Community health workers’ experiences of supervision by nurses at clinics in Limpopo Province

Health SA Gesondheid

Field Value
Title Community health workers’ experiences of supervision by nurses at clinics in Limpopo Province
Creator Matsi, Makwena M. Lekalakala-Mokgele, Eucebious S. Madumo, Mary M.
Subject Health care sciences; community nursing community health workers; experiences; nurses; primary healthcare facilities; supervision
Description Background: Supervision of community health workers (CHWs) is considered, among others, a strategy to achieve universal healthcare globally. In South Africa, it is incorporated in the ward-based primary healthcare (PHC) outreach teams’ policy and strategy, a national health insurance policy component. Supervision of CHWs by nurses in the policy is considered a measure to facilitate PHC service provision to communities. However, CHWs experienced varying levels of supervision from nurses and other workers globally and in South Africa.Aim: This study explored and described the experiences of CHWs about supervision received from nurses at PHC facilities in Limpopo Province.Setting: Participants were drawn from seven PHC facilities in Polokwane and Lepelle-Nkumpi subdistricts of the Capricorn District.Methods: A qualitative exploratory-descriptive and contextual study design was employed. Participants were selected utilising a purposive sampling method. Semi-structured interviews were conducted to collect data. Data were analysed according to themes and their associated categories. Measures to ensure rigour and ethical principles were applied.Results: Two main themes emerged: positive supervision experienced by CHWs and supervision challenges experienced by CHWs.Conclusion: The varying experiences of CHWs about supervision from nurses emerged and reflected the need for functioning supervision mechanisms.Contribution: The experiences of CHWs indicated inconsistent delivery of supervision by nurses in PHC facilities. The findings highlighted the need for effective supervision measures that are vital for the success of the CHW supervision programme. 
Publisher AOSIS Publishing
Contributor N/A
Date 2023-12-08
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/hsag.v28i0.2330
Source Health SA Gesondheid; Vol 28 (2023); 10 pages 2071-9736 1025-9848
Language eng
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Coverage South Africa; Limpopo Province; Capricorn district 2002-2022 21 (Twenty one) community health workers participated in the study, the majority were female (n=20). All participants were Africans. Most of the participants were within the age category of 40-49 years and fem were less than 40 years old
Rights Copyright (c) 2023 Makwena M. Matsi, Eucebious S. Lekalakala-Mokgele, Mary M. Madumo