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Scaling up PMTCT impact assessments in the context of improving global maternal and child health and survival in sub-Saharan Africa

As a follow-up to the October 2015 B+ Consultative meeting, a small, focused consultation was planned for 23rd July 2016, in Durban, coinciding with the end of the 2016 AIDS Conference. Eight countries were invited, namely Kenya, Malawi, Rwanda, South Africa, Tanzania, Uganda, Zambia and Zimbabwe.

Resource requirements for community-based care in rural, deep-rural and peri-urban sub-districts: A comparative analysis in 2 districts in Gauteng and KwaZulu-Natal

Community health workers (CHWs) traditionally played a role in supporting the delivery of high priority interventions relating to HIV, TB and maternal and child health. While they are essential for these programmes and improving access to care, there has been significant inconsistency in the management and functioning of the programmes across South Africa.

Strengthening PHC services in the North-West Province: Staffing scenarios

Primary Health Care (PHC) has been widely documented to play a central role in the health status of a population. Research has also shown it to be the most cost-effective manner to improving a population’s health status. From this perspective, strengthening PHC is a pivotal approach to public health care in South Africa. In addition a strengthened PHC platform would decrease unnecessary visits to hospitals as well as hospitalisation.

External mid-term, formative evaluation of the optimizing HIV treatment access (OHTA) for pregnant and breastfeeding women initiative in Uganda, Malawi, Ivory Coast and the Democratic Republic of Congo (DRC)

Eliminating mother to child transmission of HIV (E-MTCT) is at the forefront of HIV-prevention strategies. Several countries in sub-Saharan Africa (Malawi, Democratic Republic of Congo, Rwanda and Uganda) have shifted to WHO PMTCT Option B+ policy, a pragmatic public health approach which involves  lifelong HAART for HIV infected pregnant women irrespective of their CD4 count1.

Lifestyle-related disease is on the rise in South Africa, including high blood pressure

 

Lifestyle-related disease is on the rise in South Africa, including high blood pressure.

An ingenious partnership involving Oxford University is putting the nation’s extensive mobile phone network to work in beating the disease.

 

 

(Thanks to Pascale Neuschäfer for clinic footage and Dr Bobrow interview.) 

Early 4-8 weeks post-delivery population level effectiveness of WHO PMTCT option A, South Africa

To evaluate early (perinatal) effectiveness of the national PMTCT programme on vertical HIV transmission at 4 to 8 weeks postpartum

View the complete Early 4-8 weeks post-delivery population level effectiveness of WHO PMTCT option A, South Africa policy brief

External evaluation of the integrated health systems strengthening programme (IHSS) in Ethiopia, Ghana, Malawi, Mali, Mozambique and Niger

Report on the Summative External Evaluation of the Catalytic Initiative (CI)/ Integrated Health Systems Strengthening (IHSS) Programme

Evaluation of the effectiveness of the Prevention of Mother - to - Child Transmission of HIV (PMTCT) Programme in South Africa

The first national evaluation of the South African (SA) programme to prevent HIV transmission from mother to child (PMTCT programme) was conducted between June and December 2010, during a period of transition between the 2008 and 2010 PMTCT guidelines. The second national SAPMTCT evaluation  was conducted between August 2011 and March 2012, when 2010 PMTCT guidelines were being implemented. The third national PMTCT evaluation was conducted between October 2012 and May 2013.

Linkage to care following home-based HIV counseling and testing

Timely linkage to care and treatment by HIV-positive individuals can lead to significant decreases in morbidity and mortality as well as increases in life expectancy and quality of life.1, 2. Further, there are significant prevention benefits as early initiation on antiretroviral treatment (ART) can significantly reduce HIV transmission to uninfected partners.3, 4 Modeling exercises also suggest that universal HIV testing coupled with immediate treatment could decrease HIV incidence and virtually eliminate the HIV/AIDS pandemic.

Staffing norms for Primary Health Care in the context of PHC Re-engineering

The process of defining the PHC re-engineering approach has developed over the past 2 years. It will now be implemented incrementally across districts. In order to quantify staff requirements, staff norms for different type of services need to be defined. These norms must assist in answering four questions:

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