Peter Delobelle
Dados Biográficos
| ID | 3917903 |
|---|---|
| NOME | Peter Delobelle |
| PRENOMES | Peter |
| SOBRENOME | Delobelle |
| ASSINATURA | DELOBELLE P |
| AFILIAÇÕES | Vrije Universiteit Brussel |
| ORCID | 0000-0002-9016-7458 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 24 |
| TOTAL DE CITAÇÕES | 5 |
| TOTAL COMO AUTOR | 24 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2013 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
How is goal setting used in interventions for chronic disease prevention and management in sub-Saharan Africa? A systematic review and narrative synthesis
Non-communicable diseases are increasingly prevalent in sub-Saharan Africa, and goal setting is often used to promote healthy self-management behaviours. In this review, we aimed to synthesise literature around how goal setting is used, for application in future interventions in the region. A systematic search was conducted in six databases and results screened for eligibility. Study characteristics, intervention details, goal setting components,…
Early and young child feeding in South Africa
Stunting under the age of two years remains a significant public health problem in South Africa. This study used data from the 2023/24 Food-EPI assessment to benchmark implementation of public nutrition policy related to undernutrition to develop recommendations for priority policy action. The assessment included ratings by an expert panel including academics, civil society, and government representatives (n = 13). Implementation of food fortific…
“You always have a high sugar if you don’t communicate”
Type 2 Diabetes Mellitus (T2D) can negatively impact relationships which may affect health and disease management. This can be moderated by positive communication between partners. Our aims were first, to identify ways in which couples’ communication and T2D impact each other. Second, we aimed to explore how improving couples’ communication may enhance self-management for people living with T2D (PLWD) and their partners in South Africa. We conduc…
Tool for assessing food industry commitments and practices to address the double burden of malnutrition
BACKGROUND: Many low- and middle-income countries face a double burden of malnutrition, i.e., a co-occurrence of undernutrition with overweight, obesity, or other diet-related noncommunicable diseases. In an increasingly connected global food system, multinational and domestic food industry actors - through their commercial practices and corporate political activity - both contribute to the double burden of malnutrition and hold potential to addr…
Drivers and levers of the double burden of malnutrition in Cape Town, South Africa
South Africa faces a high burden of malnutrition, including undernutrition, overweight, obesity, and diet-related non-communicable diseases. This coexistence and interaction of multiple forms of malnutrition within individuals and communities across the life-course is referred to as the double burden of malnutrition (DBM) and has complex, interrelated causes that need to be concurrently addressed. This qualitative study explored the drivers and p…
Shifting roles of community health workers in the prevention and management of noncommunicable disease during the Covid-19 pandemic
Community Health Workers (CHWs) play a crucial role in the prevention and management of noncommunicable diseases (NCDs). The COVID-19 pandemic triggered the implementation of crisis-driven responses that involved shifts in the roles of CHWs in terms of delivering services for people with NCDs. Strategically aligning these shifts with health systems is crucial to improve NCD service delivery. The aim of this review was to identify and describe COV…
We are in control of this thing, and we know what to do now’
We piloted the delivery of a prototype couples-focused intervention, 'Diabetes Together' with 14 people living with diabetes (PLWD) and their partners, in Cape Town, South Africa in 2022. We aimed to: assess feasibility of recruiting couples in this setting; explore acceptability of intervention materials and changes needed; and investigate whether our prespecified logic model captured how the intervention may work. We used questionnaires, interv…
Process evaluation of a parent-child communication intervention for adolescent sexual and reproductive health in Uganda
The paper presented three key learnings and corresponding recommendations for future research. Firstly, implementation success was credited to meaningful community engagement which improved acceptability and uptake. Secondly, the complex influences of contextual factors highlighted the need for contextual analysis in research studies to inform intervention design. Finally, this evaluation recognised the interplay between mechanisms of impact and …
Strengthening policy engagement when scaling up interventions targeting non-communicable diseases
Policy engagement is an essential component of implementation research for scaling up interventions targeting non-communicable diseases (NCDs). It refers to the many ways that research team members, implementers and policymakers, who represent government decision-making, connect and interact to explore common interests. Well-conducted engagement activities foster co-production, local contextualization and assist in the successful translation of r…
Prioritising and planning scale-up research projects targeting non-communicable diseases
