Health Systems Trust

An exploration of multilevel factors influencing the uptake of strengthened integrated depression care as part of routine primary health care services in KwaZulu-Natal, South Africa

In the context of a large treatment gap for depression in South Africa, integration of depression care into routine primary health care (PHC) using task sharing provides a potential strategy to enhance access to mental health care. The aim of this study was to understand multilev...

Factors Contributing to Patients Bypassing Primary Healthcare Facilities: Evidence from Mpumalanga Province, South Africa

Introduction / Objective Primary Healthcare (PHC) facilities are intended to be the first point of contact in South Africa’s health system, yet many patients bypass them and present directly at hospitals. Understanding the drivers of this bypassing is critical for informing polic...