Academic literature on the topic 'South African healthcare'
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Journal articles on the topic "South African healthcare"
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Nord, Catharina. "Healthcare and Warfare. Medical Space, Mission and Apartheid in Twentieth Century Northern Namibia." Medical History 58, no. 3 (2014): 422–46. http://dx.doi.org/10.1017/mdh.2014.31.
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AbstractIn the year 1966, the first government hospital, Oshakati hospital, was inaugurated in northern South-West Africa. It was constructed by the apartheid regime of South Africa which was occupying the territory. Prior to this inauguration, Finnish missionaries had, for 65 years, provided healthcare to the indigenous people in a number of healthcare facilities of which Onandjokwe hospital was the most important. This article discusses these two agents’ ideological standpoints. The same year, the war between the South-West African guerrillas and the South African state started, and continued up to 1988. The two hospitals became involved in the war; Oshakati hospital as a part of the South African war machinery, and Onandjokwe hospital as a ‘terrorist hospital’ in the eyes of the South Africans. The missionary Onandjokwe hospital was linked to the Lutheran church in South-West Africa, which became one of the main critics of the apartheid system early in the liberation war. Warfare and healthcare became intertwined with apartheid policies and aggression, materialised by healthcare provision based on strategic rationales rather than the people’s healthcare needs. When the Namibian state took over a ruined healthcare system in 1990, the two hospitals were hubs in a healthcare landscape shaped by missionary ambitions, war and apartheid logic.
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Brauns, Melody, and Anne Stanton. "Governance of the public health sector during Apartheid: The case of South Africa." Journal of Governance and Regulation 5, no. 1 (2016): 23–30. http://dx.doi.org/10.22495/jgr_v5_i1_p3.
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The healthcare system that the African National Congress (ANC) government inherited in 1994 can hardly be described as functional. Indeed the new government had inherited a combination of deliberate official policy, discriminatory legislation and at times blatant neglect. This paper presents an overview of the evolution of the healthcare system in South Africa. The structures set up under apartheid had implications for provision of public healthcare to South Africans and reveals how governance structures, systems and processes set up during apartheid had implications for the provision of public healthcare to South Africans.
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Alfaro-Velcamp, Theresa. "“Don’t send your sick here to be treated, our own people need it more”: immigrants’ access to healthcare in South Africa." International Journal of Migration, Health and Social Care 13, no. 1 (2017): 53–68. http://dx.doi.org/10.1108/ijmhsc-04-2015-0012.
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Purpose Asylum seekers, refugees and immigrants’ access to healthcare vary in South Africa and Cape Town due to unclear legal status. The purpose of this paper is to shed light on the source of this variation, the divergence between the 1996 South African Constitution, the immigration laws, and regulations and to describe its harmful consequences. Design/methodology/approach Based on legal and ethnographic research, this paper documents the disjuncture between South African statutes and regulations and the South African Constitution regarding refugees and migrants’ access to healthcare. Research involved examining South African jurisprudence, the African Charter, and United Nations’ materials regarding rights to health and health care access, and speaking with civil society organizations and healthcare providers. These sources inform the description of the immigrant access to healthcare in Cape Town, South Africa. Findings Asylum-seekers and refugees are entitled to health and emergency care; however, hospital administrators require documentation (up-to-date permits) before care can be administered. Many immigrants – especially the undocumented – are often unable to obtain care because of a lack of papers or because of “progressive realization,” the notion that the state cannot presently afford to provide treatment in accordance with constitutional rights. These explanations have put healthcare providers in an untenable position of not being able to treat patients, including some who face fatal conditions. Research limitations/implications The research is limited by the fact that South African courts have not adjudicated a direct challenge to being refused care at healthcare facility on the basis of legal status. This limits the ability to know how rights afforded to “everyone” within the South African Constitution will be interpreted with respect to immigrants seeking healthcare. The research is also limited by the non-circulation of healthcare admissions policies among leading facilities in the Cape Town region where the case study is based. Practical implications Articulation of the disjuncture between the South African Constitution and the immigration laws and regulations allows stakeholders and decision-makers to reframe provincial and municipal policies about healthcare access in terms of constitutional rights and the practical limitations accommodated through progressive realization. Social implications In South Africa, immigration statutes and regulations are inconsistent and deemed unconstitutional with respect to the treatment of undocumented migrants. Hospital administrators are narrowly interpreting the laws to instruct healthcare providers on how to treat patients and whom they can treat. These practices need to stop. Access to healthcare must be structured to comport with the constitutional right afforded to everyone, and with progressive realization pursued through a non – discriminatory policy regarding vulnerable immigrants. Originality/value This paper presents a unique case study that combines legal and social science methods to explore a common and acute question of health care access. The case is novel and instructive insofar as South Africa has not established refugee camps in response to rising numbers of refugees, asylum seekers and immigrants. South Africans thus confront a “first world” question of equitable access to healthcare within their African context and with limited resources in a climate of increasing xenophobia.
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Ogunbanjo, Gboyega A., and Donna Knapp van Bogaert. "Ethics in health care: Healthcare fraud." South African Family Practice 56, no. 1 (2014): S10—S13. http://dx.doi.org/10.4102/safp.v56i1.4028.
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Healthcare fraud is a type of white-collar crime involving the filing of dishonest healthcare claims in order to achieve a profit. Healthcare fraud is a worldwide problem and is on the increase in South Africa. In this article, healthcare fraud is explored, healthcare fraud identified as a white-collar crime and the South African legal term, “fraud”, defined. Common types of medical aid fraud, a rising concern within South African healthcare practice, are detailed. Finally, the role of ethical and moral reasoning is deliberated and the psychological factors that are believed to contribute to fraud discussed. Healthcare fraud is not a victimless crime. Therefore, healthcare professionals must inform on colleagues who practice it.
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Shai, Kgothatso Brucely, and Olusola Ogunnubi. "[South] Africa's Health System and Human Rights: A Critical African Perspective." Journal of Economics and Behavioral Studies 10, no. 1(J) (2018): 69–77. http://dx.doi.org/10.22610/jebs.v10i1(j).2090.
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For more than two decades, 21st March has been canonised and celebrated among South Africans as Human Rights Day. Earmarked by the newly democratic and inclusive South Africa, it commemorates the Sharpeville and Langa massacres. As history recorded, on the 21st March 1960, residents of Sharpeville and subsequently, Langa embarked on a peaceful anti-pass campaign led by the African National Congress (ANC) breakaway party, the Pan Africanist Congress of Azania (PAC). The pass (also known as dompas) was one of the most despised symbols of apartheid; a system declared internationally as a crime against humanity. In the post-apartheid era, it is expectedthat all South Africans enjoy and celebrate the full extent of their human rights. However, it appears that the envisaged rights are not equally enjoyed by all. This is because widening inequalities in the health-care system, in schooling, and in the lucrative sporting arena have not been amicably and irrevocably resolved. Furthermore, it is still the norm that the most vulnerable of South Africans, especially rural Africans, find it difficult, and sometimes, impossible to access adequate and even essential healthcare services. Central to the possible questions to emerge from this discourse are the following(i) What is the current state of South Africa’s health system at the turn of 23 years of its majority rule? (ii) Why is the South African health system still unable to sufficiently deliver the socioeconomic health rights of most South African people? It is against this background that this article uses a critical discourse analysis approach in its broadest form to provide a nuanced Afrocentric assessment of South Africa’s human rights record in the health sector since the year 1994. Data for this article is generated through the review of the cauldron of published and unpublished academic, official and popular literature.
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Booysen, Frederik, and Tanja Gordon. "Trends and socio-economic inequality in public perceptions of healthcare delivery in South Africa." International Journal for Quality in Health Care 32, no. 2 (2019): 135–39. http://dx.doi.org/10.1093/intqhc/mzz122.
