Michelle Engelbrecht
Biographic Data
| ID | 304725 |
|---|---|
| NAME | Michelle Engelbrecht |
| GIVEN NAMES | Michelle |
| FAMILY NAME | Engelbrecht |
| SIGNATURE | ENGELBRECHT M |
| AFFILIATIONS | University of the Free State |
| ORCID | 0000-0002-3970-0552 |
| VERIFIED | Yes |
| TOTAL WORKS | 20 |
| TOTAL CITATIONS | 1 |
| WORKS AS AUTHOR | 20 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2008 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Lesotho migrant miners’ access to anti-retroviral therapy
Southern Africa’s history of institutionalised migrant labour created a link between migration and HIV&AIDS. Mining companies initially ignored the HIV&AIDS pandemic despite evidence that early treatment suppresses HIV, improves life quality and reduces HIV transmission. When anti-retroviral therapy (ART) became available, access was difficult and the migratory nature of the workforce complicated implementation. Using the capabilities approach, w…
Sesotho Women’s Preferences for Male Partner Involvement During Antenatal Care and Delivery
Male partner involvement (MPI) is recognised as an important strategy for improving maternal health, yet little is known about women's preferences for how men should participate in antenatal care (ANC) and childbirth. This study explored Sesotho-speaking women's preferences for MPI and identified the forms of involvement that they considered to be appropriate and beneficial using a concurrent mixed-methods design. A survey was conducted with 513 …
Exploring Factors Associated with Limited Male Partner Involvement in Maternal Health
Despite efforts to promote gender-inclusive approaches to maternal health, male partner involvement (MPI) remains limited, underscoring the need for a comprehensive understanding of the factors associated with a lack of MPI. A mixed method, concurrent/parallel design was applied to explore MPI in maternal health and to identify factors associated with limited MPI. Data collection entailed a cross-sectional survey among 407 fathers together with 1…
Someone Who Is Going to Preserve Your Surname and Clan Name”
In the global public health discourse, involving men in maternal and neonatal health is regarded as crucial for positive outcomes in both health and development. In South Africa, health interventions designed to promote male partner involvement among low-income indigenous populations have been framed within social constructivist notions of masculinities and have produced mixed outcomes. This has necessitated calls to explore alternative approache…
Factors Associated with Covid-19-Related Stress among Female Primary Caregivers in Vulnerable Families in South Africa
Inequality in South Africa is deeply rooted, and COVID-19 glaringly brought inequalities between families to the forefront. This study aimed to investigate factors associated with the above average stress levels of female primary caregivers in vulnerable families during the COVID-19 pandemic. A cross-sectional survey was undertaken among vulnerable families from October 2021 to February 2022. Above average scores were reported by approximately ha…
Black Women’s Perceptions Towards Infant and Child Male Circumcision
Policies should address misinformation through platforms that Black women share. This study developed an ICMC perception framework to inform policy
Covid-19 Vaccine Hesitancy in South Africa
Vaccine hesitancy, long considered a global health threat, poses a major barrier to effective roll-out of COVID-19 vaccination. With less than half (45%) of adult South Africans currently fully vaccinated, we identified factors affecting non-uptake of vaccination and vaccine hesitancy in order to identify key groups to be targeted when embarking upon COVID-19 vaccine promotion campaigns. A cross-sectional, anonymous online survey was undertaken a…
Parental decision-making in infant and child male circumcision
Parental decision-making in infant and child male circumcision is influenced by complex, interrelated factors on many levels. Several studies have highlighted reasons for the acceptance and non-acceptance of child male circumcision. This study investigates the factors that influence parental decision-making in this matter and proposes a parental decision-making framework. The study was conducted in the townships of Diepsloot and Diepkloof in Gaut…
Post-Traumatic Stress and Coping Strategies of South African Nurses during the Second Wave of the Covid-19 Pandemic
Prior to the 2019 novel coronavirus (COVID-19) outbreak, the South African healthcare system was already under severe strain due to amongst others, a lack of human resources, poor governance and management, and an unequal distribution of resources among provinces and between the public and private healthcare sectors. At the center of these challenges are nurses, the backbone of the healthcare system, and the first point of call for most patients …
