scholarly journals Disability management in a public-private health care facility in South Africa: an organisational perspective

2021 ◽  
Vol 21 (3) ◽  
pp. 1440-1450
Author(s):  
Rubendri Govender ◽  
Pragashnie Govender ◽  
Deshini Naidoo
Keyword(s):  
South Africa ◽  
Health Care ◽  
Return To Work ◽  
Care Facility ◽  
Health Care Facility ◽  
Disability Management ◽  
Public Health Care ◽  
Management Policy ◽  
Early Return ◽  
Management Policies

Background: Job retention, long-term absenteeism and medical boarding pay-outs are significant concerns for employers with- in the public health care sector of South Africa. Objective: To describe disability management policies, procedures and programmes of employees following impairment and disability in a public-private healthcare facility in South Africa. Methods: An exploratory qualitative study design was used with key informants in senior management and nursing managers (n=12) selected via purposive sampling. Audio-recorded data from semi-structured interviews and a focus group were themati- cally analysed using inductive reasoning. Results: There is poor adherence to occupational health and disability management policies and the current referral process is informal with managers using discretion to manage employees with ill health and acquired disability. The procedures prescribed in the policy and procedure on incapacity and ill-health-retirement need to be followed, and an early return to work programme within the health care facility needs to be implemented. Conclusions: Despite South Africa having many policies on recruitment and reasonable accommodations, there is a lack of implementation of these policies. An integrated disability management policy and programme encompassing health prevention, early return to work strategies, vocational rehabilitation and the implementation of reasonable accommodation is required to ensure that employees who have acquired disabilities or ill health are successful in the workplace. Keywords: Disability management; vocational assessments; return to work.

scholarly journals Return to Work following Ill Health or Disability in a Public-Private Health Care Facility: A Study in South Africa

2019 ◽  
Vol 11 (9) ◽  
pp. 170
Author(s):  
Rubendri Govender ◽  
Deshini Naidoo ◽  
Pragashnie Govender
Keyword(s):  
South Africa ◽  
Health Care ◽  
Return To Work ◽  
Care Facility ◽  
Health Care Facility ◽  
Disability Management ◽  
Work Ability Index ◽  
Reasonable Accommodations ◽  
Work Strategies ◽  
Ability Index

INTRODUCTION: Disability management involves is dynamic interactional strategies used to promote an individual’s return to work. These strategies revolve around the person’s health condition and contextual factors for example their employer and the work environment. However, there remains limited literature on the strategies used in the public healthcare sector. Objective: To explore the return to work strategies used at a public sector facility in the province of KwaZulu Natal, South Africa. METHOD: A case study design, with multiple sources of data contributed towards profiling disability management strategies implemented at a central quaternary health care facility. Data collection methods included a file audit, work ability index assessments and semi-structured interviews with employees. Saturation sampling was used to recruit n = 23 employees who had been referred for occupational therapy vocational assessments over a period of 10 years. Data from the file audit were analysed using descriptive statistics and interviews were analysed using thematic analysis. RESULTS: Fifty six percent (n = 38) of the participants that were currently employed at the institution scored between 28 and 38 (moderate) on the Work Ability Index and required job realignments and reasonable accommodations within their current vocations. Twenty two percent (n = 5) scored 7–9 (poor) and were medically boarded or on long-term incapacity leave. CONCLUSIONS: Occupational therapists play a significant role in disability management within public health care facilities. Return to work strategies and reasonable accommodations can improve productivity in the workplace.

scholarly journals Can public sector community health workers deliver a nurturing care intervention in South Africa? The Amagugu Asakhula feasibility study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Sonja Klingberg ◽  
Esther M. F. van Sluijs ◽  
Stephanie T. Jong ◽  
Catherine E. Draper
Keyword(s):  
South Africa ◽  
Health Care ◽  
Public Sector ◽  
Health Workers ◽  
Care Facility ◽  
Health Care Facility ◽  
Preschool Age ◽  
Primary Health Care Facility ◽  
Community Based ◽  
Primary Health

