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Journal Afr J Prim Health Care Fam Med

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The contribution of family medicine to community-orientated health services in Mali: A short report.

Mahamane M Maïga, Gabriel Blouin Genest, François Couturier, Sarah Stecko, Michèle Rietmann, Mamadou B Coulibaly, Drissa M Sidibé, Fatoumata Dicko,

Family medicine has not received appropriate attention in the sub-Saharan African context. In particular, family medicine is rarely recognised as a medical speciality and most African countries are silent on the role of family medicine in their health systems. There is, however, an emerging interest in developing family medicine as ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e3]

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A reflective process led by a family physician to develop a renal-protection surveillance tool for HIV patients newly started on dolutegravir.

Junaid Omar, Izak Loftus, Nabeelah Vallie, Richard B Whitmore, Gaironesa Solomon, Michelle Powell, Samela Mniki, Mosedi Namane,

A group of Vanguard Community Health Centre doctors embarked on a Health System's Improvement (HSI) project with the aim of reducing harm to renal function in patients who were either commenced on or switched to a dolutegravir (DTG)-based antiretroviral therapy (ART) regimen since 2019, when the usual monitoring and evaluation ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e3]

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Patient and health system determinants of experiences of care at primary health care clinics in eThekwini, KwaZulu-Natal, 2018.

Avashri Harrichandparsad, Ozayr H Mahomed,

<h4>Background</h4>Respect for persons includes three sub-elements: dignity, autonomy and confidentiality, whilst client orientation has four sub-elements: prompt attention, quality of basic amenities, access to social support for hospitalised individuals and choice of health providers.<h4>Aim</h4>This study sought to determine patient and health system determinants of experiences of care.<h4>Setting</h4>Study was conducted at ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e8]

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The family physician as a primary care consultant - the Mossel Bay experience.

Klaus B Von Pressentin, Kartik S Naidoo, Louis S Jenkins, Johann Schoevers,

The South African family physician (FP) is an expert generalist who has a number of roles to strengthen the district health system. A research study on FPs in district hospitals has previously demonstrated an impact; however, more evidence on impact in primary health care (PHC) is needed. By serving as ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e4]

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Sexual history taking: Doctors' clinical decision-making in primary care in the North West province, South Africa.

Deidré Pretorius, Ian D Couper, Motlatso G Mlambo,

<h4>Background</h4>Clinical reasoning is an important aspect of making a diagnosis for providing patient care. Sexual dysfunction can be as a result of cardiovascular or neurological complications of patients with chronic illness, and if a patient does not raise a sexual challenge, then the doctor should know that there is a ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e9]

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Prevalence of diabetes mellitus and hypertension amongst the HIV-positive population at a district hospital in eThekwini, South Africa.

Althea Rajagopaul, Mergan Naidoo,

<h4>Background</h4>Life expectancies of HIV-positive patients have been increasing with the rapid implementation of antiretroviral therapy (ART). This has led to an increase in comorbidities such as diabetes mellitus (DM) and hypertension (HT) amongst the HIV population. The burden of the non-communicable diseases (NCDs) such as DM and HT need to ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e6]

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Clinical utility of smartphone-based audiometry for early hearing loss detection in HIV-positive children: A feasibility study.

Mukovhe Phanguphangu, Andrew J Ross,

<h4>Background</h4>Paediatric human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) often manifests with hearing loss (HL). Given the impact of HL, early detection is critical to prevent its associated effects. Yet, the majority of children living with HIV/AIDS (CLWHA) cannot access hearing healthcare services because of the scarcity of audiologists and ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e4]

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Parental reporting of adverse drug reactions in South Africa: An online survey.

Shavani Pillay, Mwila Mulubwa, Michelle Viljoen,

<h4>Background</h4>The high incidence of adverse drug reactions (ADRs) in children is of global concern. Enhancing the reporting of ADRs could contribute to making safer medicines available to children.<h4>Aim</h4>To assess parents' awareness of reporting ADRs and their knowledge on the reporting procedures in South Africa.<h4>Setting</h4>South African parents with online access.<h4>Method</h4>A quantitative ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e8]

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Factors influencing patients' choice of clinic at Inanda, KwaZulu-Natal.

