Christiane Horwood
Datos Biográficos
| ID | 326752 |
|---|---|
| NOMBRE | Christiane Horwood |
| NOMBRES | Christiane |
| APELLIDO | Horwood |
| FIRMA | HORWOOD C |
| AFILIACIONES | University of KwaZulu-Natal |
| ORCID | 0000-0003-4395-1423 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 22 |
| TOTAL DE CITAS | 4 |
| TOTAL COMO AUTOR | 22 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2010 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 1 |
Strengthening Teamwork and Respect (STAR)
BACKGROUND: Disrespectful maternal care has been reported from women's perspectives, but less is known about how health workers understand these behaviours. To develop interventions, it is important to explore the drivers of disrespectful care from providers' perspectives. OBJECTIVE: To explore nurses' perspectives on disrespectful maternal care. METHODS: Semi-structured interviews were conducted with 18 nurses in maternity units in nine rural di…
Voices from the neonatal unit
Neonatal care increasingly emphasizes improving the experience of care by engaging mothers as active partners alongside health workers providing clinical care for newborns. Guided by the World Health Organization's Standards for improving the quality of care for small and sick newborns, this study focuses on Standard 4, which promotes care that is respectful, responsive, and supportive of families' needs and preferences. We conducted a concurrent…
Strengthening teamwork and respect (STAR) in maternity units
Disrespect and abuse in maternity services in South Africa has been described over several decades and are rooted in the country's complex socio-political landscape and unequal health system which places strain on public sector health professionals. Strategies to improve the quality of health care typically involve once-off didactic teaching or outside technical consultants focused on improving specific health programmes. These approaches fail to…
Bringing Child Health Closer to Families
Mid-upper-arm circumference measurement (MUAC) is a simple, cost-effective approach to identify wasting in children. The Family MUAC intervention supported community health workers (CHWs) to mentor mothers and child caregivers to measure their children's MUAC at home. Sixty-four CHWs participated in seven sites in Gauteng and KwaZulu-Natal (KZN), South Africa. A cross-sectional survey was conducted to determine caregivers' ability to measure MUAC…
Women’s exposure to commercial milk formula marketing
BACKGROUND: Marketing of commercial milk formula (CMF) is well resourced and has influenced societal beliefs and practices that have undermined breastfeeding. This has occurred despite legislation in many countries largely reflecting the provisions of the International Code of Marketing of Breast-milk Substitutes. METHODS: A cross-sectional survey was conducted in seven countries: Bangladesh, Mexico, Morocco, Nigeria, South Africa, United Kingdom…
Exploring women’s exposure to marketing of commercial formula products
BACKGROUND: Regulating the marketing of commercial formula products is a long-term commitment required to protect breastfeeding. Marketing strategies of formula manufacturers, retailers and distributors evolve at a rapid rate. OBJECTIVE: The aim of this research was to describe exposure of pregnant women and mothers of young children in South Africa to marketing of commercial formula products, compared to international recommendations and nationa…
Does the unconditional cash transfer program in South Africa provide support for women after child birth? Barriers to accessing the child support grant among women in informal work in Durban, South Af…
Cash transfer programmes can effectively support low income households and improve outcomes for mothers and children. In South Africa there is a need for innovative approaches to streamline CSG applications, so women can access the funds immediately post-delivery to fill a resource gap and provide support at a vulnerable time for mothers and their children
An exploration of pregnant women and mothers’ attitudes, perceptions and experiences of formula feeding and formula marketing, and the factors that influence decision-making about infant feeding in So…
Global formula companies use multifaceted marketing methods to promote a strong narrative portraying formula feeding as a positive lifestyle choice. Positive, coordinated efforts are required to counter pro-formula messaging and change the narrative to support breastfeeding as an aspirational choice. In particular, health professionals must stop supporting the formula industry
Exploring the roles of fathers from the perspective of informal women workers
Informal women workers are vulnerable to poverty and job insecurity, but little is known about how they manage multiple childcare and work responsibilities without maternity protection. We explore perspectives of informal working mothers about the role played by their child’s father. A longitudinal mixed-methods study was conducted among women informal workers. In-depth interviews (IDIs) were conducted at transition points from pregnancy until af…
It's not the Destination it's the Journey
Longitudinal qualitative methodologies have gained increased attention in health and social science research as an appropriate methodology to explore participants' experiences of change over time but is a challenging methodology to implement. We reflect on the methodological aspects of a novel longitudinal 'mixed' mixed-methods study using quantitative and qualitative methods with both individuals and groups, employing various participatory appro…
