South African Family Practice最新文献

{"title":"From naked eye to dermoscopy: Closing a diagnostic gap in South African primary care.","authors":"Magrietha Swart","doi":"10.4102/safp.v68i1.6367","DOIUrl":"10.4102/safp.v68i1.6367","url":null,"abstract":"<p><p>Skin pathology is among the commonest reasons for South African primary care consultations, yet the dermatology workforce is small and unevenly distributed. Only 264 dermatologists serve a population of over 60 million, at 20.1 per million in the private sector and 1.2 per million in the public sector. Most patients with skin-related concerns usually present to general practitioners or family physicians first, who largely work with naked-eye examination alone. Dermoscopy is an evidence-based tool that significantly improves the accuracy of skin lesion assessment and is becoming routinely used in primary care in countries such as the United Kingdom and Australia.Contribution: This article argues that dermoscopy should be reconsidered as a possible primary care skill in South Africa, keeping in mind that implementation is dependent on necessary equipment and training.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e3"},"PeriodicalIF":1.2,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13543228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From the President's desk: Part 3, 2026.","authors":"Tasleem Ras","doi":"10.4102/safp.v68i1.6406","DOIUrl":"10.4102/safp.v68i1.6406","url":null,"abstract":"","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"6406"},"PeriodicalIF":1.2,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13543244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal and perinatal outcomes after vacuum-assisted vaginal delivery versus second-stage caesarean delivery in a generalist-run rural district hospital: A retrospective cohort study.","authors":"Andrew G Wilkins, James D Porter, John-D K Lotz, Olukayode Adeleke","doi":"10.4102/safp.v68i1.6304","DOIUrl":"10.4102/safp.v68i1.6304","url":null,"abstract":"<p><strong>Background: </strong> Vacuum-assisted vaginal deliveries (VADs) are recommended as safe alternatives to second-stage caesarean deliveries (SSCDs); however, little is known about their use and associated outcomes in South African rural district hospitals without obstetric specialist support.</p><p><strong>Methods: </strong> A 5-year retrospective cohort study was conducted at a rural district hospital in South Africa. Women who underwent a VAD attempt or SSCD in the second stage of labour were compared with respect to baseline sociodemographic and clinical characteristics, and maternal and perinatal outcomes. Multivariable logistic regression was used to estimate adjusted odds ratios (aORs).</p><p><strong>Results: </strong> Of 7293 deliveries during the study period, 567 met inclusion criteria, including 417 VAD attempts and 150 SSCDs. Baseline characteristics were largely similar, with SSCDs more frequently performed in women with a previous caesarean delivery, for prolonged second stage of labour, and by community service medical officers. Vacuum-assisted delivery attempts were more commonly used for foetal distress and were associated with significantly shorter decision-to-delivery intervals ( 30 min in 79% vs 21%, p  0.01). After adjustment, VAD attempts were associated with reduced odds of postpartum haemorrhage (aOR 0.30, 95% confidence interval [CI] 0.15-0.60), with no significant difference in composite adverse maternal outcomes (aOR 0.64, 95% CI 0.39-1.05) or composite adverse perinatal outcomes (aOR 0.82, 95% CI 0.42-1.60).</p><p><strong>Conclusion: </strong> In this rural district hospital setting, VAD attempts performed by doctors without obstetric specialist support were associated with improved short-term maternal outcomes and equivalent perinatal outcomes compared with SSCDs.Contribution: These findings support the safe use of VAD in rural settings and highlight the potential contribution of family physicians and family medicine registrars to second-stage obstetric decision-making.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13543275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the experiences of adolescent primigravidae during their first antenatal care visit in Gauteng Province.","authors":"Mpho Mdakane, Xolani Dlamini, Tshiamo N Ramalepa","doi":"10.4102/safp.v68i1.6346","DOIUrl":"10.4102/safp.v68i1.6346","url":null,"abstract":"<p><strong>Background: </strong> Adolescent pregnancy remains a public health concern in South Africa, with adolescent primigravidae often facing barriers to antenatal care (ANC) access and continuation. Their first encounter with ANC services is pivotal in shaping future engagement, yet many report uncertainty, stigma and poor communication. This study explored the experiences of adolescent primigravidae during their first ANC visit in the Ekurhuleni East sub-district, Gauteng province.</p><p><strong>Methods: </strong> A qualitative, exploratory, and descriptive design was utilised. Sixteen adolescent primigravidae between the ages of 10 and 19 years were purposively chosen from designated ANC clinics and a district hospital in the Ekurhuleni East sub-district of Gauteng Province. Data were gathered through semi-structured interviews, transcribed verbatim and analysed using Creswell's six-step content analysis framework.