Healthcare workers' perspectives of the barriers and enablers in health promotion human resources
Background: In South Africa's progress towards health promotion, the action area of human resources of health promotion is incongruent between provinces. Problem statement: Unclear roles and responsibilities of health promoters in South Africa's public health system and inconsistency of health promoter human resources, especially within the North West Province, prompted the research. In this study, healthcare workers' perspectives of barriers and enablers in health promotion human resources within the North West Provincial Department of Health were investigated. Methodology: This was a qualitative, explorative and descriptive study. Healthcare workers from multiple organisational levels (health promoters: n=8; operational managers: n=6; senior managers: n=3) within the Dr Kenneth Kaunda District's public health system were sampled through purposive proportional quota sampling. Semi-structured individual interviews were conducted and data were collected until data saturation was reached. Interviews were transcribed and analysed by means of Atlas.ti 8. Results: Five themes and 13 sub-themes emerged from the data, presenting barriers that exceed enablers. The health promotion human resources structure and policies are deficient. Managerial supervision and monitoring lack and health promotion receives insufficient resources. There is a gap in the implementation of health promotion programmes. There is a need for formal and informal health promotion training. Recommendations: Health promotion within a dysfunctional health system requires a clear human resources system, strengthened by managerial buy-in and efficient monitoring and evaluation. Through formal and informal health promotion training and change management, the significance of health promotion within comprehensive healthcare is strengthened.
- Health Sciences