Yobe State has faced severe disruption of its health service as a result the Boko Haram insurgency. A systems dynamics analysis was conducted to identify key pathways threat provision and emerging response adaptation. Structured interviews were with 39 stakeholders from three local government areas selected represent diversity conflict experience across state: Damaturu, Fune Nguru, four officers PRRINN-MNCH program providing technical assistance for primary care development in state. group...

Covid‐19 created unprecedented disruptions on human migration. Business closures and travel bans disproportionately impacted economic migrants who were neither able to support their families nor home countries. The primary aim of the study was explore experiences Malawian returned from South Africa during Covid‐19. A secondary objective solutions migration‐related challenges that experienced. qualitative approach involving 15 in‐depth interviews with living in used. Interviews...

Background Mental health is an essential component of well-being, yet marginalized groups, particularly adolescents, face systemic inequities and barriers to accessing care. This paper describes the experiences adolescent girls in their access healthcare services how these might have contributed mental well-being Western Cape province, South Africa. Methods qualitative study employed narrative semi-structured interviews explore sexual reproductive aged 15–19. Participants included various...

The Eastern Cape Province reports among the poorest health service indicators in South Africa with some of its districts standing out as worst performing regards maternal indicators. To understand key drivers and outcomes this underperformance to explore whether a participatory analysis could deepen action-oriented understanding stakeholders, study was conducted one chronically poorly districts. used systems approach affecting district order identify leverage points for addressing situation....

Maternal mortality remains high in Eastern Cape Province, South Africa, despite over 90% of pregnant women utilizing maternal health services. A recent survey showed wide variation performance among districts the province. Heterogeneity was also found at district level, where outcomes varied considerably hospitals. In ongoing research, leadership emerged as one key systems factors affecting services facility level. This article reports on a subsequent case study undertaken to examine...

18Dec 2019 POLICY AND IMPLEMENTATION GAP : A MULTI - COUNTRY PERSPECTIVE Gina Teddy , Martina Lembani Boroto Hwabamungu and Dintle Molosiwa Health Policy Systems Division, School of Public Family Medicine, University Cape Town, Anzio Road, Observatory, 7925, Town Health, the Western Cape, Robert Sobukwe Private Bag X17, Bellville 7535, South Africa Management, Institute Development Mobuto P.O.Box 1357, Gaborone Botswana

Building capacity in health policy and systems research (HPSR), especially low- middle-income countries, remains a challenge. Various approaches have been suggested implemented by scholars institutions using various forms of building to address challenges regarding HPSR development. The Collaboration for Health Systems Analysis Innovation (CHESAI) - collaborative effort between the Universities Cape Town Western Schools Public has employed non-research based post-doctoral fellowship (PDRF)...

Background Coronavirus disease (COVID-19) negatively impacted tuberculosis (TB) programs which were already struggling to meet End-TB targets globally. We aimed quantify and compare diagnosis, treatment initiation, success, losses along this TB care cascade for drug-susceptible in Cape Town, South Africa, prior during COVID-19. Methods This observational study used routine data within two predefined cohorts: pre-COVID-19 (1 October 2018–30 September 2019) during-COVID-19 April 2020–31 March...

AbstractAbstractInternational migrants, particularly those migrating between and among developing countries (South-South migration), continue to experience increased vulnerabilities as social services in host are inadequate. Using the Person Environment (PiE) framework, study explored coping strategies adopted by Malawian migrants living South Africa during Covid-19 pandemic. Data were collected through in-depth interviews with (n = 24), key stakeholders 5). audio-recorded, transcribed...

Migration to South Africa is motivated by the pursuit of employment, safety, and improved living conditions. However, immigrants encounter significant challenges, such as restricted access essential services, which were exacerbated COVID-19 pandemic. This paper investigates impact pandemic on Malawian in Africa, addressing lack attention given this immigrant population highlighting their vulnerabilities. Using a qualitative exploratory descriptive approach, in-depth interviews conducted with...

Abstract Farm workers are vulnerable working populations who face significant inequalities in accessing health services, including those for human immunodeficiency virus (HIV) prevention, treatment and care. This descriptive phenomenological study aimed to explore farm workers’ experiences when HIV services was conducted Limpopo province, South Africa. Eighteen in-depth interviews were four facilities from two districts, focus group discussions one of the farms within province. Purposive...

Abstract Background: The success of prevention mother to child transmission HIV (PMTCT ) dependents on pregnant women accessing antenatal care (ANC) services. Failure book for ANC through the course pregnancy presents a missed opportunity PMTCT and high risk maternal transmission. Whilst unbooking was about 6% in Zimbabwe, it is important determine local burden both un-booked living with among women. Chitungwiza city This study aimed at determining proportion them, who were identify factors...