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      The experiences of home-based care workers when rendering services in the communities in Northern Tshwane and Madibeng districts

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          Abstract

          Background

          Despite the provision of the policy for Ward-based Primary Healthcare Outreach Teams, which requires home-based care workers to be supported by different categories of health professionals, home-based care workers continue to experience challenges during service provision in the communities. Home-based care workers form an integral part of the Ward-based Primary Healthcare Outreach Teams that form part of the streams of primary healthcare re-engineering. The aim of the study was to explore and describe the experiences of home-based care workers (HBCWs) when rendering services in the communities of Northern Tshwane district in Gauteng province and Madibeng district in the North West province.

          Methods

          The study design was qualitative, exploratory and descriptive. Purposive sampling was used from the population of HBCWs in Gauteng and North West. Focus group interviews were conducted. Tesch’s data analysis method was used. Themes and subthemes were identified by the researcher and co-coder, and these were summarised into subjects that were interrelated.

          Results

          Diverse experiences of participants emerged. These experiences included lack of human and material resources, poor funding, lack of knowledge, lack of support and respect and the need for psychological support.

          Conclusion

          There is a need for a collaborative approach amongst the National Department of Health, non-governmental organisations (NGOs) and HBCWs in patient care. Policies and support structures should be strengthened or reformed to promote comprehensive and integrated care to sustain HBCWs.

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          Most cited references31

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          Brazil's family health strategy--delivering community-based primary care in a universal health system.

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            Family caregivers and palliative care: current status and agenda for the future.

            The quality of life of the person confronting the end stages of their life may be severely compromised without the support of family caregivers. Indeed, most people requiring palliative care would not be able to fulfill their preferences, such as care at home, without significant family caregiver input. As a consequence, health services are mandated to support the family alongside the person diagnosed with a life-threatening illness. In short, palliative care is supposed to be family centred. However, the quality and type of support made available to family caregivers has been questioned. The purpose of this review is to outline a succinct and empirically informed account of family caregiving within the context of palliative care and to propose an agenda for the future. The appraisal is underpinned by several systematic reviews, and other seminal publications from the last decade.
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              Nursing research: Generating and assessing evidence for nursing practice.

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                Author and article information

                Journal
                S Afr Fam Pract (2004)
                S Afr Fam Pract (2004)
                SAFP
                South African Family Practice
                AOSIS
                2078-6190
                2078-6204
                22 October 2020
                2020
                : 62
                : 1
                : 5155
                Affiliations
                [1 ]Department Nursing, Faculty of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria, South Africa
                [2 ]Centre for Mental Health and Research, Brits, South Africa
                [3 ]Department of Family Medicine, Faculty of Health Science, University of Pretoria, Pretoria, South Africa
                Author notes
                Corresponding author: Indiran Govender, indiran.govender@ 123456gmail.com
                Author information
                https://orcid.org/0000-0002-7178-6130
                https://orcid.org/0000-0002-3832-6247
                https://orcid.org/0000-0002-2760-8134
                https://orcid.org/0000-0003-0126-8087
                Article
                SAFP-62-5155
                10.4102/safp.v62i1.5155
                8377804
                33179952
                64e5948d-788d-4c7c-a642-f0a1402c951e
                © 2020. The Authors

                Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.

                History
                : 04 June 2020
                : 27 July 2020
                Categories
                Original Research

                home-based care workers,home-based care,experience,care,ward-based primary healthcare outreach teams

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