South African Family Practice最新文献

{"title":"Celebrating our journal's commitment to strengthening primary health care research.","authors":"Klaus B Von Pressentin, Arun Nair, Ramprakash Kaswa, Mareike Rabe, Mmaphefo Maluleka, Simon Marcus, Indiran Govender","doi":"10.4102/safp.v67i1.6139","DOIUrl":"10.4102/safp.v67i1.6139","url":null,"abstract":"","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e2"},"PeriodicalIF":1.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014443","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 4, 2025.","authors":"Mergan Naidoo, Klaus Von Pressentin, John M Musonda, Selvandran Rangiah, Michele Torlutter, Joyce S Musonda","doi":"10.4102/safp.v67i1.6144","DOIUrl":"https://doi.org/10.4102/safp.v67i1.6144","url":null,"abstract":"<p><p>The 'Mastering your Fellowship' series provides examples of the question format encountered in the written and clinical examinations for the Fellowship of the College of Family Physicians of South Africa (FCFP [SA]) examination. The series aims to help family medicine registrars prepare for this examination.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e9"},"PeriodicalIF":1.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027240","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":"Stepping up in clinical governance: The leadership challenge for new family physicians.","authors":"Klaus B Von Pressentin, Arun Nair, Chantelle Van der Bijl","doi":"10.4102/safp.v67i1.6143","DOIUrl":"10.4102/safp.v67i1.6143","url":null,"abstract":"","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e2"},"PeriodicalIF":1.4,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038515","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 comparative analysis of voluntary medical male circumcision before and during the COVID-19 pandemic in Gauteng province, South Africa.","authors":"Cyril B Fonka","doi":"10.4102/safp.v67i1.6062","DOIUrl":"10.4102/safp.v67i1.6062","url":null,"abstract":"<p><strong>Background: </strong> Voluntary medical male circumcision (VMMC) is a significant biomedical and cost-effective intervention in preventing human immunodeficiency virus (HIV) transmission. This study aimed to compare VMMC before and during coronavirus disease 2019 (COVID-19) in Gauteng, one of the most affected provinces in South Africa by HIV and/or acquired immunity deficiency syndrome (AIDS) and COVID-19, to inform VMMC delivery and uptake during future pandemics.</p><p><strong>Method: </strong> A comparative analysis. Routine VMMC data were obtained from all public and private hospitals in Gauteng province from the District Health Information System and medical schemes. The datasets were merged with the years 2019 and 2020 as before and during COVID-19 periods, respectively. Percentage change in VMMC was calculated to determine changes in VMMC before and during the COVID-19 pandemic.</p><p><strong>Results: </strong> Provincially, VMMC declined in 2020 by an overall 33.8% for ≥ 10 years, 32.4% for 10-14 years and 35.8% for ≥ 15 years. All five districts in Gauteng province were affected differently. Exceptionally, the Tshwane Metropolitan district recorded an increase of 21.8% in ≥ 10 years and 36.0% in 10-14 years, despite a decline of -18.2% in ≥ 15 years in VMMC. While the other four districts saw a significant percentage decline in the three age groups of VMMC, the highest disruption was experienced in the West Rand district, in all three age groups.</p><p><strong>Conclusion: </strong> In 2020 during the COVID-19 pandemic, VMMC substantially declined in Gauteng province. However, Tshwane, one of the five districts in Gauteng experienced an increase in VMMC, highlighting a health system resilient lesson to be learned. The fight against HIV is crucial and warrants the continuum of VMMC during future crises.Contribution: The evidence may inform policies on VMMC delivery post-COVID-19 and particularly during future outbreaks as a strive to curb HIV transmission in South Africa.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765196","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":"Men undergoing medical circumcision at a community health centre: Knowledge and attitudes.","authors":"Charles K Baloyi, John V Ndimande, Cila D Kabongo, Jean Louis M Yoko, Beya Mpinda","doi":"10.4102/safp.v67i1.6010","DOIUrl":"10.4102/safp.v67i1.6010","url":null,"abstract":"<p><strong>Background: </strong> Human immunodeficiency viruses (HIV) and/or acquired immunodeficiency syndrome remains a significant global health issue, affecting millions of individuals worldwide. Medical male circumcision (MMC) demonstrated effectiveness in decreasing the spread of HIV, more specifically through heterosexual contact with HIV-positive partners. Studies have shown a correlation between male circumcision and lower HIV prevalence, especially in regions where circumcision is a cultural practice. The purpose of the study was to determine the knowledge and attitudes of men utilising the MMC services regarding circumcision.</p><p><strong>Methods: </strong> A cross-sectional study was conducted at a community health centre involving 164 male participants aged 18 years and above using a self-administered questionnaire. Descriptive and inferential statistics were used to determine means, frequencies and associations between knowledge and attitudes of men regarding male medical circumcision.</p><p><strong>Results: </strong> The median age of men seeking MMC services was 30 years, with hygiene cited as the primary reason by 88.4% of them. In addition, a majority (92%) were mindful of the advantages of circumcision in terms of lowering the risk of sexually transmitted infections and penile cancer (90%).