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African Journal of Primary Health Care & Family Medicine

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https://www.readbyqxmd.com/read/29415550/management-of-severe-acute-malnutrition-in-children-under-5-years-through-the-lens-of-health-care-workers-in-two-rural-south-african-hospitals
#1
Moise Muzigaba, Brian Van Wyk, Thandi Puoane
BACKGROUND: Despite the widespread implementation of the World Health Organization (WHO) guidelines for the management of severe malnutrition in South Africa, poor treatment outcomes for children under 5 years are still observed in some hospitals, particularly in rural areas. OBJECTIVE: To explore health care workers' perceptions about upstream and proximal factors contributing to poor treatment outcomes for severe acute malnutrition in two district hospitals in South Africa...
January 30, 2018: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29227134/evaluating-the-effect-of-the-practical-approach-to-care-kit-on-teaching-medical-students-primary-care-quasi-experimental-study
#2
Robert Mash, Michael Pather, Hilary Rhode, Lara Fairall
BACKGROUND: South Africa is committed to health reforms that strengthen primary health care. Preparing future doctors to work in primary care teams with other professionals is a priority, and medical schools have shifted towards community-based and decentralised training of medical students. AIM: To evaluate the effect on student performance of the Practical Approach to Care Kit (PACK) (an integrated decision-making tool for adult primary care) during the final phase of medical student training at Stellenbosch University...
December 8, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29227133/prevalence-of-intimate-partner-violence-and-associated-factors-amongst-women-attending-antenatal-care-at-outapi-clinic-namibia-a-descriptive-survey
#3
Leonard T Bikinesi, Robert Mash, Kate Joyner
BACKGROUND: Intimate partner violence (IPV) is a significant and largely hidden public health problem for all women and, during pregnancy, can have significant effects on the health of both mother and the unborn baby. Previous Namibian studies suggest rates of IPV as high as 36%, although few studies have been conducted in primary care. AIM: To determine the prevalence of IPV amongst women attending antenatal care. SETTING: Outapi primary care clinic, Namibia...
December 6, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29227137/corrigendum-the-effectiveness-of-the-south-african-triage-tool-use-in-mahalapye-district-hospital-emergency-department-botswana
#4
Stephane T Tshitenge, Gboyega A Ogunbanjo, Deogratias O Mbuka
No abstract available.
December 1, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29227132/mental-illness-in-bwindi-uganda-understanding-stakeholder-perceptions-of-benefits-and-barriers-to-developing-a-community-based-mental-health-programme
#5
Kristen L Sessions, Lydia Wheeler, Arya Shah, Deenah Farrell, Edwin Agaba, Yusufu Kuule, Stephen P Merry
BACKGROUND: Mental illness has been increasingly recognised as a source of morbidity in low- and middle-income countries and significant treatment gaps exist worldwide. Studies have demonstrated the effectiveness of task sharing through community-based treatment models for addressing international mental health issues. AIM: This paper aims to evaluate the perceptions of a wide range of mental health stakeholders in a Ugandan community regarding the benefits and barriers to developing a community-based mental health programme...
November 30, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29227136/facilitators-and-barriers-to-effective-primary-health-care-in-zimbabwe
#6
REVIEW
Sunanda C Ray, Nyasha Masuka
No abstract available.
November 28, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29227135/we-can-make-it-happen
#7
Per Kallestrup
No abstract available.
November 27, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29113446/the-relationship-between-primary-healthcare-providers-and-their-external-supervisors-in-rwanda
#8
Michael Schriver, Vincent K Cubaka, Laetitia Nyirazinyoye, Sylvere Itangishaka, Per Kallestrup
BACKGROUND: External supervision of Rwandan primary healthcare facilities unfolds as an interaction between supervisors and healthcare providers. Their relationship has not been thoroughly studied in Rwanda, and rarely in Africa. AIM: To explore perceived characteristics and effects of the relationship between providers in public primary healthcare facilities and their external supervisors in Rwanda. SETTING: We conducted three focus group discussions with primary healthcare providers (n = 16), three with external supervisors (n = 15) and one mixed (n = 5)...
