1887

n Acta Academica - Staff capacity and resources at nine Free State clinics : shortcomings in the TB programme

Supplement 1
  • ISSN : 0587-2405

Abstract

South Africa faces a continuously escalating tuberculosis (TB) epidemic. This article explores the extent and nature of shortcomings in intra-clinic TB programme resources and staffing. Data was gathered by means of in-depth interviews and observations in nine clinics in the Free State. The main findings of the study include the following: not all TB programme co-ordinators or implementers in the nine clinics had been formally trained in the principles of the National TB Control Programme; knowledge of TB diagnosis was limited; the treatment volunteer system was not optimally managed or utilised; policy guidelines were not available at all facilities; the recording and reporting infrastructure at some clinics was flawed; the drug, supply and equipment infrastructure at some clinics was lacking; the information, education and communication infrastructure was not utilised to its full extent, and management support was in need of improvement. The findings of this study should alert TB programme managers at the provincial, district, local and clinic levels to the existence and extent of problems at some primary health care (PHC) clinics and the urgent need to address them. End

<b>Personeelkapasiteit en hulpbronne in nege Vrystaatse klinieke : TB-programtekortkominge</b> <br>Suid-Afrika word gekonfronteer met 'n voortgesette eskalerende tuberkulose (TB)- epidemie. Hierdie artikel verken die mate en omvang van tekortkominge in intrakliniek TB-programhulpbronne en -personeel. Data is ingesamel deur diepteonderhoude en waarneming in nege klinieke in die Vrystaat. Die vernaamste bevindinge van hierdie studie sluit in: nie al die TB-programkoördineerders en -implementeerders in die nege klinieke was offisieel opgelei in die grondbeginsels van die Nasionale TB Beheerprogram nie; kennis aangaande TB-diagnose was suboptimaal; die behandelingsvrywilligersisteem is nie tot sy volle potensiaal bestuur of aangewend nie; beleidsriglyne was nie in al die fasiliteite beskikbaar nie; die rekordhouding- en aanmeldingsisteme en die medikasie-, voorraad- en toerustinginfrastruktuur het te kort geskied; die inligtings-, toeligtings- en kommunikasie-infrastruktuur is nie oral ten volle gebruik nie en bestuursondersteuning sou verbeter kon word. Die bevindinge van hierdie studie behoort TB-bestuurders op provinsiale, distriks-, plaaslike en kliniekprogramvlak bewus te maak van die bestaan en omvang van probleme in sommige primêre gesondheidsorgklinieke. Daar is geen twyfel dat sulke probleme bestaan en reggestel behoort te word nie. End

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/content/academ/2005/sup-1/EJC15064
2005-01-01
2019-08-21

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