Laetitia C Rispel
Datos Biográficos
| ID | 309090 |
|---|---|
| NOMBRE | Laetitia C Rispel |
| NOMBRES | Laetitia C |
| APELLIDO | Rispel |
| FIRMA | RISPEL L C |
| AFILIACIONES | University of the Witwatersrand |
| ORCID | 0000-0001-7806-6331 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 40 |
| TOTAL DE CITAS | 13 |
| TOTAL COMO AUTOR | 40 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1993 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 3 |
Perceptions of South Africa’s master of public health graduates on the degree’s contribution to their leadership at work and in society
Introduction: Integrating public health functions into national health systems is essential to enhance population health. The Master of Public Health (MPH) degree is an important foundation for public health practice in low-and middle-income countries such as South Africa. However, insufficient evidence on individual motivations for undertaking the MPH and the perceptions of graduates on the utility of the degree at work and in society and its co…
Contested and nervous spaces
BACKGROUND: Notwithstanding the global goal of inclusive universal health coverage, and the notion of migrant-sensitive health systems, limited healthcare access or the exclusion of migrants from national health systems persists. South Africa has a rights-based constitution, but there is an inability or a failure of the health system to recognise and address the health needs of migrants. OBJECTIVE: To explore the intersection of the environment o…
Perspectives of the cohort of health professionals in the WiSDOM study on the learning environment, transformation, and social accountability at a South African University
The results suggest the need to create inclusive learning environments that foreground redress, transformation, and social accountability, while advancing the discourse on decolonised health sciences education
Methodological considerations in establishing and maintaining longitudinal health workforce studies
BACKGROUND: Health workforce cohort studies are uncommon in low-and middle-income countries (LMICs), especially those in sub-Saharan Africa. OBJECTIVE: arket among its health professional graduates) health professional cohort study in South Africa. METHODS: WiSDOM is a prospective longitudinal cohort study that commenced in 2017. The cohort focuses on the eight professional groups of clinical associates, dentists, doctors, nurses, occupational th…
Policy exclusion or confusion? Perspectives on universal health coverage for migrants and refugees in South Africa
Notwithstanding the promise of the inclusivity of universal health coverage (UHC), the integration of migrants and refugees into host countries’ health systems remains elusive and contested. In South Africa, there is insufficient scholarly attention on UHC, migrants and refugees, given the country’s strategic importance in Africa and the envisaged implementation of the National Health Insurance (NHI) system. In this paper, a social exclusion conc…
Migrants’ perceptions of health system responsiveness and satisfaction with health workers in a South African Province
UHC policies should incorporate migrant patients' perceptions of HSR and the determinants of their satisfaction with health workers
Resilience or detachment? Coping strategies among termination of pregnancy health care providers in two South African provinces
There is global recognition that competent and willing health care providers remain the most important determinant of safe abortion or termination of pregnancy services. The psychosocial well-being of providers is critical to the provision of responsive termination of pregnancy services. In light of the dearth of scholarly attention on termination of pregnancy providers' coping strategies in low- and middle-income countries, this paper explores c…
Decision space and participation of primary healthcare facility managers in the Ideal Clinic Realisation and Maintenance programme in two South African provinces
In South Africa, the introduction of a national health insurance (NHI) system is the most prominent health sector reform planned to achieve universal health coverage in the country. Primary health care (PHC) is the foundation of the proposed NHI system. This study draws on policy implementation theory and Bossert’s notion of decision space to analyse PHC facility managers’ decision space and their participation in the implementation of the Ideal …
People look and ask lots of questions”
The findings have implications for the integrated management of children with cleft lip and/or palate, including information to parents, the education and training of healthcare providers, raising public awareness of birth defects, and social support
‘I am all alone’
BACKGROUND: Globally, universal access to sexual and reproductive health care services has been re-emphasised. One-third of maternal deaths could be averted by improving access to safe abortion services. Anecdotal evidence suggests that the implementation of the Choice of Termination of Pregnancy Act has been suboptimal in South Africa. OBJECTIVES: In two South African provinces, determine: the proportion of designated termination of pregnancy (T…
Factors influencing reproductive choices of HIV positive individuals attending primary health care facilities in a South African health district
