Hp Schneider
Datos Biográficos
| ID | 74339 |
|---|---|
| NOMBRE | Hp Schneider |
| NOMBRES | Hp |
| APELLIDO | Schneider |
| FIRMA | SCHNEIDER H |
| AFILIACIONES | University of the Western Cape |
| ORCID | 0000-0002-0418-1828 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 55 |
| TOTAL DE CITAS | 285 |
| TOTAL COMO AUTOR | 55 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1984 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 7 |
Community care policy at the intersection of HIV and unemployment crises in South Africa
The community care sector is a major component of social protection systems in South Africa. However, despite considerable investment and policy attention on social protection in South Africa, the community care sector continues to face enormous challenges and pressures. On the one hand, government invests a significant amount in social spending and aims to honour its constitutional responsibilities towards improving the health and social welfare…
Advancing health policy and systems research and analysis
Health systems are at a crossroads. Globally, health systems are straining under the weight of responding to persistent and emergent challenges. Uncertainties in health financing, service delivery, new technologies and disease burdens are hindering health systems abilities to maximize collective and scaled action to achieve health equity and social justice. In March 2025, a group of health policy and systems experts were convened by an organizati…
Actor sensemaking and its role in implementation of the decentralized drug-resistant tuberculosis policy in South Africa
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…
Responsive public health doctoral education
Institutional capacity for doctoral training is key to addressing the complex challenges facing the global south. In the context of the need for skilled knowledge workers in health systems and growing demand for doctoral places, we reflect on the evolution of a public health doctoral programme in a South African School of Public Health. Through this case, we aim to contribute to wider debates on the form and content of emerging public health doct…
“If we work as a team, there are success stories.” Unpacking team members’ perceptions and experiences of what impacts team performance in a maternal and neonatal quality improvement programme in Sout…
Many maternal and neonatal deaths and stillbirths can be avoided if quality of care is improved. The South African National Department of Health implemented a multi-partner quality improvement (QI) programme between 2018 and 2022, in 21 facilities, with the aim to reduce maternal and perinatal mortality. We conducted a qualitative evaluation to explore QI team members’ perceptions of the factors shaping variation in team performance. The evaluati…
Examining sustained sub-national health system development
Governance and leadership are recognized as central to health system development in low- and middle-income countries, yet few existing studies consider the influence of multilevel governance systems. South Africa is one of the many (quasi-)federal states. Provincial governments have responsibility for managing health care delivery within national policy frameworks and norms. The early post-apartheid period saw country-wide efforts to address the …
Every loaf of bread is political – Reflections on collective care responses to Covid-19 in Cape Town
Feminist perspectives on care have demonstrated how capitalism undervalues care work. The Covid-19 pandemic highlighted this further, as systems of production and social reproduction became destabilized globally. In many countries, the formal pandemic response fell short of attending to the daily, fundamental care needs of people living through the crisis, especially those compromised by the socio-economic effects of the pandemic. These needs wer…
Conservationists' perspectives on poverty
Biodiversity conservation interventions have long confronted challenges of human poverty. The ethical foundations of international conservation, including conservation's relationship with poverty, are currently being interrogated in animated debates about the future of conservation. However, while some commentary exists, empirical analysis of conservation practitioner perspectives on poverty, and their ethical justification, has been lacking thus…
Perceptions and experiences of frontline health managers and providers on accountability in a South African health district
Providers and managers have well-established ideas about, and a language of, accountability. The lived reality of accountability by frontline managers and providers varies and is shaped by micro-configurations of enablers and constraints in local accountability ecosystems. A 'just culture', teamwork and collaboration between primary health care and hospitals and community participation were seen as promoting accountability, enabling collective re…
The crowded space of local accountability for maternal, newborn and child health
Global and national accountability for maternal, newborn and child health (MNCH) is increasingly invoked as central to addressing preventable mortality and morbidity. Strategies of accountability for MNCH include policy and budget tracking, maternal and perinatal death surveillance, performance targets and various forms of social accountability. However, little is known about how the growing number of accountability strategies for MNCH is receive…
What role can health policy and systems research play in supporting responses to Covid-19 that strengthen socially just health systems
