Re-engineering of South Africa’s primary health care system: where is the pharmacist?

South Africa’s transition towards a district-based health system (DHS) aims to offer health promotion and prevention services at community level, through re-engineered primary health care (PHC) services. Along with pharmacy workforce shortages and service delivery challenges, health reform is a clarion call to strategically re-position the pharmacist’s role in DHS strengthening. The pharmacist’s involvement in the three DHS streams, namely the clinical specialist support teams, school health services and municipal ward-based PHC outreach teams, is pertinent. This paper contextualises pharmacists’ current peripheral role in the health system, discusses a team-based approach and identifies opportunities to integrate pharmacy students into the re-vitalised PHC framework. Re-positioning of pharmacists within district clinical specialist support and school health teams could create opportunities for community-based and population-based services whereby a range of clinical and pharmaceutical services could materialise. Pharmacy training institutions could strengthen the DHS through established partnerships with the community and health services. Academic service learning programmes could integrate pharmacy students as part of the PHC outreach teams to promote community health. Interdependence between the health services, pharmacy schools and the community would create a platform to contextualise learning and dismantle existing silos between them. Multi-sectoral engagement could enable pharmacy schools to design strategies to optimise pharmaceutical service delivery and align their activities towards social accountability.DHE

A snapshot of early childhood care and education in South Africa: institutional offerings, challenges and recommendations

This article draws from a research report on the Project for Inclusive Early Childhood Care and Education (PIECCE), which surveyed attitudes, training strategies, materials and entrance requirements across most relevant higher education institutions (HEIs), non-governmental organisations (NGOs) and technical and vocational education and training colleges (TVETs). The aim of this study was to identify what institutions were offering in terms of training teachers in the birth-to-four age group, to identify the challenges and provide recommendations based on the findings

Occupational aspirations of low socioeconomic black South African children

There has been a call for a more systematic research focus on the career development of children from diverse socioeconomic and ethnic backgrounds, with the viewpoint that children’s career development research needs to be contextually grounded in the countries and cultures where such development occurs. This article describes the occupational aspirations (in terms of typology and status level) of Black South African upper elementary school children of low socioeconomic status. A nonprobability convenience sample of 274 children (157 females, 117 males) from Grades 5 and 6 participated. Two open-ended questions from the Revised Career Awareness Survey were analyzed using descriptive statistics. The results revealed that most children aspired to social and investigative type occupations, with over 80% aspiring to high status occupations. There were few gender differences. The implications of the findings as well as practical considerations in researching more disadvantaged populations are discussed