Abstract Introduction Methodology Results Conclusion Acknowledgements References About the Author(s) Winnie T. Maphumulo Department of Humanities and Health Sciences, University of KwaZulu-Natal, Durban, South Africa Busisiwe R. Bhengu Department of Humanities and Health Sciences, University of KwaZulu-Natal, Durban, South Africa Citation Maphumulo, W.T. & Bhengu, B.R., 2019, ‘Challenges of quality improvement in the healthcare of South Africa post-apartheid: A critical review’, Curationis 42(1), a1901. https://doi.org/10.4102/curationis.v42i1.1901

Original Research Challenges of quality improvement in the healthcare of South Africa post-apartheid: A critical review Winnie T. Maphumulo, Busisiwe R. Bhengu Received: 15 Jan. 2018; Accepted: 31 Oct. 2018; Published: 29 May 2019 Copyright: © 2019. The Author(s). Licensee: AOSIS. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: There is overwhelming evidence that the quality of health care in South Africa has been compromised by various challenges that impact negatively on healthcare quality. Improvement in quality care means fewer errors, reduced delays in care delivery, improvement in efficiency, increased market share and lower cost. Decline in quality health care has caused the public to lose trust in the healthcare system in South Africa. Objectives: The purpose of this study was to identify challenges that are being incurred in practice that compromise quality in the healthcare sector, including strategies employed by government to improve the quality of health delivery. Method: Literature search included the following computer-assisted databases and bibliographies: Medline (Medical Literature Online), EBSCOhost, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Google, Google Scholar and ScienceDirect. Furthermore, websites were used to source policy documents of organisations such as the National Department of Health in South Africa and the World Health Organization. Results: Seventy-four articles were selected from 1366 retrieved. These articles quantify problems facing quality care delivery and strategies used to improve the healthcare system in South Africa. Conclusion: The findings revealed that there were many quality improvement programmes that had been initiated, adapted, modified and then tested but did not produce the required level of quality service delivery as desired. As a result, the Government of South Africa has a challenge to ensure that implementation of National Core Standards will deliver the desired health outcomes, because achieving a lasting quality improvement system in health care seems to be an arduous challenge. Keywords: challenges in healthcare; healthcare system; lack of resources; quality service delivery; South Africa. Introduction Delivery of quality health care is a constitutional obligation in South Africa (Stuckler, Basu & Mckee 2011:165). Government has therefore introduced numerous developments and programmes to improve health care, efficiency, safety and quality of delivery and access for all users (Mogashoa & Pelser 2014:142), and there have been major changes in health policy and legislation to ensure compliance in delivering quality care (Moyakhe 2014:80). Despite a number of commendable goals having been set by government for improved quality of service delivery in healthcare settings, reports by media and communities in 2009 revealed that services in public health institutions were nonetheless failing to meet basic standards of care and patient expectations (National Department of Health 2012:4). This has caused the public to lose trust in the healthcare system (Zubane 2011:1). Koelble and Siddle (2014:1118) describe the healthcare system in South Africa as ruined and in serious need of repair. Many of problems in the South African healthcare system can be traced back to the apartheid period (1948–1993) in which the healthcare system was highly fragmented, with discriminatory effect, between four different racial groups (black, mixed race, Indian and white) (Baker 2010:79). To worsen the situation, the apartheid government developed 10 Bantustans (the so-called ethnic homelands) into which Africans were unwillingly segregated, and each of which had their own departments of health with their professional bodies (Baker 2010:80). This led to deterioration in health system delivery because of lack of resources, and poor communities were especially affected (Chassin & Loeb 2013:462). Huge efforts have been made to improve the quality of healthcare delivery in South Africa since 1994 elections, but several issues have been raised by the public regarding public institutions. Among the many, the following seven issues are discussed in this article: prolonged waiting time because of shortage of human resources, adverse events, poor hygiene and poor infection control measures, increased litigation because of avoidable errors, shortage of resources in medicine and equipment and poor record-keeping. Prolonged waiting time because of shortage of human resources A major weakness in sub-Saharan African health systems is inadequate human resources. Africa is said to have less than one health worker per 1000 population compared to 10 per 1000 in Europe (Fonn, Ray & Blaauw 2011:658). Barron and Padarath (2017:4) noted that health problems in South Africa are worsened by unequal distribution of health professionals between the private and public sectors, coupled with unequal distribution of public sector health professionals among the provinces. In a study conducted by Tana (2013:82), participants affirmed the insufficiency and inadequacy of health workers which they described as leading to physical and mental exhaustion, and in some cases to further deterioration of their medical condition. Adverse events Other incidents reported were patients who developed complications, and in some cases died, because they were turned away from the public healthcare facility or denied access to healthcare service. The Sunday Tribune (08 March 2015:2) reported on the family of a 35-year-old woman that blamed tertiary hospital staff in KwaZulu-Natal for her death after she was allegedly turned away from the hospital despite being gravely ill. Kama (2017:2) reported the case of a 1-year-old baby who died on his grandmother’s back after they were turned away from three different healthcare facilities in one of the townships in Cape Town. In another incident in the same township, a teenager gave birth on the pavement outside the gates of a health facility because she was not allowed access (Kama 2017:2) Poor hygiene and poor infection control measures According to Young (2016:20), public healthcare facilities exhibit numerous shortcomings such as long waiting times, poor-quality healthcare delivery, old and poorly maintained infrastructure, and poor disease control and prevention practices. According to Dunjwa (2016:1) and the South African Medical Association (2015:36), most facilities had problems such as poor waste management, lack of cleanliness and poor maintenance of grounds and equipment. In a study by Nevhutalu (2016:138), patients and staff confirmed that some departments had an unacceptable physical environment (e.g. dirty toilets) for delivery of quality health care. Increased litigation because of avoidable errors There has been a proliferation of medical negligence litigation against the Department of Health, leading to large payouts which have put further strain on the health budget. At a medico-legal summit in Pretoria (09–10 March 2015), Health Minister Dr Aaron Motsoaledi described these claims as reaching ‘crisis’ level: ‘The nature of the crisis is that our country is experiencing a very sharp increase – actually an explosion in medical malpractice litigation – which is not in keeping with generally known trends of negligence or malpractice’ (Kollapen et al. 2017:3). In a report indicating medico-legal claims paid by government in each province in South Africa (presented at the summit by the acting Chief Litigation Officer of the Department of Justice and Constitutional Development), the total amount paid out for litigation in 2015 was R498 964 916.72; the Department of Health in KwaZulu-Natal led with total claims paid amounting to R153 612 355.49 and with over 5 billion rand in pending claims against the province (Kollapen et al. 2017:16). The South Africa Nursing Council likewise reported a rise in misconduct cases against nurses, which indicates that the rights of both patients and families were violated (National Department of Health 2013:38). Kukreja, Dodwad and Kukreja (2012:11) further verified the incidence of malpractice litigation claims involving the nursing community, although there have not as yet been any scientific studies conducted in South Africa concerning the nursing community. Shortage of resources in medicine and equipment TimesLIVE (14 June 2018) reported concerns raised by some members of the public regarding the shortage of equipment in hospitals that leads to fatal delays in urgent surgery. Work backlog causes extended delay for some patients awaiting treatment, such as cancer patients who are affected by the lack of oncology doctors and of equipment, and long waiting lists for surgery or diagnosis, also because of the lack of equipment. According to the report, the long waiting times for medical intervention potentially exposed patients to development of complications or even loss of life; public hospitals, in the words of the report, have become ‘a death-trap for the poor’ (TimesLIVE 2018:5). A study by Mokoena (2017:67) revealed about the lack of material resources, equipment and supplies (e.g. glucometers for monitoring blood glucose and needles for lumbar puncture in investigating or diagnosing meningitis), resulting in prolonged patient stay in the hospital. Participants also mentioned that the scan machine was not in proper condition, and that patients were therefore referred to other hospitals for investigations or they had to wait until the machine was fixed, resulting in delayed diagnosis and treatment (Mokoena 2017). Manyisa and Van Aswegen (2017:36) reported that the lack of administrative equipment and skilled professionals adversely affects the quality of care offered in health institutions. Poor record-keeping Kama (2017:80) points out that poor record-keeping causes unnecessary delays for patients. Sometimes, patients’ folders are missing or lost, and instead of healthcare workers explaining this to the patient, they simply let the patient wait (Kama 2017:80). In worst scenarios, the medical history of the patient is lost, which can create further complications leading to incorrect diagnosis and in some cases death of the patient (Kama 2017:80). As reported by the Mercury (09 April 2015), the Pietermaritzburg High Court ordered a district hospital in KwaZulu-Natal to hand over medical records to the patient’s attorney in a case where the patient had in July 2006 delivered twins in the hospital, allegedly losing one of the twins while the surviving twin suffered from cerebral palsy because of hospital neglect (Regchand 2015:2). The objective of this study was to highlight the challenges that are being incurred in practice that compromise quality in the healthcare sector, including strategies employed by government to improve the quality of health delivery. Methodology Articles from 1996 to 2018 were identified from the following online databases: Medline (Medical Literature Online), Ebsco Host, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Google, Google Scholar and ScienceDirect. A comprehensive search was performed to identify 74 articles out of 1366 articles, which account for problems facing quality care delivery and the health care system in South Africa. Quantitative and qualitative publications were considered for inclusion in the study. The inclusion and exclusion criteria (see Table 1) were applied in the process of data search to acquire the chosen articles. Figure 1 describes data collection process and applied inclusion criteria. FIGURE 1: Flow diagram of data collection process and applied inclusion criteria. TABLE 1: Inclusion and exclusion criteria. On reaching consensus about the relevant articles, an annotated bibliography was developed. The annotated bibliography involved summarising and interpreting the articles in the authors’ own words (paraphrasing) for each reference. Common themes of the research topic were extrapolated from the annotations, and the literature was then organised according to these themes and subthemes. The themes were rearranged in chronological order according to the logic of the subject. More intense reading of the articles followed, which culminated in the integration of the emergent themes according to the coherence of the various segments of the literature. Elimination of some initially included articles, and addition of some others, reoccurred at this stage, and some themes were reorganised to fit the logic of the article. The literature review was then written in relation to each thematic section, using the draft annotations and grouping-related articles either as supporting or as contradicting references. References were cited to support the evidence wherever it was necessary (www.drjayeshpatidar.blogspot.com, retrieved on 27 July 2018). Results Challenges facing the healthcare system in South Africa Although South Africa is well known for having a progressive constitution with strong protection of human rights and of the rights of all its citizens to access quality healthcare delivery (Republic of South Africa 1996:13), challenges in delivery of quality health care still exist. Challenges facing the healthcare system in South Africa that are covered in this article are as follows: unequal distribution of resources, management and leadership crisis, increased disease burden, pull and push factors and slow progress in restructuring the healthcare system, including strategies adopted by government to improve the quality of healthcare delivery. Unequal distribution of resources Presently, of the estimated population of 55.5 million (National Department of Health 2016), about 84% of South Africans depend on the public health sector for their healthcare needs (Naidoo 2012:149). Only 16% of South Africans belong to medical aid schemes, and they are attended to by the private sector (Naidoo 2012:149). The Ten Point Plan developed by the National Department of Health (2010–2013) estimated the cost of insured people in the private sector to be 20%, set against 80% for uninsured South Africans in the public sector (National Department of Health 2014:8). The 16% who belong to medical aid schemes consume over 50% of the total healthcare expenditure (National Department of Health 2014:8), while the remaining 84% of the population depend on the under-resourced public sector. In addition, the Department of Health reports that about 80% of medical specialists in South Africa serve the same 16% population in the private sector. However, ECONEX (2013:1) denied that the private sector had more resources serving less population in comparison with the public sector. Some people access the private sector through out-of-pocket expenditure because of the increased demand for quality healthcare services – a need which the public sector is seemingly unable to meet. Another argument is that 63% of general practitioners are working in the public sector, whereas 59% of specialists work in the private sector, some of whom also work part time in the public sector (ECONEX 2013:2). Lastly, according to ECONEX, data revealed that about 62% of nurses employed in the public sector also moonlight in the private sector (ECONEX 2013:2). Unequal distribution of resources in the healthcare system is also caused by rapid urbanisation in South Africa, estimated currently at 62% of the total population (Turok 2012:8). With health facilities in urban areas having been designed and built to cater for an existing total population (Kon & Lackan 2008:2272; Oladipo 2014:324), the sudden influx of people into cities forces health facilities to function beyond capacity. This has led to overcrowding, and, in turn, to lack of resources and added strain on an already overtaxed healthcare system, because in South Africa, it is unconstitutional to deny anyone access to basic healthcare services, even undocumented immigrants (Mokoele 2012:56). Shortage of healthcare workers, caused by inadequate production, inadequate recruitment (especially in rural areas), poor retention and staff mismanagement, is a worldwide problem (Veld & Van De Voorde 2014:856). Although health professions in South Africa during the apartheid years were strongly developed through establishment of training centres, serious workforce shortages are recently being experienced (Van Rensburg 2014:3), because of unequal distribution of healthcare workers between the well-resourced private sector and the poorly resourced public sector, and between urban and rural areas (Van Rensburg 2014:3). Shortage of staff is mostly felt at the nursing level because nurses are in the front line of service delivery in health care (Coovadia et al. 2009:821; Voget 2017:16). South Africa’s healthcare system is mainly nurse-based, as acknowledged by the Minister of Health at the 2011 Pretoria National Nursing Summit (05–07 April) in his recognition of the essential role of nurses in achieving ‘A long and a healthy life for all South Africans’ (National Department of Health 2013:8). A study by Pretorius and Klopper (2012:66), reviewing the workforce profile in critical care, found that in public hospitals and private hospitals in South Africa, respectively, only 72% and 80% of the required nursing staff positions were filled. The health facilities in urban areas were designed and built to cater for a certain number of people. The sudden influx of people into cities forces health facilities to function beyond their intended capacity. This leads to inadequate staffing and overcrowding, which in turn cause a drop in the quality of healthcare delivery in urban hospitals (Kamndaya et al. 2014:581). In addition to patient influx and a quadruple burden of diseases on the South African health system (Ngomane 2010:26), South Africa is also experiencing a particularly debilitating shortage of professionals and skilled people in the public sector compared to the private sector (Heywood 2014:8). Also exacerbating the shortage of human resources in South Africa has been the closure of many nursing colleges in the late 1990s and an exodus of professionals to work for better income either overseas or in the private sector. Job dissatisfaction also leads to loss of healthcare workers (Heywood 2014:8). Pull and push factors A number of ‘pull and push factors’ have been at play in migration and urbanisation in South Africa (Maharaj 2004:6). The period immediately after the demise of apartheid in 1994 was characterised by an influx of people into cities in reaction to the fall of ‘pass laws’ of apartheid, which controlled the movement of people (Ngomane 2010:11). In addition, South Africa, as a developing country, has been attracting increasing numbers of (often unregistered) immigrants crossing the porous borders for a range of political and economic reasons (Mokoele 2012:17–18). Statistics suggest that there are between half and one million undocumented migrants in South Africa (Baker 2010:81). Management and leadership crisis Health outcome reports in South Africa indicate a complete failure in public sector healthcare delivery, with outcomes worse than that of some lower income countries (Centre for Development and Enterprise 2011:45, Pillay-van Wyk et al. 2016:e642), caused by poor leadership and inadequate management, and reflected in a lack of vision, lack of clear philosophy and poor goal setting (Carney 2009:34; Pillay-van Wyk et al. 2016:e642). Leadership crises can be traced back to the early days of democracy, following the implementation of government policies to improve living conditions in poor households (Franks 2014:7). One of the tasks of the democratic government was to transform the public service by removing all discriminatory practices and policies in the employment line through implementation of the 1997 Employment Equity Bill (Burger & Jafta 2010:4). The purpose of the public affirmative action policies was to improve the aptitudes of the historically underprivileged (Burger & Jafta 2010:4). Affirmative action policy resulted in loss of institutional memory, and many problems in the healthcare system are associated with the placement of inexperienced managers in senior positions (Coovadia et al. 2009:830; Adejumo & Archibong 2013:2). The affirmative action in South Africa is reported to have led to poor-quality service delivery because it was characterised by nepotism and affiliation rather than skills and merit (Twala 2014:62). Poor service delivery is also exacerbated by tolerance of misconduct, lack of performance management and monitoring strategies that led to many employees ignoring the law (Siddle 2011:6). A study by Kilonzo and Ikamari (2015:124) concluded, however, that affirmative action opportunities had positive impact on the quality of service delivery and that proper application of affirmative action programmes leads to improvement in the quality of service delivery in public institutions. In South Africa, most managers are promoted to senior positions because of their length of service in the institution, not because of their skill, and they often apply for promotion because it goes with an increase in salary (Pillay 2010:33). This widens the gap between management team and clinical outcomes (Pillay 2010:33). Lack of accountability, coupled with corruption and misconduct among Department of Health officials (Siddle 2011:6), has also caused the government to fail in fulfilling its constitutional mandate to deliver quality health care. This supports Managa’s (2012:4) findings that the key obstacles in the performance at local government level in South Africa are problems with institutional capacity, high levels of corruption and financial mismanagement and a lack of public participation. A contrary opinion by Baker (2010:81) contends that the crisis in the healthcare system is more than simply a reflection of corruption and poor domestic governance, and that blame ultimately rests on the structures of apartheid; however, irrespective of the cause, the quality of health care still suffers. Increased disease burden Like every developing country, South Africa faces high burden of disease and seems to be failing to combat it (Kahn 2011:30). The impact of HIV and AIDS in Africa, and in sub-Saharan Africa particularly, has devastated healthcare systems to the extent that they are unable to cope with the demands of high-quality delivery (Naidoo 2012:149). Multiple deficiencies and inadequacies caused by fragmentation of the healthcare system, coupled with racial and socio-economic issues, have led to further proliferation of diseases in South Africa, including HIV and AIDS (Van Rensburg 2014:15). South Africa currently faces a multiple burden of disease, with the HIV and AIDS epidemic coinciding with high burden of tuberculosis, high maternal and child mortality, high levels of violence and injuries and a growing burden of non-communicable diseases (e.g. cardiovascular diseases, diabetes, chronic respiratory conditions and cancer) (Mayosi et al. 2012:2030; Pillay-van Wyk et al. 2016:e644). Another major cause of morbidity and mortality in the public sector in South Africa is healthcare-associated infections (HAIs) (Dramowski & Whitelaw 2017:192). Approximately one in seven patients entering South African hospitals is at risk of acquiring an HAI because of poor infection prevention and control measures, such as poor waste management and poor handwashing techniques (Dramowski & Whitelaw 2017:193). Other causes of HAI include overcrowding in hospitals, high patient-to-staff ratios, lack of isolation facilities, ageing infrastructure, inadequate environmental cleaning, inter-hospital transfer of patients with drug-resistant infections and inadequate disinfection of medical equipment (Dramowski & Whitelaw 2017:194). Effects of HAIs include lengthened hospital stay, increase in health care cost for already limited financial resources and in some cases death of patients (Dramowski & Whitelaw 2017:193). Slow progress in restructuring the healthcare system Although in the democratic era, equity is at the top of the South African government’s agenda, little has been done to re-allocate resources from private to public health sector (Heywood 2014:8), which has resulted in delays in the implementation of the National Health Insurance (NHI) policy (Toyana & Auriacombe 2013). There is a particularly crucial need in South Africa for government to improve infrastructure in rural communities, where some primary healthcare centres even lack piped water – a clear sign that the public health system is overburdened and incapable of providing consistent quality care (Heywood 2014:8). Increase in consumer demands Rising customer expectations because of increased use of Internet widen the gap between patient expectations and healthcare worker perceptions (Tonsaker, Bartlett & Atrpkov 2014:407). This makes patient care more complex, with unavoidable demand for high-quality care delivery, while resource shrinkage continues (Lateef 2011:163). All issues identified indicate low levels of service delivery quality in public health facilities, threatening the health and lives of all patients and adding cost to the healthcare system (Cullinan 2006:19). Strategies adopted by government to improve quality of healthcare delivery in South Africa The change to a democratically elected government in South Africa in 1994 brought with it a push for change in the health care system, signalled by a number of policy documents. The first step that was taken by the democratic government was decentralisation of the health care system. Decentralisation of healthcare system South Africa, like other developing countries, has adopted a process of decentralisation in restructuring health care services (Hendricks et al. 2014:60; McIntyre & Klugman 2003:109). The health care system in South Africa is organised into three levels: national, provincial and local government (Winchester & King 2018:202; McIntyre & Klugman 2003:109). Reviewed literature on the benefits and challenges of decentralisation, especially in the health sector, shows ambivalent findings (Alves, Peralta & Perelman 2013:75). Several studies revealed that decentralisation has produced positive effects in developing countries (Alves et al. 2013:76). In these instances, decentralisation strengthened the capacity of local organisations to negotiate with central government structures for increased resource allocation to previously neglected groups (Alves et al. 2013:76). However, other authors believe that decentralisation has intensified problems of disparity in vulnerable populations, leading to poor-quality health care delivery (Regmi et al. 2010:407; Whittaker et al. 2000:207). According to Surender (2014:18), separating policy determinants from policy implementers in South Africa has led to a crisis in health delivery. Policy implementers failed to restrict health funds at provincial level, which has led to health funds being re-directed to other spending based on political priorities (Surender 2014:18). Policies and legislation One such notable piece of legislation is the Constitution of the Republic of South Africa 1996, approved by the Constitutional Court on 04 February 1997, and the supreme law of the Republic. The Constitution spells out the rights and duties of its citizens and describes the structure of the government. Emerging from the provisions of the Constitution is the Patient’s Rights Charter, which set a common standard for achieving awareness of these rights (Nevhutalu 2016:79). The National Department of Health leads public health in South Africa and is responsible for overall health policy and coordination, deriving its mandate from the Constitution and the National Health Act (No. 61 of 2003), as amended. Among other priority programmes and policies introduced by the democratic government include free-health policies and the district-based primary health care system (Van Rensburg 2014:6). Programmes developed to evaluate healthcare delivery Various approaches have been developed in South Africa to monitor quality health care delivery. One notable approach has been the development of accreditation as initiated by Dr Whittaker in the pilot Accreditation Programme for South Africa launched in 1994 at the University of Stellenbosch. This research project revealed that many institutions did not comply with minimum standards, calling for new emphasis on continuous quality improvement (Whittaker et al. 2011:64). This led to the establishment of the Council for Health Service Accreditation of South Africa (COHSASA) in October 1995, operating as an independent, non-profit organisation (Whittaker et al. 2011:60). COHSASA is organised as a national cooperative effort involving consumers, state and private organisations and health care providers and is the only body implementing accreditation in South Africa. The National Department of Health has shown strong commitment to improve the quality of health care delivery in public settings (Whittaker et al. 2011:60). Evidence of this commitment was the development of the Ten Point Plan Strategic Framework, as outlined in the Hospital Revitalisation Programme, which pursued improvement of hospital infrastructure, health technology, administrative management and quality service (National Department of Health 2011:7). As previously noted, there has also been the Negotiated Service Delivery Agreement signed by the Minister of Health, which is intended to ensure effective health care delivery for improving health outcomes and strengthening the health system for all South Africans (National Department of Health 2012:5). To this effect, the Office of Health Standards Compliance (OHSC) was established by government in 2013 (National Department of Health 2013:4) to introduce a quality assurance mechanism which will regulate the quality of health services according to a set of norms and standards prescribed by the National Health Amendment Act (No. 12 of 2013). The aim of accreditation is to provide confidence to end users that health service providers are, in fact, competent to provide service (ECONEX 2010:6). The National Core Standards (NCS) tool developed by OHSC is organised into seven cross-cutting domains (National Department of Health 2012:6). The first three are domains involved directly with the core health system business of delivering quality health care: patient rights and safety, clinical governance and care, and clinical support services. The remaining four domains are the support system that ensures that the system is delivering its core business: leadership and corporate governance, operational management, public health, and facilities and infrastructure. Within each domain are sub-domains that are further divided into subsections or critical areas (National Department of Health 2012:6). In calling on leadership in health care establishments to facilitate inventiveness and change in practice, the National Department of Health promotes application of NCS as a benchmarking tool for quality of care (Lourens 2012:3). The NCS are to be used as a guide for managers at all levels, indicating the expected service delivery and how to plan for quality care delivery. The NCS tool is also used to assess the quality of health care delivery in health establishments in preparation for the introduction of the NHI. Although implementation of NHI is an honourable attempt to address the inequalities in health care delivery system (National Department of Health 2012:6), it has met with much opposition, causing long delay in its ultimate imple-mentation (Toyana & Auriacombe 2013). Conclusion Although much has been done over many years to restructure the health care system and to improve the quality of care being rendered to users, the literature reveals that millions of people in South Africa still suffer preventable harm every day. Medical litigation has dramatically increased both in frequency and in the size of the damages (Malherbe 2012:83). Therefore, still much needs to be done by government, and society at large, to address the issues of poor-quality service delivery. The literature also reveals that the drive to improve the quality of health care in South Africa has not been lacking in interventions or in powerful ideas. It seems, however, that corruption and lack of leadership skills continue to cause long delay in the achievement of quality health care delivery (Siddle 2011:6). Nevertheless, South Africa has the potential to draw on its experiences of health inequalities and of the detrimental consequences of historical segregation to build high-quality service delivery for the benefit of all its citizens. Particular suggestions made by authors on how to improve the quality of health care delivery in South Africa are the following: The South African Medical Association (2015:42) agrees that the current physical state of public facilities is disgraceful and not favourable to the delivery of quality health services. Decentralisation must therefore be implemented cautiously, after confirmation that there is sufficient managerial capacity at district level, and senior officials must be held accountable when they fail to deliver quality as required by their job description. Sithole and Mathonsi (2015:25) contend that for local government to deliver on its constitutional mandate, government needs to strengthen human and material resource in terms of quantity and quality. Government must also commit to root out nepotism and corruption in areas such as recruitment for positions and awarding of tenders for services (South African Medical Association 2015:43). Although the OHSC is said to be accrediting all hospitals in South Africa, questions still remain as to its objectivity as the accreditation body because it is fully funded by the government (ECONEX 2010). According to the Standards Council of Canada, accreditation bodies need to perform their work independently (ECONEX 2010:6) because the primary purpose of accreditation is to eradicate biased assessment. According to Tana (2013:80), the Government of South Africa seems to be unable to deliver the quality of health care as promised. It cannot claim to be providing quality health care service to all patients, while patients remain displeased with health care service delivery. This is in line with the findings of Ned, Cloete and Mji (2017:311) who declared that South Africa’s health outcomes remain below what is anticipated from the current health expenditure, although there were some positive changes mentioned in the 2015 South African Health Review. Further research is therefore needed to assess the efficiency of the strategies used to evaluate health care outcomes. Acknowledgements The author would like to thank the University of KwaZulu-Natal for scholarship through College of Health Sciences Funding. Competing interests The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article. Authors’ contributions W.T.M. and B.R.B. both conceptualised the article and W.T.M was responsible for the literature search and drafted the article. B.R.B. as the supervisor for the study critically reviewed the article. 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1. South African physiotherapists’ attitudes to medicine prescription as an extension of practice
Tsungirirai V. Kakono, Desmond Mathye, Sarel J. Brand, Werner Cordier
South African Journal of Physiotherapy  vol: 79  issue: 1  year: 2023  
doi: 10.4102/sajp.v79i1.1851

