South African Family Practice最新文献_第5页

Determinants of antiretroviral therapy adherence among transgender women in South Africa. 南非变性妇女坚持抗逆转录病毒疗法的决定因素。

IF 1.2

South African Family Practice Pub Date : 2024-04-29 DOI: 10.4102/safp.v66i1.5869

Leonashia Leigh-Ann Van der Merwe, Idah Moyo, Azwihangwisi H Mavhandu-Mudzusi

{"title":"Determinants of antiretroviral therapy adherence among transgender women in South Africa.","authors":"Leonashia Leigh-Ann Van der Merwe, Idah Moyo, Azwihangwisi H Mavhandu-Mudzusi","doi":"10.4102/safp.v66i1.5869","DOIUrl":"10.4102/safp.v66i1.5869","url":null,"abstract":"Background: Transgender women bear a huge burden of human immunodeficiency virus (HIV) in South Africa. However, they are not fully engaged in healthcare across the HIV continuum of care. In addition, transgender women face multiple facets of stigma and discrimination as well as socio-economic inequalities, which all have a negative impact on antiretroviral therapy (ART) adherence.Objective: The study aimed at exploring and describing the experiences of ART adherence of transgender women living with HIV in the Buffalo City Metro Municipality.Methods: The study employed an interpretative phenomenological analysis (IPA) design. Twelve participants were enrolled using a snowballing sampling technique. Data were collected using semi-structured interviews and analysed using an IPA framework.Results: While exploring determinants to ART adherence among transgender women living with HIV in Buffalo City Metro, two superordinate themes emerged: enablers to ART adherence and psychosocial factors promoting adherence. The study found that factors such as differentiated ART service delivery, ARV medicines-related factors, motivators for taking treatment and support systems facilitated ART adherence.Conclusion: Emerging from this study is the need to scale up differentiated, person-centred ART service deliveries that will enhance access and adherence to treatment for transgender women.Contribution: This study provides unique insights on factors enhancing ART adherence among transgender women. There is a paucity of literature on access to HIV care services for key and vulnerable populations, and these findings will be shared in the country and in the region.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855184","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}

引用次数: 0

Evidence of learning in workplace-based assessments in a Family Medicine Training Programme. 全科医学培训计划中基于工作场所评估的学习证据。

IF 1.2

South African Family Practice Pub Date : 2024-04-26 DOI: 10.4102/safp.v66i1.5850

Neetha J Erumeda, Ann Z George, Louis S Jenkins

{"title":"Evidence of learning in workplace-based assessments in a Family Medicine Training Programme.","authors":"Neetha J Erumeda, Ann Z George, Louis S Jenkins","doi":"10.4102/safp.v66i1.5850","DOIUrl":"10.4102/safp.v66i1.5850","url":null,"abstract":"Background: Learning portfolios (LPs) provide evidence of workplace-based assessments (WPBAs) in clinical settings. The educational impact of LPs has been explored in high-income countries, but the use of portfolios and the types of assessments used for and of learning have not been adequately researched in sub-Saharan Africa. This study investigated the evidence of learning in registrars' LPs and the influence of the training district and year of training on assessments.Methods: A cross-sectional study evaluated 18 Family Medicine registrars' portfolios from study years 1-3 across five decentralised training sites affiliated with the University of the Witwatersrand. Descriptive statistics were calculated for the portfolio and quarterly assessment (QA) scores and self-reported clinical skills competence levels. The competence levels obtained from the portfolios and university records served as proxy measures for registrars' knowledge and skills.Results: The total LP median scores ranged from 59.9 to 81.0, and QAs median scores from 61.4 to 67.3 across training years. The total LP median scores ranged from 62.1 to 83.5 and 62.0 to 67.5, respectively in QAs across training districts. Registrars' competence levels across skill sets did not meet the required standards. Higher skills competence levels were reported in the women's health, child health, emergency care, clinical administration and teaching and learning domains.Conclusion: The training district and training year influence workplace-based assessment (WPBA) effectiveness. Ongoing faculty development and registrar support are essential for WPBA.Contribution: This study contributes to the ongoing discussion of how to utilise WPBA in resource-constrained sub-Saharan settings.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e15"},"PeriodicalIF":1.2,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865847","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}