To say that we live in turbulent times is a massive understatement. COVID-19 ruthlessly exposes the fault lines of health services and systems, and the responses put in place to prevent its spread or mitigate its effects may affect people more than the actual infection. The outbreak in Wuhan quickly grew to a pandemic that has affected countries and regions all over the world in many, and as of yet, little understood ways. This is a global infect…
Research collaboration on community health worker programmes in low-income countries
BACKGROUND: Global health research partnerships, which promote the exchange of ideas, knowledge and expertise across countries, are considered key to addressing complex challenges facing health systems. Yet, many studies report inequalities in these partnerships, particularly in those between high and low-and-middle-income countries (LMICs). OBJECTIVE: This paper examines global research collaborations on community health worker (CHW) programmes,…
When state-funded health insurance schemes fail to provide financial protection
This paper explores the dynamics of access under the state-funded universal health insurance scheme in Chhattisgarh, India, and specifically the relationship between choice, affordability and acceptability. A qualitative case study of patients from the slums of Raipur City incurring significant heath expenditure despite using insurance, was conducted, examining the way patients and their families sought to navigate and negotiate hospitalisation u…
The whole is more than the sum of the parts
There is a gap in understanding of how national commitments to child nutrition are translated into sub-national implementation. This article is a mixed methods case study of a rural South African health district which achieved accelerated declines in morbidity and mortality from severe acute malnutrition (SAM) in young children, following a district health system strengthening (HSS) initiative centred on real-time death reporting, analysis and re…
Assessing geographical inequity in availability of hospital services under the state-funded universal health insurance scheme in Chhattisgarh state, India, using a composite vulnerability index
BACKGROUND: Countries are increasingly adopting health insurance schemes for achieving Universal Health Coverage. India's state-funded health insurance scheme covers hospital care provided by 'empanelled' private and public hospitals. OBJECTIVE: This paper assesses geographical equity in availability of hospital services under the universal health insurance scheme in Chhattisgarh state. METHODS: The study makes use of district data from the insur…
Leadership and governance of community health worker programmes at scale
This analysis, from real-life systems, adds to understanding of the processes involved in developing CHW programmes at scale, and specifically the negotiated and multilevel nature of leadership and governance in such programmes, spanning analytic, managerial, technical and political roles
Disability weights from a household survey in a low socio-economic setting
BACKGROUND: The global burden of disease (GBD) 2010 study used a universal set of disability weights to estimate disability adjusted life years (DALYs) by country. However, it is not clear whether these weights can be applied universally in calculating DALYs to inform local decision-making. This study derived disability weights for a resource-constrained community in Cape Town, South Africa, and interrogated whether the GBD 2010 disability weight…
Exploring the perceptions and experiences of community health workers using role identity theory
BACKGROUND: Community health workers (CHWs) are an integral resource in many health systems, particularly in resource-poor settings. Their identities--'who' they are--play an important role in their hiring, training, and retention. We explore the perceptions, experiences, and identities of CHWs as they adopt a CHW role in rural South Africa, using 'role identity theory'. DESIGN: From April to December 2010, we conducted 18 semi-structured intervi…
Local level inequalities in the use of hospital-based maternal delivery in rural South Africa
BACKGROUND: There is global concern with geographical and socio-economic inequalities in access to and use of maternal delivery services. Little is known, however, on how local-level socio-economic inequalities are related to the uptake of needed maternal health care. We conducted a study of relative socio-economic inequalities in use of hospital-based maternal delivery services within two rural sub-districts of South Africa. METHODS: We used bot…
“She is my teacher and if it was not for her I would be dead”
Community health workers (CHWs) are important resources in health systems affected by the HIV/AIDS pandemic. International guidelines on task-shifting recommend that CHWs can provide diverse HIV services, ranging from HIV prevention to counselling patients for lifelong antiretroviral therapy. There is, however, little evidence on the experiences with CHW delivery of these services in Africa. This qualitative study included 102 interviews that exp…
Practice and power
Tackling the implementation gap is a health policy concern in low- and middle-income countries (LMICs). Limited attention has so far been paid to the influence of power relations over this gap. This article presents, therefore, an interpretive synthesis of qualitative health policy articles addressing the question: how do actors at the front line of health policy implementation exercise discretionary power, with what consequences and why? The art…
The size, characteristics and partnership networks of the health-related non-profit sector in three regions of South Africa
