ISSN: 2375-379X
Health Sciences Research  
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A Review of the Training of Mid-level Health Cadres in South Africa
Health Sciences Research
Vol.4 , No. 5, Publication Date: Sep. 20, 2017, Page: 21-28
648 Views Since September 20, 2017, 540 Downloads Since Sep. 20, 2017
 
 
Authors
 
[1]    

Loveness Tapiwa Satande, School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa; American International Health Alliance, South Africa Regional Office, Pretoria, South Africa.

 
Abstract
 

Shortage of human resources of health has resulted in the establishment of a cadre of healthcare workers called mid-level health care workers. In South Africa these mid-level workers are called Clinical Associates. Literature that focuses on the rationale behind the introduction of midlevel workers, the nature of the training, the challenges being faced in training and deployment as well as measures to address challenges was reviewed. Reference was drawn on the training of Clinical Associates in South Africa to assess the extent to which the cadre will address health care worker shortages. The findings show that if mid-level healthcare workers are sufficiently trained, sustained and incorporated soundly into the health care system they can essentially contribute to the development of the quality of healthcare and in the process address the critical shortage of health care workers. The growth of the cadre should have precedence amongst the policy preferences deliberated by nations facing deficiency and uneven distribution challenges. Enhanced education, administration, management and guideline practices and proper incorporation of the cadre into the health system have the prospective to make the best out of the advantages from utilising these cadres.


Keywords
 

Clinical Associates, Mid-Level Healthcare Workers, Training, Review, South Africa


Reference
 
[01]    

Dovlo D. Using mid-level cadres as substitutes for internationally mobile health professionals in Africa. A desk review. Human Resources for Health. 2004; 2: 7.

[02]    

Wadee, H. & Khan, F., 2007, 'Human resources for health', in S. Harrison, R. Bhana & A. Ntuli (eds.), South African health review, 2007, Durban, Health Systems Trust.

[03]    

WHO. Crisis in Human Resources for Health in the African Region. African Health Monitor. January-June 2007.

[04]    

Elmendorf A. E and Larusso K. Human Resources for Health and World Bank Operations in Africa: A review of Experience. Africa Region Human Development. 2006. Working Paper Series No. 110.

[05]    

Republic of South Africa Government Gazette. National Health Act 2004. Vol 469. Cape Town. 23 July 2004. No. 26595.

[06]    

Maestad O. Human Resources for Health in Tanzania: Challenges, Policy Options and Knowledge Gaps. CMI Report. Project # 25156. Study on Human Resources for Health Project.

[07]    

Doherty J, Couper I and Fonn S. Will Clinical Associates be effective for South Africa? South African Medical Journal. 2012; 102 (11): 833-835.

[08]    

Hugo JFM. Midlevel health workers in South Africa: not an easy option. Chapter in the South African Health Review. Health Systems Trust. 2005

[09]    

Global Health Workforce Alliance. Midlevel health workers for delivery of essential health services. A global systematic review and country experiences. November 2013. WHO Reference Paper.

[10]    

Bangdiwala SI, Fonn S, Okoye O, Tollman S. Workforce Resources for Health in Developing Countries. Public Health Reviews. 32 (1): 296-318.

[11]    

Capati J, Otechere-Darko J, Monji L, Ngcobo S. The Impact of Clinical Associates on Expanding High-quality, Cost-effective Voluntary Medical Male Circumcision (VMMC) Services in South Africa. 2016. 21st International AIDS Conference. Poster presentation.

[12]    

Lehmann U. Mid-level workers. The state of the evidence on programmes, activities, costs and impact on health outcomes. A literature review. Geneva: World Health Organization; 2008. Available from URL: http://www.who.int/hrh/MLHW_review_2008.pdf (Accessed 27 September, 2015).

[13]    

American International Health Alliance. Desk Review of Effective Use of Mid-level and Community Healthcare Workers in South Africa: Analysis of Roles and Needs. 2016. COP16 Impact Evaluation Concept Note.

[14]    

Lehmann U. Strengthening Human Resources for Primary Health Care. In: Barron P, Roma-Reardon J, editors. South Africa Health Review Durban. Health Systems Trust 2008.

[15]    

Brown A et al. Mid-level Health Providers: A Promising Resource. Rev Peru Med Exp Salud Publica. 2011; 28 (2): 308-15.

[16]    

Gibbs A. “It’s a small world”,-experience of a new profession in Africa and England. 2016. 9th International Academy of Physician Associate Educators Conference. Oral Presentation. Birmingham.

[17]    

Professional Association of Clinical Associates in South Africa. Our Vision. Available from URL: http://www.pacasa.org.za (Accessed 27, September 2016).





 
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