引用次数: 0

Interventions for Type 2 Diabetes reduction among older people living with HIV in Harare. 为减少哈拉雷地区感染艾滋病毒的老年人患上 2 型糖尿病而采取的干预措施。

IF 1.2

South African Family Practice Pub Date : 2024-03-26 DOI: 10.4102/safp.v66i1.5827

Nongiwe L Mhlanga, Thinavhuyo R Netangaheni

{"title":"Interventions for Type 2 Diabetes reduction among older people living with HIV in Harare.","authors":"Nongiwe L Mhlanga, Thinavhuyo R Netangaheni","doi":"10.4102/safp.v66i1.5827","DOIUrl":"10.4102/safp.v66i1.5827","url":null,"abstract":"Background: Interventions for Type 2 Diabetes reduction among older people aged more than 50 years living with HIV (PLWH) are pertinent as they face excess risks amid a growing population of ageing PLWH.Aim: To describe interventions for Type 2 Diabetes reduction among older people living with HIV in Harare Urban DistrictSetting: The study was conducted in a low socio-economic setting from five primary health care clinics in Harare urban District.Methods: A qualitative multi-method approach was applied using an exploratory descriptive design and an integrative review literature. The exploratory descriptive study collected data from two purposively selected samples; (1) older PLWH and (2) nurses. Whittemore and Knafl's framework was used for the integrative literature review with articles from 2013 to 2023 selected. Data source triangulation was applied using Braun and Clark's content analysis framework. Ethical approval was obtained (14056739_CREC_CHS_2022).Results: 23 older PLWH with mean age, 62 years, 9 nurses with an average of 6 years' experience and 12 articles comprised the three data sources. Key themes that emerged were that, screening should include; assessment from a younger age; assessment of HIV and ART-specific risks; diagnostic testing of Type 2 diabetes tests at ART initiation and routinely. Health education should provide information on adequate physical activity parameters and increased consumption of fruits and vegetables. Metformin may be considered as a pharmacological intervention where lifestyle interventions fail.Conclusion: The proposed interventions suggest measures to reduce Type 2 Diabetes and mitigate excess risks faced by older PLWH.Contribution: Improved screening, health education and pharmacological interventions for older PLWH in primary health care settings enable Type 2 Diabetes reduction.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e12"},"PeriodicalIF":1.2,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11019056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860094","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}

引用次数: 0

The views of family physicians on National Health Insurance in Gauteng Province, South Africa. 南非豪登省家庭医生对国民健康保险的看法。

IF 1.2

South African Family Practice Pub Date : 2024-03-25 DOI: 10.4102/safp.v66i1.5831

Shane D Murphy, Klaus Von Pressentin, Shabir A Moosa

{"title":"The views of family physicians on National Health Insurance in Gauteng Province, South Africa.","authors":"Shane D Murphy, Klaus Von Pressentin, Shabir A Moosa","doi":"10.4102/safp.v66i1.5831","DOIUrl":"10.4102/safp.v66i1.5831","url":null,"abstract":"Background: Universal health coverage (UHC) improves national health outcomes while addressing social inequalities in access to quality healthcare services. The district health system (DHS) is critical to the success of UHC in South Africa through the National Health Insurance (NHI) scheme. Family physicians (FPs), as champions of primary care, are central to the DHS operation and implementation of NHI.Methods: This was a qualitative exploratory study that used semi-structured interviews to explore FPs views and engagement on NHI policy and implementation in their districts. Ten FPs were included through purposive sampling.Results: Most of the FPs interviewed were not engaged in either policy formulation or strategic planning. The NHI bill was seen as a theoretical ideology that lacked any clear plan. Family physicians expressed several concerns around corruption in governmental structures that could play out in NHI implementation. Family physicians felt unsupported within their district structures and disempowered to engage in rollout strategies. The FPs were able to provide useful solutions to health system challenges because of the design of their training programmes, as well as their experience at the primary care level.Conclusion: Healthcare governance in South Africa remains located in national and provincial structures. Devolution of governance to the DHS is required if NHI implementation is to succeed. The FPs need to be engaged in NHI strategies, to translate plans into actionable objectives at the primary care level.Contribution: This study highlights the need to involve FPs as key actors in implementing NHI strategies at a decentralised DHS governance level.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e10"},"PeriodicalIF":1.2,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11019033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869896","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}