2. A longitudinal and qualitative analysis of caregiver depression and quality of life in the Cape Town adolescent antiretroviral cohort
Tatum Sevenoaks, Jean-Paul Fouche, Bulelwa Mtukushe, Nicole Phillips, Sarah Heany, Landon Myer, Heather J. Zar, Dan J. Stein, Jacqueline Hoare
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doi: 10.1016/j.jadr.2022.100396

3. Mapping evidence on the factors contributing to long waiting times and interventions to reduce waiting times within primary health care facilities in South Africa: A scoping review
Ugochinyere I. Nwagbara, Khumbulani W. Hlongwana, Sylvester C. Chima, Arun Kumar Sharma
PLOS ONE  vol: 19  issue: 8  first page: e0299253  year: 2024  
doi: 10.1371/journal.pone.0299253

4. The performance based budgeting as a catalyst for effective delivery of primary health care
Maonei Mangwanya
International Journal of Research in Business and Social Science (2147- 4478)  vol: 11  issue: 1  first page: 170  year: 2022  
doi: 10.20525/ijrbs.v11i1.1568

5. Counting the cost of preventable diabetes-related lower limb amputations at a single district hospital in KwaZulu-Natal: what does this mean, what can be done?
AT Thompson, JL Bruce, VY Kong, DL Clarke, C Aldous
Journal of Endocrinology, Metabolism and Diabetes of South Africa  vol: 25  issue: 2  first page: 44  year: 2020  
doi: 10.1080/16089677.2020.1782007

6. Plant species used to treat various ailments in the North-West Province, South Africa: A systematic review
Maropeng Erica Matlala, Nonhlanhla Prudence Lubisi, Sinorita Chauke, Elizabeth Kola, Luambo Jeffrey Ramarumo, Peter Tshepiso Ndhlovu
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doi: 10.1016/j.nexres.2025.100446

7. Cross-cultural adaptation: South African Gestational Diabetes Mellitus Knowledge Questionnaire
Lorisha Manas, Tawanda Chivese, Ankia Coetzee, Magda Conradie, Linzette D. Morris
South African Family Practice  vol: 66  issue: 1  year: 2024  
doi: 10.4102/safp.v66i1.5826

8. Blood banking in South Africa
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doi: 10.1016/j.transci.2023.103794

9. Evaluating Value-Based Maternal Healthcare in Sub-Saharan Africa: A Systematic Review
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doi: 10.3390/women4030017

10. Negative clinic experiences as a barrier to care for people with HIV and their impact on patient preferences for intervention support: a qualitative study in Cape Town, South Africa
Clare Killian, Rebecca L. West, Catherine Orrell, Allen Gifford, Jessica E. Haberer, Nafisa Halim, Lauren Jennings, Natacha Berkowitz, Stephanie Fourie, Lora Sabin
AIDS Care  vol: 36  issue: 9  first page: 1222  year: 2024  
doi: 10.1080/09540121.2024.2346255

11. Perceptions of integrated rehabilitation service delivery in a metropolitan district
Lebogang J. Maseko, Fasloen Adams, Hellen Myezwa
African Journal of Primary Health Care & Family Medicine  vol: 16  issue: 1  year: 2024  
doi: 10.4102/phcfm.v16i1.4069

12. Towards a needs-based design of the physical rehabilitation workforce in South Africa: trend analysis [1990–2017] and a 5-year forecasting for the most impactful health conditions based on global burden of disease estimates
Q. Louw, K. Grimmer, K. Berner, T. Conradie, D. T. Bedada, T. S. Jesus
BMC Public Health  vol: 21  issue: 1  year: 2021  
doi: 10.1186/s12889-021-10962-y

13. Assessing the composition of nurses in South Africa versus the WHO perspective
Fatima Abrahams, Sanjana Brijball Parumasur
Curationis  vol: 48  issue: 1  year: 2025  
doi: 10.4102/CURATIONIS.v48i1.2762

14. Final‐year students' perspectives on socially responsive curricula in medical education: A qualitative case study
Anthea Hansen, Susan Van Schalkwyk, Cecilia Jacobs
Medical Education  year: 2026  
doi: 10.1111/medu.70163

15. Insights of first-time entry students on frontline service efficiency in the context of a South African university
Mthokozisi Luthuli, Ayogeboh Epizitone, Smangele Pretty Moyane, Samkelisiwe Purity Phokoye, Nombuso Phamela Zondi, Mbalenhle Khumalo
International Journal of Research in Business and Social Science (2147- 4478)  vol: 14  issue: 8  first page: 498  year: 2025  
doi: 10.20525/ijrbs.v14i8.4334

16. The potential of offering HIV-related services in an optometry environment
Haseena Majid, Burt Davis
African Vision and Eye Health  vol: 79  issue: 1  year: 2020  
doi: 10.4102/aveh.v79i1.513

17. The perceived impact of a global pandemic on a provincial department’s organisational structure
Kiara N. Nyanhongo, Lesego V. Mokhutsane, Mahlapane T. Mosebi, Thato M. Thobejane, Thabang S. Mathudi, Musawenkosi D. Saurombe
SA Journal of Human Resource Management  vol: 21  year: 2023  
doi: 10.4102/sajhrm.v21i0.2254

18. Conceptualizing a model for cloud-based hospital management systems for the South African public health sector
T. S. Magudulela, B. M. Kalema, M. A. Segooa
International Journal of Science Annals  vol: 6  issue: 2  first page: 40  year: 2023  
doi: 10.26697/ijsa.2023.2.5

19. Accreditation of teaching hospitals and its effects on the education of general medical students
zohreh Nasrollahi, Fariba Jokar, Maryam Avizhgan
Payesh (Health Monitor) Journal  vol: 24  issue: 6  first page: 769  year: 2025  
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20. Quality of nursing care in Saudi's healthcare transformation era: A nursing perspective
Hanan A. Alkorashy, Wejdan Ahmed Al‐Hothaly
The International Journal of Health Planning and Management  vol: 37  issue: 3  first page: 1566  year: 2022  
doi: 10.1002/hpm.3425

21. Managerial practices for app-based primary care telemedicine service acceptance in South Africa
Grethe Van Tonder, Ronel Du Preez, Christian D. Pentz
South African Journal of Business Management  vol: 55  issue: 1  year: 2024  
doi: 10.4102/sajbm.v55i1.4667

22. COVID-19 and emerging markets: A strategic framework for pharmaceutical supply chains
Blessing Takawira, Emmanuel Mutambara
Corporate and Business Strategy Review  vol: 4  issue: 4, special issue  first page: 346  year: 2023  
doi: 10.22495/cbsrv4i4siart15

23. واقع تحديات جودة الرعاية الصحية في المستشفيات: دراسة مسحية لأقسام الجودة في عدد من المستشفيات الحكومية في محافظتي نينوى ودهوك
بيداء رجب حسين, صفاء إدريس عبودي
Tikrit Journal of Administrative and Economic Sciences  vol: 17  issue: 55, 2  first page: 269  year: 2021  
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24. The Malaria Burden: A South African Perspective
Marissa Balmith, Charlise Basson, Sarel J. Brand, Jianbing Mu
Journal of Tropical Medicine  vol: 2024  first page: 1  year: 2024  
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25. Availability of Eye Care Services and Management Strategies for Ocular Conditions in the uMgungundlovu District, KwaZulu-Natal
Rorisang Mosololi, Velibanti Sukati, Pheagane Nkoana
Clinical Optometry  vol: Volume 17  first page: 383  year: 2025  
doi: 10.2147/OPTO.S543461

