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African Journal of Primary Health Care & Family Medicine

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https://www.readbyqxmd.com/read/28155289/conference-report-undergraduate-family-medicine-and-primary-care-training-in-sub-saharan-africa-reflections-of-the-primafamed-network
#1
Innocent Besigye, Robert Mash, Akye Essuman, Maaike Flinkenflögel
Internationally, there is a move towards strengthening primary healthcare systems and encouraging community-based and socially responsible education. The development of doctors with an interest in primary healthcare and family medicine in the African region should begin during undergraduate training. Over the last few years, attention has been given to the development of postgraduate training in family medicine in the African region, but little attention has been given to undergraduate training. This article reports on the 8th PRIMAFAMED (Primary Care and Family Medicine Education) network meeting held in Nairobi from 21 to 24 May 2016...
January 30, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155288/association-between-depression-in-carers-and-malnutrition-in-children-aged-6-months-to-5-years
#2
Keneilwe Motlhatlhedi, Vincent Setlhare, Adewale Ganiyu, Jacqueline Firth
BACKGROUND:  Childhood malnutrition is an important risk factor for child mortality and underlies close to 50% of child deaths worldwide. Previous studies have found an association between maternal depression and child malnutrition, but it is not known whether this association exists in Botswana. In addition, previous studies excluded non-maternal primary caregivers (PCGs). It is unclear whether the association between primary caregiver depression and child malnutrition remains when non-maternal PCGs are included...
January 30, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155287/primary-health-workers-knowledge-and-practices-relating-to-neonatal-jaundice-in-ibadan-nigeria
#3
Adebola E Orimadegun, Adeola O Ojebiyi
BACKGROUND: Over half of births and newborn care occur in primary healthcare facilities in Nigeria, but information on activities of personnel working there is scarce. AIM: To assess the knowledge and practices relating to neonatal jaundice (NNJ) among community health workers (CHWs) and community birth attendants (CBAs) in Nigeria. SETTING: We conducted a cross-sectional survey of all 227 CHWs and 193 registered CBAs in Ibadan, Nigeria...
January 30, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155323/disaggregated-data-to-improve-child-health-outcomes
#4
Ann M E T Tshabalala, Myra Taylor
BACKGROUND: The District Health Information System was developed in South Africa to collect aggregated routine data from public health facilities. In Amajuba District, KwaZulu-Natal, ward-based data collection has been initiated to facilitate improved responsiveness to community health needs and improve health outcomes and patient satisfaction. AIM: To assess the application of the municipal ward-based health data in the decision-making process to improve child health outcomes...
December 2, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155322/an-assessment-of-implementation-of-communityoriented-primary-care-in-kenyan-family-medicine-postgraduate-medical-education-programmes
#5
Ian J Nelligan, Jacob Shabani, Stephanie Taché, Gulnaz Mohamoud, Megan Mahoney
BACKGROUND AND OBJECTIVES: Family medicine postgraduate programmes in Kenya are examining the benefits of Community-Oriented Primary Care (COPC) curriculum, as a method to train residents in population-based approaches to health care delivery. Whilst COPC is an established part of family medicine training in the United States, little is known about its application in Kenya. We sought to conduct a qualitative study to explore the development and implementation of COPC curriculum in the first two family medicine postgraduate programmes in Kenya...
December 2, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155321/knowledge-and-practices-of-supervisors-on-the-performance-management-and-development-system-at-rural-primary-health-care-facilities-in-the-limpopo-province
#6
Rosemary H Mashego, Linda Skaal
BACKGROUND: The South African government has introduced Performance Management and Development System (PMDS) as a tool to monitor and manage the performances of health institutions, in order to improve service delivery within primary health care settings. The aim of the study was to determine the knowledge and practices of supervisors regarding PMDS in primary health institutions of the Limpopo Province. MATERIALS AND METHODS: A cross-sectional, descriptive, quantitative study was used...
