% increase in patient volume from 2018.Discussion: This longitudinal description of CCMDD provides an example of a path to national scale for a differentiated service delivery model that integrates management of HIV and noncommunicable diseases. This study demonstrates the success of the program in engaging patients who are not living with HIV, which bodes well for the potential of the program to address the rising burden of NCDs in South Africa.Conclusion: The results signal potential for expansion in resource-limited settings, particularly in the context of private sector strategic support.

Case Study Analysis of a Junior/High School Service Delivery Model

2019 ◽  
pp. 365-372
Keyword(s):  
High School ◽  
Service Delivery ◽  
Junior High School ◽  
Junior High ◽  
Service Delivery Model ◽  
Study Analysis ◽  
Delivery Model ◽  
Case Study Analysis ◽  
Education Act

This chapter presents a case study analysis of a junior/high school service delivery model that services identified students with a variety of disability categories under the Individuals with Disabilities Education Act. This model is unique because it is rare for a school to have such a variety of different placement options for students with exceptionalities. Typically, school districts have several options, but not to the extent presented here. This chapter explains the different support options within the service delivery model. The chapter concludes with a discussion about future trends for service delivery models.

Case Study Analysis of an Adaptive Academic School Service Delivery Model With Multiple Disabilities/Handicapped Students

2019 ◽  
pp. 353-364
Keyword(s):  
Service Delivery ◽  
School Setting ◽  
Multiple Disabilities ◽  
Service Delivery Model ◽  
Educational Placement ◽  
Eligibility Criteria ◽  
Delivery Model ◽  
Academic School ◽  
High School Setting

This chapter focuses on multiple disability (MD) or multiple handicapped (MH) students. Being considered equal to their grade- and age-level peers is essential for MD/MH students. Thus, in this chapter, use of the adaptive academic service delivery model with MD/MH students is examined through a case study within a junior and high school setting. This chapter includes a discussion about the causes and characteristics, the educational placement and instructional strategies, and the eligibility criteria for students with multiple disabilities or multiple handicaps. The chapter concludes with a discussion about future trends for MD/MH students and service providers.

Case Study Analysis of a Consultative Service Delivery Model With Students With Speech or Language Impairments

2019 ◽  
pp. 299-323
Keyword(s):  
Service Delivery ◽  
Language Impairment ◽  
Service Delivery Model ◽  
Educational Placement ◽  
Eligibility Criteria ◽  
Delivery Model ◽  
Case Study Analysis ◽  
Speech Language Pathologist ◽  
Consultative Service

This chapter examines the speech or language impairment (SLI) disability. SLI is a disability that can be serviced across settings with the support of both a speech-language pathologist and teachers from both regular and special education classrooms. The chapter also examines causes and characteristics, educational placement and interventions, and eligibility criteria for students with an SLI. The interventions presented are diverse and can be taught across the curriculum. Furthermore, the chapter examines two case studies at the elementary and middle school levels that highlight how the consultative service delivery model can be employed with speech and language students. The chapter concludes with a discussion about future trends in the consultative service delivery model with SLI students.

Case Study Analysis of a Consultative Service Delivery Model with Students with Speech or Language Impairments

2015 ◽  
pp. 191-206
Keyword(s):  
Service Delivery ◽  
Language Impairment ◽  
Service Delivery Model ◽  
Educational Placement ◽  
Eligibility Criteria ◽  
Delivery Model ◽  
Case Study Analysis ◽  
Speech Language Pathologist ◽  
Consultative Service

This chapter examines the Speech or Language Impairment (SLI) disability. SLI is a disability that can be serviced across settings with the support of both a speech-language pathologist and teachers from both regular and special education classrooms. The chapter also examines causes and characteristics, educational placement and interventions, and eligibility criteria for students with an SLI. The interventions presented are diverse and can be taught across the curriculum. Furthermore, the chapter examines two case studies at the elementary and middle school levels that highlight how the consultative service delivery model can be employed with speech and language students. The chapter concludes with a discussion about future trends in the consultative service delivery model with SLI students.

