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

{"title":"Innovations for scaling up family medicine training within the Primary Care and Family Medicine network.","authors":"Innocent K Besigye, Robert Mash","doi":"10.4102/phcfm.v18i1.5427","DOIUrl":"10.4102/phcfm.v18i1.5427","url":null,"abstract":"","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"18 1","pages":"e1-e4"},"PeriodicalIF":1.7,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406322","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":"Influence of climate change on adolescents and young adults' mental health in Southern Africa: Scoping review.","authors":"Mutshidzi Mulondo, Tandrea Carter, Martie Thompson, Sithembiso Ndlovu","doi":"10.4102/phcfm.v18i1.5154","DOIUrl":"10.4102/phcfm.v18i1.5154","url":null,"abstract":"<p><strong>Background: </strong> Prioritising the mental health of adolescents and young adults during climate change is essential to their overall wellbeing. In 2021, the World Health Organization (WHO) included preventing and treating non-communicable diseases and mental health conditions as part of the 10 global health issues to track. Evidence regarding the effect of climate change on mental health conditions in Southern Africa is lacking.</p><p><strong>Aim: </strong> This scoping review aims to document the influence of climate change on adolescents and young adults' mental health.</p><p><strong>Setting: </strong> The review was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR).</p><p><strong>Methods: </strong> There were 14 electronic bibliographic databases that were searched together with a grey literature search. Two reviewers independently screened and appraised identified articles. All relevant data were extracted and mapped according to three categories: (1) type of climate change, (2) impact and loss experience and (3) health promotion interventions.</p><p><strong>Results: </strong> We identified seven studies showing the influence of climate change on adolescents and young adults' mental health in Southern Africa. Three (n = 3), 50%, of the studies appear to indicate the influence of climate change on mental health as being more long-lasting signified by symptoms of traumatisation.</p><p><strong>Conclusion: </strong> Higher rates of depression were associated with the type of climate disaster such as those found in those who experienced drought and floods.Contribution: Our review also highlighted a gap for future studies indicating health promotion interventions as being mostly social support and minimal indication of health system interventions. Future research may be necessary to provide multi-sectorial interventions of support.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"18 1","pages":"e1-e7"},"PeriodicalIF":1.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406294","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":"Challenges with drug management of children and adolescents living with human immunodeficiency virus on antiretroviral therapy: A narrative review.","authors":"Phumelele P Mthethwa, Panjasaram Naidoo, Myra Taylor","doi":"10.4102/phcfm.v18i1.5121","DOIUrl":"10.4102/phcfm.v18i1.5121","url":null,"abstract":"<p><strong>Background: </strong> Tremendous efforts and resources have been outlaid for human immunodeficiency virus (HIV) prevention and treatment globally; however, HIV and/or acquired immunodeficiency syndrome (AIDS) management for children appears to always lag behind the progress made for adults. South Africa operates the most extensive HIV treatment programme in sub-Saharan Africa. Even with greater availability of antiretroviral therapy (ART), controlling the infection continues to be difficult. To reduce HIV-related deaths, retention on ART and viral suppression are crucial. Although advances in ART medication development provide great hope, improvement in care is still needed. In this review, challenges related to ART for children and adolescents living with HIV are highlighted.</p><p><strong>Aim: </strong> To review the challenges experienced in the drug management of children and adolescent patients on antiretroviral therapy globally.</p><p><strong>Method: </strong> An extensive online database search was conducted using keywords on Google Scholar, PubMed, Medline, ISI Web and Embase in February 2025, for English language literature published between 2015 and 2024 in the public healthcare sector. All studies (N = 33) that met the inclusion criteria and reported on challenges experienced by children and adolescents living with HIV from prematurity to 15 years, their caregivers, and prescribers of HIV treatment were retrieved and reviewed.</p><p><strong>Results: </strong> Challenges found in the management of HIV in children and adolescents included adherence monitoring, medicine-related factors, psychological factors, social factors and health system-related factors.</p><p><strong>Conclusion: </strong> Challenges still exist in the management of children and adolescents living with HIV, despite the great strides made. Addressing these challenges is imperative and necessitates a multifaceted approach involving various interventions.Contribution: The findings of this study emphasise the need for a holistic approach to addressing the identified challenges in order to improve treatment outcomes.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"18 1","pages":"e1-e12"},"PeriodicalIF":1.