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  1. Does Medicine Need Psycho-Social Science?

    Does Medicine Need Psycho-Social Science?

    Item type: Journal Article • Journal: South African Family Practice • Authors: SWP Mhlongo --- Department of Family Medicine & Primary Health Care Medunsa, PMH Maduna --- Department of Family Medicine & Primary Health Care Medunsa,
    Despite Alma Ata in 1978, the developing countries continue to divert scarce resources to multiple-story tertiary hospitals at the expense of primary health care services. No country in the world has unlimited resources with regard to budget allocation for health...
  2. Managing chronic conditions in a South African primary care context: exploring the applicability of Brief Motivational Interviewing

    Managing chronic conditions in a South African primary care context: exploring the applicability of Brief Motivational Interviewing

    Item type: Journal Article • Journal: South African Family Practice • Authors: RJ Mash --- Department of Family Medicine and Primary Care, S Allen --- Child, Youth & Family Development,
    Background: Brief Motivational Interviewing (BMI) is an approach to motivating behaviour change in general health care settings. The relevance and applicability of BMI has not been fully assessed in low- or middle-income country settings. This study explored the application of...
  3. Caring, learning, improving quality and doing research: Different faces of the same process

    Caring, learning, improving quality and doing research: Different faces of the same process

    Item type: Journal Article • Journal: South African Family Practice • Authors: GJO Marincowitz --- Department of Family Medicine and Primary Care, Limpopo Province Unit, GS Fehrsen --- Department of Family Medicine and Primary Care,
    The aim of this article is to describe the similarities between the consultation process, the quality improvement (QI) process, action-and problem-based learning and participatory action research (PAR). We feel this understanding adds value to our work in enabling personal development...
  4. The role of doctors in provision of support for primary health care clinics in KwaZulu-Natal, South Africa

    The role of doctors in provision of support for primary health care clinics in KwaZulu-Natal, South Africa

    Item type: Journal Article • Journal: South African Family Practice • Authors: PH Nkosi --- Centre for Rural Health, CM Horwood --- Centre for Rural Health, K Vermaak --- Centre for Rural Health, C Cosser --- Centre for Rural Health, JL Haskins --- Centre for Rural Health,
    Background: Most primary health care (PHC) services in South Africa are provided by registered nurses working in clinics. Workload and scope of practice of these nurses have increased in recent years, exacerbated by widespread staff shortages. However, PHC nurses often...
  5. The shared consultation: a necessity in primary care clinics?

    The shared consultation: a necessity in primary care clinics?

    Item type: Journal Article • Journal: South African Family Practice • Authors: ID Couper --- Department of Family Medicine, JFM Hugo --- Department of Family Medicine, AG Truscott --- Department of Family Medicine,
    The shared consultation is a concept that differs from shared decision making and shared care. It involves two or more health professionals in the consultation of a patient during the same illness episode. Commonly, the health professionals are a primary-care...
  6. Do health care providers discuss HIV with older female patients?

    Do health care providers discuss HIV with older female patients?

    Item type: Journal Article • Journal: South African Family Practice • Authors: WN Rauf --- Department of Family Medicine, South Africa
    Background: The World Health Organization expressed concern that older people in Africa who are ignored and excluded from HIV-prevention programmes are increasingly being infected with HIV. Studies show an inadequate awareness of the risks of HIV in the older female...
  7. Pain as a reason for primary care visits: cross-sectional survey in a rural and periurban health clinic in the Eastern Cape, South Africa

    Pain as a reason for primary care visits: cross-sectional survey in a rural and periurban health clinic in the Eastern Cape, South Africa

    Item type: Journal Article • Journal: South African Family Practice • Authors: EU Igumbor --- School of Public Health, University of the Western Cape, South Africa T Puoane --- School of Public Health, University of the Western Cape, South Africa SA Gansky --- School of Dentistry, University of California, USA O Plesh --- School of Dentistry, University of California, USA
    Background: The burden of pain in primary care has not been described for South Africa. This study aimed to determine the prevalence of pain in primary care and to characterise pain among adult patients attending a rural and a periurban...
  8. Remote clinical support by telephone for rural district hospital medical officers in the Eastern Cape

    Remote clinical support by telephone for rural district hospital medical officers in the Eastern Cape

