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The Economics of Health in South Africa

The remnants of the colonial and apartheid era are evident in the South African health system’s persistently higher levels of injury, mental health problems, disease and mortality amongst the poor and marginalized—mediated through a wide range of social determinants including environmental health factors such as hygiene, access to clean water, clean air and adequate sanitation, violent crime and trauma, occupational risk, alcohol abuse and tobacco dependence.

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April 22, 2021 By: Ronelle Burger & Mosima Ngwenya PDF

Cost and cost-effectiveness of a universal HIV testing and treatment intervention in Zambia and South Africa: evidence and projections from the HPTN 071 (PopART) trial

The HPTN 071 (PopART) trial showed that a combination HIV prevention package including universal HIV testing and treatment (UTT) reduced population-level incidence of HIV compared with standard care. However, evidence is scarce on the costs and cost-effectiveness of such an intervention.

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April 22, 2021 By: Ranjeeta Thomas, William Probert, Rafael Sauter, Lawrence Mwenge, Surya Singh, Sarah Kanema, Nosivuyile Vanqa, Abigail Harper, Ronelle Burger, Anne Cori, Michael Pickles, Nomtha Bell-Mandla, Blia Yang, Justin Bwalya, Mwelwa Phiri, Kwame Shanaube, Sian Floyd, Deborah Donnell, Peter Bock, Prof Helen Ayles, Sarah Fidler, Richard J Hayes, Christophe Fraser, Katharina Hauck PDF

Who is more likely to return for TB test results? A survey at three high-burden primary healthcare facilities in Cape Town, South Africa

In low- and middle-income countries with a high burden of tuberculosis (TB), a large proportion of people who are tested for TB do not return to the health facility to collect their test results and initiate treatment, thus putting themselves at increased risk of adverse outcomes.

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April 22, 2021 By: Ronelle Burger, Judy Caldwell, Mareli Claassens, Khanya Mama, Pren Naidoo, Matthias Rieger, Laura Rossouw, Eddy van Doorslaer, Adam Wagstaff PDF

Testing an Incentive-Based and Community Health Worker Package Intervention to Improve Maternal Health and Nutrition Outcomes: A Pilot Randomized Controlled Trial

In order to address South Africa’s maternal and infant mortality and morbidity rates, patient and community-level preventable factors need to be identified and addressed. However, there are few rigorously implemented and tested studies in low- and middle-income countries that evaluate the impact of community-level interventions on maternal and infant health outcomes.

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April 22, 2021 By: Laura Rossouw, Rulof Burger, & Ronelle Burger PDF