Research Publications
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Household air pollution and adult lung function change, respiratory disease, and mortality across eleven low- and middle-income countries from the pure study
(Environmental Health Perspectives, 2023)BACKGROUND: Globally, household air pollution (HAP) is a major environmental hazard that affects respiratory health. However, few studies have examined associations between HAP and lung function decline and respiratory ... -
A systematic review assessing the potential use of cystatin c as a biomarker for kidney disease in people living with HIV on antiretroviral therapy
(Frontier, 2024)The introduction of antiretroviral therapy (ART) has significantly prolonged the lifespan of people living with human immunodeficiency virus (PLWH). However, the sustained use of this drug regimen has also been associated ... -
Cost-effectiveness of lifestyle Africa: an adaptation of the diabetes prevention programme for delivery by community health workers in urban South Africa
(Taylor and Francis Ltd., 2023)Background: Lifestyle Africa is an adapted version of the Diabetes Prevention Program designed for delivery by community health workers to socioeconomically disadvantaged populations in low- and middle-income countries ... -
Improving health outcomes and quality at the subdistrict level: Evaluation of the ‘3 feet model’ in Waterberg District, Limpopo Province, South Africa
(South African Medical Association, 2023)Background: There is a gap in understanding of potential roles and actions at the subdistrict level to improve quality of care and health outcomes in South Africa (SA). Objectives. To report on the evaluation of a subdistrict ... -
Managing local health system interdependencies: Referral and outreach systems for maternal and newborn health in three South African districts
(Multidisciplinary Digital Publishing Institute (MDPI), 2023)In complex health systems, referral and outreach systems (ROS) are formal strategies for connecting and managing interdependencies between facilities in service delivery pathways. Well-functioning maternal and newborn ROS ... -
The 'decolonization of global health' agenda in Africa: harnessing synergies with the continent's strategic aspirations
(Oxford University Press, 2023)In 2013, Africa adopted a 50-year strategic framework, Agenda 2063,under the vision ‘to build an integrated, prosperous and peaceful Africa, driven and managed by its own citizens and representing a dynamic force in the ... -
An exploration of health workers’ experiences in providing bereavement care to mothers following a stillbirth: results from a subnational level health system in Uganda
(BioMed Central Ltd, 2023)Background Stillbirth is a profound emotion-laden event to the mothers and health workers who provide care due to its sudden and unexpected occurrence. Health workers offering support in regions shouldering the highest ... -
Exploring self-reported adherence measures to screen for elevated HIV viral load in adolescents: a South African cohort study
(Springer, 2023)The timely identification of ART non-adherence among adolescents living with HIV presents a significant challenge, particularly in resource-limited settings where virologic monitoring is suboptimal. Using South African ... -
Pregnant women’s satisfaction with the quality of antenatal care and the continued willingness to use health facility care in Lusaka district, Zambia
(BioMed Central Ltd, 2024)Background: Antenatal healthcare (ANC) reduces maternal and neonatal deaths in low-middle-income countries. Satisfaction with ANC services and perception of quality of care are critical determinants of service utilization. ... -
District health management and stillbirth recording and reporting: a qualitative study in the Ashanti Region of Ghana
(BioMed Central Ltd, 2024)Background: Despite global efforts to reduce maternal and neonatal mortality, stillbirths remain a significant public health challenge in many low- and middle-income countries. District health systems, largely seen as the ... -
High-sensitivity c-reactive protein among people living with hiv on highly active antiretroviral therapy: a systemic review and meta-analysis
(BioMed Central Ltd, 2024)The pathological consequences of inflammation persist in people living with the human immunodeficiency virus (PLWH), regardless of the positive outcomes of highly active antiretroviral therapy (HAART). The current systematic ... -
Translating lessons to reinforce national stillbirth response; multi-stakeholder perspectives regarding priorities and opportunities to deliver quality evidencebased interventions within a limited-resource context in Uganda
(BMC, 2024)Background There is noted increase in attention towards implementation of evidence-based interventions in response to the stillbirth burden in low- and middle-income countries including Uganda. Recent results reporting ... -
Patterns and predictors of hiv comorbidity among adolescents and young adults in South Africa
(Multidisciplinary Digital Publishing Institute (MDPI), 2024)Adolescents and young adults (AYA) are identified as a high-risk group for HIV acquisition. However, health services are generally not sensitive to the needs of this priority population. In addition, multimorbidity (having ... -
Trends in socio-demographic characteristics and substance use among high school learners in a selected district in Limpopo Province, South Africa
(BioMed Central Ltd, 2024)Background: Substance use is an escalating public health problem in South Africa resulting in risky behaviours and poor educational attainment among adolescents. There is a huge battle to overcome substance use among ... -
Quality of inpatient paediatric and newborn care in district hospitals
(Elsevier Ltd, 2023)Background: We read with great interest the Viewpoint by Mike English and colleagues on the quality of care for paediatric and newborn patients in district hospitals, published in The Lancet Global Health. The authors ... -
Developing, implementing, and monitoring tailored strategies for integrated knowledge translation in five sub-saharan African countries
(BioMed Central Ltd, 2023)Background: Integrated knowledge translation (IKT) through strategic, continuous engagement with decision-makers represents an approach to bridge research, policy and practice. The Collaboration for Evidence-based Healthcare ... -
Every loaf of bread is political – Reflections on collective care responses to covid-19 in Cape Town
(Elsevier Ltd, 2024)Feminist perspectives on care have demonstrated how capitalism undervalues care work. The Covid-19 pandemic highlighted this further, as systems of production and social reproduction became destabilized globally. In many ... -
Digital gaming for cross-cultural learning: Development of a social constructivist game- based learning model at a South African University
(IGI Global, 2023)Although game-based learning has gained significant attention in higher education globally, it is difficult to harness its engagement and interactions to improve student success. This paper argues that the use of digital ... -
Implementing quality-of-care during labour, childbirth, and early postnatal care, northeast Namibia: a quasi-experimental study
(International Society of Global Health, 2023)Background Attention to quality-of-care is increasing in low-and-middle-income countries. Nevertheless, few studies exist on the impact of these approaches to caregiving. This paper presents results on the quality-of-care ... -
Enhancing linkage to HIV care in the “universal test and treat” era: barriers and enablers to HIV care among adults in a high HIV burdened district in KwaZulu-Natal, South Africa
(BioMed Central Ltd, 2023)Ending AIDS by 2030 would depend on how successful health systems are in linking people living with HIV (PLHIV) into care. The World Health Organization recommended the ‘Universal Test and Treat’ (UTT) strategy – initiating ...