26. Individual and area-level socioeconomic correlates of hypertension prevalence, awareness, treatment, and control in uMgungundlovu, KwaZulu-Natal, South Africa
SLM Madela, NW Harriman, R Sewpaul, AD Mbewu, DR Williams, S Sifunda, T Manyaapelo, A Nyembezi, SP Reddy
BMC Public Health  vol: 23  issue: 1  year: 2023  
doi: 10.1186/s12889-023-15247-0

27. Optimal Design and Cost–Benefit Analysis of a Solar Photovoltaic Plant with Hybrid Energy Storage for Off-Grid Healthcare Facilities with High Refrigeration Loads
Obu Samson Showers, Sunetra Chowdhury
Energies  vol: 18  issue: 17  first page: 4596  year: 2025  
doi: 10.3390/en18174596

28. Task shifting and task sharing for rehabilitation in primary care – A scoping review
Brittany Fell, Conran Joseph, Tracey Smythe
Rehabilitation Advances in Developing Health Systems  vol: 2  issue: 1  year: 2025  
doi: 10.4102/RADHS.v2i1.32

29. The Daily Basic Psychological Need Satisfaction and Work Engagement of Nurses: A ‘Shortitudinal’ Diary Study
Jo-Mari Liebenberg, Salomé E. Scholtz, Leon T. De Beer
Healthcare  vol: 10  issue: 5  first page: 863  year: 2022  
doi: 10.3390/healthcare10050863

30. A qualitative evaluation and conceptual framework on the use of the Birth weight and Age-at-death Boxes for Intervention and Evaluation System (BABIES) matrix for perinatal health in Uganda
Michelle M. Dynes, Gaea A. Daniel, Valerie Mac, Brenda Picho, Alice Asiimwe, Agnes Nalutaaya, Gregory Opio, Vincent Kamara, Frank Kaharuza, Florina Serbanescu
BMC Pregnancy and Childbirth  vol: 23  issue: 1  year: 2023  
doi: 10.1186/s12884-023-05402-1

31. Factors Influencing Healthcare Workers’ Perception of South African Health System Capability for Managing COVID-19 Pandemic
Tholang Mokhele, Thabang Manyaapelo, Sibusiso Sifunda, Natisha Dukhi, Ronel Sewpaul, Inbarani Naidoo, Musawenkosi Mabaso, Mosa Moshabela, Priscilla Reddy
The Open Public Health Journal  vol: 15  issue: 1  year: 2022  
doi: 10.2174/18749445-v15-e2204070

32. Health system response to preventing mother-to-child transmission of HIV policy changes in Zambia: a health system dynamics analysis of primary health care facilities
Jonathan Mwanza, Mary Kawonga, Andrew Kumwenda, Glenda E. Gray, Wilbroad Mutale, Tanya Doherty
Global Health Action  vol: 15  issue: 1  year: 2022  
doi: 10.1080/16549716.2022.2126269

33. Healthcare professionals and pregnant and post-natal women's perceptions of interprofessional collaboration in a maternity care facility: A qualitative study from Botswana
Montlenyane Madisa, Celia J. Filmalter, Tanya Heyns
Midwifery  vol: 125  first page: 103768  year: 2023  
doi: 10.1016/j.midw.2023.103768

34. Hearing healthcare for all? Investigating accessibility of public audiology services in Johannesburg, South Africa
Katijah Khoza-Shangase, Theresa-Joy Munyembate
BMC Health Services Research  vol: 25  issue: 1  year: 2025  
doi: 10.1186/s12913-025-13224-4

35. From the burden of disease to the disease of burden
Jacqueline Hoare, Heidi Matisonn
South African Journal of Science  vol: 120  issue: 11/12  year: 2024  
doi: 10.17159/sajs.2024/18716

36. Financial burden associated with attendance at a public hospital emergency department in Johannesburg
James MORROW, Abdullah E LAHER
African Journal of Emergency Medicine  vol: 12  issue: 2  first page: 102  year: 2022  
doi: 10.1016/j.afjem.2022.02.002

37. Impact of COVID-19 on Selected Nurse and Patient Outcomes in Emergency Units Across South Africa
Annette L. Pienaar, Alwiena J. Blignaut, Siedine K. Coetzee, Marcel F. Mather, Erika Fourie
Journal of Emergency Nursing  vol: 51  issue: 4  first page: 644  year: 2025  
doi: 10.1016/j.jen.2025.02.016

38. Flourishing in trying circumstances: A hermeneutic phenomenological exploration of volunteer well-being
Aleksandra Furtak, Antoni Barnard
SA Journal of Industrial Psychology  vol: 47  year: 2021  
doi: 10.4102/sajip.v47i0.1809

39. Health care providers’ perceptions of barriers to perinatal mental healthcare in South Africa
Shelley Brown, Courtenay Sprague
BMC Public Health  vol: 21  issue: 1  year: 2021  
doi: 10.1186/s12889-021-11954-8

40. Estimating the time-varying reproduction number for COVID-19 in South Africa during the first four waves using multiple measures of incidence for public and private sectors across four waves
Jeremy Bingham, Stefano Tempia, Harry Moultrie, Cecile Viboud, Waasila Jassat, Cheryl Cohen, Juliet R.C. Pulliam, AbdulAzeez Adeyemi Anjorin
PLOS ONE  vol: 18  issue: 9  first page: e0287026  year: 2023  
doi: 10.1371/journal.pone.0287026

41. Diabetes in the Western Cape: an eight-year profile
N Sahadew, S Pillay, VS Singaram
Journal of Endocrinology, Metabolism and Diabetes of South Africa  vol: 27  issue: 1  first page: 14  year: 2022  
doi: 10.1080/16089677.2021.1969156

42. Perceptions of Retired Nurses on Factors Preventing Younger Professional Nurses from Applying the Ethos of Ubuntu in Professional Care
Fhumulani M. Mulaudzi, Rafiat Ajoke Anokwuru, Ramadimetja Mogale, Seepaneng Salaminah Moloko-Phiri, Moselene AR DuPlessis
SAGE Open Nursing  vol: 8  year: 2022  
doi: 10.1177/23779608221091072

43. Are intentions to change, policy awareness, or health knowledge related to changes in dietary intake following a sugar-sweetened beverage tax in South Africa? A before-and-after study
Michael Essman, Catherine Zimmer, Francesca Dillman Carpentier, Elizabeth C. Swart, Lindsey Smith Taillie
International Journal of Behavioral Nutrition and Physical Activity  vol: 19  issue: 1  year: 2022  
doi: 10.1186/s12966-022-01370-5

44. Transition toward Healthcare 5.0: Impact of COVID-19 in the healthcare industry
Jasiya Fairiz Raisa, Md. Sazzadur Rahman, Imtiaz Mahmud, M. Shamim Kaiser, Dong Seog Han
ICT Express  vol: 11  issue: 3  first page: 371  year: 2025  
doi: 10.1016/j.icte.2025.04.002

45. Talking to children about their HIV diagnosis: a discussion rooted in different global perspectives
Katie Warburton, Lars Navér, Juliet Houghton, Kamila Fatikhova
British Journal of Nursing  vol: 31  issue: 1  first page: S4  year: 2022  
doi: 10.12968/bjon.2022.31.1.S4

46. A qualitative study to explore healthcare providers’ perspectives on barriers and enablers to early detection of breast and cervical cancers among women attending primary healthcare clinics in Johannesburg, South Africa
Gugulethu Tshabalala, Charmaine Blanchard, Keletso Mmoledi, Desiree Malope, Daniel S. O’Neil, Shane A. Norris, Maureen Joffe, Janan Janine Dietrich, Jennifer Moodley
PLOS Global Public Health  vol: 3  issue: 5  first page: e0001826  year: 2023  
doi: 10.1371/journal.pgph.0001826

47. Disclosing medical errors: how do we prepare our students?
Dirkie Swinfen, Mathys Labuschagne, Gina Joubert
BMC Medical Education  vol: 23  issue: 1  year: 2023  
doi: 10.1186/s12909-023-04125-3

48. Black Women’s Perceptions Towards Infant and Child Male Circumcision
Eurica Palmer, Lochner Marais, Michelle Engelbrecht
Maternal and Child Health Journal  vol: 27  issue: 8  first page: 1370  year: 2023  
doi: 10.1007/s10995-023-03693-6

49. Public sector physiotherapists’ organisation and profile: Implications for intensive care service
Farhana Karachi, Rik Gosselink, Susan Hanekom
South African Journal of Physiotherapy  vol: 79  issue: 1  year: 2023  
doi: 10.4102/sajp.v79i1.1803

50. Does increasing health care access reduce disability insurance caseloads? Evidence from the rural United States
Garrett Anstreicher
Health Economics  vol: 30  issue: 4  first page: 786  year: 2021  
doi: 10.1002/hec.4220

51. Improving Access to Pediatric Cardiac Care in the Developing World: the South African Perspective
Ebrahim G. M. Hoosen, Antoinette M. Cilliers, Stephen Brown, Belinda Mitchell
Current Treatment Options in Pediatrics  vol: 8  issue: 3  first page: 141  year: 2022  
doi: 10.1007/s40746-022-00247-w

52. Factors influencing the preparedness for the implementation of the national health insurance scheme at a selected hospital in Gauteng Province, South Africa
Ntsibeng Valerie Mukwena, Zodwa Margaret Manyisa
BMC Health Services Research  vol: 22  issue: 1  year: 2022  
doi: 10.1186/s12913-022-08367-7

53. Exploring primary healthcare practitioners’ experiences regarding the coronavirus disease 2019 (COVID-19) pandemic in KwaZulu-Natal, South Africa
Gugu Gladness Mchunu, Orlando Harris, Celenkosini Thembelenkosini Nxumalo
Primary Health Care Research & Development  vol: 23  year: 2022  
doi: 10.1017/S1463423622000536

54. Impact of health conditions on daily functioning in Kenyan populations: A scoping review
Naomi Kingau, Quinette Louw, Maria Charumbira
African Journal of Disability  vol: 14  first page: a1456  year: 2025  
doi: 10.4102/ajod.v14i0.1456

55. Attitudes and opinions of medical practitioners, librarians, and LIS academics towards health science library services to support evidence-based medical practice in South Africa
Saroj Bala, Peter G. Underwood, Smangele P. Moyane, Farshid Danesh
PLOS One  vol: 20  issue: 8  first page: e0331507  year: 2025  
doi: 10.1371/journal.pone.0331507

56. The evolution of a cooperative mentoring community: developing research leadership in early career (healthcare) faculty
Nicholas Munro, Heidi Matisonn, Nisha Nadesan-Reddy, Fatima Suleman, Douglas Wassenaar, Suvira Ramlall, Mosa Moshabela, Petra Brysiewicz
International Journal for Academic Development  vol: 29  issue: 4  first page: 508  year: 2024  
doi: 10.1080/1360144X.2023.2235327

57. ‘All of a sudden, you know, you can’t go to these services, because of the risk of infection’: Audiological service considerations at residential care homes for older persons during COVID-19
Victor De Andrade, Rethabile R.M. Landman
South African Journal of Communication Disorders  vol: 69  issue: 2  year: 2022  
doi: 10.4102/sajcd.v69i2.904

58. Facilitators and barriers to detection and treatment of depression, anxiety and experiences of domestic violence in pregnant women
Zulfa Abrahams, Sonet Boisits, Marguerite Schneider, Simone Honikman, Crick Lund
Scientific Reports  vol: 13  issue: 1  year: 2023  
doi: 10.1038/s41598-023-36150-z

59. Supply chain disruptions during COVID-19 pandemic: Key lessons from the pharmaceutical industry
Blessing Takawira, Raborale I.D. Pooe
South African Journal of Business Management  vol: 55  issue: 1  year: 2024  
doi: 10.4102/sajbm.v55i1.4048

60. Between support and scepticism: Health professionals’ perceptions of a nutrition education program promoting low-carbohydrate, high-fat diets in under-resourced South African communities
Georgina Pujol-Busquets, Kate Larmuth, Christopher C. Webster, James Smith, Ahtisham Younas, Sergi Fàbregues, Anna Bach-Faig, Mickael Essouma
PLOS One  vol: 20  issue: 6  first page: e0325179  year: 2025  
doi: 10.1371/journal.pone.0325179

61. Health nonprofit organizations use of social media communication and marketing during COVID-19: A qualitative Technology Acceptance Model viewpoint
Rodney Graeme Duffett, Shaun Thomas
Social Sciences & Humanities Open  vol: 10  first page: 101042  year: 2024  
doi: 10.1016/j.ssaho.2024.101042

62. The perceptions of professional nurses regarding factors affecting the provision of quality health care services at selected rural public clinics in the Capricorn district, Limpopo Province
Nick T. Matlala, Rambelani N. Malema, Mamare A. Bopape, Peter M. Mphekgwana
African Journal of Primary Health Care & Family Medicine  vol: 13  issue: 1  year: 2021  
doi: 10.4102/phcfm.v13i1.2830

63. The development and evaluation of a nurse anaesthesia model for practice in South Africa
JD Holtzhausen, Charlene Downing, Marie Poggenpoel, Gugu Ndawo
International Journal of Nursing Sciences  vol: 9  issue: 3  first page: 334  year: 2022  
doi: 10.1016/j.ijnss.2022.06.009

64. Newly qualified primary care nurses’ preparedness to make sound clinical judgements in practice
Mavis Ndlela, Charlené Downing
Curationis  vol: 47  issue: 1  year: 2024  
doi: 10.4102/curationis.v47i1.2567

65. Experiences, barriers, and facilitators of health data use among performance monitoring teams (PMT) of health facilities in Eastern Ethiopia: A qualitative study
Admas Abera, Abebe Tolera, Biruk Shalmeno Tusa, Adisu Birhanu Weldesenbet, Assefa Tola, Tilahun Shiferaw, Alemayehu Girma, Rania Mohammed, Yadeta Dessie, Dawit Wolde Daka
PLOS ONE  vol: 18  issue: 5  first page: e0285662  year: 2023  
doi: 10.1371/journal.pone.0285662

66. Centralisation of financial decision-making on public hospitals in the Eastern Cape province
Thanduxolo Fana, Mosekama O. Mokhele
Africa’s Public Service Delivery and Performance Review  vol: 13  issue: 1  year: 2025  
doi: 10.4102/apsdpr.v13i1.827

67. Examining the Impact of Talent Management Practices on Professional Nurses’ Work Engagement in Public Hospitals in Gauteng
MY Lerotholi
Journal of Public Administration and Development Alternatives  vol: 9  issue: 2  first page: 169  year: 2024  
doi: 10.55190/JPADA.2024.333

68. Experience of midwives in providing care to labouring women in varied healthcare settings: A qualitative study
Marie Hastings-Tolsma, Annie Temane, Oslinah B. Tagutanazvo, Sanele Lukhele, Anna G. Nolte
Health SA Gesondheid  vol: 26  year: 2021  
doi: 10.4102/hsag.v26i0.1524

69. Who really decides? Feeding decision-making ‘made’ by caregivers of children with cerebral palsy
Lavanya Naidoo, Mershen Pillay, Urisha Naidoo
South African Journal of Communication Disorders  vol: 71  issue: 1  year: 2024  
doi: 10.4102/sajcd.v71i1.1001

70. Addressing Discrimination and Healthcare Disparities for Sexual and Gender Minorities in South Africa: A Human Rights-Based Perspective
Erick da Luz Scherf
Journal of Health Management  year: 2024  
doi: 10.1177/09720634231216025

71. Trends and Determinants of Operative Vaginal Delivery at Two Academic Hospitals in Johannesburg, South Africa 2005–2019
Afikile Dutywa, Gbenga Olorunfemi, Langanani Mbodi
International Journal of Environmental Research and Public Health  vol: 19  issue: 23  first page: 16182  year: 2022  
doi: 10.3390/ijerph192316182

72. The role of crises in transformative change towards sustainability
Claudia Pahl-Wostl, Oghenekaro Nelson Odume, Geeske Scholz, Ancois De Villiers, Ebenezer Forkuo Amankwaa
Ecosystems and People  vol: 19  issue: 1  year: 2023  
doi: 10.1080/26395916.2023.2188087

73. The Magnitude and Determinants of Missed Opportunities for Childhood Vaccination in South Africa
Duduzile Ndwandwe, Chukwudi A. Nnaji, Charles S. Wiysonge
Vaccines  vol: 8  issue: 4  first page: 705  year: 2020  
doi: 10.3390/vaccines8040705

74. Fighting Cancer around the World: A Framework for Action
Denis Horgan, Rizwana Mia, Tosan Erhabor, Yosr Hamdi, Collet Dandara, Jonathan Lal, Joel Domgue, Oladimeji Ewumi, Teresia Nyawira, Salomé Meyer, Dominique Kondji, Ngiambudulu Francisco, Sadakatsu Ikeda, Chai Chuah, Roselle De Guzman, Anupriya Paul, Krishna Reddy Nallamalla, Woong-Yang Park, Vijay Tripathi, Ravikant Tripathi, Amber Johns, Mohan Singh, Maude Phipps, France Dube, Kate Whittaker, Deborah Mukherji, Hadi Rasheed, Marta Kozaric, Joseph Pinto, Stephen Doral Stefani, Federico Augustovski, Maria Aponte Rueda, Ricardo Fujita Alarcon, Hugo Barrera-Saldana
Healthcare  vol: 10  issue: 11  first page: 2125  year: 2022  
doi: 10.3390/healthcare10112125

