Social accountability challenges and recommendations by community service rehabilitation therapists

Background: Social accountability entails providing equitable and accessible services that are tailor-made for the community’s healthcare needs and enable rehabilitation therapists to improve the efficiency and efficacy of healthcare delivery and their response. Enabling them to provide optimal care...

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Main Authors: Ntandoyenkosi L. Msomi, Andrew J. Ross
Format: Article
Language:English
Published: AOSIS 2024-06-01
Series:South African Family Practice
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Online Access:https://safpj.co.za/index.php/safpj/article/view/5936
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author Ntandoyenkosi L. Msomi
Andrew J. Ross
author_facet Ntandoyenkosi L. Msomi
Andrew J. Ross
author_sort Ntandoyenkosi L. Msomi
collection DOAJ
description Background: Social accountability entails providing equitable and accessible services that are tailor-made for the community’s healthcare needs and enable rehabilitation therapists to improve the efficiency and efficacy of healthcare delivery and their response. Enabling them to provide optimal care during their community service year requires understanding the gaps in their knowledge, experience and the support they provide to the communities they service. Methods: Four in-depth individual interviews and four focus group discussions were conducted via Zoom. The qualitative responses to the questions related to the challenges and recommendations associated with social accountability in clinical settings were analysed using an inductive thematic approach via NVIVO. Results: Four sub-themes emerged for each of the two areas of interest: the challenges relating to (1) budget and equipment constraints, (2) staff shortages, (3) cultural and language barriers and (4) scope of practice limitations. The recommendations related to (5) collaboration with community caregivers, (6) service inclusion in primary health care clinics, (7) improved executive management support and (8) continuing professional development. Conclusion: Equipping graduates with the knowledge, skills and support needed to work in an under-resourced setting is essential for community service rehabilitation therapists to ensure social accountability, given that they often work alone, specifically in rural settings. Contribution: Being aware of the challenges that face community service rehabilitation therapists, having the necessary tools and health facility management support will enable ongoing improvements in their ability to provide socially accountable services.
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spelling doaj-art-73f9970c14b64da68f1e04331c5b79b42025-08-20T03:47:07ZengAOSISSouth African Family Practice2078-61902078-62042024-06-01661e1e910.4102/safp.v66i1.59364435Social accountability challenges and recommendations by community service rehabilitation therapistsNtandoyenkosi L. Msomi0Andrew J. Ross1Department of Family Medicine, College of Health Sciences, University of KwaZulu-Natal, DurbanDepartment of Family Medicine, College of Health Sciences, University of KwaZulu-Natal, DurbanBackground: Social accountability entails providing equitable and accessible services that are tailor-made for the community’s healthcare needs and enable rehabilitation therapists to improve the efficiency and efficacy of healthcare delivery and their response. Enabling them to provide optimal care during their community service year requires understanding the gaps in their knowledge, experience and the support they provide to the communities they service. Methods: Four in-depth individual interviews and four focus group discussions were conducted via Zoom. The qualitative responses to the questions related to the challenges and recommendations associated with social accountability in clinical settings were analysed using an inductive thematic approach via NVIVO. Results: Four sub-themes emerged for each of the two areas of interest: the challenges relating to (1) budget and equipment constraints, (2) staff shortages, (3) cultural and language barriers and (4) scope of practice limitations. The recommendations related to (5) collaboration with community caregivers, (6) service inclusion in primary health care clinics, (7) improved executive management support and (8) continuing professional development. Conclusion: Equipping graduates with the knowledge, skills and support needed to work in an under-resourced setting is essential for community service rehabilitation therapists to ensure social accountability, given that they often work alone, specifically in rural settings. Contribution: Being aware of the challenges that face community service rehabilitation therapists, having the necessary tools and health facility management support will enable ongoing improvements in their ability to provide socially accountable services.https://safpj.co.za/index.php/safpj/article/view/5936social accountabilitycommunity service rehabilitation therapistschallengesrecommendationsrehabilitation services
spellingShingle Ntandoyenkosi L. Msomi
Andrew J. Ross
Social accountability challenges and recommendations by community service rehabilitation therapists
South African Family Practice
social accountability
community service rehabilitation therapists
challenges
recommendations
rehabilitation services
title Social accountability challenges and recommendations by community service rehabilitation therapists
title_full Social accountability challenges and recommendations by community service rehabilitation therapists
title_fullStr Social accountability challenges and recommendations by community service rehabilitation therapists
title_full_unstemmed Social accountability challenges and recommendations by community service rehabilitation therapists
title_short Social accountability challenges and recommendations by community service rehabilitation therapists
title_sort social accountability challenges and recommendations by community service rehabilitation therapists
topic social accountability
community service rehabilitation therapists
challenges
recommendations
rehabilitation services
url https://safpj.co.za/index.php/safpj/article/view/5936
work_keys_str_mv AT ntandoyenkosilmsomi socialaccountabilitychallengesandrecommendationsbycommunityservicerehabilitationtherapists
AT andrewjross socialaccountabilitychallengesandrecommendationsbycommunityservicerehabilitationtherapists