Changing Cultural Practices
This article presents a case study of Simon, a 25-year old Black South African male. According to his Pedi customs, Simon underwent traditional male circumcision (TMC) as a 12-year-old adolescent. He tells of his fears relative to this experience and how, over time, he transitioned from a belief in TMC to a strong preference for medical male circumcision (MMC). Using a single-case study design, the aim of the research was to explore the value of …
Reducing HIV- and TB-Stigma among healthcare co-workers in South Africa
Yield of systematic household contact investigation for tuberculosis in a high-burden metropolitan district of South Africa
The high yield of new TB observed in this pilot study demonstrates that targeted SHCI may be an effective ACF strategy in Mangaung and similar high-burden settings in South Africa. Targeting different index case categories produced variable yield - the highest among contacts of HIV-negative TB index cases. SHCI among household contacts of all four the WHO-recommended categories of infectious TB index cases - and male and coughing contacts, in par…
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…
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
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…
Workplace interventions to reduce HIV and TB stigma among health care workers – Where do we go from here
Fear of stigma and discrimination among health care workers (HCWs) in South African hospitals is thought to be a major factor in the high rates of HIV and tuberculosis infection experienced in the health care workforce. The aim of the current study is to inform the development of a stigma reduction intervention in the context of a large multicomponent trial. We analysed relevant results of four feasibility studies conducted in the lead up to the …
Considerations for preparing a randomized population health intervention trial
BACKGROUND: Community-based cluster-randomized controlled trials (RCTs) are increasingly being conducted to address pressing global health concerns. Preparations for clinical trials are well-described, as are the steps for multi-component health service trials. However, guidance is lacking for addressing the ethical and logistic challenges in (cluster) RCTs of population health interventions in low- and middle-income countries. OBJECTIVE: We aime…
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…
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…
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…
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…
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…
Considerations for preparing a randomized population health intervention trial
BACKGROUND: Community-based cluster-randomized controlled trials (RCTs) are increasingly being conducted to address pressing global health concerns. Preparations for clinical trials are well-described, as are the steps for multi-component health service trials. However, guidance is lacking for addressing the ethical and logistic challenges in (cluster) RCTs of population health interventions in low- and middle-income countries. OBJECTIVE: We aime…
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…
Workplace interventions to reduce HIV and TB stigma among health care workers – Where do we go from here
Fear of stigma and discrimination among health care workers (HCWs) in South African hospitals is thought to be a major factor in the high rates of HIV and tuberculosis infection experienced in the health care workforce. The aim of the current study is to inform the development of a stigma reduction intervention in the context of a large multicomponent trial. We analysed relevant results of four feasibility studies conducted in the lead up to the …
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…
Yield of systematic household contact investigation for tuberculosis in a high-burden metropolitan district of South Africa
The high yield of new TB observed in this pilot study demonstrates that targeted SHCI may be an effective ACF strategy in Mangaung and similar high-burden settings in South Africa. Targeting different index case categories produced variable yield - the highest among contacts of HIV-negative TB index cases. SHCI among household contacts of all four the WHO-recommended categories of infectious TB index cases - and male and coughing contacts, in par…
Changing Cultural Practices
This article presents a case study of Simon, a 25-year old Black South African male. According to his Pedi customs, Simon underwent traditional male circumcision (TMC) as a 12-year-old adolescent. He tells of his fears relative to this experience and how, over time, he transitioned from a belief in TMC to a strong preference for medical male circumcision (MMC). Using a single-case study design, the aim of the research was to explore the value of …
