L Fairall
Datos Biográficos
| ID | 279791 |
|---|---|
| NOMBRE | L Fairall |
| NOMBRES | L |
| APELLIDO | Fairall |
| FIRMA | FAIRALL L |
| AFILIACIONES | University of Cape Town |
| ORCID | 0000-0002-7460-4670 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 18 |
| TOTAL DE CITAS | 11 |
| TOTAL COMO AUTOR | 18 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2007 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 2 |
From face-to-face to e-learning
Reliance on purely face-to-face in-service training for primary healthcare workers in low- and middle-income countries is increasingly unsustainable. The COVID-19 pandemic accelerated the transition of the University of Cape Town Knowledge Translation Unit’s Practical Approach to Care Kit programme from a facility-based cascade model to online and blended learning formats. This paper analyses the implementation of this transition across 29 course…
Addressing health information inequities
Disparity in access to trustworthy health information between high-income and low-income settings remains stark and contributes to global health inequity. The volume of new clinical practice guidelines a healthcare provider needs to digest to deliver up-to-date, evidence-based care is overwhelming, particularly in primary care, where the scope is comprehensive. However, many low- and middle-income countries (LMICs) lack the resources to tailor gu…
A model-based approach to estimating the prevalence of disease combinations in South Africa
BACKGROUND: The development of strategies to better detect and manage patients with multiple long-term conditions requires estimates of the most prevalent condition combinations. However, standard meta-analysis tools are not well suited to synthesising heterogeneous multimorbidity data. METHODS: We developed a statistical model to synthesise data on associations between diseases and nationally representative prevalence estimates and applied the m…
Supporting a rapid primary care response to emergent communicable disease threats with Pack (Practical Approach to Care Kit) in Florianópolis, Brazil
Emerging infectious diseases present a significant challenge to healthcare systems with their need for a rapid response and reallocation of resources. This paper explores the implementation of the Practical Approach to Care Kit (PACK) programme in Florianópolis, Brazil as a strategic tool for reinforcing primary healthcare (PHC) responses to emergent communicable diseases. With its focus on enhancing PHC delivery in resource-limited settings, PAC…
Effects of Pack training on the management of asthma and chronic obstructive pulmonary disease by primary care clinicians during 2 years of implementation in Florianópolis, Brazil
BACKGROUND: Training primary care doctors and nurses to use Practical Approach to Care Kit (PACK) improved management of asthma and chronic obstructive pulmonary disease (COPD) in a previous randomised trial. The present study examined the training effects including a second year of follow-up with expanded coverage of repeated training sessions. METHODS: Using a stepped-wedge cluster randomised trial design, 48 clinics were randomly allocated eit…
Ethiopian primary healthcare clinical guidelines 5 years on—processes and lessons learnt from scaling up a primary healthcare initiative
Many effective health system innovations fail to reach those who need them most, falling short of the goal of universal health coverage. In the 5 years since the Federal Ministry of Health in Ethiopia localised the Practical Approach to Care Kit (PACK) programme to support primary care reforms, PACK has been scaled-up to over 90% of the country’s primary care health centres. Known as the Ethiopian Primary Healthcare Clinical Guideline (EPHCG), th…
Clinically sound and person centred
The care of people with multiple long-term conditions (MLTCs) is complex and time-consuming, often denying them the agency to self-manage their conditions—or for the clinician they visit to provide streamlined, person-centred care. We reconfigured The Practical Approach to Care Kit, our established, evidence-based, policy-aligned clinical decision support tool for low-resource primary care settings, to provide consolidated clinical guidance for a…
A prospective randomised controlled trial investigating household Sars-CoV-2 transmission in a densely populated community in Cape Town, South Africa – the transmission of Covid-19 in crowded environm…
Participants had significant exposure to SARS-CoV-2 infections prior to the study. In this setting, household transmission mitigation was ineffective. However, CHWs may have facilitated other important healthcare and social referrals
Strengthening integrated depression services within routine primary health care using the RE-AIM framework in South Africa
Integration of mental health into routine primary health care (PHC) services in low-and middle-income countries is globally accepted to improve health outcomes of other conditions and narrow the mental health treatment gap. Yet implementation remains a challenge. The aim of this study was to identify implementation strategies that improve implementation outcomes of an evidence-based depression care collaborative implementation model integrated wi…
Applying learning health systems thinking in codeveloping integrated tuberculosis interventions in the contexts of Covid-19
