Table 1.
Description of interview respondent: types, targets/reached, geographic coverage and description of roles
| Type of respondent | Illustrative titles | DoH or NGO? | Reached/target | Geographic coverage by level of the health system | Description of roles |
|---|---|---|---|---|---|
| National stakeholder | Technical advisor | Both | 3/10 | Covered through engagement with national stakeholders | Advising provincial, district, facility and community leaders on how to implement WBPHCOT policy |
| Provincial management | HAST Director, Deputy Director Community Health Worker Programme, Deputy Director Primary Healthcare | DoH | 16/18 | Engaged with 6 of 9 provinces | Asset management, leadership, human resource management, training coordination, financial compliance, governance and support healthcare service delivery |
| District management | WBOT manager, District Director Primary Healthcare | DoH | 11/24 | Engaged with 6 districts out South Africa’s 52 total districts | Sub-district PHC manager |
| Implementing partner | PHC Re-engineering Technical Advisor | NGO | 6/6 | All but KZN and NW provinces | Support of implementation at provincial, district, facility and community levels |
| Facility based | Facility Manager, Data Capturer | DoH | 13/15 | We did not have a facility representative in GP | Management and operations of PHC at the facility level |
| OTL | OTL, professional nurse, enrolled nurse, CCG supervisor, CCG facilitator | DoH | 13/15 | Representation from all 6 selected districts | Clinical care, administration, documentation, reporting and training. As an example, professional nurses can support basic midwifery while enrolled nurses must refer and seek advanced support |
| CHWs | CHW, CCG (historical title in KZN), CCW (historical title in WC)a | Both | 4/6 | CHWs were only included in interviews in GP, KZN and NW provinces | (1) Promote health and prevent illness at households, (2) register health needs, (3) provide psychosocial support, (4) identify and manage minor health problems, (5) support the continuum of care and (6) provide adherence support for chronic conditions |
| Total | Various | Both | 65/94 | National and 6 of 9 total provinces covered | Various |
CHW, COmmunity Health Worker, CCG, Community Care Giver; CCW, Community Care Worker; GP, Gauteng; HAST, HIV/AIDS, STIs and Tuberculosis, KZN, KwaZulu-Natal; NGO, Non-governmental Organisation; OTL, Outreach Team Leader; PHC, Primary Healthcare; NW, North West; WBOT, ward-based outreach team; WBPCHOT, Ward-Based Primary Healthcare Outreach Team; WC, Western Cape.
a
Largely these roles are being phased out in favour of CHW across the country.