A5057500434- SARS-CoV-2 and COVID-19 Research
- Global Maternal and Child Health
- Global Public Health Policies and Epidemiology
- COVID-19 epidemiological studies
- Radiation Dose and Imaging
- Healthcare Policy and Management
- Disaster Response and Management
- Viral Infections and Outbreaks Research
- Radiology practices and education
- Global Cancer Incidence and Screening
- Healthcare cost, quality, practices
- SARS-CoV-2 detection and testing
- Healthcare Systems and Reforms
- Health Systems, Economic Evaluations, Quality of Life
- Global Health Care Issues
- Vaccine Coverage and Hesitancy
- HIV/AIDS Impact and Responses
- Primary Care and Health Outcomes
- Global Health and Surgery
- COVID-19 Clinical Research Studies
- COVID-19 and healthcare impacts
- Child and Adolescent Health
- Healthcare Systems and Challenges
- Community Health and Development
- HIV/AIDS Research and Interventions
Western Cape Department of Health
2019-2024
Stellenbosch University
2022-2023
University of Cape Town
2022
London School of Hygiene & Tropical Medicine
2022
Government of South Africa
2008
The objective was to compare COVID-19 outcomes in the Omicron-driven fourth wave with prior waves Western Cape, assess contribution of undiagnosed infection differences a context high seroprevalence due and determine whether protection against severe disease conferred by and/or vaccination maintained.
Recent health system shocks such as the Ebola disease outbreak have focused global attention on notion of resilient systems. In this commentary, we reflect current framing concept resilience in systems discourse and propose a reframing. Specifically, that: (1) addition to sudden shocks, face ongoing strain multiple factors. Health need capacity continue deliver services good quality respond effectively wider challenges. We call everyday resilience; (2) entails more than bouncing back from...
a b s t r c Objectives: We aimed to compare the clinical severity of Omicron BA.4/BA.5 infection with BA.1 and earlier variant infections among laboratory-confirmed SARS-CoV-2 cases in Western Cape, South Africa, using timing infer lineage/variant causing infection.Methods: included public sector patients aged ≥20 years COVID-19 between May 01-May 21, 2022 (BA.4/BA.5 wave) equivalent previous wave periods.We compared risk waves (i) death (ii) severe hospitalization/death (all within 21 days...
There are few data on the real-world effectiveness of COVID-19 vaccines and boosting in Africa, which experienced widespread SARS-CoV-2 infection before vaccine availability. We assessed association between vaccination severe Western Cape, South an observational cohort study >2 million adults during 2020–2022. described testing, outcomes, uptake over time. used multivariable cox models to estimate BNT162b2 Ad26.COV2.S with COVID-19-related hospitalization death, adjusting for demographic...
We aimed to compare clinical severity of Omicron BA.4/BA.5 infection with BA.1 and earlier variant infections among laboratory-confirmed SARS-CoV-2 cases in the Western Cape, South Africa, using timing infer lineage/variant causing infection.
Abstract Background The reduction of inequality is a key United Nations 2030 Sustainable Development Goal (WHO, Human Resources for Health: foundation Universal Health Coverage and the post-2015 development agenda, 2014; Transforming our world: Agenda .:. Knowledge Platform, 2020). Despite marked disparities in radiological services globally, particularly between metropolitan rural populations low- middle-income countries, there has been little work on imaging resources utilization patterns...
Quality of CareEmbedding implementation research to cross the quality care chasm during covid-19 pandemic and beyondMichael Peters colleagues argue that concerted efforts embed can improve health services, even in most challenging operating environments • Donors, policymakers, implementers, researchers all have critical part play prioritising embeddedness strengthening learning capacity systems on 11 December
The profound health, social and economic impacts generated by the COVID-19 pandemic have necessitated collaboration among societal actors in an unprecedented fashion, elevating status of health sector positioning it to advance intersectoral action on health. This chapter reflects Western Cape prior during pandemic. We describe forms that emerged response COVID-19; how these drew from a formative initiative province, referred as WoSA (whole-of-society approach); lessons opportunities...
Although global use of medical imaging has increased significantly, little is known about utilisation trends in low- and middle-income countries (LMICs).To evaluate changes over a decade public sector diagnostic at provincial level country.A retrospective analysis the Western Cape Province South Africa 2009 2019. Use conventional radiography, ultrasonography (US), fluoroscopy, CT, MRI, digital subtraction angiography (DSA) whole-body radiography was assessed by total studies studies/103...
In the Western Cape Province, as elsewhere in country, COVID-19 crisis has required an intense multi-pronged response by provincial Government. With aim of encouraging wider reflection, this chapter presents our experiences, focusing specifically on surveillance and planning, outbreak health platform including corporate support services, leadership governance. During inter-wave periods, Department Health convened a series facilitated conversations with staff to consider responses identify...
Abstract Background There are few data on the real-world effectiveness of COVID-19 vaccines and boosting in Africa, which experienced high levels SARS-CoV-2 infection a mostly vaccine-naïve population, has limited vaccine coverage competing health service priorities. We assessed association between vaccination severe Western Cape, South Africa. Methods performed an observational cohort study >2 million adults during 2020-2022. described testing, outcomes, uptake over time. used...
Abstract Background There are marked disparities in radiological resources globally, particularly between metropolitan and rural populations. The World Health Organization (WHO) suggests that 90% of low- middle-income country (LMIC) imaging needs can be addressed by one X-ray ultrasound machine for every 50000 people. However, this figure is untested, as limited work on service utilization patterns LMICs exists. aim was to analyze provincial a country. Methods An institutional review...
Disparities in MR access between different countries and healthcare systems are well documented. Determinants of unequal within the same system geographical region poorly understood.An analysis public sector utilisation South Africa's Western Cape province (WCP).A retrospective study WCP population data for 2013 2018. units/106 people, studies, studies/103 people were calculated each year, whole 'western' 'eastern' referral pathways, stratified by age (0-14 years, > 14 years).Between 2018,...
Background Coronavirus (COVID-19) was officially declared a pandemic in March 2020 and has had major impact on global healthcare services, including radiology. However, little is known about the full of COVID-19 utilization diagnostic imaging Africa's public sector. Objectives The objective this study to compare sector by modality for whole Western Cape Province (WCP) South Africa (SA), as well its metropolitan rural areas, 2019 terms absolute number investigations per 1000 people. Method We...