The COVID-19 pandemic reversed much of global progress made in combatting tuberculosis, with South Africa experiencing one of the largest impacts on tuberculosis detection. The aim of this paper is to share our experiences in applying learning health systems (LHS) thinking to the codevelopment of an intervention improving an integrated response to COVID-19 and tuberculosis in a South African district. A sequential partially mixed-methods study wa…
HeAlth System StrEngThening in four sub-Saharan African countries (Asset) to achieve high-quality, evidence-informed surgical, maternal and newborn, and primary care
To achieve universal health coverage, health system strengthening (HSS) is required to support the of delivery of high-quality care. The aim of the National Institute for Health Research Global Research Unit on HeAlth System StrEngThening in Sub-Saharan Africa (ASSET) is to address this need in a four-year programme, with three healthcare platforms involving eight work-packages. Key to effective health system strengthening (HSS) is the pre-implem…
Fuzzy-set qualitative comparative analysis of implementation outcomes in an integrated mental healthcare trial in South Africa
BACKGROUND: Integrating mental health services into primary healthcare platforms is an established health systems strategy in low-to-middle-income countries. In South Africa, this was pursued through the Programme for Improving Mental Health Care (PRIME), a multi-country initiative that relied on task-sharing as a principle implementation strategy. Towards better describing the implementation processes, qualitative comparative analysis was adopte…
Socioeconomic predictors and consequences of depression among primary care attenders with non-communicable diseases in the Western Cape, South Africa
The trial is registered with Current Controlled Trials ( ISRCTN20283604 )
Prime
The Policy Forum allows health policy makers around the world to discuss challenges and opportunities for improving
Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi
BACKGROUND: Nearly 3 million people in resource-poor countries receive antiretrovirals for the treatment of HIV/AIDS, yet millions more require treatment. Key barriers to treatment scale up are shortages of trained health care workers, and challenges integrating HIV/AIDS care with primary care. THE RESEARCH: PALM PLUS (Practical Approach to Lung Health and HIV/AIDS in Malawi) is an intervention designed to simplify and integrate existing Malawian…
Highly active antiretroviral treatment and health related quality of life in South African adults with human immunodeficiency virus infection
HAART was associated with improved HRQoL in patients enrolled in a public sector treatment program in South Africa. Our finding that the EuroQol instrument was sensitive to HAART supports its use in future evaluation of HIV/AIDS care in South Africa. Longitudinal studies are needed to evaluate changes in individuals' HRQoL
Hope is the pillar of the universe
The Heart in Haart
Highly active antiretroviral treatment and health related quality of life in South African adults with human immunodeficiency virus infection
HAART was associated with improved HRQoL in patients enrolled in a public sector treatment program in South Africa. Our finding that the EuroQol instrument was sensitive to HAART supports its use in future evaluation of HIV/AIDS care in South Africa. Longitudinal studies are needed to evaluate changes in individuals' HRQoL
Hope is the pillar of the universe
The Heart in Haart
Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi
BACKGROUND: Nearly 3 million people in resource-poor countries receive antiretrovirals for the treatment of HIV/AIDS, yet millions more require treatment. Key barriers to treatment scale up are shortages of trained health care workers, and challenges integrating HIV/AIDS care with primary care. THE RESEARCH: PALM PLUS (Practical Approach to Lung Health and HIV/AIDS in Malawi) is an intervention designed to simplify and integrate existing Malawian…
Prime
The Policy Forum allows health policy makers around the world to discuss challenges and opportunities for improving
Socioeconomic predictors and consequences of depression among primary care attenders with non-communicable diseases in the Western Cape, South Africa
The trial is registered with Current Controlled Trials ( ISRCTN20283604 )
Fuzzy-set qualitative comparative analysis of implementation outcomes in an integrated mental healthcare trial in South Africa
BACKGROUND: Integrating mental health services into primary healthcare platforms is an established health systems strategy in low-to-middle-income countries. In South Africa, this was pursued through the Programme for Improving Mental Health Care (PRIME), a multi-country initiative that relied on task-sharing as a principle implementation strategy. Towards better describing the implementation processes, qualitative comparative analysis was adopte…
Applying learning health systems thinking in codeveloping integrated tuberculosis interventions in the contexts of Covid-19
The COVID-19 pandemic reversed much of global progress made in combatting tuberculosis, with South Africa experiencing one of the largest impacts on tuberculosis detection. The aim of this paper is to share our experiences in applying learning health systems (LHS) thinking to the codevelopment of an intervention improving an integrated response to COVID-19 and tuberculosis in a South African district. A sequential partially mixed-methods study wa…
HeAlth System StrEngThening in four sub-Saharan African countries (Asset) to achieve high-quality, evidence-informed surgical, maternal and newborn, and primary care
