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

{"title":"Optimising clinical governance and risk management in resource-limited hospitals: A family medicine model.","authors":"Mergan Naidoo, Kimera T Suthiram","doi":"10.4102/phcfm.v17i1.4876","DOIUrl":"https://doi.org/10.4102/phcfm.v17i1.4876","url":null,"abstract":"<p><p>In resource-constrained healthcare settings, clinical governance and risk management are critical to improving patient outcomes and efficiently using limited resources. This article describes an innovative strategy implemented at a South African district hospital led by family physicians to optimise admissions and care prioritisation. The protocol established a designated high-care unit and admissions ward, ensuring that all new admissions were seen by a family physician, allowing family physicians to focus on the sickest patients requiring immediate intervention. This structured approach improved clinical oversight, reduced medical errors, and decreased morbidity and mortality. By efficiently allocating the expertise of family physicians, the intervention demonstrated measurable improvements in care delivery and patient safety. This model highlights the leadership role of family physicians in clinical governance and presents a scalable solution for similar resource-limited healthcare settings.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e5"},"PeriodicalIF":1.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018060","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":"Reducing prescribing cascades.","authors":"Aaron M Tejani, Thomas L Perry","doi":"10.4102/phcfm.v17i1.4929","DOIUrl":"10.4102/phcfm.v17i1.4929","url":null,"abstract":"<p><p>Prescribing cascades contribute to the increasing prevalence of polypharmacy and its associated risks, where a drug-induced adverse event is misinterpreted as a new condition and treated with additional medications. Notable cascades include the use of anticholinergics leading to cognitive impairment, dyspepsia or constipation, which then prompt prescriptions for dementia medications, proton pump inhibitors or laxatives, respectively. Similarly, calcium channel blockers and gabapentinoids often induce oedema, resulting in unnecessary diuretic use. Strategies for prevention include careful review of adverse effects, deprescribing where appropriate and clinician education to improve symptom interpretation and prescribing practices. Recognising these cascades can mitigate unnecessary interventions and improve patient outcomes.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e4"},"PeriodicalIF":1.2,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764979","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":"Preoperative risk factors for extended hospital stay: A prospective study in a South African clinic.","authors":"Kuven Naidu, Nabeela Kajee, Jayseelan Naidu, Bilaal Wadee","doi":"10.4102/phcfm.v17i1.4781","DOIUrl":"10.4102/phcfm.v17i1.4781","url":null,"abstract":"<p><strong>Background: </strong> Preoperative assessment clinics play a critical role in identifying, evaluating and mitigating perioperative risks. Despite global data highlighting the importance of preoperative risk factors on surgical outcomes, there remains limited information on their impact on post-operative length of stay (LOS) in South African contexts.</p><p><strong>Aim: </strong> This study aimed to describe the demographic and clinical profiles of patients referred to a preoperative clinic as well as factors associated with post-operative extended LOS.</p><p><strong>Setting: </strong> The preoperative clinic is based in the city of Johannesburg in South Africa.</p><p><strong>Methods: </strong> This was a prospective cohort study conducted between 2021 and 2022 at a private clinic in patients undergoing non-cardiac surgery. Data on demographics, co-morbidities, surgical procedures and clinical outcomes were collected. Statistical analysis was performed to assess relationships between preoperative risk factors, including ASA grading, Revised Cardiac Risk Index (RCRI), estimated glomerular filtration rate, diabetes mellitus, age, obesity and LOS.</p><p><strong>Results: </strong> A total of 214 patients were assessed, of which 75.7% were female, with a median age of 62.5 years. Common co-morbidities included hypertension (59.3%) and obesity (55%). The median LOS was 3.5 days, with 47.2% of patients staying more than 3 days post-operatively. Knee (33.2%) and hip surgeries (21%) were the most common procedures. A significant association was found between longer LOS and RCRI score ≥ 1 (p = 0.007), renal dysfunction in knee surgery patients (p = 0.027) and age in patients undergoing hip surgery (p = 0.049).</p><p><strong>Conclusion: </strong> Findings note the need for targeted intereventions in preoperative care to reduce LOS, particularly for high-risk patients.Contribution: This study highlights the fact that preoperative information may play a significant role in patient's outcomes post surgery. Further research is needed to validate these results across broader healthcare settings.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e10"},"PeriodicalIF":1.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764938","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":"Epidemiology of hypertension among patients with type 2 diabetes in the Democratic Republic of Congo.","authors":"Xoliswa Simelane, Jean-Pierre Fina-Lubaki, Joel M Francis","doi":"10.4102/phcfm.v17i1.4712","DOIUrl":"10.4102/phcfm.v17i1.4712","url":null,"abstract":"<p><strong>Background: </strong> Hypertension is a common comorbidity among patients with type 2 diabetes (T2D) and is associated with poorer treatment outcomes.