South African Family Practice最新文献

{"title":"Crowdsourcing care: What general practitioner WhatsApp groups get right … and wrong.","authors":"Magrietha Swart","doi":"10.4102/safp.v68i1.6325","DOIUrl":"10.4102/safp.v68i1.6325","url":null,"abstract":"<p><p>With the growing use of WhatsApp groups by general practitioners, there are clear pros and cons to their use. Peer support, easing referral and educational opportunities are thereby supported, but at the cost of potential privacy and data protection issues because of the medium and nature of the technology, and potential legal ramifications of the Protection of Personal Information Act 4 of 2013.Contribution: The use of such groups requires care and attention, and although especially useful, securing data and confidentiality is a potential cause of concern.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e3"},"PeriodicalIF":1.2,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406040","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":"A review - Prescribing iron salts: Comparison of efficacy and tolerance of different iron complexes.","authors":"Kamilla R Snyman, Jacques R Snyman, Angelique Coetzee","doi":"10.4102/safp.v68i1.6260","DOIUrl":"10.4102/safp.v68i1.6260","url":null,"abstract":"<p><p>Iron is an essential element as it participates in a wide variety of metabolic processes, including oxygen transport, deoxyribonucleic acid synthesis and electron transport. However, as iron can form free radicals, its concentration in body tissues must be tightly regulated because, in excessive amounts, it can lead to tissue damage. Disorders of iron metabolism are among the most common diseases of humans with diverse clinical manifestations. Iron deficiency is the most common mineral deficiency, affecting approximately 20% of the population. Patients may present with an iron deficiency without anaemia, which is even more common. The World Health Organisation has estimated that approximately 8% of preschool children, 12% of pregnant women and 15% of non-pregnant women of reproductive age have anaemia, with iron deficiency being the major cause.Contribution: This review focuses on the effectiveness of different preparations to ensure more appropriate choices by prescribers that is patient-centred.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e6"},"PeriodicalIF":1.2,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406012","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":"Assessing maternal satisfaction after caesarean section in government hospitals in Durban, KwaZulu-Natal: A qualitative study.","authors":"Nokuthula Mbele, Zanine Moyce, David Bishop","doi":"10.4102/safp.v68i1.6305","DOIUrl":"10.4102/safp.v68i1.6305","url":null,"abstract":"<p><strong>Background: </strong> Maternal satisfaction after a caesarean section (CS) is a key quality indicator, yet understudied in low-income and middle-income countries. This study used a qualitative method approach to address that gap, by exploring factors influencing maternal satisfaction in South African government hospitals, focusing on pain management, emotional support and communication, within the local context of KwaZulu-Natal.</p><p><strong>Methods: </strong>A qualitative descriptive study design was employed. Women who underwent CS in two government hospitals in Durban were included in the study. Data were collected using questionnaires for socio-demographic information and semi-structured interviews. Thematic analysis was used to identify and code themes related to maternal satisfaction.</p><p><strong>Results: </strong> A total of 100 women were interviewed. Three-quarters of the women (n = 77) were satisfied with their CS experience, with only one participant expressing dissatisfaction. Maternal satisfaction was likely primarily related to positive delivery outcomes. Factors that improved satisfaction included effective pain management, a supportive ward atmosphere, and interactions with peers. Despite overall positive responses, only one-third were willing to undergo CS in the future. Maternal satisfaction was reduced by issues like insufficient preoperative information, language barriers, limited autonomy, and a lack of breastfeeding or emotional support.</p><p><strong>Conclusion: </strong> Most women reported satisfaction with their CS experience, yet expressed reluctance to undergo the procedure again. This paradoxical phenomenon highlights the complexity and multifaceted nature of maternal satisfaction. Healthcare providers should prioritise open communication, empathy, and respect for women's preferences and values to provide high-quality, patient-centred care.Contribution: The study highlighted the need for responsive, equitable, and person-centred approaches to CS care, particularly within resource-constrained public health settings. By addressing the identified gaps and implementing targeted, theory-informed strategies, healthcare providers and policymakers can take meaningful steps towards improving maternal experiences and outcomes across South Africa's government hospitals.