African Journal of Primary Health Care & Family Medicine最新文献_第2页

Health system constraints in cervical cancer prevention in rural Namibia: A qualitative study. 纳米比亚农村预防宫颈癌的卫生系统限制：一项定性研究。

IF 1.7

African Journal of Primary Health Care & Family Medicine Pub Date : 2025-08-21 DOI: 10.4102/phcfm.v17i1.4976

Elizabeth K Ndakukamo, Roshwitha Mahalie, Panduleni Hailonga-van Dijk

{"title":"Health system constraints in cervical cancer prevention in rural Namibia: A qualitative study.","authors":"Elizabeth K Ndakukamo, Roshwitha Mahalie, Panduleni Hailonga-van Dijk","doi":"10.4102/phcfm.v17i1.4976","DOIUrl":"10.4102/phcfm.v17i1.4976","url":null,"abstract":"Background: Cervical cancer remains a pressing public health concern in Namibia, with significant barriers to prevention, particularly in rural areas.Aim: This study explored health system's challenges and their impact on cervical cancer prevention efforts.Setting: This study was conducted in the Ohangwena and Kavango West regions of Namibia.Methods: A qualitative exploratory design was employed, focusing on healthcare workers directly involved in cervical cancer prevention. In-depth interviews were utilised to collect data from 11 participants from four district hospitals. Thematic analysis, guided by the World Health Organisation's six health system framework pillars, was used.Results: Key service gaps were identified across critical areas of cervical cancer prevention, including a lack of awareness, a lack of human papillomavirus vaccines and referral screening equipment that limited local outreach services. Other significant findings included the shortage of trained personnel and the manual data systems, which resulted in deficiencies in decision-making. Financial constraints, including reliance on non-governmental organisation funding and weak community engagement, exacerbated by cultural stigma, presented leadership challenges.Conclusion: Investing in human resources for health, decentralising budget trends and enhancing data systems are critical for cervical cancer prevention in rural Namibia. Equally important is the active involvement of the community in these efforts. Contribution: This study highlights key health system constraints in the Ohangwena and Kavango West regions.","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e9"},"PeriodicalIF":1.7,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12421780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024458","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

Advocacy for family medicine in sub-Saharan Africa. 在撒哈拉以南非洲倡导家庭医学。

IF 1.7

African Journal of Primary Health Care & Family Medicine Pub Date : 2025-08-12 DOI: 10.4102/phcfm.v17i1.5109

Robert J Mash

引用次数: 0

Usage of traditional medicine during pregnancy and the associated factors among Basotho women. 巴索托妇女怀孕期间传统药物的使用及其相关因素。

IF 1.7

African Journal of Primary Health Care & Family Medicine Pub Date : 2025-07-31 DOI: 10.4102/phcfm.v17i1.4936

Lisemelo L Chesetsi, Andrew Ross

{"title":"Usage of traditional medicine during pregnancy and the associated factors among Basotho women.","authors":"Lisemelo L Chesetsi, Andrew Ross","doi":"10.4102/phcfm.v17i1.4936","DOIUrl":"10.4102/phcfm.v17i1.4936","url":null,"abstract":"Background: Many women persist in using traditional medicine despite the evidence that traditional medicines have the potential to harm both the unborn baby and the mother. Data on the extent of use of traditional medicine by women in Lesotho during pregnancy are largely unavailable.Aim: This study aimed to determine the prevalence of traditional medicine use during pregnancy among Basotho women and identify the associated factors.Setting: The study took place in Ha-Shalabeng, Ha-Molengoane and Ha-Setoko, Lesotho.Methods: A cross-sectional design was adopted, data were collected through a structured questionnaire, coded into Excel, and analysed using SPSS. Frequency distribution tables and graphs were used to describe the data on women. The χ2 test examined the association between categorical dependent and independent variables.Results: The prevalence of traditional medicine use during pregnancy was 40%. The factors significantly influencing traditional medicine use, included age (p 0.01), educational level (p 0.01), location (p 0.01), transport availability (p 0.04), belief in the efficacy of traditional medicine (p 0.01), reasons for the type of care (p 0.01) and recommendations from parents (p 0.03).Conclusion: The utilisation of traditional medicine during pregnancy was found to be high. Therefore, it is crucial to have a policy in Lesotho that regulates the usage and safety of traditional medicine. Contribution: The data would be crucial in informing future research and shaping the development and implementation of traditional medicine policy, thus addressing the existing policy gap regarding traditional medicine in Lesotho.","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e7"},"PeriodicalIF":1.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800586","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

