South African Family Practice最新文献

{"title":"Perceptions of adolescents regarding sexual and reproductive health role models.","authors":"Tshiamo N Ramalepa, Thinavuyo R Netangaheni, Siyanda A Ngema","doi":"10.4102/safp.v68i1.6222","DOIUrl":"10.4102/safp.v68i1.6222","url":null,"abstract":"<p><strong>Background: </strong>The phase of transition from being a child to an adolescent is marked by sexual and reproductive health changes that affect the physical, emotional and psychosocial well-being of adolescents. This often influences their thinking, decision-making, lifestyle and choices. Therefore, the presence of role models can enhance sexual and reproductive health outcomes by creating awareness and providing relevant information. This study explored the perceptions of adolescents regarding sexual and reproductive health role models in the Bojanala district, North West Province, South Africa.</p><p><strong>Methods: </strong>This qualitative, exploratory and descriptive study was conducted using semi-structured interviews. The sample population was 13 adolescents who were sampled purposively. Data were analysed using content analysis.</p><p><strong>Results: </strong>The themes that emerged in the study are perceived role models, sexual and reproductive health support, and role models in sports and the media. Adolescents identified parents, relatives, peers, media personalities and community members as role models who influence their sexual and reproductive health. Role models in the media and in sports were viewed as people who encouraged focus, discipline and healthy living while keeping adolescents away from risky behaviours.</p><p><strong>Conclusion: </strong>Adolescents view sexual and reproductive health role models as important mentors who impact their choices and behaviours as they grow into adulthood. It is essential to improve the sexual and reproductive health outcomes of adolescents through incorporating role modelling in families, schools, the media and communities at large.Contribution: This study contributes to the paucity of knowledge and literature about adolescents' sexual and reproductive health role modelling.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e7"},"PeriodicalIF":1.2,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594739","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":"Introducing the 45-year special collection: Driving innovation in primary care scholarship.","authors":"Klaus B Von Pressentin, Ramprakash Kaswa, Simon M Marcus, Mmaphefo M Maluleka, Arun Nair, Mareike Rabe, Indiran Govender","doi":"10.4102/safp.v68i2.6298","DOIUrl":"10.4102/safp.v68i2.6298","url":null,"abstract":"<p><p></p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 2","pages":"e1-e2"},"PeriodicalIF":1.2,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594700","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 historical budget impact and expenditure analysis of meropenem and clavulanate-based treatment for adults with XDR-TB at a specialised TB hospital in South Africa.","authors":"Bandela B Mgoqi, Shelley-Ann McGee, Fatima Suleman","doi":"10.4102/safp.v68i1.6252","DOIUrl":"10.4102/safp.v68i1.6252","url":null,"abstract":"<p><strong>Background: </strong>Extensively drug-resistant tuberculosis (XDR-TB) remains a major public health challenge in South Africa. Treatment options are costly and often require prolonged hospital stays. Assessing the cost of meropenem and clavulanate-based regimens can help guide resource allocation and policy.</p><p><strong>Methods: </strong>A retrospective chart analysis was conducted of adults aged 18-70 years with XDR-TB and treated with meropenem and clavulanate-based regimens between January 2018 and July 2023 at a specialised Tuberculosis (TB) hospital. Data sources included the hospital pharmacy dispensing system, National Health Laboratory Services billing records and the Electronic Drug-Resistant Tuberculosis Register. A budget impact model was developed from the payer's perspective using Microsoft Excel. Descriptive and inferential statistics were applied to assess costs related to hospitalisation, medication and laboratory diagnostics.</p><p><strong>Results: </strong>A total of 62 patients met the inclusion criteria. The mean age was 39.5 years (95% confidence interval [CI]: 37.2-41.8), with 66.1% being male (n = 41). HIV co-infection was present in 40 patients (64.5%). The mean direct medical cost per patient for the 6-month inpatient phase was R559268.78 (≈$30 198) (95% CI: R515786.56 - R602751.00; standard deviation [s.d.]: R172653.48). Hospitalisation accounted for 87.1% of the total cost, medicines 11.9% and laboratory monitoring less than 1%, resulting in a total budget impact of R30.7 million (≈$1.66 million). Hospitalisation costs increased across the study period, and the year of initiating treatment was strongly associated with hospitalisation cost (R2 = 0.91), reflecting annual adjustments in the hospital's patient day equivalent tariffs rather than inflation alone.