Social accountability challenges and recommendations by community service rehabilitation therapists

South African Family Practice

 
 
Field Value
 
Title Social accountability challenges and recommendations by community service rehabilitation therapists
 
Creator Msomi, Ntandoyenkosi L. Ross, Andrew J.
 
Subject Family medicine social accountability; community service rehabilitation therapists; challenges; recommendations; rehabilitation services
Description Background: Social accountability entails providing equitable and accessible services that are tailor-made for the community’s healthcare needs and enable rehabilitation therapists to improve the efficiency and efficacy of healthcare delivery and their response. Enabling them to provide optimal care during their community service year requires understanding the gaps in their knowledge, experience and the support they provide to the communities they service.Methods: Four in-depth individual interviews and four focus group discussions were conducted via Zoom. The qualitative responses to the questions related to the challenges and recommendations associated with social accountability in clinical settings were analysed using an inductive thematic approach via NVIVO.Results: Four sub-themes emerged for each of the two areas of interest: the challenges relating to (1) budget and equipment constraints, (2) staff shortages, (3) cultural and language barriers and (4) scope of practice limitations. The recommendations related to (5) collaboration with community caregivers, (6) service inclusion in primary health care clinics, (7) improved executive management support and (8) continuing professional development.Conclusion: Equipping graduates with the knowledge, skills and support needed to work in an under-resourced setting is essential for community service rehabilitation therapists to ensure social accountability, given that they often work alone, specifically in rural settings.Contribution: Being aware of the challenges that face community service rehabilitation therapists, having the necessary tools and health facility management support will enable ongoing improvements in their ability to provide socially accountable services. 
 
Publisher AOSIS
 
Contributor
Date 2024-06-06
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — qualitative - interpretive exploratory
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v66i1.5936
 
Source South African Family Practice; Vol 66, No 1 (2024): Part 3; 9 pages 2078-6204 2078-6190
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://safpj.co.za/index.php/safpj/article/view/5936/8844 https://safpj.co.za/index.php/safpj/article/view/5936/8845 https://safpj.co.za/index.php/safpj/article/view/5936/8846 https://safpj.co.za/index.php/safpj/article/view/5936/8847
 
Coverage KwaZulu-Natal 2023 22-30 years, males and females, african, indian and white; community service rehabilitation therapists
Rights Copyright (c) 2024 Ntandoyenkosi L. Msomi, Andrew J. Ross https://creativecommons.org/licenses/by/4.0
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