Novel models to improve access to medicines for chronic diseases in South Africa: an analysis of stakeholder perspectives on community-based distribution models

Table 2 Overview of models for community based distribution of medicines

Type of model	Classification	Human resources	Financing	Beneficiary population as per disease state
1. Distribution in community halls, churches, old-age homes or mobile clinics	Formal	Pharmacist’s assistants, nurses	Health facility budget therefore government funding	HIV and/or NCDs
2. Distribution in small municipal clinics that do not offer NCD services	Formal	Pharmacist’s assistants	Health facility budget therefore government funding	NCDs
3. Home delivery	Informal	Local social entrepreneurs	Out-of-pocket payments	NCDs
4. Home delivery or other community venues^a	Formal	Community health workers^b	A few organisations have international funding while the rest receive grants from the Department of Social Development (DSD) and other local businesses.	NCDs

^aPlaces where the elderly meet for skills development and social activities, also termed Chronic Disease of Lifestyle clubs which the WCDoH identified through the DSD
^bAttached to NGOs with service level agreements with the WCDoH

ISSN: 2052-3211