</p><p><strong>Conclusion: </strong>Treatment of XDR-TB with meropenem and clavulanate-based regimens places a significant financial burden on the public health sector. Decentralised care, reduced inpatient duration and optimised procurement could reduce costs.Contribution: This study quantifies the cost of XDR-TB treatment in South Africa, highlighting hospitalisation as the main cost driver. Findings can guide improved budgeting, policy and service delivery in TB management.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e12"},"PeriodicalIF":1.2,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594719","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":"Crafting an academic portfolio as a clinician-scholar: Reflections from a Next5 workshop.","authors":"Arun Nair, Klaus B Von Pressentin, Chantelle Van der Bijl","doi":"10.4102/safp.v68i1.6316","DOIUrl":"10.4102/safp.v68i1.6316","url":null,"abstract":"<p><p></p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e2"},"PeriodicalIF":1.2,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594790","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":"Nurturing scholarship: Reflections on the inaugural South African Family Practice Editorial Fellowship.","authors":"Simon M Marcus, Mmaphefo M Maluleka","doi":"10.4102/safp.v68i1.6250","DOIUrl":"10.4102/safp.v68i1.6250","url":null,"abstract":"<p><p></p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e2"},"PeriodicalIF":1.2,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343647","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":"Burnout in healthcare professionals.","authors":"Mmaphefo M Maluleka, Felicity N Bulo, Arun Nair, Klaus B Von Pressentin","doi":"10.4102/safp.v68i1.6235","DOIUrl":"10.4102/safp.v68i1.6235","url":null,"abstract":"<p><p>Burnout is a work-related syndrome recognised by the World Health Organization and included in the International Classification of Diseases 11th revision (ICD-11) as resulting from chronic workplace stress that has not been successfully managed. Characterised by emotional exhaustion, depersonalisation, and a reduced sense of professional accomplishment, it predominantly affects healthcare professionals exposed to sustained emotional and organisational demands at the workplace. Global evidence indicates that nearly half of practising clinicians experience burnout, with higher prevalence in emergency medicine, anaesthesiology, surgical subspecialities, radiology, internal medicine, family medicine and primary healthcare, as well as among registrars and students. Burnout is a syndrome that is closely associated with other mental health conditions, such as depression, anxiety, substance use, and increased suicide risk, while compromising patient safety through elevated rates of diagnostic and medication errors. Contributing factors include excessive workloads, administrative burden, limited autonomy, poor work-life balance, and misalignment of personal and institutional values. Effective management requires a dual focus: individual strategies such as mindfulness, exercise, and stress-management programmes, and organisational reforms including workload optimisation, streamlining electronic documentation, leadership development, and value alignment. When recognised early and addressed comprehensively, burnout is reversible with improved clinician well-being and enhanced patient outcomes. A coordinated response from healthcare institutions, professional councils, and policymakers is essential to safeguard the workforce and sustain high-quality health services. This article aims to provide readers with evidence-based strategies to help themselves or to support a colleague who may be experiencing burnout.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e5"},"PeriodicalIF":1.2,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345288","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":"Physiotherapy in the primary care oncology team.","authors":"Lomé Prinsloo","doi":"10.4102/safp.v68i1.6231","DOIUrl":"10.4102/safp.v68i1.6231","url":null,"abstract":"<p><p>As the incidence of cancer rises, medical advancements have made it possible to have increased survival rates among cancer patients. However, many experience persistent treatment-related side effects that negatively affect their quality of life. At the first international Oncology Physiotherapy Conference in 2018, it was agreed that undergraduate physiotherapy training provides a strong foundation for oncology rehabilitation. However, management of specific side effects such as cancer-related fatigue (CRF), chemotherapy-induced peripheral neuropathy (CIPN) and lymphoedema, necessitates additional oncology-specific knowledge and skills. Cancer-related fatigue is one of the most common and distressing symptoms during cancer treatment. Evidence supports the effectiveness of non-pharmacological interventions, such as exercise, to manage CRF, while pharmacological options remain limited. Referral to physiotherapy should thus be considered as a primary approach. Research also supports the use of physiotherapeutic interventions such as exercise and sensorimotor integration in the treatment of CIPN. Physiotherapists upskilled as lymphoedema therapists can deliver Complex Decongestive Therapy (CDT), the gold standard in treating lymphoedema. The Lymphoedema Association of South Africa (LAOSA) promotes standardised care through a 135-h certification process. Exercise for cancer patients should be promoted by all members of the multidisciplinary team, and referral to professionals such as physiotherapists should occur early in the treatment journey. This article aims to sensitise primary healthcare providers to the integral role physiotherapists play in the management of patients with cancer who experience CRF, CIPN and lymphoedema.