November 1, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29113445/the-noncommunicable-disease-outcomes-of-primary-healthcare-screening-in-two-rural-subdistricts-of-the-eastern-cape-province-south-africa
#9
Paul Rheeder, Angela A Morris-Paxton, Rose-Marie G Ewing, Dillon Woods
BACKGROUND: Middle and lower income countries are challenged with a double burden of disease: while still coping with the onslaught of Human Immunodeficiency Virus (HIV) and increasing levels of tuberculosis (TB), there is a considerable increase in the level of noncommunicable diseases (NCDs). The poor are especially disadvantaged and are at an increased risk for NCDs. Adequate healthcare resources for this environment can only be allocated once the extent and exact nature of the problem is determined...
October 31, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29113444/perceptions-of-health-care-professionals-on-the-safety-and-security-at-odi-district-hospital-gauteng-south-africa
#10
Sunday O Okeke, Langalibalele H Mabuza
BACKGROUND: For optimum delivery of service, an establishment needs to ensure a safe and secure environment. In 2011, the South African government promulgated the National Core Standards for Health Establishments for safety and security for all employees in all establishments. Little is known about whether these standards are being complied to.Aim and setting: To assess the perceptions of health care professionals (HCPs) on safety and security at Odi District Hospital. METHODOLOGY: A sample of 181 out of a total of 341 HCPs was drawn through a systematic sampling method from each HCP category...
October 27, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29113441/obesity-and-kidney-disease-hidden-consequences-of-the-epidemic
#11
REVIEW
Csaba P Kovesdy, Susan L Furth, Carmine Zoccali
No Abstract Available.
October 26, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29113447/patient-or-person-centred-practice-in-medicine-a-review-of-concepts
#12
REVIEW
Jakobus M Louw, Tessa S Marcus, Johannes F M Hugo
BACKGROUND: Person-centred practice in medicine may provide solutions to several pressing problems in health care, including the cost of services, poor outcomes in chronic care and the rise in litigation. It is also an ethical imperative in itself. However, patient- or person-centred care is not well researched partly because of a lack of conceptual and definitional clarity. AIM: The aim of this review was to analyse essential elements, ethical principles, logic and the practical application of person-centred practice described in clinician- and researcher-defined conceptual frameworks, terms and practices...
October 19, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29113443/knowledge-adherence-and-control-among-patients-with-hypertension-attending-a-peri-urban-primary-health-care-clinic-kwazulu-natal
#13
Olumuyiwa A Olowe, Andrew J Ross
BACKGROUND: Despite hypertension being a common condition among patients attending primary health care (PHC) clinics, blood pressure (BP) control is often poor. Greater insight into patient-related factors that influence the control of hypertension will assist in the development of an intervention to address the issues identified. AIM: The aim of the study was to assess patient-related variables associated with hypertension control among patients attending a peri-urban PHC clinic...
October 19, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29113442/barriers-and-facilitators-to-adherence-to-anti-diabetic-medications-ethiopian-patients-perspectives
#14
MULTICENTER STUDY
Bruck M Habte, Tedla Kebede, Teferi G Fenta, Heather Boon
BACKGROUND: Little is known about the experiences of Ethiopian patients with type 2 diabetes related to adherence to their anti-diabetic medications. This may limit attempts to develop and implement patient-centred approaches that consider Ethiopian contexts. OBJECTIVES: To conduct an exploratory study with a focus on identifying barriers and facilitators to anti-diabetic medications adherence in Ethiopian patients with type 2 diabetes. METHODS: Qualitative methods were used to conduct semi-structured interviews with 39 purposively selected participants attending clinic in three public hospitals in central Ethiopia...
