Support in form of resources from the Ministry of Health and Social Services available to primary health care workers in Onandjokwe district in the northwest health region, Namibia

Type Thesis or Dissertation - Master in Nursing Science
Title Support in form of resources from the Ministry of Health and Social Services available to primary health care workers in Onandjokwe district in the northwest health region, Namibia
Author(s)
Publication (Day/Month/Year) 2005
URL http://41.205.129.132/bitstream/handle/11070/323/Neshuku2005.pdf?sequence=2
Abstract
Although Primary Health care approach/system has been in place for more than 10 years, the
Ministry of Health and Social Services is still experiencing problems in its implementation.
Some problems experienced are lack of human resources, material, transport, financial resources,
poor roads as well as poor communication between health facilities. Similar problems are also
experienced in Onandjokwe district. The purpose of the study was to explore and describe the
support, in form of resources, provided by the Ministry of Health and Social Services to Primary
health care workers in Onandjokwe district Namibia.
Quantitative research design using self-administered questionnaire was used in the study.
Questions were answered using a self-report method.
The population for this study consisted of all health care professionals working at Primary health
care department, health centres and clinics in Onandjokwe district.
Data was analyzed using computer program, Micro soft excel.
The result of the study indicated the following:
 The structures of the health facilities are small to accommodate all services.
 The shortage of staff and material needed for the service provision.
 Poor communication services between health facilities as well as lack of transport to
deliver material on time to health facilities were they are needed or to refer patients.
 Inadequate financial support and poor involvement of staff in budget allocation for their
health facilities. Poor support supervision and training to enable human resources to
render quality services
iv
The support provided to PHC workers was relevant but not sufficient and not always available to
all Primary health care workers as indicated by the findings listed in objective 1 and 2 of this
study.
Recommendation was based on the findings of the study and conclusions and these include the
following:
 The Ministry of health and Social Services should improve all support services provided
to PHC workers in Onandjokwe district by making them efficient and available.
 The district management team should fill all post at health facilities as per staffestablishment:
reconsider post and staff allocation for the health care by allocating
enough staff to every health care facility
 The policies that are used to provide material to the health facilities should be improved.
 Problems relating to poor communication tools and transport that (including allocation
were there is no communication tool, repair and their maintenance) should be addressed.
 Review of the budget allocation for each health facility according to the needs.
 Training of all Primary health care workers as needed to keep them updated.

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