Article
Medicine, General & Internal
Jason M. Nagata, Karly Hampshire, Adrienne Epstein, Feng Lin, Jennifer Zakaras, Pamela Murnane, Edwin D. Charlebois, Alexander C. Tsai, Denis Nash, Sheri D. Weiser
Summary: This study investigated the association between heavy rainfall and HIV burden in sub-Saharan Africa over a 12-year period. The findings showed that heavy rainfall was associated with a higher risk of HIV infection, sexually transmitted infections, and an increased number of sexual partners. The study suggests that heavy rainfall may contribute to an increase in sexual transmission of HIV and exacerbate food insecurity and damage to public health infrastructure.
Review
Environmental Sciences
Kingsley Stephen Orievulu, Sonja Ayeb-Karlsson, Sthembile Ngema, Kathy Baisley, Frank Tanser, Nothando Ngwenya, Janet Seeley, Willem Hanekom, Kobus Herbst, Dominic Kniveton, Collins C. Iwuji
Summary: This article systematically reviews the impact of climate change on antiretroviral therapy (ART) adherence in HIV-positive individuals in Africa. The narrative synthesis of 111 studies reveals that factors such as economic and livelihood conditions, comorbidities and ART regimens, human mobility, and psychobehavioural dispositions and support systems interact in complex ways in the drought-ART adherence nexus. It emphasizes the need for more integrated research approaches and interventions.
LANCET PLANETARY HEALTH
(2022)
Article
Public, Environmental & Occupational Health
Naomi T. T. Nkinsi, Sean R. R. Galagan, Noelle A. A. Benzekri, Sabina Govere, Paul K. K. Drain
Summary: In Umlazi, South Africa, food insecurity is associated with higher prevalence odds of HIV viremia, but not with ART adherence, retention in care, and hospitalization occurrences.
Article
Multidisciplinary Sciences
Maria F. Nardell, Siyaxolisa Sindelo, Elzette Rousseau, Nomakaziwe Siko, Pamela Fuzile, Robin Julies, Ingrid V. Bassett, Claude A. Mellins, Linda-Gail Bekker, Lisa M. Butler, Ingrid T. Katz
Summary: The research team developed a peer support group called Yima Nkqo to promote treatment initiation for young adults newly diagnosed with HIV. The intervention included HIV and ART education, reflection on personal resources and strengths, practice disclosing one's status, strategies to overcome stressors, and goal setting to start treatment.
Article
Nutrition & Dietetics
Hyunjung Lee, Gugulethu T. Moyo, Rufus J. Theophilus, Wilna Oldewage-Theron
Summary: This study evaluated the associations between dietary changes and risk factors of type 2 diabetes in older populations in Sharpeville, South Africa. The results showed that women had significantly higher BMI levels compared to men, and waist circumference significantly decreased. Furthermore, intakes of total energy, fatty acids, and cholesterol were positively associated with BMI and waist circumference, while fatty acid intake was negatively associated with HOMA-IR and HOMA-B.
Article
Multidisciplinary Sciences
Cecilia Ferreyra, Laura Moreto-Planas, Fara Wagbo Temessadouno, Beatriz Alonso, Buai Tut, Victoria Achut, Mohamed Eltom, Endashaw M. Aderie, Vicente Descalzo-Jorro
Summary: Our study demonstrates that HCT and early ART initiation in conflict-affected populations can lead to good program outcomes. RIC and virological suppression are comparable with facility-based HIV programs and stable contexts, showing the effectiveness of innovative strategies to increase access to ART in challenging environments.
Article
Multidisciplinary Sciences
Aurelie Nelson, Keitu Lebelo, Tali Cassidy, Laura Trivino Duran, Nompumelelo Mantangana, Leticia Mdani, Nikiwe Malabi, Suhair Solomon, Kate Buchanan, Damian Hacking, Vinayak Bhardwaj, Virginia de Azevedo, Shariefa Patel-Abrahams, Beth Harley, Clare Hofmeyr, Kathrin Schmitz, Landon Myer
Summary: In a peri-urban primary health care setting in Cape Town, South Africa, postnatal clubs have been implemented as an integrated model of care to improve HIV mother-to-child transmission rates and retention in care for mother-infant pairs. The results show that these clubs have achieved positive outcomes in terms of HIV testing, viral load suppression, and immunization.
Article
Meteorology & Atmospheric Sciences
Poppy Hawkins, Wendy Geza, Tafadzwanashe Mabhaudhi, Catherine Sutherland, Kevin Queenan, Alan Dangour, Pauline Scheelbeek
Summary: This study investigates the coping and adaptive strategies adopted by smallholder farming households in rural areas of KwaZulu-Natal, South Africa to respond to drought impacts. The research reveals changes in local food systems and diets due to drought, with mainly short-term coping strategies implemented. The study highlights the importance of targeted policy solutions to support smallholder communities' short-term responses to drought and to build resilience through a strategic combination of short- and longer-term adaptation measures.
