South African Family Practice最新文献_第6页

Lived experiences of women with spontaneous abortion at a district hospital, South Africa. 南非一家地区医院自然流产妇女的生活经历。

IF 1

South African Family Practice Pub Date : 2024-04-30 DOI: 10.4102/safp.v66i1.5917

Marshall Lockett, Robert J Mash

{"title":"Lived experiences of women with spontaneous abortion at a district hospital, South Africa.","authors":"Marshall Lockett, Robert J Mash","doi":"10.4102/safp.v66i1.5917","DOIUrl":"10.4102/safp.v66i1.5917","url":null,"abstract":"Background: Spontaneous abortions occur in 12.5% of pregnancies and have a significant impact on the well-being of women. Dissatisfaction with health services is well-documented, but no studies have been conducted in district health services of the Western Cape. The aim was to explore the lived experiences of women presenting with spontaneous abortions to the emergency department at Helderberg Hospital.Methods: A descriptive phenomenological qualitative study used criterion-based purposive sampling to identify suitable participants. Data were collected through semi-structured individual interviews. Atlas-ti (version 22) software assisted with data analysis using the framework method.Results: A total of nine participants were interviewed. There were four main themes: a supportive environment, staff attitudes and behaviour, the impact of time, and sharing of information. The comfort, cleanliness and privacy of the environment were important. COVID-19 had also impacted on this. Showing interest, demonstrating empathy and being nonjudgemental were important, as well as the waiting time for definitive treatment and the time needed to assimilate and accept the diagnosis. In addition, the ability to give relevant information, explain the diagnosis and help patients share in decision-making were key issues.Conclusion: This study highlighted the need for a more person-centred approach and managers should focus on changes to organisational culture through training and clinical governance activities. Attention should be paid to the physical environment, availability of patient information materials and sequential coordination of care with primary care services.Contribution: This study identifies issues that can improve person-centredness and women's satisfaction with care for spontaneous abortion.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851316","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

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

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":null,"pages":null},"PeriodicalIF":1.0,"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

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":null,"pages":null},"PeriodicalIF":1.0,"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

Sociodemographics, behaviour and knowledge of first South African HPV-vaccine recipients 南非首批接种人乳头瘤病毒疫苗者的社会人口、行为和知识情况

IF 1

South African Family Practice Pub Date : 2024-04-24 DOI: 10.4102/safp.v66i1.5913

Robyn A. Adams, C. Visser, Greta Dreyer, Leon Snyman, F. H. Van der Merwe, M. Botha

{"title":"Sociodemographics, behaviour and knowledge of first South African HPV-vaccine recipients","authors":"Robyn A. Adams, C. Visser, Greta Dreyer, Leon Snyman, F. H. Van der Merwe, M. Botha","doi":"10.4102/safp.v66i1.5913","DOIUrl":"https://doi.org/10.4102/safp.v66i1.5913","url":null,"abstract":"Background: Infection with the human papillomavirus (HPV) is a necessary cause of cervical cancer and is one of the most prevalent sexually transmitted infections worldwide. Primary prevention strategies target reducing HPV acquisition through vaccination, limiting exposure (e.g. delayed sexual debut, barrier contraception) and health education focusing on sexual behaviour and tobacco use.Methods: The ImmunoVACCS study, conducted from 2019 to 2022 in two provinces in South Africa, examined sociodemographic characteristics, sexual practices, and knowledge of cervical cancer and the HPV vaccine among young female vaccine recipients. It encompassed participants from the previously conducted vaccine implementation trials, VACCS 1 and VACCS 2 (2011–2014). Recruitment involved telephonic contact with eligible potential participants. Data were collected through self-administered questionnaires.Results: One hundred and eleven participants took part in the current study (median age: 20 years; age range: 16–22 years). Most sexually active participants had their first engagement in secondary school (96.2%), and 77.2% used contraception during their last sexual activity. Knowledge gaps were evident, with only 13.5% recognising cervical cancer’s cervix origin and 3.6% attributing it to a virus. Despite this, 70.3% had heard of a vaccine for cervical cancer. Less than half knew about the importance of regular Pap smears (49.5%), vaccine protection (44.1%) or condom use (20.7%) against HPV and cervical cancer.Conclusion: The current study demonstrates that young women still lack complete information on cervical cancer and its risk factors even after receiving health education linked with vaccination.Contribution: This study underscores the necessity of ongoing education about HPV, its risks and preventive measures among young women to combat cervical cancer.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140664117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How to approach patients and families at the end of life 如何在生命末期接触病人和家属

