Bridging the gap: investigating challenges and way forward for intersectoral provision of psychosocial rehabilitation in South Africa.
Bridging the gap: investigating challenges and way forward for intersectoral provision of psychosocial rehabilitation in South Africa.
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DOI：
10.1186/s13033-016-0042-1
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发表时间：
2016
影响因子：
3.6
通讯作者：
Petersen I
中科院分区：
文献类型：
--
作者：
Brooke-Sumner C;Lund C;Petersen I
卫生和社会发展等政府部门与社区非政府组织之间的部门间合作对于为患有严重精神疾病的人提供社会心理康复至关重要。这项研究的目的是提出建议，加强南非的这种部门间合作，并与其他低收入和中等收入国家，特别是非洲国家有关。对来自南非卫生部的16名关键线人、社会发展部的2名关键线人、非政府组织部门的4名关键线人和国家一级服务使用者组织的1名关键线人进行了24次深入的半结构化访谈。采用NVivo 10软件进行框架分析。确定的部门间工作的挑战是部门之间缺乏沟通、界定作用的问题以及每个部门认为缺乏其他部门的支持。与会者确定的应对这些挑战的战略包括改善部门之间的沟通，促进各级领导，并通过适当的书面协议使部门间关系正式化；以及确保现有资源有效地重新分配给地区一级。这项研究概述了几个取得进展的方向，以应对南非公共服务资源部门间工作的挑战。这些可能与其他低收入和中等收入国家，特别是非洲的低收入和中等收入国家有关。实现这些战略需要政治意愿和长远眼光。
Intersectoral collaboration between government sectors such as Health and Social Development and non-governmental organisations (NGOs) in communities is crucial for provision of psychosocial rehabilitation (PSR) for those with severe mental illness. This study aims to provide recommendations for strengthening such intersectoral collaboration in South Africa and with relevance to other low and middle income countries (LMIC), particularly African countries. Twenty-four in-depth semi-structured interviews were conducted with 16 key informants from the South African Department of Health, two key informants from the Department of Social Development, four key informants from the NGO sector and one key informant from a service user organisation at national level. Framework analysis was conducted with NVivo 10 software. Challenges to intersectoral work identified were lack of communication between sectors, problems delineating roles, and each sector’s perception of lack of support from other sectors. Participant-identified strategies for addressing these challenges included improving communication between sectors, promoting leadership from all levels and formalising intersectoral relationships through appropriate written agreements; as well as ensuring that the available resources for PSR are effectively re-directed to district level. This study has outlined several directions for progress to address challenges for intersectoral working for PSR in South Africa. These may be of relevance to other LMIC, particularly those in Africa. Political will and a long-term view will be necessary to realise these strategies.