Publications by authors named "D Mabetha"
Clinical practice guidelines (CPGs) are shared through various dissemination strategies using a range of dissemination products and channels. However, users may have different needs for accessing and understanding them. Patients and carers from low- and middle-income countries might face challenges in accessing CPGs such as inadequate systems for printed book distribution and insufficient and substandard photocopies.
View Article and Find Full Text PDFHome visits for preterm/low birthweight infants in South Africa: Qualitative evidence synthesis.
Afr J Prim Health Care Fam Med
November 2024
Background: Prematurity and low birth weight (LBW) are the main causes of neonatal mortality in South Africa (SA). Home visits by lay health workers (LHWs) may be effective in addressing this.
Aim: To inform a national guideline on LHW home visits as part of the Global Evidence, Local Adaptation (GELA) project, we conducted a rapid qualitative evidence synthesis exploring the acceptability, feasibility and equitability of this intervention for preterm and LBW babies.
Despite established efficacy for oral pre-exposure prophylaxis (PrEP) in reducing HIV incidence, multi-level barriers within the health system, clinics, and the processes that shape practice have hindered service delivery and subsequent population-level effects. We applied the Consolidated Framework for Implementation Research (CFIR) to assess the context of PrEP delivery for adolescent girls and young women (AGYW) in rural South Africa and identify the factors supporting and impeding PrEP implementation to develop strategies to improve PrEP delivery. Between 2021 and 2022, we conducted in-depth interviews with five young women with PrEP use experience and 11 healthcare providers as well as four key informant stakeholder interviews.
View Article and Find Full Text PDFArticle Synopsis
- Poverty-related diseases are a major cause of death in children under five in sub-Saharan Africa, highlighting the need for effective clinical practice guidelines (CPGs) to improve health outcomes.
- The Global Evidence, Local Adaptation (GELA) project aims to enhance the development of CPGs by strengthening the capacity of researchers and decision-makers to utilize global research in Malawi, South Africa, and Nigeria over three years.
- The project's monitoring and evaluation work package will assess the impact of various activities on local stakeholder engagement, capacity development, and the application of evidence in decision-making processes.
Background: Decentralised and evidence-informed health systems rely on managers and practitioners at all levels having sufficient 'decision space' to make timely locally informed and relevant decisions. Our objectives were to understand decision spaces in terms of constraints and enablers and outline opportunities through which to expand them in an understudied rural context in South Africa.
Methods: This study examined decision spaces within Mpumalanga Province, using data and insights generated through a participatory action research process with local communities and health system stakeholders since 2015, which was combined with published documents and research team participant observation to produce findings on three core domains at three levels of the health system.