Zethembiso C Hlongwa, Saajida Mahomed,

<h4>Background</h4>In South Africa, patients are meant to attend the clinic close to their place of residence. However, patients often choose which clinic to attend, which results in overcrowding.<h4>Aim</h4>This study aimed to investigate the structural and process factors influencing patients' choice to attend a community health centre (CHC) in KwaZulu-Natal, South ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e6]

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The conceptualisation of patient-centred care: A case study of diabetes management in public facilities in southern Malawi.

Martha Makwero, Adamson Muula, Felix C Anyawu, Jude Igumbor,

<h4>Background</h4>Patient-centred care (PCC) is one of the pillars of Malawi's quality of care policy initiatives. The role of PCC in facilitating quality service delivery is well documented, and its importance may heighten in chronic disease management. Yet, PCC conceptualisation is known to be context specific.<h4>Aim</h4>The study aimed to understand the ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e10]

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Family Doctor Leadership in African Primary Health Care.

Shabir Moosa,

n/a. ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e2]

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Strengthening the Somaliland health system by integrating public and private sector family medicine.

Muna M Mahfud, Fathia M Nour, Hodan J Abdi, Sabah M Muse, Tim Fader,

Four family physicians, who received their specialty training at Amoud University in Somaliland, organised a practice together that uses informal public-private partnerships to optimise their clinical care and teaching. Their experience offers insights into public-private partnerships that could strengthen the country's healthcare system. ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e3]

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Retail pharmacy prescription medicines' availability, prices and affordability in Eswatini.

Garikai Shambira, Fatima Suleman,

<h4>Background</h4>Limited availability of medicines in public facilities and unaffordable prices in the private sector act as barriers to medicines' access. Patients in Eswatini may be forced to buy medicine from the private sector resulting from chronic medicines' shortages in public health facilities. The extent to which they can afford to ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e11]

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Prevalence of disease complications and risk factor monitoring amongst diabetes and hypertension patients attending chronic disease management programmes in a South African Township.

Tiny Masupe, Jeroen De Man, Sunday Onagbiye, Thandi Puoane, Peter Delobelle,

<h4>Background</h4>South Africa established chronic disease management programmes (CDMPs) called 'clubs' to ensure quality diabetes care. However, the effectiveness of these clubs remains unclear in terms of disease risk factor monitoring and complication prevention.<h4>Aim</h4>We assessed risk factor monitoring, prevalence and determinants of diabetes related complications amongst type-2 diabetes (T2D) and hypertension ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e7]

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[Les médecins prestataires à la première ligne des soins dans la ville de Kisangani en République Démocratique du Congo : vers une typologie].

Samuel I Bosongo, Faustin C Mukalenge, Albert M Tambwe, Bart Criel,

The first-line physicians' practice in Kisangani city in Democratic Republic of Congo: Towards a typology.<h4>Background</h4>In the Democratic Republic of the Congo (DRC), for a number of years, there has been a spontaneous and growing phenomenon of physicians operating at the front line of the health system, while this role is ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e8]

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Learning in a time of crises: The learning experiences of 5th year medical students at the University of KwaZulu-Natal during the COVID-19 pandemic in 2020.

Andrew J Ross,

<h4>Background</h4>The coronavirus disease 2019 (COVID-19) global pandemic led to the closure of the University of KwaZulu-Natal (UKZN) in March 2020 and the migration to online teaching for all students, with modules and assessments being modified to accommodate the new form of teaching.<h4>Aim</h4>The aim of this research was to assess the ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e8]

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The contribution of family medicine to the health system in Somaliland.

Abdikadir O Rabiile, Mohamed A Abdillahi, Mohamoud H Abdi, Rahma I Yasin, Mubarik A Magan, Tim Fader,

Somaliland's first specialty training programme for physicians was a master's degree in Family Medicine that began at Amoud University in 2012. A survey of the 24 Family Medicine graduates working in Somaliland demonstrates their clinical and leadership impact on the health system and their contribution to higher education. The specialists ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e3]

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Reliability of a clinical method in estimating foetal weight and predicting route of delivery in term parturient monitored at a voluntary agency hospital in Southwest Nigeria.

