African Journal of Primary Health Care & Family Medicine最新文献

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Exploring primary health care nurses' perceptions of cervical cancer screening in Leribe, Lesotho. 探索初级卫生保健护士对莱里贝,莱索托宫颈癌筛查的看法。
IF 1.7
African Journal of Primary Health Care & Family Medicine Pub Date : 2025-09-05 DOI: 10.4102/phcfm.v17i1.4942
Maliketso G Polane, Siyabonga B Dlamini
{"title":"Exploring primary health care nurses' perceptions of cervical cancer screening in Leribe, Lesotho.","authors":"Maliketso G Polane, Siyabonga B Dlamini","doi":"10.4102/phcfm.v17i1.4942","DOIUrl":"https://doi.org/10.4102/phcfm.v17i1.4942","url":null,"abstract":"<p><strong>Background: </strong> Cervical cancer ranks fourth among cancers recorded globally and is the second most common cause of cancer-related morbidity and mortality in women. Although cervical cancer is fatal, the early discovery of precancerous cells by extensive and recurrent screening could lead to a significant decline in incidence. However, the acceptance of cervical cancer screening is low, even among healthcare workers.</p><p><strong>Aim: </strong> To explore the perceptions of primary care nurses about cervical cancer screening.</p><p><strong>Setting: </strong> The study was carried out in four primary health care centres (PHCCs) in the Leribe district.</p><p><strong>Methods: </strong> This is an exploratory qualitative study. The researcher purposively selected and interviewed 10 nurses at the selected PHCCs. The data were analysed thematically.</p><p><strong>Results: </strong> Nurses' perceptions of cervical cancer screening influenced whether they routinely detect the disease. Certain perceptions, such as being susceptible to cancer, fear of cancer consequences, feeling relieved by negative results, high self-efficacy, training and witnessing deaths, all encouraged routine screening. Those that discouraged routine screening included fear of positive testing, lack of results, perceived lack of confidence and privacy in screeners and low self-efficacy.</p><p><strong>Conclusion: </strong> These findings show that nurses' decisions to undergo a regular screening are either encouraged or discouraged by their perceptions about cervical cancer screening. They also imply that the general public may be impacted by these perceptions as well.Contribution: These findings add significantly to the body of knowledge about how policies can be improved to improve nursing screening programmes, which can improve screening rates among the general population.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e9"},"PeriodicalIF":1.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024384","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
Digital pulse: Social media reaction to South Africa's National Health Insurance implementation. 数字脉动:社会媒体对南非国民健康保险实施的反应。
IF 1.7
African Journal of Primary Health Care & Family Medicine Pub Date : 2025-09-04 DOI: 10.4102/phcfm.v17i1.4997
Hlabje C Masemola, Mutshidzi A Mulondo, Sphamandla J Nkambule, Bafana Madida, Raikane J Seretlo
{"title":"Digital pulse: Social media reaction to South Africa's National Health Insurance implementation.","authors":"Hlabje C Masemola, Mutshidzi A Mulondo, Sphamandla J Nkambule, Bafana Madida, Raikane J Seretlo","doi":"10.4102/phcfm.v17i1.4997","DOIUrl":"https://doi.org/10.4102/phcfm.v17i1.4997","url":null,"abstract":"<p><strong>Background: </strong> Social media has become a platform where unheard voices within different communities are shared with government.</p><p><strong>Aim: </strong> The study explored and described expressed reactions of social media users regarding the implementation of the National Health Insurance (NHI) in South Africa.</p><p><strong>Setting: </strong> This study was conducted online on existing social media platforms that share current news. These social media platforms included X (formerly known as Twitter), Facebook, Instagram and TikTok.</p><p><strong>Methods: </strong> This was a qualitative study that applied an explorative-descriptive approach. Using convenience sampling, raw data from screenshots of the first 10 social media users' reactions from each news media company were collected. The authors collected information verbatim from the screenshots and created two main transcripts with 10 reactions from each of the selected news media accounts. Thematic analysis was used to analyse data.