Kathryn Chu
Dados Biográficos
| ID | 7687789 |
|---|---|
| NOME | Kathryn Chu |
| PRENOMES | Kathryn |
| SOBRENOME | Chu |
| ASSINATURA | CHU K |
| AFILIAÇÕES | Stellenbosch University |
| ORCID | 0000-0002-8923-7447 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 15 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 15 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2009 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
A scoping review of educational practices in caesarean section training
A systems approach to understanding injury care in LMICs using causal loop diagrams
BACKGROUND: Around 40% of mortality after injuries is avoidable with access to quality care. Investments in interventions which maximise the number of injured persons who access and receive quality care are paramount, especially in low-resourced settings. Selecting such interventions within complex adaptive health systems is challenging due to the multiple interactions within these systems. METHODS: We created a conceptual map, or causal loop dia…
Reasons for not seeking formal healthcare after injuries
Injuries are a major cause of morbidity and mortality in low- and middle-income countries, but many individuals do not seek care within formal healthcare systems. Although previous studies have highlighted barriers to healthcare, limited attention has been given to the experiences of those who remain beyond the formal systems. This study explored why injured individuals in Ghana, Pakistan, Rwanda and South Africa did not seek hospital care. Ninet…
Wicked problems and the recovery of meaning
Injuries cause 6 million deaths and 40 million disabilities annually. Over 90% of deaths occur in low-and-middle-income-countries (LMICs), and nearly half are preventable. This Commentary examines the possibilities and limitations of data to support injury care in LMIC settings. We frame injury care as a wicked problem with complex causality, contested goals, unintended consequences, and an incomplete evidence base. We use critical realism (CR) t…
Building resilient surgical systems that can withstand external shocks
When surgical systems fail, there is the major collateral impact on patients, society and economies. While short-term impact on patient outcomes during periods of high system stress is easy to measure, the long-term repercussions of global crises are harder to quantify and require modelling studies with inherent uncertainty. When external stressors such as high-threat infectious disease, forced migration or climate-change-related events occur, th…
Equitable access to quality trauma systems in low-income and middle-income countries
Injuries in low-income and middle-income countries are prevalent and their number is expected to increase. Death and disability after injury can be reduced if people reach healthcare facilities in a timely manner. Knowledge of barriers to access to quality injury care is necessary to intervene to improve outcomes. We combined a four-delay framework with WHO Building Blocks and Institution of Medicine Quality Outcomes Frameworks to describe barrie…
Voices beyond the Operating Room
This study was designed to examine the effect of calcitonin gene related peptide on gastric acid secretion in the rat. Calcitonin gene related peptide (1 pmol-1 nmol/rat) injected intravenously inhibited basal gastric acid secretion in awake, freely moving rats. Calcitonin gene related peptide decreased gastric secretion stimulated by histamine, pentagastrin, or bethanecol in anaesthetised rats. The inhibitory effect was immediate and most pronou…
Trauma trends during Covid ‐19 alcohol prohibition at a South African regional hospital
Prioritising and mapping barriers to achieve equitable surgical care in South Africa
Background Surgical healthcare in South Africa is inequitable with a considerable lack of resources in the public health sector. Identifying barriers to care and creating research priorities to mitigate these barriers can contribute to strategic interventions to improve equitable access to quality surgical care.Objective To use the Four Delays Framework to map barriers to surgical care and identify priorities to achieve equitable and timely acces…
Identifying knowledge needed to improve surgical care in Southern Africa using a theory of change approach
Surgical healthcare has been prioritised in the Southern African Development Community (SADC), a regional intergovernmental entity promoting equitable and sustainable economic growth and socioeconomic development. However, challenges remain in translating political prioritisation into effective and equitable surgical healthcare. The AfroSurg Collaborative (AfroSurg) includes clinicians, public health professionals and social scientists from six S…
The collateral damage of the Covid-19 pandemic on surgical health care in sub-Saharan Africa
The COVID-19 (C19) pandemic has swept across the globe at an unprecedented pace. The first C19 case arrived in Sub-Saharan Africa (SSA) on February 28, 2020, and there are over 600,000 cases spread across the continent [1]. The World Health Organization has predicted up to a quarter of a billion infections on the continent [2]. In preparation, SSA countries have sharply down-scaled non-C19 health services, including emergency and essential surgic…
Building Research Capacity in Africa
N Global health has increased the number of high-income country (HIC) investigators conducting research in low-and middle-income countries (LMICs).
