Research Publications: Recent submissions
Now showing items 721-740 of 792
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Practice and power: a review and interpretive synthesis focused on the exercise of discretionary power in policy implementation by front line providers and managers
(Oxford University Press, 2014)Tackling the implementation gap is a health policy concern in low- and middleincome countries (LMICs). Limited attention has so far been paid to the influence of power relations over this gap. This article presents, ... -
Advancing the application of systems thinking in health: South African examples of a leadership of sensemaking for primary health care
(Biomed Central, 2014)BACKGROUND: New forms of leadership are required to bring about the fundamental health system changes demanded by primary health care (PHC). Using theory about complex adaptive systems and policy implementation, this ... -
Mapping the existing body of health policy implementation research in lower income settings: what is covered and what are the gaps?
(Oxford University Press (OUP), 2014)This article uses 85 peer-reviewed articles published between 1994 and 2009 to characterize and synthesize aspects of the health policy analysis literature focusing on policy implementation in low- and middle-income ... -
The roles of community health workers in management of non-communicable diseases in an urban township
(AOSIS OpenJournals, 2014)BACKGROUND: Community health workers (CHWs) are increasingly being recognised as a crucial part of the health workforce in South Africa and other parts of the world. CHWs have taken on a variety of roles, including community ... -
Health policy and systems research: needs, challenges and opportunities in South Africa – a university perspective
(Health systems trust, 2013)The last two decades have seen growing international recognition of the need to strengthen health systems in order to deliver already available, cost-effective health interventions. This chapter describes the parallel ... -
Progress in the establishment of ward based outreach teams: experiences in the North West Province
(Health Systems Trust, 2013)This chapter briefly describes the implementation of the Ward-based Outreach Teams (WBOTs) in the North West Province. The authors then highlight some of the findings of a rapid assessment of provincial and district ... -
Comparing a paper based monitoring and evaluation system to a mHealth system to support the national community health worker programme, South Africa: an evaluation
(BioMed Central, 2014)BACKGROUND: In an attempt to address a complex disease burden, including improving progress towards MDGs 4 and 5, South Africa recently introduced a re-engineered Primary Health Care (PHC) strategy, which has led to ... -
Community care workers, poor referral networks and consumption of personal resources in rural South Africa
(Public Library of Science, 2014)Although home-based care (HBC) programs are widely implemented throughout Africa, their success depends on the existence of an enabling environment, including a referral system and supply of essential commodities. The ... -
Local level inequalities in the use of hospital-based maternal delivery in rural South Africa
(BioMed Central, 2014)BACKGROUND: There is global concern with geographical and socio-economic inequalities in access to and use of maternal delivery services. Little is known, however, on how local-level socio-economic inequalities are related ... -
Whole-system change: case study of factors facilitating early implementation of a primary health care reform in a South African province
(BioMed Central, 2014)BACKGROUND: Whole-system interventions are those that entail system wide changes in goals, service delivery arrangements and relationships between actors, requiring approaches to implementation that go beyond projects or ... -
Patients’ experiences of being nursed by student nurses at a teaching hospital
(AOSIS OpenJournals, 2014)BACKGROUND: Teaching hospitals are medical institutes at which most nursing education institutions provide their students with practical nursing experience. Although the focus of care is the patient, attention is sometimes ... -
Building capacity to develop an African teaching platform on health workforce development: a collaborative initiative of universities from four sub Saharan countries
(BioMed Central, 2014)INTRODUCTION: Health systems in many low-income countries remain fragile, and the record of human resource planning and management in Ministries of Health very uneven. Public health training institutions face the dual ... -
Development of non-profit organisations providing health and social services in rural South Africa: a three year longitudinal study
(PLOS, 2013)INTRODUCTION: In an effort to increase understanding of formation of the community and home-based care economy in south Africa, we investigated the origin and development of non-profit organisations (NPOs) providing home-and ... -
Evaluation of how integrated HIV and TB programs are implemented in South Africa and the implications for rural-urban equity
(James Cook University, 2013)Introduction: In countries such as South Africa with a high prevalence of HIV and TB policy directives support program integration. Operational research suggests this is desirable, at least for increasing coverage of HIV ... -
External stakeholders and health promoting schools: complexity and practice in South Africa
(Emerald, 2014)Purpose: This paper examines the role of two higher education institutions in the Western Cape, South Africa, and how their initiatives and collaboration brought about a particular Health Promoting Schools (HPS) program ... -
Assessing and improving care for patients with TB/HIV/STIs in a rural district in KwaZulu-Natal South Africa
(Health and Medical Publishing Group (HMPG), 2011)Setting: Despite the prioritisation of TB, HIV and STI programmes in South Africa, service targets are not achieved, have had little effect, and the magnitude of the epidemics continues to escalate. Objective. To report ... -
Constraints to implementing an equity-promoting staff allocation policy: understanding key actors perspectives affecting implementation in South Africa
(Oxford University Press, 2012)Much of current research on issues of equity in low- and middle-income countries focuses on uncovering and describing the extent of inequities in health status and health service provision. In terms of policy responses ... -
Is there room for improvement? Intervening at facility and district level to improve access and quality of care in a well-performing TB Control Programme: the Cape Town experience
(Health and Medical Publishing Group, 2012)Objectives. To use a quality improvement approach to improve access to and quality of tuberculosis (TB) diagnosis and care in Cape Town. Methods. Five HIV/AIDS/sexually transmitted infections/TB (HAST) evaluations were ... -
Integration of HIV prevention into sexual and reproductive health services in an urban setting in South Africa
(AOSIS OpenJournals, 2013)Background: The United Nations Political Declaration on HIV and AIDS of 2006 stressed the need to strengthen policy and programme linkages between HIV and Sexual and Reproductive Health (SRH). However, the effectiveness ...