Fundamental to NCD scale-up research are (1) funding opportunities that reflect the complexity and time necessary to enable contextualisation; (2) investment in building multidisciplinary research capacity and leadership and (3) better networking to encourage cohesive action and align NCD-related scale-up research activities globally
Nutrition policy reforms to address the double burden of malnutrition in Zambia
The evolution of nutrition patterns in Zambia has resulted in the coexistence of undernutrition and overnutrition in the same population, the double burden of malnutrition. While Zambia has strong policies addressing undernutrition and stunting, these do not adequately address food environment drivers of the double burden of malnutrition and the adolescent age group and hence the need for nutrition policy reforms. We conducted a theory-based qual…
Prevention and management of type 2 diabetes mellitus in Uganda and South Africa
Health systems in many low- and middle-income countries are struggling to manage type 2 diabetes (T2D). Management of glycaemia via well-organized care can reduce T2D incidence, and associated morbidity and mortality. The primary aim of this study was to evaluate the effectiveness of facility plus community care interventions (integrated care), compared to facility only care interventions (facility care) towards improvement of T2D outcomes in Uga…
Diabetes self-management
BACKGROUND: Health education and self-management are among key strategies for managing diabetes and hypertension to reduce morbidity and mortality. Inappropriate self-management support can potentially worsen chronic diseases outcomes if relevant barriers are not identified and self-management solutions are not contextualised. Few studies deliberately solicit suggestions for enhancing self-management from patients and their providers. OBJECTIVE: …
Implementing and Evaluating Community Health Worker-Led Cardiovascular Disease Risk Screening Intervention in Sub-Saharan Africa Communities
The increasing burden of non-communicable diseases (NCDs), particularly cardiovascular diseases (CVD) in low- and middle-income countries (LMICs) poses a considerable threat to public health. Community-driven CVD risk screening, referral and follow-up of those at high CVDs risk is essential to supporting early identification, treatment and secondary prevention of cardiovascular events such as stroke and myocardial infarction. This protocol descri…
School Food Environment in Urban Zambia
Identifying context specific points for reforming policy to promote healthier food environments and consumer behavior in critical life stages like adolescence is crucial in addressing the double burden of malnutrition. Using a qualitative study design, we conducted 20 focus group discussions with grade 10 pupils from ten secondary schools in Lusaka. Turner's framework which conceptualizes the food environment into two domains-the external domain …
Perceived cardiovascular disease risk and tailored communication strategies among rural and urban community dwellers in Rwanda
Rural and urban community members in Rwanda are aware of what could potentially put them at CVD risk in their respective local communities. Community health workers are preferred by local communities for CVD risk screening. Quantitative formats to present the total CVD risk appear inappropriate to the Rwandan population and qualitative formats are therefore advisable. Thus, operational research on the use of qualitative formats to communicate CVD…
Motivational determinants of physical activity in disadvantaged populations with (pre)diabetes
Findings suggest that: 1) it is feasible to compare a motivational process model across diverse settings; 2) there is lower perceived social support and self-efficacy in the urban, migrant samples; 3) identified regulation is a more promising determinant of PA than self-efficacy or social support in these populations; 4) associations between motivational determinants and PA depend on the perceived type and/or intensity of PA; 5) perceived related…
Community and stakeholders’ engagement in the prevention and management of Type 2 diabetes
Background: Community-based approaches have been identified as an effective strategy to address the growing burden of noncommunicable diseases (NCDs) worldwide. However, little is known about community as a concept among people living in socioeconomically disadvantaged settings and stakeholders’ interactions and engagement in NCDs prevention and management.Objective: The aim of this study was to understand; (1) the meaning of community among peop…
Weak signal detection
INTRODUCTION: UNAIDS' Vision 90:90:90 is a call to 'end AIDS'. Developing predictive foresight of the unpredictable changes that this journey will entail could contribute to the ambition of 'ending AIDS'. There are few opportunities for managing unpredictable changes. We introduce 'weak signal detection' as a potential opportunity to fill this void. METHOD: Combining futures and complexity theory, we reflect on two pilot case studies that involve…
Health service resilience in Yobe state, Nigeria in the context of the Boko Haram insurgency
A systems analysis using participatory group model building provided a mechanism to identify key pathways of threat and adaptation with regard to health service functioning. Generalizable systems characteristics supportive of resilience are suggested, and linked to wider discussion of the role of factors such as diversity, self-regulation and integration
