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

{"title":"Experiences of keratoconus patients attending public eye care facilities in South Africa.","authors":"Pheagane M W Nkoana, Percy K Mashige, Vanessa R Moodley","doi":"10.4102/phcfm.v16i1.3974","DOIUrl":"10.4102/phcfm.v16i1.3974","url":null,"abstract":"<p><strong>Background: </strong>Keratoconus (KC) is a progressive condition that usually affects young persons between their first and fourth decades. Myopia and irregular astigmatism are the common presentations which are proceeded by corneal steepening and thinning. Keratoconus is a progressive ectasia of the cornea that presents bilaterally, although often asymmetrical.</p><p><strong>Aim: </strong>To explore the experiences of KC patients attending public eye care facilities in Capricorn District of Limpopo province.</p><p><strong>Setting: </strong>Capricorn District, Limpopo province, South Africa.</p><p><strong>Methods: </strong>Descriptive qualitative phenomenology approach was used in the study to explore the lived experiences of patients diagnosed with KC, attending public eye care facilities. Purposive sampling was used to select 16 patients who were diagnosed with KC and referred for contact lens fitting. Data were collected through face-to-face, one-on-one interviews.</p><p><strong>Results: </strong>Patients reported to have developed gradual vision loss which worsened when they grew older. There was lack of knowledge of KC amongst patients and this was exacerbated by limited health literacy and vocabulary barriers. Patients had difficulty performing daily activities where some had dropped out of school while others worked at a slower pace and reduced working distances.</p><p><strong>Conclusion: </strong>Patients with KC received inadequate information on their condition due to limited health literacy and vocabulary barriers. Programmes to promote practitioner and patient education are required to improve the perceived service level provided to KC patients.Contribution: The findings of this study will assist to improve the experiences of KC patients on perceived service quality received from public facilities.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"16 1","pages":"e1-e11"},"PeriodicalIF":1.2,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997841","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":"Characterising the performance measurement and management system in the primary health care systems of Malawi.","authors":"Martha K Makwero, Tony Majo, Praveen Devarsetty, Manushi Sharma, Bob Mash, Luckson Dullie, Wolfgang Munar","doi":"10.4102/phcfm.v16i1.4007","DOIUrl":"10.4102/phcfm.v16i1.4007","url":null,"abstract":"<p><strong>Background: </strong> Performance Measurement and Management (PMM) systems are levers that support key management functions in health care systems. Just like many low- and middle-income countries (LMICs), Malawi strives to improve performance via evidence-based decision making and a suitable performance culture.</p><p><strong>Aim: </strong> This study sought to describe PMM practices at all levels of primary health care (PHC) in Malawi.</p><p><strong>Setting: </strong> This study targeted three levels of PHC, namely the district health centres (DHCs), the zones, and the ministry headquarters.</p><p><strong>Methods: </strong> This was a qualitative exploratory research study where decision-makers at each level of PHC were engaged using key-informant interviews (KII) and focus group discussions (FGDs).</p><p><strong>Results: </strong> We found that there is a weak link among levels of PHC in supporting PMM practices leading to poor dissemination of priorities and goals. There is also failure to appropriately institute good PMM practices, and the use of performance information was found to be limited among decision-makers.</p><p><strong>Conclusion: </strong> Though PMM is acknowledged to be key in supporting health service delivery systems, Malawi's PHC system has not fully embarked on making this a priority. Some challenges include unsupportive culture and inadequate capacity for PMM.Contribution: This study contributes to the understanding of the PMM processes in Malawi and further highlights the salient challenges in the use of information for performance management. While the presence of policies on PMM is acknowledged, implementation studies that deal with challenges are urgent and imperative.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"16 1","pages":"e1-e11"},"PeriodicalIF":1.2,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10839197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139651882","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":"Undergraduate teaching in family medicine within the PRIMAFAMED network.","authors":"Robert Mash, Innocent Besigye, Anna Galle","doi":"10.4102/phcfm.v16i1.4376","DOIUrl":"10.4102/phcfm.v16i1.4376","url":null,"abstract":"<p><p>No abstract available.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"16 1","pages":"e1-e3"},"PeriodicalIF":2.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10839200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139651884","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":"Perceptions of integrated rehabilitation service delivery in a metropolitan district.","authors":"Lebogang J Maseko, Fasloen Adams, Hellen Myezwa","doi":"10.4102/phcfm.v16i1.4069","DOIUrl":"10.4102/phcfm.v16i1.4069","url":null,"abstract":"<p><strong>Background: </strong> There is a recognised need for rehabilitation services at primary health care (PHC) level. In addition, there are clear policies (international and national) and guidelines for use by healthcare planners in South Africa to implement rehabilitation services. Although rehabilitation services are provided on the primary platform, its operationalisation has not been in an integrated manner. Clarity on the level of integration within existing PHC rehabilitation service delivery is required for its inclusion in a reengineered PHC.