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  1. Article ; Online: One-year anthropometric follow-up of South African preterm infants in kangaroo mother care: Which early-life factors predict malnutrition?

    Nel, Sanja / Wenhold, Friede / Botha, Tanita / Feucht, Ute

    Tropical medicine & international health : TM & IH

    2024  Volume 29, Issue 4, Page(s) 292–302

    Abstract: Background: Preterm infants often have poor short- and long-term growth. Kangaroo mother care supports short-term growth, but longer-term outcomes are unclear.: Methods: This study analysed longitudinally collected routine clinical data from a South ... ...

    Abstract Background: Preterm infants often have poor short- and long-term growth. Kangaroo mother care supports short-term growth, but longer-term outcomes are unclear.
    Methods: This study analysed longitudinally collected routine clinical data from a South African cohort of preterm infants (born <37 weeks gestation) attending the outpatient follow-up clinic of a tertiary-level hospital (Tshwane District, South Africa) for 1 year between 2012 and 2019. At 1 year, small-for-gestational age (SGA) and appropriate-for-gestational age (AGA) infants were compared with regard to age-corrected anthropometric z-scores (weight-for-age [WAZ], length-for-age [LAZ], weight-for-length [WLZ] and BMI-for-age [BMIZ]) and rates of underweight (WAZ < -2), stunting (LAZ < -2), wasting (WLZ < -2) and overweight (BMIZ> + 2). Multiple regression analysis was used to investigate associations between maternal/infant characteristics and rates of underweight, stunting, wasting and overweight.
    Results: At 1 year, compared with AGA infants (n = 210), SGA infants (n = 111) had lower WAZ (-1.26 ± 1.32 vs. -0.22 ± 1.24, p < 0.001), LAZ (-1.50 ± 1.11 vs. -0.60 ± 1.06, p < 0.001), WLZ (-0.66 ± 1.31 vs. 0.11 ± 1.24, p < 0.001) and BMIZ (-0.55 ± 1.31 vs. 1.06 ± 1.23, p < 0.001), despite larger WAZ gains from birth (+0.70 ± 1.30 vs. +0.05 ± 1.30, p < 0.001). SGA infants had significantly more stunting (34.2% vs. 9.1%; p < 0.001), underweight (31.2% vs. 7.2%; p < 0.001) and wasting (12.6% vs. 4.3%, p = 0.012), with no difference in overweight (4.5% vs. 7.7%, p = 0.397). In multiple regression analysis, birth weight-for-GA z-score more consistently predicted 1-year malnutrition than SGA.
    Conclusion: Preterm-born SGA infants remain more underweight, stunted and wasted than their preterm-born AGA peers at 1 year, despite greater WAZ gains. Interventions for appropriate catch-up growth especially for SGA preterm infants are needed.
    MeSH term(s) Infant ; Child ; Infant, Newborn ; Humans ; Infant, Premature ; Kangaroo-Mother Care Method ; South Africa/epidemiology ; Follow-Up Studies ; Thinness/epidemiology ; Overweight ; Gestational Age ; Growth Disorders/epidemiology ; Growth Disorders/etiology ; Malnutrition/epidemiology
    Language English
    Publishing date 2024-02-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 1314080-2
    ISSN 1365-3156 ; 1360-2276
    ISSN (online) 1365-3156
    ISSN 1360-2276
    DOI 10.1111/tmi.13973
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  2. Article ; Online: Documentation of wounds in emergency departments through a forensic lens.

    Filmalter, Celia J / Botha, Tanita / Heyns, Tanya

    International emergency nursing

    2023  Volume 70, Page(s) 101347

    Abstract: Background: Nurses document wounds to direct and evaluate the care. People admitted to emergency departments with wounds should be regarded as potential forensic patients, requiring meticulous documentation for evidence purposes.: Aim: To explore the ...

