South African Family Practice最新文献

{"title":"Factors associated with non-adherence to antiretroviral therapy among adolescents in Oshikoto Region, Namibia.","authors":"Daniel O Ashipala, Tukwatha A Shuukwanyama, Abraham V Nghikevali","doi":"10.4102/safp.v67i1.6020","DOIUrl":"10.4102/safp.v67i1.6020","url":null,"abstract":"<p><strong>Background: </strong>In Namibia, the Omuthiya Antiretroviral Therapy (ART) Clinic has indicated that nine older adolescents (15-19 years) out of 125 adolescents active on ART have defaulted and become lost to care. This represents an 89% retention rate among older adolescents compared to a 97% retention rate for the adult population in the same facility. There is a lack of information on the extent of ART adherence among older adolescents, particularly in terms of viral suppression rates. This study aims to measure the level of adherence to ART treatment among adolescents enrolled at the Omuthiya ART Clinic in the Oshikoto Region, Namibia.</p><p><strong>Methods: </strong>From November to December 2020, a cross-sectional study was conducted among 100 adolescents living with HIV (ALHIV) at the Omuthiya ART Clinic. Data were collected through structured questionnaires and analysed using descriptive statistics and logistic regression.</p><p><strong>Results: </strong>The study found that 24% of adolescent patients on ART treated at the Omuthiya ART Clinic are non-adherent to treatment. A significant association found was between education level and adherence (p = 0.008), alcohol use and adherence (p = 0.022) and memory aids use and adherence (p  0.001).</p><p><strong>Conclusion: </strong>Adolescents' adherence to ART at the Omuthiya ART Clinic is influenced by educational level, alcohol use, and memory aid use. Further research is needed to explore other potential factors influencing adherence.Contribution: These findings may be used to develop ongoing strategies and targeted interventions that prioritise a patient-centred care approach, recognising the autonomy of adolescents. In addition, they highlight the importance of a supportive family environment in managing HIV and improving ART adherence.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e9"},"PeriodicalIF":1.2,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543408","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":"Transition tips: How can we be better leaders as family physicians?","authors":"Chantelle C Van der Bijl, Arun Nair, Klaus B Von Pressentin","doi":"10.4102/safp.v67i1.6055","DOIUrl":"10.4102/safp.v67i1.6055","url":null,"abstract":"","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e2"},"PeriodicalIF":1.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543427","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":"Perspectives of speech-language therapists on patient safety incidents in South Africa.","authors":"Ntandoyenkosi L Msomi, Suvishka Barath, Andrew J Ross","doi":"10.4102/safp.v67i1.6071","DOIUrl":"10.4102/safp.v67i1.6071","url":null,"abstract":"<p><strong>Background: </strong>Patient safety incidents (PSIs) cause harm to patients, including falls, accidental ingestion and physical assault. Despite their importance in healthcare, limited information exists on how South African speech-language therapists (SLTs) perceive them in the public and private sectors. This study applied the Donabedian model of patient safety and healthcare quality to SLTs' perspectives on PSIs.</p><p><strong>Methods: </strong>Free attitude interviews with 10 South African SLTs explored the environment (where and who), processes (how and why) and outcomes (events and consequences) of PSIs. Interviews were transcribed and analysed thematically using a six-phase deductive and inductive approach within the Donabedian model.</p><p><strong>Results: </strong>The Donabedian model's three components (structure, process, outcome) led to six sub-themes, highlighting its applicability to SLTs' perspectives on PSIs. It revealed how factors such as clinical environment, care delivery and patient outcomes influence SLTs' perceptions.</p><p><strong>Conclusion: </strong>Understanding SLTs' perspectives is essential for addressing environmental issues, developing training, institutional inductions and audits that prevent and manage PSIs, and improving service quality.Contribution: This study emphasises engaging practitioners to understand factors affecting PSIs. It contributes to improving SLT training and practice in South Africa to enhance patient safety.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e6"},"PeriodicalIF":1.2,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543419","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":"Community service rehabilitation therapists' perspectives of cross-disciplinary supervision.","authors":"Zinzile N Sibiya, Andrew J Ross","doi":"10.4102/safp.v67i1.6077","DOIUrl":"10.4102/safp.v67i1.6077","url":null,"abstract":"<p><strong>Background: </strong>In South Africa, graduate rehabilitation therapists undertake a compulsory community service (CS) year in public healthcare facilities, often entering this role without sufficient competency to work independently. They rely on supervision and support, which may come from senior therapists of different disciplines. This study, conducted in KwaZulu-Natal (KZN) province, explores the experiences of rehabilitation therapists regarding cross-disciplinary supervision and support during their CS year.