Journal of Public Health in Africa最新文献

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The maternal health knowledge of pregnant women attending the antenatal clinics in the Western Cape: A cross-sectional study. 在西开普省产前诊所就诊的孕妇的产妇保健知识:一项横断面研究。
IF 1.3
Journal of Public Health in Africa Pub Date : 2026-05-07 eCollection Date: 2026-01-01 DOI: 10.4102/jphia.v17i1.1535
Thabani M Noncungu, Talitha Crowley, Jennifer Chipps
{"title":"The maternal health knowledge of pregnant women attending the antenatal clinics in the Western Cape: A cross-sectional study.","authors":"Thabani M Noncungu, Talitha Crowley, Jennifer Chipps","doi":"10.4102/jphia.v17i1.1535","DOIUrl":"10.4102/jphia.v17i1.1535","url":null,"abstract":"<p><strong>Background: </strong>Maternal health knowledge enables pregnant women to access, understand and apply health information to support maternal and foetal well-being, while inadequate knowledge may impair caregiving and lead to adverse pregnancy outcomes.</p><p><strong>Aim: </strong>This study aimed to assess maternal health knowledge and identify associated factors among pregnant women attending antenatal clinics in the Western Cape.</p><p><strong>Setting: </strong>The study was conducted in three antenatal clinics in the Western Cape, South Africa.</p><p><strong>Methods: </strong>A descriptive survey was conducted from August 2022 to November 2022 among 248 pregnant women using a researcher-administered questionnaire incorporating the validated 21-item Maternal Health Literacy Inventory in Pregnancy scale. Data were analysed using Statistical Package for Social Sciences (SPSS) version 29. Descriptive statistics and the Mann-Whitney test were employed to examine the associations between demographic characteristics and maternal health knowledge.</p><p><strong>Results: </strong>Respondents demonstrated low to moderate maternal health knowledge (mean = 58.50/100, standard deviation [s.d.] = 13.79, with over half (51.2%, 95% confidence interval [CI]: 45.0-57.4) classified as having problematic levels of maternal health knowledge. The highest ratings for knowledge were for foetal well-being (mean = 3.33, s.d. = 0.65) and lowest for postnatal care (mean = 3.26, s.d. = 1.17). Higher knowledge score was significantly associated with secondary or higher education (<i>χ</i> <sup>2</sup> = 3.570, <i>p</i> < 0.001) and living with others (<i>χ</i> <sup>2</sup> = 4.568, <i>p</i> = 0.028).</p><p><strong>Conclusion: </strong>Maternal health knowledge was inadequate, highlighting the need for strengthened and targeted maternal health education, especially for less-educated women and those living alone.</p><p><strong>Contribution: </strong>The study provides evidence to guide healthcare practitioners and programme planners in improving maternal health education in antenatal clinics in the Western Cape.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1535"},"PeriodicalIF":1.3,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13247653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysing government health expenditure in Africa: Trends, determinants and policy options. 分析非洲政府卫生支出:趋势、决定因素和政策选择。
IF 1.3
Journal of Public Health in Africa Pub Date : 2026-05-06 eCollection Date: 2026-01-01 DOI: 10.4102/jphia.v17i1.1643
Kelechi J Uzor, Obinna A Oty, Chizaram K Uzor, Uchenna A Amaechi
{"title":"Analysing government health expenditure in Africa: Trends, determinants and policy options.","authors":"Kelechi J Uzor, Obinna A Oty, Chizaram K Uzor, Uchenna A Amaechi","doi":"10.4102/jphia.v17i1.1643","DOIUrl":"10.4102/jphia.v17i1.1643","url":null,"abstract":"<p><strong>Background: </strong>In April 2001, African Union (AU) Heads of State adopted the Abuja Declaration, pledging to allocate at least 15% of government expenditure to health. More than two decades later, many African health systems remain underfunded, with external aid increasingly unsustainable as official development assistance declines.</p><p><strong>Aim: </strong>This article examines progress towards the Abuja target, the role of political economy in shaping government health expenditure (GHE), and policy options for sustainable domestic financing.</p><p><strong>Setting: </strong>The authors examined the Global Health Expenditure across 53 AU Member States.</p><p><strong>Methods: </strong>The authors analysed the Global Health Expenditure Database on GHE as a proportion of total government expenditure between 2000 and 2022. Additional political economy analysis explored the governance and economic correlates of GHE.</p><p><strong>Results: </strong>Mean GHE in Africa has stalled, rising only 0.5% points since 2001. In 2022, only South Africa met the 15% Abuja benchmark, with seven countries allocating 10% - 14.9% and 45 countries allocating less than 10%. Compared to slightly better off countries, low-income countries such as Rwanda and Mozambique allocated a larger proportion of their government expenditure to health, indicating the importance of political will.