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Abstract Objective To assess trends and inequality in public perceptions of healthcare delivery as reported by South African households. Design Secondary data analysis of the South African Social Attitudes Survey (SASAS). Setting Nationally representative weighted sample of South African households. Participants 28 326 household representatives interviewed during the annual SASAS survey (2007–16). Main Outcome Measures Adequacy of healthcare services and satisfaction with healthcare delivery. Results On aggregate, 68.2% only of households reported their healthcare needs as being adequately met, while only 54.3% were satisfied with healthcare delivery. In total, only 41.5% of households was both satisfied with healthcare delivery and adequately provided for in terms of the household’s healthcare needs. Adequacy of healthcare provision and satisfaction therewith has however improved rapidly since 2009–10, but overall satisfaction with healthcare delivery has not changed considerably. Public perceptions of healthcare delivery improved with household wealth. Socio-economic inequality in adequacy and satisfaction is pronounced and pro-rich, but inequality in satisfaction has declined significantly since 2009–10. Conclusions Although public perceptions of healthcare delivery improved, many poor South Africans’ healthcare needs are still not adequately met. In addition, many South Africans are not satisfied with government’s efforts at healthcare delivery, especially the poor. Further research is required to pinpoint how expectations impact on public perceptions of healthcare delivery and to identify the specific factors that underlie the public opinions expressed in surveys of this nature.
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Davids, M. Razeen, Thabiet Jardine, Nicola Marais, Sajith Sebastian, Thaabit Davids, and Julian C. Jacobs. "South African Renal Registry Annual Report 2019." African Journal of Nephrology 24, no. 1 (2021): 95–106. http://dx.doi.org/10.21804/24-1-4980.
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The eighth annual report of the South African Renal Registry summarises the 2019 data on kidney replacement therapy (KRT) for patients with kidney failure in South Africa. This round of data collection has been adversely affected by the COVID-19 pandemic, which has impacted on the completeness of the data. In December 2019, the number of patients who were being treated with chronic dialysis or transplantation stood at 9 937, a prevalence of 169 per million population (pmp). The prevalence in South Africans accessing the private healthcare sector was 788 pmp, whereas it was 57 pmp in the chronically under-resourced public sector, still below the rate reported for 1994.
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Van der Berg-Cloete, Sophy Evelyn, Steve Olorunju, John George White, and Eric Buch. "The Albertina Sisulu Executive Leadership Programme enhancing the competencies and performance of public health service managers in South Africa." Leadership in Health Services 33, no. 2 (2020): 163–83. http://dx.doi.org/10.1108/lhs-08-2019-0053.
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Purpose The purpose of this paper is to evaluate the effect of the Albertina Sisulu Executive Leadership Programme in Health (ASELPH) in improving the competencies and performance of public healthcare managers in South Africa (SA). Design/methodology/approach This study used a quasi-experimental study design, with pre-post assessments to assess the performance and competencies of students participating in a public health leadership programme. Students were assessed using a 360° assessment of 14 competencies and 56 performance indicators. Findings Students improved significantly in 11 competencies and 44 performance indicators; they perceived improvements in their own performance. The assessors observed the same improvements, which confirmed performance change at the students’ workplaces. The study showed the positive effect of the ASELPH Fellowship in improving the competencies and performance of public healthcare managers in SA. Originality/value The ASELPH Fellowship enhanced the leadership competencies and the performance of South African public healthcare managers. South African public healthcare managers face significant challenges and concerns have been raised regarding the competencies of healthcare managers to deal with these challenges. This study shows that leadership programmes can improve competencies and performance of managers to have an impact on the South African healthcare system
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Bhamjee, Aaqilah, Talita le Roux, Kurt Schlemmer, Marien Alet Graham, and Faheema Mahomed-Asmail. "Audiologists’ Perceptions of Hearing Healthcare Resources and Services in South Africa’s Public Healthcare System." Health Services Insights 15 (January 2022): 117863292211354. http://dx.doi.org/10.1177/11786329221135424.
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Background: Hearing loss poses a significant burden globally. Its prevalence is exceptionally high in countries across the African region, where healthcare resources and services remain inaccessible. This study aimed to describe audiologists’ perceptions regarding hearing healthcare resources and services within South Africa’s public healthcare system. Methods: A national self-developed telephonic survey was conducted with audiologists in public healthcare system hospitals across South Africa, with the final sample comprising 100 audiologists. Results: Most (82%) audiologists indicated that their hospitals did not have adequate hearing healthcare resources to render efficient audiology services to patients. Binaural amplification devices (invasive and non-invasive) for adults with bilateral hearing loss who adhered to the criteria for these devices were perceived to be unavailable in most hospitals. Audiologists also perceived that universal newborn hearing screening services, adult aural rehabilitation services, and follow-up care for all hearing devices post-warranty expiration were limited. Conclusion: Efforts should be made to upsurge hearing healthcare resources, including increasing the financial budgets allocated to audiology resources so that increased diagnostic and screening audiology equipment and hearing devices can be procured where required, and additional audiologists can be employed within the South African public sector hospitals where needed.
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Nwakasi, Candidus C., and J. Scott Brown. "DEPRESSION, FUNCTIONAL DISABILITY, AND ACCESSING HEALTH CARE AMONG OLDER MEN AND WOMEN IN GHANA AND SOUTH AFRICA." Innovation in Aging 3, Supplement_1 (2019): S77. http://dx.doi.org/10.1093/geroni/igz038.301.
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Abstract Objectives. To inform a preventive approach to mild depression among older Ghanaians and South Africans, this study will investigate the association and possible variabilities between mild depression, functional disability, accessing health care, sociodemographic, and socioeconomic factors across genders in both countries. Methods. Cross-sectional wave 1 (2007-2010) data from WHO’s Study on Global Ageing and Adult Health (SAGE) are used, and a sample of 3871 for Ghana and 3076 for South Africa are analyzed. Binary multiple logistic regression is used to identify the association between mild depression, functional disability status, socioeconomic and sociodemographic factors, and health status. Results. The proportion of mild depression (MD) is 3.78% and 8.15% for older Ghanaian men and women, and 2.29% and 11.91% for South African older men and women, respectively. At 95% CI, increased severity (mild and high levels) of functional disability are associated with increased odds of MD in Ghanaian and South African older men and women. Apart from South African older men, older people in the study who do not receive healthcare when needed have increased odds of MD. Sociodemographic and socioeconomic factors are also associated with MD. Discussion. An untreated, persistent MD may lead to worse conditions with fatal outcomes. Since, mental health care is lacking in both countries, this study recommends policies directed towards support for formal and informal long-term care, and healthcare access to reduce the risks of depression. Thus, this study’s findings may provide relevant information for managing depression among older Ghanaians and South Africans.
Dissertations / Theses on the topic "South African healthcare"
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Douglas-Jones, Paul. "Tonsillectomy rates in the South African private healthcare sector." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/27824.
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Background. Adeno-/tonsillectomy is a commonly performed procedure with internationally standardised and recognised indications. Despite this, there exists considerable international (190 - 850/100 000 people ≤19 years of age) and regional variation in adeno-/tonsillectomy rates. This variation has been ascribed to differences in clinical practice and referral patterns, as well as social and family factors, rather than differences in clinical need or regional morbidity. Objectives. To describe the adeno-/tonsillectomy rate in the South African private healthcare sector, and regional variations thereof. To compare local rates with international rates and to assess current trends in adeno-/tonsillectomy clinical practice. Methods. Analysis of adeno-/tonsillectomy data from January 2012 to December 2013, provided by the largest South African private healthcare funder, accounting for 31% of the medical scheme market. Rates are expressed per 100 000 people ≤19 years of age. Results. The tonsillectomy rate in the South African private healthcare sector was 1888/100 000 people ≤19 years of age in 2012. In 2013, the rate dropped significantly (p-value <0.001) to 1755/100 000. Both are more than double the highest national tonsillectomy rate reported in the literature. There was also considerable regional variation in the adeno-/tonsillectomy rate within South Africa. Otorhinolaryngologists are responsible for approximately 80% of adeno- /tonsillectomies performed in the South African private healthcare sector. Discussion. The South African tonsillectomy rate is very high when compared to international trends and varies regionally within the country. The literature does not support an increased burden of disease as the reason behind this. Rather, it is differences in training and clinical practice of clinicians, as well as social and family factors that have been implicated. Conclusion. The adeno-/tonsillectomy rate in the South African private healthcare sector is substantially higher than international norms. The reasons for this discrepancy require further consideration and investigation.