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406373","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 review on prospects, challenges, stakeholders and strategies for the implementation of water, sanitation and hygiene in developing countries towards achieving Sustainable Development Goal 4.","authors":"Esther Adekunle, Ferdinand Ottoh, Goddy Osimen, Adedotun O Akinola","doi":"10.4102/phcfm.v18i1.5376","DOIUrl":"10.4102/phcfm.v18i1.5376","url":null,"abstract":"<p><p>Access to safe water, sanitation and hygiene (WASH) is a human right and a main driver of social well-being, economic progress and public health. This study presents a narrative review on the prospects, challenges, stakeholders and strategies regarding WASH implementation in developing countries. A literature search approach, fully dependent on the availability of data from secondary sources, has been adopted for the study. Improved sanitation and hygiene education from WASH boost health, learning and school attendance. However, equity, cost and maintenance are some of the barriers to WASH. Furthermore, success requires long-term investment, community engagement, collaboration across sectors, schools with infrastructure to support WASH, health education, monitoring of water quality and funding for sustainability mechanisms. This study contributes to the literature by revealing the prospects, challenges, stakeholders and strategies for the implementation of WASH in developing countries. This study will provide empirical data for researchers and policymakers towards achieving Sustainable Development Goal 4.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"18 1","pages":"e1-e5"},"PeriodicalIF":1.7,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406083","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":"Family physician versus specialist family physicians: Curse or edge of collapse?","authors":"Prosper M Lutala, Jessie Z Mbamba, Patrick W Chisepo, Anna C McDonald, Modai Mnenula","doi":"10.4102/phcfm.v18i1.5503","DOIUrl":"10.4102/phcfm.v18i1.5503","url":null,"abstract":"<p><p>The introduction and growth of family medicine as a specialty in Africa have produced mixed outcomes. While the consolidation of training has enhanced credibility, academic rigour, and career pathways, it has also contributed to a decline in the management of undifferentiated and complex cases, which form the bulk of primary care encounters. Increasingly, these cases are categorised as 'minor ailments', leading to reduced engagement of specialists with patients, communities, and the foundational principles of the discipline. This trend risks distancing family medicine from its holistic, community-oriented roots. Beyond qualification titles, the discipline must actively seek ways to sustain its presence in routine consultations, ensuring that specialists remain engaged in everyday patient encounters while applying advanced skills to address complexity.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"18 1","pages":"e1-e3"},"PeriodicalIF":1.7,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406336","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":"Medicines governance and systemic constraints: A qualitative study among healthcare professionals in South Africa.","authors":"Miriam M Ndwandwe, Mygirl P Lowane, Thembi V Simbeni, Mathildah M Mokgatle","doi":"10.4102/phcfm.v18i1.5356","DOIUrl":"10.4102/phcfm.v18i1.5356","url":null,"abstract":"<p><strong>Background: </strong> Medicine shortages and governance failures in low- and middle-income countries continue to hinder progress towards universal health coverage.</p><p><strong>Aim: </strong> To explore healthcare professionals' perceptions and experiences of medicines governance in South African healthcare facilities.</p><p><strong>Setting: </strong> The study was conducted at the public healthcare sectors in Eastern Cape province, South Africa.</p><p><strong>Methods: </strong> A qualitative exploratory cross-sectional design was used. Twenty healthcare professionals were purposively selected. Semi-structured interviews were conducted, audio-recorded, transcribed verbatim and thematically analysed using Braun and Clarke's framework.</p><p><strong>Results: </strong> Four major themes emerged: systemic governance constraints; pharmaceutical supply chain vulnerabilities; weak accountability mechanisms; and gaps in protocol implementation. Key determinants of medicine shortages included weak budget governance, supplier payment delays, limited pharmacy support staff and inconsistent implementation of standard treatment guidelines (STG) and limited functionality of Pharmacy and Therapeutics Committees (PTCs).</p><p><strong>Conclusion: </strong> Medicine shortages result from systemic governance failures rather than isolated logistical issues. Strengthening pharmaceutical governance requires transparent budgeting, timely supplier payment systems, functional PTCs, and STG training to improve equitable access to essential medicines.Contribution: This study deepens the understanding of pharmaceutical governance, revealing systemic, interrelated factors that collectively lead to the shortage of pharmaceuticals in South Africa. Unlike previous research that focused primarily on supply chain logistics, the study showed that stock-outs were rooted not simply in operational inefficiency, but also in structural governance weaknesses. This study presents practical insights to strengthen pharmaceutical governance and supports national efforts to achieve universal health coverage by identifying specific governance obstacles and proposing system-level reforms.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"18 1","pages":"e1-e10"},"PeriodicalIF":1.7,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406299","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":"Socio-ecological influences on sexual and reproductive health service use: Young adults and provider perspectives from Soshanguve, South Africa.","authors":"Naum M Maeko, Christo Heunis, Gladys Kigozi-Male","doi":"10.4102/phcfm.v18i1.5272","DOIUrl":"10.4102/phcfm.v18i1.5272","url":null,"abstract":"<p><strong>Background: </strong> Despite widespread availability of sexual and reproductive health (SRH) services and educational initiatives in South Africa, risky sexual behaviours, including unprotected sex, remain prevalent among young adults. These behaviours drive high rates of unplanned pregnancies, unsafe abortions and sexually transmitted infections. The misalignment between interventions and behavioural outcomes reflects deeper, underexplored systemic barriers - including misinformation, stigma, provider bias and weak policy implementation - embedded within institutional structures and practices.</p><p><strong>Aim: </strong> Guided by the socio-ecological model, this study explored the factors influencing young adults' access to SRH services, drawing on the perspectives of both young adults and SRH providers.