Assessing laboratory specimen losses for the city of Johannesburg, South Africa. 评估南非约翰内斯堡市的实验室标本损失。

IF 1.7

African Journal of Primary Health Care & Family Medicine Pub Date : 2025-07-30 DOI: 10.4102/phcfm.v17i1.4907

Naseem Cassim, Ernest P Buthelezi, Somayya Sarang, Sadhaseevan Moodly, Lucia Hans, Lindi-Marie Coetzee

{"title":"Assessing laboratory specimen losses for the city of Johannesburg, South Africa.","authors":"Naseem Cassim, Ernest P Buthelezi, Somayya Sarang, Sadhaseevan Moodly, Lucia Hans, Lindi-Marie Coetzee","doi":"10.4102/phcfm.v17i1.4907","DOIUrl":"10.4102/phcfm.v17i1.4907","url":null,"abstract":"Background: Specimen losses across the pathology value chain (PVC) result in missed diagnostic opportunities. It is difficult to fully assess these due to the current paper-based systems, with tracking of specimens only possible on the laboratory information system (LIS).Aim: This study aimed to assess specimen losses using the paper-based register.Setting: Randomly selected Primary health care (PHC) facilities, City of Johannesburg, South Africa.Methods: The retrospective descriptive study design was used to scan 1,000 barcodes from facilities in sub-districts A to G. Data was limited to barcodes from the request form and excluded surveillance testing. Matching data from the laboratory repository was extracted. PVC losses were assessed by determining the percentage of scanned barcodes that had a registered, tested, reviewed and/or rejected date. The analysis was stratified according to sub-district, health facility type and test code.Results: The dataset analysed included 33 867 barcodes with 121 697 test codes, equating to 3.59 tests per barcode. Matching registered, tested and reviewed dates were detected for 33 107 (97.76%) barcodes. In total, a rejection for one or more test codes was detected for 1,961 barcodes (5.79%). At the sub-district level, between 95.95% (D) and 98.90% (E) of barcodes were reviewed. The rejection rate ranged from 3.27% (F) to 10.93% (D). For community health centres and clinics, 97.37% and 97.97% of the barcodes had a matching reviewed date.Conclusion: PVC losses reported were 4.05%, excluding rejections (5.79%), with slightly higher levels noted at the sub-district level. Contribution: The continuous audit of PVC losses is recommended.","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e8"},"PeriodicalIF":1.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800556","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

Access to tuberculosis care in South Africa during the COVID-19 pandemic: A scoping review. COVID-19大流行期间南非结核病护理的可及性：范围审查

IF 1.7

African Journal of Primary Health Care & Family Medicine Pub Date : 2025-07-30 DOI: 10.4102/phcfm.v17i1.4944