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Ericksen-Pereira, Wendy. "A model for naturopathy within the South African healthcare system." University of the Western Cape, 2020. http://hdl.handle.net/11394/8091.
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Magister Artium (Child and Family Studies) - MA(CFS)<br>One of the sustainable development goals the World Health Organization (WHO) has set for member countries is the implementation of universal health coverage (UHC) in order to ensure all citizens have the right to access healthcare. In recognising that the global demand for traditional and complementary medicine (T&CM) continues to grow, the WHO has encouraged the inclusion of T&CM into the national health systems of member countries as a way of ensuring that UHC can be achieved.
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Isaacs, Janice. "Factors influencing retention and turnover of the South African healthcare workforce." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/16055.
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South Africa experiences a steady loss of skilled workers, which compromises the provision of healthcare in the country. This study has explored and will outline the main factors that influence the decision of South African healthcare professionals to either remain with or leave their organisations. As migration involves both internal and external movement, the public sector is frequently overburdened as healthcare workers additionally tend to prefer working in the private sector with its offers of better financial incentives and better working conditions. That said, it has become apparent that it is not only financial factors but many other non-financial factors that play a role in employee turnover. From the literature explored for this paper, five main factors were identified and discussed for different groups of healthcare professionals. This study used a qualitative research approach by means of a content analysis, whereby data from secondary sources were reviewed. This study disregarded studies done in other countries and focused only on the South African healthcare sector. Push and pull factors were established and, during this process, HIV/AIDS, crime and human resources were identified as possible push factors that contribute to the movement of South Africa’s healthcare workers. Since the five main retention factors identified for the purpose of this research paper all fall under human resources, the study proposes a retention strategy that involves the revision of the employee value proposition for different healthcare groups, as their demands are not uniform. Financial as well as non-financial factors have been taken into account for the various employee value proposition frameworks. These factors must be dealt with congruently if retention and turnover strategies are to be successful. Factors that push healthcare workers from the public.
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Daffue, Ruan Albert. "Applying patient-admission predictive algorithms in the South African healthcare system." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/79897.
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Thesis (MScEng)--Stellenbosch University, 2013.<br>ENGLISH ABSTRACT: Predictive analytics in healthcare has become one of the major focus areas in healthcare delivery worldwide. Due to the massive amount of healthcare data being captured, healthcare providers and health insurers are investing in predictive analytics and its enabling technologies to provide valuable insight into a large variety of healthcare outcomes. One of the latest developments in the field of healthcare predictive modelling (PM) was the launch of the Heritage Health Prize; a competition that challenges individuals from across the world to develop a predictive model that successfully identifies the patients at risk of admission to hospital from a given patient population. The patient-admission predictive algorithm (PAPA) is aimed at reducing the number of unnecessary hospitalisations that needlessly constrain healthcare service delivery worldwide.
The aim of the research presented is to determine the feasibility and value of applying PAPAs in the South African healthcare system as part of a preventive care intervention strategy. A preventive care intervention strategy is a term used to describe an out-patient hospital service, aimed at providing preventive care in an effort to avoid unnecessary hospitalisations from occurring.
The thesis utilises quantitative and qualitative techniques. This included a review of the current and historic PM applications in healthcare to determine the major expected shortfalls and barriers to implementation of PAPAs, as well as the institutional and operational requirements of these predictive algorithms. The literature study is concluded with a review of the current state of affairs in the South African healthcare system to, firstly, articulate the need for PAPAs and, secondly, to determine whether the public and private sectors provide a suitable platform for implementation (evaluated based on the operational and institutional requirements of PAPAs). Furthermore, a methodology to measure and analyse the potential value-add of a PAPA care intervention strategy was designed and developed. The methodology required a survey of the industry leaders in the private healthcare sector of South Africa to identify, firstly, the current performance foci and, secondly, the factors that compromise the performance of these organisations to deliver high quality, resource-effective care. A quantitative model was developed and applied to an industry leader in the private healthcare sector of South Africa, in order to gauge the resultant impact of a PAPA care intervention strategy on healthcare provider performance. Lastly, in an effort to ensure the seamless implementation and operation of PAPAs, an implementation framework was developed to address the strategic, tactical, and operational challenges of applying predictive analytics and preventive care strategies similar to PAPAs. The research found that the application of PAPAs in the public healthcare sector of South Africa is infeasible. The private healthcare sector, however, was considered a suitable platform to implement PAPAs, as this sector satisfies the institutional and operational requirements of PAPAs. The value-add model found that a PAPA intervention strategy will add significant value to the performance of healthcare providers in the private healthcare sector of South Africa. Noteworthy improvements are expected in the ability of healthcare provider’s to coordinate patient care, patient-practitioner relationships, inventory service levels, and staffing level efficiency and effectiveness. A slight decrease in the financial operating margin, however, was documented. The value-add methodology and implementation support framework provides a suitable platform for future researchers to explore the collaboration of preventive care and PM in an effort to improve healthcare resource management in hospitals. In conclusion, patient-admission predictive algorithms provide improved evidence-based decision making for preventive care intervention strategies. An efficient and effective preventive care intervention strategy improves healthcare provider performance and, therefore, adds significant value to these organisations. With the proper planning and implementation support, the application of PAPA care intervention strategies will change the way healthcare is delivered worldwide.<br>AFRIKAANSE OPSOMMING: Vooruitskattingsanalises in gesondheidsorg het ontwikkel in een van die mees belangrike fokusareas in die lewering van kwaliteit gesondheidsorg in ontwikkelde lande. Gesondheidsorgverskaffers en lewensversekeraars belê in vooruitskattingsanalise en ooreenstemmende tegnologieë om groot hoeveelhede gesondheidsorg pasiënt-data vas te lê, wat waardevolle insigte bied ten opsigte van ʼn groot verskeidenheid van gesondheidsorg-uitkomstes. Een van die nuutste ontwikkelinge in die veld van gesondheidsorg vooruitskattingsanalises, was die bekendstelling van die “Heritage Health Prize”, 'n kompetisie wat individue regoor die wêreld uitdaag om 'n vooruitskattingsalgoritme te ontwikkel wat pasiënte identifiseer wat hoogs waarskynlik gehospitaliseer gaan word in die volgende jaar en as bron-intensief beskou word as gevolg van die beraamde tyd wat hierdie individue in die hospitaal sal deurbring. Die pasiënt-toelating vooruitskattingsalgoritme (PTVA) het ten doel om onnodige hospitaliserings te identifiseer en te voorkom tem einde verbeterde hulpbronbestuur in gesondheidsorg wêreldwyd te bewerkstellig.
Die doel van die hierdie projek is om die uitvoerbaarheid en waarde van die toepassing van PTVAs, as 'n voorkomende sorg intervensiestrategie, in die Suid-Afrikaanse gesondheidsorgstelsel te bepaal. 'n Voorkomende sorg intervensiestrategie poog om onnodige hospitaliserings te verhoed deur die nodige sorgmaatreëls te verskaf aan hoë-riskio pasiënte, sonder om hierdie individue noodwendig te hospitaliseer.
