Service Delivery In South Africa Research Articles

English

The paper examines the extent to which sub-national public officials are efficient in delivering basic education services and argues that technical inefficiencies, especially in the management of public funds for education, could potentially contribute to poor education service delivery in South Africa. A conceptual framework is proposed to show the underlying mechanisms by which these technical inefficiencies can adversely affect education outcomes. The analysis is based on two micro-level surveys that were applied at 175 public primary schools and 13 district education offices (DEOs) in two provinces in South Africa: the North-West Province and Gauteng. The analysis reveals that South Africa has a well-planned decentralised structure to administer education. However, districts have significant human resource constraints. Capacity is often lacking and record-keeping, particularly of financial information, is very poor. Lack of technical efficiency has resulted in misappropriation of funds (leakage) and extensive delays in remitting funds to schools. The paper concludes that these inefficiencies potentially affect education outcomes and therefore should be given due consideration when designing and implementing education policy reforms.

Exploring Challenges of Municipal Service Delivery in South Africa (1994 - 2013)

This article aims to explore municipal service delivery challenges in South Africa between 1994 and 2013 in order to stimulate debate in addressing problems and challenges confronting municipalities. A fundamental question to be asked stems from the challenges of municipal service delivery. Why, in spite of the existence of regulatory and institutional frameworks, are municipalities still struggling to satisfy basic community needs such as water and electricity amongst others? All of government’s official documents and contemporary literature reviewed, including the summative record of historical facts and narrative data, are evidence of the qualitative research design employed in this study. It is clearly articulated in this article that the existence of a local municipality with poor service delivery is, amongst others, a direct consequence or manifestation of municipal capacity constraints, financial viability problems, service delivery protests, convoluted political process, corruption and poor planning as well as monitoring and evaluation challenges. In the main, the article accounts for why service delivery has failed to meet the expectations of the communities and thereby provide some possible propositions for consideration to attempt to bring a resolve to critical issues raised.

Implementation of the principles of primary health care in a rural area of South Africa.

BackgroundThe philosophy of primary healthcare forms the basis of South Africa's health policy and provides guidance for healthcare service delivery in South Africa. Healthcare service provision in South Africa has shown improvement in the past five years. However, it is uncertain as to whether the changes have reached rural areas and if primary healthcare is implemented successfully in these areas.ObjectivesThe aim of this article is to explore the extent to which the principles of primary healthcare are implemented in a remote, rural setting in South Africa.MethodA descriptive, qualitative design was implemented. Data were collected through interviews and case studies with 36 purposively-sampled participants, then analysed through Interpretative Phenomenological Analysis.ResultsFindings indicated challenges with regard to client-centred care, provision of health promotion and rehabilitation, the way care was organised, the role of the doctor, health-worker attitudes, referral services and the management of complex conditions.ConclusionThe principles of primary healthcare were not implemented successfully. The community was not involved in healthcare management, nor were users involved in their personal health management. The initiation of a community-health forum is recommended. Service providers, users and the community should identify and address the determinants of ill health in the community. Other recommendations include the training of service managers in the logistical management of ensuring a constant supply of drugs, using a Kombi-type vehicle to provide user transport for routine visits to secondary- and tertiary healthcare services and increasing the doctors’ hours.

Institutional Challenges to Municipal Waste Management Service Delivery in South Africa

This paper describes the link between inadequate waste service delivery and institutional arrangement challenges affecting municipal waste management service delivery in South Africa. Using secondary data from Statistics South Africa in relation to literature review, the study finds that there are no distinct ion between responsibilities and powers among levels of government; no clear definition of roles and responsibilities among municipal waste staff; lack of experience among waste staff; the existence of discrepancies between job specification and managerial staffs' qualifications; and the failure to consider parameters peculiar to specific waste location as some of the institutional challenges that resulted in poor waste service delivery in South Africa. This paper recommends a clear and elaborate job descriptions as practiced in the private sector; adequate training on legal provisions of waste management and sanitation rules; the establishment of a professional waste management association; and ensures that waste contractors adhere strictly to the requirements of their contract through effective monitoring.