Kayla Appel, Faeez Nackerdien, Carmen S Christian

{"title":"Access to tuberculosis care in South Africa during the COVID-19 pandemic: A scoping review.","authors":"Kayla Appel, Faeez Nackerdien, Carmen S Christian","doi":"10.4102/phcfm.v17i1.4944","DOIUrl":"10.4102/phcfm.v17i1.4944","url":null,"abstract":"Background: Tuberculosis (TB) remains a major public health issue in South Africa, a high-burden TB country. The coronavirus disease 2019 (COVID-19) pandemic has exacerbated challenges in accessing essential TB services. This scoping review explores how access to TB care was impacted during the pandemic.Aim: This research aimed to review original studies on access to TB care in South Africa during the COVID-19 pandemic using a scoping review methodology.Method: A scoping review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) guidelines. Five databases were systematically searched for original peer-reviewed research published between 2020 and 2022. Data were extracted and synthesised using the Penchansky and Thomas framework of healthcare access.Results: Three studies met the inclusion criteria. The review identified significant disruptions in TB service delivery during the pandemic, including reduced diagnostic capacity, healthcare facility closures and economic barriers. Patients reported delayed diagnoses and increased stigma, while healthcare workers faced resource shortages and operational challenges.Conclusion: The COVID-19 pandemic has exacerbated pre-existing barriers to TB care in South Africa, highlighting critical gaps in healthcare delivery. This review provides insights into the challenges faced and emphasises the need for resilient health systems to sustain TB care during future health crises. Contribution: This article highlights the impact of the COVID-19 pandemic on TB care access in South Africa, identifying key barriers across healthcare access dimensions and offering recommendations to improve TB care delivery during public health emergencies.","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e8"},"PeriodicalIF":1.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800555","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

Investment in family medicine to improve health outcomes in sub-Saharan Africa. 投资家庭医药，改善撒哈拉以南非洲的健康状况。

IF 1.7

African Journal of Primary Health Care & Family Medicine Pub Date : 2025-07-28 DOI: 10.4102/phcfm.v17i1.5033

Sunanda C Ray, Mpundu Makasa, Innocent Besigye, Jacob S Shabani, Martha Makwero

{"title":"Investment in family medicine to improve health outcomes in sub-Saharan Africa.","authors":"Sunanda C Ray, Mpundu Makasa, Innocent Besigye, Jacob S Shabani, Martha Makwero","doi":"10.4102/phcfm.v17i1.5033","DOIUrl":"10.4102/phcfm.v17i1.5033","url":null,"abstract":"Family physicians (FPs), as educators, capacity builders and clinical governance leaders of primary care (PC) teams, work to make them more effective and responsive to the needs of their patients. Various strategies are required to raise the profile of Family Medicine (FM) to ensure stronger representation in health sector planning and policy development for advocacy on behalf of the communities they serve. An illustration is given of the need for FP leaders to become equal partners in the National Surgical, Obstetric and Anaesthesia Planning process to ensure safer surgery at district hospitals and to address unmet surgical needs. Integrating FM teaching throughout undergraduate medical programmes familiarises graduates with FM as a possible career choice. Collaboration with professional FP associations such as in Botswana, Kenya and Zambia has helped to define and promote the discipline of FM, increasing public and professional awareness of the specialty's value. Promoting development of an FP scope of practice as a collaborative exercise between academic FPs and national associations assists in differentiating the roles of FPs versus non-specialist generalists. The new generation of young FPs has played a significant role in marketing FM globally, using social media platforms to support each other and to share information and best practices for managing themselves and their patients. Positioning multidisciplinary PC teams at the centre of health systems, with strong leadership from FPs, integrated people-centred care and evidence-based practices, could catalyse the intensity of change needed for more equitable, cost-effective and sustainable healthcare in Africa.","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e4"},"PeriodicalIF":1.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800583","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

Clinical trial methods for family medicine and primary care. 家庭医学和初级保健的临床试验方法。

IF 1.7

African Journal of Primary Health Care & Family Medicine Pub Date : 2025-07-25 DOI: 10.4102/phcfm.v17i2.5062