Reducing the overall HIV-burden in South Africa
This article questions the recommendations to 'revive ABC (abstain, be faithful, condomise)' as a mechanism to 'educate' people in South Africa about HIV prevention as the South African National HIV Prevalence, Incidence and Behaviour Survey, 2012, suggests. We argue that ABC was designed as a response to a particular context which has now radically changed. In South Africa the contemporary context reflects the mass roll-out of antiretroviral tre…
The process of developing distributed-efficacy and social practice in the context of 'ending Aids
Introduction: this article reflects on data that emanated from a programme evaluation and focuses on a concept we label 'distributed-efficacy'. We argue that the process of developing and sustaining 'distributed-efficacy' is complex and indeterminate, thus difficult to manage or predict. We situate the discussion within the context of UNAIDS' recent strategy - Vision 95:95:95 - to 'end AIDS' by 2030 which the South African National Department of …
Expanding the prevention armamentarium portfolio
The article describes a design journey that culminated in an HIV-Conversant Community Framework that is now being piloted in the Limpopo Province of South Africa. The objective of the initiative is to reduce the aggregate community viral load by building capacity at multiple scales that strengthens peoples' HIV-related navigational skill sets-while simultaneously opening a 'chronic situation' schema. The framework design is based upon a transdisc…
The South African developmental landscape
This article argues that the South African developmental landscape is currently locked into an overly technical, path dependent paradigm that is unlikely to be capable of embracing the complex challenges identified by the recent National Development Plan. The article explores the internal logic of the existing path dependent, technical condition from the perspective of complexity, in the context of the Department of Science and Technology's Fifth…
Expanding the prevention armamentarium portfolio
The article describes a design journey that culminated in an HIV-Conversant Community Framework that is now being piloted in the Limpopo Province of South Africa. The objective of the initiative is to reduce the aggregate community viral load by building capacity at multiple scales that strengthens peoples' HIV-related navigational skill sets-while simultaneously opening a 'chronic situation' schema. The framework design is based upon a transdisc…
The South African developmental landscape
This article argues that the South African developmental landscape is currently locked into an overly technical, path dependent paradigm that is unlikely to be capable of embracing the complex challenges identified by the recent National Development Plan. The article explores the internal logic of the existing path dependent, technical condition from the perspective of complexity, in the context of the Department of Science and Technology's Fifth…
Weak signal detection
INTRODUCTION: UNAIDS' Vision 90:90:90 is a call to 'end AIDS'. Developing predictive foresight of the unpredictable changes that this journey will entail could contribute to the ambition of 'ending AIDS'. There are few opportunities for managing unpredictable changes. We introduce 'weak signal detection' as a potential opportunity to fill this void. METHOD: Combining futures and complexity theory, we reflect on two pilot case studies that involve…
The South African developmental landscape
This article argues that the South African developmental landscape is currently locked into an overly technical, path dependent paradigm that is unlikely to be capable of embracing the complex challenges identified by the recent National Development Plan. The article explores the internal logic of the existing path dependent, technical condition from the perspective of complexity, in the context of the Department of Science and Technology's Fifth…
Health service resilience in Yobe state, Nigeria in the context of the Boko Haram insurgency
A systems analysis using participatory group model building provided a mechanism to identify key pathways of threat and adaptation with regard to health service functioning. Generalizable systems characteristics supportive of resilience are suggested, and linked to wider discussion of the role of factors such as diversity, self-regulation and integration
Reducing the overall HIV-burden in South Africa
This article questions the recommendations to 'revive ABC (abstain, be faithful, condomise)' as a mechanism to 'educate' people in South Africa about HIV prevention as the South African National HIV Prevalence, Incidence and Behaviour Survey, 2012, suggests. We argue that ABC was designed as a response to a particular context which has now radically changed. In South Africa the contemporary context reflects the mass roll-out of antiretroviral tre…
The process of developing distributed-efficacy and social practice in the context of 'ending Aids
Introduction: this article reflects on data that emanated from a programme evaluation and focuses on a concept we label 'distributed-efficacy'. We argue that the process of developing and sustaining 'distributed-efficacy' is complex and indeterminate, thus difficult to manage or predict. We situate the discussion within the context of UNAIDS' recent strategy - Vision 95:95:95 - to 'end AIDS' by 2030 which the South African National Department of …