To achieve universal health coverage, health system strengthening (HSS) is required to support the of delivery of high-quality care. The aim of the National Institute for Health Research Global Research Unit on HeAlth System StrEngThening in Sub-Saharan Africa (ASSET) is to address this need in a four-year programme, with three healthcare platforms involving eight work-packages. Key to effective health system strengthening (HSS) is the pre-implem…
Strengthening integrated depression services within routine primary health care using the RE-AIM framework in South Africa
Integration of mental health into routine primary health care (PHC) services in low-and middle-income countries is globally accepted to improve health outcomes of other conditions and narrow the mental health treatment gap. Yet implementation remains a challenge. The aim of this study was to identify implementation strategies that improve implementation outcomes of an evidence-based depression care collaborative implementation model integrated wi…
A model-based approach to estimating the prevalence of disease combinations in South Africa
BACKGROUND: The development of strategies to better detect and manage patients with multiple long-term conditions requires estimates of the most prevalent condition combinations. However, standard meta-analysis tools are not well suited to synthesising heterogeneous multimorbidity data. METHODS: We developed a statistical model to synthesise data on associations between diseases and nationally representative prevalence estimates and applied the m…
Supporting a rapid primary care response to emergent communicable disease threats with Pack (Practical Approach to Care Kit) in Florianópolis, Brazil
Emerging infectious diseases present a significant challenge to healthcare systems with their need for a rapid response and reallocation of resources. This paper explores the implementation of the Practical Approach to Care Kit (PACK) programme in Florianópolis, Brazil as a strategic tool for reinforcing primary healthcare (PHC) responses to emergent communicable diseases. With its focus on enhancing PHC delivery in resource-limited settings, PAC…
Effects of Pack training on the management of asthma and chronic obstructive pulmonary disease by primary care clinicians during 2 years of implementation in Florianópolis, Brazil
BACKGROUND: Training primary care doctors and nurses to use Practical Approach to Care Kit (PACK) improved management of asthma and chronic obstructive pulmonary disease (COPD) in a previous randomised trial. The present study examined the training effects including a second year of follow-up with expanded coverage of repeated training sessions. METHODS: Using a stepped-wedge cluster randomised trial design, 48 clinics were randomly allocated eit…
Ethiopian primary healthcare clinical guidelines 5 years on—processes and lessons learnt from scaling up a primary healthcare initiative
Many effective health system innovations fail to reach those who need them most, falling short of the goal of universal health coverage. In the 5 years since the Federal Ministry of Health in Ethiopia localised the Practical Approach to Care Kit (PACK) programme to support primary care reforms, PACK has been scaled-up to over 90% of the country’s primary care health centres. Known as the Ethiopian Primary Healthcare Clinical Guideline (EPHCG), th…
Clinically sound and person centred
The care of people with multiple long-term conditions (MLTCs) is complex and time-consuming, often denying them the agency to self-manage their conditions—or for the clinician they visit to provide streamlined, person-centred care. We reconfigured The Practical Approach to Care Kit, our established, evidence-based, policy-aligned clinical decision support tool for low-resource primary care settings, to provide consolidated clinical guidance for a…
A prospective randomised controlled trial investigating household Sars-CoV-2 transmission in a densely populated community in Cape Town, South Africa – the transmission of Covid-19 in crowded environm…
Participants had significant exposure to SARS-CoV-2 infections prior to the study. In this setting, household transmission mitigation was ineffective. However, CHWs may have facilitated other important healthcare and social referrals
From face-to-face to e-learning
Reliance on purely face-to-face in-service training for primary healthcare workers in low- and middle-income countries is increasingly unsustainable. The COVID-19 pandemic accelerated the transition of the University of Cape Town Knowledge Translation Unit’s Practical Approach to Care Kit programme from a facility-based cascade model to online and blended learning formats. This paper analyses the implementation of this transition across 29 course…
Addressing health information inequities
Disparity in access to trustworthy health information between high-income and low-income settings remains stark and contributes to global health inequity. The volume of new clinical practice guidelines a healthcare provider needs to digest to deliver up-to-date, evidence-based care is overwhelming, particularly in primary care, where the scope is comprehensive. However, many low- and middle-income countries (LMICs) lack the resources to tailor gu…
Medicine (16 obras) · Health care (11 obras) · Nursing (9 obras) · Public health (7 obras) · Economic growth (6 obras) · Family medicine (6 obras) · Business (5 obras) · Environmental health (5 obras) · Political science (5 obras) · Global Maternal and Child Health (4 obras)