</p><p><strong>Aim: </strong> The study explored the extent to which rehabilitation services are integrated into PHC service delivery based on the expressed reality of rehabilitation professionals.</p><p><strong>Setting: </strong> The Johannesburg Metropolitan District of Gauteng, South Africa.</p><p><strong>Methods: </strong> In-depth interviews with 12 PHC rehabilitation professionals were completed to elicit their experiences with PHC rehabilitation services.</p><p><strong>Results: </strong> The theme the current state of rehabilitation services - 'this is the reality; you need to do what you need to do' along with its two subcategories, was generated from this study. The theme describes the expressed reality of suboptimal, underdeveloped and poorly integrated rehabilitation services within the Johannesburg Metropolitan District. Rehabilitation service providers have adapted service delivery by including isolated components of rehabilitation integration models, but this has not yielded an integrated service.</p><p><strong>Conclusion: </strong> Rehabilitation services although recognised as a crucial service in PHC must be critically analysed and adapted to develop integrated service delivery models. There should be a shift from selected coping mechanisms to targeted, integrated services.Contribution: The study describes PHC rehabilitation services and explores best practice models for integrated service planning and delivery.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"16 1","pages":"e1-e10"},"PeriodicalIF":2.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10839198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139651883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A national training course for clinical trainers in family medicine.","authors":"Hanneke Brits","doi":"10.4102/phcfm.v15i1.4341","DOIUrl":"10.4102/phcfm.v15i1.4341","url":null,"abstract":"<p><p>Quality vocational training is important to ensure that family physicians can strengthen the district health system. Competent clinical trainers and supervisors, with the necessary educational knowledge and skills, are required for this job. In 2014, a formal Train the Clinical Trainer (TCT) course was introduced in South Africa as a collaborative effort between the Royal College of General Practitioners (RCGP) and the South African Academy of Family Physicians (SAAFPs). To make the training relevant, the course was aligned with the National Unit Standards for Family Medicine, as these defined the learning outcomes for registrars. The aim of the TCT course was to equip workplace-based clinical trainers with an essential set of educational skills, which could be further developed through mentoring and support. Accredited trainers present the face-to-face course yearly to two family physicians from each of the nine departments of family medicine in South Africa. The TCT course is built around the educational principles of learner-centredness and andragogy. During these 5 days of training the roles and responsibilities of trainers and learners, the learning environment, alignment with the curriculum, assessment for and of learning, and leadership are covered. Recently online assessment, the e-portfolio and the use of entrustable professional activities were added to the course content. In the future we would like to accredit more clinical trainers through a process of workplace-based self-evaluation and 360-degree feedback from peers and students. Lastly, we want to expand the training course in the African region.Contribution: The Train the Clinical Trainer (TCT) course, established in 2014 through RCGP and SAAFP collaboration in South Africa, ensures family physicians have essential educational skills. Aligned with national standards, the course embraces learner-centered principles. Ongoing enhancements include online assessments and future plans involve accrediting more trainers through self-evaluation and expanding across the African region.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"16 1","pages":"e1-e3"},"PeriodicalIF":1.2,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10839166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139651842","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":"Advancing primary care: Establishing family medicine specialty in Tanzania.","authors":"Eric L Aghan, Henry Ziegler, Donatus R Mutasingwa, Enica R Massawe, Peter J Wangwe, Dennis Lyakurwa, Muzdalifat Abeid, Riaz Ratansi, Nadeem Kassam, Esther Johnston","doi":"10.4102/phcfm.v%vi%i.4248","DOIUrl":"10.4102/phcfm.v%vi%i.4248","url":null,"abstract":"<p><p>Family medicine has existed as a training pathway through a private university in Tanzania since 2004. As global calls have increased to embrace primary health care as a pathway to ensuring universal health coverage, so has Tanzania recently turned to explore family medicine as a specialty to improve access to comprehensive, high-quality healthcare for her entire population. This article outlines ongoing efforts to define competencies and skills of a family medicine physician in Tanzania, engage government support and open the first public university training programme for family medicine postgraduate education.