引用次数: 0

Crafting a compelling curriculum vitae: Navigating the path to professional success. 撰写令人信服的简历：引领职业成功之路。

IF 1.2

South African Family Practice Pub Date : 2024-03-25 DOI: 10.4102/safp.v66i1.5920

Chantelle C Van der Bijl, Arun Nair, Klaus B Von Pressentin

引用次数: 0

Emergency care visits at a South African hospital: Implications for healthcare services and policy. 南非一家医院的急诊就诊情况：对医疗服务和政策的影响。

IF 1.2

South African Family Practice Pub Date : 2024-03-18 DOI: 10.4102/safp.v66i1.5816

Jacob A Adewole, John M Tumbo, Henry I Okonta

{"title":"Emergency care visits at a South African hospital: Implications for healthcare services and policy.","authors":"Jacob A Adewole, John M Tumbo, Henry I Okonta","doi":"10.4102/safp.v66i1.5816","DOIUrl":"10.4102/safp.v66i1.5816","url":null,"abstract":"Background: A robust knowledge on the pattern of use of emergency care resources not only serves as an indicator of universal access to care but also provides a basis for quality improvement within the health system. This study was undertaken to describe the pattern of emergency room visits at Brits District Hospital (BDH) in North West province, South Africa. The objectives of this study were to determine the sociodemographic characteristics of emergency department (ED) users and other patterns of ED use.Methods: This was a cross-sectional descriptive study that was conducted at a district hospital. All patients who reported for emergency care in the ED in 2016 were eligible for the study. Data were extracted and analysed from a systematic sample of 355 clinical notes and hospital administrative records.Results: The age group that visited the ED most frequently (25.3%) was 25-34 years old. A high proportion of the ED users (60%) were self-referred, and only 38% were transported by the emergency medical response services (EMRS). Few (5.6%) presentations were of a non-urgent nature. Trauma-related conditions accounted for the most frequent presentation at the ED (36.5%).Conclusion: Although most ED users were self-referred, their clinical presentations were appropriate and underscore the need for policy strategies to reduce the burden of trauma in the catchment populationContribution: The study findings may have an impact on future health policies by providing decision-makers with baseline information on the pattern of use of ED resources, ensuring better resource deployment and greater access to care.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e6"},"PeriodicalIF":1.2,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11019032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866591","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}

引用次数: 0

Corrigendum: Diabetes Knowledge, Attitudes, and Practices in adults with type 2 diabetes at primary health care clinics in Kimberley South Africa. 更正：南非金伯利初级保健诊所 2 型糖尿病成人患者的糖尿病知识、态度和做法。

IF 1.2

South African Family Practice Pub Date : 2024-03-13 DOI: 10.4102/safp.v66i1.5922

Moses Alenbalu, Chika K Egenasi, Wilhelm J Steinberg, Omololu Aluko

引用次数: 0

Knowledge, attitudes and perceptions of nursing students regarding vaccines. 护理专业学生对疫苗的认识、态度和看法。