75. Two years after lockdown: reviewing the effects of COVID‐19 on health services and support for adolescents living with HIV in South Africa
Quintin van Staden, Christina A. Laurenzi, Elona Toska
Journal of the International AIDS Society  vol: 25  issue: 4  year: 2022  
doi: 10.1002/jia2.25904

76. The Relationship Between the Emotional Intelligence and Clinical Decision Making Among Nursing Students
Nida Jawabreh
SAGE Open Nursing  vol: 10  year: 2024  
doi: 10.1177/23779608241272459

77. Infection prevention and control practices of non-medical individuals in a neonatal intensive care unit: A Donabedian approach
Marietjie Theron, Yvonne Botma, Tanya Heyns
Midwifery  vol: 112  first page: 103393  year: 2022  
doi: 10.1016/j.midw.2022.103393

78. Predictors associated with critical care need and in-hospital mortality among children with laboratory-confirmed COVID-19 infection in a high HIV infection burden region
Liliane N. Byamungu, Jean B. Nachega, Ashendri Pillay, Patrick D. M. C. Katoto, Prakash Jeena, Lindsay Zurba, Refiloe Masekela
Frontiers in Pediatrics  vol: 11  year: 2023  
doi: 10.3389/fped.2023.1252886

79. Clinical decision-support for acute burn referral and triage at specialized centres – Contribution from routine and digital health tools
Constance Boissin
Global Health Action  vol: 15  issue: 1  year: 2022  
doi: 10.1080/16549716.2022.2067389

80. Patient-centered care measures through the eyes of South African Radiographers and patients: A survey approach
Kathleen Naidoo, Heidi Thomas, Emma Hyde, Maryann Hardy, Andrea Doubleday, Tracey Pieterse, Tom Steffens, Therese Gunn
Journal of Medical Imaging and Radiation Sciences  vol: 55  issue: 4  first page: 101725  year: 2024  
doi: 10.1016/j.jmir.2024.101725

81. Assessing the pertinence and usefulness of HIV and AIDS indicators for evaluating clinical care quality: Perspectives of health care professionals
Tambwe Willy Muzumbukilwa, Manimani Riziki Ghislain, Aganze Glory-Aime Mushebenge, Rajesh Vikram Vagiri, Manimbulu Nlooto
African Journal of AIDS Research  vol: 23  issue: 1-2  first page: 60  year: 2024  
doi: 10.2989/16085906.2024.2358758

82. Exploring the unemployment crisis among speech therapists and audiologists in South Africa: perspectives on institutional roles, professional bodies, and the path to job creation
Nomfundo Moroe, Nothando Nkosi, Ben Sebothoma
BMC Health Services Research  vol: 25  issue: 1  year: 2025  
doi: 10.1186/s12913-025-12386-5

83. Reconfiguring Rehabilitation Services for Rural South Africans with Disabilities During a Health Emergency: A Qualitative Descriptive Study
Litakazi Tekula, Madri Engelbrecht, Lieketseng Ned
International Journal of Environmental Research and Public Health  vol: 22  issue: 4  first page: 567  year: 2025  
doi: 10.3390/ijerph22040567

84. An electronic survey of preferred podcast format and content requirements among trainee emergency medicine specialists in four Southern African universities
K. Ekambaram, H. Lamprecht, V. Lalloo, N. Caruso, A. Engelbrecht, W. Jooste
African Journal of Emergency Medicine  vol: 11  issue: 1  first page: 3  year: 2021  
doi: 10.1016/j.afjem.2020.10.014

85. Challenges for Optimum Cardiopulmonary Resuscitation in the Emergency Departments of Limpopo Province: A Qualitative Study
Livhuwani Muthelo, Hendrica Mosima Seimela, Masenyani Oupa Mbombi, Rambelani Malema, Arthur Phukubye, Lerato Tladi
Healthcare  vol: 11  issue: 2  first page: 158  year: 2023  
doi: 10.3390/healthcare11020158

86. Review of implementation barriers and strategic approaches for improving mHealth systems utilization in Africa: Lessons learnt from South Africa and Kenya
Elliot Mbunge, Caron Lee Jack, Maureen Nokuthula Sibiya, John Batani
Telematics and Informatics Reports  vol: 19  first page: 100228  year: 2025  
doi: 10.1016/j.teler.2025.100228

87. Entrepreneurship and innovation ecosystems in the patient experience: a review of the African context
Nouhaila BEN KHIZZOU, Mourad AARABE, Meryem BOUIZGAR, Lhoussaine ALLA, Ahmed BENJELLOUN
One Health & Risk Management  vol: 6  issue: 3  first page: 17  year: 2025  
doi: 10.38045/ohrm.2025.3.02

88. Cultural knowledge and perceptions of students towards mental illness in South Africa
Bianca Lima-Smit, Kathryn Nel, Mokgadi Setwaba
Journal of Psychology in Africa  vol: 32  issue: 4  first page: 400  year: 2022  
doi: 10.1080/14330237.2022.2066367

89. An Analysis of Risk Factors for Hearing Function in Adults Living with Human Immunodeficiency Virus in Gauteng, South Africa
Ben Sebothoma
Indian Journal of Otolaryngology and Head & Neck Surgery  vol: 76  issue: 2  first page: 1637  year: 2024  
doi: 10.1007/s12070-023-04375-z

90. The Curriculum Ideologies Underlying the AfriMEDS Curriculum Framework for Undergraduate Medical and Dental Education in South Africa
Lindelani Mnguni
International Medical Education  vol: 3  issue: 1  first page: 44  year: 2024  
doi: 10.3390/ime3010005

91. Recombinase-based amplification coupled with lateral flow chromatography for the specific and sensitive detection and identification of Leishmania major in cutaneous leishmaniasis patients
Insaf Bel Hadj Ali, Yusr Saadi-Ben Aoun, Imen Khammeri, Hejer Souguir, Emna Harigua-Souiai, Hamed Chouaieb, Ahmed S. Chakroun, Meryem Lemrani, Aicha Kallel, Kalthoum Kallel, Nabil Haddad, Oussaima El Dbouni, Rhea N. Coler, Steven G. Reed, Akila Fathallah-Mili, Ikram Guizani
Frontiers in Microbiology  vol: 15  year: 2025  
doi: 10.3389/fmicb.2024.1514684

92. Global epidemiology and disparities in atopic dermatitis
Anisa Mosam, Gail Todd
British Journal of Dermatology  vol: 188  issue: 6  first page: 726  year: 2023  
doi: 10.1093/bjd/ljad042

93. Adverse event reporting practices in drug-resistant tuberculosis facilities across South Africa
Razia Gaida, Adlai S. Davids, Ronel Sewpaul
Southern African Journal of Infectious Diseases  vol: 38  issue: 1  year: 2023  
doi: 10.4102/sajid.v38i1.564

94. Self-reported knowledge and skills related to diagnosis and management of keratoconus among public sector optometrists in the Limpopo province, South Africa
Pheagane M.W. Nkoana, Vanessa R. Moodley, Khathutshelo P. Mashige
African Journal of Primary Health Care & Family Medicine  vol: 14  issue: 1  year: 2022  
doi: 10.4102/phcfm.v14i1.3668

95. Factors impacting time to surgery and the effect on in-hospital mortality
Nikki Allorto, Camerin A. Rencken, Shelley Wall, Laura Pompermaier
Burns  vol: 47  issue: 4  first page: 922  year: 2021  
doi: 10.1016/j.burns.2020.09.002

96. Factors contributing to extended length of stay in the emergency department and potential strategies for improving patient flow in a central hospital in the Gauteng Province, South Africa
L. Motimele, V. Lalloo, T. Sefala, A. Engelbrecht, L. Majake-Mogoba, D. Basu
African Journal of Emergency Medicine  vol: 15  issue: 4  first page: 100896  year: 2025  
doi: 10.1016/j.afjem.2025.100896

97. Access to health care for people with stroke in South Africa: a qualitative study of community perspectives
T Smythe, G Inglis-Jassiem, T Conradie, S Kamalakannan, S Fernandes, SM van-Niekerk, R English, J Webster, S Hameed, QA Louw
BMC Health Services Research  vol: 22  issue: 1  year: 2022  
doi: 10.1186/s12913-022-07903-9

98. Distributions of non-cycloplegic subjective refractions at Sekororo Hospital in Limpopo province, South Africa
Khisimusi D. Maluleke, Nabeela Hasrod, Alan Rubin
African Vision and Eye Health  vol: 83  issue: 1  year: 2024  
doi: 10.4102/aveh.v83i1.892

99. Perceptions and attitudes towards AI among trainee and qualified radiologists at selected South African training hospitals
Ayanda I. Nciki, Linda T. Hlabangana
South African Journal of Radiology  vol: 29  issue: 1  year: 2025  
doi: 10.4102/sajr.v29i1.3026

100. Clinical outcomes associated with speech, language and swallowing difficulties post-stroke
Stephanie A. Kaylor, Shajila A. Singh
South African Journal of Communication Disorders  vol: 70  issue: 1  year: 2023  
doi: 10.4102/sajcd.v70i1.957

101. National ESG index update: An assessment of the G20 countries
Ping-Chuan Jiang
Innovation and Green Development  vol: 3  issue: 2  first page: 100147  year: 2024  
doi: 10.1016/j.igd.2024.100147

102. Addressing Healthcare Access Inequalities in South Africa: Evaluating Legislative and Human Rights Obligations and Proposing Strategies for Improvement
Mlondolozi Mvikweni
E-Journal of Humanities, Arts and Social Sciences  first page: 3371  year: 2024  
doi: 10.38159/ehass.202451655

103. Exploring the knowledge, attitudes, and potential role of oral health practitioners in FASD screening in South Africa
Imaan Amina Roomaney, Clement Nyirenda, Manogari Chetty
BMC Oral Health  vol: 25  issue: 1  year: 2025  
doi: 10.1186/s12903-025-07017-8

104. Austerity Measures and the Resilience of Zimbabwe's Healthcare System: Challenges and Solutions
Option Takunda Chiwaridzo
International Journal of Social Determinants of Health and Health Services  vol: 54  issue: 4  first page: 380  year: 2024  
doi: 10.1177/27551938241269118

105. Reconstructing the timing of South Africa’s influenza season over the past century from newspaper records
Cassia J. Holtz, Jennifer M. Fitchett
South African Geographical Journal  vol: 107  issue: 2  first page: 218  year: 2025  
doi: 10.1080/03736245.2024.2381004

106. Promoting Healthy Ageing in South Africa Through Vaccination of the Elderly
Mncengeli Sibanda, Johanna C. Meyer, Kesentseng J. Mahlaba, Rosemary J. Burnett
Frontiers in Public Health  vol: 9  year: 2021  
doi: 10.3389/fpubh.2021.635266

107. Big Data Analytics for Integrated Infectious Disease Surveillance in sub-Saharan Africa
Mourine S. Achieng, Oluwamayowa O. Ogundaini
SA Journal of Information Management  vol: 26  issue: 1  year: 2024  
doi: 10.4102/sajim.v26i1.1668

108. Alignment of digital health value propositions to business models in sub-Saharan Africa
Oluwamayowa O. Ogundaini, Mourine S. Achieng
Acta Commercii  vol: 24  issue: 1  year: 2024  
doi: 10.4102/ac.v24i1.1268

109. Competencies Required to Deliver a Primary Healthcare Approach in the Occupational Therapy: A South African Perspective
Deshini Naidoo, Jacqueline Marina Van Wyk, Stefania Costi
Occupational Therapy International  vol: 2023  first page: 1  year: 2023  
doi: 10.1155/2023/4965740

110. Audiologists’ presbycusis and associated tinnitus counselling practices within the KwaZulu-Natal province
Kerusha Bhojraj, Vuyelwa Z. Peter
South African Journal of Communication Disorders  vol: 69  issue: 1  year: 2022  
doi: 10.4102/sajcd.v69i1.869

111. Diabetic foot complications and their management at primary healthcare clinics in Johannesburg
YM Choonara, S Ntuli
Wound Healing Southern Africa  vol: 17  issue: 1  first page: 10  year: 2024  
doi: 10.36303/WHSA.072

112. Professional nurses’ perspectives on the influence of Ideal Clinic status on patient care quality in eThekwini, South Africa
Ntombifuthi Mazibuko, Thembelihle Ngxongo, Dudu Sokhela
Health SA Gesondheid  vol: 30  year: 2025  
doi: 10.4102/HSAG.v30i0.3064

113. Quality of care of patients with type 2 diabetes mellitus at a public sector district hospital
Kelly J. Fredericks, Mergan Naidoo
South African Family Practice  vol: 65  issue: 1  year: 2023  
doi: 10.4102/safp.v65i1.5713

114. Antiretroviral therapy clients’ experience of Follow-up care in tshwane, Gauteng province, South Africa
Kulani James Mabasa, Sibusiso Zuma
AIDS Research and Therapy  vol: 22  issue: 1  year: 2025  
doi: 10.1186/s12981-025-00797-7

115. Bacterial diversity and functional profile of microbial populations on surfaces in public hospital environments in South Africa: A high throughput metagenomic analysis
Christiana Omowunmi Shobo, Arghavan Alisoltani, Akebe Luther King Abia, Philip Senzo Mtshali, Arshad Ismail, Oliver Zishiri, Juliana Deidre Horn, Petra Brysiewicz, Sabiha Yusuf Essack, Linda Antoinette Bester
Science of The Total Environment  vol: 719  first page: 137360  year: 2020  
doi: 10.1016/j.scitotenv.2020.137360

116. The Role of Resource Constraints in State Liability for Omissions
Mila Harding
Southern African Public Law  vol: 36  issue: 2  year: 2022  
doi: 10.25159/2522-6800/9081

117. Collaborative implementation of an evidence‐based package of integrated primary mental healthcare using quality improvement within a learning health systems approach: Lessons from the Mental health INTegration programme in South Africa
Sithabisile Gugulethu Gigaba, Zamasomi Luvuno, Arvin Bhana, Andre Janse van Rensburg, Londiwe Mthethwa, Deepa Rao, Nikiwe Hongo, Inge Petersen
Learning Health Systems  vol: 8  issue: 2  year: 2024  
doi: 10.1002/lrh2.10389

118. Work ethics climate in relation to nurses’ commitment in a South African hospital
Mahlamakiti D. Kau, Jeremy Mitonga-Monga, Tebogo K. Molotsi
SA Journal of Human Resource Management  vol: 22  year: 2024  
doi: 10.4102/sajhrm.v22i0.2239

119. Knowledge and attitudes of health care professionals regarding birth preparedness of women in labour at selected Hospitals in KwaZulu-Natal, South Africa: A qualitative study
Yvonne Munyaneza, Euphemia Mbali Mhlongo
F1000Research  vol: 13  first page: 261  year: 2024  
doi: 10.12688/f1000research.144544.2

120. Strengthening quality of care for children who are HEU
Ameena Goga
The Lancet Global Health  vol: 8  issue: 1  first page: e8  year: 2020  
doi: 10.1016/S2214-109X(19)30497-8

121. Quality of work life: A unique motivational dynamic for oncology doctors in public health
Lynette Siziba, Antoni Barnard
SA Journal of Industrial Psychology  vol: 49  year: 2023  
doi: 10.4102/sajip.v49i0.2044

122. A systematic review on factors influencing immunisation adherence among children under 12 years of age
Bridgette Lockett, Juliana Willemse, Rugira Modeste
Health SA Gesondheid  vol: 30  year: 2025  
doi: 10.4102/hsag.v30i0.2864

123. Complexity of Adherence Challenges: Understanding Syndemic Factors Affecting HIV Treatment Adherence During Treatment Initiation in Cape Town, South Africa
Jeanette L. Kaiser, Erin Trowbridge, Taryn Vian, Jessica E. Haberer, Rashmi Paudel, Jillian DeMaria, Catherine Orrell, Lauren Jennings, Allen L. Gifford, Nafisa Halim, Natacha Berkowitz, William B. MacLeod, Lora L. Sabin
AIDS and Behavior  year: 2025  
doi: 10.1007/s10461-025-04959-6

124. Challenges faced by nurses in managing patients with foot pathologies at primary healthcare clinics in Johannesburg-South Africa
Simiso Ntuli
The Foot  vol: 57  first page: 101964  year: 2023  
doi: 10.1016/j.foot.2023.101964

125. Addressing coloniality of power to improve HIV care in South Africa and other LMIC
Claudia E. Ordóñez, Vincent C. Marconi, Lenore Manderson
Frontiers in Reproductive Health  vol: 5  year: 2023  
doi: 10.3389/frph.2023.1116813

126. Exploring the lived experiences of citizens on the effects of good governance practices on housing service delivery: a case study of four municipalities in South Africa
Ndimphiwe Mlamli Marawu, Reward Utete
SN Social Sciences  vol: 5  issue: 8  year: 2025  
doi: 10.1007/s43545-025-01154-1