</p><p><strong>Setting: </strong> Three public clinics in Soshanguve township, South Africa.</p><p><strong>Methods: </strong> A qualitative exploratory study design was used. Semi-structured interviews were conducted with a convenience sample of 15 young adults and a purposive sample of five SRH service providers. Data were analysed thematically.</p><p><strong>Results: </strong> Findings revealed multilevel barriers influencing the use of SRH services by young adults: limited SRH knowledge and misconceptions (individual level); poor parent-child communication and peer pressure (interpersonal level); stigma and religious norms (community level); long waiting times, privacy concerns and provider bias (institutional level) and inadequate youth-friendly policies and restricted access to services like abortion (policy level).</p><p><strong>Conclusion: </strong> Improving SRH service access and outcomes requires context specific, multilevel interventions aligned to the perspectives of young adults and providers.Contribution: This study offers a nuanced exploration of SRH service utilisation in an under-resourced setting, generating context-specific insights to inform youth-centred, socio-culturally responsive policy development and service planning.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"18 1","pages":"e1-e17"},"PeriodicalIF":1.7,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406361","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":"[La version française de la liste de vérification CRISP : un outil pratique pour la publication de la recherche en soins primaires en français].","authors":"Jean-Pierre Fina-Lubaki, Williams R Phillips, Klaus B Von Pressentin","doi":"10.4102/phcfm.v18i1.5398","DOIUrl":"10.4102/phcfm.v18i1.5398","url":null,"abstract":"<p><p>The French version of the CRISP checklist: A practical tool for publishing primary care research in French. This editorial introduces the French version of the Consensus Reporting Items for Studies in Primary Care (CRISP) checklist, a reporting tool developed to improve the quality, relevance, and transparency of primary care publications. It notes that primary care research has unique methods, populations, and health system contexts, and thus needs tailored reporting guidance. The article describes the checklist's development via international consensus and its flexibility for quantitative, qualitative, and mixed-methods research. The checklist assists authors, reviewers, editors, teachers, and study planners. The editorial stresses the importance of a French version, given French's global presence, especially in Africa, while English dominates scientific publishing. This language barrier hinders French-speaking researchers. Offering a French version improves access and supports clearer communication of research in Francophone and African settings. The editorial concludes that the French CRISP checklist strengthens reporting and helps to interpret and apply primary care research findings.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"18 1","pages":"e1-e2"},"PeriodicalIF":1.7,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406125","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 global 'Common Core' framework for family medicine faculty development: Getting the right person, doing the right thing, right!","authors":"Esther M Johnston, Ramakrishna Prasad, Bassim Birkland, Klaus B Von Pressentin, Sophie Watson, Annika Carlson, Shailendra Prasad","doi":"10.4102/phcfm.v18i1.5371","DOIUrl":"10.4102/phcfm.v18i1.5371","url":null,"abstract":"<p><strong>Background: </strong> Family medicine is a medical speciality with a global reach, with common core principles but significant regional variations in training pathways, certification and recognition and clinical practice.</p><p><strong>Aim: </strong> Partly because of the differences in how family medicine is defined and practised in different areas, there are no existing globally informed guidelines on how to prepare family medicine faculty. This study aims to address this need.</p><p><strong>Setting: </strong> This study was conducted with an expert group composed of family medicine faculty development experts from across the world.</p><p><strong>Methods: </strong> A modified Delphi survey, grounded in a constructivist paradigm, was used to obtain consensus from family medicine faculty development experts representing a diverse range of geographical regions. We applied a combined approach to framework analysis, identifying themes deductively from an existing framework for general clinical educator development, as well as inductively from the comments of study participants. We analysed these responses using thematic analysis.</p><p><strong>Results: </strong> The final framework for family medicine faculty development includes three domains, encompassing the technical skills, knowledge and interpersonal approach, and professional role modelling expected of a family medicine educator.</p><p><strong>Conclusion: </strong> This study offers a novel framework for ensuring quality in the educators who are training the next generation of family medicine physicians.Contribution: Developed through consensus of a global expert team, this framework offers specific recommendations regarding technical skills, knowledge, philosophical approaches and professionalism, while offering sufficient flexibility to be applied in a wide array of regions and settings, reflecting the practice of family medicine itself.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"18 1","pages":"e1-e8"},"PeriodicalIF":1.7,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406097","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":"Including planetary health in continuing professional development.","authors":"Robert J Mash","doi":"10.4102/phcfm.v18i1.5524","DOIUrl":"10.4102/phcfm.v18i1.5524","url":null,"abstract":"","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"18 1","pages":"e1-e2"},"PeriodicalIF":1.7,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406311","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}