Die tesis maak gebruik van kwantitatiewe en kwalitatiewe tegnieke. Dit sluit in 'n hersiening van die huidige en historiese vooruitskattings modelle in die gesondheidsorgsektor om die verwagte struikelblokke in die implementering van PTVAs te identifiseer, asook die institusionele en operasionele vereistes van hierdie vooruitskattingsalgoritmes te bepaal. Die literatuurstudie word afgesluit met 'n oorsig van die huidige stand van sake in die Suid-Afrikaanse gesondheidsorgstelsel om, eerstens, die behoefte vir PTVAs te identifiseer en, tweedens, om te bepaal of die openbare en private sektore 'n geskikte platform vir implementering bied (gebaseer op die operasionele en institusionele vereistes van PTVAs). Verder word 'n metodologie ontwerp en ontwikkel om die potensiële waarde-toevoeging van 'n PTVA sorg intervensiestrategie te bepaal. Die metode vereis 'n steekproef van die industrieleiers in die private gesondheidsorgsektor van Suid-Afrika om die volgende te identifiseer: die huidige hoë-prioriteit sleutel prestasie aanwysers (SPAs), en die faktore wat die prestasie van hierdie organisasies komprimeer om hoë gehalte, hulpbron-effektiewe sorg te lewer. 'n Kwantitatiewe model is ontwikkel en toegepas op een industrieleier in die private Stellenbosch gesondheidsorgsektor van Suid-Afrika, om die gevolglike impak van 'n PTVA sorg intervensiestrategie op prestasieverbetering te meet. Ten slotte, in 'n poging om te verseker dat die implementering en werking van PTVAs glad verloop, is 'n implementeringsraamwerk ontwikkel om die strategiese, taktiese en operasionele uitdagings aan te spreek in die toepassing van vooruitskattings analises en voorkomende sorg strategieë soortgelyk aan PTVAs.
Die navorsing het bevind dat die toepassing van PTVAS in die openbare gesondheidsorgsektor van Suid-Afrika nie lewensvatbaar is nie. Die private gesondheidsorgsektor word egter beskou as 'n geskikte platform om PTVAs te implementeer, weens die bevrediging van die institusionele en operasionele vereistes van PTVAs. Die waarde-toevoegings model het bevind dat 'n PTVA intervensiestrategie beduidende waarde kan toevoeg tot die prestasieverbetering van gesondheidsorgverskaffers in die private gesondheidsorgsektor van Suid-Afrika. Die grootste verbetering word in die volgende SPAs verwag; sorg koördinasie, dokter-pasiënt verhoudings, voorraad diensvlakke, en personeel doeltreffendheid en effektiwiteit. 'n Effense afname in die finansiële bedryfsmarge word egter gedokumenteer. 'n Implementering-ondersteuningsraamwerk is ontwikkel in 'n poging om die sleutel strategiese, taktiese en operasionele faktore in die implementering en uitvoering van 'n PTVA sorg intervensiestrategie uit te lig. Die waarde-toevoegings metodologie en implementering ondersteuning raamwerk bied 'n geskikte platform vir toekomstige navorsers om die rol van vooruitskattings modelle in voorkomende sorg te ondersoek, in 'n poging om hulpbronbestuur in hospitale te verbeter.
Ten slotte, PTVAs verbeter bewysgebaseerde besluitneming vir voorkomende sorg intervensiestrategieë. 'n Doeltreffende en effektiewe voorkomende sorg intervensiestrategie voeg aansienlike waarde tot die algehele prestasieverbetering van gesondheidsorgverskaffers. Met behoorlike beplanning en ondersteuning met implementering, sal PTVA sorg intervensiestrategieë die manier waarop gesondheidsorg gelewer word, wêreldwyd verander.
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De, la Rosa Sean Paul. "Risk and the South African private healthcare an internal audit perspective /." Thesis, Pretoria : [s.n.], 2003. http://upetd.up.ac.za/thesis/available/etd-01282004-084552.
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Loriston, Izienne P. "Informing BPM practice in Emergency Units of South African hospitals for improved patient flow." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/28442.
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Globally, higher healthcare demand strains existing systems, already overburdened by a lack of resources and funding while longer life expectancy and increased disease burden force higher patient loads. A majority of the South African population is medically uninsured and therefore depend on emergency care; consequently, the healthcare service demand easily exceeds available acute care to prevent life threat. When this happens, emergency centres suffer from overcrowding and long patient waiting times, which increases morbidity and mortality, associated patient risk. Moreover, critical resources such as staff and hospital beds are required for an even flow of patients through hospitals, but are distributed inefficiently. The South African healthcare system configuration therefore delays access to and compromises the delivery of equitable, unbiased life-saving healthcare in an environment moreover challenged by economic pressures. This calls for sustainable, cost-effective reform. Therefore, more efficient healthcare can save more lives by improving access to life-saving care. Research on current Healthcare Information Systems (HIS) shows an incoherent knowledge body with conceptual gaps in theories on healthcare, which disengages transformation potential. Comprehensive reform tactics thus require a priori concept discovery and diagnostics to make research practically useful. The systematic use of BPM theories allowed for the qualitative assessment of as-is process activity at patient touch-points at three hospitals – two public and one private – in the Western Cape of South Africa. Because a strategic Information Systems (IS) methodology, Business Process Management (BPM) poses business process activity improvement, this research draws from successful BPM activity as a means to improve patient flow processes in Emergency Centres (ECs). Success is evaluated by drawing from empirically supported enabler categories and prescriptive guidelines because BPM practice is not yet fully understood. The results show a clear correlation between the improvement areas at the three hospitals; improvements on aspects of actions and decisions taken during patient-flow process activity, therefore support a pragmatic approach to reform. The data confirms disparity between public and private healthcare. Healthcare appears to be a “doctor driven” service, which, based on qualitative decision-making, navigates patients along defined flows, enabled by supporting human capital and hospital assets. Optimal patient flow is a product of symbiotic working relationships and depends on efficient integration with wider hospital functions. Shorter waiting times and hospital stays reduce process burden. This leads to more efficient resource usage and regulated access to healthcare. However, integrated healthcare reform must consider the time demands and rigidity of clinical processes. The challenge lies in finding the space to invite parallel business agility to drive the reform of the stricken healthcare industry in South Africa.
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Makovhololo, Phathutshedzo. "The semantics of language translation using mobile systems in South African healthcare." Thesis, Cape Peninsula University of Technology, 2018. http://hdl.handle.net/20.500.11838/2771.
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Thesis (DPhil (Informatics))--Cape Peninsula University of Technology, 2018.<br>As in many parts of the world, the need for healthcare services is increasing rapidly in South Africa. Owing to many official languages in the country, health service delivery is continuously challenged by spoken language and semantics. The challenges result to poor health services in many areas of the country. Thus, this study was undertaken with the aim: to develop a framework which can be used to guide the selection and implementation of mobile systems in the translation of language semantics for improved healthcare service delivery in South Africa. For this purpose, the study was based on one significant research question: How can the challenge(s) of semantics and language translation in South African healthcare delivery be addressed using mobile systems? In achieving the aim of the study, a qualitative study was conducted using the semi-strtructured interviews to collect the data. The analysis of the data was carried out using the hermeneutic approach within the interpretative paradigm, which was guided by two theories, actor network theory (ANT) and diffusion of innovation (DOI). The ANT was used to focus on the interaction and relationship between human and non-human actors within a heterogeneous networks, in the activities of healthcare. The DOI was employed to examine how mobiles systems can be diffused, in addressing the challenges and barriers which the health facilities encounter from language perspective. The case study approach was followed, based on three cases, two healthcare organisations, and a community in the northern part of South Africa were used in the study. Based on the analysis of the data, the influencing factors were found, and interpreted. The interpretation helps gain deeper understanding of the challenges, from which a framework (see Figure 6.5 in Chapter 6) was developed. From an understanding of the factors that influence language semantics, and its translaton by using mobile systems, challenges in the South African healthcare can be reduced, and quality improved. The way in which the theories were used brought a fresh perspective to the study. In practice, the framework can be used by both healthcare practitioners and ICT specialists to guide the selection, use and support of mobile systems for the translation of language semantics in South Africa. The complementary use of ANT and DOI in the study contributes methodologically.