WEATHER AND CLIMATE EXTREMES
(2022)
Article
Agronomy
Yonas T. Bahta, Vuyiseka A. Myeki
Summary: The Northern Cape Province of South Africa is facing drought, which has a significant impact on smallholder livestock farmers' resilience. A study found that most of these farmers lack resilience to agricultural drought, leading to challenges in resources, food security, and government policy. Therefore, policymakers and stakeholders should focus on improving access to resources and implementing effective government policies to enhance the resilience of smallholder livestock farmers.
Review
Immunology
Claire M. Keene, Ayesha Ragunathan, Jonathan Euvrard, Mike English, Jacob McKnight, Catherine Orrell
Summary: Engagement with HIV care is a critical process for successful treatment outcomes. This study aimed to identify and categorize measures of engagement to support comprehensive evaluation. The results showed a wide range of measures categorized into three dimensions of engagement, providing insights for research, monitoring, and assessment of individual patients.
JOURNAL OF THE INTERNATIONAL AIDS SOCIETY
(2022)
Article
Food Science & Technology
Wilna Oldewage-Theron, Abdulkadir A. Egal
Summary: This study revealed a 60% prevalence of food insecurity among elderly individuals in Sharpeville, South Africa, with significant relationships observed with age, household income, and marital status. Regression analysis indicated that age and being single were predictors of food and nutrition insecurity. Further research is needed to explore the associations between food security and socio-economic variables in order to develop appropriate strategies to address food and nutrition insecurity in South Africa.
Article
Medicine, General & Internal
Starley B. Shade, Valerie B. Kirby, Sally Stephens, Lissa Moran, Edwin D. Charlebois, Jessica Xavier, Adan Cajina, Wayne T. Steward, Janet J. Myers
Summary: This study aimed to evaluate the cost and effectiveness of using navigation strategies to help HIV patients engage in care and achieve viral suppression. The results indicated that navigation programs were associated with improvements in patient engagement in HIV care and viral suppression, with cost per outcome minimized in states that utilized surveillance data to identify individuals out of care or those in need of improvement.
Article
Public, Environmental & Occupational Health
Noelle A. Benzekri, Jacques F. Sambou, Sanou Ndong, Mouhamadou Baila Diallo, Ibrahima Tito Tamba, Dominique Faye, Ibrahima Sall, Jean Philippe Diatta, Khadim Faye, Ousseynou Cisse, Fatima Sall, Ndeye Fatou Ngom Gueye, Cheikh T. Ndour, Papa Salif Sow, Jean Jacques Malomar, Stephen E. Hawes, Moussa Seydi, Geoffrey S. Gottlieb
Summary: Understanding the impact of food insecurity on HIV outcomes is crucial for effective interventions. A study in Senegal found that most HIV-infected individuals were food insecure, with a significant portion being severely food insecure. Severe food insecurity was associated with loss to follow-up, virologic failure, poor ART adherence, and poor immunologic recovery, highlighting the importance of addressing food insecurity in HIV care.
Article
Public, Environmental & Occupational Health
Esther C. Atukunda, Godfrey R. Mugyenyi, Angella Musiimenta, Angela Kaida, Elly B. Atuhumuza, Edward J. Lukyamuzi, Amon G. Agaba, Celestino Obua, Lynn T. Matthews
Summary: This study found that sustained and structured family planning support can facilitate continuous use of contraception and reduce pregnancy rates among postpartum WLWH in rural southwestern Uganda. Women who initiated contraception within three months postpartum were more likely to maintain continuous use of contraception. Further evaluation on facilitators to continuous contraception use by this support intervention is needed for replication in similar settings.
JOURNAL OF GLOBAL HEALTH
(2021)
Article
Green & Sustainable Science & Technology
Priyanka Jha, Stefan Schmidt
Summary: The extensive use of fossil fuels in sub-Saharan Africa has led to an increase in greenhouse gas emissions, negatively impacting sustainable development goals. However, biofuels produced from energy crops can help reduce GHG emissions if the total emissions are lower than fossil fuels being displaced. It is crucial to carefully assess how biofuel feedstock cultivation impacts local socioeconomic conditions, food insecurity, and biodiversity in order to promote sustainable biofuel production and uplift livelihoods in the region.
