在南非豪登省实施残疾和康复框架。

IF 1.7 Q4 PRIMARY HEALTH CARE
Naeema A R Hussein El Kout, Sonti I Pilusa, Natalie Benjamin-Damons, Juliana Kagura
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引用次数: 0

摘要

背景:南非的残疾和康复框架和战略(FSDR)旨在改善残疾人的康复服务。然而,有关其实施过程的研究是有限的。目的:探讨南非豪登省利益相关者在FSDR实施过程中的经验。环境:该研究在南非豪登省的5个地区进行,即约翰内斯堡市、埃库胡莱尼、西兰德、Sedibeng和茨瓦内。方法:采用描述性定性研究设计,结合半结构化访谈和与不同利益相关者(包括临床医生、康复管理人员和社区卫生工作者)的焦点小组。使用MAXQDA软件对数据进行主题分析,将关键主题演绎到EPIS(探索、准备、实施、维持)框架的各个阶段,以确定所采取的关键实施步骤。结果:报告了实施方面的挑战,包括资源短缺、职业发展有限、管理沟通薄弱和程序效率低下。与会者强调需要根据实地经验调整政策,并主张增加问责制和资源。EPIS框架强调了分阶段干预措施和持续监测对政策有效执行的关键作用。结论:为了提高FSDR政策对康复服务的可持续性和影响,必须解决系统障碍。贡献:建议包括加强问责制、改善资源分配和根据一线需求调整政策,以确保残疾和康复服务的长期改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementation of the framework for disability and rehabilitation in Gauteng, South Africa.

Background:  The Framework and Strategy for Disability and Rehabilitation (FSDR) in South Africa aims to improve rehabilitation services for individuals with disabilities. However, research related to its implementation process is limited.

Aim:  To explore the experiences of the implementation process of FSDR among stakeholders in Gauteng, South Africa.

Setting:  The study was conducted in 5 districts in the Gauteng Province of South Africa namely, City of Johannesburg, Ekurhuleni, West Rand, Sedibeng, and Tshwane.

Methods:  A descriptive qualitative study design was used, combining semi-structured interviews and focus groups with diverse stakeholders, including clinicians, rehabilitation managers and community health workers. Data were analysed thematically using MAXQDA software, with key themes mapped deductively to the stages of the EPIS (Exploration, Preparation, Implementation, Sustainment) framework to identify key implementation steps taken.

Results:  Challenges to implementation including resource shortages, limited career progression, weak management communication and procedural inefficiencies were reported. Participants emphasised the need for policy adaptations reflecting field experiences and advocated for increased accountability and resources. The EPIS framework highlighted the critical role of phase-specific interventions and continuous monitoring for effective policy implementation.

Conclusion:  The study concludes that systemic barriers must be addressed to enhance the sustainability and impact of the FSDR policy on rehabilitation services.Contribution: Recommendations include fostering accountability, improving resource allocation and realigning policies with frontline needs to ensure long-term improvements in disability and rehabilitation services.

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来源期刊
CiteScore
3.30
自引率
10.00%
发文量
81
审稿时长
15 weeks
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