HIGH Horizons - Health workers impact baseline analysis
Year: 2025
Type: article
Study design: Observational Study
Abstract: This deliverable D2.10 provides the first comprehensive baseline assessment of how rising heat affects frontline maternal and child health workers in South Africa, Zimbabwe and, for comparison, in Sweden. The assessment was undertaken within the HIGH Horizons project to generate the evidence needed for designing and evaluating heat-adaptation measures in health facilities in resource-limited settings.The study employed a mixed-methods approach between 2023 and 2025. Data sources included continuous indoor climate monitoring, a longitudinal healthworkersurvey with spot urine tests for hydration, wearable monitoring, structured observations of care, in-depth interviews and a bespoke time-motion study of intrapartum care. Two facilities in South Africa, two in Zimbabwe and nine in Sweden were included. The sites provided rich data on exposures, wellbeing and care quality.
Authors: Fardousi, Nasser, Lange, Isabelle, Machingura, Fortunate, Sawry, Shobna, Toftum, Jørn, Hanson, Claudia, Luchters, Stanley, Munyewende, Pascalia Ozida, Muronzie, Thabani, Sibanda Mqondisi, Brian, Tirado, Veronika, Watambwa, Perkins, Gon, Giorgia, Scorgie, Fiona, le Roux, Jean, Maimela, Gloria, Chersich, Matthew, Chinozvina, Tariro, Mapiye, George, Filippi, Veronique, HIGH Horizons Study Group
Institutions: London School of Hygiene & Tropical Medicine, Technical University of Munich, Centre for Sexual Health and HIV AIDS Research, University of the Witwatersrand, Technical University of Denmark, Karolinska Institutet, Liverpool School of Tropical Medicine, Ghent University, Trinity College Dublin, Ministry of Health and Child Welfare, University of Thessaly, University of Graz, Lund University, World Health Organization, Witshealth Consortium (Pty) Ltd. (South Africa)
Language: English
Subfield: Physiology (medical)
Field: Medicine
Domain: Health Sciences
Open Access status: green
Awards: G3210031810, G4443155986
OpenAlex ID: W7165390041