Submission on the draft National Health Bill

Written submission to the Portfolio Committee on Health, February 2002

From ‘stepchild of primary healthcare’ to priority programme: Lessons for the implementation of the National Integrated School Health Policy in South Africa

In this article, I explore the South African 2003 National School Health Policy (NSHP) and the revised 2012 Integrated School Health Policy (ISHP). I examine whether the shortcomings in the development, content and implementation of the 2003 NSHP, and the context in which it was implemented, have been addressed adequately in the 2012 ISHP. The shortcomings include poorly structured relationships among key policy actors; an absent policy translation process resulting in insufficient understanding and prioritisation of school health by district and facility managers; and poor support and training of nurses. Insufficient capacity and resources, compounded by inadequate referral service capacity, resulted in the inequitable coverage and quality of the service and caused nurses to refer to school health as ‘the stepchild of primary healthcare’. The comparison of the 2003 and 2012 policies is guided by the policy analysis framework of the Walt and Gilson policy triangle, which considers the policy context, process of policy development, policy actors and the policy content as key dimensions to successful policy development and implementation. I draw on an evaluation of a six-year implementation period (2003 - 2009) of the 2003 NSHP, which revealed the implementation challenges with the related explanatory factors. I provide lessons from the evaluation of the 2003 NSHP, highlight the policy changes in the new 2012 ISHP and finally highlight key opportunities, and remaining challenges, for the implementation of the new 2012 ISHP.

Evaluation of the Western Cape Province Screening Programme for developmental disabilities in pre-school children: full report

This evaluation study was commissioned by the Maternal, Child and Women’s Health (MCWH) Sub-directorate of the Provincial Administration of the Western Cape Department of Health and undertaken by the Children’s Institute, University of Cape Town. The evaluation took place from August 2002 to March 2003. The study was supported by a grant from the Health Systems Trust

Deaths at Red Cross Children's Hospital, Cape Town 1999-2003 - a study of death notification forms

No Abstract. South African Medical Journal Vol. 96(9) (Part 2) 2006: 964-96

The Strengths and Difficulties Questionnaire (SDQ) in Africa: a scoping review of its application and validation

Child and adolescent mental health in Africa remains largely neglected. Quick and cost-effective ways for early detection may aid early intervention. The Strengths and Difficulties Questionnaire (SDQ) is globally used to screen for mental health problems, but little is known about its use in Africa. We set out to perform a scoping review to examine existing studies that have used the SDQ in Africa