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) [278]
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Linkage into care among newly diagnosed HIV-positive individuals tested through outreach and facility-based HIV testing models in Mbeya, Tanzania: a prospective mixed-method cohort study
(BMJ Publishing Group, 2017)OBJECTIVE: Linkage to care is the bridge between HIV testing and HIV treatment, care and support. In Tanzania, mobile testing aims to address historically low testing rates. Linkage to care was reported at 14% in 2009 ... -
“You have to take action”: changing knowledge and attitudes towards newborn care practices during crisis in South Sudan
(Taylor & Francis, 2017)Highest rates of neonatal mortality occur in countries that have recently experienced conflict. International Medical Corps implemented a package of newborn interventions in June 2016, based on the Newborn health in ... -
Mental health in South African adolescents living with HIV: correlates of internalising and externalising symptoms
(Taylor & Francis, 2018)Although declining in all other age groups, AIDS-related deaths among adolescents are increasing. In the context of HIV, mental health problems are associated with negative health outcomes, including non-adherence to ... -
What makes international global health university partnerships higher-value? An examination of partnership types and activities favoured at four East African universities
(Levy Library Press, 2018)BACKGROUND: There are many interuniversity global health partnerships with African universities. Representatives of these partnerships often claim partnership success in published works, yet critical, contextualized, and ... -
STACKing the odds for adolescent survival: health service factors associated with full retention in care and adherence amongst adolescents living with HIV in South Africa
(Wiley Open Access, 2018)INTRODUCTION: There are two million HIV-positive adolescents in southern Africa, and this group has low retention in care and high mortality. There is almost no evidence to identify which healthcare factors can improve ... -
Maternal and newborn health implementation research: programme outcomes, pathways of change and partnerships for equitable health systems in Uganda
(Taylor & Francis Open, 2018)Nestled in eastern and southern Africa, with a population of just over 39 million, Uganda reported a maternal mortality ratio of 360 per 100,000 live births, a neonatal mortality rate of 19 per 1000 live births and an ... -
Socialization, legitimation and the transfer of biomedical knowledge to low- and middle-income countries: analyzing the case of emergency medicine in India
(BMC, 2018)BACKGROUND: Medical specialization is a key feature of biomedicine, and is a growing, but weakly understood aspect of health systems in many low- and middle-income countries (LMICs), including India. Emergency medicine is ... -
The governance of national community health worker programmes in low- and middle-income countries: an empirically based framework of governance principles, purposes and tasks
(Kerman University of Medical Sciences, 2018)BACKGROUND: National community health worker (CHW) programmes are increasingly regarded as an integral component of primary healthcare (PHC) in low- and middle-income countries (LMICs). At the interface of the formal health ... -
Roles played by community cadres to support retention in PMTCT Option B+ in four African countries: a qualitative rapid appraisal
(BMJ Publishing Group, 2018)OBJECTIVES To explore the roles of community cadres in improving access to and retention in care for PMTCT (prevent mother-to-child transmission of HIV) services in the context of PMTCT Option B+ treatment scale-up in ... -
The role of packaged water in meeting global targets on improved water access
(IWA Publishing, 2017)Packaged water (as either refill, bottled, or sachet water) has become an important element of water security in many low- and middle-income countries, owing to poor reliability and lack of piped water infrastructure. ... -
Emtonjeni—A structural intervention to integrate sexual and reproductive health into public sector HIV care in Cape Town, South Africa: results of a phase II study
(Springer Verlag, 2017)Integration of sexual and reproductive health within HIV care services is a promising strategy for increasing access to family planning and STI services and reducing unwanted pregnancies, perinatal HIV transmission and ... -
Exploring how different modes of governance act across health system levels to influence primary healthcare facility managers’ use of information in decisionmaking: experience from Cape Town, South Africa
(BMC, 2017)BACKGROUND: Governance, which includes decision-making at all levels of the health system, and information have been identified as key, interacting levers of health system strengthening. However there is an extensive ... -
Allergy and infant feeding guidelines in the context of resource-constrained settings
(American Academy of Allergy, Asthma and Immunology, 2016)Recent discussions about the need for revised infant feeding guidelines in the context of allergy are founded in substantial evidence-based research. Key studies (Table I)1-5 undertaken in high-income country settings ... -
Understanding internal accountability in Nigeria’s routine immunization system: Perspectives from government officials at the national, state, and local levels
(Kerman University of Medical Sciences, 2017)BACKGROUND: Routine immunization coverage in Nigeria has remained low, and studies have identified a lack of accountability as a barrier to high performance in the immunization system. Accountability lies at the heart of ... -
South-Africa (Goodstart III) trial: community based maternal and newborn care economic analysis
(Oxford University Press, 2017)In light of South Africa’s generalized HIV/AIDS epidemic coupled with high infant mortality, we undertook a cluster Randomized Control Trial (2008–10) assessing the effect of Community Health Worker (CHW) antenatal and ... -
Inefficient procurement processes undermine access to medicines in the Western Cape Province of South Africa
(Health and Medical Publishing Group (HMPG), 2017)BACKGROUND. South Africa (SA) has experienced several stock-outs of life-saving medicines for the treatment of major chronic infectious and non-communicable diseases in the public sector. OBJECTIVE. To identify the causes ... -
Practicing governance towards equity in health systems: LMIC perspectives and experience
(BMC, 2017)The unifying theme of the papers in this series is a concern for understanding the everyday practice of governance in low- and middle-income country (LMIC) health systems. Rather than seeing governance as a normative ... -
Strategies to improve male involvement in PMTCT Option B+ in four African countries: a qualitative rapid appraisal
(Taylor & Francis Open, 2016)BACKGROUND: The World Health Organization recommends that antiretroviral therapy be started as soon as possible, irrespective of stage of HIV infection. This ‘test and treat’ approach highlights the need to ensure that men ... -
Perceptions of Kenyan adults on access to medicines for non-communicable diseases: A qualitative study
(Public Library of Science, 2018)In Kenya, noncommunicable diseases (NCDs) account for 27% of all deaths. Adult Kenyans have an 18% chance of dying prematurely from cancers, diabetes, cardiovascular diseases or chronic respiratory diseases. A Novartis ... -
Reflecting strategic and conforming gendered experiences of community health workers using photovoice in rural Wakiso district, Uganda
(BMC, 2018)BACKGROUND: Community health workers (CHWs) are an important human resource in Uganda as they are the first contact of the population with the health system. Understanding gendered roles of CHWs is important in establishing ...
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