127. Age and diabetes control in an HIV-endemic country: is there an association?
RR Chetty, S Pillay
Journal of Endocrinology, Metabolism and Diabetes of South Africa  vol: 27  issue: 2  first page: 49  year: 2022  
doi: 10.1080/16089677.2021.2002586

128. How Coronavirus Disease 2019 Changed Dermatology Practice in 1 Year Around the World
Qisi Sun, Devon E. McMahon, Pearl O. Ugwu-Dike, Qiuning Sun, Keyun Tang, Hanlin Zhang, Poonkiat Suchonwanit, Choon Chiat Oh, Alvin H. Chong, Anneliese Willems, Cristina Galván, Roni P. Dodiuk-Gad, Fabrizio Fantini, Sebastiano Recalcati, Joao Avancini, Denise Miyamoto, Jose A. Sanches, Noufal Raboobee, Francisco Bravo, Esther E. Freeman
Dermatologic Clinics  vol: 39  issue: 4  first page: 639  year: 2021  
doi: 10.1016/j.det.2021.05.014

129. Exploring healthcare workers’ experiences of managing patients returning to HIV care in Johannesburg, South Africa
Melanie A. Bisnauth, Natasha Davies, Sibongile Monareng, Helen Struthers, James A. McIntyre, Kate Rees
Global Health Action  vol: 15  issue: 1  year: 2022  
doi: 10.1080/16549716.2021.2012019

130. Factors contributing to the quality of nursing care in Gauteng province hospitals
Nomali S. Sabelo, Sibusiso M. Zuma
Curationis  vol: 48  issue: 1  year: 2025  
doi: 10.4102/curationis.v48i1.2653

131. Community-Based Hearing and Vision Screening in Schools in Low-Income Communities Using Mobile Health Technologies
Michelle Manus, Jeannie van der Linde, Hannah Kuper, Renate Olinger, De Wet Swanepoel
Language, Speech, and Hearing Services in Schools  vol: 52  issue: 2  first page: 568  year: 2021  
doi: 10.1044/2020_LSHSS-20-00089

132. Decolonizing pain and health-related research to advance research and optimize health
Carmen Renee Green, Fernando V. Villalta, Esmeralda E. Garcia-Almonte
Pain  vol: 166  issue: 11S  first page: S136  year: 2025  
doi: 10.1097/j.pain.0000000000003717

133. Examining the scarcity of oncology healthcare providers in cancer management: A case study of the Eastern Cape Province, South Africa
Michael Mncedisi Willie
Open Health  vol: 6  issue: 1  year: 2025  
doi: 10.1515/ohe-2025-0058

134. Knowledge, attitude and practices on notifiable diseases among environmental health practitioners in the City of Johannesburg: A cross-sectional study
Velisha Thompson, Joyce Shirinde, Thokozani P. Mbonane
Health SA Gesondheid  vol: 27  year: 2022  
doi: 10.4102/hsag.v27i0.1980

135. The Role of Employee Motivation in the Delivery of Quality Healthcare Services within the South African Public Health Sector
Simon Matome Nkgapele
Journal Managment & Business Studies  vol: 2  issue: Vol. 6 Núm. 2 (2024)  first page: 1  year: 2025  
doi: 10.32457/jmabs.v7i1.2637

136. Lifestyle medicine: A positive approach to stemming the tide of non-communicable diseases in South Africa
Dave R. Glass
South African Family Practice  vol: 63  issue: 1  year: 2021  
doi: 10.4102/safp.v63i1.5394

137. Transforming Service Quality in Healthcare: A Comprehensive Review of Healthcare 4.0 and Its Impact on Healthcare Service Quality
Karam Al-Assaf, Zied Bahroun, Vian Ahmed
Informatics  vol: 11  issue: 4  first page: 96  year: 2024  
doi: 10.3390/informatics11040096

138. Adaptive Staff Scheduling at Outpatient Department of Ntaja Health Center in Malawi - a Queuing Theory Application
Kambombo Mtonga, Antoine Gatera, Kayalvizhi Jayavel, Mwawi Nyirenda, Santhi Kumaran
Journal of Public Health Research  vol: 11  issue: 2  year: 2022  
doi: 10.4081/jphr.2021.2347

139. Major climate change-induced risks to human health in South Africa
Caradee Y. Wright, Thandi Kapwata, David Jean du Preez, Bianca Wernecke, Rebecca M. Garland, Vusumuzi Nkosi, Willem A. Landman, Liesl Dyson, Mary Norval
Environmental Research  vol: 196  first page: 110973  year: 2021  
doi: 10.1016/j.envres.2021.110973

140. Optometrists’ experience of healthcare fraud, waste and abuse (FWA) and strategies to combat it
Simon A. Maluleke
African Vision and Eye Health  vol: 83  issue: 1  year: 2024  
doi: 10.4102/aveh.v83i1.877

141. Assessment of Drimia delagoensis (Jessop) Baker Total Phenol, Flavonoids Content and Antioxidant Activity of Both Bulb and Leaves
Nokuthula Ndaba, Marthe Carine Djuidje Fotsing, Penny Poomani Govender
Chemistry & Biodiversity  vol: 21  issue: 1  year: 2024  
doi: 10.1002/cbdv.202301402

142. Financial performance drivers in BRICS healthcare companies: Locally estimated scatterplot smoothing partial utility functions
Peter Wanke, Md. Abul Kalam Azad, Yong Tan, Roberto Pimenta
Journal of Multi-Criteria Decision Analysis  vol: 29  issue: 1-2  first page: 173  year: 2022  
doi: 10.1002/mcda.1761

143. Relation between ethical sales behaviour and switching costs: a mediation of trust in medical schemes
Thabang Excellent Mofokeng
International Journal of Pharmaceutical and Healthcare Marketing  vol: 19  issue: 3  first page: 687  year: 2025  
doi: 10.1108/IJPHM-10-2023-0095

144. Student midwives’ experiences of Ubuntu principles in midwifery care at Vhembe District
Nthuseni Munzhedzi, Khathutshelo Netshisaulu, Dorah Ramathuba
Health SA Gesondheid  year: 2025  
doi: 10.4102/hsag.v30i0.2924

145. Creating an Environment Conducive to Nurses’ Empowerment in Mining Primary Healthcare Clinics in South Africa
Sanele Enock Nene
SSRN Electronic Journal   year: 2022  
doi: 10.2139/ssrn.4183406

146. What to Expect When You’re Expecting: Considering a Supervisory Constitutional Remedy to Address Obstetric Violence in Public Healthcare
Simone Gray
Potchefstroom Electronic Law Journal  vol: 28  year: 2025  
doi: 10.17159/1727-3781/2025/v28i0a17927

147. Switching costs, customer satisfaction, and their impact on marketing ethics of medical schemes in South Africa: An enlightened marketing perspective
Thabang Excellent Mofokeng, Len Tiu Wright
Cogent Business & Management  vol: 7  issue: 1  first page: 1811000  year: 2020  
doi: 10.1080/23311975.2020.1811000

148. The future of South African paramedicine: Adapting to evolving challenges and shaping a patient-centred future
Naqeeb Majiet, Louis van Rensburg, Craig Wylie, Willem Stassen, Naseef Abdullah
Paramedicine  vol: 22  issue: 5  first page: 237  year: 2025  
doi: 10.1177/27536386251351938

149. Human Capital Development and Public Health Expenditure: Assessing the Long-Term Sustainability of Economic Development Models
Ngesisa Magida, Thobeka Ncanywa, Kin Sibanda, Abiola John Asaleye
Social Sciences  vol: 14  issue: 6  first page: 351  year: 2025  
doi: 10.3390/socsci14060351

150. Anaesthetists’ knowledge and practice of environmentally sustainable anaesthesia in an academic department of anaesthesiology
AP Giuricich, T Jeggo, T Kleyenstuber
Southern African Journal of Anaesthesia and Analgesia  vol: 30  issue: 5  first page: 158  year: 2024  
doi: 10.36303/SAJAA.3144

151. Exploring facilitators and barriers for delivering person-centered care in a socio-economically diverse context: Perspectives of speech-language pathologists and audiologists
Faheema Mahomed-Asmail, Louise Metcalfe, Marien Alet Graham, Renata Eccles
Patient Education and Counseling  vol: 124  first page: 108250  year: 2024  
doi: 10.1016/j.pec.2024.108250

152. Access to healthcare services for transgender people in South Africa: assessing healthcare experiences and human rights
Denise Zambezi, Frans Viljoen
International Journal of Transgender Health  vol: 25  issue: 4  first page: 791  year: 2024  
doi: 10.1080/26895269.2023.2273364

153. From the periphery to inclusion within the health system: promoting community health worker empowerment as a way forward
Linnea Stansert Katzen, Steve Reid, Christina Laurenzi, Mark Tomlinson
BMC Primary Care  vol: 25  issue: 1  year: 2024  
doi: 10.1186/s12875-024-02523-0

154. Enhancing Quality of Congenital Heart Care Within Resource-Limited Settings
Shazia Mohsin, Babar Hasan, Bistra Zheleva, Raman Krishna Kumar
Pediatric Cardiology  vol: 46  issue: 1  first page: 27  year: 2025  
doi: 10.1007/s00246-023-03351-2

155. Nurses’ Perception on the Hindrances of Triage System in Emergency Unit
Olunike Blessing Olofinbiyi, Lufuno Makhado, Johanna Elizabeth Maree
Nursing Research and Practice  vol: 2024  issue: 1  year: 2024  
doi: 10.1155/2024/8621065

156. Road infrastructure challenges at Mqanduli Village in King Sabata Dalindyebo Local Municipality
Asisipho Ngomfela, Malefetsane Mofolo
International Journal of Business Ecosystem & Strategy (2687-2293)  vol: 6  issue: 5  first page: 174  year: 2024  
doi: 10.36096/ijbes.v6i5.556

157. Task shifting roles, interventions and outcomes for kidney and cardiovascular health service delivery among African populations: a scoping review
Ikechi G. Okpechi, Ijezie I. Chukwuonye, Udeme Ekrikpo, Jean Jacques Noubiap, Yemi R. Raji, Yusuf Adeshina, Samuel Ajayi, Zunaid Barday, Malini Chetty, Bianca Davidson, Emmanuel Effa, Stephen Fagbemi, Cindy George, Andre P. Kengne, Erika S. W. Jones, Hamidu Liman, Mohammad Makusidi, Hadiza Muhammad, Ikechukwu Mbah, Kwazi Ndlovu, Grace Ngaruiya, Chimezie Okwuonu, Ugochi Samuel-Okpechi, Elliot K. Tannor, Ifeoma Ulasi, Zulkifilu Umar, Nicola Wearne, Aminu K. Bello
BMC Health Services Research  vol: 23  issue: 1  year: 2023  
doi: 10.1186/s12913-023-09416-5

158. Impact of burnout on depression among nurses at a private hospital in Johannesburg, South Africa
Ongeziwe Dyasi, Emmanuel E.-O. Agbenyeku, Anesu G. Kuhudzai, Teboho A. Moloi
South African Family Practice  vol: 66  issue: 1  year: 2024  
doi: 10.4102/safp.v66i1.5906

159. Involvement of Male Partners in Sustaining Interventions for Preventing Mother-to-Child Transmission of HIV Among Women with HIV
Fulufhedzani C. Malindi, Maria S. Maputle
International Journal of Maternal and Child Health and AIDS  vol: 13  first page: e023  year: 2024  
doi: 10.25259/IJMA_645

160. Leveraging healthcare standards-based improvement initiatives to support learning and continuous improvement: lessons from implementing the Ideal Clinic programme in Cape Town, South Africa
Oupa Motshweneng, Lucy Gilson, Beth Engelbrecht, Alfonso Patientia
IJQHC Communications  vol: 4  issue: 1  year: 2024  
doi: 10.1093/ijcoms/lyae001

161. current and potential role of blockchain-based technology in managing medical records in Africa
Eric Blanco Niyitunga
Digital Policy Studies  vol: 1  issue: 1  first page: 52  year: 2022  
doi: 10.36615/dps.v1i1.1253

162. Training, Attitudes, and Practice (TAP) among healthcare professionals in the Nelson Mandela Bay municipality, South Africa: A health promotion and disease prevention perspective
Herbert I. Melariri, Chester Kalinda, Moses J. Chimbari, Michelle Lee D’Abundo
PLOS ONE  vol: 16  issue: 11  first page: e0259884  year: 2021  
doi: 10.1371/journal.pone.0259884

163. Propuesta de modelo integral de intervención terapéutica paliativa en salud.
Jeniffer Elizabeth Baque Hidalgo, Mariana Concepción Vallejo Martínez, Evelyn Frias-Toral
Bionatura  vol: 7  issue: 2  first page: 1  year: 2022  
doi: 10.21931/RB/2022.07.02.12

164. Austerity, resilience and the management of actors in public hospitals: a qualitative study from South Africa
Thanduxolo Fana, Jane Goudge
BMJ Global Health  vol: 6  issue: 2  first page: e004157  year: 2021  
doi: 10.1136/bmjgh-2020-004157

165. Fragmented care in lupus: Patient experiences and insights
Armand Bam
African Journal of Disability  vol: 14  year: 2025  
doi: 10.4102/ajod.v14i0.1562

166. “… It is like it has come up and stole our lives from us” The first 21 days: A rapid qualitative assessment of how different sectors of society experienced the COVID-19 lockdown in South Africa
Allanise Cloete, Alicia North, Shandir Ramlagan, Tenielle Schmidt, Lehlogonolo Makola, Jeremiah Chikovore, Donald Skinner, Sasiragha Priscilla Reddy
Social Sciences & Humanities Open  vol: 4  issue: 1  first page: 100167  year: 2021  
doi: 10.1016/j.ssaho.2021.100167

167. The Role of Environmental Factors on Health Conditions, General Health and Quality of Life in Persons with Spinal Cord Injuries in South Africa
Lucian Bezuidenhout, Anthea Rhoda, David Moulaee Conradsson, Joyce Mothabeng, Conran Joseph
International Journal of Environmental Research and Public Health  vol: 20  issue: 9  first page: 5709  year: 2023  
doi: 10.3390/ijerph20095709

168. General Male Patients’ Experiences When Visiting Public Health Facilities in Limpopo Province, South Africa
Lazarros Chavalala, Rachel Tsakani Lebese, Lufuno Makhado
Public Health Challenges  vol: 4  issue: 4  year: 2025  
doi: 10.1002/puh2.70166

169. Participation patterns of children with cerebral palsy: A caregiver’s perspective
Lethabo E. Africa, Anri Human, Muziwakhe D. Tshabalala
African Journal of Disability  vol: 12  year: 2023  
doi: 10.4102/ajod.v12i0.1058

170. The perspectives of speech–language pathologists: Providing teletherapy to patients with speech, language and swallowing difficulties during a COVID-19 context
Zahraa Tar-Mahomed, Kelly-Ann Kater
South African Journal of Communication Disorders  vol: 69  issue: 2  year: 2022  
doi: 10.4102/sajcd.v69i2.902

171. Analysis of the Shortage of Nurses in Limpopo Province, South Africa: A Case of Lebowakgomo Clinic
Mashudu Mashiloane
Commonwealth Youth and Development  vol: 20  issue: 2  year: 2023  
doi: 10.25159/2663-6549/12283

172. Ubuntu as a mediator in coping with multimorbidity treatment burden in a disadvantaged rural and urban setting in South Africa
Nonzuzo Mbokazi, Myrna van Pinxteren, Katherine Murphy, Frances S. Mair, Carl R. May, Naomi S. Levitt
Social Science & Medicine  vol: 334  first page: 116190  year: 2023  
doi: 10.1016/j.socscimed.2023.116190

173. RETRACTED: Thermal radiation image and motion sensor based on improved neural network for big data health exercise route simulation: Cellular thermal effect
Xiang Li, Meng Song, Zimo Zhao, Yuting Zheng, Zhengke Xu
Thermal Science and Engineering Progress  vol: 59  first page: 103275  year: 2025  
doi: 10.1016/j.tsep.2025.103275

174. Promoting Equitable Healthcare Access for Marginalized Populations: A Comprehensive Framework for Men Who Have Sex With Men (MSM) in South Africa
Ikekhwa Albert Ikhile
Sage Open  vol: 14  issue: 3  year: 2024  
doi: 10.1177/21582440241285186

175. Cross-cultural adaptation: South African Gestational Diabetes Mellitus Knowledge Questionnaire
Lorisha Manas, Tawanda Chivese, Ankia Coetzee, Magda Conradie, Linzette D. Morris
South African Family Practice  vol: 67  issue: 1  year: 2025  
doi: 10.4102/safp.v67i1.5826

176. Determinants of quality of life amongst hearing impaired patients in a rural district of South Africa: a cross-sectional study
Lwazi Knowledge Mnguni, Ozayr Mahomed
Discover Social Science and Health  year: 2026  
doi: 10.1007/s44155-025-00355-6

177. Carbapenem Resistant Enterobacteriaceae in Africa
Bashar Haruna Gulumbe, Olumide Ajibola
Borneo Journal of Pharmacy  vol: 3  issue: 2  first page: 71  year: 2020  
doi: 10.33084/bjop.v3i2.1356

