South African Medical Research Council (SAMRC) Repository
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Evidence mapping of methods for incorporating economic considerations in clinical guideline development for Malawi, Nigeria, and South Africa.
17th Public Health Association of South Africa (PHASA) Conference, Gqeberha, South Africa from 10-13 September 2023
Global Evidence, Local Adaptation (GELA) – an integrated knowledge translation approach to promote newborn and child health guidelines in South Africa
17th Public Health Association of South Africa (PHASA) Conference, Gqeberha, South Africa, 10-13 September 2023.The Global Evidence, Local Adaptation (GELA) project aims to maximise the impact of research on poverty-related diseases by increasing researchers and decision-makers’ capacity to use global research to develop locally relevant guidelines for newborn and child health in South Africa and other two Sub-Saharan countries
Integrated knowledge translation strategies to enhance evidence informed newborn and child health guidelines in three African countries
Presented at the 27th Cochrane Colloquium, London, UK, from 3-6 September 2023
The feasibility and acceptability of mobile phone-delivered adherence counselling to address HIV-stigma concerns to improve ART adherence among people attending public health services
11th SA AIDS Conference 2023. Durban, South Africa. 20-23 June 2023
Publication bias - a cross-sectional study of randomised trials in Sub- Saharan Africa: Ongoing challenges of research waste
Presented at the 27th Cochrane Colloquium, London, UK from 3-6 September 2023
Suicidal thoughts, depression, post-traumatic stress, and harmful alcohol use associated with intimate partner violence and rape exposures among female students in South Africa
The National South African Mental Health Conference convened by the National Department of Health at the Emperor’s Palace in Johannesburg held on 24-25 April 2023.While ample evidence from high-income country settings indicates the prevalence and risk factors for multiple mental ill-health symptoms in student populations, evidence from low- and middle-income higher education settings remains limited. We determined the frequency, associations, and structural pathways between mental health outcomes and possible risk factors among a sample of 1292 predominantly Black African and female students ages 18–30 years, enrolled at nine purposefully selected public universities and Technical Vocational Education and Training (TVET) campuses. We measured and created a mental ill-health latent outcome consisting of depressive symptoms, post-traumatic stress disorder (PTSD), and suicidal thoughts. We also measured traumatic exposures including childhood trauma, recent intimate partner violence (IPV), non-partner rape, and other life traumatic events. We used structural equation modelling to analyse data. We found that 50% of the surveyed students binge drank, 43% reported depressive symptoms, 9% reported PTSD symptoms, and 21% had suicidal thoughts. Students’ experiences of childhood trauma, food insecurity, other traumatic events, non-partner rape, and IPV impacted the mental ill-health latent. IPV experiences mediated the relationships between experiences of childhood trauma or other trauma and the mental ill-health latent, and the relationship between binge drinking and other life traumatic events. Non-partner rape mediated the relationship between food insecurity and the mental ill-health latent. Binge drinking directly impacted non-partner rape experience. The findings substantiate the need for campus-based mental health promotion, psychosocial services and treatments, and implementation of combined interventions that address the intersections of violence against women and mental health among students in South Africa
Methadone versus buprenorphine-naloxone for treating opioid dependence and retaining people in care in Tshwane, South Africa
Poster presented at the 11th International Conference on Health and Hepatitis in Substance Users (INHSU) 2023 in Geneva, Switzerland from the 17-20 October 2023
Scope, quality and reporting of clinical practice guidelines for newborn and child health in South Africa, Nigeria, and Malawi
Presented at the 27th Cochrane Colloquium, London, UK from 3-5 September 2023
The harms to women and children from men’s drinking and effective policy options
Side event presented at the Global Alcohol Policy GAPC 24 - 26 October 2023, CTICC, Cape Town, South Africa
Harm towards women from men’s drinking: A global review of the qualitative literature
Paper presented at the 48th Kettile Brunn Society Conference, Jhb, South Africa.Background: Global evidence shows that men’s alcohol use contributes to intimate partner violence (IPV) and other harms. Yet interventions that target alcohol-related harms to women are scarce. Quantitative analyses demonstrate links with physical and verbal aggression; however, the specific harms to women from men’s drinking have not been well articulated, particularly from an international perspective. Aim: To document the breadth and nature of harms and impact of men’s drinking on women.
Methods: A narrative review was conducted of peer-reviewed qualitative studies that: (a) focused on alcohol (men’s drinking), (b) featured women as primary victims, (c) encompassed direct/indirect harms, and (d) explicitly featured alcohol in the qualitative results. Papers were selected following a non-time-limited systematic search of key scholarly databases.
Results: Twenty-nine papers were included in this review. The majority of studies were conducted in low to middle income countries. The harms in the studies were collated and organised under three main themes: (i) harmful alcohol-related actions by men (e.g., violence, sexual coercion, economic abuse), (ii) impact on women (e.g., physical and mental health harm, relationship functioning, social harm), and (iii) how partner alcohol use was framed by women in the studies.
Conclusion: Men’s drinking results in a multitude of direct, indirect and hidden harms to women that are cumulative, intersecting and entrench women’s disempowerment. An explicit gendered lens is needed in prevention efforts to target men’s drinking and the impact on women to improve health and social outcomes for women worldwide