Barriers to the successful implementation of school health services in the Mpumalanga and Gauteng provinces (original) (raw)
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Furthermore, I would like to express my sincere appreciation to my mother Constance Lenkokile, for taking care of my children while I was working on this research project. To my children, Atlegang and Bokang, thank you for your patience since I could not be with you all the time. I hope this work will be an inspiration and a challenge to the whole family. I would like to sincerely thank the University of South Africa for awarding me financial assistance in the form of a bursary without which I could not have been able to undertake my studies. I also thank the editor of this document, Marti Gerber for her professionalism and dedication. Moreover, I convey my gratitude to the school managers and primary healthcare facility managers of Region C for allowing me the opportunity to conduct my studies within their institutions. Finally I thank all my colleagues for their support and encouragement during my studies.
Health Sa Gesondheid, 2022
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School-based healthcare services in Cape Town, South Africa: When there’s a will, there’s a way
African Journal of Primary Health Care & Family Medicine
South African secondary schools do not deliver school-based healthcare services despite high rates of human immunodeficiency virus (HIV) infection, sexually transmitted infections, and unplanned pregnancies among adolescents, ongoing sub-optimal uptake of healthcare services from public healthcare facilities by adolescents, and national policy support for such services. A pilot school health nursing programme (SHNP) was offered to 44 secondary schools in a single health sub-district within the Western Cape, South Africa. The programme included fortnightly nurse visits that offered a standard package of healthcare services, including sexual and reproductive health services tailored according to school preference.Of the 44 schools, 42 gave permission for the SHNP to operate, with the majority of schools selecting the full comprehensive package of services. Programme implementation was truncated such that delivery only occurred over two school terms (20 weeks); however, 344 students at...
University of the Western Cape, 2019
Provision of effective school health services is fundamental to learners' health and learning. It is obvious that ineffective or absent school health services would ultimately jeopardize the health of learners, core school activities and results. Hence, it is vital for the government departments and schools concerned, to ensure effective school health services delivery, for the benefit of all learners and to alleviate health problems in schools. The purpose of the study is to understand the effective provision of school health services related to the Care and Support for Teaching and Learning (CSTL) and Integrated School Health Policy (ISHP) frameworks in the selected Western Cape formerly disadvantaged schools located in both the Metro East and Metro North Districts. A qualitative research procedure was chosen utilizing qualitative research methods, individual interviews, focus group interviews and non-participant observation. The study focused on three schools, including two public primary schools and one public secondary school that were purposefully sampled to participate in the study. The research concentrated only on the views of the parents, educators, and principals. This investigation revealed that parents, educators, and principals find themselves incapacitated and helpless in addressing health issues due to inadequate school facilities, information, and support for effective school health services delivery in their schools. This study concludes by recommending that principals, teachers, and parents should be carefully trained on how to deal with learners' health problems that may arise either from home or at school. http://etd.uwc.ac.za/ x DESCRIPTION OF KEY TERMS School Health Services-are parts of the school health program provided by physicians, nurses, dentists, social workers, teachers, and other skilled health personnel, to appraise, protect and promote the health of students and the school personnel (Baru 2009). School Health Problems-refer to health problems of school children which vary from one place to another and may include malnutrition, stomach parasites, injuries and infectious disease including skin, eye, or ear diseases amongst others illnesses (Sonawane 2017). Integrated School Health Policy (ISHP)-is a recognized advancement of the school health agenda and the recognition of school health services as a national priority programme, offered through the integrated involvement of the Departments of Basic Education (DBE) and Social Development (DSD) (Integrated School Health Policy 2012). School Health Program-includes maintenance of the school environment, protection, and promotion of health, as well as health education (Currie & Vogl 2013). Health Promoting School-is defined as a school that is constantly strengthening its own capacity as a healthy setting for living, learning and working (Struthers et al. 2013).
Gender and Behaviour , 2023
The World Health Organisation's Health Promoting Schools programme aims at creating school environments conducive to health promotion in low income or disadvantaged communities. The aim of this study was to evaluate the implementation fidelity of the Heath Promoting School programme in primary schools. Purposive sampling was used to recruit 11 of the 13 health-promoting primary schools in the City of Tshwane, Gauteng, South Africa, between 2020 and 2021.The Gauteng Department of Education auditing method and tool was used. After auditing schools, both item and composite scores were calculated for each of the nine Likert scales on the audit tool. Barriers to successful implementation included a lack of policy knowledge; leadership; competence; and resources. All schools showed weak multiple stakeholder collaboration. The study findings could inform the development and review of school health policies.
Intergrated Approach to Health Promotion: The South African Schools’ Role
Mediterranean Journal of Social Sciences, 2014
This research sought to examine the schools' role in integrated health promotion. The key focus was on the understanding of the integrated policies and the implications of practical implementation of such policies in schools. This research was explorative in nature and involved a stratified sample of 16 participants from one of the municipalities under Sedibeng District Municipality. The findings revealed that the schools' ineffectiveness in their role is a barrier to efficient health services by health teams. There is lack of coordination and collaboration of health services due to lack of training and accountability.
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