DSpace
 

Researchspace >
General science, engineering & technology >
General science, engineering & technology >
General science, engineering & technology >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10204/4276

Title: Strengthening the decentralised healthcare system in rural South Africa through improved service delivery: testing mobility, information and communication technology intervention options
Authors: Chakwizira, J
Maponya, G
Nhemachena, C
Dube, S
Keywords: Healthcare system
Rural areas
Rural South Africa
Service delivery
Mobility
Information communication
Information technology
CSIR Conference 2010
Transport
Issue Date: 1-Sep-2010
Publisher: CSIR
Citation: Chakwizira, J, Maponya, G, Nhemachena, C and Dube, S. 2010. Strengthening the decentralised healthcare system in rural South Africa through improved service delivery: testing mobility, information and communication technology intervention options. CSIR 3rd Biennial Conference 2010. Science Real and Relevant. CSIR International Convention Centre, Pretoria, South Africa, 30 August – 01 September 2010, pp 12
Abstract: A decentralised healthcare system (DHS) is a system developed to address issues of power, management and functions of local spheres of government and to address the healthcare backlogs created by the previous apartheid system. Prior to the system, healthcare delivery was centred on one sphere of government which held most power, and thus invested most healthcare services in the private sector creating inequalities between rural and metropolitan areas. To speed up and equate healthcare delivery for all, healthcare was then decentralised by shifting power from central offices to peripheral offices such as districts and municipalities. One of the strategies used by the government is to encourage healthcare service providers (private and/or public) to employ their own human resources in providing healthcare services that ultimately counteract these inequalities. Presently, what could be considered the last level of decentralised healthcare is mostly represented by home and community-based healthcare organisations. As part of the DHS, these organisations provide healthcare services to communities and patients that are released from or referred by clinics and hospitals to continue with medication and healing at home. Yet poor transport remains a challenge faced by most of these organisations, therefore exacerbating access difficulties. As a result, access to healthcare facilities (such as hospitals and clinics), access to patients when providing services, and access to financial support (due to lack of information) become most difficult. In addition, access to information and communication technologies (ICT) and systems is cross-cutting through all challenges. As part of the overarching framework, this paper seeks to provide a platform on which ICT systems could be understood as viable solutions and used to reduce transport and communication burdens of healthcare workers within the ambit of the DHS system.
Description: CSIR 3rd Biennial Conference 2010. Science Real and Relevant. CSIR International Convention Centre, Pretoria, South Africa, 30 August – 01 September 2010
URI: http://hdl.handle.net/10204/4276
Appears in Collections:CSIR Conference 2010
Infrastructure systems and operations
General science, engineering & technology

Files in This Item:

File Description SizeFormat
Dube_2010l.pdf266.09 kBAdobe PDFView/Open
Maponya_2010_P.pdf581.87 kBAdobe PDFView/Open
View Statistics

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

 

Valid XHTML 1.0! DSpace Software Copyright © 2002-2010  Duraspace - Feedback