Expanding the prevention armamentarium portfolio
The article describes a design journey that culminated in an HIV-Conversant Community Framework that is now being piloted in the Limpopo Province of South Africa. The objective of the initiative is to reduce the aggregate community viral load by building capacity at multiple scales that strengthens peoples' HIV-related navigational skill sets-while simultaneously opening a 'chronic situation' schema. The framework design is based upon a transdisc…
Weak signal detection
INTRODUCTION: UNAIDS' Vision 90:90:90 is a call to 'end AIDS'. Developing predictive foresight of the unpredictable changes that this journey will entail could contribute to the ambition of 'ending AIDS'. There are few opportunities for managing unpredictable changes. We introduce 'weak signal detection' as a potential opportunity to fill this void. METHOD: Combining futures and complexity theory, we reflect on two pilot case studies that involve…
Community and stakeholders’ engagement in the prevention and management of Type 2 diabetes
Background: Community-based approaches have been identified as an effective strategy to address the growing burden of noncommunicable diseases (NCDs) worldwide. However, little is known about community as a concept among people living in socioeconomically disadvantaged settings and stakeholders’ interactions and engagement in NCDs prevention and management.Objective: The aim of this study was to understand; (1) the meaning of community among peop…
Prevention and management of type 2 diabetes mellitus in Uganda and South Africa
Health systems in many low- and middle-income countries are struggling to manage type 2 diabetes (T2D). Management of glycaemia via well-organized care can reduce T2D incidence, and associated morbidity and mortality. The primary aim of this study was to evaluate the effectiveness of facility plus community care interventions (integrated care), compared to facility only care interventions (facility care) towards improvement of T2D outcomes in Uga…
Diabetes self-management
BACKGROUND: Health education and self-management are among key strategies for managing diabetes and hypertension to reduce morbidity and mortality. Inappropriate self-management support can potentially worsen chronic diseases outcomes if relevant barriers are not identified and self-management solutions are not contextualised. Few studies deliberately solicit suggestions for enhancing self-management from patients and their providers. OBJECTIVE: …
Implementing and Evaluating Community Health Worker-Led Cardiovascular Disease Risk Screening Intervention in Sub-Saharan Africa Communities
The increasing burden of non-communicable diseases (NCDs), particularly cardiovascular diseases (CVD) in low- and middle-income countries (LMICs) poses a considerable threat to public health. Community-driven CVD risk screening, referral and follow-up of those at high CVDs risk is essential to supporting early identification, treatment and secondary prevention of cardiovascular events such as stroke and myocardial infarction. This protocol descri…
School Food Environment in Urban Zambia
Identifying context specific points for reforming policy to promote healthier food environments and consumer behavior in critical life stages like adolescence is crucial in addressing the double burden of malnutrition. Using a qualitative study design, we conducted 20 focus group discussions with grade 10 pupils from ten secondary schools in Lusaka. Turner's framework which conceptualizes the food environment into two domains-the external domain …
Perceived cardiovascular disease risk and tailored communication strategies among rural and urban community dwellers in Rwanda
Rural and urban community members in Rwanda are aware of what could potentially put them at CVD risk in their respective local communities. Community health workers are preferred by local communities for CVD risk screening. Quantitative formats to present the total CVD risk appear inappropriate to the Rwandan population and qualitative formats are therefore advisable. Thus, operational research on the use of qualitative formats to communicate CVD…
Motivational determinants of physical activity in disadvantaged populations with (pre)diabetes
Findings suggest that: 1) it is feasible to compare a motivational process model across diverse settings; 2) there is lower perceived social support and self-efficacy in the urban, migrant samples; 3) identified regulation is a more promising determinant of PA than self-efficacy or social support in these populations; 4) associations between motivational determinants and PA depend on the perceived type and/or intensity of PA; 5) perceived related…
Prioritising and planning scale-up research projects targeting non-communicable diseases
Fundamental to NCD scale-up research are (1) funding opportunities that reflect the complexity and time necessary to enable contextualisation; (2) investment in building multidisciplinary research capacity and leadership and (3) better networking to encourage cohesive action and align NCD-related scale-up research activities globally
Nutrition policy reforms to address the double burden of malnutrition in Zambia
