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Taderera BH, Hendricks SJ, Pillay Y. Health system reform in peri-urban communities: an exploratory study of policy strategies towards healthcare worker reform in Epworth, Zimbabwe. Glob Health Action. 2016;9:32219doi: 10.3402/gha.v9.32219.
Taderera, B. H., Hendricks, S. J., & Pillay, Y. (2016). Health system reform in peri-urban communities: an exploratory study of policy strategies towards healthcare worker reform in Epworth, Zimbabwe. Global health action, 932219. https://doi.org/10.3402/gha.v9.32219
Taderera, Bernard Hope, et al. "Health system reform in peri-urban communities: an exploratory study of policy strategies towards healthcare worker reform in Epworth, Zimbabwe." Global health action vol. 9 (2016): 32219. doi: https://doi.org/10.3402/gha.v9.32219
Taderera BH, Hendricks SJ, Pillay Y. Health system reform in peri-urban communities: an exploratory study of policy strategies towards healthcare worker reform in Epworth, Zimbabwe. Glob Health Action. 2016 Dec 09;9:32219. doi: 10.3402/gha.v9.32219. eCollection 2016. PMID: 27938630; PMCID: PMC5149660.
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Glob Health Action. 2016 Dec 09;9:32219. doi: 10.3402/gha.v9.32219. eCollection 2016.

Health system reform in peri-urban communities: an exploratory study of policy strategies towards healthcare worker reform in Epworth, Zimbabwe.

Global health action

Bernard Hope Taderera, Stephen James Heinrich Hendricks, Yogan Pillay

Affiliations

  1. School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa; [email protected].
  2. School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa.
  3. National Department of Health of the Republic of South Africa, Pretoria, South Africa.

PMID: 27938630 PMCID: PMC5149660 DOI: 10.3402/gha.v9.32219

Abstract

BACKGROUND: Human resources for health (HRH) remains a critical challenge, according to the Kampala Declaration and Agenda for Global Action of 2008 and the 2030 Sustainable Development Agenda. Available literature on health system reforms does not provide a detailed narrative on strategies that have been used to reform HRH challenges in peri-urban communities. This study explores such strategies implemented in Epworth, Zimbabwe, during 2009-2014, and the implications these strategies might have on other peri-urban areas.

DESIGN: Qualitative and quantitative methods were used in an exploratory and cross-sectional design. Purposive sampling was used to select key informants, a sample of healthcare workers that participated in in-depth interviews and community members who took part in focus group discussions. Secondary data were collected through a documentary search. Qualitative data were analysed through thematic analysis. Quantitative secondary data were examined using descriptive statistics and then compared with qualitative data to reinforce analysis.

RESULTS: The HRH reform policy strategies that were identified included ministerial intervention; policy review; and revival of the human resource for health planning, financial planning, multi-sector collaboration, and community engagement. These had some positive effects; however, desired outcomes were undermined by financial, material, human resource, and social constraints.

CONCLUSIONS: Despite constraints, the strategies helped revive the health delivery system in Epworth. In turn, this had a favourable outlook on post-2008 efforts by the Global Health Alliance towards healthcare worker reform and the 2030 Sustainable Development Agenda in peri-urban communities.

Keywords: health; peri-urban; reform; strategies; worker

Conflict of interest statement

and funding The authors declare that they have no conflict of interests. This work was supported by the African Doctoral Dissertation Research Fellowship Award (ADDRF 2015–2017 ADF 002) offered by the

References

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