Health care providers at PHC level should be educated to address the reproductive health needs of PLHIV. These aspects should be reflected in provincial and national health policies
An evaluation of the competencies of primary health care clinic nursing managers in two South African provinces
The financial management competencies of PHC clinic nursing managers need to be prioritised in continuing professional development programmes
Survey of the perceptions of key stakeholders on the attributes of the South African Notifiable Diseases Surveillance System
The overall poor perceptions of key stakeholder on the system attributes are a cause for concern. The study findings should inform the revitalisation and reform of the NDSS in South Africa, done in consultation and partnership with the key stakeholders
A survey of the governance capacity of national public health associations to enhance population health
National PHA have a responsibility to put into place the practices and infrastructure that enhance organizational governance. This will enhance their ability to be effective advocates for policies and practices that enhance, protect and promote the public's health. The WFPHA has an important role to play in providing the technical assistance and financial resources to assist PHAs in attaining and sustaining a higher level of governance capacity
Exploring corruption in the South African health sector
Recent scholarly attention has focused on weak governance and the negative effects of corruption on the provision of health services. Employing agency theory, this article discusses corruption in the South African health sector. We used a combination of research methods and triangulated data from three sources: Auditor-General of South Africa reports for each province covering a 9-year period; 13 semi-structured interviews with health sector key …
The health system consequences of agency nursing and moonlighting in South Africa
Although moonlighting did not emerge as a statistically significant predictor, the reported health system consequences are serious. A combination of strong nursing leadership, effective management, and consultation with and buy-in from front-line nurses is needed to counteract the potential negative health system consequences of agency nursing and moonlighting
The activities of hospital nursing unit managers and quality of patient care in South African hospitals
BACKGROUND: Improving the quality of health care is central to the proposed health care reforms in South Africa. Nursing unit managers play a key role in coordinating patient care activities and in ensuring quality care in hospitals. OBJECTIVE: This paper examines whether the activities of nursing unit managers facilitate the provision of quality patient care in South African hospitals. METHODS: During 2011, a cross-sectional, descriptive study w…
The indirect costs of agency nurses in South Africa
BACKGROUND: Globally, flexible work arrangements - through the use of temporary nursing staff - are an important strategy for dealing with nursing shortages in hospitals. OBJECTIVE: The objective of the study was to determine the direct and indirect costs of agency nurses, as well as the advantages and the problems associated with agency nurse utilisation in two public sector hospitals in South Africa. METHODS: Following ethical approval, two Sou…
‘Practice what you preach’
BACKGROUND: A recent focus of the global discourse on the health workforce has been on its quality, including the existence of codes of ethics. In South Africa, the importance of ethics and value systems in nursing was emphasised in the 2011 National Nursing Summit. OBJECTIVE: The study explored hospital nurses' perceptions of the International Code of Ethics for Nurses; their perceptions of the South African Nurses' Pledge of Service; and their …
Social accountability and nursing education in South Africa
BACKGROUND: There is global emphasis on transforming health workforce education in support of universal health coverage. OBJECTIVE: This paper uses a social accountability framework, specifically the World Health Organization's six building blocks for transformative education, to explore key informants' perspectives on nursing education in South Africa. METHODS: Using a snowballing sampling technique, 44 key informants were selected purposively o…
Special Issue
No abstact available. (Published: 11 May 2015) Citation : Glob Health Action 2015, 8 : 28005 - http://dx.doi.org/10.3402/gha.v8.28005
Exploring the characteristics of nursing agencies in South Africa
BACKGROUND: Nursing agencies are temporary employment service providers or labour brokers that supply nurses to health establishments. OBJECTIVE: This study was conducted to determine the characteristics of nursing agencies and their relationship with clients in the health sector. METHODS: During 2011, a cross-sectional national survey of 106 nursing agencies was conducted. After obtaining informed consent, telephone interviews were conducted wit…
Transforming nursing policy, practice and management in South Africa