RENEWABLE & SUSTAINABLE ENERGY REVIEWS
(2021)
Review
Multidisciplinary Sciences
Kathrin Schmitz, Tariro Jayson Basera, Bonaventure Egbujie, Preethi Mistri, Nireshni Naidoo, Witness Mapanga, Jane Goudge, Majorie Mbule, Fiona Burtt, Esca Scheepers, Jude Igumbor
Article
Medicine, General & Internal
Yu-Hwei Tseng, Frances Griffiths, Julia de Kadt, Nonhlanhla Nxumalo, Teurai Rwafa, Hlologelo Malatji, Jane Goudge
Article
Multidisciplinary Sciences
Witness Mapanga, Daleen Casteleijn, Carmel Ramiah, Willem Odendaal, Zolani Metu, Lesley Robertson, Jane Goudge
Article
Medicine, General & Internal
Frances Griffiths, Olukemi Babalola, Celia Brown, Julia de Kadt, Hlologelo Malatji, Margaret Thorogood, Yu-hwei Tseng, Jane Goudge
Article
Health Care Sciences & Services
Edna N. Bosire, Emily Mendenhall, Shane A. Norris, Jane Goudge
Summary: The healthcare system in South Africa has implemented an integrated chronic disease management (ICDM) with a patient-centred care component, but faces systemic challenges such as staff shortages and lack of guidelines for comorbid care, as well as patient barriers like poverty, language, and missed appointments. Provider perspectives on patient-centred care for comorbid type 2 diabetes and HIV patients at a public tertiary hospital in urban South Africa varied in practice, with structural challenges and patient barriers hindering the possibility of effectively implementing patient-centred care.
INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT
(2021)
Article
Medicine, General & Internal
Jane Goudge, Julia de Kadt, Olukemi Babalola, Michel Muteba, Yu-Hwei Tseng, Hlologelo Malatji, Teurai Rwafa, Nonhlanhla Nxumalo, Jonathan Levin, Margaret Thorogood, Emmanuelle Daviaud, Jocelyn Watkins, Frances Griffiths
Article
Public, Environmental & Occupational Health
Thanduxolo Fana, Jane Goudge
Summary: The paper examines the strategies used by management in response to austerity in three public hospitals in South Africa, and their impact on organizational functioning. Austerity measures have led to staff reductions, shortages of equipment, and delayed procurement processes, with different hospitals adopting different approaches to cope with these challenges. Effective communication, democratic leadership, and trust among stakeholders are essential for organizational resilience in times of austerity.
Article
Public, Environmental & Occupational Health
Edna N. Bosire, Shane A. Norris, Jane Goudge, Emily Mendenhall
Summary: The study in a tertiary hospital in Soweto, South Africa, highlighted systemic challenges such as lack of medication, untrained nurses, and staff shortages leading to patient referrals from primary health care clinics. Patients with comorbidities were managed in different clinics at the hospital, with little collaboration among health care providers, resulting in disjointed care for patients. Recommendations included strengthening primary health care clinics, training nurses, ensuring adequate medical supplies, and improving collaboration at the hospital to provide integrated care for patients with type 2 diabetes and other comorbidities. Addressing key systemic challenges will create a patient-centered approach to care.
GLOBAL HEALTH-SCIENCE AND PRACTICE
(2021)
Article
Medicine, General & Internal
Jocelyn Anstey Watkins, Frances Griffiths, Jane Goudge
Summary: In South Africa, community health workers (CHWs) face challenges in building workplace trust due to low levels of support, lack of equipment, and colleague distrust. Despite high interpersonal trust between CHWs and patients, efforts to rebuild institutional trust are often hindered by structural poverty, alcohol abuse, and lack of support from the health system. Strategies are needed to improve workplace trust, support CHWs, and address social inequalities to enhance trust in the healthcare system.
Article
Public, Environmental & Occupational Health
Jodi Wishnia, Jane Goudge
Summary: The South African health department attempted to strengthen public financial management by deploying finance managers to service delivery units, involving service delivery managers in finance meetings, and implementing touch-base meetings. However, collaboration issues and mistrust between departments were identified as obstacles to effective PFM.
Article
Health Policy & Services
Teurai Rwafa-Ponela, Nicola Christofides, John Eyles, Jane Goudge
Summary: The study found limited health promotion capacity within the South African Department of Health, with insufficient long-term sustainable interventions and cross-sector coordination, highlighting the need for capacity building and resource allocation.
HEALTH PROMOTION INTERNATIONAL
(2021)
Article
Public, Environmental & Occupational Health
Jodi Wishnia, Jane Goudge
Article
Health Policy & Services
Teurai Rwafa-Ponela, John Eyles, Nicola Christofides, Jane Goudge
HEALTH RESEARCH POLICY AND SYSTEMS
(2020)
Article
Public, Environmental & Occupational Health
Anthony Kwarteng, James Akazili, Paul Welaga, Philip Ayizem Dalinjong, Kwaku Poku Asante, Doris Sarpong, Samuelina Arthur, Martin Bangha, Jane Goudge, Osman Sankoh
INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
(2020)
Review
Medicine, General & Internal
Willem A. Odendaal, Jocelyn Anstey Watkins, Natalie Leon, Jane Goudge, Frances Griffiths, Mark Tomlinson, Karen Daniels
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2020)
