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African Journal of Primary Health Care & Family Medicine

Radiance M Ogundipe, Robert Mash
BACKGROUND: Family Medicine training commenced in Botswana in 2011, and Maun was one of the two sites chosen as a training complex. If it is to be successful there has to be investment in the training programme by all stakeholders in healthcare delivery in the district. AIM: The aim of the study was to explore the attitudes of stakeholders to initiation of Family Medicine training and their perspectives on the future roles of family physicians in Ngami district, Botswana...
August 31, 2018: African Journal of Primary Health Care & Family Medicine
Gertrude S Avortri, Lebitsi M Modiba
 Many policy makers at country level in both medium and low to middle-income countries still have great difficulty deciding which quality intervention would have the greatest impact on the health outcomes delivered by their health systems. Aim: To investigate women's perceptions about the factors that hinders or facilitates the provision of quality childbirth services in Ghana's health care services to guide improvement efforts. Setting: The study was conducted in the greater Accra region of Ghana in two primary level hospitals (district hospitals)...
July 9, 2018: African Journal of Primary Health Care & Family Medicine
Ramprakash Kaswa, George F D Rupesinghe, Benjamin Longo-Mbenza
Antenatal care (ANC) services are the gateway for integrated management of several conditions that adversely affect the mother and foetus. More stillbirths than neonatal deaths in South Africa are a reflection of poor quality ANC services. Aim: The primary aim of this study was to explore the reasons for late booking, and also to determine pregnant women's knowledge, perceptions and attitude towards antenatal care services they receive in Mthatha area in Eastern Cape, South Africa. Setting: This was a qualitative study, conducted at Mbekweni Health Centre in the King Sabata Dalindyebo (KSD) subdistrict municipality of the Eastern Cape Province...
July 2, 2018: African Journal of Primary Health Care & Family Medicine
Henry O Owuor, Patrick M Chege, Jeremiah Laktabai
 A short inter-pregnancy interval increases the risk for maternal and neonatal deaths in addition to other pregnancy complications including: preterm delivery, low birth weight, anaemia and premature rupture of membranes. However, only one half of Kenyan women, who have no desire to conceive immediately after birth, are using contraception one year after delivery. Aim: The aim of this study was to determine the predictors of uptake of post-partum family planning (PPFP). Setting: The study was conducted among post-partum women accompanying their children for their first measles vaccination at Webuye County Hospital (WCH), in western Kenya...
June 21, 2018: African Journal of Primary Health Care & Family Medicine
Ellenore D Meyer, Johannes F M Hugo, Tessa S Marcus, Rebaone Molebatsi, Kabelo Komana
 Integrated care through community-oriented primary care (COPC) deployed through municipal teams of community health workers (CHWs) has been part of health reform in South Africa since 2011. The role of COPC and integration of information and communication technology (ICT) information to improve patient health and access to care, require a better understanding of patient social behaviour. Aim: The study sought to understand how COPC with CHWs visiting households offering health education can support antenatal follow-up and what the barriers for access to care would be...
June 21, 2018: African Journal of Primary Health Care & Family Medicine
Martha T Makwero
Malawi is a landlocked country with a population of 17 million. The delivery of the health care system is based on primary health care (PHC). The PHC structures are acceptable; however, the system is marked by maldistribution of resources, fragmentation of services and shortage of staff. This hampers the function of the set, well-meaning PHC frameworks. Family medicine offers training and retention of the PHC and rural workforce, harnessing clinical governance and capacity building. Family medicine's role extends to involve advocacy for the PHC to improve its performance...
June 21, 2018: African Journal of Primary Health Care & Family Medicine
Tanya N Augustine, Carel J Cairns, Sean Chetty, Lisa G Dannatt, Nadine Gravett, Glenda Grey, Gerhard Grobler, Zukiswa Jafta, Peter Kamerman, John Lopes, Motlalepula G Matsabisa, Pierre Mugabo, Michelle Mulder, Charles Parry, Solomon Rataemane, Nandi Siegfried, Vanessa Steenkamp, Eileen Thomas, Richard Van Zyl-Smit
No abstract available.
