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Τρίτη 3 Οκτωβρίου 2017

5d
Economic burden of malaria on rural households in Gwanda district, Zimbabwe
BACKGROUND: Malaria is a serious public health problem in sub-Saharan Africa and is a leading cause of morbidity and mortality AIM: To estimate the economic burden of malaria in rural households SETTING: The study was conducted in Gwanda district of Matabeleland South in Zimbabwe. A total of five malarious...
African Journal of Primary Health Care & Family Medicine

5d
Assessing home-based rehabilitation within the development of an integrated model of care for people living with HIV in a resource-poor community
BACKGROUND: People living with HIV (PLHIV) are living longer lives but are at a greater risk of developing disability. South Africa has the largest antiretroviral therapy (ART) programme in the world, shifting HIV from a deadly to a chronic disease. The integration of rehabilitation into chronic care...
African Journal of Primary Health Care & Family Medicine

5d
Diagnostic comparison of Centers for Disease Control and Prevention and International Obesity Task Force criteria for obesity classification in South African children
BACKGROUND: This study was designed to estimate overweight and obesity in school children by using contrasting definitions recommended by the Centers for Disease Control and Prevention (CDC) and the International Obesity Task Force (IOTF METHOD: The sample size consisted of 1361 learners (n = 678 boys;...
African Journal of Primary Health Care & Family Medicine
5d
Core competencies of radiographers working in rural hospitals of KwaZulu-Natal, South Africa
INTRODUCTION: Rural radiographers require, over and above traditional radiographic expertise, additional competencies which to a certain degree are unique however not limited to rural practice. Previous studies, however, have focused more attention primarily on other rural health professionals such as...
African Journal of Primary Health Care & Family Medicine

5d
Primary health workers' knowledge and practices relating to neonatal jaundice in Ibadan, Nigeria
BACKGROUND: Over half of births and newborn care occur in primary healthcare facilities in Nigeria, but information on activities of personnel working there is scarce. AIM: To assess the knowledge and practices relating to neonatal jaundice (NNJ) among community health workers (CHWs) and community birth...
African Journal of Primary Health Care & Family Medicine

5d
Association between depression in carers and malnutrition in children aged 6 months to 5 years
BACKGROUND: Childhood malnutrition is an important risk factor for child mortality and underlies close to 50% of child deaths worldwide. Previous studies have found an association between maternal depression and child malnutrition, but it is not known whether this association exists in Botswana. In addition,...
African Journal of Primary Health Care & Family Medicine
5d
Exploring the interaction of activity limitations with context, systems, community and personal factors in accessing public health care services: A presentation of South African case studies
BACKGROUND: There are many factors that influence access to public health services, such as the context people live in, the existing health services, and personal, cultural and community factors. People with disabilities (activity limitations), through their experience of health services, may offer a...
African Journal of Primary Health Care & Family Medicine

5d
You can treat my HIV - But can you treat my blood pressure? Availability of integrated HIV and non-communicable disease care in northern Malawi
BACKGROUND: Many patients on antiretroviral therapy (ART) in Malawi have or will develop non-communicable diseases (NCDs). The current capacity of ART sites to provide care for NCDs is not known AIM: This study aimed to assess the capacity of ART sites to provide care for hypertension and diabetes in...
African Journal of Primary Health Care & Family Medicine

5d
Conference report: Undergraduate family medicine and primary care training in Sub-Saharan Africa: Reflections of the PRIMAFAMED network
Internationally, there is a move towards strengthening primary healthcare systems and encouraging community-based and socially responsible education. The development of doctors with an interest in primary healthcare and family medicine in the African region should begin during undergraduate training....
African Journal of Primary Health Care & Family Medicine
5d
Examining the influence of family physician supply on district health system performance in South Africa: An ecological analysis of key health indicators
BACKGROUND: The supply of appropriate health workers is a key building block in the World Health Organization's model of effective health systems. Primary care teams are stronger if they contain doctors with postgraduate training in family medicine. The contribution of such family physicians to the performance...
African Journal of Primary Health Care & Family Medicine