</p><p><strong>Results: </strong> Eight main themes emerged from the reactions of the users. These include concerns about the public financial and taxation burden, corruption and mismanagement by the government, concerns about the quality of healthcare services, fear of medical staff exodus, issues of equity and access to healthcare, government's political motives and electioneering, user's preference for improving current public healthcare system and doubts about NHI implementation feasibility.</p><p><strong>Conclusion: </strong> The findings emphasise the need for government officials to include the community before introducing, signing and implementing different bills.Contribution: Through highlighting the public's sentiments on challenges, readiness and feasibility of implementing the NHI, policymakers will be encouraged to ensure adequate health communication and community participation.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e9"},"PeriodicalIF":1.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024364","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
Environmental factors affecting the delivery practices of hospital-based intrapartum care. 影响以医院为基础的产时护理的环境因素。
IF 1.7
African Journal of Primary Health Care & Family Medicine Pub Date : 2025-09-04 DOI: 10.4102/phcfm.v17i1.4615
Azeh O Eliud, Emmanuel E-O Agbenyeku, Teboho A Moloi, Anesu G Kuhudzai
{"title":"Environmental factors affecting the delivery practices of hospital-based intrapartum care.","authors":"Azeh O Eliud, Emmanuel E-O Agbenyeku, Teboho A Moloi, Anesu G Kuhudzai","doi":"10.4102/phcfm.v17i1.4615","DOIUrl":"https://doi.org/10.4102/phcfm.v17i1.4615","url":null,"abstract":"<p><strong>Background: </strong> The annual World Health Organization reports confirm over 295 000 maternal deaths globally with most of these occurring during delivery. Interestingly, some studies have established a significant relationship between environmental factors and hospital-based intrapartum care.</p><p><strong>Aim: </strong> This study investigated the associated environmental factors among women presenting for peripartum care at the Ketté District Hospital.</p><p><strong>Setting: </strong> The study was conducted at the Ketté District Hospital.</p><p><strong>Methods: </strong> This quantitative cross-sectional study was conducted at the Ketté District Hospital on women presenting for peripartum care. A convenient sampling was used while a self-administered questionnaire was the data collecting tool to measure environmental factors affecting the delivery practices. Using IBM-SPSS version 29.0, logistic regression served for data analysis with statistical significance considered at p  0.05.</p><p><strong>Results: </strong> The study involved 471 women presenting for peripartum care, of whom 325 (69.0%) were aged 18-25 years. Most women, 429 (91.1%), indicated having used earthed road links to the hospital. The majority agreed having suffered complications during delivery. Means of transportation (p = 0.010), number of past pregnancies (p = 0.044), place of delivery (p = 0.001) and delivery outcome (p = 0.001) were significantly associated with delivery complications.</p><p><strong>Conclusion: </strong> The study found that delivery complications were significantly associated with means of transportation to antenatal visit, place of delivery, delivery outcome and number of pregnancies.Contribution: This study contributed to a better understanding of the effects of environmental factors on the utilisation of healthcare services during the intrapartum period in rural communities of Cameroon.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e9"},"PeriodicalIF":1.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024333","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
Implementation of the framework for disability and rehabilitation in Gauteng, South Africa. 在南非豪登省实施残疾和康复框架。
IF 1.7
African Journal of Primary Health Care & Family Medicine Pub Date : 2025-09-03 DOI: 10.4102/phcfm.v17i1.4930
Naeema A R Hussein El Kout, Sonti I Pilusa, Natalie Benjamin-Damons, Juliana Kagura