None available. (Published: 11 May 2015) Citation : Glob Health Action 2015, 8 : 28005 - http://dx.doi.org/10.3402/gha.v8.28005 SPECIAL ISSUE : This paper is part of the Special Issue: Transforming Nursing in South Africa . More papers from this issue can be found at http://www.globalhealthaction.net
We keep her status to ourselves
In HIV-discordant relationships, the HIV-negative partner also carries the burden of a stigmatised disease. For this reason, couples often hide their HIV-discordant status from family, friends and community members. This perpetuates the silence around HIV-discordant relationships and impacts on targeted HIV prevention, treatment and counselling efforts. This article reports on experiences of stigma and discrimination among HIV-discordant couples …
Contestations and complexities of nurses’ participation in policy-making in South Africa
BACKGROUND: There has been increased emphasis globally on nurses' involvement in health policy and systems development. However, there has been limited scholarly attention on nurses' participation in policy-making in South Africa. OBJECTIVE: This paper analyses the dynamics, strengths, and weaknesses of nurses' participation in four national health workforce policies: the 2008 Nursing Strategy, revision of the Scope of Practice for nurses, the ne…
Sexual relations and childbearing decisions of HIV-discordant couples
This article reports on the influence of HIV on sexual relations and childbearing decisions of 36 HIV-discordant couples, 26 in South Africa and 10 in Tanzania, recruited into an exploratory study through hospital antiretroviral treatment clinics and civil society organisations working with people living with HIV. Self-administered questionnaires were used to obtain social and demographic information, while couples' sexual relations and childbear…
Breaking the silence
Although the HIV epidemic among men who have sex with men (MSM) in South Africa preceded the onset of the generalised HIV epidemic by several years, current policies and programmes focus on heterosexual transmission and mother-to-child transmission. We used an adaptation of the UNAIDS Country Harmonised Alignment Tool (CHAT) to assess whether existing HIV policies and programmes in South Africa address the needs of MSM. This covered mapping of ke…
Exploring corruption in the South African health sector
Recent scholarly attention has focused on weak governance and the negative effects of corruption on the provision of health services. Employing agency theory, this article discusses corruption in the South African health sector. We used a combination of research methods and triangulated data from three sources: Auditor-General of South Africa reports for each province covering a 9-year period; 13 semi-structured interviews with health sector key …
We keep her status to ourselves
In HIV-discordant relationships, the HIV-negative partner also carries the burden of a stigmatised disease. For this reason, couples often hide their HIV-discordant status from family, friends and community members. This perpetuates the silence around HIV-discordant relationships and impacts on targeted HIV prevention, treatment and counselling efforts. This article reports on experiences of stigma and discrimination among HIV-discordant couples …
Developing a plan for primary health care facilities in Soweto, South Africa. Part I
The new political era in South Africa offers unique opportunities for the development of more equitable health care policies. However, resource constraints are likely to remain in the foreseeable future, and efficiency therefore remains an important concern. This article describes the guiding principles and methods used to develop a coherent and objective plan for comprehensive primary health care facilities in Soweto. The article begins with an …
Problems and prospects for health sector links in the Southern African region
Developing a plan for primary health care facilities in Soweto, South Africa. Part I
The new political era in South Africa offers unique opportunities for the development of more equitable health care policies. However, resource constraints are likely to remain in the foreseeable future, and efficiency therefore remains an important concern. This article describes the guiding principles and methods used to develop a coherent and objective plan for comprehensive primary health care facilities in Soweto. The article begins with an …
Developing a plan for primary health care facilities in Soweto, South Africa. Part II
This article is the second of a two-part series describing the development of a ten-year plan for primary health care facility development in Soweto. The first article concentrated on the political problems and general methodological approach of the project. This second article describes how the technical problem of planning in the context of scanty information was overcome. The reasoning behind the various assumptions and criteria which were use…
Confronting social exclusion, HIV and gender inequalities in South Africa
The HIV epidemic in South Africa disproportionatery affects women, with young women aged 15–24 years three times more likely to be infected compared to young men. Gender inequalities increase women's vulnerability to HIV infection, white the HIV epidemic further entrenches gender inequalities. In this Focus, we use a ‘social exclusion’ framework to examine HIV and gender inequalities in South Africa. We argue that a relational understanding of so…