</p><p><strong>Conclusion: </strong>Progress toward the Abuja target has been slow and uneven, highlighting the need for a multi-pronged approach to expand fiscal space for health, anchored in strong regional governance and accountability frameworks. Strengthening these foundations will be critical to building resilient health systems, reducing reliance on external aid, and accelerating progress toward universal health coverage in Africa.</p><p><strong>Contribution: </strong>This study advances existing research by demonstrating that political commitment and institutional factors, rather than gross domestic product per capita alone, are key determinants of health spending priorities, thereby challenging the prevailing assumption in the health financing literature that fiscal capacity is the primary driver of health budget prioritisation.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1643"},"PeriodicalIF":1.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13247669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Healthcare providers perspectives on opportunities and challenges for adopting comprehensive primary healthcare-seeking behaviour in selected districts in Tanzania. 保健提供者对坦桑尼亚选定地区采用综合初级保健寻求行为的机遇和挑战的看法。
IF 1.3
Journal of Public Health in Africa Pub Date : 2026-05-05 eCollection Date: 2026-01-01 DOI: 10.4102/jphia.v17i1.1573
Alphoncina Kagaigai, Pankras Luoga, Novatus Tesha, Malale Tungu, Godfrey Swai, Mangi Ezekiel, Nathanael Sirili, Amani Anaeli
{"title":"Healthcare providers perspectives on opportunities and challenges for adopting comprehensive primary healthcare-seeking behaviour in selected districts in Tanzania.","authors":"Alphoncina Kagaigai, Pankras Luoga, Novatus Tesha, Malale Tungu, Godfrey Swai, Mangi Ezekiel, Nathanael Sirili, Amani Anaeli","doi":"10.4102/jphia.v17i1.1573","DOIUrl":"10.4102/jphia.v17i1.1573","url":null,"abstract":"<p><strong>Background: </strong>Comprehensive primary healthcare (PHC) can address over 80% of global health needs across a lifetime. Adopting health-seeking behaviour (HSB) within PHC frameworks is critical for achieving Universal Health Coverage (UHC) and Resilient and Sustainable Systems for Health (RSSH) by 2030.</p><p><strong>Aim: </strong>Evidence on the adaptation of comprehensive PHC-HSB in Tanzania remains limited. This study explored opportunities and challenges for adopting comprehensive primary healthcare-seeking behaviour (PHC-HSB) in two districts of Tanzania.</p><p><strong>Setting: </strong>This study was conducted in two district councils (DCs) in Tanzania (Iringa and Sumbawanga DCs) selected based on the population served by skilled healthcare workers (HCWs).</p><p><strong>Methods: </strong>An exploratory qualitative case study design was employed, using in-depth interviews (IDIs) with HCWs and community health workers (CHWs). Data were analysed thematically using NVivo software.</p><p><strong>Results: </strong>The study found that key opportunities for adopting comprehensive HSB include the existence of exemptions and waiver, presence of special clinics, benefits of early seeking behaviour, availability of outreach services, community's interest in health issues, presence of CHWs and health education provided at the household level.</p><p><strong>Conclusion: </strong>The challenges mentioned were frequent stockout of drugs, overburdened health facilities (HFs) because of large catchment areas, cultural and behavioural barriers to timely health-seeking, unreliable and inadequate transport systems, poor continuity of preventive health-seeking after campaigns, and low health insurance coverage.</p><p><strong>Contribution: </strong>Adopting comprehensive HSB in Tanzania is feasible but requires government efforts to strengthen infrastructure, drug supply chains and community education.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1573"},"PeriodicalIF":1.3,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13247661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health-seeking behaviour of rural women regarding cervical cancer prevention in Namibia: A qualitative study. 纳米比亚农村妇女在预防宫颈癌方面的求医行为:一项定性研究。
IF 1.3
Journal of Public Health in Africa Pub Date : 2026-04-29 eCollection Date: 2026-01-01 DOI: 10.4102/jphia.v17i1.1632
Elizabeth K Ndakukamo, Roswitha Mahalie, Panduleni Hailonga-Van Dijk
