Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
KwaZulu-Natal Department of Health, G J Crookes Hospital, Pietermaritzburg, South Africa.
Glob Public Health. 2023 Jan;18(1):2227882. doi: 10.1080/17441692.2023.2227882.
Universal health coverage (UHC) aims to ensure people have access to the health services they need. Sixteen tracer indicators were developed for implementation by countries to measure UHC in the health system. South Africa uses 15 of the proposed 16 indicators. Operational managers in the public health care sector collect data and report on these indicators at a primary health clinic level. This qualitative study explored the knowledge and attitudes of managers toward data and UHC service indicators in a sub-district in Ugu, KwaZulu-Natal, South Africa. Operational managers saw data collection as information gathering, measuring performance and driving action. They understood UHC indicators as 'health for all' linking them to National Department of Health Strategic plans and saw the value of indicators for health promotion. They found the lack of training, inadequate numeracy skills, requests for data from multiple spheres of government and the indicator targets that they had to reach as challenging and untenable. While operational managers made the link between data, measuring performance and action, the limited training, skills gaps and pressures from higher levels of government may impede their ability to use data for local level planning and decision making.
全民健康覆盖（UHC）旨在确保人们能够获得所需的卫生服务。为衡量卫生系统中的 UHC 情况，制定了 16 项追踪指标，供各国实施。南非使用了提议的 16 项指标中的 15 项。公共医疗保健部门的运营经理在初级卫生保健诊所一级收集这些指标的数据并进行报告。本定性研究探讨了南非夸祖鲁-纳塔尔省乌古 Ugu 分区的管理者对数据和 UHC 服务指标的了解和态度。运营经理将数据收集视为信息收集、衡量绩效和推动行动。他们将 UHC 指标理解为“全民健康”，将其与国家卫生部战略计划联系起来，并认为指标对促进健康具有价值。他们发现培训不足、计算能力不足、来自多个政府部门的数据请求以及他们必须达到的指标目标具有挑战性和不可持续。尽管运营经理将数据、衡量绩效和行动联系起来，但有限的培训、技能差距以及来自上级政府的压力可能会妨碍他们将数据用于地方一级的规划和决策的能力。