December 2, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155320/fragmentation-of-maternal-child-and-hiv-services-a-missed-opportunity-to-provide-comprehensive-care
#7
Lyn J Haskins, Sifiso P Phakathi, Merridy Grant, Ntokozo Mntambo, Aurene Wilford, Christiane M Horwood
BACKGROUND: In South Africa, coverage of services for mothers and babies in the first year of life is suboptimal despite high immunisation coverage over the same time period. Integration of services could improve accessibility of services, uptake of interventions and retention in care. AIM: This study describes provision of services for mothers and babies aged under 1 year. SETTING: Primary healthcare clinics in one rural district in KwaZulu-Natal, South Africa...
December 2, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155319/knowledge-attitudes-and-management-skills-of-medical-practitioners-regarding-weight-management
#8
Vangile B Mkhatshwa, Gboyega A Ogunbanjo, Langalibalele H Mabuza
BACKGROUND: Overweight and obesity have become a global problem. Health professionals are poorly prepared in weight management, which has an effect on their attitudes and management skills with regard to overweight and obese patients.Aim and setting: To assess the knowledge, attitudes and management skills of medical practitioners regarding weight management at Odi District Hospital, Gauteng Province, South Africa. METHODS: We conducted a cross-sectional study on 48 medical practitioners at Odi Hospital between 01 October and 31 October 2013...
November 29, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155318/weight-status-and-associated-factors-among-hiv-infected-people-on-antiretroviral-therapy-in-rural-dikgale-limpopo-south-africa
#9
Felistas Mashinya, Marianne Alberts, Robert Colebunders, Jean-Pierre Van Geertruyden
BACKGROUND: Underweight in human immunodeficiency virus (HIV)-infected people on antiretroviral therapy (ART) complicates the management of HIV infection and contributes to mortality, whereas overweight increases the risk of cardiovascular disease (CVD). AIM: The study determined weight status and associated factors in people with HIV infection receiving ART. SETTING: Rural primary health care clinics in Dikgale, Limpopo province, South Africa...
November 29, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155317/the-pattern-and-correlates-of-intimate-partner-violence-among-women-in-kano-nigeria
#10
Tanko S Tanimu, Stephen Yohanna, Suleiman Y Omeiza
BACKGROUND: Intimate partner violence (IPV) has been increasingly recognised as a major public health and human rights problem that cuts across all populations, irrespective of social, economic, religious or cultural groups. OBJECTIVES: The objectives of this study were to determine the prevalence, pattern and correlates of IPV among women attending the General Out Patient Clinic of Aminu Kano Teaching Hospital, Kano, Nigeria. It was also designed to determine the pattern of health complications associated with IPV as well as the perception of women on intimate partner violence...
November 29, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155326/country-profile-on-family-medicine-and-primary-health-care-in-ghana
#11
Henry J O Lawson, Akye Essuman
No abstract available.
November 24, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155316/characteristics-of-street-children-in-cameroon-a-situational-analysis-of-demographic-socio-economic-and-behavioural-profiles-and-challenges
#12
Samuel N Cumber, Joyce M Tsoka-Gwegweni
INTRODUCTION: The issue of street children is one of the global social problems rising in low- and middle-income countries. These children are vulnerable, but because of a lack of sufficient information, it is very difficult for stakeholders to address their plight in Cameroon. AIM: To examine the situation and characteristics of street children in three Cameroonian cities. OBJECTIVES: To describe the demographic, socio-economic and behavioural profiles of street children...
November 18, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155315/awareness-of-diabetic-foot-disease-amongst-patients-with-type-2-diabetes-mellitus-attending-the-chronic-outpatients-department-at-a-regional-hospital-in-durban-south-africa
#13
Thea T Goie, Mergan Naidoo
BACKGROUND: Diabetic foot disease (DFD) is a major challenge for the healthcare system, with enormous economic consequences for people living with diabetes, their families, and society, affecting both quality of life and quality of care. The study aim was to assess the level of awareness of DFD amongst patients with type 2 diabetes mellitus (T2DM). METHODS: An observational descriptive cross-sectional study was conducted at the chronic outpatients department of a regional hospital in Durban, South Africa...