{"title":"Implementation of the framework for disability and rehabilitation in Gauteng, South Africa.","authors":"Naeema A R Hussein El Kout, Sonti I Pilusa, Natalie Benjamin-Damons, Juliana Kagura","doi":"10.4102/phcfm.v17i1.4930","DOIUrl":"https://doi.org/10.4102/phcfm.v17i1.4930","url":null,"abstract":"<p><strong>Background: </strong> The Framework and Strategy for Disability and Rehabilitation (FSDR) in South Africa aims to improve rehabilitation services for individuals with disabilities. However, research related to its implementation process is limited.</p><p><strong>Aim: </strong> To explore the experiences of the implementation process of FSDR among stakeholders in Gauteng, South Africa.</p><p><strong>Setting: </strong> The study was conducted in 5 districts in the Gauteng Province of South Africa namely, City of Johannesburg, Ekurhuleni, West Rand, Sedibeng, and Tshwane.</p><p><strong>Methods: </strong> A descriptive qualitative study design was used, combining semi-structured interviews and focus groups with diverse stakeholders, including clinicians, rehabilitation managers and community health workers. Data were analysed thematically using MAXQDA software, with key themes mapped deductively to the stages of the EPIS (Exploration, Preparation, Implementation, Sustainment) framework to identify key implementation steps taken.</p><p><strong>Results: </strong> Challenges to implementation including resource shortages, limited career progression, weak management communication and procedural inefficiencies were reported. Participants emphasised the need for policy adaptations reflecting field experiences and advocated for increased accountability and resources. The EPIS framework highlighted the critical role of phase-specific interventions and continuous monitoring for effective policy implementation.</p><p><strong>Conclusion: </strong> The study concludes that systemic barriers must be addressed to enhance the sustainability and impact of the FSDR policy on rehabilitation services.Contribution: Recommendations include fostering accountability, improving resource allocation and realigning policies with frontline needs to ensure long-term improvements in disability and rehabilitation services.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e9"},"PeriodicalIF":1.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024461","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
Gender discrimination in the emergency services: Female paramedic experiences in South Africa. 紧急服务中的性别歧视:南非女性护理人员的经验。
IF 1.7
African Journal of Primary Health Care & Family Medicine Pub Date : 2025-09-03 DOI: 10.4102/phcfm.v17i1.4945
Andrew W Makkink, Busisiwe E Nkhoma
{"title":"Gender discrimination in the emergency services: Female paramedic experiences in South Africa.","authors":"Andrew W Makkink, Busisiwe E Nkhoma","doi":"10.4102/phcfm.v17i1.4945","DOIUrl":"https://doi.org/10.4102/phcfm.v17i1.4945","url":null,"abstract":"<p><strong>Background: </strong> Gender discrimination (GD), particularly that against women, remains a challenge in the workplace and paramedicine is no exception. Discrimination against women persists despite, in many cases, their being more qualified than their male counterparts.</p><p><strong>Aim: </strong> The aim of this study was to explore GD in paramedicine using the perceptions and experiences of South African female emergency care practitioners (ECPs).</p><p><strong>Setting: </strong> The study setting was within the Johannesburg area in South Africa, and targeted female ECPs.</p><p><strong>Methods: </strong> This study used a qualitative description design to gather data using online or face-to-face interviews from seven participants. Interviews were transcribed verbatim, read vertically and horizontally, coded using ATLAS.ti version 22 software and analysed for categories and themes.</p><p><strong>Results: </strong> There were six dominant themes that emerged from the data: (1) GD remains prevalent in emergency medical services (EMS); (2) female ECPs were undermined in the workplace; (3) there were race factors related to GD; (4) gender stereotypes were based on physical capabilities; (5) the negative effects of GD in the workplace; and (6) maternal wall bias.</p><p><strong>Conclusion: </strong> Gender discrimination against women in EMS persists with females being stereotyped, undermined and subject to maternal wall bias. Effects of GD on participants included psychological stress, feelings of inadequacy, isolation, sadness and self-doubt. Contribution: There is a paucity of research on GD in African EMS. The findings of this study provide valuable insights into GD in the EMS workplace and contribute to the growing body of knowledge related to GD worldwide.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e11"},"PeriodicalIF":1.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024509","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
Protective factors in resilient South African youth with type 1 diabetes: A qualitative study. 弹性南非青年1型糖尿病患者的保护因素:一项定性研究。
IF 1.7
