COVID-19 vaccine hesitancy has threatened the ability of many countries worldwide to contain the pandemic. Given the severe impact of the pandemic in South Africa and disruptions to the roll-out of the vaccine in early 2021, slower-than-expected uptake is a pressing public health challenge in the country. We examined longitudinal changes in COVID-19 vaccination intent among South African adults, as well as determinants of intent to receive a vaccine.
The focus of RESEP health research is on the demand side and understanding healthcare from the perspective of the patient. RESEP has invested in training young researchers and developing the first health economics elective for Economics graduate students.
Publications: Health
Since 2004 the South African government has rolled out free antiretroviral therapy (ART) at public health care facilities nationwide. No prior studies have estimated the impact of the ART rollout on health and survival using a longitudinal household survey with national coverage.
In the absence of a vaccine, the global spread of COVID-19 during 2020 has necessitated non-pharmaceutical interventions to curb the rise of cases.
The impact that the COVID-19 pandemic has had, and will continue to have, on food security and child health is especially concerning. A rapid, Short Message Service (SMS) Maternal and Child Health survey was conducted in South Africa in June 2020 (n = 3140), with a follow-up in July 2020 (n = 2287).
We use Benford’s Law to investigate inaccurate financial reports of a representative sample of Ugandan nongovernmental organizations (NGOs). We find that 25% of the sample provided information that did not conform to the Benford distribution, suggesting potential misreporting.
In this paper, we investigate the existence of geographical correlations in OOP health expenditures by employing a spatial Durbin model on data from 778 clusters obtained from the 2016 Malawi’s Integrated Household Survey.
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.
This paper investigates the role of non-clinical dimensions of care in patient satisfaction.
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.
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.
We examine the relationship between likelihood to volunteer and a range of human capital, social capital, religious capital and ubuntu variables in South Africa seven years after the official end of apartheid.
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.
We present evidence of how researchers from developing countries are represented in three areas of research: conference presentations, articles in journals, and citations. We find that the bulk of research on development and development policies in the South is conducted by researchers from the North.
Trends in socioeconomic-related health inequalities is a particularly pertinent topic in South Africa where years of systematic discrimination under apartheid bequeathed a legacy of inequalities in health outcomes. We use three nationally representative datasets to examine trends in income- and race-related inequalities in life expectancy (LE) and health-adjusted life expectancy (HALE) since the beginning of the millennium.
Mchenga, M., Burger, R. and von Fintel, D., 2019. Examining the impact of WHO’s Focused Antenatal Care policy on early access, underutilisation and quality of antenatal care services in Malawi: a retrospective study. BMC health services research, 19(1), p.295.
Koomen, L.E.M., Burger, R. and van Doorslaer, E.K.A., 2019. Effects and determinants of tuberculosis drug stockouts in South Africa. BMC health services research, 19(1), p.213.
Rossouw, L., Burger, R.P. and Burger, R., 2019. An Incentive-Based and Community Health Worker Package Intervention to Improve Early Utilization of Antenatal Care: Evidence from a Pilot Randomised Controlled Trial. Maternal and child health journal, 23(5), pp.633-640.
Abstract Out of pocket (OOP) health spending can potentially expose households to risk of incurring large medical bills, and this may impact on their…
Abstract With the dawn of the new sustainable development goals, we face not only a world that has seen great successes in alleviating poverty…