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  1. Article ; Online: Continuous quality improvement in HIV and TB services at selected healthcare facilities in South Africa.

    Gaga, Sisanda / Mqoqi, Nokuzola / Chimatira, Raymond / Moko, Singilizwe / Igumbor, Jude O

    Southern African journal of HIV medicine

    2021  Volume 22, Issue 1, Page(s) 1202

    Abstract: Background: Continuous quality improvement (CQI) is essential for HIV and tuberculosis (TB) services. Similarly, a thorough understanding of the requirements and impact of CQI is critical to its successful institutionalisation. However, this is ... ...

    Abstract Background: Continuous quality improvement (CQI) is essential for HIV and tuberculosis (TB) services. Similarly, a thorough understanding of the requirements and impact of CQI is critical to its successful institutionalisation. However, this is currently lacking.
    Objectives: The objective of this study is to describe the CQI implementation process and examine its effect on HIV and TB service delivery at selected primary healthcare facilities in two South African districts.
    Method: We used a separate sample, pre- and post-test, quasi-experimental study design based on data collected from the clinical audit of patient cohorts seen in 2014 and 2015 respectively. Quality was measured based on the extent to which prescribed services were provided. Tailored CQI interventions were implemented based on service delivery gaps identified by the 2014 CQI audit. Data were summarised and analysed using a combination of univariate and multivariate analysis.
    Results: The services identified as low quality were related to opportunistic infections management and laboratory practices. Compliance to prescribed service items in antiretroviral treatment initiation and monitoring, pharmacy and laboratory management, exceeded 70% across study sites. Over 80% of low quality service delivery items were optimised in less than six months with targeted quality improvement support.
    Conclusion: The observed improvements signal the effectiveness of the CQI approach, its capacity to rapidly improve under-performance, its high replicability and the need to provide quality maintenance support to sustain or improve healthcare facilities performing well. The study strongly underscores the need to improve the management of opportunistic infections and complications, particularly TB.
    Language English
    Publishing date 2021-05-12
    Publishing country South Africa
    Document type Journal Article ; Review
    ZDB-ID 2259791-8
    ISSN 2078-6751 ; 2078-6751
    ISSN (online) 2078-6751
    ISSN 2078-6751
    DOI 10.4102/sajhivmed.v22i1.1202
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Considerations for an integrated population health databank in Africa: lessons from global best practices.

    Igumbor, Jude O / Bosire, Edna N / Vicente-Crespo, Marta / Igumbor, Ehimario U / Olalekan, Uthman A / Chirwa, Tobias F / Kinyanjui, Sam M / Kyobutungi, Catherine / Fonn, Sharon

    Wellcome open research

    2021  Volume 6, Page(s) 214

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2021-08-23
    Publishing country England
    Document type Journal Article
    ISSN 2398-502X
    ISSN 2398-502X
    DOI 10.12688/wellcomeopenres.17000.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Effective supervision of doctoral students in public and population health in Africa: CARTA supervisors' experiences, challenges and perceived opportunities.

    Igumbor, Jude O / Bosire, Edna N / Karimi, Florah / Katahoire, Anne / Allison, Jill / Muula, Adamson S / Peixoto, Anna / Otwombe, Kennedy / Gitau, Evelyn / Bondjers, Goran / Fonn, Sharon / Ajuwon, Ademola

    Global public health

    2020  Volume 17, Issue 4, Page(s) 496–511

    Abstract: The quality and success of postgraduate education largely rely on effective supervision. Since its inception in 2008, the Consortium for Advanced Research Training in Africa (CARTA) has been at the forefront of providing training to both students and ... ...

    Abstract The quality and success of postgraduate education largely rely on effective supervision. Since its inception in 2008, the Consortium for Advanced Research Training in Africa (CARTA) has been at the forefront of providing training to both students and supervisors in the field of public and population health. However, there are few studies on supervisors' perceptions on effective doctoral supervision. We used a mostly descriptive study design to report CARTA-affiliated doctoral supervisors' reflections and perceptions on doctoral supervision, challenges and opportunities. A total of 77 out of 160 CARTA supervisors' workshop participants responded to the evaluation. The respondents were affiliated with 10 institutions across Africa. The respondents remarked that effective supervision is a two-way process, involving both supervisor and supervisee's commitment. Some reported that the requirements for effective supervision included the calibre of the PhD students, structure of the PhD programme, access to research infrastructure and resources, supervision training, multidisciplinary exposure and support. Male supervisors have significantly higher number of self-reported PhD graduates and published articles on Scopus but no difference from the females in h-index. We note both student and systemic challenges that training institutions may pursue to improve doctoral supervision in Africa.
    MeSH term(s) Africa ; Female ; Humans ; Male ; Physicians ; Population Health ; Research Personnel/education ; Students
    Language English
    Publishing date 2020-12-22
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2234129-8
    ISSN 1744-1706 ; 1744-1692
    ISSN (online) 1744-1706
    ISSN 1744-1692
    DOI 10.1080/17441692.2020.1864752
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: CARTA fellows' scientific contribution to the African public and population Health Research agenda (2011 to 2018).