Operations and quality management for public service delivery improvement

Public service management reforms have not yet contributed to poverty eradication and generally socio-economic development of many African countries. The reforms suggested and implemented to date still prove to be weak in addressing the many challenges faced by the public service in delivering goods and services to the population. The failure of the current public service management calls for a consideration of business-driven approaches and practices that facilitate effectiveness, efficiency, competitiveness and flexibility in goods and services provision. The critical social theory methodology and the literature review technique described and raised awareness on service delivery chaos in South Africa. A public service reform that focuses on operations and quality management is one of the ways of improving and sustaining service delivery in South Africa. Operations management is an essential tool for the planning, execution, control, monitoring and evaluation of production processes. Quality management, in the other hand, is essential to ensure best quality of goods and services produced by the public service within acceptable time and available resources to meet or exceed people’s expectations. The operations and quality management framework proposed in this article is a potential alternative to the current service delivery crisis in South Africa.

Corporate municipal governance for effective and efficient public service delivery in South Africa

This research acknowledges the current service delivery chaos manifested through numerous protests justifying the weakness of the “Batho Pele” good governance principles to facilitate, improve and sustain service delivery by local governments. The success of corporate governance in corporate companies and state owned enterprises is recognised prompting suggestions that local governments should too adopt corporate governance principles or King III to be effective. The research reviews the King III and literature to ascertain the lack of research on corporate governance in local governments in South Africa. Considering the particular set-up of local governments, the research doubts the successful application of King III in local governments. Through critical research theory, the current service delivery crisis in local governments in South Africa is described. The success of corporate governance systems in the United Kingdom and Australian local governments justify the need for a separate corporate municipal governance system as a solution to the crisis. A specific change of legislation and corporate governance guidelines is necessary to address the uniqueness of local governments. Hence, corporate municipal governance should be compulsory and based on ten standardised good governance principles via a code of corporate governance and a corporate governance framework responding to specific prerequisites for success

South African counselling psychology at the crossroads: lessons to be learned from around the world

Despite a four-decade history, the professional identity of counselling psychology in South Africa remains nebulous. Recent debates surrounding the revised scope of practice for counselling psychology bring the unresolved issue of professional identity back into focus. Rather than developing an idiosyncratic definition of counselling psychology, it is instructive to look at the ways in which the profession is conceptualised internationally. This article analyses the national definitions of counselling psychology in countries in North America, Europe, Australasia, and Asia, where the profession is both formally recognised and established. A thematic analysis reveals two superordinate themes: the different domains of practice that are considered to fall within the ambit of counselling psychology and the values of counselling psychology that are meant to inform this practice. Common domains of practice are development, prevention, and remediation. Prominent values of counselling psychology emphasise strengths, well-being, and the therapeutic relationship, recognise sociocultural and developmental contexts, value diversity and multiculturalism, and promote social justice. While there is an inevitable overlap with other specialities within psychology, counselling psychology is best distinguished not by the clients that are seen but rather by the values that inform practice. Implications for the practice of counselling psychology and mental health service delivery in South Africa are briefly discussed.

South Africa’s service-delivery crisis: From contextual understanding to diaconal response

This article proceeded from the assumption that the theme of service delivery in present-day South Africa could well be qualified by the notion of ‘crisis’, to the extent that this qualification, from a theological perspective and on the basis of comparative social analysis, well recalls the statements in such critical and profound theological documents as The Kairos Document and Evangelical Witness in South Africa on the ‘crisis’ in the latter years of apartheid. The further recognition that the theme of service delivery constitutes an essentially new focus for practical-theological scholarship in South Africa led the author, who has a pertinent interest in the field of Christian diaconia, to thereupon go the full circle of practical-theological interpretation in developing such a focus. This was done by, firstly, attempting to develop a deeper contextual understanding of the problem of service delivery in the country on the basis of the prevailing debate on service delivery in South Africa, after which the ideas from conceptualisations of two different modes of diaconal practice within contexts of endemic poverty in the practical-theological literature were explored. The discussion concluded with a more pertinent consideration of the extent to which these two conceptualisations could be taken as providing direction in conceptualising a transformational diaconal response to the current service-delivery problem.

‘They worship in our churches’ – An opportunity for the church to intervene in order to diminish the corruption that is hindering service delivery in South Africa?