Providing surgical care in Somalia
The delivery of surgical care in any conflict-settings is difficult, but in situations where international support is limited, the challenges are more extreme. In this model, task shifting, or the provision of services by less trained cadres, was utilized and peri-operative mortality remained low demonstrating that safe surgical practices can be accomplished even without the presence of fully trained surgeon and anesthesiologists. If security imp…
Surgical care for the direct and indirect victims of violence in the eastern Democratic Republic of Congo
In this study, most surgical interventions were unrelated to violent trauma and rather reflected the general surgical needs of a low-income tropical country. Programs in conflict zones in low-income countries need to be prepared to treat both the war-wounded and non-trauma related life-threatening surgical needs of the general population. Given the limited surgical workforce in these areas, training of local staff and task shifting is recommended…
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…
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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…
Surgical care for the direct and indirect victims of violence in the eastern Democratic Republic of Congo
In this study, most surgical interventions were unrelated to violent trauma and rather reflected the general surgical needs of a low-income tropical country. Programs in conflict zones in low-income countries need to be prepared to treat both the war-wounded and non-trauma related life-threatening surgical needs of the general population. Given the limited surgical workforce in these areas, training of local staff and task shifting is recommended…
Providing surgical care in Somalia
The delivery of surgical care in any conflict-settings is difficult, but in situations where international support is limited, the challenges are more extreme. In this model, task shifting, or the provision of services by less trained cadres, was utilized and peri-operative mortality remained low demonstrating that safe surgical practices can be accomplished even without the presence of fully trained surgeon and anesthesiologists. If security imp…
Building Research Capacity in Africa
N Global health has increased the number of high-income country (HIC) investigators conducting research in low-and middle-income countries (LMICs).
The collateral damage of the Covid-19 pandemic on surgical health care in sub-Saharan Africa
The COVID-19 (C19) pandemic has swept across the globe at an unprecedented pace. The first C19 case arrived in Sub-Saharan Africa (SSA) on February 28, 2020, and there are over 600,000 cases spread across the continent [1]. The World Health Organization has predicted up to a quarter of a billion infections on the continent [2]. In preparation, SSA countries have sharply down-scaled non-C19 health services, including emergency and essential surgic…
Identifying knowledge needed to improve surgical care in Southern Africa using a theory of change approach
Surgical healthcare has been prioritised in the Southern African Development Community (SADC), a regional intergovernmental entity promoting equitable and sustainable economic growth and socioeconomic development. However, challenges remain in translating political prioritisation into effective and equitable surgical healthcare. The AfroSurg Collaborative (AfroSurg) includes clinicians, public health professionals and social scientists from six S…
Equitable access to quality trauma systems in low-income and middle-income countries
Injuries in low-income and middle-income countries are prevalent and their number is expected to increase. Death and disability after injury can be reduced if people reach healthcare facilities in a timely manner. Knowledge of barriers to access to quality injury care is necessary to intervene to improve outcomes. We combined a four-delay framework with WHO Building Blocks and Institution of Medicine Quality Outcomes Frameworks to describe barrie…
Voices beyond the Operating Room
This study was designed to examine the effect of calcitonin gene related peptide on gastric acid secretion in the rat. Calcitonin gene related peptide (1 pmol-1 nmol/rat) injected intravenously inhibited basal gastric acid secretion in awake, freely moving rats. Calcitonin gene related peptide decreased gastric secretion stimulated by histamine, pentagastrin, or bethanecol in anaesthetised rats. The inhibitory effect was immediate and most pronou…
Trauma trends during Covid ‐19 alcohol prohibition at a South African regional hospital
Prioritising and mapping barriers to achieve equitable surgical care in South Africa
Background Surgical healthcare in South Africa is inequitable with a considerable lack of resources in the public health sector. Identifying barriers to care and creating research priorities to mitigate these barriers can contribute to strategic interventions to improve equitable access to quality surgical care.Objective To use the Four Delays Framework to map barriers to surgical care and identify priorities to achieve equitable and timely acces…
Building resilient surgical systems that can withstand external shocks
When surgical systems fail, there is the major collateral impact on patients, society and economies. While short-term impact on patient outcomes during periods of high system stress is easy to measure, the long-term repercussions of global crises are harder to quantify and require modelling studies with inherent uncertainty. When external stressors such as high-threat infectious disease, forced migration or climate-change-related events occur, th…
A scoping review of educational practices in caesarean section training
A systems approach to understanding injury care in LMICs using causal loop diagrams
BACKGROUND: Around 40% of mortality after injuries is avoidable with access to quality care. Investments in interventions which maximise the number of injured persons who access and receive quality care are paramount, especially in low-resourced settings. Selecting such interventions within complex adaptive health systems is challenging due to the multiple interactions within these systems. METHODS: We created a conceptual map, or causal loop dia…
Reasons for not seeking formal healthcare after injuries
Injuries are a major cause of morbidity and mortality in low- and middle-income countries, but many individuals do not seek care within formal healthcare systems. Although previous studies have highlighted barriers to healthcare, limited attention has been given to the experiences of those who remain beyond the formal systems. This study explored why injured individuals in Ghana, Pakistan, Rwanda and South Africa did not seek hospital care. Ninet…
Wicked problems and the recovery of meaning
Injuries cause 6 million deaths and 40 million disabilities annually. Over 90% of deaths occur in low-and-middle-income-countries (LMICs), and nearly half are preventable. This Commentary examines the possibilities and limitations of data to support injury care in LMIC settings. We frame injury care as a wicked problem with complex causality, contested goals, unintended consequences, and an incomplete evidence base. We use critical realism (CR) t…
Medicine (11 obras) · Global Health and Surgery (9 obras) · Global Maternal and Child Health (7 obras) · Health care (7 obras) · Political science (5 obras) · Psychological intervention (5 obras) · Business (4 obras) · Economic growth (4 obras) · Environmental health (4 obras) · Nursing (4 obras)