From ‘stepchild of primary healthcare’ to priority programme: Lessons for the implementation of the National Integrated School Health Policy in South Africa

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dc.contributor.authorShung-King, Maylene
dc.date.accessioned2021-10-08T07:18:04Z
dc.date.available2021-10-08T07:18:04Z
dc.date.issued2013
dc.description.abstractIn this article, I explore the South African 2003 National School Health Policy (NSHP) and the revised 2012 Integrated School Health Policy (ISHP). I examine whether the shortcomings in the development, content and implementation of the 2003 NSHP, and the context in which it was implemented, have been addressed adequately in the 2012 ISHP. The shortcomings include poorly structured relationships among key policy actors; an absent policy translation process resulting in insufficient understanding and prioritisation of school health by district and facility managers; and poor support and training of nurses. Insufficient capacity and resources, compounded by inadequate referral service capacity, resulted in the inequitable coverage and quality of the service and caused nurses to refer to school health as 'the stepchild of primary healthcare'. The comparison of the 2003 and 2012 policies is guided by the policy analysis framework of the Walt and Gilson policy triangle, which considers the policy context, process of policy development, policy actors and the policy content as key dimensions to successful policy development and implementation. I draw on an evaluation of a six-year implementation period (2003 - 2009) of the 2003 NSHP, which revealed the implementation challenges with the related explanatory factors. I provide lessons from the evaluation of the 2003 NSHP, highlight the policy changes in the new 2012 ISHP and finally highlight key opportunities, and remaining challenges, for the implementation of the new 2012 ISHP.
dc.identifier.apacitationShung-King, M. (2013). From ‘stepchild of primary healthcare’ to priority programme: Lessons for the implementation of the National Integrated School Health Policy in South Africa. <i>South African Medical Journal</i>, 103(12), 895 - 177. http://hdl.handle.net/11427/34896en_ZA
dc.identifier.chicagocitationShung-King, Maylene "From ‘stepchild of primary healthcare’ to priority programme: Lessons for the implementation of the National Integrated School Health Policy in South Africa." <i>South African Medical Journal</i> 103, 12. (2013): 895 - 177. http://hdl.handle.net/11427/34896en_ZA
dc.identifier.citationShung-King, M. 2013. From ‘stepchild of primary healthcare’ to priority programme: Lessons for the implementation of the National Integrated School Health Policy in South Africa. <i>South African Medical Journal.</i> 103(12):895 - 177. http://hdl.handle.net/11427/34896en_ZA
dc.identifier.issn0038-2469
dc.identifier.ris TY - Journal Article AU - Shung-King, Maylene AB - In this article, I explore the South African 2003 National School Health Policy (NSHP) and the revised 2012 Integrated School Health Policy (ISHP). I examine whether the shortcomings in the development, content and implementation of the 2003 NSHP, and the context in which it was implemented, have been addressed adequately in the 2012 ISHP. The shortcomings include poorly structured relationships among key policy actors; an absent policy translation process resulting in insufficient understanding and prioritisation of school health by district and facility managers; and poor support and training of nurses. Insufficient capacity and resources, compounded by inadequate referral service capacity, resulted in the inequitable coverage and quality of the service and caused nurses to refer to school health as 'the stepchild of primary healthcare'. The comparison of the 2003 and 2012 policies is guided by the policy analysis framework of the Walt and Gilson policy triangle, which considers the policy context, process of policy development, policy actors and the policy content as key dimensions to successful policy development and implementation. I draw on an evaluation of a six-year implementation period (2003 - 2009) of the 2003 NSHP, which revealed the implementation challenges with the related explanatory factors. I provide lessons from the evaluation of the 2003 NSHP, highlight the policy changes in the new 2012 ISHP and finally highlight key opportunities, and remaining challenges, for the implementation of the new 2012 ISHP. DA - 2013 DB - OpenUCT DP - University of Cape Town IS - 12 J1 - South African Medical Journal LK - https://open.uct.ac.za PY - 2013 SM - 0038-2469 T1 - From ‘stepchild of primary healthcare’ to priority programme: Lessons for the implementation of the National Integrated School Health Policy in South Africa TI - From ‘stepchild of primary healthcare’ to priority programme: Lessons for the implementation of the National Integrated School Health Policy in South Africa UR - http://hdl.handle.net/11427/34896 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34896
dc.identifier.vancouvercitationShung-King M. From ‘stepchild of primary healthcare’ to priority programme: Lessons for the implementation of the National Integrated School Health Policy in South Africa. South African Medical Journal. 2013;103(12):895 - 177. http://hdl.handle.net/11427/34896.en_ZA
dc.language.isoeng
dc.publisher.departmentHealth Economics Unit
dc.publisher.facultyFaculty of Health Sciences
dc.sourceSouth African Medical Journal
dc.source.journalissue12
dc.source.journalvolume103
dc.source.pagination895 - 177
dc.source.urihttps://dx.doi.org/10.7196/SAMJ.7550
dc.subject.otherComparative Effectiveness Research
dc.subject.otherFacility Regulation and Control
dc.subject.otherHealth Policy
dc.subject.otherHealth Services Research
dc.subject.otherHumans
dc.subject.otherPolicy Making
dc.subject.otherPrimary Health Care
dc.subject.otherSchool Health Services
dc.subject.otherSouth Africa
dc.subject.otherTranslational Medical Research
dc.titleFrom ‘stepchild of primary healthcare’ to priority programme: Lessons for the implementation of the National Integrated School Health Policy in South Africa
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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