Community health workers, recipients’ experiences and constraints to care in South Africa – a pathway to trust.

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  • Additional Information
    • Subject Terms:
    • Author-Supplied Keywords:
      Barriers to care
      community health workers
      integrated care
      policy
      primary health care
      social determinants of health
      South Africa
    • NAICS/Industry Codes:
      813930 Labor Unions and Similar Labor Organizations
      813920 Professional Organizations
      624120 Services for the Elderly and Persons with Disabilities
    • Abstract:
      Community health workers (CHWs) affiliated with community-based organisations are central to the implementation of primary health care in district health services in South Africa. Here, we explore factors that affect the provision of and access to care in two provinces – Gauteng and Eastern Cape. Drawing on narratives of care recipients and the CHWs who support them, we illustrate the complex issues surrounding health maintenance and primary care outreach in poor communities, and describe how the intimate interactions between providers and recipients work to build trust. In the study we report here, householders in Gauteng Province had poor access to health care and other services, complicating the impoverished circumstances of their everyday lives. The limited resources available to CHWs hindered their ability to meet householders’ needs and for householders to benefit from existing services. CHWs in the Eastern Cape were better able to address the needs of poor householders because of the organisational support available to them. Based on an ethos of integrated and holistic care, this enabled the CHWs to address the recipients’ context-related needs, and health and medical needs, while building greater levels of trust with their clients. [ABSTRACT FROM PUBLISHER]
    • :
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    • Author Affiliations:
      1Centre for Health Policy/MRC Health Policy Research Group, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg
      2School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg
    • ISSN:
      0954-0121
    • Accession Number:
      10.1080/09540121.2016.1195484
    • Accession Number:
      117521600
  • Citations
    • ABNT:
      NXUMALO, N.; GOUDGE, J.; MANDERSON, L. Community health workers, recipients’ experiences and constraints to care in South Africa – a pathway to trust. AIDS Care, [s. l.], v. 28, p. 61–71, 2016. DOI 10.1080/09540121.2016.1195484. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asr&AN=117521600. Acesso em: 2 jun. 2020.
    • AMA:
      Nxumalo N, Goudge J, Manderson L. Community health workers, recipients’ experiences and constraints to care in South Africa – a pathway to trust. AIDS Care. 2016;28:61-71. doi:10.1080/09540121.2016.1195484.
    • APA:
      Nxumalo, N., Goudge, J., & Manderson, L. (2016). Community health workers, recipients’ experiences and constraints to care in South Africa – a pathway to trust. AIDS Care, 28, 61–71. https://doi.org/10.1080/09540121.2016.1195484
    • Chicago/Turabian: Author-Date:
      Nxumalo, Nonhlanhla, Jane Goudge, and Lenore Manderson. 2016. “Community Health Workers, Recipients’ Experiences and Constraints to Care in South Africa – a Pathway to Trust.” AIDS Care 28 (October): 61–71. doi:10.1080/09540121.2016.1195484.
    • Harvard:
      Nxumalo, N., Goudge, J. and Manderson, L. (2016) ‘Community health workers, recipients’ experiences and constraints to care in South Africa – a pathway to trust’, AIDS Care, 28, pp. 61–71. doi: 10.1080/09540121.2016.1195484.
    • Harvard: Australian:
      Nxumalo, N, Goudge, J & Manderson, L 2016, ‘Community health workers, recipients’ experiences and constraints to care in South Africa – a pathway to trust’, AIDS Care, vol. 28, pp. 61–71, viewed 2 June 2020, .
    • MLA:
      Nxumalo, Nonhlanhla, et al. “Community Health Workers, Recipients’ Experiences and Constraints to Care in South Africa – a Pathway to Trust.” AIDS Care, vol. 28, Oct. 2016, pp. 61–71. EBSCOhost, doi:10.1080/09540121.2016.1195484.
    • Chicago/Turabian: Humanities:
      Nxumalo, Nonhlanhla, Jane Goudge, and Lenore Manderson. “Community Health Workers, Recipients’ Experiences and Constraints to Care in South Africa – a Pathway to Trust.” AIDS Care 28 (October 2, 2016): 61–71. doi:10.1080/09540121.2016.1195484.
    • Vancouver/ICMJE:
      Nxumalo N, Goudge J, Manderson L. Community health workers, recipients’ experiences and constraints to care in South Africa – a pathway to trust. AIDS Care [Internet]. 2016 Oct 2 [cited 2020 Jun 2];28:61–71. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asr&AN=117521600