BACKGROUND: Health-related community-based care in South Africa is mostly provided through non-profit organizations (NPOs), but little is known about the sector. In the light of emerging government policy on greater formalization of community-based care in South Africa, this article assesses the size, characteristics and partnership networks of health-related NPOs in three South African communities and explores implications of changing primary he…
Mapping the existing body of health policy implementation research in lower income settings
This article uses 85 peer-reviewed articles published between 1994 and 2009 to characterize and synthesize aspects of the health policy analysis literature focusing on policy implementation in low- and middle-income countries (LMICs). It seeks to contribute, first, to strengthening the field of LMIC health policy analysis by highlighting gaps in the literature and generating ideas for a future research agenda and, second, to thinking about the va…
Addressing the social determinants of health
The Mitanin Programme, a government community health worker (CHW) programme, was started in Chhattisgarh State of India in 2002. The CHWs (Mitanins) have consistently adopted roles that go beyond health programme-specific interventions to embrace community mobilization and action on local priorities. The aim of this research was to document how and why the Mitanins have been able to act on the social determinants of health, describing the catalys…
School Accountability and Youth Obesity
This paper explores the effect of accountability laws under No Child Left Behind Act (NCLB) on obesity rates among school-aged children in the United States. Our results show that pressures due to school closures for poor performance, rewards for good performance, and assistance to schools that lag behind lead to lower levels of vigorous physical activity. This effect is significant for high school children only. We find no significant impact of …
Doing' health policy analysis
The case for undertaking policy analysis has been made by a number of scholars and practitioners. However, there has been much less attention given to how to do policy analysis, what research designs, theories or methods best inform policy analysis. This paper begins by looking at the health policy environment, and some of the challenges to researching this highly complex phenomenon. It focuses on research in middle and low income countries, draw…
Trust and health worker performance
On the fault-line
In a context where the state has had the power to implement major policy initiatives such as the macro-economic Growth Employment and Redistribution (GEAR) strategy why has conflict around AIDS policy persisted as high politics? What explains the apparent inability of the state to exercise effective leadership and deal decisively with AIDS the particular strategies it has adopted in relation to AIDS activists and scientists and the ability of the…
Community health workers and the response to HIV/Aids in South Africa
After a decline in enthusiasm for national community health worker (CHW) programmes in the 1980s, these have re-emerged globally, particularly in the context of HIV. This paper examines the case of South Africa, where there has been rapid growth of a range of lay workers (home-based carers, lay counsellors, DOT supporters etc.) principally in response to an expansion in budgets and programmes for HIV, most recently the rollout of antiretroviral t…
Implementing Aids policy in post-apartheid South Africa
Globalisation and health inequalities
What role can health policy and systems research play in supporting responses to Covid-19 that strengthen socially just health systems
To say that we live in turbulent times is a massive understatement. COVID-19 ruthlessly exposes the fault lines of health services and systems, and the responses put in place to prevent its spread or mitigate its effects may affect people more than the actual infection. The outbreak in Wuhan quickly grew to a pandemic that has affected countries and regions all over the world in many, and as of yet, little understood ways. This is a global infect…
Mapping the existing body of health policy implementation research in lower income settings
This article uses 85 peer-reviewed articles published between 1994 and 2009 to characterize and synthesize aspects of the health policy analysis literature focusing on policy implementation in low- and middle-income countries (LMICs). It seeks to contribute, first, to strengthening the field of LMIC health policy analysis by highlighting gaps in the literature and generating ideas for a future research agenda and, second, to thinking about the va…
Stigma, identity and resistance among people living with HIV in South Africa
AIDS-related stigma can cause delays in testing, poor treatment adherence, and greater numbers of new infections. Existing studies from low- and middle-income countries focus on the negative experiences of stigma, and few document resistance strategies. In this article we document the diverse journeys of people living with HIV in South Africa, through ill health, testing, disclosure, and treatment, and their responses to stigma. The research ques…
The size, characteristics and partnership networks of the health-related non-profit sector in three regions of South Africa
BACKGROUND: Health-related community-based care in South Africa is mostly provided through non-profit organizations (NPOs), but little is known about the sector. In the light of emerging government policy on greater formalization of community-based care in South Africa, this article assesses the size, characteristics and partnership networks of health-related NPOs in three South African communities and explores implications of changing primary he…