{"title":"Health-seeking behaviour of rural women regarding cervical cancer prevention in Namibia: A qualitative study.","authors":"Elizabeth K Ndakukamo, Roswitha Mahalie, Panduleni Hailonga-Van Dijk","doi":"10.4102/jphia.v17i1.1632","DOIUrl":"10.4102/jphia.v17i1.1632","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer preventative services exist in Namibia; however, these services are not easily accessible to women living in rural areas, which leads to late presentation for cervical screening and preventable morbidity as well as mortality. Understanding the sociocultural and systemic impediments to health-seeking behaviour is imperative for designing responsive interventions.</p><p><strong>Aim: </strong>To explore the perceptions, experiences and health-seeking behaviour of rural women in Namibia regarding cervical cancer prevention.</p><p><strong>Setting: </strong>Six rural constituencies in the Ohangwena and Kavango West regions of Namibia were covered in the study.</p><p><strong>Methods: </strong>An exploratory, descriptive qualitative design was employed. Moreover, data were collected through five focus group discussions with 40 women aged 20-65 years, selected purposively. Discussions were audio-recorded, transcribed, translated into English and analysed thematically using ATLAS.ti 23.</p><p><strong>Results: </strong>Six themes emerged: (1) low awareness and misinformation about cervical cancer; (2) structural impediments, including extended distances; (3) transport costs as well as overcrowding of health facilities; (4) negative healthcare experiences, including poor communication; (5) lack of confidentiality; and (6) cultural norms limiting open dialogue and autonomy. Motivators for screening included encouragement from health workers, self-motivation and perceived risk.</p><p><strong>Conclusion: </strong>Sociocultural and systemic impediments significantly influence rural women's engagement in cervical cancer prevention activities.</p><p><strong>Contribution: </strong>This study provides context-specific insights into the health-seeking behaviour of rural women in Namibia, informing policy and practice for more equitable cervical cancer prevention.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1632"},"PeriodicalIF":1.3,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Publication disparities in gender-transformative sexual and reproductive health in West Africa. 西非性别变革性和生殖健康方面的出版物差异。
IF 1.3
Journal of Public Health in Africa Pub Date : 2026-04-29 eCollection Date: 2026-01-01 DOI: 10.4102/jphia.v17i1.1717
Mat Lowe, Kéfilath Bello, Bernice Gyawu, John K Krugu, Aminatou I Assoumane, Ngianga B Kandala, Nathalie Sawadogo
{"title":"Publication disparities in gender-transformative sexual and reproductive health in West Africa.","authors":"Mat Lowe, Kéfilath Bello, Bernice Gyawu, John K Krugu, Aminatou I Assoumane, Ngianga B Kandala, Nathalie Sawadogo","doi":"10.4102/jphia.v17i1.1717","DOIUrl":"10.4102/jphia.v17i1.1717","url":null,"abstract":"<p><p>This opinion paper is informed by a scoping review and validated through a multi-stakeholder workshop. In May 2024, the Gender Transformation for Africa, an African-led research partnership that includes programme implementers and researchers who are working on gender-transformative research projects to advance sexual and reproductive health (SRH) in Africa, convened a 3-day workshop in Cape Town, South Africa. The aim of the workshop was to validate a scoping review conducted by the School of Public Health at the University of the Western Cape. The scoping review aimed to examine patterns of leadership in authorship of gender-transformative SRH research and programming across Africa and focused on authorship, funding and geographic context. This review revealed significant regional disparities in the publication of gender-transformative SRH literature across Africa. Compared with the Southern and Eastern Africa regions, the West Africa region has the smallest representation of authorship, with only five articles, none of which are from Francophone West Africa. Some of the underlying factors behind the disparities in the publication of gender-transformative SRH research in West Africa are discussed in this opinion paper, and ways to address the reported imbalances are suggested. This article draws on the discussions and perspectives shared by the workshop participants, along with insights from the literature and other West African researchers.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1717"},"PeriodicalIF":1.3,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reshaping global health architecture: African health sovereignty as the foundation of global health equity and security. 重塑全球卫生架构:非洲卫生主权是全球卫生公平和安全的基础。
IF 1.3
Journal of Public Health in Africa Pub Date : 2026-04-24 eCollection Date: 2026-01-01 DOI: 10.4102/jphia.v17i1.1976
Jean Kaseya, Nebiyu Dereje, Djoudalbaye Benjamin, Marta M Terefe, Bethlehem Arega, Raji Tajudeen, Mosoka P Fallah, Yap Boum, Claudes Kamenga, Shanelle Hall, Ngashi Ngongo
