Dr Christiane Horwood


I am a family physician, originally from the UK. I have been working in the field of maternal and child health in South Africa for almost 20years.

I have extensive research experience in the field of child health, with particular emphasis on programme evaluation and strengthening of health care delivery systems.

Contact Details


Jama, N. A., Wilford, A., Haskins, L., Coutsoudis, A., Spies, L., & Horwood, C. 2018. Autonomy and infant feeding decision-making among teenage mothers in a rural and urban setting in KwaZulu-Natal, South Africa. BMC Pregnancy Childbirth, 18(1), 52. doi:10.1186/s12884-018-1675-7

Wilford, A., Phakathi, S., Haskins, JL., Jama, N., Mntambo, N. and Horwood, C. 2018. Exploring the care provided to mothers and children by community health workers in South Africa: missed opportunities to provide comprehensive care. BMC Public Health. 18(1): 171.

Jama, N., Wilford, A., Masango, Z., Haskins, L., Coutsoudis, A., Spies, L., and Horwood, C. 2017. Enablers and barriers to success among mothers planning to exclusively breastfeed for 6 months: a qualitative prospective cohort study in KwaZulu-Natal, South Africa. International Breastfeeding Journal. 12:43

Horwood, C., Butler, L., Barker, P., Phakathi, S., Haskins, L., Grant, M., Mntambo, N. and Rollins, N. 2017. A continuous quality improvement intervention to improve the effectiveness of community health workers providing care to mothers and children: a cluster randomized controlled trial in South Africa. Human Resources for Health;15(1):39

Haskins, L., Grant, M., Phakathi, S., Wilford, A., Jama, N., & Horwood, C. 2017. Insights into healthcare seeking behaviour for children in communities in KwaZulu-Natal, South Africa. African Journal of Primary Health Care & Family Medicine. 2017;9(1), a1378. https://doi.org/10.4102/phcfm.v9i1.1378

Grant, M., Wilford, A., Haskins, L., Phakathi, S., Mntambo, N. & Horwood, C. 2017. Trust of community health workers is a key barrier to acceptance of community-based maternal and child health services in KwaZulu-Natal, South Africa: a qualitative study. African Journal of Primary Health Care & Family Medicine. 2017;9(1), a1281. https://doi. org/10.4102/phcfm.v9i1.1281

Haskins, L., Grant, M., Phakathi, S., & Horwood, C. Factors influencing recruitment and retention of professional nurses, doctors and allied health professionals in rural hospitals in KwaZulu Natal. Health SA Gesondheid 22 (2017): 174-183

Haskins, L., Grant, M., Phakathi, S., Mntambo, N., Wilford, A., & Horwood, C. 2016. Fragmentation of maternal, child and HIV services: a missed opportunity to provide comprehensive care. African Journal of Primary Health Care & Family Medicine. ISSN: (Online) 2071-2936, (Print) 2071-2928

Horwood CM, Youngleson MS, Moses E, Stern AF, Barker PM. Using adapted quality-improvement approaches to strengthen community-based health systems and improve care in high HIV-burden sub-Saharan African countries. AIDS (London, England). 2015;29 Suppl 2:S155-64.

Haskins, J.L.M., Phakathi, S., Grant, M. and Horwood, C.M. Attitudes of nurse towards patient care at a rural district hospital in KwaZulu-Natal, South Africa. Africa Journal of Nursing and Midwifery. 2014, 16 (1): 32-44

Horwood, C., Butler, L.M., Haskins, L., Phakathi, S. and Rollins, N. HIV-infected adolescent mothers and their infants: Low coverage of HIV services and high risk of HIV transmission in KwaZulu-Natal, South Africa. PLOS One: 2013, 10.1371/journal.pone.0074568

Grant, M., Haskins, L., Gaede, B. and Horwood, C. Bridging the gap: exploring the attitudes and beliefs of nurses and patients about coexisting traditional and biomedical healthcare systems in a rural setting in KwaZulu-Natal. South African Family Practice. 2013, 55 (2): 175-179

Horwood C., Vermaak K., Butler, L., Haskins, L., Phakathi S. and Rollins N. Elimination of paediatric HIV from Kwa-Zulu Natal, South Africa: large scale assessment of interventions for the prevention of mother-to-child transmission. 2012. Bulletin Bull World Health Organ.90 (3):168-175

Horwood C. The challenge of improving neonatal mortality in India: could this be a key to global achievement of Millenium Development Goal Four? Indian Paediatrics. 2011. Dec 8; 48(12):941-2.

Horwood, C., Butler, L.M., Vermaak, K., Rollins, N., Haskins, L., Nkosi, P., Nielands, T.B., and Qazi, S. 2011. Disease profile of children under 5 years attending primary health clinics in a high HIV prevalence setting in South Africa. Tropical Medicine and International health, 16(1): 42-52

Horwood C. 2010. Prevention of Mother-to-child transmission of HIV in South Africa: the dawning of a new era. HIV Therapy. 4 (2):127-129 (Editorial)

Horwood, C., Haskins, L., Vermaak, K., Phakathi, S., Subbaye, R. and Doherty, T. 2010. Prevention of mother to child transmission of HIV (PMTCT) programme in KwaZulu Natal, South Africa: an evaluation of PMTCT implementation and integration into routine maternal, child and women’s health services. Tropical Medicine and International health. 2010, 15(9): 992-999.

Horwood C, Voce A, Vermaak K, Rollins N, Qazi S. 2009. Routine checks for HIV in children attending primary health care facilities in South Africa: Attitudes of nurses and child caregivers. Soc Sci Med. 70: 313-320.

Nkosi P, Horwood C, Vermaak K, Cosser C, Haskins JL. 2009. Role of doctors in provision of support for primary health care clinics in rural KwaZulu-Natal. SA Journal of Family Practice 2009, 51(5): 408-412

Horwood C, Vermaak K, Rollins N, Haskins L, Nkosi P, Qazi S. 2009. Paediatric HIV management at primary care level: an evaluation of the integrated management of childhood illness (IMCI) guidelines for HIV. BMC Pediatr. 2009 Sep 22; 9(1):59.

Horwood C, Vermaak K, Rollins N, Haskins L, Nkosi P, Qazi S. 2009. An evaluation of the quality of IMCI assessments among IMCI trained health workers in South Africa. PLoS One. 2009; 4(6):e5937

Vermaak K, Reid S, Horwood C. 2009. Factors impacting on organizational learning in three rural districts. SA Family Pract. 51(2):138-142

Rollins N, L. K., Mzolo S, Horwood C, Newell M. 2007. Immunisation clinic surveillance of PMTCT program effectiveness: the case for universal screening. AIDS. 21(10): 1341-7

Horwood C, Liebescheutz S et al. 2003. Diagnosis of Paediatric HIV infection in a Primary Health Care Setting using a Clinical Algorithm. Bull of the World Health Organ. 81(12): 858-866