South Africa

Moving Towards a South African NHI System of Excellence: Recommendations Based on the Insider Perspectives of CHWs as Key Role-Players

South Africa’s government is improving primary health care through a new plan supported by National Health Insurance (NHI), with Community Health Workers (CHWs) playing a key role. This article shares the views of 31 CHWs from an NHI pilot district and gives suggestions to improve the program. These include having clear team leaders, providing regular training, keeping records … [Read more...] about Moving Towards a South African NHI System of Excellence: Recommendations Based on the Insider Perspectives of CHWs as Key Role-Players

In rural KwaZulu-Natal, South Africa, most people with high blood pressure are not getting it under control. To help fix this, researchers looked at how care is currently provided in clinics and what might help or get in the way of a new community-based program (IMPACT-BP). They talked with clinic staff, community health workers (CHWs), community leaders, and patients. … [Read more...] about A formative evaluation of potential barriers and facilitators to inform effective implementation of a community-based hypertension care program in rural South Africa: The IMPACT-BP trial

This study in South Africa tested whether trained lay health workers could help find more tuberculosis (TB) cases in hospitals by doing regular screening and using better testing tools. Compared to the year before, the number of patients diagnosed with TB doubled (from 7.5% to 15%) and fewer people died in the hospital. The results show that using lay health workers for TB … [Read more...] about Enhancing tuberculosis (TB) case detection among hospitalized patients through lay health worker led screening: a before-and-after study in KwaZulu-Natal, South Africa

This study explored how mothers and caregivers felt about the Family MUAC program in South Africa, which trained them to measure their child's nutrition. Mothers appreciated the support from community health workers (CHWs), who were seen as caring and helpful. At first, measuring MUAC was challenging, but with CHW guidance, mothers became more confident. The program helped … [Read more...] about A qualitative study to explore mother’s experiences of a family MUAC project in two provinces in South Africa

This study tested short HIV training lessons sent through WhatsApp to nurses and community health workers in South Africa. Most participants read the lessons quickly, and the training improved their knowledge and how they cared for patients. Patient care improved by 21% after the training. The approach was simple, well-received, and shows promise as an easy and low-cost way to … [Read more...] about Effectiveness and uptake of WhatsApp-based HIV microlearning for healthcare workers in remote South African clinics: a pragmatic, mixed-methods, cluster-randomised trial