Corrigendum: Access to healthcare by undocumented Zimbabwean migrants in post-apartheid South Africa.

No abstract available.

Access to healthcare by undocumented Zimbabwean migrants in post-apartheid South Africa.

BACKGROUND:  Zimbabwean undocumented migrants rely on the South African public health care system for treatment of non-communicable and communicable diseases, surgery and medical emergency services. A gap remains to understand undocumented migrant experiences at a time when accessing public healthcare has been topical in South Africa. AIM:  This article aimed to describe and understand the experiences, challenges and health-seeking alternatives of undocumented Zimbabwean migrants in accessing healthcare services in Nellmapius in Pretoria. SETTING:  The study was conducted at Nellmapius in Pretoria. METHODS:  A qualitative descriptive research design was used. Structured interviews with 13 undocumented migrants were conducted by applying purposive and snowballing sampling techniques. The data were thematically analysed. RESULTS:  Migrants reported that the attitudes by healthcare officials suggest unwillingness to provide services to undocumented migrants, aggravating their vulnerability and perennial illness. Migrants faced challenges of discrimination, a lack of professional service delivery, a lack of financial capacity to pay for services and a lack of documentation evoking health-seeking alternatives. CONCLUSION:  Migrants continue to face challenges while accessing subsidised health care. This study confirms that medical xenophobia is generally present in the public health care centres, at least for the sampled undocumented Zimbabwean migrants. The majority of undocumented migrants cannot afford to pay for private healthcare.Contribution: The findings of this study inform national, provincial and local healthcare facilities to be ethical and provide dignified quality healthcare to undocumented migrants in line with international practices.

How performance management regulations shape evaluation practice in South African municipalities.

South African municipalities are taking hesitant steps towards institutionalising evaluation practice. This paper explores how evaluation is being institutionalised at a municipal level, looking at both the legislative and regulatory requirements in terms of planning, budgeting, and reporting, as well as opportunities for evaluative practice. A well-established performance management system, coupled with certain constraints to innovation and building an evaluative culture are contributing to the creation of an evaluation function that serves a monitoring purpose. A combination of desktop research and participatory action research was used to understand the municipal practice of evaluation. The results have implications for how decentralised public sector evaluation systems are understood.

Institutionalising the evaluation function: A South African study of impartiality, use and cost.

PURPOSE: This article explores the implications of outsourcing the evaluation function in South Africa, a context where there is a mismatch between evaluation supply and demand. It unpacks the tradeoffs between internal and external evaluation, and challenges some commonly held assumptions about both. APPROACH: Based on experiences as an internal evaluator, external evaluator, evaluation manager, and building evaluation capacity, the author explores how each role changes when evaluation is a scarce skill, and looks at implications outsourcing has for both the organization, and the evaluation. FINDINGS: The purpose of the evaluation must drive the decision to outsource. However, with changing models of collaboration, there may be hybrid options that allow organizations to build evaluation capacity. PRACTICAL IMPLICATIONS: Organisations are faced with a trade-off between commissioning an evaluation, and building internal evaluation capacity. To better understand each approach, it is important to consider the purpose and context of the evaluation. This shifts some commonly held assumptions about internal and external evaluations. Re-examining these assumptions will help organizations make a more informed decision about an evaluation approach. ORIGINALITY/VALUE: The field of evaluation is particularly concerned with evaluation use. Most of the literature on this has focused on the approach of individual evaluators, and insufficient attention has been paid to the institutional architecture of the evaluation. This article considers how some of the organisational structures around an evaluation contribute to evidence use, and the case study of South Africa also shifts the focus to the central but overlooked role of context in the debate.