This practical-theological study aims to develop a contextual theology in the areas of business and government that will aid a successful intervention by the church in diminishing the corrupt practices prevalent in South Africa. It seeks to prove that corruption is a major factor in causing the delays experienced in the implementation of service delivery, and that this is causing much anger and increasing disillusionment with the present system of democratic government. At the moment the church has a window of opportunity for this intervention to take place, since many of those responsible for supporting, organising and implementing service delivery, both in government and industry, worship regularly, as committed members, in local Christian congregations. A modified application of the Asset-Based Community Development (ABCD) approach using focus groups is suggested as both a tool for intervention and for further research.

Progress and Challenges of Service Delivery in South Africa Since 1994

The new South Africa came into existence in 1994. The incoming government faced amassive task of fiscal, political, social and economic transformation, all of which wouldrequire an effective public service capability. Yet the public service itself had been subjectduring the Apartheid era to the same limitations as other key South African institutions.Due to the lack of know how in 1994, South Africa needed an overwhelmingtransformation of public service focus, culture and procedures. Yet, 15 years after thedemocratic dispensation’s arrival, many people still lack access to the most basic ofnecessities. Woolard (2002) in Burger (2005:483) argues that it is visible that poverty isSouth Africa’s priority as it is estimated that approximately 37% of South Africanhouseholds , and probably more today, survive on less than R1 000 in a month.

Building and Capacitating a Unified Public Administration and Management System for Integrated Service Delivery in South Africa

The 1996 South African Constitution mandates that service delivery must be oriented towards meeting the development challenges confronting South Africa. In early 2002, a discourse began on building and capacitating a joint three-government sector approach to service delivery, an approach necessary to ensure a comprehensive strategy to confront the challenges of a developmental state. In 2007 the Public Administration, Leadership and Management Academy came into being to support the capacitating thrust or principal enabling legislation, namely the Public Administration Management Bill was published in 2008. Joint strategic interventions and goodwill of legislators, institutional leadership and civil society formations, will eventually ensure that this innovative and creative momentum to the joint three-government sector approach to service delivery in a developmental state, will be addressed and sustained.

Transition in South African water governance: Insights from a perspective on power

After apartheid, South Africa has stepped up to the challenge of reforming an inequitable water service delivery system to meet the needs of all citizens. We frame this systematic societal change as a transition in water governance. We argue that when evaluating this pathway of transition, we should not only look at the changes in water legislation and number with improved access, but also analyze the quality of the water service delivery in terms of different payment schemes, participation by local citizens and conflicts around equality of water provision. By analyzing power in transition studies, we explore the power dynamics at play in two regions of Johannesburg, namely Alexandra and Soweto. The paper highlights the need to explicate the politics of water service delivery and suggests opportunities to break the negative patterns in order to achieve equitable and sustainable water service delivery in South Africa.

Occupational Health Service Delivery in South Africa

This article offers insight into how occupational health services are delivered in South Africa. The nursing aspect of this comprehensive service is the focus.

Occupational Health Service Delivery in South Africa

Occupational Health Service Delivery in South Africa

Developing a national cadre of effective leadership towards sustainable quality service delivery in South Africa

The application of the three (3) dimensional leadership competency model has the likelihood of having a positive impact on a sustainable developmental local governance framework. The purpose of the study was to explore the relevance of the Three (3) dimensional leadership competency model so as to suggest leadership traits that can be used in the enhancement of a developmental local governance framework. The lack of leadership with the requisite competencies and capabilities in the local government system has been the source of corruption and maladministration, and therefore necessitates an intervention in the development of leadership competencies. The research design, approach and method focuses primarily a qualitative approach, namely face-to-face in-depth interviews using a structured interview schedule triangulated through the review of published documents and publications. The findings show that significant progress has been achieved in many areas of the ideal of a developmental local governance framework, yet the lack of a value-based cadre of leaders is reversing the gains that have been achieved in the last 15 years of the ANC rule. Managerial competencies that are key components of leadership limit the acceleration of a developmental governance framework. This study indicates the relevance of the Three (3) dimensional leadership competency model in the enhancement of a developmental local governance framework, and has suggested key elements of leadership traits within the context of what can be used to achieve the objects of a developmental local governance framework. Key words: Three dimensional leadership, developmental local government, qualitative study, grounded theory, South Africa.

