André Janse Van Rensburg
Biographic Data
| ID | 1263518 |
|---|---|
| NAME | André Janse Van Rensburg |
| GIVEN NAMES | André Janse |
| FAMILY NAME | Van Rensburg |
| SIGNATURE | VAN RENSBURG A J |
| AFFILIATIONS | University of KwaZulu-Natal |
| ORCID | 0000-0001-8880-2232 |
| VERIFIED | Yes |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 3 |
| WORKS AS AUTHOR | 21 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2015 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Helping to improve demand for mental health services
An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button
Reconceptualizing integrated people-centred health services
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…
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…
A realist perspective on optimizing community health workers’ roles and functions to deliver integrated people-centred care
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 …
A learning health systems approach to scaling up an evidence-based intervention for integrated primary mental healthcare case finding and referral in South Africa
Despite progress in the development and evaluation of evidence-based primary mental health interventions in low-income and middle-income countries, implementation and scale-up efforts have had mixed results. Considerable gaps remain in the effective translation of research knowledge into routine health system practices, largely due to real-world contextual constraints on implementation and scale-up efforts. The Southern African Research Consortiu…
Inverting the deficit model in global mental health
Global mental health [GMH] scholarship and practice has typically focused on the unmet needs and barriers to mental health in communities, developing biomedical and psychosocial interventions for integration into formal health care platforms in response. In this article, we analyse four diverse settings to disrupt the emphasises on health system weaknesses, treatment gaps and barriers which can perpetuate harmful hierarchies and colonial and medi…
The feasibility of a Community Mental Health Education and Detection (CMED) tool in South Africa
Background: Poor mental health literacy, misinformation about treatment and stigma result in low demand for mental health services in low-and middle-income countries. Community-based interventions that raise mental health awareness and facilitate detection of mental health conditions, are instrumental in increasing demand through strengthened mental health literacy, as well as supply of available mental health services through strengthened detect…
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…
Covid-19 mental health impact and responses in low-income and middle-income countries
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…
Reclaiming comprehensive public health
Over the past 6 months, we have witnessed diversity in the spread and severity of the COVID-19 and in the nature and timing of \nresponses to it in different countries and contexts. Acute emergencies often mobilise a short spurt of attention and resources. \nCOVID-19 is, however, a protracted pandemic that spreads through and exacerbates socioeconomic inequalities and stresses health and democratic systems in a way that calls or sustained respons…
Reducing HIV- and TB-Stigma among healthcare co-workers in South Africa
Politics of Mental Healthcare in Post-apartheid South Africa
Recent events in post-apartheid South Africa have exposed a decidedly political dimension to mental healthcare. This was exemplified in three important cases: the recent grants crisis of the South African Social Security Agency, a court case between the state and non-governmental organisations, and the Life Esidimeni tragedy. These events demonstrate that despite significant policy shifts toward basic human rights and care of people living with m…
Fighting stigma, promoting care
Fear of breaches in confidentiality and HIV-related stigma in the workplace have been shown to be primary concerns and potential barriers to uptake of HIV testing and treatment by health care workers (HCWs) at the Occupational Health Unit (OHU). In a context of human resource shortages, it is essential to investigate potential ways of reducing HIV-related stigma and promoting confidentially in the workplace. Using Structural Equation Modelling (S…
State and non-state mental health service collaboration in a South African district
The Life Esidimeni tragedy in South Africa showed that, despite significant global gains in recognizing the salience of integrated public mental health care during the past decade, crucial gaps remain. State and non-state mental health service collaboration is a recognized strategy to increase access to care and optimal use of community resources, but little evidence exist about how it unfolds in low- to middle-income countries. South Africa's Me…
Collaborative mental health care in the bureaucratic field of post-apartheid South Africa
South Africa's long and arduous journey from colonial and apartheid-era care for people with mental illness to more comprehensive, equitable mental health care is well-described. Deeper engagement with the structural power dynamics involved in providing collaborative mental health services are less-well described, especially in its post-apartheid era. This conceptual article positions state and non-state mental health service providers – along wi…
Tuberculosis knowledge, attitudes and practices of patients at primary health care facilities in a South African metropolitan
These findings highlight the need for health education efforts to strengthen accurate information dissemination to promote sound TB knowledge and attitudes among patients attending PHC facilities. Health education efforts should also capitalise on the positive finding of this study that information dissemination at PHC facilities increases good infection control practices
Power and Integrated Health Care
Integrated care occurs within micro, meso and macro levels of governance structures, which are shaped by complex power dynamics. Yet theoretically-led notions of power, and scrutiny of its meanings and its functioning, are neglected in the literature on integrated care. We explore an alternative approach. Following a discussion on governance, two streams of theorising power are presented: mainstream and second-stream. Mainstream concepts are base…
Barriers to HIV counselling and testing uptake by health workers in three public hospitals in Free State Province, South Africa
Recent WHO/ILO/UNAIDS guidelines recommend priority access to HIV services for health care workers (HCWs), in order to retain and support HCWs, especially those at risk of occupationally acquired tuberculosis (TB). The purpose of this study was to identify barriers to uptake of HIV counselling and testing (HCT) services for HCWs receiving HCT within occupational health units (OHUs). Questions were included within a larger occupational health surv…
Power and Integrated Health Care
Integrated care occurs within micro, meso and macro levels of governance structures, which are shaped by complex power dynamics. Yet theoretically-led notions of power, and scrutiny of its meanings and its functioning, are neglected in the literature on integrated care. We explore an alternative approach. Following a discussion on governance, two streams of theorising power are presented: mainstream and second-stream. Mainstream concepts are base…