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Kooverjee, Mukesh Manilal. "A perspective on healthcare delivery systems with the emphasis on South African healthcare and the need for reform." Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/52687.
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Thesis (MBA)--Stellenbosch University, 2002.<br>ENGLISH ABSTRACT: The need for efficient and equitable health provision remains a challenge for all
countries and economies of the world. Defining health, healthcare and health
provision are contentious issues, and public debate rages on as governments
throughout the world attempt to quell public demands and expectations.
Healthcare scenarios differ vastly from country to country, each attempting to
accommodate its own needs, given the limitations placed on the systems in
terms of human and financial resources. These differences are large as will be
seen when countries with developed market economies are compared to those in
the less fortunate Third World. The financing of healthcare systems is a complex
and challenging task. Affordability of healthcare is an issue for all nations of the
world. Most countries enjoy a mix of private and public funding to ensure that
some degree of good health is attained by the nation as a whole.
South Africa has a unique health system in that it has two distinct and separate
health systems. This is not by chance. South Africa is a country that boasts
enormous diversity but huge inequalities in terms of race, culture, class and
income. Systems had therefore developed along very defined lines where the
privileged have had access to expensive, modern and private healthcare while
the poor and indigent have had to use a poorly structured public service. The purpose of this literature review is to research and to define those issues
and concepts which require clearer perspective. It will also look at healthcare.<br>AFRIKAANSE OPSOMMING: Die noodsaaklikheid vir effektiewe, billike en regverdige gesondheidsvoorsiening
bly 'n uitdaging vir alle ekonomieë van die wêreld. Om gesondheid,
gesondheidsorg- en gesondheidsvoorsiening te definieër, is 'n kontensieuse
aangeleentheid en die openbare debat duur voort, soos regerings in die wêreld
poog om te voldoen aan oorweldigende openbare eise en verwagtinge in hierdie
verband.
Gesondheidsorg-opsies verskil drasties van land tot land, wat elk poog om sy eie
behoeftes te akkommodeer, gegewe die beperkings wat die sisteem belas in
terme van menslike en finansiële hulpbronne. Hierdie verskille is beduidend,
soos wat gesien kan word wanneer lande met ontwikkelde mark-ekonomieë
vergelyk word met die lande in die minder bevoorregte derde-wêreld. Die
finansiering van gesondheidsorg-sisteme is 'n komplekse en uitdagende taak.
Die bekostigbaarheid van gesondheidsorg is 'n aangeleentheid wat al die lande
van die wêreld raak. Die meeste lande van die wêreld het 'n gemengde
gesondheidsorg-sisteem wat bestaan uit gedeeltelik privaat en gedeeltelik
openbare fondse, sodat toegesien word dat 'n mate van goeie gesondheid bereik
word deur die land as geheel. Suid-Afrika het 'n unieke gesondheidsorg-sisteem deurdat twee besondere en
aparte gesondheidsisteme bestaan, wat beslis nie toevallig is nie. Suid-Afrika is
'n land wat spog met enorme verskeidenheid, maar beduidende ongelykhede in
terme van ras, kultuur, klas en inkomste. Gesondheidsorg-sisteme het dus
ontwikkel langs baie beslisde lyne waar die bevoorregtes toegang gehad het tot
duur, moderne en privaat vesekerings-gebaseerde gesondheidsorg, terwyl die
arm en armlastiges gebruik moes maak van 'n swakker gestruktureerde
openbare diens.
Die doel van hierde nagevorsde oorsig is om navorsing te doen om sisteme uit 'n
globale perspektief te identifiseer en daardie beginsels toe te pas, wat voordelig
kan wees in 'n plaaslike konteks. Daar word aanvaar dat die Suid-Afrikaanse
gesondheidsorg-sisteem baie het om te leer van ervarings in beide die
ontwikkelde en ontwikkelende lande. 'n Besondere begrip hiervoor, is die basis
waarop 'n suksesvolle gesondheidsorg-sisteem in hierdie land gevestig kan
word.
Daar word gehoop dat deur die besondere perspektief te hê, sekere werkbare
oplossings gevind en bereik kan word.
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Laubscher, Anchen. "The Influence of Value Perspectives on Decision-Making in the South African Private Healthcare Sector." Diss., University of Pretoria, 2017. http://hdl.handle.net/2263/64862.
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Value of Care can be expressed in an equation, whereby the numerator, outcomes,
represents the Clinical Outcome of a care episode whilst the denominator, cost, refers to
total Cost of the Clinical Event. PatientÕs Experience is acknowledged as contributing to
value creation in healthcare, alongside clinical effectiveness (outcomes as a function of cost),
but its impact remains understudied. Multiple stakeholders are at play in healthcare, including
the consumer (patient) and provider (doctor). Oftentimes, stakeholders in healthcare have
conflicting goals. A deeper understanding of the differences in value perspectives of key
stakeholders in healthcare delivery is therefore required. Using the Value Perspectives
Survey, this study explored differences in relative importance of three factors (Clinical
Outcome, Cost of Clinical Event and PatientÕs Experience), identified as contributors to Value
of Care, to gain insight into value perspectives of consumers (n = 662) and providers (n =
381) in the South African private healthcare context. Descriptive statistics were used to
characterise the study sample and tests of mean differences were used to assess whether
differences exist between consumers and providers in terms of value perspectives, as well
as to assess differences in value perspectives as the severity of surgical and medical
scenarios increase. The study concluded that PatientÕs Experience should be added as a
factor in the healthcare value equation. Differences in value perspectives were demonstrated
between consumers and providers in terms of the value attributed to Clinical Outcome, Cost
of Clinical Event and PatientÕs Experience as well as with progression of severity in surgical
and medical scenarios. The study concluded that the balance of factors can be utilised in
evidence-based, multi-factor decision-making, by providers and consumers, thereby creating
value. A better understanding of how value perspectives differ can inform value creation
strategies in the South African private healthcare context.<br>Mini Dissertation (MBA)--University of Pretoria, 2017.<br>za2018<br>Gordon Institute of Business Science (GIBS)<br>MBA<br>Unrestricted
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Maseti, Ophola S. "A model for role-based security education, training and awareness in the South African healthcare environment." Thesis, Nelson Mandela Metropolitan University, 2008. http://hdl.handle.net/10948/724.
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It is generally accepted that a business operates more efficiently when it is able to consolidate information from a variety of sources. This principle applies as much in the healthcare environment. Although limited in the South African context, the use of electronic systems to access information is advancing rapidly. Many aspects have to be considered in regards to such a high availability of information, for example, training people how to access and protect information, motivating them to use the systems and information extensively and effectively, ensuring adequate levels of security, confronting ethical issues and maintaining the availability of information at crucial times. This is especially true in the healthcare sector, where access to critical data is often vital. This data must be accessed by different kinds of people with different levels of access. However, accessibility often leads to vulnerabilities. The healthcare sector deals with very sensitive data. People’s medical records need to be kept confidential; hence, security is very important. Information of a very sensitive nature is exposed to human intervention on various levels (e.g. nurses, administrative staff, general practitioners and specialists). In this scenario, it is important for each person to be aware of the requirements in terms of security and privacy, especially from a legal perspective. Because of the large dependence on the human factor in maintaining information security, organisations must employ mechanisms that address this at the staff level. One such mechanism is information security education, training and awareness programmes. As the learner is the recipient of information in such a programme, it is increasingly important that it targets the audience that it is intended for. This will maximize the benefits achieved from such a programme. This can be achieved through following a role-based approach in the design and development of the SETA programme. This research therefore proposes a model for a role-based SETA programme, with the area of application being in the South African healthcare environment.