I am not only beneficial to the community but to the entire country, I am trained as a researcher now’
Partnerships between Higher Education Institutions in the global South and North have potential for building capacity in public health research in low-resource countries. We present experiences of partners involved in a North-South-South partnership between universities in Norway, the Democratic Republic of Congo (DRC) and South Africa. The partnership aimed to establish a postgraduate programme in nutritional epidemiology at the University of Ki…
Infant feeding, growth monitoring and the double burden of malnutrition among children aged 6 months and their mothers in KwaZulu‐Natal, South Africa
South Africa has a documented high prevalence of stunting and increasing obesity in children as well as obesity in adults. The double burden of malnutrition, which can be on an individual-, household- or population level, has implications for both health and the economic development of a community and country. This paper describes a large-scale survey (N = 774) of infant feeding, growth monitoring and anthropometry among mother and child pairs ag…
Are we doing enough? Improved breastfeeding practices at 14 weeks but challenges of non-initiation and early cessation of breastfeeding remain
Despite improvements to exclusive breastfeeding, failure to initiate and sustain breastfeeding is a challenge to achieving optimal breastfeeding practices. Interventions are required to address these challenges and support breastfeeding particularly among working mothers and HIV positive mothers
Evaluation of the effectiveness of a quality improvement intervention to support integration of maternal, child and HIV care in primary health care facilities in South Africa
ClinicalTrials.gov NCT04278612. Date of Registration: February 19, 2020. Retrospectively registered
Attitudes and perceptions about breastfeeding among female and male informal workers in India and South Africa
Mothers working in the informal sector face multiple challenges to maintaining breastfeeding. Interventions are required to support feeding and childcare if global nutrition and development goals are to be met
I decided to go back to work so I can afford to buy her formula’
Interventions are needed within the social and work environment to support mothers with breastfeeding while they continue earning an income in the informal economy. The extension of the CSG to the antenatal period could assist mothers to stay at home longer post-delivery to breastfeed their babies
Breastfeeding advice for reality
Breastfeeding education and support are critical health worker skills. Confusion surrounding infant feeding advice linked to the HIV epidemic has reduced the confidence of health workers to support breastfeeding. High antiretroviral therapy coverage of breastfeeding women living with HIV, and an Infant Feeding policy supportive of breastfeeding, now provides an opportunity to improve breastfeeding practices. Challenges remain in restoring health …
An educational intervention to update health workers about HIV and infant feeding
Clinical guidelines are used to translate research findings into evidence-based clinical practice but are frequently not comprehensively adopted by health workers (HWs). HIV and infant feeding guidelines were revised by the World Health Organization to align feeding advice for HIV-exposed and unexposed infants, and these were adopted in South Africa in 2017. We describe an innovative, team-based, mentoring programme developed to update HWs on the…
A qualitative study exploring infant feeding decision‐making between birth and 6 months among HIV‐positive mothers
Despite efforts to support breastfeeding for HIV-positive mothers in South Africa, being HIV-positive remains a barrier to initiating and sustaining breastfeeding. The aim was to explore decision-making about infant feeding practices among HIV-positive mothers in a rural and urban settings in KwaZulu-Natal, South Africa. HIV-positive pregnant women were purposively sampled from one antenatal clinic in each setting. A qualitative longitudinal coho…
Improved rates of exclusive breastfeeding at 14 weeks of age in KwaZulu Natal, South Africa
Estimates of breastfeeding practices at 14 weeks in KZN are higher than previously shown. However, particular challenges that should be addressed if international targets for EBF are to be achieved include improving breastfeeding practices of HIV positive mothers and supporting all mothers, particularly working or schooling mothers to continue giving breastmilk while they are away from their children
Exploring the care provided to mothers and children by community health workers in South Africa
Key building blocks for a successful CHW programme are in place to provide services for mothers and children in households but further training and supervision is required if the gaps in CHW knowledge and skills are to be filled
Routine checks for HIV in children attending primary health care facilities in South Africa
It's not the Destination it's the Journey
Longitudinal qualitative methodologies have gained increased attention in health and social science research as an appropriate methodology to explore participants' experiences of change over time but is a challenging methodology to implement. We reflect on the methodological aspects of a novel longitudinal 'mixed' mixed-methods study using quantitative and qualitative methods with both individuals and groups, employing various participatory appro…
