School of Public Health
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With some exceptions, our work focuses on five inter-related programme areas – HIV/AIDS, TB, maternal and child health, public health nutrition, and non- communicable diseases – and three health systems areas which cut across all programmes – namely human resource development, health information systems and health promotion
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Research Articles (SoPH) [200]
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Factors impacting on menstrual hygiene and their implications for health promotion
(SAGE Publications, 2018)BACKGROUND: In the lives of women, puberty is marked by the onset of menarche. From this stage onwards until menopause, reproductive health and menstrual hygiene are important aspects of women’s lives. In Zambia’s Western ... -
The roles, training and knowledge of community health workers about diabetes and hypertension in Khayelitsha, Cape Town
(AOSIS, 2018)BACKGROUND: The current roles and capacity of community health workers (CHWs) in the management and control of non-communicable diseases (NCDs) remain poorly understood. Objectives: To assess CHWs’ current roles, training ... -
How institutional forces, ideas and actors shaped population health planning in Australian regional primary health care organisations
(BioMed Central, 2018)BACKGROUND: Worldwide, there are competing norms driving health system changes and reorganisation. One such norm is that of health systems’ responsibilities for population health as distinct from a focus on clinical ... -
Exploratory analysis of the ecological variables associated with sexual health profiles in high-risk, sexually-active female learners in rural KwaZulu-Natal
(Public Library of Science, 2018)PURPOSE Young women are at high risk for negative sexual health outcomes. Despite their high risk, many sexually-active women never experience negative sexual health outcomes. This study explored the ecological risk ... -
Evaluating the effect of ward-based outreach teams on primary healthcare performance in North West Province, South Africa: A plausibility design using routine data
(Health and Medical Publishing Group, 2018)BACKGROUND. North West Province (NWP), South Africa, was an early adopter of the primary healthcare (PHC) ward-based outreach team (WBOT) strategy and has made considerable progress in implementing it. Given the interest ... -
Oral medicine acceptance in infants and toddlers: measurement properties of the caregiver-administered Children’s acceptance tool (CareCAT)
(BioMed Central, 2018)BACKGROUND: Developing age-appropriate medications remains a challenge in particular for the population of infants and toddlers, as they are not able to reliably self-report if they would accept and consequently take an ... -
A comparative evaluation of PDQ-Evidence
(BioMed Central, 2018)BACKGROUND: A strategy for minimising the time and obstacles to accessing systematic reviews of health system evidence is to collect them in a freely available database and make them easy to find through a simple ... -
Study protocol for the SMART2D adaptive implementation trial: a cluster randomised trial comparing facility-only care with integrated facility and community care to improve type 2 diabetes outcomes in Uganda, South Africa and Sweden
(BMJ Publishing Group, 2018)INTRODUCTION Type 2 diabetes (T2D) is increasingly contributing to the global burden of disease. Health systems in most parts of the world are struggling to diagnose and manage T2D, especially in low-income and ... -
The effectiveness and cost-effectiveness of community-based support for adolescents receiving antiretroviral treatment: an operational research study in South Africa
(Wiley Open Access, 2018)INTRODUCTION: Adolescents and youth receiving antiretroviral treatment (ART) in sub-Saharan Africa have high attrition and inadequate ART outcomes, and evaluations of interventions improving ART outcomes amongst adolescents ... -
Management of severe acute malnutrition in children under 5 years through the lens of health care workers in two rural South African hospitals
(AOSIS, 2018)BACKGROUND: Despite the widespread implementation of the World Health Organization (WHO) guidelines for the management of severe malnutrition in South Africa, poor treatment outcomes for children under 5 years are still ... -
Assessing the impact of a waiting time survey on reducing waiting times in urban primary care clinics in Cape Town, South Africa
(PAGEPress, 2017)A waiting time survey (WTS) conducted in several clinics in Cape Town, South Africa provided recommendations on how to shorten waiting times (WT). A follow-up study was conducted to assess whether WT had reduced. Using ... -
What constitutes responsiveness of physicians: A qualitative study in rural Bangladesh
(Public Library of Science, 2017)Responsiveness entails the social actions by health providers to meet the legitimate expectations of patients. It plays a critical role in ensuring continuity and effectiveness of care within people centered health ... -
Uptake and predictors of early postnatal follow–up care amongst mother–baby pairs in South Africa: Results from three population–based surveys, 2010–2013
(Edinburgh University Global Health Society, 2017)BACKGROUND Achieving World Health Organization (WHO) recommendations for postnatal care (PNC) within the first few weeks of life is vital to eliminating early mother–to–child transmission of HIV (MTCT) and improving ... -
“Feeding a child slowly:” a responsive feeding behavior component likely to reduce stunting: Population-based observations from rural Zambia
(Taylor & Francis, 2017)Zambia has a very high prevalence of stunting (40%). Child feeding behaviors such as “feeding the child slowly” are now receiving attention in addressing child undernutrition, particularly stunting. A study was undertaken ... -
An assessment of quality of home-based HIV counseling and testing performed by lay counselors in a rural sub-district of KwaZulu-Natal, South Africa
(Taylor & Francis Open, 2016)HIV counseling and testing (HCT) has been prioritized as one of the prevention strategies for HIV/AIDS, and promoted as an essential tool in scaling up and improving access to treatment, care and support especially in ... -
The importance of gender analysis in research for health systems strengthening
(Oxford University Press, 2017)This editorial discusses a collection of papers examining gender across a range of health policy and systems contexts, from access to services, governance, health financing, and human resources for health. The papers ... -
A participatory action research approach to strengthening health managers’ capacity at district level in Eastern Uganda
(BioMed Central, 2017)BACKGROUND: Many approaches to improving health managers’ capacity in poor countries, particularly those pursued by external agencies, employ non-participatory approaches and often seek to circumvent (rather than ... -
Participatory monitoring and evaluation approaches that influence decision-making: lessons from a maternal and newborn study in Eastern Uganda
(World Health Organization, 2017)BACKGROUND: The use of participatory monitoring and evaluation (M&E) approaches is important for guiding local decision-making, promoting the implementation of effective interventions and addressing emerging issues in ... -
Using Theories of Change to inform implementation of health systems research and innovation: experiences of Future Health Systems consortium partners in Bangladesh, India and Uganda
(BioMed Central, 2017)BACKGROUND: The Theory of Change (ToC) is a management and evaluation tool supporting critical thinking in the design, implementation and evaluation of development programmes. We document the experience of Future ... -
Perceptions about data-informed decisions: an assessment of information-use in high HIV-prevalence settings in South Africa
(BioMed Central, 2017)BACKGROUND: Information-use is an integral component of a routine health information system and essential to influence policy-making, program actions and research. Despite an increased amount of routine data collected, planning ...
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