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

{"title":"Exploring depression symptoms in chronic care users in Dr Kenneth Kaunda for culturally relevant counselling.","authors":"One M Selohilwe, Tasneem Kathree, Arvin Bhana, Inge Petersen","doi":"10.4102/phcfm.v17i1.4958","DOIUrl":"10.4102/phcfm.v17i1.4958","url":null,"abstract":"<p><strong>Background: </strong> South Africa is faced with a mental health burden attributed to a large treatment gap for common mental disorders (CMDs), and a shortage of mental health professionals. Although comorbidity of CMDs with chronic diseases is common, chronic and non-communicable diseases may receive more attention than CMDs highlighting the need for contextually appropriate, culturally relevant counselling to increase access to mental healthcare for CMDs at primary health care (PHC).</p><p><strong>Aim: </strong> To explore the experiences of patients with comorbid chronic medical conditions and depression attending PHC, to inform the adaptation of an existing evidence-based lay counselling intervention developed in South Africa for human immunodeficiency virus (HIV)-positive patients.</p><p><strong>Setting: </strong> Dr Kenneth Kaunda district, North West province, South Africa.</p><p><strong>Methods: </strong> Semi-structured qualitative interviews were conducted with 16 Sestwana speaking adult chronic care patients with hypertension and HIV who screened positive for depressive symptoms using the Patient Health Questionnaire (PHQ-9), to explore their lived experiences of depression.</p><p><strong>Results: </strong> Poor understanding of depression and poor mental health literacy were highlighted. Depressive symptoms were commonly associated with social determinants including poverty, interpersonal conflict, stigma, illness and grief and bereavement. Most participants were unaware of available depression treatments.</p><p><strong>Conclusion: </strong> Psychoeducation to improve mental health literacy, cognitive behavioural interventions and problem-solving techniques using task sharing are recommended.Contribution: There is limited evidence of explanatory models for depression among this population in South Africa. To our knowledge, this is the only study that focused on a predominantly Setswana-speaking chronic care adult population with comorbid depression.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e9"},"PeriodicalIF":1.7,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240105","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":"Assessment of pediatric eye care services in health facilities in the Ashanti region of Ghana.","authors":"Elizabeth M Akpakli, Alvin J Munsamy, Nishanee Rampersad","doi":"10.4102/phcfm.v17i1.4972","DOIUrl":"10.4102/phcfm.v17i1.4972","url":null,"abstract":"<p><strong>Background: </strong> Childhood visual impairment is an important public health concern considering the social, emotional and economic consequences. Lack of access to eye care services contributes to this growing problem. Therefore, integrating primary eye care into existing primary healthcare would facilitate improved access to equitable, effective and affordable eye care services, particularly for children.</p><p><strong>Aim: </strong> The study assessed the provision of primary paediatric eye care services in health facilities in the Ashanti region of Ghana.</p><p><strong>Setting: </strong> The study was conducted at the primary health facilities in the Ashanti region of Ghana.</p><p><strong>Methods: </strong> Stratified random sampling was used to select 145 health facilities in this descriptive study. The eye care professionals in these facilities completed a questionnaire concerning primary eye care services for children. Data were analysed using descriptive and inferential statistics.</p><p><strong>Results: </strong> Eye care services were available in 131 (90%) of the health facilities resourced with essential eye equipment. Refraction services were provided by 129 (98.5%) despite limited coverage by the national health insurance scheme. More than 80% of participants lacked continuing education and 59% had poor awareness of management guideline. Barriers identified included lack of specialised equipment and inadequate resources.</p><p><strong>Conclusion: </strong> The study highlights disparities in the provision of child eye care services among the health facilities in the Ashanti region of Ghana.Contribution: This study provides useful information to inform policy on targeted interventions for child eye care services to ensure accessible, equitable and comprehensive services.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e10"},"PeriodicalIF":1.7,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239950","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":"Scaling up World Organization of Family Doctors membership within the African region.","authors":"Jane F Namatovu","doi":"10.4102/phcfm.v17i1.5072","DOIUrl":"10.4102/phcfm.v17i1.5072","url":null,"abstract":"<p><p>No abstract available.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e2"},"PeriodicalIF":1.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240098","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":"Experiences of adolescent girls and young women of oral PrEP uptake in rural KwaZulu-Natal.","authors":"Sizwe J Ndlovu, Siyabonga B Dlamini, Gugulethu E Shezi","doi":"10.4102/phcfm.v17i1.4952","DOIUrl":"10.4102/phcfm.v17i1.4952","url":null,"abstract":"<p><strong>Background: </strong> The human immunodeficiency virus remains a global public health concern mainly affecting adolescent girls and women. Pre-exposure prophylaxis (PrEP) uptake among this group remains low in the Richmond rural community despite known benefits.