Skip to main content
rotating-banner-copy-zp195719

Siyakubona

Siyakubona

The Siyakubona Project—meaning “We see you”—focuses on implementing routine antenatal point-of-care ultrasound examinations at district-level health facilities in South Africa. This initiative aims to improve maternal and fetal outcomes by ensuring that pregnant women have access to timely, high-quality ultrasound assessments during routine antenatal visits. By integrating point-of-care ultrasound into primary healthcare settings, the project seeks to strengthen early detection of pregnancy-related complications, enhance clinical decision-making, and promote equitable access to essential maternal health services across underserved communities.

Each year, millions of stillbirths occur globally, with 98% of them occurring in low- and middle-income countries. The World Health Organization (WHO) recommends at least one ultrasound before 24 weeks of pregnancy for fetal well-being, this would contribute to the timely detection of fetal growth restriction (FGR)—a leading cause of stillbirth. However, access to ultrasound at the primary care level remains limited due to equipment and skill shortages. To bridge this gap, Siyakubona aims to improve maternal and perinatal outcomes by improving access to antenatal handheld point-of-care ultrasound (POCUS) at the primary healthcare level in the South African setting. 

Siyakubona and Sibona Abantwana Team

Siyakubona and Sibona Abatwana Team
Backrow from left: Zama Cekiso, Sicebile Sibiya, Mary-Jane Ntima, Mmathabo Kenoshi, Sheilla Sono, Siyanda Matonsi, Seithati Mokoena, Sherla Serobe
Frontrow from left: Ronald Mosweu, Rodrey Mafodi, Louisa Seopela, Ute Feucht, Sanja Nel, Helen Mulol

 

Key Objectives Siyakubona

By integrating POCUS into routine antenatal care, Siyakubona seeks to reduce preventable stillbirths, improve maternal health, and enhance the quality of care at the primary level—ultimately contributing to South Africa’s commitment to achieving <12 stillbirths per 1,000 births by 2030.

To achieve its objectives, the Siyakubona Study will be rolled out in selected geographic catchment areas across multiple South African provinces. These areas will adopt one of two implementation models:

  • Extended Coverage Approach: Focused on broad deployment of POCUS across numerous facilities to assess system-wide impact.
  • Intensive Study Approach: Concentrated implementation in fewer sites with deeper data collection to evaluate clinical outcomes and referral patterns.
Aim and Approach
Investigators and Collabs

Siyakubona is a multistakeholder collaboration that brings together expertise in clinical care, implementation science, ultrasonography, and training, supported by experienced researchers across South Africa and beyond. The partnership includes key contributors from the National Department of Health (NDoH), Clinton Health Access Initiative (CHAI), the Global Ultrasound Institute (GUSI), Butterfly Network, the University of Pretoria (UP), and other academic institutions in the country. By leveraging this diverse collective of professionals and organizations, Siyakubona aims to strengthen the implementation of routine antenatal point-of-care ultrasound at the district level, ensuring that the project is grounded in evidence, capacity-building, and sustainable health system integration.

Research Matters

Watch this space!

Gates-CHAI

The study is funded by the Gates Foundation and administered by the Clinton Health Access Initiative