The evolution of nutrition patterns in Zambia has resulted in the coexistence of undernutrition and overnutrition in the same population, the double burden of malnutrition. While Zambia has strong policies addressing undernutrition and stunting, these do not adequately address food environment drivers of the double burden of malnutrition and the adolescent age group and hence the need for nutrition policy reforms. We conducted a theory-based qual…
Shifting roles of community health workers in the prevention and management of noncommunicable disease during the Covid-19 pandemic
Community Health Workers (CHWs) play a crucial role in the prevention and management of noncommunicable diseases (NCDs). The COVID-19 pandemic triggered the implementation of crisis-driven responses that involved shifts in the roles of CHWs in terms of delivering services for people with NCDs. Strategically aligning these shifts with health systems is crucial to improve NCD service delivery. The aim of this review was to identify and describe COV…
We are in control of this thing, and we know what to do now’
We piloted the delivery of a prototype couples-focused intervention, 'Diabetes Together' with 14 people living with diabetes (PLWD) and their partners, in Cape Town, South Africa in 2022. We aimed to: assess feasibility of recruiting couples in this setting; explore acceptability of intervention materials and changes needed; and investigate whether our prespecified logic model captured how the intervention may work. We used questionnaires, interv…
Process evaluation of a parent-child communication intervention for adolescent sexual and reproductive health in Uganda
The paper presented three key learnings and corresponding recommendations for future research. Firstly, implementation success was credited to meaningful community engagement which improved acceptability and uptake. Secondly, the complex influences of contextual factors highlighted the need for contextual analysis in research studies to inform intervention design. Finally, this evaluation recognised the interplay between mechanisms of impact and …
Strengthening policy engagement when scaling up interventions targeting non-communicable diseases
Policy engagement is an essential component of implementation research for scaling up interventions targeting non-communicable diseases (NCDs). It refers to the many ways that research team members, implementers and policymakers, who represent government decision-making, connect and interact to explore common interests. Well-conducted engagement activities foster co-production, local contextualization and assist in the successful translation of r…
Early and young child feeding in South Africa
Stunting under the age of two years remains a significant public health problem in South Africa. This study used data from the 2023/24 Food-EPI assessment to benchmark implementation of public nutrition policy related to undernutrition to develop recommendations for priority policy action. The assessment included ratings by an expert panel including academics, civil society, and government representatives (n = 13). Implementation of food fortific…
“You always have a high sugar if you don’t communicate”
Type 2 Diabetes Mellitus (T2D) can negatively impact relationships which may affect health and disease management. This can be moderated by positive communication between partners. Our aims were first, to identify ways in which couples’ communication and T2D impact each other. Second, we aimed to explore how improving couples’ communication may enhance self-management for people living with T2D (PLWD) and their partners in South Africa. We conduc…
Tool for assessing food industry commitments and practices to address the double burden of malnutrition
BACKGROUND: Many low- and middle-income countries face a double burden of malnutrition, i.e., a co-occurrence of undernutrition with overweight, obesity, or other diet-related noncommunicable diseases. In an increasingly connected global food system, multinational and domestic food industry actors - through their commercial practices and corporate political activity - both contribute to the double burden of malnutrition and hold potential to addr…
Drivers and levers of the double burden of malnutrition in Cape Town, South Africa
South Africa faces a high burden of malnutrition, including undernutrition, overweight, obesity, and diet-related non-communicable diseases. This coexistence and interaction of multiple forms of malnutrition within individuals and communities across the life-course is referred to as the double burden of malnutrition (DBM) and has complex, interrelated causes that need to be concurrently addressed. This qualitative study explored the drivers and p…
How is goal setting used in interventions for chronic disease prevention and management in sub-Saharan Africa? A systematic review and narrative synthesis
Non-communicable diseases are increasingly prevalent in sub-Saharan Africa, and goal setting is often used to promote healthy self-management behaviours. In this review, we aimed to synthesise literature around how goal setting is used, for application in future interventions in the region. A systematic search was conducted in six databases and results screened for eligibility. Study characteristics, intervention details, goal setting components,…
Medicine (16 obras) · Nursing (12 obras) · Environmental health (10 obras) · Public health (9 obras) · Qualitative research (9 obras) · Sociology (9 obras) · Global Public Health Policies and Epidemiology (8 obras) · Health Policy Implementation Science (8 obras) · Political science (8 obras) · Geography (7 obras)