</p><p><strong>Aim: </strong> This article explores the experiences of adolescent girls and young women aged 18-24 of oral PrEP uptake in Richmond Local Municipality, KwaZulu-Natal, South Africa.</p><p><strong>Setting: </strong> The study was carried out in the peri-urban area with two traditional councils located in the uMgungundlovu district of KwaZulu-Natal, South Africa.</p><p><strong>Methods: </strong> Using qualitative methodology, 12 in-depth interviews were conducted among participants who had used PrEP between 1 month and 12 months. These interviews were thematically analysed using Colaizzi's method.</p><p><strong>Results: </strong> Thematic analysis identified four themes capturing the experiences of adolescent girls and young women regarding PrEP uptake: (1) perceived factors influencing usage decisions, (2) barriers to uptake, (3) facilitators of continued use, (4) community education and awareness about PrEP. Barriers like stigma, healthcare access challenges and fear of side effects further hindered initiation, adherence and retention. Facilitators for continuation included family, community support and convenient access to re-supply. The study highlights the importance of school-based parental meetings and discussions to normalise PrEP use among participants in the peri-urban area.</p><p><strong>Conclusion: </strong> The identified practical approaches enable convenient resupply and could increase the uptake. Peer support is critical in improving side effect management.Contribution: The study highlights the need to improve social support by using the school's parental meetings to educate the community about the benefits of pre-exposure prophylaxis to improve adherence and retention.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e10"},"PeriodicalIF":1.7,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240013","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":"Low metformin concentrations in obese people with HIV treated with dolutegravir.","authors":"Roland Van Rensburg, Eric H Decloedt","doi":"10.4102/phcfm.v17i1.5096","DOIUrl":"10.4102/phcfm.v17i1.5096","url":null,"abstract":"<p><p>Not applicable.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e3"},"PeriodicalIF":1.7,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240073","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":"Determinants of Postnatal Care (PNC) Knowledge and Perceptions among Women Utilizing PNC and Antenatal Care Services in the Oshana region, Namibia.","authors":"Enos Moyo, Perseverance Moyo, Tafadzwa Dzinamarira, Andrew Ross","doi":"10.4102/phcfm.v17i1.4738","DOIUrl":"10.4102/phcfm.v17i1.4738","url":null,"abstract":"<p><strong>Background: </strong> Postnatal care (PNC) knowledge and positive perceptions are crucial for women's utilisation of PNC services.</p><p><strong>Aim: </strong> The study aimed to assess the level of PNC knowledge, perceptions of PNC, and determinants of both among women.</p><p><strong>Setting: </strong> Public healthcare facilities in the Oshana region, Namibia.</p><p><strong>Methods: </strong> The study followed a quantitative cross-sectional survey design. A self-administered questionnaire was administered to 814 participants selected via systematic random sampling. PNC knowledge and perceptions were used separately as dependent variables. Participants' characteristics were used as independent variables. Chi-square tests and binomial and multinomial logistic regression were used to analyse associations between PNC knowledge or perceptions and participants' characteristics.</p><p><strong>Results: </strong> Among the participants, 55.6% (n = 434) demonstrated good PNC knowledge, while 27.3% (n = 213) had positive PNC perceptions. Participants who had no formal education, were unemployed, and did not utilise PNC services had a lower likelihood of having good PNC knowledge; adjusted odds ratio (AOR) = 0.33, 95% confidence interval (CI), 0.21-0.53, crude odds ratio (COR) = 0.68, 95% CI, 0.49-0.92; and AOR = 0.72, 95% CI, 0.52-0.98. Similarly, women who did not attend antenatal care had a lower likelihood of having positive PNC perceptions; COR = 0.56, 95% CI, 0.33-0.96.</p><p><strong>Conclusion: </strong> There is a need for multipronged interventions to improve PNC knowledge and perceptions among women in the Oshana region.Contribution: This study identified context-specific factors that influence women's PNC knowledge and perceptions.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e7"},"PeriodicalIF":1.7,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240010","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":"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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024384","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":"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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024364","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":"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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024333","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":"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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024461","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}