Primary healthcare services in the rural Eastern Cape, South Africa: Evaluating a service-support project

Morris-Paxton, Angela A.; Reid, Steve; Ewing, Rose-Marie G.

doi:10.4102/phcfm.v12i1.2207

Cited by 14 publications

(12 citation statements)

References 21 publications

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“…This tool can also be used as a policy guide in ensuring equitable access to health services. 24,25,26,27 The study in a rural http://www.phcfm.org Open Access community in South Africa reported that the use of geographic mapping for the sites the mobile health teams were deployed helped in improving access and coverage. 26 However, the study in India that evaluated the deployment of mobile health team in an underprivileged communities reported poor performance of the mobile health teams in terms of coverage and beneficiaries and even more than 80% of the served population used the services but 90% of the users travelled less than 1 km to avail the service of the mobile health teams, and it is recommended that the need for geographical assessment to identify sites will maximise the coverage and help improve the performance.…”

Section: Discussionmentioning

confidence: 99%

“…24,25,26,27 The study in a rural http://www.phcfm.org Open Access community in South Africa reported that the use of geographic mapping for the sites the mobile health teams were deployed helped in improving access and coverage. 26 However, the study in India that evaluated the deployment of mobile health team in an underprivileged communities reported poor performance of the mobile health teams in terms of coverage and beneficiaries and even more than 80% of the served population used the services but 90% of the users travelled less than 1 km to avail the service of the mobile health teams, and it is recommended that the need for geographical assessment to identify sites will maximise the coverage and help improve the performance. 27 Bearing in mind the high operation cost of mobile health teams, although not addressed in this study, it is highly imperative that locations with high population and limited access are prioritised for the deployment of the mobile health team for effective and efficient use of resources and ultimately equitable access to service delivery.…”

Section: Discussionmentioning

confidence: 99%

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Exploring opportunities to enhance effectiveness of mobile health and nutrition strategy for providing health and nutrition services amongst pastoralists in Somali region, Ethiopia

Oladeji¹,

Oladeji

Omer

et al. 2021

African Journal of Primary Health Care & Family Medicine

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Background: The health system in Ethiopia’s Somali Region is weak with limited number of health facilities with more than 60% of the population living more than 5 km to the nearest health facilities. The deployment of mobile health and nutrition teams has played critical role in providing essential health and nutrition services.Aim: This study aimed to assess the effectiveness of the mobile health and nutrition strategy in providing health and nutrition services in the targeted woredas (districts).Setting: Somali Region of Ethiopia.Methods: The study was a retrospective chart review of the monthly mobile health and nutrition team and the static health facilities in the 29 woredas between April 2019 and March 2020 and the AccessMod analyses for geographical accessibility to health facilities in the region.Results: 40 (40.4%) out of the 99 woredas in Somali regions have at least 80% of the population living more than 5 km from the nearest health facility out of which 18 (45%) woredas are currently being supported by the mobile health team. The mobile team contributed to increasing access to health services in the targeted woredas with 30.8% of the total children vaccinated for measles and 39% of the total children treated for severe acute malnutrition in the targeted 29 woredas.Conclusion: With mobile health and nutrition strategy being recognised as a useful strategy to deliver health and nutrition services in the region, there is a need to explore opportunities and innovation to enhance the effectiveness of the implementation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Exploring opportunities to enhance effectiveness of mobile health and nutrition strategy for providing health and nutrition services amongst pastoralists in Somali region, Ethiopia

Oladeji¹,

Oladeji

Omer

et al. 2021

African Journal of Primary Health Care & Family Medicine

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“…Non-metropolitan districts have poor transport facilities, for instance, in Ugu district, the average travel distance to the closest hospital is 4 km and in Umkhanyakude, it is 6.3 km. ZF Mgcawu and Pixley ka Seme are constrained by poor road networks; hence, distance to the closest clinic could also play a role in determining the frequency of visits, because people have to travel very long distances [ 58 ]. Geoterra Image data (Geoterra image 2018) show an average travel distance of 10.6 km to the closest hospital in Pixley ka Seme (rural district), while in Cape Town (urban district), the distance is 0.75 km.…”