</p><p><strong>Results: </strong> Five themes emerged: (1) Initial ANC clinic visits and uncertainty; (2) negative and positive interactions with the midwives; (3) age-related concerns in the ANC settings; (4) long waiting times; and (5) information and education gaps. While many participants felt hopeful and intended to continue ANC visits, some expressed uncertainty, influenced by judgement and social stigma within the ANC setting.</p><p><strong>Conclusion: </strong> The first ANC is a critical window for engagement. The experiences shared emphasised the significance of respectful interactions with providers, effective communication, and an environment that is adolescent friendly and supportive in shaping their views on ANC and utilisation.Contribution: The study offers insight into adolescent-centred ANC improvements and informs recommendations for midwifery practice, health education, and policy development.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13543256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professor Aquira Jibha 'Jabu' Mbokazi, 27 July 1952-02 May 2026: A life dedicated to Family Medicine and service.","authors":"Olukayode Ademola Adeleke","doi":"10.4102/safp.v68i1.6395","DOIUrl":"10.4102/safp.v68i1.6395","url":null,"abstract":"","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e2"},"PeriodicalIF":1.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professor Aquira Jibha 'Jabu' Mbokazi, 27 July 1952-02 May 2026: A life dedicated to Family Medicine and service.","authors":"Olukayode Ademola Adeleke","doi":"10.4102/safp.v68i1.6395","DOIUrl":"https://doi.org/10.4102/safp.v68i1.6395","url":null,"abstract":"","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e2"},"PeriodicalIF":1.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Support needs for chronic disease self-management among persons attending a Primary Health Care facility in Victor Khanye, Mpumalanga.","authors":"Wonder Hlongwane, Talitha Crowley","doi":"10.4102/safp.v68i1.6264","DOIUrl":"10.4102/safp.v68i1.6264","url":null,"abstract":"<p><strong>Background: </strong> With the increasing burden of non-communicable chronic diseases, it is important to empower people to self-manage their conditions. This study aimed to explore the support that persons living with chronic disease require to self-manage their conditions at a Primary Health Care (PHC) facility in the Victor-Khanye subdistrict, Delmas, Mpumalanga.</p><p><strong>Methods: </strong> Individual in-depth interviews were conducted with 14 adult participants who collected their monthly medication for diabetes, human immunodeficiency virus or hypertension. Data were analysed manually using thematic analysis.</p><p><strong>Results: </strong> Three themes were identified: (1) individual self-management; (2) support enhancing for self-management; and (3) barriers to self-management. The study highlights that self-management requires a combination of individual beliefs, capabilities, education, access to healthcare resources, financial assistance, emotional support from family and friends, and community support. While knowledge is crucial for empowering individuals to manage their diseases effectively, challenges such as financial constraints and a lack of specific self-management support provided by healthcare workers hinder many from fully implementing self-management strategies.</p><p><strong>Conclusion: </strong> Persons living with chronic disease require comprehensive care that extends beyond healthcare and includes emotional, social and financial support. Effective self-management requires access to tailored education and community support networks that allow people to take an active role in their health.Contribution: Understanding the support persons living with chronic diseases require for effective self-management is critical for improving health outcomes, enhancing quality of life and promoting sustainable healthcare systems.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e12"},"PeriodicalIF":1.2,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidents of dog bites involving humans in the Khakhu Madala local area of the Thulamela sub-district, Vhembe District, Limpopo Province.","authors":"Aifheli Rangolo, Takalani Rhoda Luhalima, Ndidzulafhi S P Raliphaswa","doi":"10.4102/safp.v68i1.6241","DOIUrl":"10.4102/safp.v68i1.6241","url":null,"abstract":"<p><strong>Background: </strong> The separation of humans and dogs in a domestic setting may be impossible due to their long history of domestication. This close interaction can lead to conflicts and dog bites, which can cause injuries, trauma or even death. Dog bites are often underestimated, posing a significant public health risk. This study examined dog bite incidents involving humans in the Khakhu Madala area of the Thulamela sub-district in Limpopo Province, conducted within primary healthcare (PHC) facilities.</p><p><strong>Methods: </strong> A qualitative, exploratory and descriptive approach was used to investigate dog bite incidents in the Khakhu Madala local area. The study focused on registered dog-bite victims from PHC records between January 2020 and December 2021. Participants were selected through non-probability purposive sampling. Unstructured interviews conducted with 25 participants provided rich insights. Data analysis followed Tech's eight-step criterion, ensuring trustworthiness through transferability, reliability, confirmability and credibility.</p><p><strong>Results: </strong> Key themes included a lack of owner responsibility in controlling dogs, increased dog aggression contributed to the consumption of indigenous plants and other variations and structural environmental factors.