n African Journal for Physical Health Education, Recreation and Dance - Proposed ward-based primary health care service : the case of Masealama, Limpopo Province, South Africa : primary health / community health

Supplement 1
  • ISSN : 1117-4315


The purpose of this study is to indicate the importance to consider policy review as part of re-engineering primary health care based on a specific community needs. Masealama is one area with poor access to health services. The distance between the Masealama community and the clinic (Masealama to Mmamotswa) is 10 kilometres. The community here consists mainly of elderly people and children of school-going age. The young adults have moved to places of work and schools outside of the area. This arrangement in the community has reduced the number of people/households and, therefore, the community qualifies only for a mobile clinic and there is only one home-based health-care worker. The mobile clinic comes once a month and sometimes not at all in that month. A qualitative descriptive and contextual single case study research design was used to collect data from all stakeholders involved and previously involved in this project. The case study was selected in order to analyse and understand issues that are important to the circumstances of the entity under study. A semi-structured interview instrument was developed in English and translated into Sepedi with the help of the Sepedi expert at the University of Limpopo. Six themes emanated in the findings; the project that collapsed previously benefited the community, neglected health issues, children and the elderly community, lack of trust and division within the community, the centre is neglected and buildings are poorly kept and believing in hand-outs. The study recommends that services are defined and planned according to the needs of a specific community, a team approach that includes community health workers should be in place one community worker is inadequate to service the Masealama community, child health and elderly services be provided in the community utilising buildings available in the area. School health, creche' and drop-in centre should be reviewed and services adequately provided.

Loading full text...

Full text loading...


Article metrics loading...


This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error