scholarly journals An Evaluation of the Role of an Intermediate Care Facility in the Continuum of Care in Western Cape, South Africa

2017 ◽  
Vol 7 (2) ◽  
pp. 167-179 ◽  
Author(s):  
Sikhumbuzo A. Mabunda ◽  
Leslie London ◽  
David Pienaar
Author(s):  
Partha Basu ◽  
Richa Tripathi ◽  
Ravi Mehrotra ◽  
Koninika Ray ◽  
Anurag Srivastava ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e032161
Author(s):  
Neha Batura ◽  
Jolene Skordis ◽  
Tom Palmer ◽  
Aloyce Odiambo ◽  
Andrew Copas ◽  
...  

IntroductionA wealth of evidence from a range of country settings indicates that antenatal care, facility delivery and postnatal care can reduce maternal and child mortality and morbidity in high-burden settings. However, the utilisation of these services by pregnant women, particularly in low/middle-income country settings, is well below that recommended by the WHO. The Afya trial aims to assess the impact, cost-effectiveness and scalability of conditional cash transfers to promote increased utilisation of these services in rural Kenya and thus retain women in the continuum of care during pregnancy, birth and the postnatal period. This protocol describes the planned economic evaluation of the Afya trial.Methods and analysisThe economic evaluation will be conducted from the provider perspective as a within-trial analysis to evaluate the incremental costs and health outcomes of the cash transfer programme compared with the status quo. Incremental cost-effectiveness ratios will be presented along with a cost-consequence analysis where the incremental costs and all statistically significant outcomes will be listed separately. Sensitivity analyses will be undertaken to explore uncertainty and to ensure that results are robust. A fiscal space assessment will explore the affordability of the intervention. In addition, an analysis of equity impact of the intervention will be conducted.Ethics and disseminationThe study has received ethics approval from the Maseno University Ethics Review Committee, REF MSU/DRPI/MUERC/00294/16. The results of the economic evaluation will be disseminated in a peer-reviewed journal and presented at a relevant international conference.Trial registration numberNCT03021070


PLoS ONE ◽  
2018 ◽  
Vol 13 (12) ◽  
pp. e0208429 ◽  
Author(s):  
Cody Cichowitz ◽  
Rachael Pellegrino ◽  
Katlego Motlhaoleng ◽  
Neil A. Martinson ◽  
Ebrahim Variava ◽  
...  

Author(s):  
Robert Knutsen ◽  
Charlene Steyn ◽  
Martin Nicol

This article explores ideas for linking university research entities with small- and medium-sized manufacturing industries. In an environment such as the Western Cape, South Africa, where well established teaching and research activities in science and engineering exist at several universities and research institutions, it is astonishing to realize that the local manufacturing industry struggles to obtain assistance with research and development in order to remain competitive locally and globally. Some of the reasons for this situation are outlined and solutions are proposed. In particular, the role of a gateway organization which aims to build networks between universities, research institutions and industry is described.


2015 ◽  
Vol 46 (3) ◽  
pp. 222-241 ◽  
Author(s):  
Harsha Kathard ◽  
Daisy Pillay ◽  
Mershen Pillay

Purpose Teachers and learners must be able to shift flexibly along the continuum of monologic and dialogic interactional repertoires to advance learning. This article describes how teachers and learners interacted during whole-class instruction along the continuum between monologic and dialogic interaction in primary school classrooms in Western Cape, South Africa. Method A video-observation method was used to analyze teacher–learner interactions (TLIs) across 15 lessons in intermediate-phase classrooms. TLIs were analyzed in relation to indicators such as authority, questions, feedback, explanation, metalevel connection, and collaboration. The transcriptions of TLIs were described using quantitative and qualitative techniques. Results The study found that teachers sustained dominant monologic interactions by asserting their authority, asking mainly closed-ended questions, and providing confirming/correcting feedback that constrained the interaction. Learners had limited opportunities for explanations or collaboration. Across most lessons, there were episodic shifts from monologic TLIs to transitional TLIs. These transitions were achieved by using mainly open-ended questions and feedback to expand the interaction. Dialogic TLIs were not evident. Conclusions Monologic TLIs were dominant, closing down opportunities for communication. Although transitional TLIs were evident, they were episodic and showed the potential for opening interaction opportunities. The absence of dialogic TLIs suggested that collaborative engagement opportunities were unavailable. The opportunity for intervention to increase dialogic TLIs is discussed.


Sign in / Sign up

Export Citation Format

Share Document