Mosa Moshabela

Datos Biográficos

ID172851
NOMBREMosa Moshabela
NOMBRESMosa
APELLIDOMoshabela
FIRMAMOSHABELA M
AFILIACIONESUniversity of KwaZulu-Natal
ORCID0000-0002-9438-7095
VERIFICADOSí
TOTAL DE OBRAS53
TOTAL DE CITAS19
TOTAL COMO AUTOR53
TOTAL COMO EDITOR0
PRIMER AÑO DE PUBLICACIÓN2010
AÑO MÁS RECIENTE DE PUBLICACIÓN2026
ÍNDICE H3

  • Advancing AI and data science for health in Africa

    Open AccessSaloshni Naidoo, Cheng He et al.ARTICLEFrontiers in Public Health2026

    Background: Africa faces a shortage of health data scientists. Despite bearing 25% of the global disease burden, it has only 3% of the world's healthcare workforce and even less health data science expertise. As artificial intelligence and data science transform global healthcare, from disease surveillance to precision medicine, this capacity gap poses a significant threat to Africa's ability to address its health challenges and harness its growi…

  • Reconceptualizing integrated people-centred health services

    Open AccessUsangiphile E Buthelezi, Arvin Bhana et al.ARTICLESocial Science & Medicine2026

    BACKGROUND: The World Health Organization's Framework on Integrated, People-Centred Health Services (IPCHS) proposes five interdependent strategies to guide health system transformation. In low- and middle-income countries (LMICs), implementation of IPCHS is often fragmented due to limited understanding of how its strategies interact in practice. Community Health Workers (CHWs), situated between households and formal health systems, offer a uniqu…

  • A realist perspective on optimizing community health workers’ roles and functions to deliver integrated people-centred care

    Open AccessUsangiphile E Buthelezi, André Janse Van Rensburg et al.ARTICLEPLOS Global Public Health2025

    Community Health Workers (CHWs) play a crucial role to support health care delivery in underserved communities. Although the value of CHWs’ contributions is widely recognised, there is limited evidence on the mechanisms that enable CHWs to deliver people-centred care. Using a realist evaluation approach guided by WHO’s Integrated People-Centred Health Services (IPCHS) framework, the study focused on how different contexts and mechanisms interact …

  • Using a cash transfer plus SMS nudge package to improve the wellbeing among caregivers of adolescents living with HIV during the Covid-19 epidemic in South Africa

    Open AccessStanley Carries, Zibuyisile Mkhwanazi et al.ARTICLEPLOS Global Public Health2025

    Caregivers of adolescents living with HIV encounter multiple economic and psycho-social challenges which impair their wellbeing and provision of optimal care. Cash transfers combined with short message service (SMS) nudges may address the financial and mental barriers to caregiver wellbeing in sub-Saharan Africa. We examined the preliminary effectiveness and feasibility outcomes of this multipronged approach for improving caregiver wellbeing. We …

  • Navigating HIV care in a mobile society

    Nsika Sithole, Busisiwe Nkosi et al.ARTICLEAIDS Care2025

    In South Africa, people living with HIV (PWH) often relocate for work and family obligations, which creates unique challenges for continuous HIV care. We explored the experiences of mobile individuals living with HIV navigating clinic transfers without formal letters. A qualitative study was conducted with PWH on antiretroviral therapy (ART) from two clinics in KwaZulu-Natal. Participants, who had not disclosed their HIV treatment history at regi…

  • Actor sensemaking and its role in implementation of the decentralized drug-resistant tuberculosis policy in South Africa

    Open AccessWaasila Jassat, Mosa Moshabela et al.ARTICLEHealth Policy and Planning2025

    South Africa has a high burden of drug-resistant tuberculosis (DR-TB). A policy to decentralize DR-TB treatment from specialized central hospitals to more accessible district facilities was introduced in 2011, but to date implementation has been suboptimal, with variable pace, coverage, and models of care emerging. This study explored multilevel policy implementation of DR-TB decentralization in two provinces of South Africa, Western Cape and Kwa…

  • Interdisciplinary perspectives on multimorbidity in Africa

    Open AccessJustin Dixon, Ben Morton et al.ARTICLEPLOS Global Public Health2024

    Multimorbidity is an emerging challenge for health systems globally. It is commonly defined as the co-occurrence of two or more chronic conditions in one person, but its meaning remains a lively area of academic debate, and the utility of the concept beyond high-income settings is uncertain. This article presents the findings from an interdisciplinary research initiative that drew together 60 academic and applied partners working in 10 African co…

  • I Didn’t Reveal My ART Status Because I Didn’t Have Money to Fetch the Transfer Letter”– Understanding Lack of Treatment Disclosure at Presentation to Care in South Africa