October 17, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29041800/an-exploration-of-the-knowledge-attitudes-and-beliefs-of-xhosa-men-concerning-traditional-circumcision
#15
Salome Froneman, Paul A Kapp
BACKGROUND: The practice of traditional circumcision is associated with considerable morbidity and mortality, yet there is a paucity of literature that provides an understanding of the cultural values that influence men to choose traditional rather than medical circumcision.The aim of this study was to better understand the culture surrounding traditional circumcision, with a view to addressing morbidity and mortality rates associated with the Xhosa male initiation rituals.We explored Xhosa men's perceptions regarding the need for the risks and the social pressure to undergo traditional circumcision, the impact of non-initiation or failed initiation and the perceived barriers to obtaining medical help for the complications of traditional circumcisions...
October 13, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29041799/the-value-of-the-wirhe-scholarship-programme-in-training-health-professionals-for-rural-areas-views-of-participants
#16
Nontsikelelo O Mapukata, Ian Couper, Jocelyn Smith
INTRODUCTION: Rural hospitals in South Africa, as elsewhere, face enduring shortages of, and challenges in attracting and retaining, suitably qualified staff. The Wits Initiative for Rural Health Education (WIRHE), based at the University of the Witwatersrand but covering three universities, is a rural scholarship programme established to find local solutions to these challenges in the North West and Mpumalanga provinces. The purpose of this evaluation was to ascertain whether the WIRHE project was achieving its objectives...
October 13, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29041798/community-perceptions-of-mental-illness-in-rural-uganda-an-analysis-of-existing-challenges-facing-the-bwindi-mental-health-programme
#17
Arya Shah, Lydia Wheeler, Kristen Sessions, Yusufu Kuule, Edwin Agaba, Stephen P Merry
OBJECTIVES: To assess community perceptions of mental illness in the Bwindi Community Hospital (BCH) catchment area: to recognise beliefs about the causes and the treatments for mental illness. To provide community data to staff at BCH as they work to develop more effective community mental health programmes. BACKGROUND: A shortage of mental health providers in Uganda has prompted research into community-based task-sharing models for the provision of mental health services in underserved communities...
October 11, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29041802/decentralised-training-for-medical-students-towards-a-south-african-consensus
#18
Marietjie R De Villiers, Julia Blitz, Ian Couper, Athol Kent, Kalavani Moodley, Zohray Talib, Susan Van Schalkwyk, Taryn Young
INTRODUCTION: Health professions training institutions are challenged to produce greater numbers of graduates who are more relevantly trained to provide quality healthcare. Decentralised training offers opportunities to address these quantity, quality and relevance factors. We wanted to draw together existing expertise in decentralised training for the benefit of all health professionals to develop a model for decentralised training for health professions students. METHOD: An expert panel workshop was held in October 2015 initiating a process to develop a model for decentralised training in South Africa...
September 28, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29041801/perceptions-of-clients-on-awareness-and-the-geographical-location-of-a-south-african-university-sexual-health-clinic
#19
Rukshana Adams, Mariana M Van Der Heever, Anneleen Damons
BACKGROUND: The Campus Health Service at Stellenbosch University has a sub-division, a sexual health clinic, which provides sexual health services. The clients of the sexual health clinic consist of staff members and students. AIM: This article reports on the perceptions of clients that relate to awareness and the geographical location of the clinic. SETTING: The Campus Health Service at Stellenbosch University's main campus. METHOD: A descriptive qualitative approach was applied utilising in-depth interviews...
September 27, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29041797/geographical-distribution-and-profile-of-medical-doctors-in-public-sector-hospitals-of-the-limpopo-province-south-africa
#20
Samuel T Ntuli, Edwin Maboya
BACKGROUND: The shortage and unequal distribution of medical doctors in low- and middle-income countries continues to be a public health concern. OBJECTIVE: To establish the geographical distribution and demographic profile of medical doctors in public sector hospitals of the Limpopo Province, South Africa. METHOD: The PERSAL system was used to obtain information on the number of medical doctors employed in public sector hospitals of the Limpopo Province...
September 27, 2017: African Journal of Primary Health Care & Family Medicine
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