</p><p><strong>Conclusion: </strong> Hygiene emerged as the primary reason for seeking MMC, contrasting with other studies where cultural and religious factors were more common. Despite significant knowledge levels regarding MMC's health benefits, the overall attitudes towards the procedure were predominantly negative.Contribution: The study highlights a unique factor influencing the decision to undergo MMC in a community health setting and awareness of its health benefits.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e7"},"PeriodicalIF":1.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765217","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":"Examining the social determinants of HIV/AIDS in Madidi village in Bojanala District, North West province.","authors":"Lebogang E Lekgema, Phillip Nhlanhla","doi":"10.4102/safp.v67i1.6041","DOIUrl":"10.4102/safp.v67i1.6041","url":null,"abstract":"<p><strong>Background: </strong> South Africa is experiencing a devastating human immunodeficiency virus (HIV) epidemic, with approximately 7.8 million people living with HIV. International health programs such as the World Health Organization (WHO) and the Centres for Disease Control (CDC) have been assisting citizens in combating the epidemic, but social factors continue to contribute to its spread. The study sought to examine social factors that contribute to the transmission of HIV in Madidi Village, as little is known about this population.</p><p><strong>Methods: </strong> The study employed a qualitative design and non-probability sampling. Face-to-face, semi-structured, in-depth interviews using a schedule guide were used to obtain data. To capture all of the interviews, a tape recorder was utilised with the permission of the 12 participants with ages ranging from 18 to 49 years.</p><p><strong>Results: </strong> The study revealed that the majority of participants were aware of HIV transmission and understood that it cannot be cured. However, misconceptions about HIV transmission still exist; for example, one of the participants stated that HIV can be transmitted through Colgate, which has not been scientifically proven to be a transmitter of HIV.</p><p><strong>Conclusion: </strong> This study shows that people need to be educated more about HIV/AIDS and that the Department of Health officials should play a role in supporting rural areas like Madidi Village to curb the spread of HIV.Contribution: As women and young girls are the most vulnerable members of the society, they must be enabled to take control of their lives.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e10"},"PeriodicalIF":1.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765212","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":"Erratum: Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working Group.","authors":"Guy A Richards, Marinda McDonald, Claudia L Gray, Pieter De Waal, Ray Friedman, Maurice Hockman, Sarah J Karabus, Cornelia M Lodder, Tshegofatso Mabelane, Sylvia M Mosito, Ashen Nanan, Jonny G Peter, Traugott H C Quitter, Riaz Seedat, Andre Van Niekerk, Sylvia Van den Berg, Eftyhia Vardas, Charles Feldman","doi":"10.4102/safp.v67i1.6150","DOIUrl":"10.4102/safp.v67i1.6150","url":null,"abstract":"","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"6150"},"PeriodicalIF":1.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765209","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 'COMMON SENSE' approach to geriatric patients in clinical practice.","authors":"Lara S Greenstein","doi":"10.4102/safp.v67i1.6027","DOIUrl":"10.4102/safp.v67i1.6027","url":null,"abstract":"<p><p>South Africa has a critical shortage of geriatricians and a growing ageing population. Most geriatric patients are cared for by their primary care practitioner who may not have been trained in the care of the older adult. The comprehensive geriatric assessment (CGA) is the cornerstone of the geriatric consultation but can be time-consuming. By using a common sense approach to the geriatric patient, none of the important components of the CGA will be missed. The mnemonic 'COMMON SENSE' can be used as a tool to assist in identifying the common conditions that older adults experience, as well as highlight specific considerations that become increasingly important in this population. Many simple and time-effective screening tools are available to assist in diagnosing the geriatric syndromes which can be easily implemented in a busy primary care practice.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e5"},"PeriodicalIF":1.2,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765094","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 2, 2025.","authors":"Mergan Naidoo, Klaus Von Pressentin, John M Musonda, Selvandran Rangiah, Chantelle Van der Bijl","doi":"10.4102/safp.v67i1.6069","DOIUrl":"10.4102/safp.v67i1.6069","url":null,"abstract":"<p><p>The 'Mastering your Fellowship' series provides examples of the question format encountered in the written and clinical examinations for the Fellowship of the College of Family Physicians of South Africa (FCFP [SA]) examination. The series is aimed at helping family medicine registrars prepare for this examination.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543416","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 care clinicians' role in advocating for equitable healthcare access.","authors":"Klaus B Von Pressentin, Ramprakash Kaswa, Shane Murphy, Arun Nair, Indiran Govender","doi":"10.4102/safp.v67i1.6063","DOIUrl":"10.4102/safp.v67i1.6063","url":null,"abstract":"","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e3"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543424","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}