Robert Mash, Bolatito B Fatusin, Edith Madela-Mntla, Christopher Butler

{"title":"Clinical trial methods for family medicine and primary care.","authors":"Robert Mash, Bolatito B Fatusin, Edith Madela-Mntla, Christopher Butler","doi":"10.4102/phcfm.v17i2.5062","DOIUrl":"10.4102/phcfm.v17i2.5062","url":null,"abstract":"This article outlines the essential features of clinical trials for doctoral or early career researchers. The World Health Organization has recently emphasised the need for higher quality clinical trials, more trials from low- and middle-income countries, as well as primary care, more engagement with patients and communities and adoption of innovative trial designs. In sub-Saharan Africa, primary care researchers need to move beyond quasi-experimental and before-and-after designs to conduct randomised clinical trials. The article describes the key methodological requirements of a randomised controlled trial: the hypothesis, design, setting, recruitment, randomisation, sample size, intervention, assessment, results, interpretation and extrapolation. We also discuss the aspects of ethical and well-organised trials that respect study participants, engage with collaborative processes, have appropriate governance and transparent dissemination of results. Finally, we outline innovative designs such as step-wedge, clinical trial networks and adaptive platform designs.","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 2","pages":"e1-e8"},"PeriodicalIF":1.7,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800605","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 merit of rural point-of-care ultrasound: Carotid pseudoaneurysm case report. 农村即时超声的优点：颈动脉假性动脉瘤1例报告。

IF 1.7

African Journal of Primary Health Care & Family Medicine Pub Date : 2025-07-23 DOI: 10.4102/phcfm.v17i1.4959

Jan C Thirion, Daniël J Van Hoving

{"title":"The merit of rural point-of-care ultrasound: Carotid pseudoaneurysm case report.","authors":"Jan C Thirion, Daniël J Van Hoving","doi":"10.4102/phcfm.v17i1.4959","DOIUrl":"10.4102/phcfm.v17i1.4959","url":null,"abstract":"Introduction: Extracranial carotid artery aneurysms and pseudoaneurysms are rare, comprising less than 4% of all peripheral artery aneurysms. Rural primary health care facilities often face significant challenges because of limited access to formal imaging. Point-of-care ultrasound (PoCUS) has the potential to bridge this gap, accelerating timely diagnosis and management in remote settings.Patient presentation: A 19-year-old male presented to a rural primary health care clinic in the Western Cape of South Africa with a 3-week history of left-sided neck swelling and recent odynophagia. Physical examination revealed a firm, pulsatile mass with an audible bruit.Management and outcome: Formal imaging was unavailable for several months, delaying surgical advice. However, the clinic's newly procured mobile ultrasound allowed for PoCUS, which identified a pulsatile vascular lesion consistent with a carotid pseudoaneurysm. Computed tomography angiography confirmed the diagnosis, and the patient was referred for tertiary care where the lesion was repaired. He had vasculitis on histology and exhibited inconclusive features of a connective tissue disorder, but a definitive cause was not found. Despite multiple attempts, he could not be contacted for follow-up.Conclusion: This case highlights how PoCUS can accelerate definitive management in resource-limited settings.Contribution: Point-of-care ultrasound is potentially an effective, cost-efficient diagnostic tool in rural healthcare settings but requires significant investment in equipment and training. Further research is needed to evaluate its feasibility in South African rural health systems.","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e3"},"PeriodicalIF":1.7,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800585","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

Utilisation of antibiotics in a community pharmacy: A case from north-west, South Africa. 社区药房抗生素的使用：来自南非西北部的1例。

IF 1.7

African Journal of Primary Health Care & Family Medicine Pub Date : 2025-07-23 DOI: 10.4102/phcfm.v17i1.4943