June 21, 2018: African Journal of Primary Health Care & Family Medicine
Hellen Myezwa, Jill Hanass-Hancock, Nikolas Pautz
The average lifespan of people with human immunodeficiency virus (HIV) has increased because of the enhanced access to anti-retroviral treatment. This increased longevity has led to a heightened focus on the comorbidities which may arise, allowing a clearer understanding of the contextual, personal, psychological and functional problems and their interrelations. Disability (functional limitations) and insufficient nutritional intake may interact cyclically with HIV and/or acquired immunodeficiency syndrome (AIDS); however, no research to date has investigated this interaction...
June 20, 2018: African Journal of Primary Health Care & Family Medicine
Zimbini Ogle, Liezl Koen, Dana J H Niehaus
 There is a lack of screening tools for common mental disorders that can be applied across cultures, languages and levels of education in people with diabetes and hypertension. Aim: To develop a visual screening tool for depression and anxiety disorders that is applicable across cultures and levels of education. Setting: Participants were purposively recruited from two not-for-profit organisations and two public health facilities - a maternal mental health unit and a primary health care centre. Method: This was a qualitative cross-sectional study...
June 19, 2018: African Journal of Primary Health Care & Family Medicine
Desiree Govender, Saloshni Naidoo, Myra Taylor
BACKGROUND: Adolescent repeat pregnancy is of importance in public health because the birth of a second child to an adolescent mother compounds the adverse medical, educational, socioeconomic and parenting outcomes. Repeat pregnancy in adolescence is not only an international phenomenon but also a local concern as it also occurs in South Africa. The prevalence of adolescent repeat pregnancy in Durban, KwaZulu-Natal, was reported as 17.6% in 2013. AIM: This review aimed to gather relevant information from national and international sources to inform practice and to provide an understanding of what is known about the risk factors of and the interventions for adolescent repeat pregnancy...
June 19, 2018: African Journal of Primary Health Care & Family Medicine
Elsie Breet, Jason Bantjes, Ian Lewis
BACKGROUND: Chronic substance use (CSU) is associated with health problems, including selfharm, placing a significant burden on health care resources and emergency departments (EDs). This is problematic in low- and middle-income countries like South Africa (SA), where primary care facilitates and emergency departments (EDs) are often poorly resourced. AIM: To investigate the epidemiology of CSU and self-harm and to consider the implications for primary health care service delivery and suicide prevention in SA...
June 19, 2018: African Journal of Primary Health Care & Family Medicine
Lillian Artz, Talia Meer, Gray Aschman
BACKGROUND: Since 2013, approximately 4400 women have been murdered by their partners in South Africa. This is five times higher than the per capita global average. Domestic violence is known to be cyclical, endemic and frequently involves multiple victims. It also becomes progressively more dangerous over time and may lead to fatalities. In 2012, the Health Professions Council of South Africa released a domestic violence protocol for emergency service providers. This protocol, or screening guidelines, includes assessing future risk to domestic violence, providing physical and psychosocial care, documentation of evidence of abuse and informing patients of their rights and the services available to them...
June 18, 2018: African Journal of Primary Health Care & Family Medicine
Karen M Galloway, Romy Parker
BACKGROUND: Expert clinicians and researchers in the field of spinal tuberculosis (STB) advocate for early identification and diagnosis as a key to reducing disability, severity of disease, expensive surgery and death, especially in tuberculosis (TB) endemic countries like South Africa. South Africa has the highest incidence per capita of tuberculosis in the world, and a conservative estimate of the incidence of STB in South Africa is 8-16:100 000. People living with STB may initially present to primary health care (PHC) centres, where the opportunity exists for early identification...
