This implies that social work in health care is valued for counselling and addressing the SDH and this in turn raises two questions: To what extent is the social development approach (SDA) applied in health care in South Africa? Does the application of the SDA vary between different types of health care settings or within the Department of Social Development (DSD) (RSA, 1978). Social work in health care fulfils the imperative role to address any social determinants of health (SDH) to enable compliance and adherence with treatment (Bywaters & Ungar, 2013 Moniz, 2010). This interface with health care settings places people in direct contact with social workers regarding disease and its impact, simultaneously allowing them to address other needs. Social work in health care responds to people's diverse and complex needs once they come into contact with any health care setting (Ashcroft, 2014 Auslander, 2001 Browne, 2006 Dhooper, 2012). The South African context requires a range of responses to address its vulnerable populations' urgent needs. Keywords: Gauteng Department of Health, health care reform, health care settings, social development approach, social work in health care, transformation However, challenges are experienced in the absence of strategic policies regarding the implementation of the social development approach in health care. The findings indicated that social workers in health care deliver a diverse service in attending to patients' needs and are ideally situated to address and implement the social development approach. An explanatory-sequential mixed methodological study explored the application of the social development approach to social work in health care in the Gauteng Department of Health. The social development approach attempts to address inequalities and uplift vulnerable people. work in health care delivers essential services to South Africa's vulnerable populations. Work Department, University of Witwatersrand, Johannesburg, South Africa. ISocial Work Department, University of Witwatersrand, Johannesburg, South Africa. The social development approach to social work in health careĭr Laetitia Petersen I Prof.
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