Browsing by Author "Schaay, Nikki"
Now showing items 1-12 of 12
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Addressing social determinants of health in South Africa: the journey continues
Scott, Vera; Schaay, Nikki; Schneider, Helen; Sanders, David (Health Systems Trust (HST), 2017)With the recent change from the Millennium Development Goals to the 17 new Sustainable Development Goals, the focus of the global development agenda is expanding: there is attention on a broader set of social determinants ... -
The challenges of reshaping disease specific and care oriented community based services towards comprehensive goals: a situation appraisal in the Western Cape Province, South Africa
Schneider, Helen; Schaay, Nikki; Dudley, Lilian; Goliath, Charlyn; Qukula, Tobeka (BioMed Central, 2015)Similar to other countries in the region, South Africa is currently reorienting a loosely structured and highly diverse community care system that evolved around HIV and TB, into a formalized, comprehensive and integrated ... -
The Feasibility of implementing a sexual risk reduction intervention in routine clinical practice at an ARV clinic in Cape Town: a case study
Dewing, Sarah; Mathews, Catherine; Schaay, Nikki; Cloete, Allanise; Simbayi, Leickness; Chopra, Mickey (Springer, 2011)This case study with one lay adherence counsellor assessed the implementation of Options for Health, a sexual risk-reduction intervention based on Motivational Interviewing (MI), in an antiretroviral clinic in Cape ... -
From research to practice: Lay adherence counsellors' fidelity to an evidence-based intervention for promoting adherence to antiretroviral treatment in the Western Cape, South Africa
Dewing, Sarah; Mathews, Catherine; Cloete, Allanise; Schaay, Nikki; Shah, Madhvi; Simbayi, Leickness; Louw, Johann (Springer Verlag, 2013)In the Western Cape, lay counsellors are tasked with supporting antiretroviral (ARV) adherence in public healthcare clinics. Thirty-nine counsellors in 21 Cape Town clinics were trained in Options for Health (Options), an ... -
Implementation, effectiveness and political context of comprehensive primary health care: preliminary findings of a global literature review
Labonte, Ronald; Sanders, David; Baum, Fran; Schaay, Nikki; Packer, Corinne (CSIRO, 2008)Primary health care (PHC) is again high on the international agenda. It was the theme of The World Health Report in 2008, thirty years after the Alma-Ata Declaration, and has been the topic of a series of significant ... -
Is the Alma Ata vision of comprehensive primary health care viable? Findings from an international project
Labonte, Ronald; Sanders, David; Packer, Corinne; Schaay, Nikki (Co-Action Publishing, 2014)BACKGROUND: The 4-year (2007 2011) Revitalizing Health for All international research program (http://www. globalhealthequity.ca/projects/proj_revitalizing/index.shtml) supported 20 research teams located in 15 ... -
"It's important to take your medication everyday okay?" An evaluation of counselling by lay counsellors for ARV adherence support in the Western Cape, South Africa
Dewing, Sarah; Mathews, Catherine; Schaay, Nikki; Cloete, Allanise; Simbayi, Leickness; Louw, Johann (Springer, 2013)There is growing interest in standard care programmes for antiretroviral (ARV) adherence support. In South Africa, individual counselling following ARV initiation is a main strategy for supporting adherence in the public ... -
Missed opportunities for participation in prevention of mother to child transmission programmes: Simplicity of nevirapine does not necessarily lead to optimal uptake, a qualitative study
Nkonki, Lungiswa L.; Doherty, Tanya; Hill, Zelee; Chopra, Mickey; Schaay, Nikki; Kendall, Carl (BioMed Central, 2007)Background: The objective of this study was to examine missed opportunities for participation in a prevention of mother-to-child transmission (PMTCT) programme in three sites in South Africa. A rapid anthropological ... -
Non-booking for antenatal care and risks for vertical HIV transmission among women in Chitungwiza, Zimbabwe: a cross-sectional study
Schaay, Nikki; Lembani, Martina; Mandima, Patricia; Ngara, Bernard (BMC Pregnancy and Childbirth, 2022)Background: The success of prevention of mother to child transmission of HIV (PMTCT) programs dependents on pregnant women accessing antenatal care (ANC) services. Failure to access ANC throughout the course of pregnancy ... -
"Nothing new": responses to the introduction of antiretroviral drugs in South Africa
Chopra, Mickey; Kendall, Carl; Hill, Zelee; Schaay, Nikki; Nkonki, Lungiswa L.; Doherty, Tanya (Lippincott Williams & Wilkins, 2006)Interviews conducted in South Africa found that awareness of antiretroviral therapy was generally poor. Antiretroviral drugs were not perceived as new, but one of many alternative therapies for HIV/AIDS. Respondents ... -
Punching above their weight: a network to understand broader determinants of increasing life expectancy
Baum, Fran; Popay, Jennie; Delany-Crowe, Toni; Schaay, Nikki; Sanders, David (BMC, 2018)BACKGROUND: Life expectancy initially improves rapidly with economic development but then tails off. Yet, at any level of economic development, some countries do better, and some worse, than expected – they either ... -
The role of health extension workers in improving utilization of maternal health services in rural areas in Ethiopia: a cross sectional study
Medhanyie, Araya; Kifle, Yohannes; Schaay, Nikki; Sanders, David; Roman, Blanco; Dinant, Geertjan; Berhane, Yemane (BioMed Central, 2012)BACKGROUND: Community health workers are widely used to provide care for a broad range of health issues. Since 2003 the government of Ethiopia has been deploying specially trained new cadres of community based health workers ...