{"title":"Reshaping global health architecture: African health sovereignty as the foundation of global health equity and security.","authors":"Jean Kaseya, Nebiyu Dereje, Djoudalbaye Benjamin, Marta M Terefe, Bethlehem Arega, Raji Tajudeen, Mosoka P Fallah, Yap Boum, Claudes Kamenga, Shanelle Hall, Ngashi Ngongo","doi":"10.4102/jphia.v17i1.1976","DOIUrl":"10.4102/jphia.v17i1.1976","url":null,"abstract":"","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1976"},"PeriodicalIF":1.3,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Decomposing low birth weight inequality in Lesotho: A distributional analysis using hybrid Fairlie and recentred influence function methods on multiple indicator cluster survey 2018. 莱索托低出生体重不平等分解:2018年多指标聚类调查的混合Fairlie和新中心影响函数分布分析
IF 1.3
Journal of Public Health in Africa Pub Date : 2026-04-23 eCollection Date: 2026-01-01 DOI: 10.4102/jphia.v17i1.1603
Topollo E Motlamelle, Ratjomose P Machema
{"title":"Decomposing low birth weight inequality in Lesotho: A distributional analysis using hybrid Fairlie and recentred influence function methods on multiple indicator cluster survey 2018.","authors":"Topollo E Motlamelle, Ratjomose P Machema","doi":"10.4102/jphia.v17i1.1603","DOIUrl":"10.4102/jphia.v17i1.1603","url":null,"abstract":"<p><strong>Background: </strong>Low birth weight (LBW) is a major public health concern in Lesotho, linked to higher infant mortality, long-term morbidity and intergenerational poverty. Despite expanded maternal and child health services, socio-economic disparities in birth outcomes persist.</p><p><strong>Aim: </strong>This study investigates the drivers of LBW inequality, quantifying and decomposing socio-economic and geographic disparities to inform equity-oriented health policy.</p><p><strong>Setting: </strong>The study used nationally representative data from the 2018 Lesotho Multiple Indicator Cluster Survey, covering all 10 districts.</p><p><strong>Methods: </strong>A hybrid econometric framework was applied. Low birth weight inequality was first assessed by using the Concentration Index (CI), Erreygers Index (EI) and Wagstaff Index (WI). Fairlie decomposition was then used to compare LBW probabilities between poor vs. rich and rural vs. urban households. Finally, recentred influence function regressions examined the distributional impact of maternal and household factors across the 28th, 50th and 75th birth weight percentiles.</p><p><strong>Results: </strong>Maternal education, antenatal care (ANC) attendance, maternal disability and digital connectivity were key determinants of LBW, with effects varying across the birth weight distribution. Only 20.5% of the poor-rich LBW gap was explained by observable characteristics, primarily education and ANC. Recentred influence function regressions revealed stronger protective effects of education and ANC at lower percentiles, while maternal disability and Internet access were more relevant at higher percentiles.</p><p><strong>Conclusion: </strong>LBW in Lesotho reflects both structural barriers and compositional disadvantages. Addressing these requires equity-focused, distribution-sensitive maternal health interventions.</p><p><strong>Contribution: </strong>This study provides evidence-based insights to inform targeted policies to reduce LBW among vulnerable populations.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1603"},"PeriodicalIF":1.3,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surveillance de la rougeole en Côte d’Ivoire de 2010 à 2022: Épidémiologie – Facteurs associés – Recommandations. 2010 - 2022年科特迪瓦麻疹监测:流行病学-相关因素-建议。
IF 1.3
Journal of Public Health in Africa Pub Date : 2026-04-16 eCollection Date: 2026-01-01 DOI: 10.4102/jphia.v17i1.1743
Kouadio D Ekra, Calixte H H Guehi, Guillaume Okoubo, Éric M Ahoussou
{"title":"Surveillance de la rougeole en Côte d’Ivoire de 2010 à 2022: Épidémiologie – Facteurs associés – Recommandations.","authors":"Kouadio D Ekra, Calixte H H Guehi, Guillaume Okoubo, Éric M Ahoussou","doi":"10.4102/jphia.v17i1.1743","DOIUrl":"10.4102/jphia.v17i1.1743","url":null,"abstract":"","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1743"},"PeriodicalIF":1.3,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strengthening uptake of adolescent-friendly health services in Blantyre, Malawi. 在马拉维布兰太尔加强对青少年友好的保健服务。
IF 1.3
Journal of Public Health in Africa Pub Date : 2026-04-15 eCollection Date: 2026-01-01 DOI: 10.4102/jphia.v17i1.1613
Grace C Sibande, Rakgadi G Malapela