    Open AccessNsika Sithole, Busisiwe Nkosi et al.ARTICLEAIDS and Behavior2024

    We explored why people may not reveal their antiretroviral therapy (ART) status when presenting for HIV care, and how a linked electronic system may help address this phenomenon. Data were collected from March to October 2023 from people who presented to clinics for an HIV test in KwaZulu-Natal, South Africa but found to be on ART, as well from staff at those clinics. Themes drawn from the Andersen's health service utilization framework and the d…

  • Adolescent health and well‐being in sub‐Saharan Africa

    Open AccessSanjyot Shinde, Ramadhani Noor et al.ARTICLEMaternal and Child Nutrition2023

    In Sub-Saharan Africa (SSA), adolescents make up around one-quarter of the population who are growing up in a rapidly urbanizing environment, with its associated risks and benefits, including impacts on health, psychosocial development, nutrition, and education. However, research on adolescents' health and well-being in SSA is limited. The ARISE (African Research, Implementation Science and Education) Network's Adolescent Health and Nutrition Stu…

  • Access to digital media and devices among adolescents in sub‐Saharan Africa

    Open AccessDongqing Wang, Sanjyot Shinde et al.ARTICLEMaternal and Child Nutrition2023

    Digital technologies provide unprecedented opportunities for health and nutrition interventions among adolescents. The use of digital media and devices among young adolescents across diverse settings in sub-Saharan Africa is unclear. This cross-sectional study aimed to assess the use of digital media and devices and the socioeconomic determinants of use among young adolescents in Burkina Faso, Ethiopia, South Africa, Sudan and Tanzania. The study…

  • Covid-19 and resilience of healthcare systems in ten countries

    Open AccessCatherine Arsenault, Anna D Gage et al.ARTICLENature Medicine2022

    Declines in health service use during the Coronavirus Disease 2019 (COVID-19) pandemic could have important effects on population health. In this study, we used an interrupted time series design to assess the immediate effect of the pandemic on 31 health services in two low-income (Ethiopia and Haiti), six middle-income (Ghana, Lao People’s Democratic Republic, Mexico, Nepal, South Africa and Thailand) and high-income (Chile and South Korea) coun…

  • The role of emergent champions in policy implementation for decentralised drug-resistant tuberculosis care in South Africa

    Open AccessSacha Roxanne Le Roux, Waasila Jassat et al.ARTICLEBMJ Global Health2022

    OBJECTIVE: Champions are recognised as important to driving organisational change in healthcare quality improvement initiatives in high-income settings. In low-income and middle-income countries with a high disease burden and constrained human resources, their role is highly relevant yet understudied. Within a broader study on policy implementation for decentralised drug-resistant tuberculosis care in South Africa, we characterised the role, stra…

  • Determinants of Confidence in Overall Knowledge About Covid-19 Among Healthcare Workers in South Africa

    Open AccessThabang Manyaapelo, Tholang Mokhele et al.ARTICLEFrontiers in Public Health2021

    Background: Adequate information and knowledge about COVID-19 has been shown to induce the confidence and positive performance among healthcare workers (HCWs). Therefore, assessing the relationship between confidence in knowledge and associated factors among HCWs is vital in the fight against COVID-19. This paper investigates factors associated with HCWs' confidence in their overall knowledge about COVID-19 in South Africa in the early stages of …

  • ‘A creeping phenomenon’

    Roisin E Drysdale, Mosa Moshabela et al.ARTICLEClimate and Development2021

    The effects of rainfall variability and droughts on food production are well established. However, in South Africa, the association between rainfall, droughts and household food insecurity is not well known. The aim of this paper was to measure and compare household food insecurity during and after a drought, and to assess the association between rainfall and food insecurity. Using a comparative study design, two cross-sectional household surveys…

  • Healer-led vs. clinician-led training to improve personal protective equipment use among traditional healers in South Africa

    Open AccessCarolyn M Audet, Bryan E Shepherd et al.ARTICLEGlobal Health Action2021

    There are estimated two million traditional healers in sub-Saharan Africa (SSA), with more than 10% (200,000) working in South Africa. Traditional healers in SSA are frequently exposed to bloodborne pathogens through the widespread practice of traditional 'injections', in which the healers perform dozens of subcutaneous incisions to rub herbs directly into the bloodied tissue with their hands. Healers who report exposure to patient blood have a 2…

  • Undisclosed Antiretroviral Therapy Use at Primary Health Care Clinics in Rural KwaZulu Natal South Africa

    Open AccessNsika Sithole, Resign Gunda et al.ARTICLEAIDS and Behavior2021

    Accurate reporting of antiretroviral therapy (ART) uptake is crucial for measuring the success of epidemic control. Programs without linked electronic medical records are susceptible to duplicating ART initiation events. We assessed the prevalence of undisclosed ART use at the time of treatment initiation and explored its correlates among people presenting to public ambulatory clinics in South Africa. Data were analyzed from the community-based d…

