An investigation into the nature, extent, and experience of collaboration between the Eden District, Western Cape Department of Health and community-based service providers

dc.contributor.advisorReid, Steve
dc.contributor.advisorHamann, Ralph
dc.contributor.authorUtian, Brett
dc.date.accessioned2018-09-04T09:59:32Z
dc.date.available2018-09-04T09:59:32Z
dc.date.issued2018
dc.date.updated2018-09-03T06:40:02Z
dc.description.abstractA major component of the primary health care (PHC) system is the delivery of health services on a community level, at the core of which is the Home and Community Based Care (HCBC) programme. This study focuses on one element of the HCBC system, namely how those involved in the administration of the community-based health component of primary health care, understand their relationship from the perspective of both the government (WCG - DoH) and the NPO service providers in the Eden District of the Western Cape. Additionally, it analyses the nature and the extent of the collaboration between the two entities. A patient referral tool was facilitated in a collaborative process to assess the ability of the two entities to strengthen their relationship. The study methodology was undertaken utilising Insider Ethnography with the researcher as a participant observer. Ten semi-structured interviews of the key stakeholders and one focus group were conducted with the staff of four non-profit (NPO) service providers operating in the Eden District and with WCG - DoH staff managing the HCBC programme. The findings reflect a substantial disconnect and imbalance in the relationship between the two entities, highlighting a top-down, transactional process at higher levels of management, in contrast to the operational relationships at the local sub-district level which are more collaborative. This disjuncture often disempowers the NPO service providers involved in the implementation of the programme. A number of recommendations regarding communication, advocacy, and innovation are proposed. Regular meetings of government, from district to provincial levels, with the NPO service providers, to strengthen collaboration by all stakeholders, are crucial.
dc.identifier.apacitationUtian, B. (2018). <i>An investigation into the nature, extent, and experience of collaboration between the Eden District, Western Cape Department of Health and community-based service providers</i>. (). University of Cape Town ,Faculty of Commerce ,Graduate School of Business (GSB). Retrieved from http://hdl.handle.net/11427/28368en_ZA
dc.identifier.chicagocitationUtian, Brett. <i>"An investigation into the nature, extent, and experience of collaboration between the Eden District, Western Cape Department of Health and community-based service providers."</i> ., University of Cape Town ,Faculty of Commerce ,Graduate School of Business (GSB), 2018. http://hdl.handle.net/11427/28368en_ZA
dc.identifier.citationUtian, B. 2018. An investigation into the nature, extent, and experience of collaboration between the Eden District, Western Cape Department of Health and community-based service providers. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Utian, Brett AB - A major component of the primary health care (PHC) system is the delivery of health services on a community level, at the core of which is the Home and Community Based Care (HCBC) programme. This study focuses on one element of the HCBC system, namely how those involved in the administration of the community-based health component of primary health care, understand their relationship from the perspective of both the government (WCG - DoH) and the NPO service providers in the Eden District of the Western Cape. Additionally, it analyses the nature and the extent of the collaboration between the two entities. A patient referral tool was facilitated in a collaborative process to assess the ability of the two entities to strengthen their relationship. The study methodology was undertaken utilising Insider Ethnography with the researcher as a participant observer. Ten semi-structured interviews of the key stakeholders and one focus group were conducted with the staff of four non-profit (NPO) service providers operating in the Eden District and with WCG - DoH staff managing the HCBC programme. The findings reflect a substantial disconnect and imbalance in the relationship between the two entities, highlighting a top-down, transactional process at higher levels of management, in contrast to the operational relationships at the local sub-district level which are more collaborative. This disjuncture often disempowers the NPO service providers involved in the implementation of the programme. A number of recommendations regarding communication, advocacy, and innovation are proposed. Regular meetings of government, from district to provincial levels, with the NPO service providers, to strengthen collaboration by all stakeholders, are crucial. DA - 2018 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - An investigation into the nature, extent, and experience of collaboration between the Eden District, Western Cape Department of Health and community-based service providers TI - An investigation into the nature, extent, and experience of collaboration between the Eden District, Western Cape Department of Health and community-based service providers UR - http://hdl.handle.net/11427/28368 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/28368
dc.identifier.vancouvercitationUtian B. An investigation into the nature, extent, and experience of collaboration between the Eden District, Western Cape Department of Health and community-based service providers. []. University of Cape Town ,Faculty of Commerce ,Graduate School of Business (GSB), 2018 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/28368en_ZA
dc.language.isoeng
dc.publisher.departmentGraduate School of Business (GSB)
dc.publisher.facultyFaculty of Commerce
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherEden District
dc.subject.otherWestern Cape Department
dc.subject.otherHealth and community-based service providers
dc.titleAn investigation into the nature, extent, and experience of collaboration between the Eden District, Western Cape Department of Health and community-based service providers
dc.typeThesis
uct.type.filetypeText
uct.type.filetypeImage
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