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首页> 外文期刊>Journal of interprofessional care >Social audit of provincial health services: building the community voice into planning in South Africa.
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Social audit of provincial health services: building the community voice into planning in South Africa.

机译：对省级卫生服务机构的社会审计：在南非的规划中建立社区呼声。

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Social audits of health services in three South African provinces (Limpopo 2001, Gauteng 2003 and Eastern Cape 2001) demonstrated a fusion of participatory research, qualitative data collection, epidemiological surveys and analysis, and socialising of evidence for action. The social audit in each province involved the community in covering eight principles of service delivery. In the particular case of Gauteng province, householders answered a questionnaire on public perceptions of government health services. In each sentinel community, the results were returned for discussion in focus groups, made up of a sample that had answered the household questionnaire. Institutional reviews of health facilities and interviews with health workers in those facilities gave the government side of the story. Five actions came from the community-based focus groups, all accepted by the provincial government. Firstly, redesigned communication strategies will aim to reach those with lower levels of education. The second set of actions involves rebuilding the culture of care. Thirdly, the public knowledge of ways to complain was closely related to levels of public satisfaction. Leadership in the health services turned out to be a fourth area for development. And finally, related to this, is the longer-term challenge of establishing and reinforcing community consultation mechanisms.
机译：南非三个省（Limpopo 2001，Gauteng 2003和Eastern Cape）对卫生服务的社会审计显示，参与性研究，定性数据收集，流行病学调查和分析以及行动证据的社会化相融合。每个省的社会审计使社区参与了提供服务的八项原则。就豪登省而言，住户回答了一份关于公众对政府卫生服务看法的问卷。在每个哨兵社区，将结果返回给焦点小组讨论，该小组由回答家庭问卷的样本组成。对卫生机构的机构审查以及在这些机构中对卫生工作者的采访都给政府带来了好处。来自社区焦点小组的五项行动均被省政府接受。首先，重新设计的交流策略将旨在覆盖那些教育程度较低的人群。第二组行动涉及重建护理文化。第三，公众对抱怨方式的了解与公众满意度水平密切相关。事实证明，卫生服务领域的领导地位是第四发展领域。最后，与此相关的是建立和加强社区咨询机制的长期挑战。

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