</p><p><strong>Conclusion: </strong> The study found that improving safety requires collaboration among health professionals, community engagement and evaluation of legislation. Further research on dog bite incidents is necessary.Contribution: The article highlights the prevalence of dog bites. This will assist in raising public health awareness and in informing policies and legislation to better equip them to put measures in place regarding dog bite incidents. The article also contributes to bringing education on safe dog interactions, improving treatment protocols and informing stricter enforcement of dog control laws.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e9"},"PeriodicalIF":1.2,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and associated risk factors of uterine fibroids in the Kingdom of Eswatini.","authors":"Vuyisile J Ginindza, Makandwe Nyirenda, Ropo E Ogunsakin, Themba G Ginindza","doi":"10.4102/safp.v68i1.6288","DOIUrl":"10.4102/safp.v68i1.6288","url":null,"abstract":"<p><strong>Background: </strong> The global burden of uterine fibroids (UFs) has increased from 4.5% to 68.6%, but insufficient data in sub-Saharan Africa limit the development of effective prevention and treatment strategies. The study aimed to determine the prevalence and associated risk factors of symptomatic UFs in Eswatini.</p><p><strong>Methods: </strong> An analytical cross-sectional study used purposive sampling to enrol 645 women aged 25-64 years old with UFs or symptoms. Data were collected via face-to-face interviews with a standardised questionnaire and analysed with descriptive statistics and logistic regression.</p><p><strong>Results: </strong> The overall prevalence of UFs was 67.8% (437/645). A higher prevalence was evident in the age group 50 years and older (81.4%) compared to prevalence (33.3%) in the age group 25-29 years. Notably, high prevalence was among people with diabetes (88.5%), widows (80%), those with a primary level of education (79.1%), the obese (76.3%), Depo-Provera (75.6%) and Hhohho (76.3%) participants. The univariate analysis significant association show that: for (1) ages 30-34 years (OR: 2.33; 95% CI: 1.26-4.35, p  0.007), 35-39 years (OR: 5.08; 95% CI: 2.82-9.36, p  0.001), 40-44 years (OR: 7.77, 95% CI: 4.19-14.9, p  0.001), 45-49 years (OR: 5.50; 95% CI: 2.96-10.5, p  0.001) and 50+ years (OR: 8.80, 95% CI: 4.58-17.6, p  0.001); (2) primary education (OR: 2.43; 95% CI: 1.27-4.84, p = 0.009), and secondary education (OR: 1.88; 95% CI: 1.12-3.18, p = 0.017); (3) been pregnant (OR: 1.53; 95% CI: 1.04-2.23, p = 0.029); (4) obesity (OR: 3.39, 95% CI:2.02-5.70, p  0.001); and (5) overweight (OR: 1.71; 95% CI: 1.02-2.89, p = 0.044). After adjustments, age remained significantly associated.</p><p><strong>Conclusion: </strong> Uterine fibroids are highly prevalent and significantly associated with age, underscoring the need for targeted awareness and future research.Contribution: The study provided insights to inform policy and enhance preventive strategies within the sexual reproductive health programs.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e10"},"PeriodicalIF":1.2,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tuberculosis (TB) service utilisation pre and peri-COVID-19 restrictions in Johannesburg, Gauteng.","authors":"Vongani H Maluleke, Lynn Smith","doi":"10.4102/safp.v68i1.6296","DOIUrl":"10.4102/safp.v68i1.6296","url":null,"abstract":"<p><strong>Background: </strong> Tuberculosis (TB) has remained a significant public health challenge for many years. Individuals with weakened immune systems because of other illnesses are particularly vulnerable to contracting TB. In March 2020, South Africa implemented a disease control strategy which ceased and disrupted daily routines, including healthcare services delivery. The study aimed to determine and describe the impact of coronavirus disease 2019 (COVID-19) lockdown restrictions on the utilisation of TB services, pre-COVID-19 and peri-COVID-19.</p><p><strong>Methods: </strong> A cross-sectional retrospective study using National Institute for Communicable Diseases (NICD) and National Department of Health (NDoH) data from Johannesburg, South Africa, was conducted to assess COVID-19 restrictions' impact on TB service use from January 2018 to December 2021, examining trends across periods and influencing factors. The study included individuals who sought TB services, showed TB symptoms, or tested positive or negative for TB during the study period.</p><p><strong>Results: </strong> The secondary data collected included children ( 10 years old), young adolescents (10-14 years old), older adolescents (15-19 years old), young adults (20-24 years old), adults (25-49 years old) and older adults (≥ 50 years old). Tuberculosis service use was highest among adult females aged 25-29 years old (51.3%) and lowest among females ≥ 50 years old (32.6%).</p><p><strong>Conclusion: </strong> A marked decline in TB service use was observed during the peri-COVID-19 period. Results demonstrated that COVID-19 restrictions caused a substantial and sustained decline in TB service utilisation in Johannesburg, even when accounting for broader determinants of care-seeking.Contributions: This study provides valuable insight into the impact of COVID-19 restrictions on TB service utilisation and highlights the broader societal effects of a pandemic.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e7"},"PeriodicalIF":1.2,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}