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African Journal of Primary Health Care & Family Medicine

Ebenezer O Oluwole, Linda Skaal
BACKGROUND: There is significantly high contraceptive knowledge in South Africa, but the uptake of contraceptives is average to low with resultant soaring of unplanned pregnancy and rising statistics of termination of pregnancy (TOP) services. This study aimed to establish the contraceptive practices among women in the South African population seeking TOP in one public hospital in Eastern Cape, South Africa. METHODS: A cross-sectional study was carried out among women seeking TOP in a women's clinic...
2016: African Journal of Primary Health Care & Family Medicine
Rachael N Kinuthia, Benson N Gakinya, Joseph M Thigiti
BACKGROUND: Human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) is associated with cognitive impairment which affects psychomotor speed. Psychomotor slowing is a predictor of dementia and death in people living with HIV and AIDS. The purpose of this study was to assess the relationship between HIV disease stage and psychomotor speed neurocognitive score which will add to the body of knowledge required to manage patients with HIV and AIDS. OBJECTIVE: To determine the relationship between psychomotor speed neurocognitive score and the HIV disease stage in adults at initiation of care...
2016: African Journal of Primary Health Care & Family Medicine
Gladys Matseke, Karl Peltzer, Neo Mohlabane
BACKGROUND: Client satisfaction serves as a predictor for acceptance of HIV counselling and testing (HCT) services. Therefore, the study of clients' perception and satisfaction may offer insights on how to improve HCT programmes. AIM AND SETTING: The aim of this study was to assess clients' satisfaction with HCT as well as describe perceived barriers to and facilitators of HIV testing by HCT clients in South Africa. METHODS: A cross-sectional survey was conducted through interviews with 498 clients purposefully selected at the end of an HCT visit at 56 HCT sites throughout the country...
2016: African Journal of Primary Health Care & Family Medicine
Michelle L Allen, Albertine M B Van der Does, Colette Gunst
BACKGROUND: Foot screening is an important part of diabetic care as it prevents significant morbidity, loss of function and mortality from diabetic foot complications. However, foot screening is often neglected. AIM: This project was aimed at educating health care workers (HCWs) in a primary health care clinic to increase diabetic foot screening practices. SETTING: A primary health care clinic in the Western Cape province of South AfricaMethods: A quality improvement project was conducted...
2016: African Journal of Primary Health Care & Family Medicine
Deshini Naidoo, Jacqueline Van Wyk, Robin W E Joubert
BACKGROUND: Re-engineering of primary healthcare (PHC) was initiated nationally in 2009. There is, however, little information on the role expected of occupational therapists (OTs)in PHC. OBJECTIVES: This research aimed to understand how stakeholders of the Department of Health (DOH) perceived the role of OT in PHC service. METHOD: This exploratory, qualitative study used purposive sampling to recruit community health-care workers (CHW; n = 23), primary healthcare nurses (PHC; n = 5), DOH management (n = 5), experienced (n = 14) and novice OTs (n = 37) who graduated from the University of KwaZulu-Natal...
2016: African Journal of Primary Health Care & Family Medicine
Robert Mash, Angela De Sa, Maria Christodoulou
BACKGROUND: Organisational culture is a key factor in both patient and staff experience of the healthcare services. Patient satisfaction, staff engagement and performance are related to this experience. The department of health in the Western Cape espouses a values-based culture characterised by caring, competence, accountability, integrity, responsiveness and respect. However, transformation of the existing culture is required to achieve this vision. AIM: To explore how to transform the organisational culture in line with the desired values...
2016: African Journal of Primary Health Care & Family Medicine
Robert Mash
No abstract available.
2016: African Journal of Primary Health Care & Family Medicine
Khumbulani W Hlongwana, Joyce Tsoka-Gwegweni
BACKGROUND: Global decline in malaria episodes over the past decade gave rise to a debate to target malaria elimination in eligible countries. However, investigation regarding researchers' perspectives on barriers and facilitating factors to effective implementation of a malaria elimination policy in South Africa (SA) is lacking. AIM: The aim of this study was to investigate the malaria researchers' knowledge, understandings, perceived roles, and their perspectives on the factors influencing implementation of a malaria elimination policy in SA...
2016: African Journal of Primary Health Care & Family Medicine
Sadeen A Adegbola, Gert J O Marincowitz, Indiran Govender, Gboyega A O Ogunbanjo
INTRODUCTION: Complications associated with Diabetes Mellitus are a burden to health services, especially in resource poor settings. These complications are associated with substandard care and poor adherence to treatment plans. The aim of the study was to assess the self-reported adherence to treatment amongst patients with type 2 diabetes in Matlala District Hospital, Limpopo Province. METHODS: This cross-sectional study used convenience sampling with a standardised, validated questionnaire...
2016: African Journal of Primary Health Care & Family Medicine
Stephane T Tshitenge, Gboyega A Ogunbanjo, Deogratias O Mbuka
BACKGROUND: The study aimed to determine the proportion of each priority level of patients, time of performance in each priority level, and the reliability of the South African Triage Scale (SATS) tool at the Mahalapye District Hospital - Emergency Department (MDH-ED), a setting where the majority of the nurses were not formally trained on the use of the SATS. METHODS: This was a cross-sectional study using case records in MDH-ED from 1 January 2014 to 31 December 2014...
2016: African Journal of Primary Health Care & Family Medicine
Logandran Naidoo, Ozayr H Mahomed
BACKGROUND: Prolonged waiting time is a source of patient dissatisfaction with health care and is negatively associated with patient satisfaction. Prolonged waiting times in many district hospitals result in many dissatisfied patients, overworked and frustrated staff, and poor quality of care because of the perceived increased workload. AIM: The aim of the study was to determine the impact of Lean principles techniques, and tools on the operational efficiency in the outpatient department (OPD) of a rural district hospital...
