Publications by authors named "Carmen S Christian"

Article Synopsis
  • The text discusses how poverty, HIV, and perinatal depression in sub-Saharan Africa negatively impact parenting and child development, leading to public health concerns.
  • It highlights a proposed intervention that combines mental health support and parenting assistance, delivered by lay counselors, to help depressed, HIV-positive pregnant women while optimizing healthcare resources.
  • A cost-effectiveness analysis will evaluate this intervention's economic viability compared to standard care, measuring costs against improvements in maternal depression and child cognitive development over set timeframes.
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Background:  Increased pressure on the healthcare system because of coronavirus disease 2019 (COVID-19) along with national lockdown policies had consequences on the sexual and reproductive health of women. While the pandemic has resulted in changes in pregnancy intentions, child-bearing and fertility, the direction of this relationship is unclear and is likely to be impacted by each country's socio-economic status and stage of fertility transition. Understanding the fertility trajectory and the pandemic is important in understanding population structures and ageing, which have consequences for health policies, budgeting and economic activity.

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Introduction: Universal Health Coverage is not only about access to health services but also about access to high-quality care, since poor experiences may deter patients from accessing care. Evidence shows that quality of care drives health outcomes, yet little is known about non-clinical dimensions of care, and patients' experience thereof relative to satisfaction with visits. This paper investigates the role of non-clinical dimensions of care in patient satisfaction.

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Objective: Our study aims to evaluate hypertensive case management in South Africa's public health sector using simulated patients.

Method: Our study describes interactions between hypertensive simulated patients and primary healthcare workers at 39 public sector healthcare facilities in two metropolitan centres in the Eastern and Western Cape Provinces of South Africa. Our analysis focus on 97 interactions where our eight simulated patients tested within range for stage 1 hypertension, that is with SBP 140-159 mmHg and/or DBP 90-99 mmHg.

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This is the first multi-district Standardised Patient (SP) study in South Africa. It measures the quality of TB screening at primary healthcare (PHC) facilities. We hypothesise that TB screening protocols and best practices are poorly adhered to at the PHC level.

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