Evidence map›Paper›PMID 36568767›Full record

ArticleFrontiers in public health2022

Essential health services delivery in South Africa during COVID-19: Community and healthcare worker perspectives.

Samanta T Lalla-Edward, Atiya Mosam, Jennifer Hove, Agnes Erzse, Teurai Rwafa-Ponela, Jessica Price, Athini Nyatela, Sizwe Nqakala, Kathleen Kahn, Stephen Tollman and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 23 citations in OpenAlex.

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  12. The Family Doctor in the "COVID-19 Era".Healthcare (Basel, Switzerland) · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Samanta T Lalla-EdwardEzintsha, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Atiya MosamSouth African Medical Research Council (SAMRC)/Wits Centre for Health Economics and Decision Science - PRICELESS South Africa (SA), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Jennifer HoveMedical Research Council (MRC)/Wits Rural Public and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Agnes ErzseSouth African Medical Research Council (SAMRC)/Wits Centre for Health Economics and Decision Science - PRICELESS South Africa (SA), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Teurai Rwafa-PonelaSouth African Medical Research Council (SAMRC)/Wits Centre for Health Economics and Decision Science - PRICELESS South Africa (SA), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Jessica PriceMedical Research Council (MRC)/Wits Rural Public and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Athini NyatelaEzintsha, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Sizwe NqakalaEzintsha, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Kathleen KahnMedical Research Council (MRC)/Wits Rural Public and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Stephen TollmanMedical Research Council (MRC)/Wits Rural Public and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Karen HofmanSouth African Medical Research Council (SAMRC)/Wits Centre for Health Economics and Decision Science - PRICELESS South Africa (SA), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Susan GoldsteinSouth African Medical Research Council (SAMRC)/Wits Centre for Health Economics and Decision Science - PRICELESS South Africa (SA), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
University of the Witwatersrand · ZAAgincourt Health and Socio-Demographic Surveillance System · ZASouth African Medical Research Council · ZA

Funding

Medical Research Council MR/V028537/1Wellcome Trust 058893/Z/99/AWellcome Trust 069683/Z/02/ZWellcome Trust 085477/B/08/ZWellcome Trust 085477/Z/08/Z
6 · The paper itself

Abstract

Background: Between May 2020 and February 2022, South Africa's health system bore strain as it battled mitigating the coronavirus pandemic. The country's pandemic response was scrutinized. This period also brought into focus pre-existing shortcomings in the healthcare system and its governing bodies. Contextually, there is a paucity in literature on the experiences of healthcare providers and users. This study aimed to contribute information on COVID-19, with the intention of providing guidance on preparing for future infectious disease outbreaks. Methods: Cross sectional exploratory qualitative methodology was employed using semi-structured interviews and focus group discussions with community members (CM) and healthcare workers (HCW) from two South African study sites: (a) rural Bushbuckridge (run by Agincourt Health and Socio-Demographic Surveillance Site) and (b), Regions D and F in Johannesburg Metropole. Results: After interviewing 42 CMs and 43 HCWs, it emerged that mandated process changes while minimizing COVID-19 exposure, necessitated healthcare personnel focusing on critical care treatment at the expense of less acute ones. COVID-19 isolation protocols, extensive absenteeism and HCWs with advanced skills being perceived as more adept to treat COVID-19 patients contributed to HCWs experiencing higher workloads. Fears regarding contracting and transmitting COVID-19, suffering financial losses, and not being able to provide adequate advice to patients were recurrent themes. Dissemination of relevant information among healthcare facility personnel and communities suffered due to breakdowns in communication. Conclusion: Concessions and novel strategies to avail medication to patients had to be created. Since providence was lacking, government needs to formulate health intervention strategies that embrace health literacy, alternate methods of chronic medication dispensation, improved communication across health care platforms and the use of telehealth, to circumvent the threats of possible further infectious disease outbreaks.

Indexed as

COVID-19Cross-Sectional StudiesDelivery of Health CareHealth PersonnelHealth ServicesHumansSARS-CoV-2South Africacoronavirushealthcarelived experiencepandemicqualitativeSARS-CoV-2stakeholder engagementtreatment interruption

Identifiers

PMID36568767
PMCPMC9773136
OpenAlexW4311861526

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.