Original Research
Sustainability of the integrated chronic disease management model at primary care clinics in South Africa
Submitted: 09 July 2016 | Published: 17 November 2016
About the author(s)
Ozayr H. Mahomed, Public Health Medicine, University of KwaZulu-Natal, South AfricaShaidah Asmall, National Department of Health, South Africa
Anna Voce, Public Health Medicine, University of KwaZulu-Natal, South Africa
Abstract
Aim: The aim of this study was to assess the sustainability of the facility reorganisation and clinical support components 18 months after the initiation.
Setting: The study was conducted at 37 of the initiating clinics across three districts in three provinces of South Africa.
Methods: The National Health Service (NHS) Institute for Innovation and Improvement Sustainability Model (SM) self-assessment tool was used to assess sustainability.
Results: Bushbuckridge had the highest mean sustainability score of 71.79 (95% CI: 63.70–79.89) followed by West Rand Health District (70.25 (95% CI: 63.96–76.53)) and Dr Kenneth Kaunda District (66.50 (95% CI: 55.17–77.83)). Four facilities (11%) had an overall sustainability score of less than 55.
Conclusion: The less than optimal involvement of clinical leadership (doctors), negative staff behaviour towards the ICDM, adaptability or flexibility of the model to adapt to external factors and infrastructure limitation have the potential to negatively affect the sustainability and scale-up of the model.
Keywords
Metrics
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