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"15 1","pages":"e1-e4"},"PeriodicalIF":1.2,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10730445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478959","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":"Corrigendum: Retention of service users on opioid substitution therapy in the City of Tshwane, South Africa.","authors":"Daniela S Goeieman, Dimakatso S Nonyane, Doudou K Nzaumvila, Michelle N S Janse van Rensburg","doi":"10.4102/phcfm.v15i1.4033","DOIUrl":"10.4102/phcfm.v15i1.4033","url":null,"abstract":"<p><p>No abstract available.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"15 1","pages":"4033"},"PeriodicalIF":2.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: Current state of preconception care in sub-Saharan Africa: A systematic scoping review.","authors":"Winifred C Ukoha, Ntombifikile G Mtshali, Lateef Adepeju","doi":"10.4102/phcfm.v15i1.3708","DOIUrl":"10.4102/phcfm.v15i1.3708","url":null,"abstract":"<p><p>No abstract available.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"15 1","pages":"3708"},"PeriodicalIF":2.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478961","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":"Unveiling contextual influences of maternal satisfaction with labour care services in Nigeria: A qualitative inquiry.","authors":"Titilope A Awotunde, Mary Ani-Amponsah, Dolapo E Ajala, Simeon A Ojo, Thomas O Adeleke, Olufemi T Awotunde, Akintayo D Olaolorun","doi":"10.4102/phcfm.v15i1.4173","DOIUrl":"10.4102/phcfm.v15i1.4173","url":null,"abstract":"<p><strong>Background: </strong>In light of the rising global effort to lower maternal mortality rates, it is crucial for low- and middle-income countries with poor maternal indices to investigate the problem of maternal satisfaction and the key elements that affect it. To this effect, this study explored the experiences of postnatal women in relation to labour services and investigated the factors that contribute to their overall satisfaction.</p><p><strong>Aim: </strong>The study set out to explore factors influencing maternal satisfaction with labour care services in Ogbomoso, Oyo State, Nigeria. This study ultimately seeks to advance our understanding of this phenomenon to impact labour care and policy.</p><p><strong>Setting: </strong>The study was conducted among multiparous women who had their antenatal care and delivery in Ogbomoso, Oyo State, Nigeria.</p><p><strong>Methods: </strong>A qualitative study was performed using in-depth interviews among postnatal women.</p><p><strong>Results: </strong>The results revealed a number of variables that could affect the women's satisfaction with labour care, including the choice of health facility, healthcare providers, environment of the facility, assurance of privacy, treating patients with dignity, provision of needed amenities and having a well-planned postnatal care assessment.</p><p><strong>Conclusion: </strong>The study revealed that the costs of care, the skill of the caregiver, the provision of confidential and dignified care, and the availability of supplies all have an impact on maternal satisfaction. Hospital administration should address these issues to enhance the experience of women and labour care services.Contribution: The study's findings provide insights that will inform strategies to improve the quality of care being provided to parturients in Nigeria.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"15 1","pages":"e1-e7"},"PeriodicalIF":2.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478962","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":"Self-care behaviours and practices of professional nurses working in primary health care clinics","authors":"Mukelani L. Muhlare, Charlene Downing","doi":"10.4102/phcfm.v15i1.4188","DOIUrl":"https://doi.org/10.4102/phcfm.v15i1.4188","url":null,"abstract":"Background: Historically, the nursing profession focused on caring for patients, families and communities but neglected aspects of self-care. Self-care is essential for nurses, as it could impact the quality of care nurses render to patients.Aim: This article investigated professional nurses’ self-care behaviours and practices in primary health care clinics.Setting: The study was conducted at selected primary health care facilities (clinics) in regions C and D of the city of Johannesburg, Gauteng.Methods: A cross-sectional descriptive research survey. Stratified random sampling was used to select respondents. A demographic questionnaire, Self-Care Activities Screening Scale (SASS-14), Nature of Supportive Work Environment questionnaire and Self-Care Work and Home Environmental Factors (SWHEF) questionnaire were combined as the data collection instrument for this study. Descriptive and inferential statistics were used to analyse the collected data.Results: The finding revealed health consciousness: 86.6% of professional nurses were alert to changes in their health, and 75.2% constantly examined their health. The average professional nurse slept only 7–8 h every day. While 59.4% of professional nurses who participated in the study seldom ate healthy foods (i.e. foods with less sugar, salt, fried snacks or pre-cooked food), 71.7% rarely ate three fruits and two portions of vegetables daily. Only 57.4% of professional nurses regularly drank eight recommended glasses of water daily.Conclusion: According to the findings, primary health care nurses must prioritise self-care and work in supportive environments.Contribution: The study acknowledged the need to promote self-care and supportive work environments for professional nurses in primary health care setting.","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":" 38","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135340499","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}