Early School Leaving in South Africa

Zeelen, Jacques; Rampedi, M.; Boerkamp, Wim

doi:10.1163/9789460912849_014

Cited by 2 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The two councils showcase the typical rural-urban disparity, in terms of access to and the utilization of health-care services [24, 25, that can be found across Tanzania]. Being part of the Pwani region, Kibaha district residents represent strong coastal traditions that may favour early pregnancies [26,27].…”

Section: Study Settingmentioning

confidence: 99%

Using digital technology as a platform to strengthen the continuum of care at community level for maternal, child and adolescent health in Tanzania: Introducing the Afya-Tek program

Dillip,

Kahamba,

Sambaiga

et al. 2024

Preprint

View full text Add to dashboard Cite

Poor quality of care within Tanzania’s primary health system contributes to thousands of preventable maternal and child deaths, and unwanted pregnancies each year. A key contributor is lack of coordination between three primary healthcare actors: public sector Community Health Workers (CHWs) and health facilities, and private sector Accredited Drug Dispensing Outlets (ADDOs). The Afya-Tek program aims to improve the continuity of care amongst these actors in Kibaha district, through a mobile-application based digital referral system that focuses on improving maternal, child and adolescent health. The digital system called Afya-Tek was co-created with users and beneficiaries, and utilises open-source technology in-line with existing government systems. The system guides healthcare actors with individualised decision support during client visits and recommends accurate next steps (education, treatment, or referral). From July 2020 to June 2023, a total of 241,000 individuals were enrolled in the Afya-Tek program covering 7,557 pregnant women, 6,582 postpartum women, 45,900 children, and 25,700 adolescents. CHWs have conducted a total of 626,000 home visits to provide health services, including screening clients for danger signs. This has resulted in 38,100 referrals to health facilities and 24,300 linkages to ADDOs. At the ADDO level, 48,552 clients self-presented; 33% of children with pneumonia symptoms received Amoxicillin; 34% of children with diarrhoea symptoms received ORS and zinc; and 4,203 referrals were made to nearest health facilities. Adolescents preferred services at ADDOs as a result of increased perceived privacy and confidentiality. In total, 89% of all referrals were attended by health facilities. As the first digital health program in Tanzania to demonstrate the linkage among public and private sector primary healthcare actors, Afya-Tek holds promise to improve maternal, child and adolescent health as well as for scale-up and sustainability, through incorporation of other disease conditions and integration with government’s Unified Community System (UCS).

show abstract

Section: Study Settingmentioning

confidence: 99%

Using digital technology as a platform to strengthen the continuum of care at community level for maternal, child and adolescent health in Tanzania: Introducing the Afya-Tek program

Dillip,

Kahamba,

Sambaiga

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

Grounding Adult Education Research in Rural Areas

Zeelen

Rampedi

Linden

2013

Adult Education Quarterly

View full text Add to dashboard Cite

Mission statements of universities in developing countries usually include serving the surrounding communities. Often this service does not reach beyond lip service. This article puts into context the experience of developing an adult education research program responding to the needs of the surrounding community in a historically disadvantaged rural area. The areas of research were adult education needs assessment and community development, young adults at risk, adult health education, and policy and implementation issues. Globalization, social exclusion, and lifelong learning were key concepts tailored to the specific context of the rural areas in South Africa. The first two authors of the article were personally involved in the program, as a visiting professor from the Netherlands and his South African successor, respectively. The third author worked in a similar program at the Eduardo Mondlane University in Maputo, Mozambique.

show abstract

Early School Leaving in South Africa

Cited by 2 publications

References 0 publications

Using digital technology as a platform to strengthen the continuum of care at community level for maternal, child and adolescent health in Tanzania: Introducing the Afya-Tek program

Using digital technology as a platform to strengthen the continuum of care at community level for maternal, child and adolescent health in Tanzania: Introducing the Afya-Tek program

Grounding Adult Education Research in Rural Areas

Contact Info

Product

Resources

About