178. Knowledge and attitudes of health care professionals regarding birth preparedness of women in labour at selected Hospitals in KwaZulu-Natal, South Africa: A qualitative study
Yvonne Munyaneza, Euphemia Mbali Mhlongo
F1000Research  vol: 13  first page: 261  year: 2024  
doi: 10.12688/f1000research.144544.1

179. Mental health patterns of physiotherapists in South Africa during COVID-19
Nabeelah Bemath, Nicky Israel, Tasneem Hassem
South African Journal of Physiotherapy  vol: 79  issue: 1  year: 2023  
doi: 10.4102/sajp.v79i1.1881

180. COVID-19 underscores the important role of Clinical Ethics Committees in Africa
Keymanthri Moodley, Siti Mukaumbya Kabanda, Anita Kleinsmidt, Adetayo Emmanuel Obasa
BMC Medical Ethics  vol: 22  issue: 1  year: 2021  
doi: 10.1186/s12910-021-00696-2

181. Challenges and potential opportunities for improving One Health surveillance in low-resource settings: Insights from rabies surveillance in Malawi
Precious Innocent Mastala, Patrick Ken Kalonde, Enerst Chikhola, Jordana Burdon Bailey, Joseph Nkhoma, Frederic Lohr, Tamanda Hiwa, Bessie Phiri, Catherine Wood, Thoko Flav Kapalamula, Fanuel Bickton, Blessings Chiepa, Hannah Joan Jørgensen, Stella Mazeri, Janelisa Musaya
One Health Outlook  year: 2026  
doi: 10.1186/s42522-025-00193-1

182. South African fathers’ experiences with healthcare providers during their partners’ medically high-risk pregnancy and childbirth
Pascal Richardson, Michelle Andipatin
South African Journal of Psychology  vol: 54  issue: 1  first page: 9  year: 2024  
doi: 10.1177/00812463231207511

183. Justice in healthcare: the South African promise
Ames Dhai
Social Dynamics  vol: 46  issue: 3  first page: 434  year: 2020  
doi: 10.1080/02533952.2020.1853953

184. Mental health policy and system preparedness to respond to COVID-19 and other health emergencies: a case study of four African countries
Tholene Sodi, Mahlatse Modipane, Kwaku Oppong Asante, Emmanuel Nii-Boye Quarshie, Stephen Asatsa, Julia Mutambara, Sibusiso Khombo
South African Journal of Psychology  vol: 51  issue: 2  first page: 279  year: 2021  
doi: 10.1177/00812463211012177

185. Assessing the Impact of Human Resource Shortages on Patient Care: Perspectives of Registered Nurses in a Gauteng Public Hospital, South Africa
Carmenia J. Wleh, Naomi L. Nkoane, Daniel Joseph Berdida
Nursing Forum  vol: 2025  issue: 1  year: 2025  
doi: 10.1155/nuf/9939848

186. The application of qualitative approaches in a post-colonial context in speech-language pathology: A call for transformation
Jennifer Watermeyer, Joanne Neille
International Journal of Speech-Language Pathology  vol: 24  issue: 5  first page: 494  year: 2022  
doi: 10.1080/17549507.2022.2047783

187. Why adult patients on antiretroviral therapy miss clinical appointments in rural villages of Limpopo Province, South Africa: An exploratory study
Mygirl P. Lowane, Rachel T. Lebese
Health SA Gesondheid  vol: 27  year: 2022  
doi: 10.4102/hsag.v27i0.1989

188. Racial disparities in psychological distress in post-apartheid South Africa: results from the SANHANES-1 survey
Nigel Walsh Harriman, David R. Williams, Justin Winston Morgan, Ronel Sewpaul, Thabang Manyaapelo, Sibusiso Sifunda, Musawenkosi Mabaso, Anthony David Mbewu, Sasiragha Priscilla Reddy
Social Psychiatry and Psychiatric Epidemiology  vol: 57  issue: 4  first page: 843  year: 2022  
doi: 10.1007/s00127-021-02175-w

189. Fourth Industrial Revolution in South Africa: Challenges Confronting Health Care and a Health Care-focused Strategy
Kabaso Kabwe
Politeia  vol: 41  issue: 1 & 2  year: 2023  
doi: 10.25159/2663-6689/10139

190. Exploring quality standards implementation at a South African municipality’s health facilities
Rose S. Matahela, Ayobami P. Adekola, Azwihangwisi H. Mavhandu-Mudzusi
Curationis  vol: 46  issue: 1  year: 2023  
doi: 10.4102/curationis.v46i1.2416

191. The Challenges of Implementing a Health Referral System in South Africa: A Qualitative Study
Aseza Matolengwe, Daphne Murray, Uchenna Okafor
Risk Management and Healthcare Policy  vol: Volume 17  first page: 855  year: 2024  
doi: 10.2147/RMHP.S450998

192. Caregiver Navigation Through Early Hearing Detection and Intervention Programs in South Africa
Amisha Kanji, Wasifah Noorbhai
Infants & Young Children  vol: 34  issue: 3  first page: 190  year: 2021  
doi: 10.1097/IYC.0000000000000197

193. Providers' definitions of quality and barriers to providing quality care: a qualitative study in rural Mpumalanga Province, South Africa
Rebecca L. West, Sheri A. Lippman, Rhian Twine, Meriam Maritze, Kathleen Kahn, Hannah H. Leslie
Journal of Global Health Science  vol: 3  issue: 1  year: 2021  
doi: 10.35500/jghs.2021.3.e1

194. Pertussis in the Tshwane District, Gauteng province, South Africa: A cross-sectional study
Xolelwa Ntsham, Tladi D. Ledibane
Journal of Public Health in Africa  vol: 16  issue: 1  year: 2025  
doi: 10.4102/jphia.v16i1.1393

195. Independent Correlates of Glycemic Control among Adults with Diabetes in South Africa
Abdulaziz Hamid, Aprill Z. Dawson, Yilin Xu, Leonard E. Egede
International Journal of Environmental Research and Public Health  vol: 21  issue: 4  first page: 486  year: 2024  
doi: 10.3390/ijerph21040486

196. Radiography managers’ perceptions on skills required in public health institutes in Gauteng
Joseph L. Mopeli, Portia N. Ramashia, Lynne J. Hazell
Health SA Gesondheid  vol: 29  year: 2024  
doi: 10.4102/hsag.v29i0.2654

197. The Escalation of Informal Settlement and the High Levels of Illegal Dumping Post-Apartheid: Systematic Review
Xolisiwe Sinalo Grangxabe, Thabang Maphanga, Benett Siyabonga Madonsela, Babalwa Gqomfa, Takalani Terry Phungela, Karabo Concelia Malakane, Kgabo Humphrey Thamaga, Daniel Angwenyi
Challenges  vol: 14  issue: 3  first page: 38  year: 2023  
doi: 10.3390/challe14030038

198. “Us versus Them”: is the voice of the community heard when planning communication screening programmes for preschoolers?
V.Z. Peter, P. Rea, M. Pillay, Y. Saman
Public Health  vol: 236  first page: 297  year: 2024  
doi: 10.1016/j.puhe.2024.08.003

199. Development of health information materials on antimicrobial resistance with lay workers in Grahamstown/Makhanda, South Africa
Samridhi Sharma, Sunitha Srinivas, Roman Tandlich
Frontiers in Public Health  vol: 13  year: 2025  
doi: 10.3389/fpubh.2025.1542448

200. Acceptability and feasibility of home-based hypertension and physical activity screening by community health workers in an under-resourced community in South Africa
Mark Stoutenberg, Simone H. Crouch, Lia K. McNulty, Andrea Kolkenbeck-Ruh, Georgia Torres, Philippe J. L. Gradidge, Andy Ly, Lisa J. Ware
Journal of Public Health  vol: 32  issue: 6  first page: 1011  year: 2024  
doi: 10.1007/s10389-023-01873-w

201. Study-to-Clinic Transition and Daily Oral PrEP Access Experiences Among AGYW in Eastern Cape, South Africa: Insights from the Community PrEP Study
Lindsey de Vos, Emily Krogstad Mudzingwa, Lauren Fynn, Millicent Atujuna, Ernesha Webb Mazinyo, Keabetswe Kodi, Sybil Hosek, Ingrid T. Katz, Connie Celum, Linda-Gail Bekker, Joseph Daniels, Andrew Medina-Marino
AIDS and Behavior  vol: 29  issue: 8  first page: 2574  year: 2025  
doi: 10.1007/s10461-025-04718-7

202. Optimising clinical governance and risk management in resource-limited hospitals: A family medicine model
Mergan Naidoo, Kimera T. Suthiram
African Journal of Primary Health Care & Family Medicine  vol: 17  issue: 1  year: 2025  
doi: 10.4102/phcfm.v17i1.4876

203. Clinical attendance rate at a tertiary adult audiological service in South Africa
Mubina Khan, Katijah Khoza-Shangase, Amanda B. Thusi, Ruhee Hoosain, Sadna Balton
South African Journal of Communication Disorders  vol: 70  issue: 1  year: 2023  
doi: 10.4102/sajcd.v70i1.967

204. Understanding the health outcomes of the work pattern transformation in the age of gig economy: an investigation of the association between multiple-job holding and health status in the United States and China
Bocong Yuan, Junbang lan, Jiannan Li
International Archives of Occupational and Environmental Health  vol: 95  issue: 3  first page: 737  year: 2022  
doi: 10.1007/s00420-021-01799-4

205. Unraveling the wait: exploring factors behind patient delays at a South African Clinic
Shonisani SST Masutha, Ikekhwa Albert Ikhile, Azwihangwisi Helen Mavhandu-Mudzusi
International Journal of Research in Business and Social Science (2147- 4478)  vol: 13  issue: 10  first page: 207  year: 2024  
doi: 10.20525/ijrbs.v13i10.3605

206. Water management optimization challenges: a supply-side perspective
Fani Nicholas Jojozi, Thokozani Patmond Mbhele, Chukuakadibia Eresia-Eke
Sustainable Water Resources Management  vol: 11  issue: 5  year: 2025  
doi: 10.1007/s40899-025-01262-z

207. Reframing Intersectional Stigma for a South African Context Integrating Tuberculosis, HIV and Poverty Stigmas
Alanna Bergman, Jason E. Farley, Vidisha Agarwalla, Michael Relf
Journal of the Association of Nurses in AIDS Care  vol: 33  issue: 1  first page: 22  year: 2022  
doi: 10.1097/JNC.0000000000000296

208. How do pregnant women and new mothers navigate and respond to challenges in accessing health care? Perspectives from rural South Africa
Christina A. Laurenzi, Sarah Skeen, Bronwyne J. Coetzee, Sarah Gordon, Vuyolwethu Notholi, Mark Tomlinson
Social Science & Medicine  vol: 258  first page: 113100  year: 2020  
doi: 10.1016/j.socscimed.2020.113100

209. Young adults’ experiences of social media usage for health-related information
P.J. Maine, S.N. Mostert
African Journal for Physical Activity and Health Sciences (AJPHES)  vol: 29  issue: 1  first page: 1  year: 2023  
doi: 10.37597/ajphes.2023.29.1.1

210. Assessing the National Health Insurance (NHI) in South Africa: Policy Formulation, Stakeholder engagement and Implementation Challenges
Thato Mkhwanazi
European Journal of Medical and Health Research  vol: 2  issue: 6  first page: 198  year: 2024  
doi: 10.59324/ejmhr.2024.2(6).27

211. Working in the time of COVID-19: Rehabilitation clinicians’ reflections of working in Gauteng’s public healthcare during the pandemic
Hester M. van Biljon, Lana van Niekerk
African Journal of Disability  vol: 11  year: 2022  
doi: 10.4102/ajod.v11i0.889

212. Care-seeking during fatal childhood illness in rural South Africa: a qualitative study
Jessica Price, Merlin Willcox, Vuyiswa Dlamini, Audrey Khosa, Phindile Khanyile, Janet Seeley, Anthony Harnden, Kathleen Kahn, Lisa Hinton
BMJ Open  vol: 11  issue: 4  first page: e043652  year: 2021  
doi: 10.1136/bmjopen-2020-043652

213. The impact of insufficient resources on the quality-of-service delivery at a primary healthcare clinic in Limpopo
Dikeledi N. Malematja, Elizabeth M. Nkosi, Sanele E. Nene
Curationis  vol: 48  issue: 1  year: 2025  
doi: 10.4102/curationis.v48i1.2696

214. The feasibility of southern African traditional plant therapies for ophthalmic use
Ian Edwin Cock, Ané Orchard, Cynthia Nhlabathi, Thato Nxumalo, Sandy Van Vuuren
South African Journal of Botany  vol: 148  first page: 360  year: 2022  
doi: 10.1016/j.sajb.2022.05.006

215. Provision of mental health care to healthcare workers during COVID-19: A call for the practice of vulnerability
Jacqueline Hoare
South African Journal of Science  vol: 118  issue: 5/6  year: 2022  
doi: 10.17159/sajs.2022/13904

216. Operational nurse managers’ perceptions on the competence of community service nurses in public settings in the Western Cape
Vatiswa Makie, Karien Jooste, Tendani B. Mabuda, Theresa Bock, Guinevere M. Lourens, Martha van As, Jennifer Chipps
Curationis  vol: 44  issue: 1  year: 2021  
doi: 10.4102/curationis.v44i1.2174

217. Implementing quality in hospitals – stakeholders’ roles: A qualitative social network analysis
Sphiwe Y. Mabena, Susan J. Armstrong
Health SA Gesondheid  year: 2025  
doi: 10.4102/HSAG.v30i0.3147

218. Patients’ views on health promotion and disease prevention services provided by healthcare workers in a South African tertiary hospital
Herbert I. Melariri, Chester Kalinda, Moses J. Chimbari
BMC Health Services Research  vol: 23  issue: 1  year: 2023  
doi: 10.1186/s12913-023-09351-5

219. A nation in pain: high-quality local research as a crucial step to improve pain prevention and care
P Kamerman, VJ Madden, G Arendse, GJ Bedwell, D Cajee, T Chinaka, B Mason, M McDonald, L Mqadi, J van der Walt, R Parker
Southern African Journal of Anaesthesia and Analgesia  vol: 30  issue: 3  first page: 76  year: 2024  
doi: 10.36303/SAJAA.3138

220. Are we ready to collaborate? The interprofessional collaborative competencies of healthcare professionals in the Global South context
Diantha Soemantri, Ardi Findyartini, Retno Asti Werdhani, Sukamto Koesnoe, Debie Dahlia
Frontiers in Medicine  vol: 9  year: 2022  
doi: 10.3389/fmed.2022.904658

221. Myriad untold stories unfolding daily: South Africa’s pursuit of quality primary health care
Klaus B. von Pressentin, Ramprakash Kaswa, Shane Murphy, Arun Nair, Indiran Govender
South African Family Practice  vol: 66  issue: 1  year: 2024  
doi: 10.4102/safp.v66i1.5867

222. Decentralisation of MDR-TB care in rural South Africa: Overcoming the challenges through quality improvement
Katia Florman, Jonathan Hudson, Marian Loveday
Clinical Infection in Practice  vol: 7-8  first page: 100020  year: 2020  
doi: 10.1016/j.clinpr.2020.100020

223. La contratación y retención de profesionales críticos de la salud: enfoque en el Hospital Provincial de Polokwane
Simon Atome Kgapele, Xolani Thusi
Journal Managment & Business Studies  first page: 1  year: 2025  
doi: 10.32457/jmabs.v7i1.2486

224. Engaging future healthcare professionals for rural health services in South Africa: students, graduates and managers perceptions
Dumsani M. Gumede, Myra Taylor, Jane D. Kvalsvig
BMC Health Services Research  vol: 21  issue: 1  year: 2021  
doi: 10.1186/s12913-021-06178-w

225. A Clinical Audit of Surgical Site Infection Surveillance in a Maxillo‐Facial and Oral Surgery Unit in an Academic Hospital Complex in South Africa
Emmy Ngoakoana Nokaneng, Samantha L. Holloway
International Wound Journal  vol: 22  issue: 5  year: 2025  
doi: 10.1111/iwj.70196

226. Balancing Sound Decisions: Exploring Informed Consent Practices and Perspectives in Newborn Hearing Screening Programs
Amisha Kanji, Alida Naudé, Judy Moore
American Journal of Audiology  vol: 34  issue: 3  first page: 563  year: 2025  
doi: 10.1044/2025_AJA-24-00244

227. Registered nurses’ experiences regarding operational factors influencing the implementation of HIV care services in the mobile health clinics of eThekwini Municipality in KwaZulu-Natal
Silingene Joyce Ngcobo, Lufuno Makhado, Leepile Alfred Sehularo
BMC Nursing  vol: 23  issue: 1  year: 2024  
doi: 10.1186/s12912-024-01764-9

228. The perspectives of healthcare professionals regarding interprofessional collaboration among three tertiary hospitals in the Tshwane district, Gauteng
Nontembiso Magida, Kirsten Hellberg, Charmari Kotze, Kgopotso Mathume, Thuto Molapo, Lara Moolman, Bianke Schoeman, Marien Alet Graham
Journal of Interprofessional Education & Practice  vol: 41  first page: 100769  year: 2025  
doi: 10.1016/j.xjep.2025.100769

229. Women’s experiences of high-risk pregnancy care in resource constrained Cape Town communities
Gugulethu Cebekhulu, Michelle Andipatin
Health SA Gesondheid  vol: 30  year: 2025  
doi: 10.4102/hsag.v30i0.2890