Section: Discussionmentioning

confidence: 99%

Exploring Determinants of HIV/AIDS Self-Testing Uptake in South Africa Using Generalised Linear Poisson and Geographically Weighted Poisson Regression

et al. 2023

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Increased HIV/AIDS testing is of paramount importance in controlling the HIV/AIDS pandemic and subsequently saving lives. Despite progress in HIV/AIDS testing programmes, most people are still reluctant to test and thus are still unaware of their status. Understanding the factors associated with uptake levels of HIV/AIDS self-testing requires knowledge of people’s perceptions and attitudes, thus informing evidence-based decision making. Using the South African National HIV Prevalence, HIV Incidence, Behaviour and Communication Survey of 2017 (SABSSM V), this study assessed the efficacy of Generalised Linear Poisson Regression (GLPR) and Geographically Weighted Poisson Regression (GWPR) in modelling the spatial dependence and non-stationary relationships of HIV/AIDS self-testing uptake and covariates. The models were calibrated at the district level across South Africa. Results showed a slightly better performance of GWPR (pseudo R2 = 0.91 and AICc = 390) compared to GLPR (pseudo R2 = 0.88 and AICc = 2552). Estimates of local intercepts derived from GWPR exhibited differences in HIV/AIDS self-testing uptake. Overall, the output of this study displays interesting findings on the levels of spatial heterogeneity of factors associated with HIV/AIDS self-testing uptake across South Africa, which calls for district-specific policies to increase awareness of the need for HIV/AIDS self-testing.

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“…This had a major impact on rural HEIs in the country. It is also worth noting that Eastern Cape is also severely affected by lack of health care system, and rural communities have significantly poor levels of health due to socio-economic conditions exacerbated by lack of healthcare resources or the means to access the available healthcare resources as stated by Morris-Paxton, Reid, and Ewing (2020). If students had to have face to face contact due to the lack of appropriate infrastructure, the health care system would not be able to support them.…”

Section: Institutions During Covid-19 and The Rural University's Contextmentioning

confidence: 99%

Impact of the COVID-19 pandemic on the academic life of higher education students: A rural South African perspective from a global study

Alex

2022

SAJHE

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Globally, the COVID-19 pandemic has become a greatest challenge in all sectors of life in the 21st Century. Due to worldwide lockdown and social distancing regulations, higher education institutions who offer face-to face classes had to go online to provide educational services to their students, which had major impacts on student lives. To study the immediate effects of it, a global study on the life of higher education students, initiated by University of Ljubljana (with international partners) was conducted as a voluntary and anonymous online survey across the world started on 5 May 2020. The survey targeted higher education students ‒ on what student life looks like during the COVID-19 pandemic, in different parts of the world. This article reports on part of that global study, reporting on the teaching and learning aspect of a sample of 274 undergraduate students from a South African rural higher education institution (HEI) who participated in the study. Thus, this article highlights the immediate impacts of the pandemic during 5 May – 15 June 2020 of the rural HEI. The study is important as the student perspective can have an impact on post- COVID academic policies of HEIs with similar contexts.

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Primary healthcare services in the rural Eastern Cape, South Africa: Evaluating a service-support project

Cited by 14 publications

References 21 publications

Exploring opportunities to enhance effectiveness of mobile health and nutrition strategy for providing health and nutrition services amongst pastoralists in Somali region, Ethiopia

Exploring opportunities to enhance effectiveness of mobile health and nutrition strategy for providing health and nutrition services amongst pastoralists in Somali region, Ethiopia

Exploring Determinants of HIV/AIDS Self-Testing Uptake in South Africa Using Generalised Linear Poisson and Geographically Weighted Poisson Regression

Impact of the COVID-19 pandemic on the academic life of higher education students: A rural South African perspective from a global study

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