Exploring the roles of fathers from the perspective of informal women workers
Informal women workers are vulnerable to poverty and job insecurity, but little is known about how they manage multiple childcare and work responsibilities without maternity protection. We explore perspectives of informal working mothers about the role played by their child’s father. A longitudinal mixed-methods study was conducted among women informal workers. In-depth interviews (IDIs) were conducted at transition points from pregnancy until af…
Routine checks for HIV in children attending primary health care facilities in South Africa
Routine checks for HIV in children attending primary health care facilities in South Africa
A qualitative study exploring infant feeding decision‐making between birth and 6 months among HIV‐positive mothers
Despite efforts to support breastfeeding for HIV-positive mothers in South Africa, being HIV-positive remains a barrier to initiating and sustaining breastfeeding. The aim was to explore decision-making about infant feeding practices among HIV-positive mothers in a rural and urban settings in KwaZulu-Natal, South Africa. HIV-positive pregnant women were purposively sampled from one antenatal clinic in each setting. A qualitative longitudinal coho…
Improved rates of exclusive breastfeeding at 14 weeks of age in KwaZulu Natal, South Africa
Estimates of breastfeeding practices at 14 weeks in KZN are higher than previously shown. However, particular challenges that should be addressed if international targets for EBF are to be achieved include improving breastfeeding practices of HIV positive mothers and supporting all mothers, particularly working or schooling mothers to continue giving breastmilk while they are away from their children
Exploring the care provided to mothers and children by community health workers in South Africa
Key building blocks for a successful CHW programme are in place to provide services for mothers and children in households but further training and supervision is required if the gaps in CHW knowledge and skills are to be filled
Breastfeeding advice for reality
Breastfeeding education and support are critical health worker skills. Confusion surrounding infant feeding advice linked to the HIV epidemic has reduced the confidence of health workers to support breastfeeding. High antiretroviral therapy coverage of breastfeeding women living with HIV, and an Infant Feeding policy supportive of breastfeeding, now provides an opportunity to improve breastfeeding practices. Challenges remain in restoring health …
An educational intervention to update health workers about HIV and infant feeding
Clinical guidelines are used to translate research findings into evidence-based clinical practice but are frequently not comprehensively adopted by health workers (HWs). HIV and infant feeding guidelines were revised by the World Health Organization to align feeding advice for HIV-exposed and unexposed infants, and these were adopted in South Africa in 2017. We describe an innovative, team-based, mentoring programme developed to update HWs on the…
Are we doing enough? Improved breastfeeding practices at 14 weeks but challenges of non-initiation and early cessation of breastfeeding remain
Despite improvements to exclusive breastfeeding, failure to initiate and sustain breastfeeding is a challenge to achieving optimal breastfeeding practices. Interventions are required to address these challenges and support breastfeeding particularly among working mothers and HIV positive mothers
Evaluation of the effectiveness of a quality improvement intervention to support integration of maternal, child and HIV care in primary health care facilities in South Africa
ClinicalTrials.gov NCT04278612. Date of Registration: February 19, 2020. Retrospectively registered
Attitudes and perceptions about breastfeeding among female and male informal workers in India and South Africa
Mothers working in the informal sector face multiple challenges to maintaining breastfeeding. Interventions are required to support feeding and childcare if global nutrition and development goals are to be met
I decided to go back to work so I can afford to buy her formula’
Interventions are needed within the social and work environment to support mothers with breastfeeding while they continue earning an income in the informal economy. The extension of the CSG to the antenatal period could assist mothers to stay at home longer post-delivery to breastfeed their babies
I am not only beneficial to the community but to the entire country, I am trained as a researcher now’
Partnerships between Higher Education Institutions in the global South and North have potential for building capacity in public health research in low-resource countries. We present experiences of partners involved in a North-South-South partnership between universities in Norway, the Democratic Republic of Congo (DRC) and South Africa. The partnership aimed to establish a postgraduate programme in nutritional epidemiology at the University of Ki…
Infant feeding, growth monitoring and the double burden of malnutrition among children aged 6 months and their mothers in KwaZulu‐Natal, South Africa
South Africa has a documented high prevalence of stunting and increasing obesity in children as well as obesity in adults. The double burden of malnutrition, which can be on an individual-, household- or population level, has implications for both health and the economic development of a community and country. This paper describes a large-scale survey (N = 774) of infant feeding, growth monitoring and anthropometry among mother and child pairs ag…