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e9"},"PeriodicalIF":1.2,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148405985","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":"Social media use for healthcare professionals in South Africa: The do's and don'ts.","authors":"Mareike Rabe","doi":"10.4102/safp.v68i1.6319","DOIUrl":"10.4102/safp.v68i1.6319","url":null,"abstract":"<p><p>Social media has become a dominant mode of communication, education and advocacy in healthcare, offering healthcare professionals (HCPs) opportunities to connect with peers, patients and the public. However, its use carries significant ethical, legal and professional responsibilities. In South Africa, the Health Professions Council of South Africa (HPCSA) has responded to these challenges with updated guidance in Booklet 16: Ethical Guidelines on Social Media. This CPD article synthesises HPCSA guidance and complementary resources into a practical framework for responsible social media use by HCPs. The proposed framework: 'Protect Patients, Protect Yourself, Protect the Profession', offers actionable recommendations to ensure that online conduct upholds patient rights, safeguards professional integrity and maintains public trust in healthcare. By integrating HPCSA guidelines with international resources such as the World Medical Association's statement on social media and secure communication platforms such as Celo and Hucu, this article provides HCPs with a structured approach to navigating the complexities of digital professionalism.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e5"},"PeriodicalIF":1.2,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406054","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":"Strengthening parental capabilities: Consensus-based guidelines for supporting parents of children with developmental disabilities - A modified hybrid Delphi study.","authors":"Lumka Magidigidi-Mathiso, Jose Frantz, Gerard Filies","doi":"10.4102/safp.v68i1.6321","DOIUrl":"10.4102/safp.v68i1.6321","url":null,"abstract":"<p><strong>Background: </strong> Families of children with developmental disabilities (DD) experience compounding barriers to accessing coordinated, holistic support. Services are typically fragmented across healthcare, education and social sectors, particularly in resource-limited settings such as South Africa. To develop consensus-based guidelines for strengthening parental capabilities among parents of children with DD through an interdisciplinary approach integrating evidence across multiple fields.</p><p><strong>Methods: </strong> A modified hybrid three-round Delphi technique was employed with an expert panel (n = 10) comprising professionals with diverse backgrounds in paediatric disability care. Consensus was established through iterative questionnaires exploring capability domains based on Capabilities Framework.</p><p><strong>Results: </strong> Five key capability domains achieved strong consensus (≥ 80%): life enhancement, bodily health support, emotional wellbeing, affiliation strengthening and environmental control. Final round consensus ranged from 90% to 95%.</p><p><strong>Conclusion: </strong> Comprehensive consensus-based guidelines were developed for each domain, alongside an implementation framework that emphasises interdisciplinary collaboration. The study is contextually situated in South Africa; contextual adaptation is recommended before application elsewhere, given the small expert panel (n = 10) and single-country scope.Contribution: These guidelines provide a structured, capability-focused approach addressing the practical and emotional needs of parents of children with DD through coordinated professional collaboration.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e9"},"PeriodicalIF":1.2,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406034","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":"Mastering your fellowship: Part 3 2026.","authors":"Klaus B Von Pressentin, John M Musonda, Gert Marincowitz, Selvandran Rangiah","doi":"10.4102/safp.v68i1.6286","DOIUrl":"10.4102/safp.v68i1.6286","url":null,"abstract":"<p><p>The series 'Mastering your Fellowship' provides examples of the question formats encountered in the written and clinical examinations (Part A) of the FCFP (SA) examination. This edition is aligned to Entrustable Professional Activity (EPA) 6 - Providing anaesthesia in the district hospital operating theatre. Model answers are available online.