IF 1.2

South African Family Practice Pub Date : 2024-01-31 DOI: 10.4102/safp.v66i1.5825

Mohamed H Suleman, Saien Govender, Euphemia M Mhlongo, Keshena Naidoo

{"title":"Knowledge, attitudes and perceptions of nursing students regarding vaccines.","authors":"Mohamed H Suleman, Saien Govender, Euphemia M Mhlongo, Keshena Naidoo","doi":"10.4102/safp.v66i1.5825","DOIUrl":"10.4102/safp.v66i1.5825","url":null,"abstract":"Background: Final-year nursing students are actively involved in the delivery of public immunisation programmes as part of workplace-based learning, and require adequate knowledge, clinical skills, and attitudes regarding vaccines. This study investigated the knowledge, attitudes and perceptions regarding vaccines of final year nursing students at a South African University.Methods: This cross-sectional study, through the use of an online survey questionnaire, assessed the knowledge, attitudes and perceptions regarding vaccines and the Expanded Programme of Immunization of final-year nursing students registered at a South African University during the 2021-2022 academic year.Results: There were 68 participants enrolled in the study (85% response rate). Participants displayed good knowledge regarding vaccines (average score of 52.54/70 ± 5.01 standard deviation [s.d.]), and overall positive perceptions of their training on vaccines and its safety. Knowledge gaps were identified in the mechanisms through which vaccines confer immunity in the human body and the cold chain requirements for the storage of vaccines. Of concern was the prevalent misconception among 78% of participants that vaccines are not effective.Conclusion: The findings of this study indicate that final year nursing students at the University of KwaZulu-Natal, South Africa have good knowledge regarding vaccines. However, an improved understanding of the mechanism of vaccines will aid nursing students to confront and address misperceptions by clients thereby reducing improving vaccine uptake. Curriculum planners should also consider the inclusion of communication strategies to address vaccine hesitancy.Contribution: The study contributes to data on nurse education regarding vaccines in the African context, and identifies areas to improve vaccine uptake.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e7"},"PeriodicalIF":1.2,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10839202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139651763","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}

引用次数: 0

Mastering job interview skills for family physicians: Navigating the path to professional success. 掌握家庭医生的求职面试技巧：导航职业成功之路。

IF 1.2

South African Family Practice Pub Date : 2024-01-31 DOI: 10.4102/safp.v66i1.5852

Chantelle C Van der Bijl, Arun Nair, Klaus B Von Pressentin

引用次数: 0

Ramadhan fasting for people living with chronic illness: A narrative literature review. 慢性病患者的斋月斋戒：叙述性文献综述。

IF 1.2

South African Family Practice Pub Date : 2024-01-31 DOI: 10.4102/safp.v66i1.5805

Tasleem Ras, Rashiqua Holdman, Dianne Matthews

{"title":"Ramadhan fasting for people living with chronic illness: A narrative literature review.","authors":"Tasleem Ras, Rashiqua Holdman, Dianne Matthews","doi":"10.4102/safp.v66i1.5805","DOIUrl":"10.4102/safp.v66i1.5805","url":null,"abstract":"Muslims constitute approximately 20% of the world's population. In South Africa, Muslims constitute just under 2% of the total population. Fasting is one of the mandatory activities of adherents of the Islamic faith, where all healthy adult Muslims abstain from food, drink, and sexual activities between dawn and dusk during the month of Ramadhan. Medical doctors are frequently required to provide advice to their Muslim patients about the safety or other health impacts of this type of fasting. This narrative review provides an overview of research conducted on Muslim populations during the fasting period, with special reference to non-communicable diseases (NCDs) that are prevalent in the Muslim community. In the absence of evidence-based clinical guidelines, this article summarises the latest published research on this topic, providing a resource for clinicians and researchers. This paper provides an evidence summary to clinicians when engaging with their patients who may be engaging in Ramadhan fasting, while also identifying gaps in the body of evidence that could inform future research.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e6"},"PeriodicalIF":1.2,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10839217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139651766","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}

引用次数: 0