Abstract Background Nurturing care interventions have the potential to promote health and development in early childhood. Amagugu Asakhula was designed to promote developmentally important dietary and movement behaviours among children of preschool age (3–5 years) in South Africa. An initial formative study in Cape Town found the intervention to be feasible and acceptable when delivered by community health workers (CHWs) linked to a community-based organisation. This study evaluated the delivery of the Amagugu Asakhula intervention by CHWs linked to a public sector primary health care facility in Soweto, as this mode of delivery could have more potential for sustainability and scalability. Methods A qualitative design was utilised to assess feasibility, acceptability, adoption, appropriateness, implementation, fidelity and context. CHWs (n = 14) delivered the intervention to caregivers (n = 23) of preschool-age children in Soweto over 6 weeks. Following the completion of the intervention, focus group discussions were held with CHWs and caregivers. Further data were obtained through observations, study records and key informant interviews (n = 5). Data were analysed using deductive thematic analysis guided by a process evaluation framework. Results The delivery of the Amagugu Asakhula intervention through CHWs linked to a primary health care facility in Soweto was not found to be feasible due to contextual challenges such as late payment of salaries influencing CHW performance and willingness to deliver the intervention. CHWs expressed dissatisfaction with their general working conditions and were thus reluctant to take on new tasks. Despite barriers to successful delivery, the intervention was well received by both CHWs and caregivers and was considered a good fit with the CHWs’ scope of work. Conclusions Based on these findings, delivery of the Amagugu Asakhula intervention is not recommended through public sector CHWs in South Africa. This feasibility study informs the optimisation of implementation and supports further testing of the intervention’s effectiveness when delivered by CHWs linked to community-based organisations. The present study further demonstrates how implementation challenges can be identified through qualitative feasibility studies and subsequently addressed prior to large-scale trials, avoiding the wasting of research and resources.

scholarly journals Factors affecting health care facility utilization in rural areas of Lucknow district

2018 ◽  
Vol 5 (5) ◽  
pp. 1766
Author(s):  
Vinita Shukla ◽  
Pratibha Gupta
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Facility ◽  
Rural Areas ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Public And Private ◽  
Background Population

Background: Population is increasing rapidly so with the limited resources government alone cannot cater the health of whole population. Private health sector is equally important for the improvement of health of the people. In view of these facts the present study was planned to assess the utilization of health care services (both public and private) and to assess the reasons for visiting that particular health facility (public or private).Methods: Study was cross sectional for 1 year period. Total sample size was 1024. In the present study only rural area was taken. By using multistage stratified random sampling 6 villages were selected and sample came out as 516. Data was analyzed by stata software version -12 for windows and chi square test.Results: 50% respondents visited public, 38% private and 10% visited others (charitable, pharmacies etc.). 62% respondents belonged to lower socio economic status preferred public health care facility. The main reason for visiting public health facility was free services and for private was got cure earlier from that heath facility. Majority of people visited any health facility for illness. (344 out of 516) and 50% of them visited for respiratory diseases. For chronic illness majority (60%) preferred public health care facility.Conclusions: Both public and private health care facilities should be made well equipped and affordable so that people can make choices and not forced to choose particular health facility.

scholarly journals Independent public healthcare unit as an entrepreneur – considerations based on the Act on Medical Activity

2015 ◽  
Vol 125 (3) ◽  
pp. 159-161
Author(s):  
Kamil Szereda ◽  
Jolanta Szymańska
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Legal Aspects ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Legal Person ◽  
Public Healthcare ◽  
Medical Activity ◽  
Legal Personality

Abstract An entrepreneur is someone that engages in a business activity on their own behalf. An entrepreneur might be a natural person, legal person and an organizational unit without legal personality, to which the legal capacity is given by a separate act. Regarding the current legislation, Supreme Court rulings and opinions contained in publications, the authors discuss the legal aspects of entrepreneur’s running an autonomous public health care facility. Since the act on medical activity has become law, both the status of health care facilities and the case law concerning their status as enterprises changed.