Temitope A Yomibo-Sofolahan, Adekunle J Ariba, Olusanya Abiodun, Ademola O Egunjobi, Oluwaseun S Ojo,

<h4>Background</h4>The antepartum estimation of foetal weight is a major determinant of the route of delivery and this has become vital in modern day obstetrics. The limitations to the use of obstetric ultrasonography, considered as the gold standard in estimating foetal weight, make clinical estimation methods attractive alternatives, especially in resource- ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e6]

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Strengthening African health systems through outreach and support and values-driven leadership.

Louis S Jenkins, Klaus B Von Pressentin, Zilla North, Gideon Van Tonder,

Healthcare systems are complex adaptive systems, requiring a change in leadership style, from the traditional model to collaborative, values-driven leadership (VDL). Family physicians are well positioned to facilitate integration and coordination between levels of care, across specialties and within teams, in partnership with local and district management team members. This ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e4]

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Outcomes of AfroPHC, a WONCA Africa project.

Shabir Moosa,

No abstract available. ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e2]

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Prevalence, phenomenology and personality characteristics of premenstrual dysphoric disorder among female students at Zagazig University, Egypt.

Seham M Eldeeb, Afaf M Eladl, Amany Elshabrawy, Amira M Youssef, Mona H Ibrahim,

<h4>Background</h4>Premenstrual dysphoric disorder (PMDD) is a female psychiatric disorder affecting the behaviour, cognitive abilities, mental health status and academic performance of female students. It includes: mood symptoms, behaviour symptoms and physical symptoms.<h4>Aim</h4>To assess phenomenology, measure the prevalence of PMDD among university students and assess the relationship between PMDD and socio-demographic ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e9]

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Facilitating factors and barriers to kangaroo mother care utilisation in low- and middle-income countries: A scoping review.

Christina T Mathias, Solange Mianda, Julius N Ohdihambo, Mbuzeleni Hlongwa, Alice Singo-Chipofya, Themba G Ginindza,

<h4>Background</h4>Kangaroo mother care (KMC) has been widely adopted in low-and middle-income countries (LMICs) to minimise low birthweight infants' (LBWIs) adverse outcomes. However, the burden of neonatal and child mortality remains disproportionately high in LMICs.<h4>Aim</h4>Thus, this scoping review sought to map evidence on the barriers, challenges and facilitators of KMC utilisation ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e15]

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Person-centred innovations for family medicine and COVID-19 in Ghana: A short report.

Daniel O Darko,

Countries around the world have mobilised health, social, and economic resources to control the coronavirus disease 2019 (COVID-19) pandemic since its discovery in December 2019. Primary care as a frontline of many health systems, played a huge role in the management of the current pandemic. This is a short report ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e4]

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General medicine, first-line medicine in Morocco: How is it perceived by medical students and how to enhance their interest in this career?

Maryam Fourtassi, Abda Naima, Yassamine Bentata,

In Morocco, family medicine does not exist, and it is general medicine that plays the role of family medicine and is also first line medicine and primary care. The current medical school curriculum is not fully in harmony with the real health needs of the population. We questioned 6th and ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e3]

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A plea of those who are affected most by HIV: The utterances by women who inject Nyaope residing in the City of Tshwane Municipality, Gauteng.

Moganki H Lefoka, Thinavhuyo R Netangaheni,

<h4>Background</h4>Nyaope injecting practice brought the field of Human Immunodeficiency Virus (HIV) prevention and Substance Use Disorder (SUD) together. It is complex and requires multidisciplinary approach. Women who use drugs face individual, social, and structural factors that fuel their vulnerability to contract HIV, and other blood-borne infections. Women Who Inject Drugs ... Read more >>

Afr J Prim Health Care Fam Med (African journal of primary health care & family medicine)
[2021, 13(1):e1-e9]

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