230. Feeding and swallowing in cerebral palsy: Caregiver burden, quality of life and support needs
Raquel Lewis, Michal Harty, Vivienne Norman
South African Journal of Communication Disorders  vol: 72  issue: 2  year: 2025  
doi: 10.4102/SAJCD.v72i2.1124

231. Using Social Media as a Marketing Communication Strategy: Perspectives from Health-Related Non-Profit Organizations
Shaun Thomas, Rodney Graeme Duffett
Journal of Nonprofit & Public Sector Marketing  vol: 37  issue: 3  first page: 373  year: 2025  
doi: 10.1080/10495142.2024.2361342

232. Radiologists’ experiences and perceptions regarding the use of teleradiology in South Africa
Renata Schoeman, Mario Haines
South African Journal of Radiology  vol: 27  issue: 1  year: 2023  
doi: 10.4102/sajr.v27i1.2647

233. A comparative analysis of compliance with HIV/AIDS clinical care indicators and treatment outcomes: A case study of the Democratic Republic of Congo and South Africa
Tambwe Willy Muzumbukilwa, Riziki Ghislain Manimani, Rajesh Vikram Vagiri, Manimbulu Nlooto
African Journal of AIDS Research  vol: 24  issue: 3-4  first page: 142  year: 2025  
doi: 10.2989/16085906.2025.2562859

234. Perceived barriers to the prevention of preterm births in obstetric units of the Limpopo Province, South Africa
Thivhulawi Malwela, Maria Sonto Maputle, Khathutshelo Grace Netshisaulu
African Journal of Midwifery and Women's Health  vol: 16  issue: 2  first page: 1  year: 2022  
doi: 10.12968/ajmw.2021.0032

235. Prevalence of secondary health conditions and mental status in persons with long-term spinal cord injury in South Africa: Comparison between public and private healthcare sectors
C Joseph, C Thurston, E Nizeyimana, E Scriba, D M Conradsson, A Rhoda
South African Medical Journal  first page: 46  year: 2023  
doi: 10.7196/SAMJ.2023.v113i5.16791

236. Residential and inpatient treatment of substance use disorders in Sub-Saharan Africa: a scoping review
Samuel Janson, Lily Nyenga, Haneefa Saleem, Larissa Jennings Mayo-Wilson, Stella E. Mushy, Masunga K. Iseselo, Jenna van Draanen, Joseph Tucker, Mecca McPherson, Donaldson F. Conserve
Substance Abuse Treatment, Prevention, and Policy  vol: 19  issue: 1  year: 2024  
doi: 10.1186/s13011-023-00589-0

237. Analysing patient factors and treatment impact on diabetic foot ulcers in South Africa
Maxine J. Turner, Sandy van Vuuren, Stephanie Leigh-de Rapper
South African Journal of Science  vol: 120  issue: 3/4  year: 2024  
doi: 10.17159/sajs.2024/16301

238. South African speech-language therapists’ and audiologists’ professional quality of life
Victor M. De Andrade, Cherilyn Da Silva, Nickey Israel
South African Journal of Communication Disorders  vol: 71  issue: 1  year: 2024  
doi: 10.4102/sajcd.v71i1.1042

239. Self-care can be an alternative to expand access to universal health care: What policy makers, governments and implementers can consider for South Africa
Athini Nyatela, Sizwe Nqakala, Leanne Singh, Taylor Johnson, Siphamandla Gumede
Frontiers in Reproductive Health  vol: 4  year: 2022  
doi: 10.3389/frph.2022.1073246

240. Towards Continuing Interprofessional Education: Interaction patterns of health professionals in a resource-limited setting
Champion N. Nyoni, Cecilna Grobler, Yvonne Botma, Joseph Telfair
PLOS ONE  vol: 16  issue: 7  first page: e0253491  year: 2021  
doi: 10.1371/journal.pone.0253491

241. Strategies to Reduce Maternal Death Rate and Improve the Provision of Quality Healthcare Services in Selected Hospitals of Vhembe District Limpopo Province
Tshisikhawe Mahada, Takalani G. Tshitangano, Azwinndini G. Mudau
Nursing Reports  vol: 13  issue: 3  first page: 1251  year: 2023  
doi: 10.3390/nursrep13030107

242. Assessing patients’ experience of care in four referral hospitals: a cross-sectional survey of outpatients in two South African rural provinces
Wezile W. Chitha, Onke R. Mnyaka, Akhona Ncinitwa, Olona Giwu, Teboho Mashao, Kuhle Mabophe, Sibusiso C. Nomatshila, Itumeleng Funani, Vivien Essel, Xolelwa Ntlongweni, Kedibone Maake, Nomfuneko Sithole, Ntiyiso Khosa, Maphoko Masemola, Ziyanda Ngcobo, Murendeni Mulamu, Bongiwe Mkabela, Siyabonga Sibulawa, Buyiswa Swartbooi, Godfrey Mokobane, Sikhumbuzo A. Mabunda
BMC Health Services Research  vol: 24  issue: 1  year: 2024  
doi: 10.1186/s12913-024-12002-y

243. Obesity and sickness absenteeism among health workers in a private hospital in South Africa
Therese de Wet, Willem H. Kruger, Gina Joubert
South African Family Practice  vol: 64  issue: 1  year: 2022  
doi: 10.4102/safp.v64i1.5418

244. Maternal and child oral health barriers and solutions: Case studies from South Africa, Brazil, and Indonesia
Khabiso Ramphoma, Sonia Groisman, Irene Adyatmaka, Hyewon Lee
Journal of Dental Education  vol: 88  issue: S1  first page: 703  year: 2024  
doi: 10.1002/jdd.13519

245. Justice in the provision of healthcare services – A stifled right in the private sector
Safia Mahomed, Melodie Labuschaigne, Magda Slabbert
South African Journal of Bioethics and Law  first page: 92  year: 2023  
doi: 10.7196/SAJBL.2022.v15i3.371

246. Demonstrating the feasibility of digital health to support pediatric patients in South Africa
Elin Haf Davies, Karen Fieggen, Jo Wilmshurst, Obuchinezia Anyanwu, Richard Joseph Burman, Sandra Komarzynski
Epilepsia Open  vol: 6  issue: 4  first page: 653  year: 2021  
doi: 10.1002/epi4.12527

247. Use of Machine Learning and Statistical Algorithms to Predict Hospital Length of Stay Following Colorectal Cancer Resection: A South African Pilot Study
Okechinyere J. Achilonu, June Fabian, Brendan Bebington, Elvira Singh, Gideon Nimako, Rene M. J. C. Eijkemans, Eustasius Musenge
Frontiers in Oncology  vol: 11  year: 2021  
doi: 10.3389/fonc.2021.644045

248. Enablers and hindrances to health promotion and disease prevention practices among healthcare workers in Nelson Mandela Bay Municipality, South Africa
Herbert I. Melariri, Chester Kalinda, Moses J. Chimbari
Preventive Medicine Reports  vol: 23  first page: 101462  year: 2021  
doi: 10.1016/j.pmedr.2021.101462

249. Feasibility and effectiveness of an interprofessional educational program on perinatal mental health: perspectives of health students in two African countries
Victoria Bubunyo Bam, Abigail Kusi-Amponsah Diji, Sandra Duoduwaa Lartey, Rose Nabirye, Frances Emily Owusu-Ansah, Alberta Yemotsoo Lomotey, Roderick Emil Larsen-Reindolf, Hayford Isaac Budu
BMC Medical Education  year: 2026  
doi: 10.1186/s12909-025-08554-0

250. Patterns of on‐scene and healthcare system trauma deaths in the Western Cape of South Africa
Julia Finn, Julia M. Dixon, Fabio Moreira, Celeste Herbst, Smitha Bhaumik, Chelsie L. Fleischer, Willem Stassen, Brenda Beaty, Denise Lourens, Janette Verster, Bailey Fosdick, Hendrick J. Lategan, Shaheem de Vries, Grace Uren, Craig Wylie, Elmin Steyn, Heike Geduld, Nee‐Kofi Mould‐Millman
World Journal of Surgery  vol: 48  issue: 2  first page: 320  year: 2024  
doi: 10.1002/wjs.12043

251. Digital health for shared value: A critique of legal infrastructures in a post-colonial context
Sharifah Sekalala, Tatenda Chatikobo
International Journal of Law in Context  first page: 1  year: 2026  
doi: 10.1017/S1744552325100359

252. Challenges and solutions to nurse-delivered integrated primary health care in Nelson Mandela Bay
Zubrina Baartman, Cornelle Young, Justine Baron
African Journal of Primary Health Care & Family Medicine  vol: 17  issue: 1  year: 2025  
doi: 10.4102/phcfm.v17i1.4873

253. The Influence of Racial Differences in the Demand for Healthcare in South Africa: A Case of Public Healthcare
David Mhlanga, Rufaro Garidzirai
International Journal of Environmental Research and Public Health  vol: 17  issue: 14  first page: 5043  year: 2020  
doi: 10.3390/ijerph17145043

254. Deliberative engagement methods on health care priority-setting in a rural South African community
Aviva Tugendhaft, Karen Hofman, Marion Danis, Kathleen Kahn, Agnes Erzse, Rhian Twine, Marthe Gold, Nicola Christofides
Health Policy and Planning  vol: 36  issue: 8  first page: 1279  year: 2021  
doi: 10.1093/heapol/czab005

255. A Mixed Methods Protocol for Developing Strategies to Improve Access to Health Care Services for Refugees and Asylum Seekers in Gauteng Province, South Africa
Duppy Manyuma, Takalani Grace Tshitangano, Azwinndini Gladys Mudau
Healthcare  vol: 11  issue: 17  first page: 2387  year: 2023  
doi: 10.3390/healthcare11172387

256. Bridging competency gaps in healthcare quality and patient safety: a Kirkpatrick-level evaluation of a blended learning intervention in South Africa
Winnifred Moleko, Visvanathan Naicker
EUREKA: Social and Humanities  issue: 6  first page: 53  year: 2025  
doi: 10.21303/2504-5571.2025.004047

257. Survey of healthcare worker perceptions of changes in infection control and antimicrobial stewardship practices in India and South Africa during the COVID-19 pandemic
Oluchi Mbamalu, Surya Surendran, Vrinda Nampoothiri, Candice Bonaconsa, Fabia Edathadathil, Nina Zhu, Helen Lambert, Carolyn Tarrant, Raheelah Ahmad, Adam Boutall, Adrian Brink, Ebrahim Steenkamp, Alison Holmes, Sanjeev Singh, Esmita Charani, Marc Mendelson
IJID Regions  vol: 6  first page: 90  year: 2023  
doi: 10.1016/j.ijregi.2022.11.010

258. Experiences of Women with Disabilities in Accessing Maternal Healthcare Services: A South African Case Study
Doreen Mheta, Maureen Nokuthula Sibiya, Pauline Busisiwe Nkosi
International Journal of Environmental Research and Public Health  vol: 20  issue: 21  first page: 6966  year: 2023  
doi: 10.3390/ijerph20216966

259. The proposed need for integrated maternal and child oral health policy: A case of South Africa
Khabiso Ramphoma, Nashna Rampersad, Nuerisha Singh, Ntsakisi Mukhari-Baloyi, Sudeshni Naidoo
Frontiers in Oral Health  vol: 3  year: 2022  
doi: 10.3389/froh.2022.1023268

260. An integrated leadership approach in improving service delivery in health care
Goonasagree Naidoo, Puni Peter Mafora
International Journal of Research in Business and Social Science (2147- 4478)  vol: 12  issue: 10  first page: 148  year: 2023  
doi: 10.20525/ijrbs.v12i10.3117

261. Intra- and inter-facility experiences of coordinating care for patients with lung cancer in KwaZulu-Natal public health facilities: a qualitative study
Buhle Lubuzo, Khumbulani Hlongwana, Themba Ginindza
South African Health Review  vol: 26  year: 2024  
doi: 10.61473/001c.120463

262. Towards data-driven models for diverging emerging technologies for maternal, neonatal and child health services in Sub-Saharan Africa: a systematic review
John Batani, Manoj Sewak Maharaj
Global Health Journal  vol: 6  issue: 4  first page: 183  year: 2022  
doi: 10.1016/j.glohj.2022.11.003

263. Inequity in paediatric oncology in South Africa – The neuroblastoma case study
Jaques van Heerden, Tonya Esterhuizen, Mariana Kruger
South African Journal of Oncology  vol: 5  year: 2021  
doi: 10.4102/sajo.v5i0.163

264. Functioning Problems Associated with Health Conditions with Greatest Disease Burden in South Africa: A Scoping Review
Maria Y. Charumbira, Karina Berner, Quinette A. Louw
International Journal of Environmental Research and Public Health  vol: 19  issue: 23  first page: 15636  year: 2022  
doi: 10.3390/ijerph192315636

265. Factors influencing employment among people with spinal cord injury in South Africa
Lucian Bezuidenhout, Anthea Rhoda, David Moulaee Conradsson, Francois Theron, Conran Joseph
Disability and Rehabilitation  vol: 45  issue: 26  first page: 4381  year: 2023  
doi: 10.1080/09638288.2022.2151651

266. Decomposing the impact of human capital on household income inequality in South Africa: Is education a useful measure?
T. J. Friderichs, G. Keeton, M. Rogan
Development Southern Africa  vol: 40  issue: 5  first page: 997  year: 2023  
doi: 10.1080/0376835X.2022.2163228

267. Clinical staff reported knowledge on the existence of clinical governance protocols or tools utilised in selected South African hospitals
Nomfuneko Sithole, Wezile W. Chitha, Onke R. Mnyaka, Akhona B. A. Ncinitwa, Sibusiso C. Nomatshila, Xolelwa Ntlongweni, Kedibone Maake, Bongiwe E. Mkabela, Ntiyiso V. Khosa, Ziyanda B. Ngcobo, Nombulelo Chitha, Khanyisile Masuku, Sikhumbuzo A. Mabunda, Saiendhra Vasudevan Moodley
PLOS ONE  vol: 19  issue: 11  first page: e0312340  year: 2024  
doi: 10.1371/journal.pone.0312340

268. Weighing up the pros and cons of dysphagia triage in South Africa
Kelly-Ann Kater, Jaishika Seedat
South African Journal of Communication Disorders  vol: 70  issue: 1  year: 2023  
doi: 10.4102/sajcd.v70i1.941

269. Strong effect of demographic changes on Tuberculosis susceptibility in South Africa
Oshiomah P. Oyageshio, Justin W. Myrick, Jamie Saayman, Lena van der Westhuizen, Dana R. Al-Hindi, Austin W. Reynolds, Noah Zaitlen, Eileen G. Hoal, Caitlin Uren, Marlo Möller, Brenna M. Henn, Indira Govender
PLOS Global Public Health  vol: 4  issue: 7  first page: e0002643  year: 2024  
doi: 10.1371/journal.pgph.0002643

270. Nurse perceptions of practice environment, quality of care and patient safety across four hospital levels within the public health sector of South Africa
Immaculate Sabelile Tenza, Alwiena J. Blignaut, Suria M. Ellis, Siedine K. Coetzee
BMC Nursing  vol: 23  issue: 1  year: 2024  
doi: 10.1186/s12912-024-01992-z

271. Strategies for Cost-Effectiveness in Sustainable Quality Healthcare Delivery in Emerging Economies: The Case of Healthcare Professionals Development in South Africa
Francis Ikechukwu Igbo, Kenneth Gossett, Deborah Nattress
Healthcare  vol: 13  issue: 1  first page: 36  year: 2024  
doi: 10.3390/healthcare13010036

272. Coalition effects on financial and service delivery performance in metropolitan municipalities in Gauteng
Abongile Zweni, Sam Koma, Zwelinzima Ndevu
Journal of Local Government Research and Innovation  vol: 5  year: 2024  
doi: 10.4102/jolgri.v5i0.183

273. Perceived readiness of South African community service speech–language therapists to manage complex paediatric dysphagia
Lavanya Naidoo, Cynthia Sawasawa, Nabeela Desai
South African Journal of Communication Disorders  vol: 72  issue: 2  year: 2025  
doi: 10.4102/SAJCD.v72i2.1110

274. The implementation of a national paediatric oncology protocol for neuroblastoma in South Africa
Jaques van Heerden, Marc Hendricks, Janet Poole, Ané Büchner, Gita Naidu, Jan du Plessis, Barry van Emmenes, Anel van Zyl, Ronelle Uys, Johani Johani, G. P. Hadley, Derek Harrison, Biance Rowe, Mairi Bassingthwaighte, Nicolene Moonsamy, Mariana Kruger
Cancer Causes & Control  vol: 32  issue: 7  first page: 725  year: 2021  
doi: 10.1007/s10552-021-01424-2

275. Receive, Sustain, and Flow: A simple heuristic for facilitating the identification and treatment of critically ill patients during their hospital journeys
Jacob McKnight, Tamara Mulenga Willows, Jacquie Oliwa, Onesmus Onyango, Elibariki Mkumbo, John Maiba, Karima Khalid, Carl Otto Schell, Tim Baker, Mike English
Journal of Global Health  vol: 13  year: 2023  
doi: 10.7189/jogh.13.04139