Breaking the silence
Although the HIV epidemic among men who have sex with men (MSM) in South Africa preceded the onset of the generalised HIV epidemic by several years, current policies and programmes focus on heterosexual transmission and mother-to-child transmission. We used an adaptation of the UNAIDS Country Harmonised Alignment Tool (CHAT) to assess whether existing HIV policies and programmes in South Africa address the needs of MSM. This covered mapping of ke…
Sexual relations and childbearing decisions of HIV-discordant couples
This article reports on the influence of HIV on sexual relations and childbearing decisions of 36 HIV-discordant couples, 26 in South Africa and 10 in Tanzania, recruited into an exploratory study through hospital antiretroviral treatment clinics and civil society organisations working with people living with HIV. Self-administered questionnaires were used to obtain social and demographic information, while couples' sexual relations and childbear…
It [HIV] is part of the relationship’
In many sub-Saharan African countries, a high proportion of people living with HIV are in long-term serodiscordant relationships. This paper explores how HIV serodiscordance shapes communication among couples in long-term HIV-serodiscordant relationships. A total of 36 couples were purposively recruited through healthcare providers and civil society organisations in South Africa (26) and Tanzania (10). We explored couples' portrayal of living in …
Policy implementation and financial incentives for nurses in South Africa
BACKGROUND: In 2007, the South African government introduced the occupation-specific dispensation (OSD), a financial incentive strategy, to attract, motivate, and retain health professionals in the public sector. Implementation commenced with the nursing sector, but there have been unintended negative consequences. OBJECTIVE: First, to examine implementation of the OSD for nurses using Hogwood and Gunn's framework that outlines 'perfect implement…
Global Health Action Supplement 1, 2013 Building NEW KNOWLEDGE
Public health challenges in a global context are to be found in the widening gap between the winners and losers of globalisation.To meet these challenges it is crucial not only to act constructively on what is already known and evaluate the results, but also to establish what we have yet to learn and still need to implement.The Journal therefore specifically welcomes papers that report on results and evidence derived from practical implementation…
Ensuring women's right to choose
The 1996 Choice on Termination of Pregnancy Act (CTOPA) laid the foundation for South African women to exercise choice as well as their right to have control over their bodies. Nurses are the largest category of health care providers, and their centrality to improved health and health systems performance is undisputed. Yet, there is little documentation of the voices and experiences of nurses in broader health policy advocacy, development and imp…
Contestations and complexities of nurses’ participation in policy-making in South Africa
BACKGROUND: There has been increased emphasis globally on nurses' involvement in health policy and systems development. However, there has been limited scholarly attention on nurses' participation in policy-making in South Africa. OBJECTIVE: This paper analyses the dynamics, strengths, and weaknesses of nurses' participation in four national health workforce policies: the 2008 Nursing Strategy, revision of the Scope of Practice for nurses, the ne…
Factors influencing agency nursing and moonlighting among nurses in South Africa
BACKGROUND: In South Africa, nurses are the largest category of the health care providers. Their optimal performance is critical for the successful implementation of impending health sector reforms. OBJECTIVE: This paper examines the occurrence of agency nursing, moonlighting, and overtime among nurses in South Africa, and the factors influencing moonlighting. DESIGN: This cross-sectional survey was a one-stage cluster random sample of 80 hospita…
Does moonlighting influence South African nurses’ intention to leave their primary jobs
BACKGROUND: Staff retention and turnover have risen in prominence in the global discourse on the health workforce. Moonlighting, having a second job in addition to a primary job, has not featured in debates on turnover. OBJECTIVE: This paper examines whether moonlighting is a determinant of South African nurses' intention to leave their primary jobs. DESIGN: During 2010, a one-stage cluster random sample of 80 hospitals was selected in four South…
Nursing education reform in South Africa – lessons from a policy analysis study
BACKGROUND: Nursing education reform is identified as an important strategy for enhancing health workforce performance, and thereby improving the functioning of health systems. Globally, a predominant trend in such reform is towards greater professionalisation and university-based education. Related nursing education reform in South Africa culminated in a new Framework for Nursing Qualifications in 2013. OBJECTIVE: We undertook a policy analysis …
Utilisation and costs of nursing agencies in the South African public health sector, 2005–2010
