Labor

Manual for district managers

The Centre for Health Systems Research & Development (CHSR&D) was approached by the Health Systems Trust (HST) to assist with research to improve the delivery of health care to the farm community in the Bothaville magisterial district.

These reports will bring together the collective experience of the targeted sub-districts throughout South Africa, so that lessons learnt locally can be shared nationally. This first report outlines plans for the Initiative for Sub-District, shaped through a process of consultation and technical advice during the first ten months of 1996 (see Appendices).

The Initiative for Sub-District Support (ISDS) aims to demonstrate improved standards of primary health care by providing sustained, systematic and comprehensive support to selected sub-districts. In other words, ISDS hopes to improve service delivery by identifying those factors which affect health care at local level, and developing practical ways of changing these factors for the better.

A literature review of district development and quality assurance in primary care settings