A5033258747- Global Maternal and Child Health
- Primary Care and Health Outcomes
- Global Health Workforce Issues
- Healthcare Systems and Reforms
- Global Public Health Policies and Epidemiology
- Interprofessional Education and Collaboration
- Global Health and Surgery
- Health Policy Implementation Science
- Child and Adolescent Health
- Healthcare Policy and Management
- Child Nutrition and Water Access
- HIV/AIDS Impact and Responses
- Public Health Policies and Education
- Community Health and Development
- Disaster Response and Management
- Healthcare Quality and Management
- Circadian rhythm and melatonin
- Animal Ecology and Behavior Studies
- Food Security and Health in Diverse Populations
- Geology and Paleoclimatology Research
- HIV/AIDS Research and Interventions
- Complementary and Alternative Medicine Studies
- Global Health Care Issues
- Legal Issues in South Africa
- Innovations in Medical Education
University of the Western Cape
2016-2025
South African Medical Research Council
2021-2024
University of London
2014
University of the West
2011
University of Cologne
1987
Universität Hamburg
1980
Optimising community health worker (CHW) programmes requires evidence-based policies on their education, deployment, and management. This guideline aims to inform efforts by planners, policy makers, managers improve CHW as part of an integrated approach strengthen primary care systems. The development this followed the standard WHO developing global guidelines. We conducted one overview reviews, 15 systematic reviews (each a specific question), survey stakeholders' views acceptability...
Recent global crises have brought into sharp relief the absolute necessity of resilient health systems that can recognise and react to societal crises. While such focus mind, real work lies, however, in being face routine, multiple challenges. But what are these challenges is nurturing everyday resilience systems? This paper considers questions, drawing on long-term, primarily qualitative research conducted three different district system settings Kenya South Africa, adopting principles from...
Ever since the 2006 World Health Report advocated increased community participation and systematic delegation of tasks to less-specialized cadres, there has been a great deal debate about expediency, efficacy modalities task shifting. The from one cadre another, previously often called substitution, is not new concept. It used in many countries for decades, either as response emergency needs or method provide adequate care at primary secondary levels, especially understaffed rural...
-Community health workers (CHWs) have reemerged as significant cadres in low- and middle-income countries are now seen an integral part of achieving the goal universal coverage (UHC). In international guidance support, emphasis is increasingly shifting from a focus on outcomes CHW-based interventions to systems requirements for implementing sustaining CHW programs at scale. A major challenge that interface with both formal system (requiring integration) community embedding) context-specific...
This paper makes a contribution to much-neglected aspect of policy analysis: the practice power in implementation. Practices are at heart every process, yet rarely explicitly explored health literature. provides detailed study micro-practices by those frontline service delivery implementation national community worker one rural South African sub-district. The is based on small-scale qualitative which collected data through observations, interviews and focus group discussions with services...
One of the consequences massive investment in antiretroviral access and other AIDS programmes has been rapid emergence large numbers lay workers health systems developing countries. In South Africa, government estimates are 65,000, mostly HIV/TB care-related contribute their labour public sector, outnumbering main front-line primary care providers professional nurses. The phenomenon grown organically incrementally, playing a wide variety care-giving, support advocacy roles. Using Africa as...
New forms of leadership are required to bring about the fundamental health system changes demanded by primary care (PHC). Using theory complex adaptive systems and policy implementation, this paper considers how actors' sensemaking exercise discretionary power currently combine challenge PHC re-orientation in South African system; provides examples practices that promote use support PHC. The draws on observational, interview, reflective data collected as part District Innovation Action...
Health policy and systems research (HPSR) is centrally concerned with people, their relationships the actions practices they can implement towards better health systems. These concerns suggest that HPS researchers must work in direct engagement practitioners practice central to inquiry, acknowledging tacit knowledge drawing it into generating new insights system functioning. Social science perspectives are of particular importance this field because policies themselves social political...
Global Health Initiatives (GHIs), aiming at reducing the impact of specific diseases such as Human Immunodeficiency Virus (HIV), have flourished since 2000. Amongst these, PEPFAR and GFATM provided a substantial amount funding to countries affected by HIV, predominantly for delivery antiretroviral therapy (ARV) prevention strategies. Since need additional human resources health (HRH) was not initially considered GHIs, countries, allow ARV scale-up, implemented short-term HRH strategies,...
Abstract Background Community health worker (CHW) programmes are increasingly being recognized as an important strategy that can help to strengthen comprehensive primary care (PHC), the foundation of work towards achieving universal (UHC) and meeting Sustainable Development Goals (SDGs). The WHO Regional Office for Eastern Mediterranean undertook a situational analysis CHW in Region better understand current situation issues involved. Methods A two‐step process was employed: review available...
As Global Health evolves, not merely as a metaphor for international collaboration, but distinct field of practice, it warrants greater consideration how is practiced, by whom, and what goals. We believe that, to become more relevant the health systems communities that are their intended beneficiaries, practices must actively span disrupt boundaries geography, geopolitics constituency, some which rooted in imbalances power resources. In this process, fostering cross-country learning networks...
Health systems in many low-income countries remain fragile, and the record of human resource planning management Ministries very uneven. Public health training institutions face dual challenge building resources capacity ministries services while alleviating improving their own constraints. This paper reports on an initiative aimed at addressing this through development implementation a joint Masters (MPH) programme with focus workforce by four academic from East Southern Africa teaching...
Health system governance has been recognized as a critical element of the health strengthening agenda. To date, research often focuses at national or global levels, adopting macro-perspective that deals with structures, forms and principles. Little attention given to micro-perspective which recognizes role actors in governance, considering operational level system. This article presents South African case study an intervention address conflict roles responsibilities between multiple...
Leadership capacity needs development and nurturing at all levels for strong health systems governance improved outcomes. The Doctor of Public Health (DrPH) is a professional, interdisciplinary terminal degree focused on strategic leadership building. concept not new there are several programmes globally-but none within Africa, despite its urgent need in health. To address this gap, consortium institutions Sub-Saharan UK North America have embarked collaboration to develop implement...
Abstract Background While intersectoral collaboration is considered valuable and important for achieving health outcomes, there are few examples of successes. The literature on suggests that success relies a shared understanding what can be achieved collectively whether stakeholders agree mutual goals or acceptable trade-offs. When systems faced with negotiating responses to complex issues, consensus across sectors challenging uncertain process. Stakeholders may present divergent framings...
In Nigeria's federal government system, national policies assign concurrent healthcare responsibilities across constitutionally arranged levels. Hence, policies, formulated for adoption by states implementation, require collaboration. This study examines collaboration levels, tracing implementation of three maternal, neonatal and child health (MNCH) programmes, developed from a parent integrated MNCH strategy, with intergovernmental collaborative designs, to identify transferable principles...