African Journal of Primary Health Care & Family Medicine Pub Date : 2025-09-03 DOI: 10.4102/phcfm.v17i1.4935
Simphiwe Mabizela, Elmari Deacon, Esme Van Rensburg, Christiaan I Bekker
{"title":"Protective factors in resilient South African youth with type 1 diabetes: A qualitative study.","authors":"Simphiwe Mabizela, Elmari Deacon, Esme Van Rensburg, Christiaan I Bekker","doi":"10.4102/phcfm.v17i1.4935","DOIUrl":"https://doi.org/10.4102/phcfm.v17i1.4935","url":null,"abstract":"<p><strong>Background: </strong> Self-managing type 1 diabetes (T1D) can be challenging, especially for adolescents in a critical developmental stage. Some adolescents struggle to successfully self-manage T1D and struggle to keep it well-controlled into adulthood. Despite this concern, there is a notable lack of evidence-based research on protective factors and/or resources to support adolescents living with T1D in South Africa.</p><p><strong>Aim: </strong> This study aimed to explore and describe the protective factors of resilience among South African adolescents living with well-controlled T1D.</p><p><strong>Setting: </strong> The study was conducted at the Centre for Diabetes and Endocrinology (CDE) in Parktown, Gauteng, South Africa, a specialised facility offering comprehensive, multidisciplinary care for adolescents with T1D.</p><p><strong>Methods: </strong> A qualitative descriptive research design was used, and seven semi-structured interviews were conducted, transcribed and thematically analysed.</p><p><strong>Results: </strong> Four themes emerged from the data: Just do it: Commit to the diabetes care plan; It takes a village to raise a child living with diabetes; The silver lining of developing positive characteristics and It's a process of continuously learning about T1D.</p><p><strong>Conclusion: </strong> Internal abilities (planning, taking responsibility, perseverance and determinism) and external resources (parents, family members, school, mentors) foster positive outcomes and adjustment for adolescents with well-controlled T1D. The potential for adolescents with T1D to use available internal abilities and external resources in managing their diabetes could be beneficial to the successful management of T1D.Contribution: The study addressed a gap in understanding protective factors involved in the successful self-management of adolescents living with well-controlled T1D in South Africa.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e8"},"PeriodicalIF":1.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024496","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
Differentiated antiretroviral distribution: Implementation in five South African districts. 差异化抗逆转录病毒分发:在南非五个地区实施。
IF 1.7
African Journal of Primary Health Care & Family Medicine Pub Date : 2025-08-27 DOI: 10.4102/phcfm.v17i1.4974
Justin Engelbrecht, Chandbi Tajeer, Cara O'Connor, Kate Rees
{"title":"Differentiated antiretroviral distribution: Implementation in five South African districts.","authors":"Justin Engelbrecht, Chandbi Tajeer, Cara O'Connor, Kate Rees","doi":"10.4102/phcfm.v17i1.4974","DOIUrl":"10.4102/phcfm.v17i1.4974","url":null,"abstract":"<p><strong>Background: </strong> The National Department of Health introduced Differentiated Service Delivery (DSD) models to improve retention in care and decongest healthcare facilities. Anova Health Institute supported the implementation of DSD guidelines in five districts of South Africa.</p><p><strong>Aim: </strong> The study aimed to describe how the models contained in DSD policies are operationalised.</p><p><strong>Setting: </strong> Five districts of South Africa - two metropolitan, two mixed and one rural.</p><p><strong>Methods: </strong> We used a mixed-methods approach, incorporating a 2-day participatory workshop in 2023 and a retrospective review of routine programmatic data. A mapping exercise was used to understand all models of chronic medication provision in the five study districts and to describe differences in operationalisation. We also report on the number of options per facility and healthcare provider perspectives of benefits and limitations.</p><p><strong>Results: </strong> External and facility pick-up points were the most commonly implemented models. Three key themes were: the trade-off between convenience and additional support, the trade-off between controlling client care and outsourcing tasks and the distribution of work between cadres of staff. Sedibeng District provided the most options per facility, with 57% of facilities having three possible options. Cape Town provided the fewest, with 50% of facilities offering only one option.