Addressing the social determinants of health
The Mitanin Programme, a government community health worker (CHW) programme, was started in Chhattisgarh State of India in 2002. The CHWs (Mitanins) have consistently adopted roles that go beyond health programme-specific interventions to embrace community mobilization and action on local priorities. The aim of this research was to document how and why the Mitanins have been able to act on the social determinants of health, describing the catalys…
The performance of different models of primary care provision in Southern Africa
The crowded space of local accountability for maternal, newborn and child health
Global and national accountability for maternal, newborn and child health (MNCH) is increasingly invoked as central to addressing preventable mortality and morbidity. Strategies of accountability for MNCH include policy and budget tracking, maternal and perinatal death surveillance, performance targets and various forms of social accountability. However, little is known about how the growing number of accountability strategies for MNCH is receive…
Every loaf of bread is political – Reflections on collective care responses to Covid-19 in Cape Town
Feminist perspectives on care have demonstrated how capitalism undervalues care work. The Covid-19 pandemic highlighted this further, as systems of production and social reproduction became destabilized globally. In many countries, the formal pandemic response fell short of attending to the daily, fundamental care needs of people living through the crisis, especially those compromised by the socio-economic effects of the pandemic. These needs wer…
Introduction
In a society under pressure, what can the people expect from the state and vice versa? For decades, there has been a scholarly discourse that finds the origins of the answer to this particular question in the
Commentary
We want to pick up and expand on two sets of inter-related issues raised in the paper by Mangham and Hanson (2010): the importance of political commitment and of strategic management to scaling up. As the paper makes clear, these issues are integral to successful scaling up. Evidence on progress towards the Millennium Development Goals, for example, demonstrates the need for strong government leadership, whilst policy and strategic management is …
Resources and infrastructure for the delivery of antiretroviral therapy at primary health care facilities in the Free State Province, South Africa
There are concerns as to whether South Africa's public health system has sufficient resources, human and otherwise, to ensure universal access to antiretroviral treatment (ART). We report on public sector implementation of the Comprehensive Care Management and Treatment (CCMT) programme in the Free State Province, South Africa, in particular whether the primary health care (PHC) infrastructure was able to mobilise the necessary inputs to effectiv…
Alte Verkehrswege in der modernen Kulturlandschaft
No abstract available
Healthwatch
Small fish in a big pond? External aid and the health sector in South Africa
Since a new government was elected in 1994, South Africa has become a favoured nation for the many bilateral and multi-lateral agencies providing aid to developing countries. Despite several relatively large pledges of 'transition support', however, external resources constitute less than 2% of the annual government budget. This non-dependence has established a degree of equilibrium in a relationship normally regarded as highly unequal in other A…
Implementing Aids policy in post-apartheid South Africa
Getting to the truth? Researching user views of primary health care
In countries at all levels of development, assessing the opinions of health service users is increasingly promoted as an integral part of quality evaluations. However, there has been much debate on how best to measure user opinions. This article discusses findings from a study in South Africa, which employed both closed-ended facility exit interviews (total 337) and open-ended community-based focus group discussions (total 14) to obtain users' vi…
On the fault-line
In a context where the state has had the power to implement major policy initiatives such as the macro-economic Growth Employment and Redistribution (GEAR) strategy why has conflict around AIDS policy persisted as high politics? What explains the apparent inability of the state to exercise effective leadership and deal decisively with AIDS the particular strategies it has adopted in relation to AIDS activists and scientists and the ability of the…
Chinese Visions of Family and State, 1915-1953 . Susan L. Glosser
The performance of different models of primary care provision in Southern Africa
Trust and health worker performance
Health systems and the implementation of disease programmes
This paper analyses the transfer and implementation of two internationally formulated infectious disease strategies in South Africa, namely, directly observed therapy (DOTS) for TB and syndromic management (SM) for sexually transmitted infections (STIs). Using the tools of policy analysis, this paper seeks to draw conclusions from contrasting experiences with the two strategies. DOTS and SM differ with respect to styles of engagement by World Hea…
Paying Their Way? Do Nonprofit Hospitals Justify Their Favorable Tax Treatment
This study addresses the effect of hospital ownership on the delivery of services to medically indigent patients and on their communities, using two alternative definitions of community benefits. Using data from hospitals in California, the study finds that in similar markets, the amount of community benefits provided by a tax-exempt private hospital is equivalent in value to that provided by an investor-owned hospital. These results are sensitiv…