  • We had to manage what we had on hand, in whatever way we could’

    Open AccessKarina Kielmann, Lindy Dickson-Hall et al.ARTICLEHealth Policy and Planning2021

    In 2011, the South African National TB Programme launched a policy of decentralized management of drug-resistant tuberculosis (DR-TB) in order to expand the capacity of facilities to treat patients with DR-TB, minimize delays to access care and improve patient outcomes. This policy directive was implemented to varying degrees within a rapidly evolving diagnostic and treatment landscape for DR-TB, placing new demands on already-stressed health sys…

  • Coping through a drought

    Open AccessRoisin E Drysdale, Urmilla Bob et al.ARTICLEPublic Health Nutrition2021

    Objective: To assess and compare the association between household food insecurity and child nutritional status over two time-points taking into consideration the effects of a severe drought. Design: The study used two cross-sectional household surveys during and after a severe drought, consistent with a natural experiment design. Setting: The study took place in the district of iLembe, KwaZulu-Natal, South Africa. Participants: Households with c…

  • Socio-economic Determinants of Increasing Household Food Insecurity during and after a Drought in the District of iLembe, South Africa

    Roisin E Drysdale, Urmilla Bob et al.ARTICLEEcology of Food and Nutrition2021

    In 2015 and 2016, South Africa experienced a severe drought resulting in water restrictions and food price inflation. A year later, while the proportion of food secure households remained constant, the proportion of those experiencing severe food insecurity increased. This paper investigates the socio-economic determinants of increasing food insecurity during and after the drought. Two cross-sectional household surveys were carried out in the dis…

  • Understanding the influence of health systems on women’s experiences of Option B

    Open AccessShannon M Williams, Jenny Renju et al.ARTICLEGlobal Public Health2020

    We explored women's experiences of Option B+ in sub-Saharan African health facility settings through a meta-ethnography of 32 qualitative studies published between 2010 and 2019. First and second-order constructs were identified from the data and authors' interpretations respectively. Using a health systems lens, third-order constructs explored how the health systems shaped women's experiences of Option B+ and their subsequent engagement in care.…

  • Exploring the evolution of policies for universal antiretroviral therapy and their implementation across three sub-Saharan African countries

    Open AccessMoses Kumwenda, Morten Skovdal et al.ARTICLEGlobal Public Health2020

    Universal antiretroviral therapy (ART) strategies have dramatically changed HIV programming across sub-Saharan Africa. We explored factors that influenced the development, adoption and implementation of universal ART policies in Tanzania, South Africa and Malawi. We conducted 26 key informant interviews and applied Kingdon's 'streams' model to explore how problems, policies and politics converged to provide a window of opportunity for universal A…

  • Understanding the health systems impacts of Universal Test and Treat in sub-Saharan Africa

    Open AccessJenny Renju, Janet Seeley et al.ARTICLEGlobal Public Health2020

    Sub-Saharan Africa has the highest burden of HIV globally, with 54% of the world’s people living with HIV (PLHIV) living in this region. By 2018 in East and Southern Africa there were 20.6 million

  • Investigating the implementation of differentiated HIV services and implications for pregnant and postpartum women

    Open AccessRujeko Samanthia Chimukuche, Alison Wringe et al.ARTICLEGlobal Public Health2020

    Universal antiretroviral therapy (ART) for pregnant and postpartum women in sub-Saharan Africa has required adaptations to service delivery. We compared national policies on differentiated HIV service delivery with facility-level implementation, and explored provider and user experiences in rural Malawi, Tanzania and South Africa. Four national policies and two World Health Organization guidelines on HIV treatment for pregnant and postpartum wome…

  • Implementation and experiences of integrated prevention of mother-to-child transmission services in Tanzania, Malawi and South Africa

    Open AccessFarida Hassan, Jenny Renju et al.ARTICLEGlobal Public Health2020

    Although integration of HIV and maternal health services is recommended by the World Health Organization, evidence to guide implementation is limited. We describe facility-level implementation of policies for integrating HIV care within maternal health services and explore experiences of service users and providers in rural Tanzania (Ifakara), South Africa (uMkhanyakude) and Malawi (Karonga). Policy in all countries included HIV testing during an…

  • Consequences of male partner engagement policies on HIV care-seeking in three African countries

    Open AccessAlbert Dube, Jenny Renju et al.ARTICLEGlobal Public Health2020

    We explored how strategies to promote male partner engagement influenced HIV care-seeking among men and women living with HIV. In-depth interviews were conducted with 25 health workers, 66 female service users and 10 male partners in Ifakara (Tanzania), Karonga (Malawi) and uMkhanyakude (South Africa) to elicit experiences of offering, providing or receiving HIV care in the context of antenatal care. Data were coded inductively and analysed thema…