    Abstract Background: Nurses document wounds to direct and evaluate the care. People admitted to emergency departments with wounds should be regarded as potential forensic patients, requiring meticulous documentation for evidence purposes.
    Aim: To explore the documentation of wounds in emergency departments through a forensic lens and compare it between different levels of emergency departments.
    Methods: In this descriptive retrospective study, we randomly sampled 515 paper-based medical files of patients who sustained wounds admitted to three selected emergency departments. The files were analysed using a structured data collection tool the data were descriptively analysed.
    Results: All files included information on the type of wound (100%) and the site of the wound (100%) with most files including the mechanisms of injury (98.6%). Few files included information on blood loss (18.1%) and the size of the wound (15%). Only one file included information on the contents of the wound. No files included information on the wound's shape and the surrounding skin's condition.
    Conclusion: Wounds were poorly documented in emergency departments, irrespective of the level of care. Nurses in emergency departments should have strict guidelines for documenting wounds since accurate documentation protects patients' human rights and protects nurses.
    MeSH term(s) Humans ; Retrospective Studies ; Emergency Service, Hospital ; Forensic Medicine ; Nursing Care ; Documentation ; Wounds and Injuries/therapy
    Language English
    Publishing date 2023-09-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2420747-0
    ISSN 1878-013X ; 1755-599X
    ISSN (online) 1878-013X
    ISSN 1755-599X
    DOI 10.1016/j.ienj.2023.101347
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    Zs.A 3822: Show issues Location:
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  3. Article ; Online: Optimising diagnosis and management of kidney disease: an implementation trial of a clinical decision support system future health today.

    Wallace, Hannah / Wang, Qiumian / Botha, Tanita / Hunter, Barbara / Lumsden, Natalie / Nelson, Craig

    BMC nephrology

    2024  Volume 25, Issue 1, Page(s) 57

    Abstract: Background: Chronic kidney disease affects more than 10% of the world's population and is a non-communicable disease of global concern and priority. There is a significant implementation gap between best practice guideline recommendations and current ... ...

    Abstract Background: Chronic kidney disease affects more than 10% of the world's population and is a non-communicable disease of global concern and priority. There is a significant implementation gap between best practice guideline recommendations and current kidney disease management. Previous research has shown the need to partner with primary care to improve education, collaboration, and kidney disease awareness. This implementation trial will explore use of an innovative clinical decision support software, Future Health Today, to improve screening, diagnosis, and management of kidney disease in primary care. The program will be supported by tertiary care outreach services. The primary aim is to test the hypothesis that the Future Health Today implementation program will improve screening, diagnosis, and management of kidney disease. Secondary aims are to evaluate primary care satisfaction and broader health service impacts.
    Methods: This pre-post implementation trial using an interrupted time series design will evaluate the clinical and service outcomes of Future Health Today, using a mixed methods study in twenty general practices with an estimated population size of 150,000. Deidentified patient data will be extracted from participating practices to examine the primary aims of the study. Surveys and semi-structured interviews with general practice will inform secondary hypotheses. Data linkage between primary care and tertiary care data will examine the broader health service impacts.
    Discussion: This investigator driven trial will assess the impact of Future Health Today software coupled with education and clinical outreach support. Investigators hypothesise that there will be improvement in appropriate screening, diagnosis, and management of kidney disease. This program has the potential to be scaled more broadly.
    Trial registration: Australian New Zealand Clinical Trial Registry: ACTRN12623001096640.
    MeSH term(s) Humans ; Australia ; Decision Support Systems, Clinical ; General Practice ; Interrupted Time Series Analysis ; Kidney Diseases ; Clinical Trials as Topic
    Language English
    Publishing date 2024-02-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041348-8
    ISSN 1471-2369 ; 1471-2369
    ISSN (online) 1471-2369
    ISSN 1471-2369
    DOI 10.1186/s12882-024-03489-y
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  4. Article ; Online: Difference thresholds for primary and secondary ride of a vehicle on a 4-poster test rig.

    Kat, Cor-Jacques / Gräbe, Roland Peter / van Staden, Paul Jacobus / Botha, Tanita / Els, Pieter Schalk

    Ergonomics

    2024  , Page(s) 1–13

    Abstract: Not only is it important to know how large the overall change in vibration should be for occupants to perceive an improvement in comfort, but also how large this change should be in specific frequency bands. Relative difference thresholds (RDT) of ... ...

    Abstract Not only is it important to know how large the overall change in vibration should be for occupants to perceive an improvement in comfort, but also how large this change should be in specific frequency bands. Relative difference thresholds (RDT) of primary (0.5-4 Hz) and secondary (9-80 Hz) ride are estimated for 14 automotive engineers seated in a vehicle on a 4-poster test rig over two roads. Resulting stimuli differed in magnitude and spectral shape. The median RDTs estimated for primary and secondary ride were 16.68% and 13.82% on the smooth road, and 9.50% and 24.67% over the rough road. Statistically significant differences were found in the medians of the RDTs between (1) primary and secondary ride on the two roads and (2) the two roads for changes in the primary and secondary ride, suggesting that Weber's law does not hold.
    Language English
    Publishing date 2024-05-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 1920-3
    ISSN 1366-5847 ; 0014-0139
    ISSN (online) 1366-5847
    ISSN 0014-0139
    DOI 10.1080/00140139.2024.2349748
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  5. Article ; Online: Population health trends analysis and burden of disease profile observed in Sierra Leone from 1990 to 2017.

