The Centre for Health Policy (CHP) is one of only a few health policy research units in South Africa and in Africa. We actively seek to contribute to excellence in health policy and systems research . With over 20 years of research experience, our primary research focus is to support the development of the South African health system. We conduct independently-funded research projects and commissioned research for the South African government and other South African organisations.
Examining the policy context and implementation of community health worker programmes in South Africa: Implications for Universal Health Coverage reforms: Although South Africa is in the process of health system reforms towards universal health coverage, the policy position regarding the role of community health workers (CHWs) as part of this process remains unclear. Moreover, although they make up one third of the health workforce in the country, they remain outside of the public service and in unstable employment. This study aims explore the policy context and implementation of the national CHW programme, particularly focusing on the governance model of the CHW programme and CHWs’ relationships with health professionals as part of their integration into the health care system. The findings will generate knowledge on the strengths and weaknesses of implementation of the programme and on the implications of these aspects for Universal Health Coverage reforms. This three year study is funded by the South African Medical Research Council’s Self-Initiated Research grant. The research leader is Dr Nonhlanhla Nxumalo: +27 11 717 3432; Email: email@example.com
SARChI Chair on Health Policy and Systems Research (Universal Health Coverage): South Africa's health system is sub-optimal compared to other countries with similar levels of health expenditure. CHP has a chair for Health Policy and Systems Research whose programme focuses on universal health coverage (UHC). The chair is Professor Frances Griffiths. Tel: +44 (0)24765 22534; Email: firstname.lastname@example.org
Batlhokomedi (Carers) study: South Africa is currently shifting from multiple NGO-led, donor-funded CHW programmes to a national government programme, and is intending to scale up teams of CHWs to provide comprehensive, integrated, community-based care. In this study, CHP will develop an evidence-informed CHW service model based on the key elements of the South African CHW policy, local circumstances and constraints with particular reference to affordability, and an understanding of the literature on barriers and facilitators. It will implement and evaluate this model (before and after design) in two pilot sites in the Sedibeng Health District. The findings of the study will provide practical lessons for implementing a CHW programme at scale in South Africa and similar settings in other low and middle income countries.
This study is funded by the UK Medical Research Council. The lead researcher is Prof. Jane Goudge. Tel: +27 11 717 3425; email@example.com
Siyaqinisa (We strengthen together) Learning Site: CHP is involved in a three year study known as the ‘Siyaqinisa’ (We strengthen together) District Learning site to support the Sedibeng District Management with an Organisational Development process involving researchers and colleagues to strengthen leadership capacity to improve staff engagement and team effectiveness. The lead researcher is Dr Nonhlanhla Nxumalo: +27 11 3432; Email: Nonhlanhla.firstname.lastname@example.org
The Nkateko Study : CHP is undertaking a cluster randomised controlled trial on treating hypertension in rural South Africa to test the effectiveness of a new clinic-based lay health worker. This project aims to supplement government initiatives and enhance integrated chronic care. This three year trial is a collaboration of the School of Public Health and University of Warwick (UK) with financial support from MRC (UK). The lead researcher is CHP research fellow, Felix Limbani. Tel: +27 13 795 5076; Email : email@example.com
Resilient and Responsive Health Systems : This international consortium aims to encourage policy and management changes that enhance the resilience and responsiveness of health systems in low and middle income countries to promote health and health equity and reduce poverty. Prudence Ditlopo is the focal point person for this project. Tel: +27 11 717 3433; Fax: +27 11 717 3429;
Mainstreaming a health systems approach to delivery of maternal health services : This trans-disciplinary research project in Rwanda and South Africa focuses primarily on gathering practical knowledge for improving service organisation and delivery for maternal health. The research leader is Dr Duane Blaauw. Tel: +27 11 717 3422; Fax: +27 11 717 3429;
Universal Health Care Coverage in Tanzania and South Africa : South Africa is introducing National Health Insurance through proposed mandatory contributions by formal health care sectors. Tanzania is integrating existing health insurance schemes for formal and informal sector workers under a single insurer. This research aims to support these reforms intended to achieve universal coverage by monitoring and evaluating the policy processes. Heading up this project is Bronwyn Harris. Tel: +27 11 717 3427; Fax:+27 11 717 3429; Email: firstname.lastname@example.org
The Consortium for Health Policy and Systems Analysis in Africa : The development of sustained African health policy and systems research capacity requires the consolidation and strengthening of relevant research and educational programmes as well as the development of stronger engagement between the policy and research communities. This consortium addressed these issues in 2011-2015. The research leader of this project was Nonhlanhla Nxumalo. Tel: +27 11 717 3432; Fax: +27 11 717 3429;
Consortium for Research on Equitable Health Systems : CHP worked with institutions in India, Thailand, Kenya, Tanzania, Nigeria and the United Kingdom to increase what we know about how to strengthen health systems policies and interventions ways which preferentially benefit the poorest. This five-year collaborative project was funded by DFID. The lead researcher was Dr Duane Blaauw. Tel: +27 11 717 3422; Fax: +27 11 717 3429; Email : email@example.com
Diagonal Interventions to Fast Forward Enhanced Reproductive health : This project worked on improving sexual and reproductive health services by defining packages of SRH services and models for delivery that meet the needs of all women and impact positively on their health. Associate Prof. Matthew Chersich managed the South African part of the project. Tel: +27 11 717 2439; Fax: +27 11 717 3429; Email: firstname.lastname@example.org
The Multilateral Association for Studying health inequalities and enhancing north-south and south-south CO-operaTion strived to create links between three world regions (Europe, Africa and Latin America) for addressing maternal and child health and health inequalities in low- and middle-income countries. Associate Prof. Matthew Chersich was the focal person. Tel: +27 11 717 2439; Fax: +27 11 717 3429; Email: email@example.com
Research on the State of Nursing : This research project explored the state of nursing policies, practice and management in South Africa. It was a four-year research programme funded by the Atlantic Philanthropies to develop and strengthen the research evidence for improved nursing policy development and practice. The lead researcher was Prof. Laetitia Rispel. Tel: +27 11 717 2543;
General enquiries: Contact Jane Goudge, Email:firstname.lastname@example.org