276. Integrating the prevention of mother-to-child transmission of HIV into primary healthcare services after AIDS denialism in South Africa: perspectives of experts and health care workers - a qualitative study
Jean Claude Mutabazi, Corie Gray, Lorrein Muhwava, Helen Trottier, Lisa Jayne Ware, Shane Norris, Katherine Murphy, Naomi Levitt, Christina Zarowsky
BMC Health Services Research  vol: 20  issue: 1  year: 2020  
doi: 10.1186/s12913-020-05381-5

277. Transformative Pathways for Strengthening Climate‐Resilient Health Systems Among Indigenous Communities: Advancing Equity and Sustainability in Global Health
Chrishma D. Perera, Eranga K. Galappaththi, Carol Zavaleta‐Cortijo, Timothy D. Baird, Korine N. Kolivras, James D. Ford, Michelle Dickson, Kerrie Pickering, Guangqing Chi, Joana Bezerra, Dhanya Vijayan, Victoria Chicamana‐Zapata, Cecil Togarepi, Kheminda G. Thilakarathne, Martha M. Hangula, Francis A. Akugre, Richard Nuwagira, Jonathan Nkalubo
Sustainable Development  year: 2026  
doi: 10.1002/sd.70585

278. Psychological capital and organisational citizenship behaviour in selected public hospitals in the Eastern Cape Province of South Africa
Shingirayi F. Chamisa, Temba Q. Mjoli, Tatenda S. Mhlanga
SA Journal of Human Resource Management  vol: 18  year: 2020  
doi: 10.4102/sajhrm.v18i0.1247

279. Built Environment and HIV Linkage to Care in Rural South Africa
Nosipho Shangase, Brian Pence, Sheri A. Lippman, Mi-Suk Kang Dufour, Chodziwadziwa Whiteson Kabudula, F. Xavier Gómez-Olivé, Kathleen Kahn, Audrey Pettifor
Community Health Equity Research & Policy  vol: 43  issue: 2  first page: 133  year: 2023  
doi: 10.1177/0272684X211006590

280. Recognising the impact of traditional herbal medicine in managing cancer: The South African context
Sibusiso Xego, Learnmore Kambizi, Felix Nchu
Journal of Medicinal Plants for Economic Development  vol: 5  issue: 1  year: 2021  
doi: 10.4102/jomped.v5i1.121

281. Early childhood caries: Exploring the ethical implications for dental neglect in South Africa
Nashna Rampersad, Nadia Mohamed
Health SA Gesondheid  vol: 30  year: 2025  
doi: 10.4102/HSAG.v30i0.3129

282. PMTCT Data Management and Reporting during the Transition Phase of Implementing the Rationalised Registers in Amathole District, Eastern Cape Province, South Africa
Oyebanji G. Oyebola, Jackson Debra, Mathole Thubelihle
International Journal of Environmental Research and Public Health  vol: 19  issue: 23  first page: 15855  year: 2022  
doi: 10.3390/ijerph192315855

283. Internal migration and health in South Africa: determinants of healthcare utilisation in a young adult cohort
Carren Ginsburg, Mark A. Collinson, F. Xavier Gómez-Olivé, Mark Gross, Sadson Harawa, Mark N. Lurie, Keith Mukondwa, Chantel F. Pheiffer, Stephen Tollman, Rebecca Wang, Michael J. White
BMC Public Health  vol: 21  issue: 1  year: 2021  
doi: 10.1186/s12889-021-10590-6

284. Patient’s attitudes and perceptions around attending oncology consultations following surgery for colorectal cancer: A qualitative study
Yoshan Moodley, Shona Bhadree, Laura Stopforth, Shakeel Kader, Steven Wexner, Jacqueline van Wyk, Alfred Neugut, Ravi Kiran
F1000Research  vol: 12  first page: 698  year: 2023  
doi: 10.12688/f1000research.134816.1

285. Diagnostic Radiography Education in South Africa: Where We Were, Where We are and Possible Futures
Riaan van de Venter, Penelope Engel-Hills
South African Radiographer  vol: 60  issue: 1  first page: 15  year: 2022  
doi: 10.54450/saradio.2022.60.1.693

286. The 4IR-Health Service Delivery Nexus
Eric Blanco Niyitunga
International Journal of Public Administration in the Digital Age  vol: 10  issue: 1  first page: 1  year: 2023  
doi: 10.4018/IJPADA.325215

287. How Mental Health Nurses Perceive the Implementation of Batho Pele Principles in a Selected Mental Health Hospital in Limpopo Province, South Africa
Nkhensani Florence Mabunda
Healthcare  vol: 12  issue: 23  first page: 2402  year: 2024  
doi: 10.3390/healthcare12232402

288. Exploring primary mental healthcare nurses’ perceptions of the post-treatment needs of women admitted for psychiatric treatment
Khelsey Fraser, Hannah Lukic, Koketso Nelly Mamabolo, Amy-Jean Viljoen, Shannen Ferreira, Xolisa Gwadiso, Sinesipho Jenkins, Warona Mateane, Munene Nkuna, Tracey-Ann Adonis, Maria Florence, Serena Ann Isaacs, Kyle Jackson
South African Journal of Psychology  vol: 54  issue: 1  first page: 65  year: 2024  
doi: 10.1177/00812463231219932

289. Views of health care users and providers: Solutions to improve the prevention of secondary health conditions among people with spinal cord injury, South Africa
Sonti Pilusa, Hellen Myezwa, Joanne Potterton
Spinal Cord Series and Cases  vol: 8  issue: 1  year: 2022  
doi: 10.1038/s41394-022-00530-w

290. The prevalence of probable depression and probable anxiety, and associations with adverse childhood experiences and socio-demographics: A national survey in South Africa
Ashleigh Craig, Tamsen Rochat, Sara N. Naicker, Witness Mapanga, Asanda Mtintsilana, Siphiwe N. Dlamini, Lisa J. Ware, Justin Du Toit, Catherine E. Draper, Linda Richter, Shane A. Norris
Frontiers in Public Health  vol: 10  year: 2022  
doi: 10.3389/fpubh.2022.986531

291. Leadership, cohesion, and stress in primary care facilities and retention in chronic care in rural northeast South Africa before and during the COVID-19 pandemic: A longitudinal study
Hannah H Leslie, Morelearnings Sibanda, Kathleen Kahn, Stephen M Tollman, Nkosinathi Masilela, F Xavier Gómez-Olivé, Sheri A Lippman, Chodziwadziwa W Kabudula
Journal of Global Health  vol: 14  year: 2024  
doi: 10.7189/jogh.14.05035

292. Psychological Resilience of Volunteers in a South African Health Care Context: A Salutogenic Approach and Hermeneutic Phenomenological Inquiry
Antoni Barnard, Aleksandra Furtak
International Journal of Environmental Research and Public Health  vol: 17  issue: 8  first page: 2922  year: 2020  
doi: 10.3390/ijerph17082922

293. “I was always struggling”: Caregivers' experiences of transitioning a child from oral to long‐term non‐oral feeding at an out‐patient hospital clinic in South Africa
Joanne Neille, Gabriella Selikson
Child: Care, Health and Development  vol: 47  issue: 5  first page: 705  year: 2021  
doi: 10.1111/cch.12885

294. Protocol for health professionals’ perspectives on elective surgical case cancellations in selected public hospitals: A quantitative cross-sectional study in South Africa’s Eastern Cape and Mpumalanga provinces
Kedibone Maake, Wezile Chitha, Sibusiso Nomatshila, Sikhumbuzo Mabunda
F1000Research  vol: 14  first page: 802  year: 2025  
doi: 10.12688/f1000research.169011.1

295. Health 4.0: On the Way to Realizing the Healthcare of the Future
Jameela Al-Jaroodi, Nader Mohamed, Eman Abukhousa
IEEE Access  vol: 8  first page: 211189  year: 2020  
doi: 10.1109/ACCESS.2020.3038858

296. Healthcare practitioners’ experiences in managing HIV among young people in Namibia
Jacques W.N. Kamangu, Sheillah H. Mboweni
Curationis  vol: 47  issue: 2  year: 2024  
doi: 10.4102/curationis.v47i2.2608

297. MONITORING AND EVALUATING ELECTRONIC HEALTH RECORDS SYSTEMS IN PUBLIC AND PRIVATE HOSPITALS IN THE ETHEKWINI AREA, KWAZULU NATAL, SOUTH AFRICA
Mandisa Msomi
Journal Health and Technology - JHT  vol: 2  issue: 4  first page: e2445  year: 2023  
doi: 10.47820/jht.v2i4.45

298. Authentic leadership, organisational citizenship behaviour and intention to leave: The role of psychological capital
Winnie Sepeng, Marius W. Stander, Leoni van der Vaart, Lynelle Coxen
SA Journal of Industrial Psychology  vol: 46  year: 2020  
doi: 10.4102/sajip.v46i0.1802

299. Going home to the gangsters: a preliminary study on the potential link between reintegration support and recidivism amongst female offenders
Jessica Leigh Thornton
Journal of Criminological Research, Policy and Practice  vol: 10  issue: 1  first page: 19  year: 2024  
doi: 10.1108/JCRPP-02-2023-0005

300. A community service doctor’s experiences of mental healthcare provision in rural Eastern Cape
Divan Rall, Leslie Swartz
South African Family Practice  vol: 66  issue: 1  year: 2024  
doi: 10.4102/safp.v66i1.5849

301. Using a Nominal Group Technique to Inform a Curriculum of a Short Learning Programme for Peer Mentor Training in a Health Sciences Context
Corné Nel, Jacqueline Elizabeth Wolvaardt, Pieter Du Toit
Education for Health  vol: 36  issue: 3  first page: 94  year: 2023  
doi: 10.4103/efh.efh_225_23

302. Healthcare transition practices of occupational therapists in South African public healthcare
Ilhaam Hoosen, Fiona Breytenbach, Janine Van der Linde
African Journal of Disability  vol: 13  year: 2024  
doi: 10.4102/ajod.v13i0.1413

303. Caregivers’ perspectives of early developmental tele-assessments in challenging circumstances
Maria N. du Toit, Renata Eccles, Kailin Westwood, Marien A. Graham, Jeannie van der Linde
South African Journal of Communication Disorders  vol: 71  issue: 1  year: 2024  
doi: 10.4102/sajcd.v71i1.1037

304. Perceptions of medical practitioners and the general public regarding the timing and impact of the acute respiratory disease season in Gauteng Province
L. Palesa Molefe, Ogone W. Motlogeloa, Jennifer M. Fitchett
South African Geographical Journal  first page: 1  year: 2025  
doi: 10.1080/03736245.2025.2534980

305. Exploring Clinical Governance Interventions and Organisational Learning in Public Hospitals in South Africa’s Eastern Cape and Mpumalanga Provinces: A Mixed-Methods Study Protocol
Kedibone Maake, Wezile Chitha, Sibusiso C. Nomatshila, Sikhumbuzo A. Mabunda
Healthcare  vol: 13  issue: 19  first page: 2430  year: 2025  
doi: 10.3390/healthcare13192430

306. The Wellbeing of Healthcare Workers during COVID-19 Era in Public Primary Health Facilities in Johannesburg, South Africa
Glory Makhado, Busisiwe Ntuli, Lindiwe Zungu, Ntevhe Thovhogi, Peter Modupi Mphekgwana, Sogolo Lucky Lebelo, Sphiwe Madiba, Perpetua Modjadji
International Journal of Environmental Research and Public Health  vol: 21  issue: 3  first page: 372  year: 2024  
doi: 10.3390/ijerph21030372

307. The relationships between race, employment, and self-rated health among older South Africans: exploring the mediating role of generalized anxiety
Adams Yunus, Lulin Zhou, Seidu Abdulai Jamatutu, Evelyn Agba Tackie
Frontiers in Public Health  vol: 12  year: 2024  
doi: 10.3389/fpubh.2024.1398705

308. Medical education, reflections and perspectives from South Africa: a review
Danica Sims, Zukiswa Zingela, Mantoa Mokhachane, Gerda Botha, Dini Mawela, Veena Singaram, Karin Baatjes, Lionel Green-Thompson, Kerrin Begg
BMC Medical Education  vol: 25  issue: 1  year: 2025  
doi: 10.1186/s12909-025-06910-8

309. Barriers and Enablers of Health Services Utilisation in Rural Communities of Nkomazi Sub-District in Mpumalanga Province, South Africa: A Quantitative Community Survey
Nonhlanhla Fortunate Metiso, Sheillah Hlamalani Mboweni
Health Services Insights  vol: 18  year: 2025  
doi: 10.1177/11786329251356931

310. Health Science Students’ Perceptions of Hand Hygiene Education and Practice in a South African University: Introducing the University Hand Hygiene Improvement Model
Atheesha Singh, Tobias George Barnard
Healthcare  vol: 11  issue: 18  first page: 2553  year: 2023  
doi: 10.3390/healthcare11182553

311. ANALYSIS OF PERIODIC SELF-ASSESSMENTS WITHIN THE SCOPE OF HEALTH QUALITY STANDARDS IN TERMS OF MATERIAL MANAGEMENT AS A PREVENTIVE ACTIVITY: A RETROSPECTIVE STUDY IN A UNIVERSITY HOSPITAL
Nevzat Devebakan, Alkan Durmuş
Journal of International Health Sciences and Management  vol: 10  issue: 20  first page: 112  year: 2024  
doi: 10.48121/jihsam.1509562

312. From understanding to action: a juncture-factor framework for advancing social responsiveness in health professions education
G. C. Botha, L. Crafford
Frontiers in Medicine  vol: 11  year: 2024  
doi: 10.3389/fmed.2024.1435472

313. Addressing the challenges of implementing a Health Technology Assessment Policy Framework in South Africa
Debjani Mueller
International Journal of Technology Assessment in Health Care  vol: 36  issue: 4  first page: 453  year: 2020  
doi: 10.1017/S0266462320000562

314. The Resource Curse, the Spread and Death from Infectious Diseases, and Prevalence of Anaemia in Sub-Saharan Africa
Marwan Alssadek, James Benhin
Studies in Comparative International Development  year: 2025  
doi: 10.1007/s12116-025-09478-y

315. Anaesthesiologists’ perspectives of the need for nurse anaesthetists in South Africa
Kalonji K. Yezu, Charlene Downing, Sidwell Matlala
Curationis  vol: 48  issue: 1  year: 2025  
doi: 10.4102/curationis.v48i1.2587

316. Incomplete vaccination and associated factors among children aged 12–23 months in South Africa: an analysis of the South African demographic and health survey 2016
Duduzile Ndwandwe, Chukwudi A. Nnaji, Thandiwe Mashunye, Olalekan A. Uthman, Charles S. Wiysonge
Human Vaccines & Immunotherapeutics  vol: 17  issue: 1  first page: 247  year: 2021  
doi: 10.1080/21645515.2020.1791509

317. Patient’s perceptions of presbycusis and associated tinnitus counselling practices within the KwaZulu-Natal province
Kerusha Bhojraj, Vuyelwa Z. Peter
South African Journal of Communication Disorders  vol: 69  issue: 1  year: 2022  
doi: 10.4102/sajcd.v69i1.868

318. Challenges of nurse managers in creating an environment conducive to empowerment of nurses in mining primary healthcare clinics in South Africa
Sanele E. Nene
International Journal of Africa Nursing Sciences  vol: 20  first page: 100723  year: 2024  
doi: 10.1016/j.ijans.2024.100723

319. Experiencing COVID-19 at a large district level hospital in Cape Town: A retrospective analysis of the first wave
Nadè Claassen, Gerhard van Wyk, Sanet van Staden, Michiel M.D. Basson
Southern African Journal of Infectious Diseases  vol: 37  issue: 1  year: 2022  
doi: 10.4102/sajid.v37i1.317

320. Talent Identification and Staff Performance of Public Hospitals in Busia County
Oundo Gumo Leonard, Eglay Tsuma, Rosemary Nanyama Mumaraki
Journal of Business and Social Review in Emerging Economies  vol: 11  issue: 3  year: 2025  
doi: 10.26710/jbsee.v11i3.3473

321. Exploring Empathic Communication Among Community Health Workers: Applying the ENACT Tool in Two South African Sites
Christina A. Laurenzi, Stephan Rabie, Sihle Mamutse, Sarah Skeen, Nicola Jansen van Vuuren, Rosanne Neethling, Sally Field, Simone Honikman
Health Promotion Practice  vol: 26  issue: 4  first page: 688  year: 2025  
doi: 10.1177/15248399241285888

322. Stakeholders’ Perspectives on the Barriers to Accessing Health Care Services in Rural Settings: A Human Capabilities Approach
Rachel Chinyakata, Nicolette V. Roman, Fikile B. Msiza
The Open Public Health Journal  vol: 14  issue: 1  first page: 336  year: 2021  
doi: 10.2174/1874944502114010336

323. Process Evaluation of Maternal, Child Health and Nutrition Improvement Project (MCHNP) in the Eastern Region of Ghana: A Case Study of Selected Districts
Solomon Boamah Amponsah, Eric Osei, Moses Aikins, Andr Talvani
BioMed Research International  vol: 2020  issue: 1  year: 2020  
doi: 10.1155/2020/1259323

324. Factors influencing person-centred care: Speech-language pathologists and audiologists perspective
Faheema Mahomed-Asmail, Louise Metcalfe, Marien Graham, Renata Eccles
African Journal of Disability  vol: 14  year: 2025  
doi: 10.4102/ajod.v14i0.1589