    Zembe, Jolleen / Senkubuge, Flavia / Botha, Tanita / Achoki, Tom

    BMC public health

    2022  Volume 22, Issue 1, Page(s) 1801

    Abstract: Background: Sierra Leone, in West Africa, is one of the poorest developing countries in the world. Sierra Leone has experienced several recent challenges namely, a civil war from 1991 to 2002, a massive Ebola outbreak from 2014 to 2016, followed by ... ...

    Abstract Background: Sierra Leone, in West Africa, is one of the poorest developing countries in the world. Sierra Leone has experienced several recent challenges namely, a civil war from 1991 to 2002, a massive Ebola outbreak from 2014 to 2016, followed by floods and landslides in 2017.In this study, we quantified the burden of disease in Sierra Leone over a 27-year period, from 1990 to 2017.
    Methodology: In this descriptive study, we analysed secondary data from the Institute of Health Metrics and Evaluation, Global Burden of Disease (GBD) study. We quantified patterns of burden of disease, injuries, and risk factors in Sierra Leone. We report GBD data and metrics including mortality rates, years of life lost and risk factors for all ages and both sexes from 1990 to 2017.
    Results: From 1990 to 2017, trends of mortality rates for all ages and sexes have declined in Sierra Leone although mortality rates remain some of the highest when compared to other developing countries. The burden of communicable, maternal, neonatal, and nutritional (CMNN) diseases are greater than the burden of non-communicable diseases (NCDs) due to the prevalence of endemic diseases in Sierra Leone. The most important CMNNs associated with premature mortality included respiratory infections, neglected tropical diseases, malaria, and HIV-Aids. Life expectancy has increased from 37 to 52 years.
    Conclusion: Sierra Leone's health status is gradually improving following the civil war and Ebola outbreak. Sierra Leone has a double burden of disease with CMNNs leading and NCDs progressively increasing. Despite these challenges, Sierra Leone has promising initiatives and programs pursuing the Universal Health Coverage 2030 Sustainable Developmental Goals Agenda. There is need for accountability of available resources, clear rules and expected roles for non-governmental organisations to ensure a level playing field for all actors to rebuild the health system.
    MeSH term(s) Cause of Death ; Female ; Global Burden of Disease ; Global Health ; Hemorrhagic Fever, Ebola/epidemiology ; Humans ; Infant, Newborn ; Male ; Noncommunicable Diseases ; Nutrition Disorders ; Population Health ; Sierra Leone/epidemiology
    Language English
    Publishing date 2022-09-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-022-14104-w
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  6. Article ; Online: Preventing antenatal stillbirths: An innovative approach for primary health care.

    Hlongwane, Tsakane M / Botha, Tanita / Nkosi, Bongani S / Pattinson, Robert C

    South African family practice : official journal of the South African Academy of Family Practice/Primary Care

    2022  Volume 64, Issue 1, Page(s) e1–e7

    Abstract: Background: In South Africa (SA), approximately 16 000 stillbirths occur annually. Most are classified as unexplained and occur in district hospitals. Many of these deaths may be caused by undetected foetal growth restriction. Continuous wave Doppler ... ...

    Abstract Background: In South Africa (SA), approximately 16 000 stillbirths occur annually. Most are classified as unexplained and occur in district hospitals. Many of these deaths may be caused by undetected foetal growth restriction. Continuous wave Doppler ultrasound of the umbilical artery (CWDU-UmA) is a simple method for assessing placental function. This screening method may detect the foetus at risk of dying and growth-restricted foetuses, allowing for appropriate management.
    Methods: A cohort study was conducted across South Africa. Pregnant women attending primary health care clinics at 28-34 weeks gestation were screened using CWDU-UmA. Women not screened at those antenatal clinics served as control group 1. Control group 2 consisted of the subset of control group 1 with women detected with antenatal complications excluded. Women with foetuses identified with an abnormal CWDU-UmA test were referred and managed according to a standardised protocol. A comparison between the study and control groups was performed.
    Results: The study group consisted of 6536 pregnancies, and there were 66 stillbirths (stillbirth rate [SBR]: 10.1/1000 births). In control group 1, there were 193 stillbirths in 10 832 women (SBR: 17.8/1000 births), and in control group 2, 152 stillbirths in 9811 women (SBR: 15.5/1000 births) (risk ratio: 0.57, 95% confidence intervals: 0.29-0.85 and 0.65, 0.36-0.94, respectively).
    Conclusion: Screening a low-risk pregnant population identified the low-risk mother with a high-risk foetus, and acting on the information as described was associated with a significant reduction (35% - 43%) in stillbirths. This demonstrates a step-change reduction in stillbirths and warrants screening in SA.
    MeSH term(s) Cohort Studies ; Female ; Gestational Age ; Humans ; Placenta ; Pregnancy ; Primary Health Care ; Stillbirth/epidemiology
    Language English
    Publishing date 2022-08-25
    Publishing country South Africa
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2078-6204
    ISSN (online) 2078-6204
    DOI 10.4102/safp.v64i1.5487
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  7. Article ; Online: Comparison of Feeding Practices and Growth of Urbanized African Infants Aged 6-12 Months Old by Maternal HIV Status in Gauteng Province, South Africa.