Case Study Analysis of an Adaptive Academic School Service Delivery Model With Multiple Disabilities/Handicapped Students

2022 ◽  
pp. 599-607
Author(s):  
Pam L. Epler
Keyword(s):  
Service Delivery ◽  
School Setting ◽  
Multiple Disabilities ◽  
Service Delivery Model ◽  
Educational Placement ◽  
Eligibility Criteria ◽  
Delivery Model ◽  
Academic School ◽  
High School Setting

This chapter focuses on multiple disability (MD) or multiple handicapped (MH) students. Being considered equal to their grade- and age-level peers is essential for MD/MH students. Thus, in this chapter, use of the adaptive academic service delivery model with MD/MH students is examined through a case study within a junior and high school setting. This chapter includes a discussion about the causes and characteristics, the educational placement and instructional strategies, and the eligibility criteria for students with multiple disabilities or multiple handicaps. The chapter concludes with a discussion about future trends for MD/MH students and service providers.

scholarly journals Capabilities expansion for marginalised migrant youths in Johannesburg: The case of Albert Street School

2018 ◽  
Vol 74 (3) ◽  
Author(s):  
Wadzanai F. Mkwananzi ◽  
Merridy Wilson-Strydom
Keyword(s):  
South Africa ◽  
Capability Approach ◽  
Methodist Church ◽  
Faith Based ◽  
The Capability Approach

In this article, we used the capability approach as normative grounding to analyse a particular faith-based intervention targeting ‘youth at the margins’ – in this instance, marginalised migrant youths from Zimbabwe living in Johannesburg, South Africa. We used Albert Street School (AS School), run by Johannesburg’s Central Methodist Church, as our case study to show how this faith-based organisation, through its focus on education, created not only spaces for marginalised youths to aspire towards a better life but also practical opportunities to convert their aspirations into action. Drawing on first-hand accounts of 12 Zimbabwean migrant youths who had completed schooling at AS School, as well as of representatives of both the school and the CMC, the article first sketches the Zimbabwe-South Africa migration context post 2000. A discussion then follows of AS School as a faith-based intervention which addresses the constrained capability for education amongst marginalised migrant youths.

scholarly journals Title: Expansion of a national differentiated service delivery model to support people living with HIV and other chronic conditions in South Africa: a descriptive analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lingrui Liu ◽  
Sarah Christie ◽  
Maggie Munsamy ◽  
Phil Roberts ◽  
Merlin Pillay ◽  
...  
Keyword(s):  
South Africa ◽  
Service Delivery ◽  
Chronic Diseases ◽  
Descriptive Analysis ◽  
Noncommunicable Diseases ◽  
People Living With Hiv ◽  
Service Delivery Model ◽  
Differentiated Service ◽  
Delivery Model ◽  
Living With Hiv

Abstract Background South Africa is home to 7.7 million people living with HIV and supports the largest antiretroviral therapy (ART) program worldwide. Despite global investment in HIV service delivery and the parallel challenge of non-communicable diseases (NCDs), there are few examples of integrated programs addressing both HIV and NCDs through differentiated service delivery. In 2014, the National Department of Health (NDoH) of South Africa launched the Central Chronic Medicines Dispensing and Distribution (CCMDD) program to provide patients who have chronic diseases, including HIV, with alternative access to medications via community-based pick-up points. This study describes the expansion of CCMDD toward national scale. Methods Yale monitors CCMDD expansion as part of its mixed methods evaluation of Project Last Mile, a national technical support partner for CCMDD since 2016. From March 2016 through October 2019, cumulative weekly data on CCMDD uptake [patients enrolled, facilities registered, pick-up points contracted], type of medication provided [ART only; NCD only; and ART-NCD] and collection sites preferred by patients [external pick-up points; adherence/outreach clubs; or facility-based fast lanes], were extracted for descriptive, longitudinal analysis. Results As of October 2019, 3,436 health facilities were registered with CCMDD across 46 health districts (88 % of South Africa’s districts), and 2,037 external pick-up points had been contracted by the NDoH. A total of 2,069,039 patients were actively serviced through CCMDD, a significant increase since 2018 (p < 0.001), including 76 % collecting ART [64 % ART only, 12 % ART plus NCD/comorbidities] and 479,120 [24 %] collecting medications for chronic diseases only. Further, 734,005 (35 %) of patients were collecting from contracted, external pick-up points, a 73 % increase in patient volume from 2018. Discussion This longitudinal description of CCMDD provides an example of growth of a national differentiated service delivery model that integrates management of HIV and noncommunicable diseases. This study demonstrates the success of the program in engaging patients irrespective of their chronic condition, which bodes well for the potential of the program to address the rising burden of both HIV and NCDs in South Africa. Conclusions The CCMDD program expansion signals the potential for a differentiated service delivery strategy in resource-limited settings that can be agnostic of the patients chronic disease condition.

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