    Igumbor, Jude O / Bosire, Edna N / Basera, Tariro J / Uwizeye, Dieudonne / Fayehun, Olufunke / Wao, Hesborn / Ajuwon, Ademola / Otukpa, Emmanuel / Karimi, Florah / Conco, Daphney / Gitau, Evelyn / Fonn, Sharon

    BMC public health

    2020  Volume 20, Issue 1, Page(s) 1030

    Abstract: Background: Since its inception in 2009, the Consortium for Advanced Research Training in Africa (CARTA) program has focused on strengthening the capacity of nine African universities and four research centres to produce skilled researchers and scholars ...

    Abstract Background: Since its inception in 2009, the Consortium for Advanced Research Training in Africa (CARTA) program has focused on strengthening the capacity of nine African universities and four research centres to produce skilled researchers and scholars able to improve public and population health on the continent. This study describes the alignment between CARTA-supported doctoral topics and publications with the priorities articulated by the African public and population health research agenda.
    Methods: We reviewed the output from CARTA PhD fellows between 2011 and 2018 to establish the volume and scope of the publications, and the degree to which the research focus coincided with the SDGs, World Bank, and African Development Bank research priority areas. We identified nine key priority areas into which the topics were classified.
    Results: In total, 140 CARTA fellows published 806 articles in peer-reviewed journals over the 8 years up to 2018. All the publications considered in this paper had authors affiliated with African universities, 90% of the publications had an African university first author and 41% of the papers have CARTA fellows as the first author. The publications are available in over 6300 online versions and have been cited in over 5500 other publications. About 69% of the published papers addressed the nine African public and population health research agenda and SDG priority areas. Infectious diseases topped the list of publications (26.8%), followed by the health system and policy research (17.6%), maternal and child health (14.7%), sexual and reproductive health (14.3%).
    Conclusions: Investments by CARTA in supporting doctoral studies provides fellows with sufficient training and skills to publish their research in fields of public and population health. The number of publications is understandably uneven across Africa's public and population priority areas. Even while low in number, fellows are publishing in areas such as non-communicable disease, health financing, neglected tropical diseases and environmental health. Violence and injury is perhaps underrepresented. There is need to keep developing research capacity in partner institutions with low research output by training more PhDs in such institutions and by facilitating enabling environments for research.
    MeSH term(s) Africa ; Education, Public Health Professional/statistics & numerical data ; Fellowships and Scholarships/statistics & numerical data ; Humans ; Publishing/statistics & numerical data ; Research Personnel/education ; Universities
    Language English
    Publishing date 2020-06-29
    Publishing country England
    Document type Journal Article ; Review
    ISSN 1471-2458
    ISSN (online) 1471-2458
    DOI 10.1186/s12889-020-09147-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Qualitative assessment of facilitators and barriers to HIV programme implementation by community health workers in Mopani district, South Africa.

    Naidoo, Nireshni / Zuma, Nkosinathi / Khosa, N Sellina / Marincowitz, Gert / Railton, Jean / Matlakala, Nthabiseng / Jobson, Geoffrey A / Igumbor, Jude O / McIntyre, James A / Struthers, Helen E / Peters, Remco P H

    PloS one

    2018  Volume 13, Issue 8, Page(s) e0203081

    Abstract: South Africa has implemented a community-based HIV programme (CBHP) in its primary healthcare (PHC) re-engineering strategy that aims to improve public healthcare delivery. This CBHP is delivered by ward-based outreach teams (WBOTs); provision of ... ...

    Abstract South Africa has implemented a community-based HIV programme (CBHP) in its primary healthcare (PHC) re-engineering strategy that aims to improve public healthcare delivery. This CBHP is delivered by ward-based outreach teams (WBOTs); provision of community HIV services comprises an important component of this programme. We conducted an exploratory study to determine the facilitators and barriers to successful implementation of this CBHP in rural Mopani District, South Africa. Focus group discussions were conducted with the community health workers (CHWs) and PHC nurses; participant interviews were conducted with community members who access these health services, community leaders, and social workers. We conducted a thematic content analysis and based on the key themes reported, we identified the Consolidated Framework for Implementation Research, consisting of five domains, as the most appropriate model to interpret our findings. First, in terms of intervention characteristics, community members generally valued the HIV services provided, but the variable needs impacted on programme implementation. Outer setting challenges include inability to meet the need of patients as a result of stigma, non-disclosure of HIV status and social factors. In terms of the inner setting, CHWs were grateful for the equipment and training received but expressed the need for better support of management and the provision of additional resources. With regard to characteristics of the implementers, the CHWs expressed the desire for further training despite reporting having sufficient knowledge to conduct their HIV work. Finally, in terms of the implementation process, the importance of relationship building between CHWs and community members was emphasised. In conclusion, these data underline the positive receipt and potential of the CBHP in this rural district and identify areas to further strengthen the programme. The success and sustainability of the CBHP requires ongoing commitment of resources, training, supervision, and organisational support in order to operate effectively and efficiently.
    MeSH term(s) Attitude of Health Personnel ; Community Health Workers/education ; Community Health Workers/psychology ; Delivery of Health Care ; Disclosure ; Focus Groups ; HIV Infections/therapy ; Health Communication ; Humans ; Interviews as Topic ; Nurses/psychology ; Patient Care Team ; Primary Health Care/methods ; Qualitative Research ; Quality Improvement ; Social Stigma ; Social Workers/psychology ; South Africa
    Language English
    Publishing date 2018-08-30
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0203081
    Database MEDical Literature Analysis and Retrieval System OnLINE

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