    Tshiambara, Phumudzo / Hoffman, Marinel / Legodi, Heather / Botha, Tanita / Mulol, Helen / Pisa, Pedro / Feucht, Ute

    Nutrients

    2023  Volume 15, Issue 6

    Abstract: Appropriate feeding practices are protective against malnutrition and poor growth. We compared feeding practices and growth in HIV-exposed-uninfected (HEU) and HIV-unexposed-uninfected (HUU) between 6-12 months of age in urbanized African infants in ... ...

    Abstract Appropriate feeding practices are protective against malnutrition and poor growth. We compared feeding practices and growth in HIV-exposed-uninfected (HEU) and HIV-unexposed-uninfected (HUU) between 6-12 months of age in urbanized African infants in South Africa. A repeated cross-sectional analysis was used to determine differences in infant feeding practices and anthropometric measures by HIV exposure status at 6, 9, and 12 months in the Siyakhula study. The study included 181 infants (86 HEU; 95 HUU). Breastfeeding rates were lower in HEU vs. HUU infants at 9 (35.6% vs. 57.3%;
    MeSH term(s) Infant, Newborn ; Pregnancy ; Female ; Humans ; Infant ; South Africa/epidemiology ; Cross-Sectional Studies ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; Breast Feeding ; Maternal Exposure ; Pregnancy Complications, Infectious
    Language English
    Publishing date 2023-03-21
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu15061500
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  8. Article: Evaluating prediction of COVID-19 at provincial level of South Africa: a statistical perspective

    Arashi, Mohammad / Bekker, Andriette / Salehi, Mahdi / Millard, Sollie / Botha, Tanita / Golpaygani, Mohammad

    Environmental science and pollution research. 2022 Mar., v. 29, no. 15

    2022  

    Abstract: What is the impact of COVID-19 on South Africa? This paper envisages to assist researchers in battling of the COVID-19 pandemic focusing on South Africa. This paper focuses on the spread of the disease by applying heatmap retrieval of hotspot areas, and ... ...

    Abstract What is the impact of COVID-19 on South Africa? This paper envisages to assist researchers in battling of the COVID-19 pandemic focusing on South Africa. This paper focuses on the spread of the disease by applying heatmap retrieval of hotspot areas, and spatial analysis is carried out using the Moran index. For capturing spatial autocorrelation between the provinces of South Africa, the adjacent as well as the geographical distance measures are used as weight matrix for both absolute and relative counts. Furthermore, generalized logistic growth curve modelling is used for prediction of the COVID-19 spread. We expect this data-driven modelling to provide some insights into hotspot identification and timeous action controlling the spread of the virus.
    Keywords COVID-19 infection ; autocorrelation ; disease transmission ; growth curves ; pollution ; prediction ; research ; viruses ; South Africa
    Language English
    Dates of publication 2022-03
    Size p. 21289-21302.
    Publishing place Springer Berlin Heidelberg
    Document type Article
    ZDB-ID 1178791-0
    ISSN 1614-7499 ; 0944-1344
    ISSN (online) 1614-7499
    ISSN 0944-1344
    DOI 10.1007/s11356-021-17291-y
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  9. Article ; Online: Maternity healthcare providers' self-perceptions of well-being during COVID-19: A survey in Tshwane Health District, South Africa.

    Oosthuizen, Sarie / Bergh, Anne-Marie / Silver, Antonella / Malatji, Refilwe / Mfolo, Vivian / Botha, Tanita

    African journal of primary health care & family medicine

    2022  Volume 14, Issue 1, Page(s) e1–e10

    Abstract: Background: Mental health manifestations such as depression and anxiety disorders became more marked during the coronavirus disease 2019 (COVID-19) pandemic as frontline healthcare workers struggled to maintain high-quality intrapartum care and ... ...