Collaborative mental health care in the bureaucratic field of post-apartheid South Africa
South Africa's long and arduous journey from colonial and apartheid-era care for people with mental illness to more comprehensive, equitable mental health care is well-described. Deeper engagement with the structural power dynamics involved in providing collaborative mental health services are less-well described, especially in its post-apartheid era. This conceptual article positions state and non-state mental health service providers – along wi…
Barriers to HIV counselling and testing uptake by health workers in three public hospitals in Free State Province, South Africa
Recent WHO/ILO/UNAIDS guidelines recommend priority access to HIV services for health care workers (HCWs), in order to retain and support HCWs, especially those at risk of occupationally acquired tuberculosis (TB). The purpose of this study was to identify barriers to uptake of HIV counselling and testing (HCT) services for HCWs receiving HCT within occupational health units (OHUs). Questions were included within a larger occupational health surv…
Power and Integrated Health Care
Integrated care occurs within micro, meso and macro levels of governance structures, which are shaped by complex power dynamics. Yet theoretically-led notions of power, and scrutiny of its meanings and its functioning, are neglected in the literature on integrated care. We explore an alternative approach. Following a discussion on governance, two streams of theorising power are presented: mainstream and second-stream. Mainstream concepts are base…
Tuberculosis knowledge, attitudes and practices of patients at primary health care facilities in a South African metropolitan
These findings highlight the need for health education efforts to strengthen accurate information dissemination to promote sound TB knowledge and attitudes among patients attending PHC facilities. Health education efforts should also capitalise on the positive finding of this study that information dissemination at PHC facilities increases good infection control practices
Fighting stigma, promoting care
Fear of breaches in confidentiality and HIV-related stigma in the workplace have been shown to be primary concerns and potential barriers to uptake of HIV testing and treatment by health care workers (HCWs) at the Occupational Health Unit (OHU). In a context of human resource shortages, it is essential to investigate potential ways of reducing HIV-related stigma and promoting confidentially in the workplace. Using Structural Equation Modelling (S…
State and non-state mental health service collaboration in a South African district
The Life Esidimeni tragedy in South Africa showed that, despite significant global gains in recognizing the salience of integrated public mental health care during the past decade, crucial gaps remain. State and non-state mental health service collaboration is a recognized strategy to increase access to care and optimal use of community resources, but little evidence exist about how it unfolds in low- to middle-income countries. South Africa's Me…
Collaborative mental health care in the bureaucratic field of post-apartheid South Africa
South Africa's long and arduous journey from colonial and apartheid-era care for people with mental illness to more comprehensive, equitable mental health care is well-described. Deeper engagement with the structural power dynamics involved in providing collaborative mental health services are less-well described, especially in its post-apartheid era. This conceptual article positions state and non-state mental health service providers – along wi…
Politics of Mental Healthcare in Post-apartheid South Africa
Recent events in post-apartheid South Africa have exposed a decidedly political dimension to mental healthcare. This was exemplified in three important cases: the recent grants crisis of the South African Social Security Agency, a court case between the state and non-governmental organisations, and the Life Esidimeni tragedy. These events demonstrate that despite significant policy shifts toward basic human rights and care of people living with m…
Reclaiming comprehensive public health
Over the past 6 months, we have witnessed diversity in the spread and severity of the COVID-19 and in the nature and timing of \nresponses to it in different countries and contexts. Acute emergencies often mobilise a short spurt of attention and resources. \nCOVID-19 is, however, a protracted pandemic that spreads through and exacerbates socioeconomic inequalities and stresses health and democratic systems in a way that calls or sustained respons…
Reducing HIV- and TB-Stigma among healthcare co-workers in South Africa
Covid-19 mental health impact and responses in low-income and middle-income countries
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…
The feasibility of a Community Mental Health Education and Detection (CMED) tool in South Africa
Background: Poor mental health literacy, misinformation about treatment and stigma result in low demand for mental health services in low-and middle-income countries. Community-based interventions that raise mental health awareness and facilitate detection of mental health conditions, are instrumental in increasing demand through strengthened mental health literacy, as well as supply of available mental health services through strengthened detect…
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 learning health systems approach to scaling up an evidence-based intervention for integrated primary mental healthcare case finding and referral in South Africa
Despite progress in the development and evaluation of evidence-based primary mental health interventions in low-income and middle-income countries, implementation and scale-up efforts have had mixed results. Considerable gaps remain in the effective translation of research knowledge into routine health system practices, largely due to real-world contextual constraints on implementation and scale-up efforts. The Southern African Research Consortiu…
Inverting the deficit model in global mental health
Global mental health [GMH] scholarship and practice has typically focused on the unmet needs and barriers to mental health in communities, developing biomedical and psychosocial interventions for integration into formal health care platforms in response. In this article, we analyse four diverse settings to disrupt the emphasises on health system weaknesses, treatment gaps and barriers which can perpetuate harmful hierarchies and colonial and medi…
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…
A realist perspective on optimizing community health workers’ roles and functions to deliver integrated people-centred care
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 …
Helping to improve demand for mental health services
An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button
Reconceptualizing integrated people-centred health services
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…
Medicine (18 works) · Health care (13 works) · Nursing (13 works) · Economic growth (11 works) · Psychiatry (11 works) · Mental health (10 works) · Political science (9 works) · Mental Health Treatment and Access (8 works) · Public health (8 works) · Economics (7 works)