BACKGROUND: Globally, insufficient information exists on the costs of nursing agencies, which are temporary employment service providers that supply nurses to health establishments and/or private individuals. OBJECTIVE: The aim of the study was to determine the utilisation and direct costs of nursing agencies in the South African public health sector. DESIGN: A survey of all nine provincial health departments was conducted to determine utilisatio…
Using diaries to explore the work experiences of primary health care nursing managers in two South African provinces
BACKGROUND: South Africa is on the brink of another wave of major health system reforms that underscore the centrality of primary health care (PHC). Nursing managers will play a critical role in these reforms. OBJECTIVE: The aim of the study was to explore the work experiences of PHC clinic nursing managers through the use of reflective diaries, a method hitherto under-utilised in health systems research in low- and middle-income countries. DESIG…
The health system consequences of agency nursing and moonlighting in South Africa
Although moonlighting did not emerge as a statistically significant predictor, the reported health system consequences are serious. A combination of strong nursing leadership, effective management, and consultation with and buy-in from front-line nurses is needed to counteract the potential negative health system consequences of agency nursing and moonlighting
The activities of hospital nursing unit managers and quality of patient care in South African hospitals
BACKGROUND: Improving the quality of health care is central to the proposed health care reforms in South Africa. Nursing unit managers play a key role in coordinating patient care activities and in ensuring quality care in hospitals. OBJECTIVE: This paper examines whether the activities of nursing unit managers facilitate the provision of quality patient care in South African hospitals. METHODS: During 2011, a cross-sectional, descriptive study w…
The indirect costs of agency nurses in South Africa
BACKGROUND: Globally, flexible work arrangements - through the use of temporary nursing staff - are an important strategy for dealing with nursing shortages in hospitals. OBJECTIVE: The objective of the study was to determine the direct and indirect costs of agency nurses, as well as the advantages and the problems associated with agency nurse utilisation in two public sector hospitals in South Africa. METHODS: Following ethical approval, two Sou…
‘Practice what you preach’
BACKGROUND: A recent focus of the global discourse on the health workforce has been on its quality, including the existence of codes of ethics. In South Africa, the importance of ethics and value systems in nursing was emphasised in the 2011 National Nursing Summit. OBJECTIVE: The study explored hospital nurses' perceptions of the International Code of Ethics for Nurses; their perceptions of the South African Nurses' Pledge of Service; and their …
Social accountability and nursing education in South Africa
BACKGROUND: There is global emphasis on transforming health workforce education in support of universal health coverage. OBJECTIVE: This paper uses a social accountability framework, specifically the World Health Organization's six building blocks for transformative education, to explore key informants' perspectives on nursing education in South Africa. METHODS: Using a snowballing sampling technique, 44 key informants were selected purposively o…
Special Issue
No abstact available. (Published: 11 May 2015) Citation : Glob Health Action 2015, 8 : 28005 - http://dx.doi.org/10.3402/gha.v8.28005
Exploring the characteristics of nursing agencies in South Africa
BACKGROUND: Nursing agencies are temporary employment service providers or labour brokers that supply nurses to health establishments. OBJECTIVE: This study was conducted to determine the characteristics of nursing agencies and their relationship with clients in the health sector. METHODS: During 2011, a cross-sectional national survey of 106 nursing agencies was conducted. After obtaining informed consent, telephone interviews were conducted wit…
Transforming nursing policy, practice and management in South Africa
None available. (Published: 11 May 2015) Citation : Glob Health Action 2015, 8 : 28005 - http://dx.doi.org/10.3402/gha.v8.28005 SPECIAL ISSUE : This paper is part of the Special Issue: Transforming Nursing in South Africa . More papers from this issue can be found at http://www.globalhealthaction.net
We keep her status to ourselves
In HIV-discordant relationships, the HIV-negative partner also carries the burden of a stigmatised disease. For this reason, couples often hide their HIV-discordant status from family, friends and community members. This perpetuates the silence around HIV-discordant relationships and impacts on targeted HIV prevention, treatment and counselling efforts. This article reports on experiences of stigma and discrimination among HIV-discordant couples …
Medicine (33 obras) · Political science (22 obras) · Nursing (21 obras) · Health care (17 obras) · Sociology (15 obras) · Family medicine (14 obras) · Economic growth (13 obras) · Global Health Workforce Issues (13 obras) · Business (12 obras) · Economics (12 obras)