    Abstract Background: Mental health manifestations such as depression and anxiety disorders became more marked during the coronavirus disease 2019 (COVID-19) pandemic as frontline healthcare workers struggled to maintain high-quality intrapartum care and essential health services.
    Aim: This study aimed to identify maternity healthcare providers' self-perceptions of changes in their feelings of mental well-being.
    Setting: Ten midwife obstetric units and the labour wards of four district hospitals in Tshwane Health District, South Africa.
    Methods: We conducted an anonymous, cross-sectional survey amongst a convenience sample of 114 maternity healthcare workers to gauge the changes in healthcare workers' experience and perceptions of well-being during the COVID-19 pandemic. Four items measured the perceived changes on a scale of 0-10 for the periods before and during COVID-19, respectively, namely feelings of fear or anxiety, stress, depression and anger.
    Results: The majority of participants were professional nurses (37%) and advanced midwives (47%). They reported a significant change in well-being from before the pandemic to during the pandemic with regard to all four items (p 0.0001). The biggest 'before-during' difference was in perceptions of fear or anxiety and the smallest difference was in perceptions of anger. A framework was constructed from the open-ended responses to explain healthcare workers' understanding and perceptions of increased negative feelings regarding their mental well-being.
    Conclusion: The observed trends in the changes in healthcare workers' self-perceptions of their mental well-being highlight the need for further planning to build resilient frontline healthcare workers and provide them with ongoing mental health support and improved communication pathways.
    MeSH term(s) COVID-19 ; Cross-Sectional Studies ; Depression ; Female ; Health Personnel ; Humans ; Pandemics ; Pregnancy ; SARS-CoV-2 ; Self Concept ; South Africa
    Language English
    Publishing date 2022-01-12
    Publishing country South Africa
    Document type Journal Article
    ZDB-ID 2526836-3
    ISSN 2071-2936 ; 2071-2936
    ISSN (online) 2071-2936
    ISSN 2071-2936
    DOI 10.4102/phcfm.v14i1.3034
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  10. Article ; Online: The COVID-19 pandemic and disruptions in a district quality improvement initiative: Experiences from the CLEVER Maternity Care programme.

    Oosthuizen, Sarie J / Bergh, Anne-Marie / Silver, Antonella / Malatji, Refilwe E / Mfolo, Vivian / Botha, Tanita

    South African family practice : official journal of the South African Academy of Family Practice/Primary Care

    2022  Volume 64, Issue 1, Page(s) e1–e12

    Abstract: Background: Many health systems were poorly prepared for the coronavirus disease 2019 (COVID-19) pandemic and found it difficult to protect maternity and reproductive health services. The aim of the study was to explore the influence of the COVID-19 ... ...

    Abstract Background: Many health systems were poorly prepared for the coronavirus disease 2019 (COVID-19) pandemic and found it difficult to protect maternity and reproductive health services. The aim of the study was to explore the influence of the COVID-19 pandemic on the ability of maternity healthcare providers to maintain the positive practices introduced by the CLEVER Maternity Care programme and to elicit information on their support needs.
    Methods: This multimethod study was conducted in midwife-led obstetric units (MOUs) and district hospitals in Tshwane District, South Africa and included a survey questionnaire and qualitative reports and reflections by the CLEVER implementation team. Two five-point Likert-scale items were supplemented by open-ended questions to provide suggestions on improving health systems and supporting healthcare workers.
    Results: Most of the 114 respondents were advanced midwives or registered nurses (86%). Participants from MOUs rated the maintenance of quality care practices significantly higher than those from district hospitals (p = 0.0130). There was a significant difference in perceptions of support from the district management between designations (p = 0.0037), with managers having the most positive perception compared with advanced midwives (p = 0.0018) and registered nurses (p = 0.0115). The interpretation framework had three main themes: working environment and health-system readiness; quality of patient care and service provision; and healthcare workers' response to the pandemic. Health-facility readiness is described as proactive, reactive or lagging.
    Conclusion: Lessons learned from this pandemic should be used to build responsive health systems that will enable primary healthcare workers to maintain quality patient care, services and communication.
    MeSH term(s) COVID-19/epidemiology ; COVID-19/prevention & control ; Female ; Humans ; Maternal Health Services ; Midwifery ; Pandemics/prevention & control ; Pregnancy ; Quality Improvement
    Language English
    Publishing date 2022-03-30
    Publishing country South Africa
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2078-6204
    ISSN (online) 2078-6204
    DOI 10.4102/safp.v64i1.5359
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