</p><p><strong>Conclusion: </strong> Health and environmental contexts guide the choice of DSD modalities offered. It is possible to offer clients options in South African settings.Contribution: This study highlights the context-specific nature of DSD model implementation and the importance of client choice. Further research into availability and options from a client perspective would be useful.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e9"},"PeriodicalIF":1.7,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12421779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024348","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 perceived impact of family medicine leadership training on practice: A qualitative study. 家庭医学领导培训对实践的感知影响:一项质性研究。
IF 1.7
African Journal of Primary Health Care & Family Medicine Pub Date : 2025-08-27 DOI: 10.4102/phcfm.v17i1.4954
Samantha Dladla, Klaus B Von Pressentin, Tasleem Ras
{"title":"The perceived impact of family medicine leadership training on practice: A qualitative study.","authors":"Samantha Dladla, Klaus B Von Pressentin, Tasleem Ras","doi":"10.4102/phcfm.v17i1.4954","DOIUrl":"10.4102/phcfm.v17i1.4954","url":null,"abstract":"<p><strong>Background: </strong> Family physicians (FPs) play a crucial role in clinical governance within South Africa's District Health System, necessitating strong leadership skills.</p><p><strong>Aim: </strong> To understand how the postgraduate Leadership and Governance module at the University of Cape Town (UCT) helped prepare qualified FPs working in the Western Cape province public sector for their leadership role.</p><p><strong>Setting: </strong> The UCT offers a 4-month Leadership and Governance module as part of its 4-year Master of Medicine in Family Medicine programme, aiming to prepare registrars for leadership roles.</p><p><strong>Methods: </strong> An exploratory qualitative study design was used. A total of 10 UCT alumni working in senior public sector roles were purposively sampled for online semi-structured interviews. Interviews were recorded, transcribed and analysed using the framework method. Data were coded deductively into themes, with new themes created for cohesive uncategorised data.</p><p><strong>Results: </strong> Findings revealed that FPs shared similar early experiences as clinical leaders and faced a transitional phase after completing their registrarship. While key leadership qualities aligned with existing literature, participants emphasised the importance of context-specific training and the value of community practice resources.</p><p><strong>Conclusion: </strong> The module itself was not considered particularly helpful in preparing FPs for real-world leadership and governance challenges.Contribution: The study highlights gaps between theoretical training and practical leadership demands, indicating that the module must better address the realities faced by newly qualified FPs. This research contributes to understanding the limitations of current leadership training and underscores the need for more practical, contextually relevant education for FPs in leadership roles.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e10"},"PeriodicalIF":1.7,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12421778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024491","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
Managing mental health disorders: Experiences of primary care providers in rural South Africa. 管理精神健康障碍:南非农村初级保健提供者的经验。
IF 1.7
African Journal of Primary Health Care & Family Medicine Pub Date : 2025-08-26 DOI: 10.4102/phcfm.v17i1.4979
Petra J Bouwer, Louis S Jenkins, Johann Schoevers
{"title":"Managing mental health disorders: Experiences of primary care providers in rural South Africa.","authors":"Petra J Bouwer, Louis S Jenkins, Johann Schoevers","doi":"10.4102/phcfm.v17i1.4979","DOIUrl":"10.4102/phcfm.v17i1.4979","url":null,"abstract":"<p><strong>Background: </strong>Mental health disorders are increasing globally. In South Africa, primary healthcare (PHC) services are tasked with mental healthcare, with limited resources. A task-sharing approach between PHC role-players has also been met with barriers, including negative attitudes towards mental health care, organisational constraints and insufficiently trained staff. Aim: To assess the perceptions and experiences of PHC practitioners in managing common mental health disorders. Setting: Primary healthcare facilities in the Garden Route District, South Africa.