5d
Factors influencing choice of site for rural clinical placements by final year medical students in a South African university
BACKGROUND: Most of South Africa's citizens who live in rural or underserved communities rely on the public health care sector to access quality health care. The value of rural exposure through clinical placements is well documented. Medical schools in South Africa have a responsibility to provide solutions...
African Journal of Primary Health Care & Family Medicine

5d
Patient satisfaction with nurse-delivery primary health care services in Free State and Gauteng provinces, South Africa: A comparative study
BACKGROUND: The majority of health care users in South Africa utilise primary health care (PHC) services where these services are free at the point of entry. There is a dearth of knowledge on the factors influencing patient satisfaction with PHC clinic services. AIM: This study compared patient satisfaction...
African Journal of Primary Health Care & Family Medicine
5d
The effect of phlebotomy training on blood sample rejection and phlebotomy knowledge of primary health care providers in Cape Town: A quasi-experimental study
BACKGROUND: There is an increasing amount of blood sample rejection at primary health care facilities (PHCFs), impacting negatively the staff, facility, patient and laboratory costs. AIM: The primary objective was to determine the rejection rate and reasons for blood sample rejection at four PHCFs before...
African Journal of Primary Health Care & Family Medicine

5d
An evaluation of the emergency care training workshops in the province of KwaZulu-Natal, South Africa
BACKGROUND: Emergency care in South Africa is both complex and complicated which is further compromised by inadequately trained healthcare workers. Academic disciplines at the University of KwaZulu-Natal have run emergency care workshops for doctors and nurses providing primary emergency care, in the...
African Journal of Primary Health Care & Family Medicine

5d
Improving access to health care in a rural regional hospital in South Africa: Why do patients miss their appointments?
BACKGROUND: Access to health services is one of the Batho Pele ('people first') values and principles of the South African government since 1997. This necessitated some changes around public service systems, procedures, attitudes and behaviour. The challenges of providing health care to rural geographically...
African Journal of Primary Health Care & Family Medicine
5d
Allopathic and traditional health practitioners: A reply to Nemutandani, Hendricks and Mulaudzi
An earlier paper in this journal reported on the perception and experience of 77 allopathic health practitioners (AHPs) and health managers about working together with South African traditional health practitioners (THPs). The paper stated that the abolishment of the Witchcraft Suppression Act of 1957...
African Journal of Primary Health Care & Family Medicine

5d
Psychosocial challenges affecting the quality of life in adults with epilepsy and their carers in Africa: A review of published evidence between 1994 and 2014
BACKGROUND: Little attention has been paid to the psychosocial challenges of adult patients with epilepsy and their carers in Africa in published studies conducted between 1994 and 2014 - yet these psychosocial challenges have been reported to have a major impact on the quality of life (QOL) of people...
African Journal of Primary Health Care & Family Medicine

5d
Reaching national consensus on the core clinical skill outcomes for family medicine postgraduate training programmes in South Africa
BACKGROUND: Family physicians play a significant role in the district health system and need to be equipped with a broad range of clinical skills in order to meet the needs and expectations of the communities they serve. A previous study in 2007 reached national consensus on the clinical skills that...
African Journal of Primary Health Care & Family Medicine
5d
A review of patients presenting to accident and emergency department with deliberate self-harm, KwaZulu-Natal, South Africa
BACKGROUND: The World Health Organization has described deliberate self-harm (DSH) as a major global health challenge. Little is known about the profile of patients admitted following DSH at district and regional combo hospitals in KwaZulu-Natal, South Africa AIM: The aim of this study was to assess...
African Journal of Primary Health Care & Family Medicine

5d
Trust of community health workers influences the acceptance of community-based maternal and child health services
BACKGROUND: Community health workers (CHWs) are a component of the health system in many countries, providing effective community-based services to mothers and infants. However, implementation of CHW programmes at scale has been challenging in many settings. AIM: To explore the acceptability of CHWs...
African Journal of Primary Health Care & Family Medicine

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