Rationing access to public-sector antiretroviral treatment during scale-up in South Africa
As with other large-scale antiretroviral therapy (ART) programmes initiated in developing countries, rationing of ART in South Africa was inevitable in the face of limited human and infrastructural resources. This paper discusses rationing of ART and its implications for equity in South Africa, with a particular emphasis on the national programme in the Free State Province. We examine both the explicit and implicit dimensions of ART rationing, wh…
Community health workers and the response to HIV/Aids in South Africa
After a decline in enthusiasm for national community health worker (CHW) programmes in the 1980s, these have re-emerged globally, particularly in the context of HIV. This paper examines the case of South Africa, where there has been rapid growth of a range of lay workers (home-based carers, lay counsellors, DOT supporters etc.) principally in response to an expansion in budgets and programmes for HIV, most recently the rollout of antiretroviral t…
Doing' health policy analysis
The case for undertaking policy analysis has been made by a number of scholars and practitioners. However, there has been much less attention given to how to do policy analysis, what research designs, theories or methods best inform policy analysis. This paper begins by looking at the health policy environment, and some of the challenges to researching this highly complex phenomenon. It focuses on research in middle and low income countries, draw…
Resources and infrastructure for the delivery of antiretroviral therapy at primary health care facilities in the Free State Province, South Africa
There are concerns as to whether South Africa's public health system has sufficient resources, human and otherwise, to ensure universal access to antiretroviral treatment (ART). We report on public sector implementation of the Comprehensive Care Management and Treatment (CCMT) programme in the Free State Province, South Africa, in particular whether the primary health care (PHC) infrastructure was able to mobilise the necessary inputs to effectiv…
An integrated approach of community health worker support for HIV/Aids and TB care in Angónia district, Mozambique
BACKGROUND: The need to scale up treatment for HIV/AIDS has led to a revival in community health workers to help alleviate the health human resource crisis in sub-Saharan Africa. Community health workers have been employed in Mozambique since the 1970s, performing disparate and fragmented activities, with mixed results. METHODS: A participant-observer description of the evolution of community health worker support to the health services in Angóni…
Scaling up access to antiretroviral drugs in a middle-income country
This article describes the distribution and management of drugs and supplies in scaling up access to public sector antiretroviral treatment (ART) in a middle-income country. More specifically, a case study of the Free State Province of South Africa is presented focusing on: the mobilisation and training of pharmaceutical staff for ART, processes related to the ordering, distribution and storage of medicines, continuity of ART supplies and the imp…
The invisible cure
The invisible cure: Africa, the West, and the fight against AIDS, by Helen Epstein, (New York), Farrar, Strauss and Giroux, 2007, 326 pp., including index, US$26.00/£16.99 (hardcover), ISBN 0-374-2
Teachers' Schools and the Making of the Modern Chinese Nation-State, 1897-1937 . Xiaoping Cong
Stigma, identity and resistance among people living with HIV in South Africa
AIDS-related stigma can cause delays in testing, poor treatment adherence, and greater numbers of new infections. Existing studies from low- and middle-income countries focus on the negative experiences of stigma, and few document resistance strategies. In this article we document the diverse journeys of people living with HIV in South Africa, through ill health, testing, disclosure, and treatment, and their responses to stigma. The research ques…
Lay health workers and HIV programmes
One of the consequences of massive investment in antiretroviral access and other AIDS programmes has been the rapid emergence of large numbers of lay workers in the health systems of developing countries. In South Africa, government estimates are 65,000, mostly HIV/TB care-related lay workers contribute their labour in the public health sector, outnumbering the main front-line primary health care providers and professional nurses. The phenomenon …
Patterns and Implications of Medical Pluralism Among HIV/Aids Patients in Rural South Africa
Commentary
We want to pick up and expand on two sets of inter-related issues raised in the paper by Mangham and Hanson (2010): the importance of political commitment and of strategic management to scaling up. As the paper makes clear, these issues are integral to successful scaling up. Evidence on progress towards the Millennium Development Goals, for example, demonstrates the need for strong government leadership, whilst policy and strategic management is …
Keeping the Nation's House
https://works.swarthmore.edu/alum-books/1546/thumbnail.jpg
HIV/Aids in South Africa 25 years on
"HIV/AIDS in South Africa 25 years on: psycho-social perspectives." AIDS Care, 23(4), pp. 521–522
Political science (42 obras) · Medicine (39 obras) · Economic growth (28 obras) · Sociology (27 obras) · Nursing (26 obras) · Economics (25 obras) · Global Maternal and Child Health (25 obras) · Business (20 obras) · Public health (20 obras) · Health care (19 obras)