</p><p><strong>Aim: </strong> To describe the epidemiology of hypertension among patients with T2D in Kinshasa, Democratic Republic of the Congo.</p><p><strong>Setting: </strong> A multisite study among 20 randomly selected health facilities in Kinshasa.</p><p><strong>Methods: </strong> This was an analytical cross-sectional study among 620 participants with T2D. The overall prevalence of hypertension and uncontrolled hypertension was determined. Multivariable mixed effects logistic regression determined factors associated with hypertension and hypertension control among participants with T2D.</p><p><strong>Results: </strong> One-third (34.7%) of study participants were classified as having hypertension. The factors associated with hypertension were unemployment (adjusted odds ratio [aOR] = 1.93, 95% confidence interval [CI]: 1.18-3.17), overweight (aOR = 2.71; 95% CI: 1.78-4.13), diabetes duration ≥ 5 years (aOR = 1.84, 95% CI: 1.24-2.73), protestant religion (aOR = 0.48, 95% CI: 0.29-0.82) and severe diabetes distress (aOR = 0.47; 95% CI: 0.28-0.79). The prevalence of uncontrolled hypertension among participants with diabetes-hypertension comorbidity was 50.2%. Being overweight was associated with uncontrolled hypertension (aOR = 2.02; 95% CI: 1.08-3.79).</p><p><strong>Conclusion: </strong> Hypertension was common among patients with T2D in Kinshasa, Democratic Republic of Congo (DRC), and in most patients it was uncontrolled. There is a need to strengthen the hypertension prevention and control strategies among patients with T2D, including lifestyle modifications to maintain optimal body weight.Contribution: This study provides insight into the diabetes-hypertension comorbidity in an African urban setting.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e9"},"PeriodicalIF":1.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765370","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-management knowledge, attitudes and practices among persons with type 2 diabetes in Ghana.","authors":"Beatrice B Johnson, Mary A Jarvis, Jennifer A Chipps","doi":"10.4102/phcfm.v17i1.4696","DOIUrl":"10.4102/phcfm.v17i1.4696","url":null,"abstract":"<p><strong>Background: </strong> Diabetes is one of the major non-communicable diseases. Diabetes self-management has been identified as a key strategy to reduce complications and to improve health outcomes.</p><p><strong>Aim: </strong> This study aimed to investigate the diabetes self-management knowledge, attitude and practices among people with type-2 diabetes in Ghana.</p><p><strong>Setting: </strong> Two clinics for diabetes patients in the Ho municipality of Ghana were selected to conduct the study.</p><p><strong>Methods: </strong> An outpatient cross-sectional survey was conducted using a 57-item researcher-administered questionnaire based on the Information, Motivation, Behaviours Model adopted for Diabetes. A total of 321 patients with type 2 diabetes were randomly selected from the two outpatient clinics for diabetes in Ho, Ghana. Data were analysed using descriptive statistics and multiple linear regression modules were conducted to determine the predictors of self-management practices. Significance was set at p  0.05.</p><p><strong>Results: </strong> The average score for knowledge was 11.37/24 ± 3.40 or 47%, indicating poor levels of diabetes self-management knowledge. Moderately positive attitudes were found (2.83/5 ± 1.57) [95% CI -1.86 to -3.80] with poor self-management practices with a median of 3.00 per week (maximum 5.20, minimum 0.60 per week). Knowledge explained 20% of variation in self-management practice.</p><p><strong>Conclusion: </strong> The findings from this study show an overall deficit in knowledge of diabetes with related low self-management practice. This suggests the need for robust self-management education programmes to improve access to diabetes self-management-related information.Contribution: This study highlights the important knowledge of diabetes in self-management.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e10"},"PeriodicalIF":1.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765326","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":"Risk of child undernutrition in households with life-limiting illness: A cross-sectional study.","authors":"Janni B Petersen, Irene Naleba, Josephine Namugambe, Sofine Heilskov, Per Kallestrup","doi":"10.4102/phcfm.v17i1.4773","DOIUrl":"10.4102/phcfm.v17i1.4773","url":null,"abstract":"<p><strong>Background: </strong> An ongoing challenge within the field of undernutrition is to identify children at risk.</p><p><strong>Aim: </strong> The objective of this study was to investigate whether children who are living in households inhabiting a household member with a life-limiting illness are at risk of undernutrition.</p><p><strong>Setting: </strong> A comparative cross-sectional study was performed in Uganda.</p><p><strong>Methods: </strong> We collected anthropometric data on children under the age of five and information on household dietary diversity, food security and healthcare barriers. Study participants for the hypothesised high-risk group were recruited within households receiving home-based palliative care. The comparison group included neighbouring households.