Browsing by Author "Moshabela, Matlagolo Mosa."

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Acceptability of HIV self-testing in sub-Saharan Africa: scoping study.
(Springer., 2018) Harichund, Charlene.; Moshabela, Matlagolo Mosa.
Abstract available in pdf.
Experiences of people living with HIV/AIDS in a plural health care system: probing tensions and complexities.
(2018) Darong, Gabriel Gyang.; Naidu, Uma Maheshvari.; Moshabela, Matlagolo Mosa.
HIV/AIDS is treated biomedically. People living with HIV (PLHIV) are expected to strictly adhere to active antiretroviral treatment (ART) prescribed by biomedical health practitioners in order to “progress” on the cascade of care. Poor progression on the cascade of care, however, has been shown to exist amongst PLHIV. The use of multiple health systems – biomedicine, traditional healing and religious healing, known as medical pluralism, has been said to be a contributing factor in the poor adherence to HIV testing and treatment. Some PLHIV, however, have been shown to be in care while practicing medical pluralism. Thus, this study explores the experiences of such PLHIV in their practice of medical pluralism, especially how navigate the systems and treatments utilised. This study was conducted at the Hlabisa sub-District, a rural area in uMkhanyakude District of KwaZulu-Natal, South Africa, though qualitative ethnography. Eighteen participants were recruited using theoretical and purposive sampling. Nine PLHIV were the primary participants in the study. Of the nine PLHIV, four were also traditional healers. The other nine participants, made up of five biomedical healthcare practitioners, three traditional healers and one faith/religious healer, were the secondary participants. The study found that the PLHIV in the study consciously made concurrent, parallel or sequential use of plural healthcare for various health conditions when they believed such conditions can best or only be treated using specific health systems. None of the participants sought to “treat” or “cure” HIV using health systems outside biomedicine. The study found that some of the participants refused initiation into ART due to the attitude of the biomedical health practitioners towards the participants’ use of plural health. Primary participants who maintained their ART all reported to have had suppressed viral loads and high CD4 counts. Their health-seeking behaviours can be seen as an expression of their agency. Hence, rather than excluding them from using basic primary health services due to their plural health use, a better understanding and appreciation of their reasons, motivations, and manners of practising medical pluralism is needed. This will aid in the development of health programmes that better cater for their health needs.
HIV self-testing as part of a differentiated HIV testing approach: exploring urban and rural adult experiences from KwaZulu-Natal, South Africa using a cross-over study design.
(BioMed Central., 2019) Harichund, Charlene.; Abdool Karim, Quarraisha.; Kunene, Pinky.; Simelane, Sinenhlanhla.; Moshabela, Matlagolo Mosa.
Abstract available in PDF.
Implementation of health management systems in Department of Health primary health care facilities in uMkhanyakude District, KwaZulu-Natal.
(2022) Kubheka, Zamanguni Fortunate.; Moshabela, Matlagolo Mosa.; McArthur, Brian Walter.
South Africa, as in many other countries, has had challenges attaining health outcomes, and has attributed this to weak health systems. Management strengthening has been prioritised as a critical entry point and core element towards strengthening the health system. Poor management of primary health care facilities has been identified as a major challenge to improving quality of health services. The study aimed to examine the role played by Operational Managers (OMs) on the implementation of health management systems at primary health care facilities in the uMkhanyakude Health District in the Province of KwaZulu-Natal. The World Health Organisation’s conceptual frameworks for health systems performance systems, General Systems theory and Contingency theory were used as lenses to support the study. This study was exploratory in nature, and conducted through qualitative research methodology wherein OMs and primary health care Supervisors/Managers as the line managers of OMs in 56 primary health care facilities in the KZN DoH, uMkhanyakude Health District were purposively selected and interviewed through semi-structured in-depth interviews. The findings included that most management decisions, including planning, budget planning, workforce planning, supply chain and financial management, are centralised and controlled at the sub-district level, hence OMs play an insignificant role. OMs are not involved in planning, budgeting, and management of expenditure, management of supply chain or maintenance. The inadequate support and mentorship, lack of management training, ineffective centralised management systems, shortage of staff and too many programmes make it impossible for OMs to successfully implement their management functions, leading to a weak health system. It is recommended that the inputs and suggestions of OMs must be sought or they must be partially involved in critical decision-making as they are responsible for management of operations at this level. A systemic thinking approach when formulating management strengthening interventions will ensure that the focus is on resolving challenges across all management components and will strengthen the entire health system.
Repeat HIV testing practices in the era of HIV self-testing among adults in KwaZulu-Natal, South Africa.
(Public Library of Science., 2019) Harichund, Charlene.; Kunene, Pinky.; Simelane, Sinenhlanhla.; Abdool Karim, Quarraisha.; Moshabela, Matlagolo Mosa.
Abstract available in PDF.