The integration of psychological services into primary health care (PHC) in South Africa : tensions in theory, policy and practice

Ameermia, Miriam Ginette (2009-12)

Thesis (MA (Psychology))--University of Stellenbosch, 2009.

Thesis

ENGLISH ABSTRACT: This literature review follows the early origins of the integration of psychological services into Primary Health Care (PHC) to its promulgation by law under the new dispensation in South Africa post-1994. With a recent re-commitment in 2008 by government to PHC for health service delivery, the biomedical orientation of PHC is inherently problematic as the location for psychological services and runs contrary to a comprehensive discourse of care as envisioned locally and by the World Health Organisation (WHO). With such shifts in policy at a macro level and in a context in which the relevance of psychological theorising and praxis is under scrutiny, this review has highlighted that a bottom-up approach is necessitated; specifically one that will facilitate a convergence between policy, theory and practice, with its foundations informed by research.

AFRIKAANSE OPSOMMING: Hierdie literatuuroorsig begin by die vroeë beginpunt waar sielkundige dienste by Primêre Gesondheidsorg (PHC) ingelyf is, en volg die gebeure tot waar nuwe wetgewing hieroor in die nuwe post-1994-dispensasie in Suid-Afrika uitgevaardig is. Met die regering wat homself in 2008 herverbind het tot PHC vir gesondheiddiensverskaffing is die biomediese fokus van PHC vir sielkundige dienste inherent problematies, omdat dit in teenstelling met omvattende diskoers oor versorging staan, soos dit plaaslik en deur die Wêreldgesondheidsorgorganisasie (WHO) in die vooruitsig gestel word. Met makrovlakverskuiwings in beleid en in konteks waarin die toepaslikheid van teoretisering en praktyk op die gebied van die sielkunde onder die loep is, beklemtoon hierdie verslag dit dat onder-na-bo-benadering nodig is; spesifiek een wat sameloping tussen beleid, teorie en praktyk sal fasiliteer, en wat gegrond is op navorsing.

Please refer to this item in SUNScholar by using the following persistent URL: http://hdl.handle.net/10019.1/4878
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