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) [324]
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Frontline health workers as brokers: provider perceptions, experiences and mitigating strategies to improve access to essential medicines in South Africa
(Springer Nature, 2014)Background: Front-line health providers have a unique role as brokers (patient advocates) between the health system and patients in ensuring access to medicines (ATM). ATM is a fundamental component of health systems. This ... -
Addressing the tensions and complexities involved in commissioning and undertaking implementation research in low- and middle-income countries
(BMJ, 2018)Rapid scale-up of new policies and guidelines, in the context of weak health systems in low/middle-income countries (LMIC), has led to greater interest and funding for implementation research. Implementation research ... -
Ward-based primary health care outreach teams in South Africa: developments, challenges and future directions
(Health Systems Trust, 2018)In 2011, South Africa adopted the Ward-based Primary Health Care Outreach Team (WBPHCOT) Strategy. The WBPHCOTs are made up of generalist community health workers (CHWs) supported by nurse team leaders, and linked to ... -
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 & 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 ... -
Cochrane corner: beta-blockers for hypertension
(BMJ, 2018)Beta-blockers refer to an assorted group of medications that block the action of endogenous catecholamines on beta-adrenergic receptors.1 The β1 and β2 receptors are the primary beta-adrenergic receptors in the human ... -
Measurement approaches in continuum of care for maternal health: a critical interpretive synthesis of evidence from LMICs and its implications for the South African context
(Springer Nature, 2018)Background: Global strategies recommend a continuum of care for maternal health to improve outcomes and access to care in low and middle income countries (LMICs). South Africa has already set priority interventions ... -
Nutritional knowledge amongst an adult South African sample of low socioeconomic status
(AFAHPER-SD, 2018)The aim of this study was to determine the socioeconomic predictors of nutritional knowledge (NK) based on total household income, educational level and employment status. A secondary aim was to determine the relationship ... -
Role of community health workers in type 2 diabetes mellitus self-management: A scoping review
(PLOS, 2018)Background: Globally the number of people with Type 2 diabetes mellitus (T2DM) has risen significantly over the last few decades. Aligned to this is a growing use of community health workers (CHWs) to deliver T2DM ... -
“I attend at Vanguard and I attend here as well”: barriers to accessing healthcare services among older South Africans with HIV and non-communicable diseases
(Springer Nature, 2018)Background: HIV and non-communicable disease (NCD) are syndemic within sub-Saharan Africa especially among older persons. The two epidemics interact with one another within a context of poverty, inequality and inequitable access ... -
Strengthening the capabilities of families and communities to improve child health in low and middle income countries
(BMJ, 2018)The concept of community involvement in delivery of healthcare gained prominence after the 1978 Alma Ata conference on primary care. Many countries established large scale community health worker programmes with paid or ... -
Association between dietary adherence, anthropometric measurements and blood pressure in an urban black population, South Africa
(Taylor & Francis, 2018)Objectives: The aim was to determine participants’ dietary adherence by calculating a diet adherence score based on the Dietary Approaches to Stop Hypertension (DASH)-style diet; (2) to determine if there was an association ... -
Opportunities for linking research to policy: lessons learned from implementation research in sexual and reproductive health within the ANSER network
(Springer Nature, 2018)Background: The uptake of findings from sexual and reproductive health and rights research into policy-making remains a complex and non-linear process. Different models of research utilisation and guidelines to maximise ... -
Assessing geographical inequity in availability of hospital services under the state-funded universal health insurance scheme in Chhattisgarh state, India, using a composite vulnerability index
(Taylor & Francis, 2018)Background: Countries are increasingly adopting health insurance schemes for achieving Universal Health Coverage. India’s state-funded health insurance scheme covers hospital care provided by ‘empanelled’ private and ... -
Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: a systematic analysis from the Global Burden of Disease Study 2016
(Elsevier, 2018)Background: A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries ... -
Role of community health workers in type 2 diabetes mellitus self-management: A scoping review
(PlOS ONE, 2018)Globally the number of people with Type 2 diabetes mellitus (T2DM) has risen significantly over the last few decades. Aligned to this is a growing use of community health workers (CHWs) to deliver T2DM self-management ... -
Family members’ experiences: People with comorbid bipolar and substance use disorder
(Springer Nature, 2018)People with comorbid bipolar and substance use disorders are complex, whose families experienced challenges contributing significantly to their burden of care. The aim of the study was to explore these lived experiences ... -
Factors impacting on menstrual hygiene and their implications for health promotion
(Sage, 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 ... -
Lenses and levels: the why, what and how of measuring health system drivers of women’s, children’s and adolescents’ health with a governance focus
(BMJ, 2019)Health systems are critical for health outcomes as they underpin intervention coverage and quality, promote users’ rights and intervene on the social determinants of health. Governance is essential for health system ... -
Reflections of ART policy and its implementation: rebuilding the ship as we sail?
(University of the Free State, 2006)This paper reflects on the early experience with ART implementation in South Africa in the light of the policy goals of increasing ART access whilst improving prevention and strengthening the public health system. It reviews ... -
Towards developing an initial programme theory: Programme designers and managers assumptions on the antiretroviral treatment adherence club programme in primary health care facilities in the metropolitan area of Western Cape province, South Africa
(PLOS one, 2016)Background The antiretroviral adherence club intervention was rolled out in primary health care facilities in the Western Cape province of South Africa to relieve clinic congestion, and improve retention in care, and ...
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