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Leadership and governance of community health worker programmes at scale: a cross case analysis of provincial implementation in South Africa

机译:社区卫生工作者计划的领导和治理:南非省实施的跨案例分析

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摘要

BackgroundNational community health worker (CHW) programmes are returning to favour as an integral part of primary health care systems, often on the back of pre-existing community based initiatives. There are significant challenges to the integration and support of such programmes, and they require coordination and stewardship at all levels of the health system. This paper explores the leadership and governance tasks of large-scale CHW programmes at sub-national level, through the case of national reforms to South Africa’s community based sector, referred to as the Ward Based Outreach Team (WBOT) strategy.
机译:背景技术国家社区卫生工作者(CHW)计划通常在先前基于社区的倡议的支持下,重新成为基础卫生保健系统不可分割的一部分而受到青睐。此类方案的整合和支持面临重大挑战,要求在卫生系统的各个层面进行协调和管理。本文通过对南非基于社区的部门进行的国家改革(称为基于病房的外展小组(WBOT)策略)的案例,探索了在国家以下各级大规模CHW计划的领导和治理任务。

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