IF 1

South African Family Practice Pub Date : 2024-04-24 DOI: 10.4102/safp.v66i1.5916

Magdaleen De Swardt, Rene Krause, Louis S. Jenkins

引用次数: 0

Specialties preference by gender among medical students at Sefako Makgatho Health Sciences University, South Africa 南非 Sefako Makgatho 健康科学大学医学生的性别专业偏好

IF 1

South African Family Practice Pub Date : 2024-04-23 DOI: 10.4102/safp.v66i1.5858

Andiswa Pooe, Samuel T. Ntuli, Sizwe Masango, Aqila Rab, Thiambi Mudau, Pollet Moloko, Sifundo Mtshali

{"title":"Specialties preference by gender among medical students at Sefako Makgatho Health Sciences University, South Africa","authors":"Andiswa Pooe, Samuel T. Ntuli, Sizwe Masango, Aqila Rab, Thiambi Mudau, Pollet Moloko, Sifundo Mtshali","doi":"10.4102/safp.v66i1.5858","DOIUrl":"https://doi.org/10.4102/safp.v66i1.5858","url":null,"abstract":"Background: To determine the speciality preferences and the gender differences in the choice of speciality among medical students at Sefako Makgatho Health Sciences University, South Africa.Methods: This cross-sectional study was conducted among fourth- to sixth-year medical students. A structured self-administered questionnaire was used to collect the data. Data analysis was performed using STATA version 16 (StataCorp, College Station, TX, United States).Results: A total of 174 students participated (response rate of 74%). Their median age was 23 years with interquartile range of 2 years. More than half (57%) were females. About 83% had no previous qualifications. Most (89%) have shown interest in pursuing specialist training. Surgery, obstetrics and gynaecology and internal medicine were the most selected specialities, while family medicine, ophthalmology, forensic medicine, public health medicine, ear, nose and throat, and accident and emergency medicine were the least preferred. Males were more likely interested in surgery and internal medicine, while females preferred obstetrics and gynaecology.Conclusion: The majority of the medical students intends to pursue their postgraduate medical training. Even though the results were not statistically significant, there are gender differences in speciality preferences. There is a need to develop and implement career guidance and recruitment plans to deal with specialities with poor recruitment and gender imbalance.Contribution: To deal with specialties with poor and gender imbalance, career guidance and recruitment plans must be developed and implemented.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140669556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The exceptional potential in extending primary care exposure for South African medical interns 为南非医学实习生提供基层医疗服务的巨大潜力

IF 1

South African Family Practice Pub Date : 2024-04-23 DOI: 10.4102/safp.v66i1.5911

K. V. von Pressentin, A. Nair, Shane D. Murphy, Ramprakash Kaswa, Indiran Govender

引用次数: 0

Palliative care in the emergency department: An observational study of doctors in KwaZulu-Natal 急诊科的姑息关怀：对夸祖鲁-纳塔尔省医生的观察研究

