NIMART rollout to primary healthcare facilities increases access to antiretrovirals in Johannesburg: An interrupted time series analysis
Introduction. South Africa has made remarkable progress in rolling out antiretroviral therapy (ART), with the largest number of people (more than 1.4 million) enrolled on antiretrovirals in the world. Decentralisation of services to primary health centres (PHCs) has strengthened retention of patients on ART and reduced the burden of managing uncomplicated cases at referral hospitals.
Career Choices in Relation to Nursing: A Cross-Sectional Descriptive Study Investigating the Career Choices of School Leavers in Relation to Nursing, and What Influences These Choices
The nurse is the single most important frontline health worker (Ntshona, 2000:2). Without nurses the clinics, community health centres and hospitals cannot function. It is therefore critical that nurse education and the supply of nurses form an integral part of transformation of health services in South Africa (Ntshona, 2000:2). According to the Department of Health (2006) there is a need to significantly increase the production of all categories of nurses in order to fulfil the requirements of South Africa.
The provision of professional nurses for South Africa: 1997 An analysis of student nurses in the comprehensive four-year professional programme during 1997
Improving growth monitoring and promotion in PHC clinics: Lessons from the Mount Frere Health District
Lessons for the implementation of the Essential Drugs Programme within districts.Nurses are the frontline health providers for most people in South Africa today. Many nurses feel ill-equipped for their new role as clinical nursing practitioners. At the same time, clinics often experience shortages of medicines. A process of training and support is needed to ensure that medicines are prescribed and dispensed in a rational and cost-efficient manner.
Letter of concern expressed by Steven Donohue regarding training methods - valuable for wider audience.Recently, facilitators of the Initiative for Sub-District Support in Bothaville (David McCoy and Martha Chao) organised a two-week clinical training programme for nurses, in response to a strongly felt need amongst nurses that they lacked both skills and knowledge for the clinical responsibilities expected of them. Given the urgency, it was decided to fast track a clinical training component. But other ISDS facilitators, notably Steven Donohue, disagreed with this strategy - arguing that short course training in isolation is too simplistic a response to a complex problem. Stevens objections were spelt out quite articulately in an open letter to all ISDS facilitators.
In an attempt to measure in part the progress (or lack of progress) towards equity one step would be to measure the quality of service provision at the community (primary care) level. This would give an overview of the disparities between as well as in provinces, and between rural, urban and peri-urban parts of the country.