Books on the topic "South African healthcare"
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Porte, André De la, Nicolene Joubert, and Annemarie Oberholzer. Proceedings of the 2nd biennial South African conference on spirituality and healthcare. Cambridge Scholars Publishing, 2018.
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Johnston, Sandy. Reforming healthcare in South Africa: What role for the private sector? Edited by Spurrett David, Bernstein Ann, and Centre for Development and Enterprise. Centre for Development and Enterprise, 2011.
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Crisp, Nigel. HIV/AIDS and National Health Insurance in South Africa. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780198703327.003.0018.
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Chapter 18 describes how Dr Motsoaledi, the South African Health Minister, set about leading the fight on HIV/AIDS in South Africa, and introducing a national health insurance scheme in order to offer healthcare to every person in the country, by building on the work that was already underway. It describes his complex story, with many confusing cross-currents and elements of conflict and intrigue, and how a large part of the Minister’s role involved trying to cut through the confusion, offer a clear pathway for the future, and communicate
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Wynchank, Sinclair, and Dora Wynchank. Telemental Health in Africa. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190622725.003.0003.
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Although telemental health (TMH) in Africa shares much with TMH in well-resourced nations, significant differences exist. These mainly result from relatively small funds available for all forms of healthcare, inadequate infrastructure, lack of mental healthcare personnel, and cross-cultural difficulties. The majority of individuals with severe mental illness receive no treatment in most African countries. This lack has been alleviated in part by some “North–South” and “South–South” TMH programs, in addition to other locally initiated programs. African TMH has emphasized provision of a wide variety of TMH—education, managing psychotrauma in regions of violent upheavals, and the provision of other TMH services. Novel African telecommunications techniques and means of providing TMH, for example using broadcast media and diasporic mental healthcare personnel, are outlined. So, future African TMH will surely grow because of decreasing equipment costs, but principally because of proven effectiveness and the power of such interventions.
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Harris, Joseph. Achieving Access. Cornell University Press, 2018. http://dx.doi.org/10.7591/cornell/9781501709968.001.0001.
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Why do resource-constrained countries make costly commitments to universal health coverage and AIDS treatment after transitioning to democracy? At a time when the world’s wealthiest nations struggle to make healthcare and medicine available to everyone, this book explores the dynamics that made landmark policies possible in Thailand and Brazil but which have led to prolonged struggle and contestation in South Africa. While conventional wisdom suggests that democratization empowers the masses, this book draws attention to an underappreciated dynamic: that democratization empowers elites from esteemed professions – frequently doctors and lawyers – who forge progressive change on behalf of those in need in the face of broader opposition at home and from abroad. The relative success of professional movements in Thailand and Brazil and failure in South Africa highlights critical differences in the character of political competition. Whereas fierce political competition provided opportunities for professional movements to have surprising influence on the policymaking process in Thailand and Brazil, the unrivaled dominance of the African National Congress allowed the ruling party the luxury of entertaining only limited healthcare reform and charlatan AIDS policy in South Africa. The book offers lessons for the United States and other countries seeking to embark on expansive health reforms.
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Crush, Jonathan, and Abel Chikanda. Staunching the Flow. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780198815273.003.0016.
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South Africa has experienced a major outflow of health professionals since the end of apartheid in 1994 and this brain drain has led to a significant decline in the quality of healthcare across the country’s health institutions. This chapter provides a critical assessment of South Africa’s health professional retention strategies and asks if these have led to any significant shifts in the emigration intentions of highly skilled health professionals (medical doctors and specialists, dentists and pharmacists). The chapter provides an overview of the scale of the brain drain from the country and the emigration intentions of those still there and in training. It then examines the various strategies that the government has adopted to staunch the flow. Finally, using data from 2007 and 2013 surveys of health professionals by the Southern African Migration Program, the chapter assesses whether these strategies have had any discernible impact.
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Essential facts about Covid-19: the disease, the responses, and an uncertain future. For South African learners, teachers, and the general public. Academy of Science of South Africa (ASSAf), 2021. http://dx.doi.org/10.17159/assaf.2021/0072.
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The first cases of a new coronavirus (SARS-CoV-2) were identified toward the end of 2019 in Wuhan, China. Over the following months, this virus spread to everywhere in the world. By now no country has been spared the devastation from the loss of lives from the disease (Covid-19) and the economic and social impacts of responses to mitigate the impact of the virus. Our lives in South Africa have been turned upside down as we try to make the best of this bad situation. The 2020 school year was disrupted with closure and then reopening in a phased approach, as stipulated by the Department of Education. This booklet is a collective effort by academics who are Members of the Academy of Science of South Africa (ASSAf) and other invited scholars to help you appreciate some of the basic scientific facts that you need to know in order to understand the present crisis and the various options available to respond to it. We emphasise that the threat of infectious diseases is not an entirely new phenomenon that has sprung onto the stage out of nowhere. Infectious diseases and pandemics have been with us for centuries, in fact much longer. Scientists have warned us for years of the need to prepare for the next pandemic. Progress in medicine in the course of the 20th century has been formidable. Childhood mortality has greatly decreased almost everywhere in the world, thanks mainly, but not only, to the many vaccines that have been developed. Effective drugs now exist for many deadly diseases for which there were once no cures. For many of us, this progress has generated a false sense of security. It has caused us to believe that the likes of the 1918 ‘Spanish flu’ pandemic, which caused some 50 million deaths around the world within a span of a few months, could not be repeated in some form in today’s modern world. The Covid-19 pandemic reminds us that as new cures for old diseases are discovered, new diseases come along for which we are unprepared. And every hundred or so years one of these diseases wreaks havoc on the world and interferes severely with our usual ways of going about our lives. Today’s world has become increasingly interconnected and interdependent, through trade, migrations, and rapid air travel. This globalisation makes it easier for epidemics to spread, somewhat offsetting the power of modern medicine. In this booklet we have endeavoured to provide an historical perspective, and to enrich your knowledge with some of the basics of medicine, viruses, and epidemiology. Beyond the immediate Covid-19 crisis, South Africa faces a number of other major health challenges: highly unequal access to quality healthcare, widespread tuberculosis, HIV infection causing AIDS, a high prevalence of mental illness, and a low life expectancy, compared to what is possible with today’s medicine. It is essential that you, as young people, also learn about the nature of these new challenges, so that you may contribute to finding future solutions.
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Bank, Leslie, and Nelly Sharpley. Covid and Custom in Rural South Africa: Culture, Healthcare and the State. C. Hurst and Company (Publishers) Limited, 2022.
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Covid and Custom in Rural South Africa: Culture, Healthcare and the State. Oxford University Press, Incorporated, 2022.
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Jager, Peta De. Healthcare Otherwhere. Proceedings of the 34th UIA/Phg International Seminar on Public Healthcare Facilities - Durban, South Africa. August 03-07 2014. Firenze University Press, 2015.
Find full textBook chapters on the topic "South African healthcare"
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Chipangura, Baldreck, Shenaaz Mohamed, and Peter Mkhize. "Tacit Knowledge Explicitation and Sharing Through Social Networks by the South African Healthcare Practitioners." In Communications in Computer and Information Science. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-52014-4_11.
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Whittaker, Stuart, Lizo Mazwai, Grace Labadarios, and Bafana Msibi. "South Africa." In Healthcare Systems:. CRC Press, 2018. http://dx.doi.org/10.1201/b22185-15.