IF 1

South African Family Practice Pub Date : 2024-04-19 DOI: 10.4102/safp.v66i1.5860

Nagaleswari Sriranganathan, David Morris, Laura Campbell, Richard Hift

{"title":"Palliative care in the emergency department: An observational study of doctors in KwaZulu-Natal","authors":"Nagaleswari Sriranganathan, David Morris, Laura Campbell, Richard Hift","doi":"10.4102/safp.v66i1.5860","DOIUrl":"https://doi.org/10.4102/safp.v66i1.5860","url":null,"abstract":"Background: The World Health Organization advocates the early, appropriate provision of palliative care (PC) to patients throughout the life course. Patient consultations to the emergency department (ED) have been recognised as opportunities to initiate or optimise their PC needs. This study aimed to assess the knowledge of and attitudes towards PC among doctors at emergency physician staffed EDs in KwaZulu-Natal, South Africa.Methods: A cross-sectional survey was conducted between November 2021 and February 2022 for doctors employed out at emergency physician staffed EDs in KwaZulu-Natal, South Africa, using the validated Palliative Care Attitude and Knowledge questionnaire. The variables assessed were the self-rated and basic knowledge and attitudes towards core domains of PC. Ordinal data were compared using the t-test or ANOVA as appropriate, using MedCalc® Statistical Software version 22.009.Results: Of the 39 participants, the scores for the knowledge questions showed that 15.3% participants had good knowledge, 53.8% had fair knowledge and 30.7% had poor knowledge. Participants had either favourable (58.8%) or an uncertain (41.0%) attitude towards PC. No correlation was seen between the knowledge and attitudes scores (Spearman’s rho = 0.13, 95% CI –0.19 to 0.43, p = 0.43).Conclusion: There appears to be a deficit in knowledge of PC among doctors in the ED and a need for in-service training in PC for emergency care physicians.Contribution: This study provides new knowledge around PC practices at EDs in KwaZulu-Natal, South Africa.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140684404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Community-oriented primary care footprinting: An undergraduate programme experience 以社区为导向的初级保健足迹：本科生课程经验

IF 1

South African Family Practice Pub Date : 2024-04-18 DOI: 10.4102/safp.v66i1.5854

Anastasia E. Ugwuanyi

引用次数: 0

Causes of stillbirths at Kgapane hospital, Limpopo province 林波波省 Kgapane 医院死产的原因

IF 1

South African Family Practice Pub Date : 2024-04-17 DOI: 10.4102/safp.v66i1.5863

G. Marincowitz, C. Marincowitz

{"title":"Causes of stillbirths at Kgapane hospital, Limpopo province","authors":"G. Marincowitz, C. Marincowitz","doi":"10.4102/safp.v66i1.5863","DOIUrl":"https://doi.org/10.4102/safp.v66i1.5863","url":null,"abstract":"Background: Stillbirths are a global public health challenge, predominantly affecting low- and middle-income countries. The causes of most stillbirths are preventable.Objectives: this study reviewed perinatal clinical audit data from Kgapane Hospital over a 4-year period with a special focus on the factors associated with stillbirths.Methods: File audits were done for all stillbirths occurring at Kgapane Hospital and its catchment area from 2018 to 2021. The data from these audits were analysed to identify factors associated with stillbirths.Results: A total of 392 stillbirths occurred during the study period at Kgapane Hospital and its surrounding clinics, resulting in a stillborn rate of 19.06/1000 births. Of the 392 stillbirths recorded, audits were conducted on 354 of the maternal case records. The five most common causes of stillbirths identified were: hypertensive disorders in pregnancy (HDP) (29.7%), intrauterine growth restriction without HDP (11.6%), birth asphyxia (7.1%), premature labour ( 1000 g) (6.5%) and maternal infections (5.9%) including HIV with unsuppressed VL, intrauterine infection, coronavirus disease (COVID) and syphilis. Modifiable factors that can form the basis of improvement strategies should include training, timeous referral, plus improved resources and staffing.Conclusion: Understanding the causes of stillbirths can guide improvement strategies to reduce this heart-breaking complication of pregnancy.Contribution: Family physicians working in rural hospitals are also responsible for perinatal care. Understanding the factors associated with stillbirths will guide them to develop improvement strategies to reduce these preventable deaths.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140690530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0