A collaborative project between the National Department of Health and the Initiative for Sub-district Support, as part Health Systems Trust
The main objective in undertaking this research study is to develop an instrument that will measure the satisfaction levels of clients utilising hospitals in South Africa. The client satisfaction tool (CS Tool) included in this guide drew on the experience of measuring client satisfaction at two district hospitals, East Griqualand and Usher Memorial Hospital in Kokstad and Gordonia Hospital in Upington. Experience was also drawn from a number of international studies, particularly from Ghana, the United States of America and the United Kingdom.
Community participation in primary care service delivelopment: a case study from the informal settlement Mathew Goniwe, Khayelitsha, Cape Town.
International experience has shown that CHWs can make a valuable contribution to improving basic health status in poor communities. However, the nature of their role in South Africa's Primary Health Care (PHC) system has yet to be defined. The development of CHW programmes will be facilitated by the move towards a district-based health system (DHS). However, the message from other countries is that there must be clarity on the status and role of these front-line health workers for them to achieve their full potential.