scholarly journals Reasons for non-compliance with quality standards at primary healthcare clinics in Ekurhuleni, South Africa

Author(s):  
Lebuile J. Mogakwe ◽  
Hafisa Ally ◽  
Nomasonto B.D. Magobe
Diagnostics ◽  
2017 ◽  
Vol 7 (1) ◽  
pp. 3 ◽  
Author(s):  
Tivani Mashamba-Thompson ◽  
Ngcwalisa Jama ◽  
Benn Sartorius ◽  
Paul Drain ◽  
Rowan Thompson

2013 ◽  
Vol 60 (1) ◽  
Author(s):  
Karin Joubert ◽  
Aisha Casoojee

Objectives: As little is known about hearing screening practices at primary healthcare (PHC) clinics in South Africa, the study aimed to describe hearing-screening and record-keeping practices of nurses during typical immunisation sessions at PHC clinics in Gauteng, South Africa.Methods: Data were obtained through observations (N2=80) and questionnaires (N1=20) which were then cross-checked with retrospective information collected from the Road-to-Health Charts and City of Johannesburg Child Health Services Blue Cards of children observed during typical immunisation sessions.Results: A key finding of this study was that PHC nurses who participated in this study do not adhere to the hearing-screening record-keeping practices as outlined by the national Department of Health.Conclusions: Poor record-keeping practices hinder the efficacy of hearing-screening programmes. Accurate record keeping is important in order to document outcomes which can be used to evaluate service delivery and the efficacy of hearing-screening programmes.


BJGP Open ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. bjgpopen20X101048
Author(s):  
Tsepo Motsohi ◽  
Mosedi Namane ◽  
Augustine Chidi Anele ◽  
Mumtaz Abbas ◽  
Sebastiana Zimba Kalula

BackgroundEfficient methods of assessing older persons’ healthcare needs are required in busy public sector primary healthcare clinics in South Africa. These clinics are the main points of entry into the healthcare system. This study was part of a larger study to test the local applicability and adaptability of the World Health Organization's (WHO) Age Friendly Primary Care Toolkit for assessing and managing chronic diseases and common geriatric syndromes.AimTo assess how older persons experience healthcare delivery at two primary healthcare clinics, and identify perceived gaps in health care to older people.Design & settingA qualitative study at two primary healthcare sites in the suburbs of Cape Town, South Africa.MethodFocus group discussions (two at each facility) using an interview guide.ResultsAnalysed data were categorised into five themes: ‘despite the challenges, there is overall good care’; ‘communication gaps and the frustration of feeling unheard’; ‘the health service is experienced as being unreliable, stretched, and is difficult to access’; ‘there is a perception of pervasive structural ageism in the clinics’; and ‘there is a perception that the quality of care received is related to the profession of the healthcare provider’.ConclusionChallenges of access and care for older clients at primary care clinics are linked to their age-specific holistic needs, which are not fully met by the current age-friendly arrangements. Measures should be taken at the clinics to complement the perceived good clinical care received, by improving access to care, making care appropriate to the need, reducing waiting times, and creating opportunities for older persons to feel respected and heard.


2021 ◽  
Vol 23 (1) ◽  
Author(s):  
Hope Padayachee ◽  
Emmanuel Mutambara

Patient experience is seen as a fundamental measure for healthcare evaluation, which fuels the debate regarding the most relevant factors influencing patient experience. Limited empirical knowledge exists concerning the factors that influence patient experience from the users’ perspective in South Africa. This study addresses the research gap by determining the factors influencing patient experience among primary healthcare users in Waterloo, Grove-End and Stonebridge communities in the eThekwini Municipality of KwaZulu-Natal. The study is quantitative, descriptive and cross-sectional, and utilises a self-administered questionnaire that was distributed among 280 primary healthcare users. They strongly agreed (> 90%) that all the factors presented in the study are contributors to their patient experience. The factor analysis determined the relevance of the factors as perceived by the respondents. It was found that the doctor’s role (0.970), clinic cleanliness (0.943), coordination and continuity of care (0.943), and waiting time (0.914) are the most significant influencers of patient experience. Education (0.898), nurses (0.882), medication (0.854) and the quality of care (0.853) serve as moderate influencers. Access (0.745), family/friend involvement (0.722) and the physical state of the infrastructure (0.714) are mild influencers of patient experience. Patient-centred care (0.639), management effectiveness (0.637), communication (0.596) and information (0.443) were non-influencers of patient experience. User experience is multifaceted and each factor represents a varying level of influence. It is recommended that a patient-experience framework should be developed that can be linked to improvement initiatives within South Africa in an effort to support quality improvement.


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