2016: African Journal of Primary Health Care & Family Medicine
Shehla Jabbar Memon, Jakobus Murray Louw, Martin Bac, Jannie Hugo, Waqar-Un Nisa Rauf, John Edward Sandars
BACKGROUND: An innovative, three-year training programme, the Bachelor of Clinical Medical Practice (BCMP), for mid-level medical healthcare workers was started in 2009 by the Department of Family Medicine, University of Pretoria. AIM: To measure the students' perceptions of the instructional quality of district hospitalbased training. SETTING: Training of students took place at clinical learning centres in rural district hospitals in the Mpumalanga and Gauteng provinces...
2016: African Journal of Primary Health Care & Family Medicine
Hawa D Mahamoud, Sabah Mohammed Muse, Lewis R Roberts, Philip R Fischer, Michael S Torbenson, Tim Fader
BACKGROUND: Khat chewing is common especially among men in East Africa and Yemen. It is generally viewed by the populace as a benign social custom. Several studies of ethnic Somali immigrants to Western countries suggest an association between khat chewing and hepatotoxicity, but the risk of hepatotoxicity related to khat chewing within African settings is not documented. AIM: To identify and describe liver disease without evidence of alcohol exposure or infectious etiology in khat chewers...
2016: African Journal of Primary Health Care & Family Medicine
Selekane A Motadi, Vanessa Mbhatsani, Kulani O Shilote
BACKGROUND: Globally, there is evidence that three micronutrients deficiencies are of public health concern among children. They are vitamin A, iodine and iron deficiencies. Communities particularly affected are those in situations where poverty, unemployment, civil unrest, war and exploitation remain endemic. Malnutrition is an impediment to productivity, economic growth and poverty eradication. It is estimated that 32% of the global burden would be removed by eliminating malnutrition, including micronutrients deficiencies...
2016: African Journal of Primary Health Care & Family Medicine
Jabu T Mabunda, Lunic B Khoza, Hubertus B Van den Borne, Rachel T Lebese
BACKGROUND: Limpopo Province is one of the hardest hit by tuberculosis and human immune virus infections in the country. The province has been implementing directly observed treatment strategy since 1996. However, the cure rate was 64% in 2015 and remains far from the set target by the World Health Organization of 85%. Poor health-care seeking and adherence behaviours were identified as major risk behaviours. AIM: To apply a community-based participatory research approach in identifying barriers and facilitators to health-care seeking and adherence to treatment, and to determine strategies and messages in order to inform the design of an adapted intervention programme...
2016: African Journal of Primary Health Care & Family Medicine
Yibeltal T Bayou, Yohana J S Mashalla, Gloria Thupayagale-Tshweneagae
SETTING: The study was conducted in Addis Ababa, the capital city of Ethiopia. Specifically, it was conducted in all healthcare facilities offering maternity and obstetric services. OBJECTIVE: The objective of the study was to explore the patterns of caesarean-section (CS) delivery in Addis Ababa. METHODS: A cross-sectional survey was carried out between December 2013 and January 2014. The population for the study were women aged between 15 and 19 years of age who had given birth in the last 1-3 years before the date of data collection...
2016: African Journal of Primary Health Care & Family Medicine
Nanga R Raselekoane, Keamogetse G Morwe, Takalani Tshitangano
BACKGROUND: Many young men continue to disregard the importance of contraception and family planning in South Africa. The fact that even university students also do not take contraception and family planning seriously poses a serious threat to their own health and well-being. AIM: This paper aims at investigating the attitudes of male students towards contraception and the promotion of female students' sexual health rights and well-being at the University of Venda...
2016: African Journal of Primary Health Care & Family Medicine
Oni H Tosin, Takalani G Tshitangano
BACKGROUND: School participation and educational attainment among adolescents have been rising rapidly in the developing world. Thus, to attain Millennium Development Goal 6 (Combat HIV and/or AIDs, malaria and other diseases), it is crucial to seize the opportunity to educate and encourage teenagers about healthy choices and proper social behaviours that will continue into adulthood. AIM: This study aimed to assess the exposure of rural secondary school learners to health education and promotion at schools in the Limpopo Province of South Africa...
2016: African Journal of Primary Health Care & Family Medicine
Thikolelwi R Nemakhavhani, Henry A Akinsola
BACKGROUND: The Tobacco Products Control Act, No. 83 of 1993 was introduced in South Africa in 1993. Due to the shortfalls of the 1993 Act, the Tobacco Products Control Amendment Act, No. 12 of 1999 was passed in 1999. The regulation relating to smoking of tobacco products in public places was gazetted in 2000 and implemented in 2001. SETTING: The setting for the study was all selected registered licensed bar-lounges including restaurants within the municipality...
2016: African Journal of Primary Health Care & Family Medicine
Melaku A Eyassu, Tebogo M Mothiba, Nonceba P Mbambo-Kekana
BACKGROUND: Introduction of antiretroviral therapy (ART) has shown reduction in HIV-related mortality and morbidity in people living with HIV and AIDS. Since high levels of adherence of more than 95.0% is required to achieve effective suppression of viral load, researchers found it important to establish whether people are pursuing what is expected of them. AIM AND SETTING: The study was aimed at determining adherence to ART among HIV and AIDS patients at the Kwa-Thema clinic in Gauteng Province...
2016: African Journal of Primary Health Care & Family Medicine
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