June 18, 2018: African Journal of Primary Health Care & Family Medicine
Zaid Allie, Edith Le Roux, Khantse Mahlatsi, Boitumelo Mofokeng, Zara-Anne Ramoo, Khanyisile Sibiya, Gina Joubert, Jan P Van Rooyen, Hanneke Brits
BACKGROUND: Patient death is an event that all health care workers will face at some point. Beyond the family, the greatest emotional strain is on people who work directly with the patient and family. Bereavement overload occurs after multiple losses without time for normal grief in between. AIM: To investigate bereavement overload, its effects and related coping mechanisms of personnel working in adult medical wards. SETTING: Four adult medical wards at National District Hospital, Bloemfontein...
June 18, 2018: African Journal of Primary Health Care & Family Medicine
Gabi A De Jager, Talitha Crowley, Tonya M Esterhuizen
BACKGROUND: South Africa has experienced a substantial increase in access to antiretroviral treatment (ART) in recent years. Effective strategies to manage access to treatment need to be incorporated into and implemented in ART programmes. Antiretroviral treatment adherence clubs are a new strategy that is being implemented in various parts of South Africa. AIM: The aim of the study was to investigate treatment adherence and patient satisfaction of stable human immunodeficiency virus (HIV) patients on ART in ART adherence clubs and clinics...
June 18, 2018: African Journal of Primary Health Care & Family Medicine
Simon L Whitesman, Michelle Hoogenhout, Linda Kantor, Katherine J Leinberger, Anik Gevers
BACKGROUND: Mindfulness-based stress reduction (MBSR) has been found to have significant health benefits in studies conducted in the global North. AIM: This study examined the effects of MBSR on stress, mood states and medical symptoms among urban South Africans to inform future research and clinical directions of MBSR in local settings. SETTING: Participants completed an 8-week MBSR programme based in central Cape Town. METHOD: A retrospective analysis of 276 clinical records was conducted...
June 18, 2018: African Journal of Primary Health Care & Family Medicine
Alice Ngoma-Hazemba, Busisiwe P Ncama
BACKGROUND: A global debate surrounding health care delivery at the lowest level of the community has aroused interest among researchers. In settings where skilled health workforce is scarce, the community relies on volunteers to provide care. AIM: To explore the role of community-based volunteers (CBVs) and their perspectives on human immunodeficiency virus (HIV) and infant feeding to gain insights into the implementation of prevention of mother-to-child transmission (PMTCT) interventions at community level...
June 18, 2018: African Journal of Primary Health Care & Family Medicine
Chris A Visser, Jacqueline E Wolvaardt, David Cameron, Gert J O Marincowitz
BACKGROUND: The South African Department of Health implemented the nurse-initiated management of antiretroviral treatment (NIM-ART) programme as a policy to decentralise services. Increasing access to ART through nurse initiation results in significant consequences. AIM: This study evaluated the quality of care provided, the barriers to the effective rollout of antiretroviral services and the role of a clinical mentor. SETTING: The study was conducted at three NIM-ART facilities in South Africa...
June 14, 2018: African Journal of Primary Health Care & Family Medicine
Siphiwe T Madlala, Maureen N Sibiya, Thembelihle S P Ngxongo
BACKGROUND: Teenage pregnancy is a socio-economic challenge and a serious public health problem for communities in South Africa. It is, therefore, imperative that effective interventions and programmes be implemented to address this problem. A number of research studies have been conducted on teenage pregnancy in South Africa, but their focus was mainly on teenage girls excluding young men's involvement in teenage pregnancy. AIM: The aim of the study was to determine the perceptions of young men between the ages of 18 and 23 years towards teenage pregnancy...
June 14, 2018: African Journal of Primary Health Care & Family Medicine
Rod Bennett, Tessa S Marcus, Geoff Abbott, Jannie F Hugo
BACKGROUND: The introduction of community-based services through community health workers is an opportunity to redefine the approach and practice of primary health care. Based on bestpractice community oriented primary care (COPC), a COPC planning toolkit has been developed to model the creation of a community-based tier in an integrated district health system. AIM: The article describes the methodologies and assumptions used to determine workforce numbers and service costs for three scenarios and applies them to the poorest 60% of the population in Gauteng, South Africa...
May 31, 2018: African Journal of Primary Health Care & Family Medicine
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