</p><p><strong>Methods: </strong>A qualitative, descriptive, and exploratory design was employed. Virtual semi-structured interviews were conducted with seven purposively sampled participants from five KZN districts. Data were audio recorded, transcribed verbatim, and analysed thematically.</p><p><strong>Results: </strong>The findings revealed four themes and ten sub-themes, highlighting the challenges and benefits of cross-disciplinary supervision, dissatisfaction with existing support structures, and recommendations for improvement. The CS therapists, as junior staff, often lacked the experience and authority to deliver optimal patient care within resource-constrained settings.</p><p><strong>Conclusion: </strong>While discipline-specific supervision remains the preferred approach, cross-disciplinary supervision contributed positively to professional development, broadening therapists' understanding of other rehabilitation disciplines. However, the limited availability of accessible, discipline-specific supervisors remains a significant concern. Given their frequent isolation and minimal experience, CS therapists require consistent, discipline-specific support to meet service demands.Contribution: This study emphasises need to address the experiences of CS therapists, who face high patient loads and limited support, in public health sector planning. Incorporating their insights can enhance their ability to deliver essential services, ensuring better outcomes for the populations served by the public health system.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e9"},"PeriodicalIF":1.2,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543309","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":"We are treated differently: Experiences of men who have sex with men in South African clinics.","authors":"Tshivhase T Ravele, Raikane J Seretlo, Mathildah M Mokgatle","doi":"10.4102/safp.v67i1.6050","DOIUrl":"10.4102/safp.v67i1.6050","url":null,"abstract":"<p><strong>Background: </strong>Men who have sex with men (MSM) are regarded as a key population that needs specialised healthcare services to address their healthcare needs. This is because of their sexual practices. Men who have sex with men encounter positive and negative experiences when accessing healthcare services in public health care facilities. This study explored and described the experiences of MSM about accessing healthcare services in public healthcare facilities. The study was conducted in Ekurhuleni district, situated in the East of Gauteng province, South Africa.</p><p><strong>Methods: </strong>A descriptive, explorative, qualitative approach was employed to investigate the experiences of MSM about accessing healthcare services. In-depth interviews were conducted with 17 MSM aged 18 years and above.</p><p><strong>Results: </strong>Overall, MSM had both negative and positive experiences when accessing healthcare services. However, mainly the negative in the public healthcare facilities, whereas positive were experienced in the private healthcare facilities.</p><p><strong>Conclusion: </strong>The negative experiences of MSM, the judgemental and discriminatory attitudes of healthcare workers towards them and the scarcity or unavailability of resources and healthcare services to address their specific healthcare needs in healthcare facilities have created interpersonal and structural barriers, which prevent MSM from accessing healthcare services.Contribution: These findings suggest the need for the training of healthcare workers to be truly caring, the allocation of resources and healthcare services to addressing MSM-specific healthcare needs in healthcare facilities and the creation of an accommodating environment for them.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e7"},"PeriodicalIF":1.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543430","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":"Gauteng mental healthcare providers' understanding of cultural and religious illnesses.","authors":"Ellen M Mathapo-Thobakgale, Fhumulani Mulaudzi, Roinah N Ngunyulu","doi":"10.4102/safp.v67i1.5779","DOIUrl":"10.4102/safp.v67i1.5779","url":null,"abstract":"<p><strong>Background: </strong>Cultural and religious illnesses such as spirit possessions are health conditions that are not easily understood by healthcare providers in mental healthcare service institutions. Mental health care providers' understanding is guided by the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) that seems to not recognise cultural and religious illnesses as a disorder that needs distinct care. The study explored mental healthcare providers' understanding of cultural and religious illnesses that could assist spirit-possessed persons to receive proper management and early referrals to traditional health practitioners and faith healers who are expects in cultural and religious illnesses.</p><p><strong>Methods: </strong>Hermeneutic phenomenology explored 12 mental healthcare providers' understanding of cultural and religious illnesses. In-depth individual interviews were conducted with 12 mental healthcare providers who were selected through a purposive sampling technique. Data were collected from two mental healthcare institutions in the Gauteng province of South Africa that provide mental healthcare services. Data analysis followed Heidegger's and Gadamer's philosophies and Van Manen's six steps.