</p><p><strong>Results: </strong> Data collection from 145 paired households was performed from April to July 2021. There was no statistically significant difference in prevalence of undernutrition. For all continuous nutrition indicators there was a trend towards less undernutrition in the hypothesised high-risk group than in the comparison group. We found lower overall prevalence of acute malnutrition than expected. The hypothesised high-risk group was associated with higher food insecurity than the comparison group.</p><p><strong>Conclusion: </strong> Lower overall acute malnutrition than expected may be because of the season variability. Stunting was higher than expected in both groups, which may suggest season variability in undernutrition. The results suggest a protective effect of receiving home-based palliative care on child nutritional status.Contribution: The study did not show a risk of child undernutrition in households inhabiting a household member with life-limiting illness. Future research may identify key elements responsible for the potential protective effects of home-based palliative care on child undernutrition.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765006","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 mHealth to support cancer diagnosis in Sub-Saharan Africa: A systematic review.","authors":"Kirsten D Arendse, Grace A Baby, Teffanie T M Maramba, Jennifer Moodley, Fiona M Walter, Suzanne E Scott","doi":"10.4102/phcfm.v17i1.4683","DOIUrl":"10.4102/phcfm.v17i1.4683","url":null,"abstract":"<p><strong>Background: </strong> A reduction in communicable diseases in sub-Saharan Africa (SSA) over recent decades has led to an increased life expectancy and non-communicable diseases such as cancer. However, cancer services in SSA remain inadequate. With increasing mobile use, mobile health (mHealth) has the potential to expand healthcare access.</p><p><strong>Aim: </strong> This systematic review aims to synthesise literature reporting on barriers and facilitators to the implementation and use of mHealth tools by patients or the public to support symptomatic cancer diagnosis in SSA.</p><p><strong>Method: </strong> A comprehensive literature search was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Two researchers independently conducted title and abstract screening, full-text review and data extraction. Extraction templates were compared and data were synthesised. Quality was assessed using the Mixed Methods Appraisal Tool.</p><p><strong>Results: </strong> Of 7695 records identified, three quantitative and two mixed-methods studies were included, published between 2016 and 2022. The studies focused on Kaposi's sarcoma, cervical cancer, breast cancer and any cancer. Three inter-related themes describe the barriers and facilitators: (1) user or population-related factors including access to mobile devices and connectivity, and language literacy; (2) mHealth tool-related factors such as tool accessibility and language translation; and (3) structural, societal or systemic factors such as sociocultural significance and stigma.</p><p><strong>Conclusion: </strong> Although SSA countries experienced similar challenges to mHealth tool use as high-income nations, some barriers such as limited mobile devices and connectivity were more severely evident.Contribution: The study findings can be used to guide future mHealth tool design and implementation strategies that are relevant to SSA.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e13"},"PeriodicalIF":1.2,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764928","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":"Vision-related quality of life and associated factors in individuals with vision impairment.","authors":"Modjadji M Leshabane, Nishanee Rampersad, Khathutshelo P Mashige","doi":"10.4102/phcfm.v17i1.4765","DOIUrl":"10.4102/phcfm.v17i1.4765","url":null,"abstract":"<p><strong>Background: </strong> Vision impairment (VI) limits the ability of affected individuals to achieve optimal functioning and impacts their quality of life.</p><p><strong>Aim: </strong> This study assesses the vision-related quality of life (VRQOL) and its associated factors in individuals with VI.</p><p><strong>Setting: </strong> The study was conducted at selected public hospitals in Limpopo province, South Africa.</p><p><strong>Methods: </strong> A cross-sectional, quantitative study was conducted between January and August 2023 across 29 public hospitals, utilising a semi-structured questionnaire. Data obtained from the participants' responses were analysed to assess their VRQOL.</p><p><strong>Results: </strong> The study sample consisted of 454 participants, 57.0% female. The participants' ages ranged from 18 to 82 years. The mean composite score was 22.50 ±13.01 (range: 4.0-55.7). Factors associated with increased risk of poorer VRQOL included illiteracy (B: -10.32; p  0.001), primary level education (B: -6.81; p = 0.015) and male gender (B: -3.80; p = 0.003). Regarding VI severity and aetiology, blindness (B: -21.35; p  0.001), cataracts (B: -2.98; p = 0.015) and corneal diseases (B: -6.85; p = 0.005) were associated with risk of poor VRQOL. Conversely, employment (B: 12.76; p  0.001) and refractive error (B: 11.84; p  0.001) were associated with improved VRQOL outcomes.