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Curationis

versión On-line ISSN 0379-8577

Curationis vol.32 no.2 Pretoria  2009

 

RESEARCH ARTICLE

 

An analysis of the meaning of integrated Primary Health Care from the KwaZulu-Natal Primary Health Care context

 

 

MN SibiyaI; NS GweleII

ID Tech. Department of Community Health Studies: Nursing, Durban University of Technology
IIPhD. Executive Dean, Faculty of Health Sciences, Durban University of Technology

Correspondence

 

 


ABSTRACT

In South Africa, integration of services policy was enacted in 1996 with the aim of increasing health service utilization by increasing accessibility and availability of all health care services at Primary Health Care (PHC) level. Integration of PHC services continues to be seen as a pivotal strategy towards the achievement of the national goals of transformation of health services, and the attainment of a comprehensive and seamless public health system. Although the drive behind the integration of PHC services was to improve accessibility of services to the community, the problem however, arises in the implementation of integrated PHC (IPHC) as there is no agreed upon understanding of what this phenomenon means in the South African context. To date no research studies have been reported on the meaning of the integration of PHC services. Hence, there is a need for shared views on this phenomenon in order to facilitate an effective implementation of this approach.
A cross-sectional study, using a qualitative approach was employed in this study in order to analyze the phenomenon, IPHC in KwaZulu-Natal and the meaning attached to it in different levels of the health system. A grounded theory was selected as it is a method known for its ability to make greatest contribution in areas where little research has been done and when new viewpoints are needed to describe the familiar phenomenon that is not clearly understood. Policy makers and co-ordinators of PHC at national, provincial and district levels as well as PHC nurses at functional level participated in the study. The data was collected by means of observations, interviews and document analysis. The sample size for interviews was comprised of 38 participants. Strauss and Corbin's process of data analysis was used. It emerged that there were three core categories that were used by the participants as discriminatory dimensions of IPHC in South Africa. These core categories were (a) comprehensive health care, (b) supermarket approach and (c) one stop shop.

Key words: Primary Health Care; Integrated Primary Health Care; grounded theory


 

 

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References

AFRICAN NATIONAL CONGRESS 1994. A National Health Plan for South Africa. Johannesburg: ANC.         [ Links ]

ANNELLS, M 1996. Grounded theory method: Philosophical perspectives, paradigm of inquiry, and postmodernism. Qualitative Health Research. (3):379:393.         [ Links ]

CHENITZ, WC & SWANSON, JM 1986. From practice to grounded theory: Qualitative research in nursing. Menlo Park: Addisons Wesley.         [ Links ]

DENNIL, K; KING, L& SWANEPOEL, T 1999. Aspects of primary health care. Cape Town: Oxford University Press Southern Africa.         [ Links ]

DEPARTMENT OF HEALTH, 2000. Primary health care progress report. Cluster: Health monitoring and evaluation. Republic of South Africa: Department of Health.         [ Links ]

DEPARTMENT OF HEALTH, 2001a. The comprehensive primary health care service package for South Africa. Pretoria: Formeset Printers Cape for the Government Printer.         [ Links ]

DEPARTMENT OF HEALTH, 2001b. The primary health care package for South Africa - a set of norms and standards. Pretoria: Formesct Printers Cape for the Government Printer.         [ Links ]

GLASER, BG & STRAUSS, A 1967. The discovery of grounded theory. Chicago: Aldine.         [ Links ]

GLASER, BG 1998. Doing the grounded theory: Issues and discussions. San Francisco: Sociology Press.         [ Links ]

GWELE, NS 1994. The process of change in nursing education in South Africa. A PhD Thesis, Durban: University of Natal (Now known as the University of KwaZulu-Natal).         [ Links ]

HALPER, EB 2006. Evolution and maturity of the American supermarket during World War II. Real Property. Probate and Trust Journal. 41(2): 253, 104pgs        [ Links ]

HARRISON, D1997: A pocket guide to district health care. Durban: Health Systems Trust.         [ Links ]

HUNTER, K; HAR, S; EGBU, J & KELLY, J 2005. Grounded theory: Its diversification and application through two examples form research studies on knowledge and value management. Journal of Business Research Methodology. 3(1): 57-68.         [ Links ]

KENDALL-RAYNOR, P 2009. Supermarkets used as model for community nursing productivity. Nursing Standard, 23(36): 10.         [ Links ]

KWAZULU-NATAL DEPARTMENT OF HEALTH 2007. KwaZulu-Natal Department of Health. [Accessed on 11 May 2007: http://www.kznhealth.gov.za].         [ Links ]

MESSINGER, PR & NARASIMHAN, C 1997. A model of retail based on consumers' economizing on shopping time. Marketing Science. Linthicum, 16(1): l, 23pgs.         [ Links ]

OWEN, RG 1998. Organizational behavior in education. 6th edition. Boston: Allyn and Bacon.         [ Links ]

PILLAY, Y & ASIA, B 1999. Handbook for Clinic / CHC Managers. Pretoria: Department of Health.         [ Links ]

POLIT, DF & BECK, CT 2004. Nursing research: Principles and methods. 7th edition. Philadelphia: Lippincott, Williams and Wilkins.         [ Links ]

ROLFE, G 2006. Validity, trustworthiness and rigour: quality and the idea of qualitative research. Journal of Advanced Nursing. 53(3): 304-310.         [ Links ]

SAGE, WM 2007. The Wal-martization of health care. The Journal of Legal Medicine. 28:503-519.         [ Links ]

SHAH, DM; BRUNI, K & DARLING RC 2002. Supermarket model for vascular disease care. Journal of Vascular Nursing, XXX (3): 106: 109.         [ Links ]

STRAUSS, A & CORBIN, J 1990. Basics of qualitative research: Techniques and procedures for developing a grounded theory. California: Sage publications.         [ Links ]

STRAUSS, A & CORBIN, J 1998. Basics of qualitative research: Grounded theory procedures and techniques. California: Sage publications.         [ Links ]

TINT, KS; FONN, S; KHUZWAYO, N & ROBERTSON, E 2000. Jeopardisation of preventive services of primary health care: a consequence of providing integrated services? Women's health project newsletter. November, Number 36: 15-16.         [ Links ]

TOOMEY, LC 2000. Functional integration of primary health care within the district health system. Bisho: Equity project.         [ Links ]

TRAVIS, P; BENNET S; HAINES, A; PANGT; HYDER,A ; PEILEMEIER, N; MILLS, A & EVANS, T 2004. Overcoming health-system constraints to achieve Millennium Development Goals. The Lancet. September 4, 364(9437): 900-906.         [ Links ]

WALLE Y, L; LAWN, JE; TINKER, A; FRANCISCO, A; CHOPRA, M; RUDA, I; BHUTTA, ZA & BLACK, RE 2008. Primary Health Care: Making Alma Ata a reality. The Lancet. September 13, 372(9642): 1001-1007.         [ Links ]

WORLD HEALTH ORGANISATION (WHO) 1996. Integration of health care delivery: Report of a WHO study group. Geneva: WHO.         [ Links ]

 

 

Correspondence:
Dr MN Sibiya
Durban University of Technology
Department of Community Health
Studies, Nursing Programme
PO Box 1334 Durban, 4000
Tel: (031)373-2032; Fax:(031)373-2039
E-mail: nokuthulas@dut.ac.za

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