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Modi, Renu. "Healthcare of Africans in India." In South-South Cooperation. Palgrave Macmillan UK, 2011. http://dx.doi.org/10.1057/9780230316812_7.
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Achieng, Mourine, and Ephias Ruhode. "A Critical Analysis of the Implementation of Health Information Systems for Public Healthcare Service Delivery in Resource-Constrained Environments: A South African Study." In IFIP Advances in Information and Communication Technology. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-18400-1_47.
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Suleman, Fatima, and Andy Gray. "Pharmaceutical Policy in South Africa." In Pharmaceutical Policy in Countries with Developing Healthcare Systems. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-51673-8_14.
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Wright, Graham, Helen J. Betts, Chrispin Kabuya, and Henry Adams. "South Africa's Healthcare Systems, Technology and Nursing." In Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 1, 3rd ed. Productivity Press, 2022. http://dx.doi.org/10.4324/9781003054849-10.
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Devar, Thaverson, and Marie Hattingh. "Gamification in Healthcare: Motivating South Africans to Exercise." In Lecture Notes in Computer Science. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-45002-1_10.
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Niohuru, Ilha. "Country Demographics." In Healthcare and Disease Burden in Africa. Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-19719-2_2.
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AbstractBeing the youngest and the fastest growing population, Africa is facing an increasing financial burden on healthcare and education expenditure. This chapter investigates the population, population growth, population density, urbanization rate, life expectancy, median age, fertility rate, gender equality, and economy of the eight sampled countries (Algeria, Côte d'Ivoire, Ghana, Kenya, Morocco, Nigeria, South Africa, and Tunisia). The aim of this chapter is to provide an overview of factors that contribute to the financial burden while influencing patients’ decisions relating to healthcare, and the performance of the healthcare system. Poverty and gender inequality in Africa negatively affect the education level, which as a result influences the healthcare system, as it constructs an obstacle for the healthcare workers to provide information to the patients, and for the patient to access preventative and medical treatments. This chapter focuses on education and gender equality in education. It investigates the school enrollment rate, drop-out age, literacy rate, and government expenditure on education.
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Lewins, Kezia, Peter van Heusden, and Laurel Baldwin-Ragaven. "Testing Times: COVID-19 Testing and Healthcare Workers in South Africa." In Caring on the Frontline during COVID-19. Springer Singapore, 2022. http://dx.doi.org/10.1007/978-981-16-6486-1_10.
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Mahomed, Safia. "The evolution of privacy governance in healthcare in post-apartheid South Africa." In Confidentiality, Privacy, and Data Protection in Biomedicine. Routledge, 2024. http://dx.doi.org/10.4324/9781003394518-9.
Full textConference papers on the topic "South African healthcare"
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van der Watt, Adriaan J., and Marthinus W. Pretorius. "Diffusion of technology in the South African Private Healthcare Market." In Technology. IEEE, 2008. http://dx.doi.org/10.1109/picmet.2008.4599847.
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Bvuchete, Munyaradzi, Sara S. Grobbelaar, and Joubert Van Eeden. "A case of healthcare supply chain visibility in South Africa." In 2018 3rd Biennial South African Biomedical Engineering Conference (SAIBMEC). IEEE, 2018. http://dx.doi.org/10.1109/saibmec.2018.8363179.
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Ngongoni, Chipo N., Sara S. Grobbelaar, and Cornelius S. L. Schutte. "Platforms in healthcare innovation ecosystems: The lens of an innovation intermediary." In 2018 3rd Biennial South African Biomedical Engineering Conference (SAIBMEC). IEEE, 2018. http://dx.doi.org/10.1109/saibmec.2018.8363191.
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Boloka, Tlou, Gerrie Crafford, Windy Mokuwe, and Beatrice Van Eden. "Anomaly Detection Monitoring System for Healthcare." In 2021 Southern African Universities Power Engineering Conference/Robotics and Mechatronics/Pattern Recognition Association of South Africa (SAUPEC/RobMech/PRASA). IEEE, 2021. http://dx.doi.org/10.1109/saupec/robmech/prasa52254.2021.9377017.
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Mfono, Zitandile Hlombekazi. "Indigenous Vegetable Knowledge and Intake among Hypertensive Adults at a Clinic in a Township in Gqeberha, South Africa." In 3rd International Nutrition and Dietetics Scientific Conference. KENYA NUTRITIONISTS AND DIETICIANS INSTITUTE, 2023. http://dx.doi.org/10.57039/jnd-conf-abt-2023-i.d.e.f.s.p-20.
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Background: The consumption of indigenous vegetables among adults living in peri-urban South African areas have declined considerably mainly due to nutrition transition and the loss of indigenous knowledge. Elderly African women are the main holders of indigenous vegetable knowledge. African women living in peri-urban areas have been reported as consuming inadequate vegetable intake and are at a high risk for non-communicable diseases (NCD) such as hypertension. African leafy vegetables may significantly contribute to meet the dietary guidelines recommendations for adequate vegetable intake which are targeted to address NCDs. Objective: The aim of the study was to determine the knowledge and consumption of indigenous vegetables among adults with hypertension at a peri-urban healthcare facility. Methods: The study was a cross-sectional study at a healthcare facility in a township (peri-urban area) in Gqeberha, Eastern Cape, South Africa. Two hundred and thirty participants were conveniently sampled from May-November 2021. Data was collected using an interviewer administered structured questionnaire. Results: The median age of the participants was 56 years, 74.3 % (n=171) was females and all participants were of African ethnicity. Only 46.1 % of participants knew what type of plants indigenous vegetables were, most participants said that they thought that it was spinach (Swiss chard). Over half of the participants (56.5 %) responded that they had access to indigenous vegetables in their area, while a third (36.5 %) did not have access to them. The majority (53.5 %) of the participants had not consumed indigenous vegetables in the past month. The main reason for not consuming indigenous vegetables reported was lack of availability (33 %) and lack of knowledge about them (18.3 %). Most participants agreed that indigenous vegetables were healthy (94.8 %) and were a source of nutrients (92.2 %). The most identified available indigenous vegetable plant leaves consumed were Dwarf nettle (52.3 %), Tulbaghia (40%), Black night shade (31.5 %), Amaranth (33.8 %), pumpkin leaves (24.6 %) and Black jack (17.7 %). Conclusion: Despite most participants being older African women, many of the participants had not consumed indigenous vegetables in the past month and most had no ready access to them. Keywords: African, indigenous vegetables, hypertension, vegetables, dietary guidelines
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Mosia, N. "THE IMPACT OF COVID-19 INFECTIONS ON HEALTHCARE SERVICE DELIVERY IN SOUTH AFRICA." In 33rd Annual Southern African Institute of Industrial Engineering Conference. South African Institute for Industrial Engineering, 2022. http://dx.doi.org/10.52202/066390-0042.
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Mvelase, Promise, Zama Dlamini, Angeline Dludla, and Happy Sithole. "Integration of smart wearable mobile devices and cloud computing in South African healthcare." In eChallenges e-2015 Conference. IEEE, 2015. http://dx.doi.org/10.1109/echallenges.2015.7441084.
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Deale, Nadia, Hilde Herman, Saartjie Grobbelaar, and Frederick Robert Peter Edlmann. "Towards a maturity model for technology platforms in the South African healthcare context." In 2019 IEEE International Conference on Engineering, Technology and Innovation (ICE/ITMC). IEEE, 2019. http://dx.doi.org/10.1109/ice.2019.8792647.
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Modise, Thatoyaone, Nehemiah Mavetera, and Mmaki Jantjies. "ELECTRONIC HEALTH RECORD (EHR) ADOPTION IN SOUTH AFRICAN HEALTHCARE CENTRES: A CASE OF NW PROVINCE." In International Conference on e-Health 2019. IADIS Press, 2019. http://dx.doi.org/10.33965/eh2019_201910l001.