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e4"},"PeriodicalIF":1.2,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343586","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":"Clinical leadership development: Current practices and future directions for Southern African primary healthcare.","authors":"Richard Cooke, Angela De Sá, Louis S P Jenkins, Ramprakash Kaswa, Klaus B Von Pressentin","doi":"10.4102/safp.v68i2.6294","DOIUrl":"10.4102/safp.v68i2.6294","url":null,"abstract":"<p><p>Family physicians are uniquely positioned to lead efforts to tackle Southern Africa's persistent primary healthcare challenges, yet such leadership is often perceived as a top-down process rather than a tangible presence. Drawing on insights from the 2025 South African Academy of Family Physicians (SAAFP) conference workshop, we synthesised leadership behaviours, innovative curricula, and workplace learning approaches, aligning with Entrustable Professional Activities and national unit standards. We outline a 5-year roadmap for clinical trainers, programme leaders, and the SAAFP, including: creating psychologically safe learning environments; embedding 360° feedback; normalising mindfulness and reflective practice; and leveraging mentorship for early-career family physicians.Contribution: This Open Forum contributes to the South African Family Practice journal's 45-year special collection by reflecting on significant milestones and proposing future directions for clinical leadership and governance. Practical strategies are offered to embed leadership presence, mentorship, and a culture of feedback into training programmes and health system strengthening activities.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 2","pages":"e1-e7"},"PeriodicalIF":1.2,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12969484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147344900","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 primary healthcare approach to children with fever.","authors":"Indiran Govender, Henry I Okonta","doi":"10.4102/safp.v68i1.6199","DOIUrl":"10.4102/safp.v68i1.6199","url":null,"abstract":"<p><p>A child with fever presenting with concerned caregivers is a common occurrence in primary healthcare in South Africa. Many fevers are self-limiting. However, serious and possibly fatal diseases must be excluded before discharging the child. This article is a guideline for primary care practitioners, which needs to be read in conjunction with the management guidelines for specific diseases.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 1","pages":"e1-e7"},"PeriodicalIF":1.2,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12969632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345281","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":"The objective structured clinical examination in family medicine training: A comprehensive review for the South African context.","authors":"Selvandran Rangiah","doi":"10.4102/safp.v68i2.6256","DOIUrl":"10.4102/safp.v68i2.6256","url":null,"abstract":"<p><p>The valid and reliable assessment of clinical competence is a cornerstone of medical education. The objective structured clinical examination (OSCE) has been the hallmark of performance-based assessments for decades. A narrative review of foundational and contemporary literature, encompassing educational theory, psychometric studies and policy documents, was conducted to explore the OSCE's historical, theoretical and practical dimensions, focusing on its application, challenges and evolution within South African family medicine training. The article synthesises the OSCE benefits, its role in the fellowship examination and discusses the evolution towards a programmatic assessment incorporating workplace-based assessment. The OSCE remains a vital tool in medical education, but its role is evolving. Its future relevance will depend on continuous refinement, technological integration and thoughtful positioning alongside other assessment modalities.Contribution: This article provides a consolidated, context-specific resource for family physicians, registrars and educators, critically appraising the OSCE's enduring value and future trajectory within the local training landscape.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"68 2","pages":"e1-e6"},"PeriodicalIF":1.2,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12969598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147344902","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}