Centre for the Study of the Social and Environmental Determinants of Nutrition, Population Health, Health Systems and Innovation, Human Sciences Research Council, Plein Park Building, Plein Street, Private Bag X9182, Cape Town 8000, South Africa.
Public Health Nutr. 2012 Aug;15(8):1411-8. doi: 10.1017/S1368980011003314. Epub 2011 Dec 8.
To evaluate the successes and shortcomings of the community service programme implemented by the Department of Health (DOH) in South Africa by evaluating community service dietitians' experiences and challenges during the 2009 community service year.
The study employed both quantitative and qualitative research designs. A national survey was conducted using a questionnaire to illicit information on community service dietitians' working environments and the challenges they experienced. Furthermore individual interviews were conducted with a purposively selected subsample of community service dietitians to further explore issues that arose in the survey.
Data were collected from community service dietitians in the public health sector in South Africa.
Dietitians completing their community service year in 2009.
Of the 168 community service dietitians placed in 2009, 134 (80 %) participated in the survey, while five community service dietitians in each province (n 45) were interviewed. Overall the community service dietitians were positive about the community service year and reported that it improved their confidence, skills and competencies. However, they experienced challenges related to the orientation programme, supervision/mentoring, resources available, patient referrals and communication.
Despite the overall success of the community service year there are still challenges which the DOH needs to address in order to provide the best nutrition service possible for its patients.
通过评估 2009 年社区服务年度期间社区服务营养师的经验和挑战，来评价南非卫生部（DOH）实施的社区服务计划的成功之处和不足之处。
本研究采用了定量和定性研究设计。通过问卷调查了全国范围内的社区服务营养师，以获取有关他们工作环境和所面临挑战的信息。此外，还对社区服务营养师进行了个人访谈，以进一步探讨调查中出现的问题。
数据来自南非公共卫生部门的社区服务营养师。
2009 年完成社区服务年的营养师。
在 2009 年安置的 168 名社区服务营养师中，有 134 名（80%）参加了调查，而每个省（n=45）都有 5 名社区服务营养师接受了访谈。总体而言，社区服务营养师对社区服务年持积极态度，并报告说这提高了他们的信心、技能和能力。然而，他们在入职培训计划、监督/指导、可用资源、患者转诊和沟通方面面临挑战。
尽管社区服务年取得了总体成功，但 DOH 仍需解决一些挑战，以为其患者提供最佳的营养服务。