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McGeer, Chinead, and Maria van Zyl-Cillié. "Design of a Data Management System for Pharmaceutical Stock Management at Public Primary Healthcare Clinics in the Northwest Province, South Africa." In 5th African International Conference on Industrial Engineering and Operations Management. IEOM Society International, 2024. http://dx.doi.org/10.46254/af05.20240026.
Full textReports on the topic "South African healthcare"
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Khanna, Renu, Shreelata Rao Seshadri, V. Srinidhi, et al. What Works? Integrating gender into Government Health programmes in Africa, South Asia, and Southeast Asia. Case Study Summary Report: Gender integration in medical education in Maharashtra and other states (India). United Nations University - International Institute for Global Health, 2023. http://dx.doi.org/10.37941/rr/2023/4.
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This case study focuses on the integration of gender issues in medical education in Maharashtra, India, and its expansion to other states. The programme was selected as a promising practice because it addresses the integration of gender perspectives into medical education, recognised as vital for enhancing the competence of medical and healthcare professionals, enabling them to provide effective, culturally sensitive healthcare that promotes gender equity in health and improves wellbeing (House et al. 2021). Based on in-depth analyses of interviews and published materials, it documents and analyses contextual factors that gave rise to the gender in medical education (GME) initiative, the enabling factors and challenges encountered, some of the outcomes achieved and lessons learned, including those that might be transferable to other contexts working on integrating GME, both within India and abroad.
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Tull, Kerina. Social Inclusion and Immunisation. Institute of Development Studies (IDS), 2021. http://dx.doi.org/10.19088/k4d.2021.025.
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The current COVID-19 epidemic is both a health and societal issue; therefore, groups historically excluded and marginalised in terms of healthcare will suffer if COVID-19 vaccines, tests, and treatments are to be delivered equitably. This rapid review is exploring the social and cultural challenges related to the roll-out, distribution, and access of COVID-19 vaccines, tests, and treatments. It highlights how these challenges impact certain marginalised groups. Case studies are taken from sub-Saharan Africa (the Democratic Republic of Congo, South Africa), with some focus on South East Asia (Indonesia, India) as they have different at-risk groups. Lessons on this issue can be learned from previous pandemics and vaccine roll-out in low- and mid-income countries (LMICs). Key points to highlight include successful COVID-19 vaccine roll-out will only be achieved by ensuring effective community engagement, building local vaccine acceptability and confidence, and overcoming cultural, socio-economic, and political barriers that lead to mistrust and hinder uptake of vaccines. However, the literature notes that a lot of lessons learned about roll-out involve communication - including that the government should under-promise what it can do and then over-deliver. Any campaign must aim to create trust, and involve local communities in planning processes.
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Shiferaw Mulu, Mulu Anchinesh, Michelle De Jong, Asha George, and Fikir Melesse Asaminew. What Works? Integrating gender into Government Health programmes in Africa, South Asia, and Southeast Asia. Case study summary report: Gender-based violence service provision in the primary healthcare system in Ethiopia. United Nations University - International Institute for Global Health, 2023. http://dx.doi.org/10.37941/rr/2023/3.
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This study focuses on two key initiatives spearheaded by the Ministry of Health in Ethiopia, which have contributed to improving gender equality in primary healthcare (PHC): (1) a gender mainstreaming manual; and (2) the PHC response to gender-based violence (GBV). This case was selected as a promising practice because of the significant government leadership and ownership involved in advancing gender integration within a government health system. Based on in-depth analyses of interviews and published materials, it documents the context, a number of enabling factors and challenges encountered, and some of the outcomes achieved and lessons learned, including those that might be transferable to other contexts.
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Rao Seshadri, Shreelata, Rajalakshmi RamPrakash, Johanna Riha, Zaida Orth, and Michelle de Jong. What Works? Integrating gender into Government Health programmes in Africa, South Asia, and Southeast Asia. Case study summary report: Meeting the healthcare needs of the transgender community – The gender guidance clinics of Tamil Nadu (India). United Nations University - International Institute for Global Health, 2023. http://dx.doi.org/10.37941/rr/2023/7.
Full textAbstract:
This case study focuses on gender guidance clinics (GGCs) in Tamil Nadu, India, which provide services to the trans community within public hospitals. The programme was selected as a promising practice because it addresses the health needs of the LGBTQ+ community in India, a group that is largely marginalised and stigmatised. This programme stood out because of its significant government ownership and unique approach in addressing the healthcare needs of gender and sexual minorities. Furthermore, the initiative successfully withstood the disruptions caused by COVID-19 and has demonstrated the potential for expanding to other regions within Tamil Nadu, as well as to other states in India and beyond. Based on in-depth analyses of interviews and published materials, it documents and analyses the contextual factors that gave rise to GGCs in Tamil Nadu, the enabling factors and challenges encountered, and some of the outcomes achieved and lessons learned, including those that might be transferable to other contexts.
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Hrynick, Tabitha, and Megan Schmidt-Sane. Roundtable Report: Discussion on mpox in DRC and Social Science Considerations for Operational Response. Institute of Development Studies, 2024. http://dx.doi.org/10.19088/sshap.2024.014.
Full textAbstract:
On 28 May 2024, the Social Science in Humanitarian Action Platform (SSHAP) organised a roundtable discussion on the mpox (formerly known as monkeypox) outbreak which has been spreading in the Democratic Republic of the Congo (DRC) since early 2023.1 The objective was to appraise the current situation, with a particular focus on social science insights for informing context-sensitive risk communication and community engagement (RCCE) and wider operational responses. The roundtable was structured into two sessions: 1) an overview of the situation in DRC, including the current knowledge of epidemiology and 2) contextual considerations for response. This was followed by an hour-long panel discussion on operational considerations for response. Each session was initiated by a series of catalyst presentations followed by a question-and-answer session (Q&A). Details of the agenda, speakers and discussants can be found below. Despite estimates that less than 10% of suspected cases in DRC are being laboratory screened, the country is currently reporting the highest number of people affected by mpox in sub-Saharan Africa. It is notable that clade 1 of mpox is linked to this outbreak, which results in more severe disease and a higher fatality rate. While early cases of mpox were reported to be in gay, bisexual, and other men who have sex with men (GBMSM), the disease is now being detected more widely in DRC. The majority of those affected are children (up to 70% by some estimates2), which is a cause for concern. The outbreak is occurring on top of an overall high burden of disease and significant challenges to the health system and humanitarian interventions. The apparently heterogeneous picture of mpox across DRC – affecting different geographies and population groups – is shaped in part by social, economic and political factors. For instance, in South Kivu, accounts indicate that transmission via intimate and sexual contact is significant in mining areas, with an estimated one third of cases of disease reported in female sex workers. This raises questions about transactional sex and related stigma in these areas, as well as the implications of cross-border mobility linked to mining livelihoods for the spread of disease. A history of conflict and militia activity has additional implications for humanitarian intervention and is a factor in uptake and implementation of control strategies such as vaccination. Severe limitations in government health facilities in remote areas and a plural landscape of biomedical and non-biomedical providers are additional factors to consider for patterns of care-seeking and the timely provision of biomedical care. The limited reach of formal healthcare, including surveillance, makes it difficult to estimate the extent of cases and control disease spread through conventional epidemiological strategies. There are likely further challenges in accessing less visible populations such as GBMSM, as research in Nigeria has suggested.3,4 These complex contextual realities raise significant questions for mpox response. The roundtable convened a diverse range of expertise to offer perspectives from existing research and knowledge, with an emphasis on social science evidence. This roundtable report presents a synthesised version of the roundtable discussion with additional context as needed.