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) [341]
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The supervisory relationships of community health workers in primary health care: Social network analysis of ward-based outreach teams in Ngaka Modiri Molema District, South Africa
(BMJ Global Health, 2019)Introduction Supportive supervision remains a key challenge to the sustainability of community health worker (CHW) programmes globally. The aim of the study was to identify critical actors and patterns of relationships in ... -
“Righting the wrongs”: Addressing human rights and gender equality through research since Cairo
(Sexual and Reproductive Health Matters, 2019)The Programme of Action (PoA) adopted in Cairo at the International Conference on Population and Development (ICPD) in 1994 called for strengthen- ing of the evidence base to guide policies and pro- gramming to deliver on ... -
How are gender inequalities facing India’s one million ASHAs being addressed? Policy origins and adaptations for the world’s largest all-female community health worker programme
(Human Resources for Health, 2019)Background: India’s accredited social health activist (ASHA) programme consists of almost one million female community health workers (CHWs). Launched in 2005, there is now an ASHA in almost every village and across many ... -
Taking stock of 10 years of published research on the ASHA programme: Examining India’s national community health worker programme from a health systems perspective
(Health Research Policy and Systems, 2019)Background: As India’s accredited social health activist (ASHA) community health worker (CHW) programme enters its second decade, we take stock of the research undertaken and whether it examines the health systems interfaces ... -
How to use relevant data for maximal benefit with minimal risk: Digital health data governance to protect vulnerable populations in low-income and middle- income countries
(BMJ Global Health, 2019)Globally, the volume of private and personal digital data has massively increased, accompanied by rapid expansion in the generation and use of digital health data. These technological advances promise increased opportunity for ... -
Building a transformative agenda for accountability in SRHR: Lessons learned from SRHR and accountability literatures
(Sexual and Reproductive Health Matters, 2019)Global strategies and commitments for sexual and reproductive health and rights (SRHR) underscore the need to strengthen rights-based accountability processes. Yet there are gaps between these ambitious SRHR rights frameworks ... -
Paramedics, poetry, and film: Health policy and systems research at the intersection of theory, art, and practice
(Human Resources for Health, 2019)Violence is a public health issue. It is the consequence of a complex set of interacting political, social, and economic factors firmly rooted in past and current injustice. South Africa remains one of the most unequal ... -
Integrating community health assistant- driven sexual and reproductive health services in the community health system in Nyimba district in Zambia: Mapping key actors, points of integration, and conditions shaping the process
(Reproductive Health, 2019)Introduction: Although large scale public sector community health worker programs have been key in providing sexual and reproductive health (SRH) services in low- and middle-income countries, their integration process into ... -
Perceptions of pregnant women of reasons for late initiation of antenatal care: A qualitative interview study
(BMC Pregnancy and Childbirth, 2020)Background: Antenatal care serves as a key entry point for a pregnant woman to receive a broad range of services and should be initiated at the onset of pregnancy. The aim of the study was to understand the reasons for the ... -
District governance and improved maternal, neonatal and child health in South Africa: Pathways of change
(Health systems and reform, 2020)District-level initiatives to improve maternal, neonatal and child health (MNCH) generally do not take governance as their primary lens on health system strengthening. This paper is a case study of a district and sub-district ... -
“Because even the person living with HIV/AIDS might need to make babies” – Perspectives on the drivers of feasibility and acceptability of an integrated community health worker model in Iringa, Tanzania
(International Journal of Health Policy and Management, 2019)Background: Countries with health workforce shortages are increasingly turning to multipurpose community health workers (CHWs) to extend integrated services to the community-level. However, there may be tradeoffs with the ... -
Health systems for all in the SDG era: Key reflections based on the Liverpool statement for the fifth global symposium on health systems research
(Health Policy and Planning, 2019)The year 2018 marked anniversaries of several significant milestones in public health: the birth of the UK National Health Service, the Alma Ata declaration and the Commission on Social Determinants of Health. The Fifth ... -
Implementation of maternal and perinatal death reviews: A scoping review protocol
(BMJ Open, 2019)The Consolidated Framework for Implementation Research will inform the development of a theory-based conceptual framework for MPDSR implementation. The methodology for the scoping review will be guided by an adapted Arksey ... -
The state of health policy and systems research: Reflections from the 2018 5th global symposium
(Health Policy and Planning, 2019)The latest version of this event, the 5th Global Symposium on Health Systems Research, took place in Liverpool, UK from 8 to 12 October 2018, and drew 2247 participants from >125 countries—the largest gathering to date of ... -
A forgotten group during humanitarian crises: A systematic review of sexual and reproductive health interventions for young people including adolescents in humanitarian settings
(Conflict and Health, 2019)Background: Young people including adolescents face barriers to healthcare and increased risk of poor sexual and reproductive health (SRH), which are exacerbated in humanitarian settings. Our systematic review assessed the ... -
The state of health policy and systems research: Reflections from the 2018 5th global symposium
(Health Policy and Planning, 2019)The latest version of this event, the 5th Global Symposium on Health Systems Research, took place in Liverpool, UK from 8 to 12 October 2018, and drew 2247 participants from >125 countries—the largest gathering to date ... -
A forgotten group during humanitarian crises: a systematic review of sexual and reproductive health interventions for young people including adolescents in humanitarian settings
(Conflict and Health, 2019)Background: Young people including adolescents face barriers to healthcare and increased risk of poor sexual and reproductive health (SRH), which are exacerbated in humanitarian settings. Our systematic review assessed the ... -
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 ...
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