November 17, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155314/sustainability-of-the-integrated-chronic-disease-management-model-at-primary-care-clinics-in-south-africa
#14
Ozayr H Mahomed, Shaidah Asmall, Anna Voce
BACKGROUND: An integrated chronic disease management (ICDM) model consisting of four components (facility reorganisation, clinical supportive management, assisted self-supportive management and strengthening of support systems and structures outside the facility) has been implemented across 42 primary health care clinics in South Africa with a view to improve the operational efficiency and patient clinical outcomes. AIM: The aim of this study was to assess the sustainability of the facility reorganisation and clinical support components 18 months after the initiation...
November 17, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155325/should-we-use-philosophy-to-teach-clinical-communication-skills
#15
Berna Gerber
Effective communication between the doctor and patient is crucial for good quality health care. Yet, this form of communication is often problematic, which may lead to several negative consequences for both patients and doctors. Clinical communication skills have become important components of medical training programmes. The traditional approach is to teach students particular communication skills, such as listening to patients and asking open-ended questions. Despite their importance, such training approaches do not seem to be enough to deliver medical practitioners who are able and committed to communicate effectively with patients...
November 16, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155311/whole-person-medicine-psychosocial-issues-in-primary-care
#16
Robert Mash
Not applicable.
November 16, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155324/cost-effectiveness-of-clinical-associates-a-case-study-for-the-mpumalanga-province-in-south-africa
#17
COMPARATIVE STUDY
Joris Hamm, Petra Van Bodegraven, Martin Bac, Jakobus M Louw
BACKGROUND: The National Department of Health of South Africa decided to start a programme to train mid-level healthcare workers, called clinical associates, as one of the measures to increase healthcare workers at district level in rural areas. Unfortunately, very little is known about the cost effectiveness of clinical associates. AIMS: To determine, on a provincial level, the cost effectiveness of training and employing clinical associates and medical practitioners compared to the standard strategy of training and employing only more medical practitioners...
November 15, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155313/vitamin-d-status-hypertension-and-body-mass-index-in-an-urban-black-community-in-mangaung-south-africa
#18
Ronette Lategan, Violet L Van den Berg, Jasminka Z Ilich, Corinna M Walsh
BACKGROUND: A strong relationship exists between hypertension and body weight. Research has linked both higher blood pressure and body weight with lower vitamin D status. OBJECTIVE: This study assessed the vitamin D status of a low-income, urban, black community in South Africa, to examine whether serum levels of 25-hydroxy vitamin D [25(OH)D] are associated with hypertension and body mass index (BMI). METHODS: Data collected from 339 adults (25-64 years) from the Assuring Health for All in the Free State (AHA-FS) study were analysed...
October 31, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28155312/confirmation-of-factors-that-influence-antiretroviral-regimen-change-and-the-subsequent-patient-outcomes-at-a-regional-hospital-in-rural-kwazulu-natal
#19
Vereesha Soorju, Panjasaram Naidoo
BACKGROUND: Treatment failure (TF) and adverse drug reactions (ADRs) are the main indications for antiretroviral therapy (ART) regimen change. Identification of factors influencing regimen change and subsequent health outcomes of patients after regimen change is essential in providing a sustainable and effective antiretroviral roll-out campaign. AIM: To confirm the factors that influence antiretroviral regimen change and to evaluate patient outcomes post regimen change...
October 31, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/27796120/factors-affecting-time-of-access-of-in-patient-care-at-webuye-district-hospital-kenya
#20
COMPARATIVE STUDY
Maxwell M Lodenyo, Barasa K Otsyula, Raymond Downing, Kenneth Yakubu, Miriam Miima, Okoye Ifeyinwa
BACKGROUND: Among many Kenyan rural communities, access to in-patient healthcare services is seriously constrained. It is important to understand who has ready access to the facilities and services offered and what factors prevent those who do not from doing so. AIM: To identify factors affecting time of access of in-patient healthcare services at a rural district hospital in Kenya. SETTING: Webuye District hospital in Western Kenya. METHODS: A cross-sectional, comparative, hospital-based survey among 398 in-patients using an interviewer-administered questionnaire...
October 14, 2016: African Journal of Primary Health Care & Family Medicine
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