</p><p><strong>Conclusion: </strong> The VRQOL among individuals with VI attending public hospitals in Limpopo province is relatively low. The main causes of VI were largely preventable or correctable, indicating the need to strengthen comprehensive eye care services. Enhancing these services may significantly improve the quality of life for individuals with VI in the province.Contribution: The study fills the knowledge gap regarding the impact of VI on VRQOL in individuals seeking care at public hospitals in Limpopo province.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e9"},"PeriodicalIF":1.2,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544004","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 nurses and patients with the implementation of the CCMDD programme.","authors":"Ragosebo P Sekopa, Robert T Netangaheni","doi":"10.4102/phcfm.v17i1.4676","DOIUrl":"10.4102/phcfm.v17i1.4676","url":null,"abstract":"<p><strong>Background: </strong> The Central Chronic Medicines Dispensing and Distribution (CCMDD) programme has good benefits for both patients with chronic conditions and nurses if it is effectively implemented. In most of the Sekhukhune Primary Health Care (PHC) facilities, the implementation of the CCMDD programme has been highly challenging but at the same time very beneficial.</p><p><strong>Aim: </strong> The purpose of this study was to describe the experiences of nurses and patients following the implementation of the CCMDD programme in Sekhukhune clinics.</p><p><strong>Setting: </strong> Nine of the Sekhukhune district clinics in Limpopo province, South Africa, were used as study sites.</p><p><strong>Methods: </strong> The qualitative research approach with a descriptive and explorative research design was used in this study. Data were acquired through 45 one-on-one semi-structured interviews, with Sekhukhune PHC nurses managing the CCMDD programme and patients with chronic conditions who are enrolled in the programme, and then analysed thematically.</p><p><strong>Results: </strong> Positive experiences included overcrowding and workload reduction, saving of time and money for transport, improves medication adherence, reduction in incidents of file loss, reduction in patient waiting times, preservation of clinic drug supplies and easy and convenience. However, negative experiences such as shortage of staff, the lack of communication and information on the CCMDD programme hindered the effectiveness of the CCMDD programme.</p><p><strong>Conclusion: </strong> Both nurses and patients of Sekhukhune PHC facilities had positive and negative experiences with regard to the implementation of the CCMDD programme; hence, strategies to improve the programme are needed to be developed.Contribution: The study contributes by providing recommendations for nurse training in the CCMDD programme, in order to improve service delivery processes of the implementation of the CCMDD programme in Sekhukhune PHC facilities.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e9"},"PeriodicalIF":1.2,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400263","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 healthcare workers' immunisation behaviour towards COVID-19 vaccines through psychological patterns.","authors":"Nour El Houda Benkaddour, Sara Ramdani, Hind Khalil, Asmae Lekfif, Naima Abda, Bouchra Oneib, Yassamine Bentata","doi":"10.4102/phcfm.v17i1.4710","DOIUrl":"10.4102/phcfm.v17i1.4710","url":null,"abstract":"<p><strong>Background: </strong> The psychological approach can provide valuable insights into vaccination behaviour, especially in high-risk contexts. It offers new perspectives for effective interventions to improve vaccination behaviour.</p><p><strong>Aim: </strong> To investigate key factors influencing stress related to vaccination in emergency situations among healthcare professionals.</p><p><strong>Setting: </strong> Eastern region of Morocco.</p><p><strong>Methods: </strong> We conducted a descriptive and analytical cross-sectional study involving 221 healthcare professionals in the Eastern region of Morocco. A snowball sampling method was used to select the participants who were administered a questionnaire. Logistic regression analysis was performed with p  0.05 being the level of statistical significance.</p><p><strong>Results: </strong> The participants had a median age of 25.5 years (30-34.5) and were predominantly females (68.3%). Vaccination coverage stood at 84.6%, with a positive perception of 77.8%. The analysis of the Perceived Stress Scale (PSS) revealed that 51.6% (n = 114) of healthcare professionals experienced stress towards vaccination. Females were almost two times more susceptible to experiencing vaccination stress (p = 0.03). Furthermore, the analysis showed that vaccination profile (p = 0.02), accepting the vaccine for any reason other than its accessibility (p = 0.03) and having a previous coronavirus disease 2019 infection (p = 0.03), were significantly associated with stress. In contrast, healthcare professionals based at the university hospital had a significantly lower stress level (p = 0.01).</p><p><strong>Conclusion: </strong> Moroccan healthcare professionals exhibited high vaccine acceptance and positive perceptions, particularly among vaccinated individuals despite notable stress around immunisation.Contribution: These insights can guide governments and policymakers in developing strategies to enhance healthcare workers' awareness and understanding of vaccination.</p>","PeriodicalId":47037,"journal":{"name":"African Journal of Primary Health Care & Family Medicine","volume":"17 1","pages":"e1-e11"},"PeriodicalIF":1.2,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400267","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}