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e10"},"PeriodicalIF":1.2,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406017","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":"A brief overview of managing prepubertal children who have experienced sexual abuse.","authors":"Marianne Kotzé, Chika K Egenasi, Mathew O Benedict","doi":"10.4102/safp.v68i1.6254","DOIUrl":"10.4102/safp.v68i1.6254","url":null,"abstract":"<p><p>In South Africa, undergraduate medical teaching does not prepare medical and nursing practitioners adequately for the clinical forensic management of patients who have experienced child sexual abuse. Clinicians might be apprehensive when confronted with children who may have experienced sexual abuse. Their insecurities arise from a perceived lack of knowledge and the time-consuming nature of the legal procedures. The high prevalence of the sexual abuse of children demands the involvement of the medical profession. This article aims to allay uncertainty and address the unnecessary barriers to the provision of service and support to vulnerable pre-pubertal children who are victims of abuse.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e7"},"PeriodicalIF":1.2,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406065","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":"Primary Health Care approach to managing chronic kidney disease.","authors":"Ramprakash Kaswa, Swati Meel","doi":"10.4102/safp.v68i1.6276","DOIUrl":"10.4102/safp.v68i1.6276","url":null,"abstract":"<p><p>Chronic kidney disease (CKD) is a growing global health issue among ageing populations, driven by increasing diabetes and hypertension. Managing advanced stages of CKD with dialysis or transplants is costly. Early stages often have no symptoms, making early detection important for prevention. Primary care providers can help identify and manage CKD early by performing annual screening for high-risk patients, including blood pressure checks, urine tests for albuminuria or proteinuria and estimating glomerular filtration rate from serum creatinine. For those with CKD, renal protective measures are essential to slow disease progression. This narrative review highlights the critical role of primary care providers in the comprehensive and integrated CKD management.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e6"},"PeriodicalIF":1.2,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158175","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":"Non-communicable diseases in South Africa: The role of primary care.","authors":"Indiran Govender, Ramprakash Kaswa","doi":"10.4102/safp.v68i1.6302","DOIUrl":"10.4102/safp.v68i1.6302","url":null,"abstract":"","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e2"},"PeriodicalIF":1.2,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158248","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":"A cross-sectional survey of men's attitudes towards public health services and their utilisation practices in Limpopo Province, South Africa.","authors":"Lazarros Chavalala, Lufuno Makhado, Rachel T Lebese","doi":"10.4102/safp.v68i1.6245","DOIUrl":"10.4102/safp.v68i1.6245","url":null,"abstract":"<p><strong>Background: </strong>The attitude that one holds towards healthcare services is an important factor associated with health-seeking behaviour. People with bad experiences of previously used healthcare services are less likely to engage with healthcare services; the healthcare worker-patient relationship is an important factor influencing attitudes towards healthcare services. This study aimed to determine the attitude of men towards public health services and utilisation practices.</p><p><strong>Methods: </strong>A self-administered questionnaire was administered using a quantitative cross-sectional design on 400 men conveniently selected from randomly selected communities within the selected districts. Data from 387 questionnaires successfully returned were analysed using the Statistical Package for Social Sciences version (SPSS) 29.0. for Windows.</p><p><strong>Results: </strong>Out of 387 men, 310 (81%) reported that during consultation, healthcare professionals do not respect patients, and the majority (88%; 339) reported that the waiting period in public healthcare facilities is very long. Most men (84%, 322) felt more at ease going to a private health facility than a public one. About 54% (204) of the men visited public health facilities to seek health services. There was a statistically significant relationship between men's level of education and utilisation of healthcare services (p = 0.005).</p><p><strong>Conclusion: </strong>These men held negative attitude towards public health facilities and reported a lack of respect for patients by health workers. Revitalisation of work ethics and professional conduct among public healthcare workers is needed to remind workers about their code of conduct and improve the provision of public health services in a manner that users feel comfortable visiting health facilities to seek the services.Contribution: The study brings meaningful insights of men's attitudes towards public health services and may help to better understand why few men engage in health services.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e6"},"PeriodicalIF":1.2,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13243833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158182","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}