Local governance and spatial distribution of resources: The need to harness traditional leadership for service delivery in South Africa

Using a combination of qualitative and quantitative data collection and analysis methods, the aim of the study forming the basis of the article was to examine how traditional leadership can be harnessed for the purposes of service delivery at the local level in South Africa. Specifically, the study sought to examine the juxtaposition of traditional and modern forms of governance in South Africa (institutional duality) and the role traditional leaders play in the provision and delivery of social and economic services to the sections of the population within their jurisdictions. The results of the study confirmed the existence of this institutional duality with regard to the Southern African institutional culture. In other words, even though traditional leaders no longer wield the considerable administrative, legislative and judicial powers they used to exercise over the chiefdoms, they are still very much part of the institutional culture of South Africa and the sub-region.

Mental health service delivery in South Africa from 2000 to 2010: one step forward, one step back.

To identify progress and challenges in mental healthcare in South Africa, as well as future mental health services research priorities. A systematic review of mental health services research. Literature searches were conducted in Medline, PsychInfo and Sabinet databases from January 2000 to October 2010 using key phrases. Hand searches of key local journals were also conducted. Of 215 articles retrieved, 92 were included. Data were extracted onto a spreadsheet and analysed thematically. While progress in epidemiological studies has been good, there is a paucity of intervention and economic evaluation studies. The majority of studies reviewed were on the status of mental healthcare services. They indicate some progress in decentralised care for severe mental disorders, but also insufficient resources to adequately support community-based services, resulting in the classic revolving-door phenomenon. Common mental disorders remain largely undetected and untreated in primary healthcare. Cross-cutting issues included the need for promoting culturally congruent services as well as mental health literacy to assist in improving help-seeking behaviour, stigma reduction, and reducing defaulting and human rights abuses. While there has been some progress in the decentralisation of mental health service provision, substantial gaps in service delivery remain. Intervention research is needed to provide evidence of the organisational and human resource mix requirements, as well as cost-effectiveness of a culturally appropriate, task shifting and stepped care approach for severe and common mental disorders at primary healthcare level.

Collaborative Government for Improved Public Service Delivery in South Africa

This article focuses on the expansive stakeholder interaction within collaborative networks that can lead to collective understanding and management of service delivery issues. Critique of public service delivery in South Africa is levelled by citizens who have vastly different expectations and experiences, chiefl y because of their socio-economic position within the society. It is against this background that this article argues that issues of service delivery can be addressed and expedited in collaborative networks. It concludes that collaborative interaction should enable shared public value for improved service delivery

Conversations With Mothers: Exploring Reasons for Prevention of Mother-to-Child Transmission (PMTCT) Failures in the Era of Programmatic Scale-Up in Soweto, South Africa

Reasons for incident cases of vertical HIV transmission in the era of free access to PMTCT in South Africa were investigated. This mixed-methods study was conducted in Soweto, South Africa from June-August, 2009. Birthmothers of HIV-infected infants born after 1 December 2008 were eligible. All participants completed an interviewer-administered questionnaire. Women also participated in a focus group (n = 10) or individual structured interview (n = 35). Mean age of participants (n = 45) was 28.7 years (SD = 5.4). Major findings are: (i) failure of per-guideline prescription of ARV strategies for infants (31%) and/or mothers (57%); (ii) maternal refusal of treatment (n = 5); (iii) preterm delivery (31%); (iv) delayed ANC attendance because of facility-related barriers and maternal apprehension around HIV testing; (v) fear of stigma; (vi) maternal difficulty with administering infant AZT (n = 9) and (vii) maternal confusion about infant feeding. A variety of individual, social, and structural factors must be addressed to optimize PMTCT service delivery in South Africa.

Institutional obstacles to service delivery in South Africa

This paper argues that the service‐delivery crisis facing two‐thirds of the municipalities across South Africa is caused by a series of institutional shortcomings ranging from incoherence in national policy towards rural and urban development, a lack of enforcement when it comes to financial controls and competencies, and a lack of skills affecting local officials ranging from customer service and relations, to financial controls, to technical competencies in the core areas of electrification, basic water and sanitation, and refuse collection. Government needs to address the skills shortage at the local level and enforce the rules and regulations concerning the role of public and elected officials to ensure not only service delivery but accountability and transparent decision‐making. Attending to the skills shortage and enforcing relevant rules would ensure better service delivery and, in turn, encourage bringing ‘democracy to the people’, which is at the heart of the post apartheid government’s decentralisation project.