A5009879646- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Primary Care and Health Outcomes
- Global Maternal and Child Health
- Global Health Workforce Issues
- HIV/AIDS Impact and Responses
- African Sexualities and LGBTQ+ Issues
- LGBTQ Health, Identity, and Policy
- Innovations in Medical Education
- COVID-19 and Mental Health
- Interprofessional Education and Collaboration
- Child and Adolescent Health
- Healthcare Policy and Management
- Tuberculosis Research and Epidemiology
- Intimate Partner and Family Violence
- Breastfeeding Practices and Influences
- COVID-19 and healthcare impacts
- Healthcare cost, quality, practices
- Maternal and Perinatal Health Interventions
- Reproductive Health and Technologies
- COVID-19 Digital Contact Tracing
- Child Nutrition and Water Access
- HIV, Drug Use, Sexual Risk
- Global Public Health Policies and Epidemiology
- Healthcare Operations and Scheduling Optimization
University of Cape Town
2016-2025
Western Cape Department of Health
2007-2022
Impact Assessment
2020
Government of South Africa
2008
Population Council
2005
Risk factors for coronavirus disease 2019 (COVID-19) death in sub-Saharan Africa and the effects of human immunodeficiency virus (HIV) tuberculosis on COVID-19 outcomes are unknown.We conducted a population cohort study using linked data from adults attending public-sector health facilities Western Cape, South Africa. We used Cox proportional hazards models, adjusted age, sex, location, comorbidities, to examine associations between HIV, tuberculosis, 1 March 9 June 2020 among (1) "active...
Abstract Background HIV burden remains high in South Africa despite intensive efforts to curtail the epidemic. Public primary care facilities, where most people with (PWH) receive treatment, face myriad challenges retaining patients on antiretroviral therapy (ART). Nevertheless, some facilities manage consistently retain PWH care. We used a participatory positive deviance (PD) approach discover characteristics of above-average 12-month retention rates develop an intervention. Methods...
Worldwide there is growing attention paid to the reproductive decisions faced by HIV-infected individuals. Studies in both developed and developing countries have suggested that many women continue desire children despite knowledge of their HIV status. Despite increasing health care needs individuals low resource settings, little has been given choice intentions. Health providers play a crucial role determining access services influence likely be heightened delivering women. We examined...
Abstract Qualitative research was conducted with HIV-positive women and men of reproductive age attending HIV/AIDS care treatment services at a public health clinic in Cape Town, South Africa. Focus group discussions were held (n = 4) 4), in-depth interviews four to explore perceptions experiences sexual (SRH) care. Respondents praised their treatment, reflected on how it improved quality life contrasted this suboptimal other facilities, including SRH services. Women wanted integrated...
Despite a high burden of disease, in South Africa, intimate partner violence (IPV) is known to be poorly recognised and managed. To address this gap, an innovative intersectoral model for the delivery comprehensive IPV care was piloted rural sub-district.To evaluate initiative from perspectives women using service, service providers, managers.A qualitative evaluation conducted. Service users were interviewed, focus groups conducted amongst health workers (HCW), group interviews with...
Hookah pipe smoking is a social practice and has gained popularity, especially among South African youth. The extent of this health sciences students, their knowledge regarding the risks, are unknown. This important, as these students will become future professionals possibly influencing individuals communities.To explore knowledge, attitudes practices hookah at Faculty Health Sciences, University Cape Town. METHODS. A cross-sectional study was conducted undergraduate postgraduate students....
Background: Sexual and reproductive health (SRH) services for HIV-positive women men often neglect their fertility desires. We examined factors associated with pregnancy intent among recently diagnosed (N = 106) 91) who reported inconsistent condom use were enrolled in an SRH intervention conducted public sector HIV care clinics Cape Town. Methods: Participants recruited when receiving first CD4+ results at the clinic. All unprotected sex previous 3 months. Logistic regression identified...
Abstract Minority stress can negatively affect sexual and gender minorities' health well‐being. Little is known about how the factors associated with minority influence lived experiences of minorities in settings where stigma discrimination are highly prevalent, legal context restrictive. We conducted an online survey among 335 Kenyan queer womxn trans men collecting data on internalized homophobia, outness, LGBT shame pride supplemented these 33 interviews three stakeholder groups. found...
A waiting time survey (WTS) conducted in several clinics Cape Town, South Africa provided recommendations on how to shorten times (WT). follow-up study was assess whether WT had reduced. Using a stratified sample of 22 clinics, before and after design assessed changes WT. The measured perceptions clinic managers were elicited, about the previous survey’s recommendations. overall median decreased by 21 minutes (95%CI: 11.77- 30.23), 28% decrease from WTS. Although no specific factor...
Summary Objective To assess the quality of pre‐antiretroviral therapy (ART) care in Cape Town and its continuity with HIV counselling testing (HCT) ART. Methods The scale‐up HCT, pre‐ART ART service platform programmatic support was described. Data from August 2010 routine annual HIV/TB/STI evaluation, which included interviews 133 facility managers folder reviews 634 HCT clients who tested positive 1115 receiving care, were analysed. Results Historically, implementation management has been...
In South Africa, exclusive breastfeeding rates are low, and of teenage pregnancy high. Educational policy enables mothers' return to school, which conflicts with emphasizing breastfeeding. We elicited adolescent women's perceptions experiences infant feeding choices, conducted six focus groups (N = 57) in two periurban settlements. Participants knew arguments favor against breast formula-feeding, but practice, mixed occurred early after birth. While completion high school was emphasized,...
Public health (PH) approaches underpin the management and transformation of systems in low- middle-income countries. Despite Master Health (MPH) rarely being a prerequisite for service employment South Africa, many physicians pursue MPH qualifications.This study identifies their motivations career intentions explored programme strengths gaps under- post-graduate PH training.A cross-sectional using an online questionnaire was completed by graduating with between 2000 2009 those enrolled 2010...
COVID-19 has challenged health and higher education systems globally. Managing the epidemic in Cape Town, South Africa (SA), required partnerships with universities setting up of de novo for mass case contact tracing (C&CT). Health sciences, predominantly medical students, as well social work psychology students formed core this telephone-based over 18 months when SARS-CoV-2 caused severe disease.This qualitative study aimed to elicit students' motivations becoming involved C&CT, their...
Health care providers can play a significant role in empowering women to make informed decisions when selecting suitable contraceptive methods during counseling. This study explores primary providers' perspectives and approaches service provision for attending public sector clinics South Africa, with the intention of ascertaining established practices training needs.Ten in-depth interviews were conducted at five health facilities urban areas Cape Town, Africa. Eligible participants included...
Background: South African physicians can specialise in public health through a four-year 'registrar' programme. Despite national policies that seemingly value (PH) approaches, the Public Health Medicine (PHM) speciality is largely invisible services. Nevertheless, many enrol for specialist training.Objectives: This study investigated physicians' motivations specialising PHM, their intended career paths, perceptions of training, and perspectives about future speciality.Methods: Focus groups...