</p><p><strong>Results: </strong>The findings revealed that mental healthcare providers understood cultural and religious illnesses as mental illness that is unclassified, a calling for a person to become a traditional health practitioner, a demonic spirit and/or witchcraft. The term 'unclassified disorder' denotes that there are no specific criteria that could be used to classify an illness.</p><p><strong>Conclusion: </strong>Understanding of cultural and religious illnesses could assist mental healthcare providers that ill-nesses that do not respond to psychiatric treatment can be referred to traditional health practitioners with expert cultural and religious assessment.Contribution: The study could assist MHCPs to acknowledge and take culture and religion into account when providing care to person with cultural and religious illness. Considering the culture and religion of the spir-it-possessed person could be an attempt to move towards a holistic understanding of health needs that highlight the continuous connections between mind, body, and soul.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543414","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":"Healthcare professionals' knowledge and attitudes on termination of pregnancy in eThekwini.","authors":"Tashnee Singh, Kantharuben Naidoo","doi":"10.4102/safp.v67i1.6005","DOIUrl":"10.4102/safp.v67i1.6005","url":null,"abstract":"<p><strong>Background: </strong>While the Choice on Termination of Pregnancy (CTOP) Act No. 92 was legalised in 1996 permitting termination of pregnancy (TOP) to be accessed at various public health facilities in South Africa, unsafe abortions continue to take place outside of legally designated facilities. The aim of this study was to explore the knowledge, attitudes and practices of healthcare professionals regarding TOP services at public primary healthcare (PHC) centres in the central business district (CBD) of the eThekwini Municipality in KwaZulu-Natal Province, South Africa.</p><p><strong>Methods: </strong>This quantitative, descriptive analysis used a questionnaire to obtain data from the healthcare professionals on four areas: demographic details, knowledge of (8 questions), attitudes to (10 questions) and practices (10 questions) regarding TOP services.</p><p><strong>Results: </strong>Among the 91 participants (whose ages ranged from 32 to 48 years), 91.2% were female, 93.4% belonged to the Christian faith, 42.9% were professional nurses and 74.8% had more than 5 years' work experience. The mean of the overall knowledge, attitude and practice score was 51.7%, 67.4% and 62.8%, respectively, which indicated poor knowledge, moderate attitude and unacceptable practice.</p><p><strong>Conclusion: </strong>While some healthcare professionals' knowledge regarding TOP services was poor, their personal beliefs may have contributed to their attitudes and practices regarding whether to assist their patients to access such services, despite it being legal.Contribution: This study provides insight into the health worker barriers that impede TOP service provision and access in the CBD of eThekwini.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400166","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 1, 2025.","authors":"Tasleem Ras","doi":"10.4102/safp.v67i1.6099","DOIUrl":"10.4102/safp.v67i1.6099","url":null,"abstract":"","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"6099"},"PeriodicalIF":1.4,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765214","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 1, 2025.","authors":"Tasleem Ras","doi":"10.4102/safp.v67i1.6099","DOIUrl":"10.4102/safp.v67i1.6099","url":null,"abstract":"<p><p>No abstract available.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"6099"},"PeriodicalIF":1.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400152","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 critical role of primary care clinicians in the early detection of ocular surface squamous neoplasia.","authors":"Leendert Dekker, Jan F Olivier, Klaus Von Pressentin","doi":"10.4102/safp.v67i1.6065","DOIUrl":"10.4102/safp.v67i1.6065","url":null,"abstract":"<p><p>Ocular surface squamous neoplasia (OSSN) encompasses a spectrum of conjunctival tumours and, while rare globally, is the most common ocular malignancy in sub-Saharan Africa. Its rising incidence, primarily driven by the human immunodeficiency virus (HIV) epidemic, presents significant challenges in clinical diagnosis, as these lesions often share characteristics with other conjunctival lesions. In South Africa, where risk factors such as HIV, human papillomavirus infection and excessive sun exposure are prevalent, primary care clinicians play a crucial role in identifying and referring cases for early intervention. Ocular surface squamous neoplasia is often the first indication of HIV in patients who are otherwise unaware of their status when they present to healthcare workers, making it essential for healthcare workers to screen for HIV and initiate antiretroviral therapy. Early recognition of at-risk patients and prompt referral of suspicious lesions are imperative to improve patient outcomes and prevent vision loss.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e5"},"PeriodicalIF":1.2,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400163","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}