</p><p><strong>Methods: </strong>An observational, descriptive study using a cross-sectional survey obtained a representative sample of 130 participants. Redcap© platforms captured data, which were analysed to give frequencies and means using simple descriptive statistics. Results: Most participants (68.46%) reported average or below average competence in managing mental health conditions. Out-Patient Departments (OPDs) (68.42%) and PHC clinics (56.25%) found reaching a referral practitioner to be challenging. Waiting times of referred patients were longer at hospital OPDs and clinics than at Community Day Centres. Conclusion: Resources allocated to PHC mental health services remained inadequate, while available support structures were underutilised. The presence of a dedicated mental health practitioner at a facility had a direct influence on the experience of the staff in managing these disorders. Policy makers and managers should motivate for training in mental health and empower the PHC system to offer acceptable mental health services, in accordance with national and international guidelines. Contribution: This research contributed insights into the current mental health ecosystem in primary care, and the need for increased awareness, training and utilising available resources, which could be useful in similar contexts in sub-Saharan Africa.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e12"},"PeriodicalIF":1.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12421781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024477","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
Malaria signs, symptoms, prevention knowledge and its associated factors among rural Ethiopians. 埃塞俄比亚农村人口中的疟疾体征、症状、预防知识及其相关因素。
IF 1.7
African Journal of Primary Health Care & Family Medicine Pub Date : 2025-08-22 DOI: 10.4102/phcfm.v17i1.4885
Kemal A Kuti, Sibusiso M Zuma
{"title":"Malaria signs, symptoms, prevention knowledge and its associated factors among rural Ethiopians.","authors":"Kemal A Kuti, Sibusiso M Zuma","doi":"10.4102/phcfm.v17i1.4885","DOIUrl":"10.4102/phcfm.v17i1.4885","url":null,"abstract":"<p><strong>Background: </strong> Malaria is a leading cause of morbidity, mortality and socio-economic burden in Ethiopia. Although the country set a goal to eradicate malaria by 2030, a resurgence has been reported recently.</p><p><strong>Aim: </strong> This study was conducted to assess the signs of malaria, its symptoms and knowledge regarding prevention and its associated factors among rural Ethiopians.</p><p><strong>Setting: </strong> Three malaria-endemic rural districts in the Bale Zone, Ethiopia, constituted the setting for the study. The study respondents were household members aged 18 and older, predominantly the heads of households.</p><p><strong>Methods: </strong> A community-based cross-sectional study design was employed. Data were collected from a randomly selected 634 individuals using a pre-tested structured questionnaire. Descriptive and inferential statistics were computed using SPSS version 28.</p><p><strong>Results: </strong> Less than half of the respondents (44.2%) demonstrated a good overall understanding of the signs, symptoms and prevention of malaria, while some participants wrongly attributed malaria transmission to staying long in the sun, lack of rest and drinking alcohol. The most commonly recognised malaria symptoms include fever, headache and uncoordinated speech. Preventive measures that were widely known included eliminating mosquito breeding sites, sleeping under insecticide-treated nets and indoor residual spraying. Factors such as education, religion, marital status, family size and the presence of children and pregnant women in the household were associated with a better understanding of malaria.</p><p><strong>Conclusions: </strong> Malaria-related knowledge is low in the current study area. Some socio-demographic factors were known to have influenced malaria-related knowledge. Contribution: The study provides data on malaria-related knowledge among rural communities. The findings can be used to develop a knowledge-transfer strategy to improve communities' knowledge and accelerate malaria elimination.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e10"},"PeriodicalIF":1.7,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12421782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024503","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
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