Exploring women’s exposure to marketing of commercial formula products
BACKGROUND: Regulating the marketing of commercial formula products is a long-term commitment required to protect breastfeeding. Marketing strategies of formula manufacturers, retailers and distributors evolve at a rapid rate. OBJECTIVE: The aim of this research was to describe exposure of pregnant women and mothers of young children in South Africa to marketing of commercial formula products, compared to international recommendations and nationa…
Does the unconditional cash transfer program in South Africa provide support for women after child birth? Barriers to accessing the child support grant among women in informal work in Durban, South Af…
Cash transfer programmes can effectively support low income households and improve outcomes for mothers and children. In South Africa there is a need for innovative approaches to streamline CSG applications, so women can access the funds immediately post-delivery to fill a resource gap and provide support at a vulnerable time for mothers and their children
An exploration of pregnant women and mothers’ attitudes, perceptions and experiences of formula feeding and formula marketing, and the factors that influence decision-making about infant feeding in So…
Global formula companies use multifaceted marketing methods to promote a strong narrative portraying formula feeding as a positive lifestyle choice. Positive, coordinated efforts are required to counter pro-formula messaging and change the narrative to support breastfeeding as an aspirational choice. In particular, health professionals must stop supporting the formula industry
Exploring the roles of fathers from the perspective of informal women workers
Informal women workers are vulnerable to poverty and job insecurity, but little is known about how they manage multiple childcare and work responsibilities without maternity protection. We explore perspectives of informal working mothers about the role played by their child’s father. A longitudinal mixed-methods study was conducted among women informal workers. In-depth interviews (IDIs) were conducted at transition points from pregnancy until af…
It's not the Destination it's the Journey
Longitudinal qualitative methodologies have gained increased attention in health and social science research as an appropriate methodology to explore participants' experiences of change over time but is a challenging methodology to implement. We reflect on the methodological aspects of a novel longitudinal 'mixed' mixed-methods study using quantitative and qualitative methods with both individuals and groups, employing various participatory appro…
Women’s exposure to commercial milk formula marketing
BACKGROUND: Marketing of commercial milk formula (CMF) is well resourced and has influenced societal beliefs and practices that have undermined breastfeeding. This has occurred despite legislation in many countries largely reflecting the provisions of the International Code of Marketing of Breast-milk Substitutes. METHODS: A cross-sectional survey was conducted in seven countries: Bangladesh, Mexico, Morocco, Nigeria, South Africa, United Kingdom…
Strengthening teamwork and respect (STAR) in maternity units
Disrespect and abuse in maternity services in South Africa has been described over several decades and are rooted in the country's complex socio-political landscape and unequal health system which places strain on public sector health professionals. Strategies to improve the quality of health care typically involve once-off didactic teaching or outside technical consultants focused on improving specific health programmes. These approaches fail to…
Bringing Child Health Closer to Families
Mid-upper-arm circumference measurement (MUAC) is a simple, cost-effective approach to identify wasting in children. The Family MUAC intervention supported community health workers (CHWs) to mentor mothers and child caregivers to measure their children's MUAC at home. Sixty-four CHWs participated in seven sites in Gauteng and KwaZulu-Natal (KZN), South Africa. A cross-sectional survey was conducted to determine caregivers' ability to measure MUAC…
Strengthening Teamwork and Respect (STAR)
BACKGROUND: Disrespectful maternal care has been reported from women's perspectives, but less is known about how health workers understand these behaviours. To develop interventions, it is important to explore the drivers of disrespectful care from providers' perspectives. OBJECTIVE: To explore nurses' perspectives on disrespectful maternal care. METHODS: Semi-structured interviews were conducted with 18 nurses in maternity units in nine rural di…
Voices from the neonatal unit
Neonatal care increasingly emphasizes improving the experience of care by engaging mothers as active partners alongside health workers providing clinical care for newborns. Guided by the World Health Organization's Standards for improving the quality of care for small and sick newborns, this study focuses on Standard 4, which promotes care that is respectful, responsive, and supportive of families' needs and preferences. We conducted a concurrent…
Medicine (20 obras) · Nursing (14 obras) · Pediatrics (12 obras) · Breastfeeding (11 obras) · Breastfeeding Practices and Influences (11 obras) · Environmental health (10 obras) · Public health (10 obras) · Child Nutrition and Water Access (9 obras) · Family medicine (9 obras) · Economic growth (8 obras)