Zanele Nsingo, Varsha Bangalee, Deanne Johnston

{"title":"Utilisation of antibiotics in a community pharmacy: A case from north-west, South Africa.","authors":"Zanele Nsingo, Varsha Bangalee, Deanne Johnston","doi":"10.4102/phcfm.v17i1.4943","DOIUrl":"10.4102/phcfm.v17i1.4943","url":null,"abstract":"Background: Antibiotic utilisation is a growing public health issue due to antimicrobial resistance. Community pharmacies are a key access point for antibiotics; thus, an evaluation of dispensing records will provide insights into their use.Aim: To describe the utilisation of antibiotics in a private community pharmacy.Setting: This study was undertaken in a private pharmacy located in the North West province of South Africa.Methods: A retrospective, cross-sectional study reviewed electronic dispensing records of oral antibiotics from January 2022 to August 2024, categorising them according to the World Health Organizations (WHO) Access, Watch and Reserve categories, generic status, diagnosis and payment methods.Results: A total of 10 468 antibiotic dispensing records were analysed. Adults (18-64 years) accounted for the majority of prescriptions (80.7%; n = 8446). Overall, Access antibiotics were mostly dispensed (56.5%; n = 5910); however, azithromycin, a Watch antibiotic, was the most dispensed antibiotic (n = 1849). Notably, 82% (n= 8584) of prescriptions were linked to non-specific International Classification of Diseases, 10th Revision codes. Generic medicines constituted 92.6% (n = 9694) of prescriptions. Although most patients (72.8%) used medical aid, cash-paying patients were more likely to be dispensed a generic antibiotic.Conclusion: Antibiotic prescribing largely aligned with WHO guidelines; however, the high rate of Access antibiotics dispensed highlights the need for targeted interventions to improve prescribing practices and guideline adherence.Contribution: This case study indicates that dispensing records contribute to improved understanding of local antibiotic usage patterns that can help combat antimicrobial resistance within a community.","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e9"},"PeriodicalIF":1.7,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800604","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

Prevalence of hypertension and associated factors in people living with HIV at Senkatana Clinic Maseru. 马塞卢Senkatana诊所艾滋病毒感染者高血压患病率及相关因素

IF 1.7

African Journal of Primary Health Care & Family Medicine Pub Date : 2025-07-22 DOI: 10.4102/phcfm.v17i1.4813

Mosa S M Selebalo, Benjamin J Bryden, David M Thompson, Jill E Sanders

{"title":"Prevalence of hypertension and associated factors in people living with HIV at Senkatana Clinic Maseru.","authors":"Mosa S M Selebalo, Benjamin J Bryden, David M Thompson, Jill E Sanders","doi":"10.4102/phcfm.v17i1.4813","DOIUrl":"10.4102/phcfm.v17i1.4813","url":null,"abstract":"Background: Cardiovascular diseases (CVDs), including hypertension (HTN), have emerged among people living with HIV (PLHIV) as the most important prevalent contributors of non-AIDS-related mortality. Moreover, HTN itself is a modifiable risk factor for other CVDs. Data are limited regarding the prevalence of HTN and associated factors among PLHIV in Lesotho.Aim: To determine the prevalence of HTN and associated factors among PLHIV attending Senkatana ART Clinic.Setting: The study was carried out at Senkatana ART Clinic in urban Maseru, Lesotho.Methods: A cross-sectional study was conducted from February to July 2022. Data were analysed using SAS statistical software (v9.4) and Microsoft Excel. To determine HTN prevalence, blood pressure (BP) was measured, and a questionnaire was administered to participants who were randomly selected using the lottery method from the clinic's daily attendance list. Multiple logistic regression was used to assess factors associated with HTN in PLHIV while controlling for potentially confounding factors.Results: The prevalence of HTN was 57% (exact 95% CI: 51.2%, 62.7%). Of those with HTN, 33.3% were newly diagnosed during this study (exact 95% CI: 26.3%, 40.9%), while 69% of those previously diagnosed with HTN had uncontrolled HTN at enrollment (exact 95% CI: 60.0%, 77.6%). Age older than 50 years (p 0.0001) and a body mass index (BMI) of 25.0 kg/m2 or higher (p 0.0002) were independently associated with HTN.Conclusion: Hypertension was highly prevalent and poorly controlled. Factors associated with HTN in PLHIV were older age and higher BMI. The study's findings support models of comprehensive healthcare delivery.","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e7"},"PeriodicalIF":1.7,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800584","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