Coronavirus Pandemic- The real lessons are learnt in the time of crises

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1011-1014
Author(s):  
Rathi Saurabh D ◽  
Nikhade P ◽  
Motwani N ◽  
Baror S ◽  
Jaiswal A
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Care Facility ◽  
Health Care Facility ◽  
Healthcare Facility ◽  
Control Measures ◽  
Public Health Care ◽  
Standard Equipment ◽  
Healthcare Facilities ◽  
Private Care

The world for every human has changed in the past few months, with one single reason for all- nCOVID-19. Coronavirus had left a significant impact on our life as an individual and as a nation. Every sector in the country is affected, and every situation deemed changed from the previous one. Post-Covid is a new era in itself. This pandemic had helped us to show our inefficiencies in different sectors and profession, including healthcare facilities. Change in the healthcare facility has to be focused. Indian health care facility is based on private care, whereas the pandemic requires public health care approach. The focus needs to be shifted from personal care to community-based care. The annual budget for health welfare is 1-2 per cent of the GDP, which in the future should be increased. More investment, more funds, and more number of doctors can help to combat with such crises efficiently. India has poor infection control standards and policies. Strict infection control measures, standard equipment and training of the paramedics and other healthcare workers are the areas that we can improve. This article highlights the lessons our healthcare facility can learn from this coronavirus pandemic and changes that await for our healthcare system.

Legal Status of a Pharmacist as a Participant of the Pharmacy Market in Poland

2020 ◽  
Author(s):  
Michał JACHOWICZ
Keyword(s):  
Health Care ◽  
Legal Status ◽  
Care Facility ◽  
Health Care Facility ◽  
Legal Protection ◽  
Right To Health ◽  
Public Health Care ◽  
Legislative Process ◽  
Right To Health Care ◽  
Pharmaceutical Service

The provision of the pharmaceutical service is the basic designation of the pharmacy activities as a public health care facility and is a correlate of the subjective right to health care guaranteed under the Polish Constitution. The provision of the pharmaceutical service remains within the scope of the profession of a pharmacist as a profession of public trust, which is also a regulated profession. Taking into account the need to ensure the highest level of implementation of the right to health care, the legal status of a pharmacist as a participant in the pharmacy market should be subject to special legal protection. The assessment of the existing legal status in this respect remains justified by both the subjective distinction between categories of entrepreneurs who hold a permit to operate a generally accessible pharmacy, as well as the legislative process on principles of fulfilling the pharmacist's professional obligations included in the draft Act on the profession of pharmacist. The purpose of this article is to assess the indicated legal conditions undertaken both on the basis of the existing legal status and proposed statutory solutions.

scholarly journals Assessment of health seeking behaviour among fishermen community in Puducherry

2021 ◽  
Vol 8 (2) ◽  
pp. 732
Author(s):  
Rajarajeswari Neethiselvan ◽  
Gayathri S. ◽  
Shanmughapriya P.
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Facility ◽  
Care Facility ◽  
Health Care Facility ◽  
Public Health Care ◽  
Special Focus ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Late Night

Background: Fishermen community are involved in dangerous and complex profession and have diverse and untold constrains like work overtime in sea- nightshifts and late- night return from sea which worsen their morbid conditions.  Objectives were to explore the health seeking behaviour and challenges faced by the fishermen community to utilize the health care facility in Puducherry.Methods: A community based cross-sectional study was conducted among 102 individuals in the selected villages of fishermen community in Puducherry based on convenient sampling during September 2019 to November 2019.Results: Majority 63 (62.4%) utilized government hospitals for various illness. Nearly one-third of people 35 (34.5%) visited private hospital for their ailments and another 4 (3.9%) preferred pharmacies for their illness. More than half of the study participants working as an active fisherman 59 (57.8%) had approached health care facility during their illness (p<0.037). Around 54 (52.9%) subjects belonged to lower middle class visited health facility during their illness (p<0.046). Free of cost, 24×7 services, and easy accessibility, were reported as the commonest reason for choosing public health facility. Doctors availability, less time consumption and quality of medical care were the reasons for preferring private practitioners.Conclusions: Strengthening of public health care services near the fishermen community area is required to promote their health seeking behaviour. Also, special focus to be given for appropriate transport facility and arranging specialized healthcare professionals for this community. 

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