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Barriers to accessing and receiving mental health care in Eastern Cape, South Africa

Isabell Schierenbeck, Peter Johansson, Lena M. C. Andersson, Dalena van Rooyen, Eds.: Health and Human Rights Journal, (2013)


The right to the enjoyment of the highest attainable standard of physical and mental health is enshrined in many international human rights treaties. However, studies have shown that people with mental disabilities are often marginalized and discriminated against in the fulfillment of their right to health. The aim of this study is to identify and reach a broader understanding of barriers to the right to mental health in the Eastern Cape Province in South Africa. Eleven semi-structured interviews were carried out with health professionals and administrators.
https://www.hhrjournal.org/2013/12/barriers-to-acc...


Antimicrobial stewardship in a rural regional hospital – growing a positive culture

Juanid, E.; L. Jenkins, H. Swanepoel, et al., (2018)


S Afr Med J 2018;108(7):546-550. DOI:10.7196/SAMJ.2018.v108i7.13149 Antimicrobial stewardship programmes have been introduced worldwide in response to the rise in antimicrobial resistance. The World Health Organization has mandated each Member State to produce a plan to address this problem. We report on the organic development of an antibiotic stewardship programme in a rural regional hospital in a resource-limited setting in South Africa. This has resulted in organisational change with increased awareness, participation, monitoring and education in antibiotic stewardship throughout the hospital
http://www.samj.org.za/index.php/samj/article/view...


Same‐day antiretroviral therapy (ART) initiation in pregnancy is not associated with viral suppression or engagement in care: A cohort study

Langwenya, Nontokozo; Phillips, Tamsin K.; Brittain, Kirsty et al., (2018)


Journal of the International AIDS Society Vol. 21 (2018) e25133
Many prevention of mother-to-child HIV transmission programmes across Africa initiate HIV-infected (HIV positive) pregnant women on lifelong antiretroviral therapy (ART) on the first day of antenatal care (“same-day” initiation). However, there are concerns that same-day initiation may limit patient preparation before starting ART and contribute to subsequent non-adherence, disengagement from care and raised viral load. We examined if same-day initiation was associated with viral suppression and engagement in care during pregnancy.
The data suggest that same-day ART initiation during pregnancy is not associated with lower levels of engagement in care or viral suppression through 12 months post-delivery in this setting, providing reassurance to ART programmes implementing Option B+.
https://doi.org/10.1002/jia2.25133
https://onlinelibrary.wiley.com/doi/full/10.1002/j...


Africa, WASH, and the Millennium Development Goals: A Local Systems Case Study of How South Africa Achieved MDG Target 7c

Muller, Helgard et al., Eds.: USAID, (2017)


Democratic dispensation in 1994 created a political and social platform that reshaped life in South Africa. There was a surge in common belief that the inequity and wrong of Apartheid should and could be rectified. Equity of access to water and sanitation were obvious targets for improvement. In 1994, an estimated 14–15 million South Africans were without access to an improved water supply, while close to 21 million - more than half of the population at that time - did not have access to improved sanitation facilities. These problems were most severe in poorer rural areas. The water and sanitation sector became unified by the vision of universal access for all South Africans. This case study documents the progression of the sector between 1994 and 2016, and analyzes the impact of local systems created in South Africa to respond to the water and sanitation challenge.
https://files.globalwaters.org/water-links-files/W...


Annual inspection report 2016/17

Office of Health Standards Compliance (OHSC), South Africa, (2018)


The aim of the Annual Inspection Report is to present findings of public sector health establishments inspected by the OHSC to monitor compliance with the National Core Standards (NCS) during the 2016/2017 financial year in South Africa. The NCS define fundamentals for quality of care based on six dimensions of quality: Acceptability,Safety, Reliability, Equity, Accessibility, and Efficiency. The NCS structured assessment tools were used to collect data during inspections across the seven domains namely: Patient Rights; Patient Safety, Clinical Governance and Clinical Care; Clinical Support Services; Public Health; Leadership and Governance; Operational Management and Facilities and Infrastructure. A total of 851 routine inspections were conducted with 201 of these facilities re-inspected. Inspection data was captured on District Health Information System (DHIS) data entry forms and exported for analysis to Statistical Analysis Software (SAS) version 9.4.
http://ohsc.org.za/wp-content/uploads/OHSC-2016-17...


Untreated Violence: Critical gaps in medical and clinical forensic care for survivors of sexual violence in South Africa

Médecins sans Frontières MSF, (2017)


Sexual violence is a major problem in South Africa, with studies showing that up to one in four women have been raped in their lifetime.
http://www.hst.org.za/publications/NonHST%20Public...


AIDSFree Project Monitoring and Evaluation Indicators Progress Report October 1, 2015 - March 31, 2016

AIDSFree Project, (2016)


The long-term goal of AIDSFree is to improve the quality and effectiveness of high-impact, evidence-informed HIV and AIDS interventions. This semiannual performance report (SAPR) summarizes AIDSFree's achievements for the period October 1, 2015–March 31, 2016
https://aidsfree.usaid.gov/sites/default/files/201...


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