{"title":"Strengthening uptake of adolescent-friendly health services in Blantyre, Malawi.","authors":"Grace C Sibande, Rakgadi G Malapela","doi":"10.4102/jphia.v17i1.1613","DOIUrl":"10.4102/jphia.v17i1.1613","url":null,"abstract":"<p><strong>Background: </strong>Adolescent-friendly health services (AFHSs) remain underutilised across the sub-Saharan African region. Identifying strategies is crucial to enhancing uptake and mitigating impact.</p><p><strong>Aim: </strong>To explore factors influencing the uptake of AFHSs, identify key barriers and develop strategies to enhance their utilisation.</p><p><strong>Setting: </strong>The research was conducted at four selected health facilities within Blantyre District, Malawi.</p><p><strong>Methods: </strong>An explanatory sequential mixed-methods design was employed. In the first phase, a quantitative survey was administered to a randomly selected sample of 293 adolescents using a multistage sampling approach. Data were analysed using Statistical Package for Social Sciences (SPSS) version 26, employing Chi-square tests (<i>p</i> < 0.05) to assess associations between variables and regression analysis to determine the influence of independent variables on service uptake. In the second phase, qualitative data were collected through individual interviews with six healthcare providers and three focus group discussions involving 24 adolescents. Thematic analysis was used to analyse qualitative data.</p><p><strong>Results: </strong>Findings revealed a low uptake of AFHSs at 43%. Factors influencing the low uptake included limited awareness of AFHSs, absence of designated adolescent spaces, negative provider attitudes, lack of recreational activities, frequent stock-outs of medical supplies and service preference patterns amongst adolescents. Based on these findings, nine context-specific strategies were developed to enhance access and uptake of AFHSs.</p><p><strong>Conclusion: </strong>The proposed strategies have the potential to improve the uptake of AFHSs and, consequently, increase contraceptive use amongst adolescents.</p><p><strong>Contribution: </strong>This study highlights critical barriers to the uptake of AFHSs and provides targeted strategies to address them.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1613"},"PeriodicalIF":1.3,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managers perspectives on the implementation of the Prevention of Mother-to-Child Transmission policy in South Africa. 管理人员对南非实施预防母婴传播政策的看法。
IF 1.3
Journal of Public Health in Africa Pub Date : 2026-04-09 eCollection Date: 2026-01-01 DOI: 10.4102/jphia.v17i1.1551
Hermina Dyeshana, Sibusiso Zuma
{"title":"Managers perspectives on the implementation of the Prevention of Mother-to-Child Transmission policy in South Africa.","authors":"Hermina Dyeshana, Sibusiso Zuma","doi":"10.4102/jphia.v17i1.1551","DOIUrl":"10.4102/jphia.v17i1.1551","url":null,"abstract":"<p><strong>Background: </strong>Despite significant progress in South Africa in reducing mother-to-child transmission of human immunodeficiency virus (HIV) infection, challenges remain. This is evident by the incidence and prevalence of HIV in pregnancy and transmission during breastfeeding. This study is aimed at ascertaining the perceptions of prevention of mother-to-child transmission (PMTCT) managers regarding the challenges experienced during the implementation of the PMTCT policy at public health service delivery platforms across all provinces of South Africa.</p><p><strong>Aim: </strong>To examine the perceptions and views of PMTCT managers regarding the challenges experienced during implementation of the policy.</p><p><strong>Setting: </strong>The study was conducted in all nine provinces of South Africa.</p><p><strong>Methods: </strong>An exploratory-qualitative descriptive research design was utilised. The study population was the PMTCT managers. Data were collected from a sample of 11 PMTCT managers, seven at the provincial level, three at the district level, and one at the national level, using in-depth semi-structured interviews from April 2021 to July 2022. The participants were purposefully selected based on their expertise and experiences related to the study topic.</p><p><strong>Results: </strong>The participants shared the views, experiences and challenges encountered during the PMTCT policy implementation. Four themes were generated: policy design and change management, system and service delivery constraints, provider-level determinants and client-level determinants. It is imperative that recommendations shared be implemented to support the full implementation of the PMTCT policy, enabling the country to achieve the elimination of mother-to-child transmission by 2030 and an HIV-free generation.</p><p><strong>Conclusion: </strong>The article confirmed that the Prevention of Mother-to-Child Transmission policy is partially implemented in South Africa which may derail the country to achieve eMTCT by 2030.</p><p><strong>Contribution: </strong>The article propose guidelines towards full implementation of the Prevention of Mother-to-Child Transmission policy across all service delivery platforms across South Africa.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1551"},"PeriodicalIF":1.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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