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The role of non-governmental organisations in primary health care particularly the rural areas and disadvantaged communities of Kwa-Zulu Natal

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dc.contributor.advisor Wallis MA, Prof en
dc.contributor.author Mseleku NG en
dc.date.accessioned 2016-09-22T10:15:49Z
dc.date.available 2016-09-22T10:15:49Z
dc.date.submitted 1999 en
dc.identifier.uri http://hdl.handle.net/20.500.11892/81386
dc.description.abstract The main aim of this study was to examine the role of non-governmental organisations in primary health care, as the government sector is unable to meet all health needs in one fell swoop. As a result, the rural areas and some marginalised communities suffer the consequences. The backlogs in service provision in rural areas are immense, especially in the Northern Province, the Eastern Cape and KwaZulu Natal Provinces. The rural people and children are dying of major but preventable diseases. Many international conferences have been held around the world to discuss health and, in 1978, the World Health Organisation formulated a declaration of intent at Alma-Ata in Russia. South Africa supports this declaration which says: (1) Every person has the right to be healthy. (2) People have the right to help plan and carry out their own health care. (3) All Governments must work hard to improve the health of their people before the year 2000. Rural development can not be the line function of a single department of the public sector, but its nature demands an integrated approach which includes land, agriculture, environment, water, housing, education, health and welfare, as well as constitutional development. Therefore rural development involves many role players, namely, the local government, the private sector, the public sector, the non-government sector and most of the sweat equity will have to be provided by the people themselves. It is assumed that many of the NGOs play an important capacity building role in regard to the development process and are engaged in service delivery, mobilisation, advocacy, planning, lobbying and financing (ANC :121). The study was done in four interim health regions of KwaZulu Natal Province or UGU, Ndlovu, Thukela. Durban Metro and part of Ilembe regions: A. B. C and F. Ten NGOs involved in primary health care were identified. A descriptive survey was conducted. A structured interview schedule was designed, which also included open-ended questions. Triangulation included literature review, observation, asking relevant question at the field, as well as attending workshops. The persons in managerial positions were interviewed. The questions mainly focused on the mission statement and objectives: the events leading to the formation of the NGO: the relationship between the NGO and the Government, funding and control, the developmental process of the NGO, successes, challenges and their future plans. The study revealed that most of the primary health care NGOs is developmental in nature: they are involved in lobbying and advocating change, planning, community mobilisation in self-help projects and programmes, service delivery, financing and research, as well as capacity building, for an example, training and education. Other findings were that NGOs are willing to work in partnership with the Government, but retain their independence. It was found that there is a nervous relationship though between the majorities of the NGOs and the Governments. It was also spelt out that NGOs need financial support from the Government, and that some NGOs have seen their funds drying up after 1994. They are now trying other means, like a fee-for service, for sustainability of their programmes. Recommendations made highlighted the need of the NGOs to forge their relationship with the Government without losing their independence. That will sustain their projects. NGOs have to ensure that their work is relevant to the needs of the local people, appropriate accessible, effective and should take into consideration that they are accountable to the donor and the communities they serve. They should involve their communities in planning, decision-making, implementation and evaluation of projects until the communities are able to sustain their projects. en
dc.language English en
dc.subject Social work en
dc.subject Community development en
dc.title The role of non-governmental organisations in primary health care particularly the rural areas and disadvantaged communities of Kwa-Zulu Natal en
dc.type Masters degree en
dc.description.degree MA(Social Work) en


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