Reducing HIV- and TB-Stigma among healthcare co-workers in South Africa
Post-Traumatic Stress and Coping Strategies of South African Nurses during the Second Wave of the Covid-19 Pandemic
Prior to the 2019 novel coronavirus (COVID-19) outbreak, the South African healthcare system was already under severe strain due to amongst others, a lack of human resources, poor governance and management, and an unequal distribution of resources among provinces and between the public and private healthcare sectors. At the center of these challenges are nurses, the backbone of the healthcare system, and the first point of call for most patients …
Covid-19 Vaccine Hesitancy in South Africa
Vaccine hesitancy, long considered a global health threat, poses a major barrier to effective roll-out of COVID-19 vaccination. With less than half (45%) of adult South Africans currently fully vaccinated, we identified factors affecting non-uptake of vaccination and vaccine hesitancy in order to identify key groups to be targeted when embarking upon COVID-19 vaccine promotion campaigns. A cross-sectional, anonymous online survey was undertaken a…
Parental decision-making in infant and child male circumcision
Parental decision-making in infant and child male circumcision is influenced by complex, interrelated factors on many levels. Several studies have highlighted reasons for the acceptance and non-acceptance of child male circumcision. This study investigates the factors that influence parental decision-making in this matter and proposes a parental decision-making framework. The study was conducted in the townships of Diepsloot and Diepkloof in Gaut…
Factors Associated with Covid-19-Related Stress among Female Primary Caregivers in Vulnerable Families in South Africa
Inequality in South Africa is deeply rooted, and COVID-19 glaringly brought inequalities between families to the forefront. This study aimed to investigate factors associated with the above average stress levels of female primary caregivers in vulnerable families during the COVID-19 pandemic. A cross-sectional survey was undertaken among vulnerable families from October 2021 to February 2022. Above average scores were reported by approximately ha…
Black Women’s Perceptions Towards Infant and Child Male Circumcision
Policies should address misinformation through platforms that Black women share. This study developed an ICMC perception framework to inform policy
Exploring Factors Associated with Limited Male Partner Involvement in Maternal Health
Despite efforts to promote gender-inclusive approaches to maternal health, male partner involvement (MPI) remains limited, underscoring the need for a comprehensive understanding of the factors associated with a lack of MPI. A mixed method, concurrent/parallel design was applied to explore MPI in maternal health and to identify factors associated with limited MPI. Data collection entailed a cross-sectional survey among 407 fathers together with 1…
Someone Who Is Going to Preserve Your Surname and Clan Name”
In the global public health discourse, involving men in maternal and neonatal health is regarded as crucial for positive outcomes in both health and development. In South Africa, health interventions designed to promote male partner involvement among low-income indigenous populations have been framed within social constructivist notions of masculinities and have produced mixed outcomes. This has necessitated calls to explore alternative approache…
Lesotho migrant miners’ access to anti-retroviral therapy
Southern Africa’s history of institutionalised migrant labour created a link between migration and HIV&AIDS. Mining companies initially ignored the HIV&AIDS pandemic despite evidence that early treatment suppresses HIV, improves life quality and reduces HIV transmission. When anti-retroviral therapy (ART) became available, access was difficult and the migratory nature of the workforce complicated implementation. Using the capabilities approach, w…
Sesotho Women’s Preferences for Male Partner Involvement During Antenatal Care and Delivery
Male partner involvement (MPI) is recognised as an important strategy for improving maternal health, yet little is known about women's preferences for how men should participate in antenatal care (ANC) and childbirth. This study explored Sesotho-speaking women's preferences for MPI and identified the forms of involvement that they considered to be appropriate and beneficial using a concurrent mixed-methods design. A survey was conducted with 513 …
Medicine (17 works) · Environmental health (12 works) · Nursing (11 works) · Public health (10 works) · HIV/AIDS Impact and Responses (8 works) · Psychology (8 works) · Sociology (8 works) · Economic growth (7 works) · Family medicine (7 works) · Population (7 works)