    Item type: Journal Article • Journal: South African Family Practice • Authors: MO Nqala --- Department of Anaesthesia, South Africa CC Rout --- Department of Anaesthesia, South Africa CM Aldous --- Department of Anaesthesia, South Africa
    Background: Rural district hospitals are frequently understaffed and inexperienced medical officers must make clinical decisions with no supervision. Medical officers from rural district hospitals in the Eastern Cape attending a two-week ‘in-reach’ anaesthesia training course at the Port Elizabeth academic...
  9. Patient satisfaction with medical consultations among adults attending Mulago hospital assessment centre

    Patient satisfaction with medical consultations among adults attending Mulago hospital assessment centre

    Item type: Journal Article • Journal: South African Family Practice • Authors: Angella Kabatooro --- Department of Family Medicine, Uganda Fred Ndoboli --- Department of Family Medicine, Uganda Jane Namatovu --- Department of Family Medicine, Uganda
    Background: Patient satisfaction is known to positively influence patients’ compliance with medical advice. In Africa, and specifically Uganda, this interaction has rarely been put to scientific inquiry. This study aimed to determine the level of patient satisfaction and identify factors...
  10. Caregivers of children with diabetes mellitus: challenges of caring for and perceptions of consultations in a South African public sector context

    Caregivers of children with diabetes mellitus: challenges of caring for and perceptions of consultations in a South African public sector context

    Item type: Journal Article • Journal: South African Family Practice • Authors: BL Dhada --- Department of Paediatrics & Child Health, South Africa DR Blackbeard --- Department of Clinical Psychology, South Africa
    Background: Understanding caregivers’ challenges in caring for children with diabetes mellitus (DM) and their perceptions of consultations with the multidisciplinary team (MDT) may be valuable in assisting in achieving control.
  11. Application of a general methodology to understand vulnerability and adaptability of the fisheries for small pelagic species in the Benguela countries: Angola, Namibia and South Africa

    Application of a general methodology to understand vulnerability and adaptability of the fisheries for small pelagic species in the Benguela countries: Angola, Namibia and South Africa

    Item type: Journal Article • Journal: African Journal of Marine Science • Authors: KL Cochrane --- , South Africa K Ortega-Cisneros --- , South Africa JA Iitembu --- , Namibia CI dos Santos --- , Angola WHH Sauer --- , South Africa
    The fisheries for small pelagic species in Angola, Namibia and South Africa fulfil important social and economic roles but have undergone substantial changes in recent years, some of which are likely to be related to climate change. This assessment of...
  12. The meaning and challenge of voluntary counselling and testing (VCT) for counsellors — report of the Kenya Association of Professional Counsellors (KAPC) conference for sub-Saharan Africa

    The meaning and challenge of voluntary counselling and testing (VCT) for counsellors — report of the Kenya Association of Professional Counsellors (KAPC) conference for sub-Saharan Africa

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Cecilia Rachier [CXX0001] Elias Gikundi [B0002] Don Balmer --- Senior Research Fellow, University of Durham, UK Maggie Robson --- School of Psychology, University of Keele, UK Kathryn Hunt --- University of Durham, UK Nonie Cohen --- Centre for Studies in Counselling, University of Durham, UK
    A large number of voluntary counselling and testing (VCT) sites are being opened in sub-Saharan Africa. The services provided by these sites are playing an increasingly important role in the prevention of HIV/AIDS. The sites offer many possibilities and it...
  13. Development of an HIV risk reduction counselling intervention for use in South African sexually transmitted infection clinics

    Development of an HIV risk reduction counselling intervention for use in South African sexually transmitted infection clinics

    Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Vuyisile Mathiti --- University of the Western Cape, Leickness C. Simbayi --- Social Aspects of HIV/AIDS and Health research programme, Human Sciences Research Council, Sean Jooste --- Social Aspects of HIV/AIDS and Health research programme, Human Sciences Research Council, Queen Kekana --- Social Aspects of HIV/AIDS and Health research programme, Human Sciences Research Council, Xolani P. Nibe --- Social Aspects of HIV/AIDS and Health research programme, Human Sciences Research Council, Luvuyo Shasha --- Social Aspects of HIV/AIDS and Health research programme, Human Sciences Research Council, Philasande Bidla --- Social Aspects of HIV/AIDS and Health research programme, Human Sciences Research Council, Pamela Magubane --- Social Aspects of HIV/AIDS and Health research programme, Human Sciences Research Council, Demetria Cain --- Psychology Department, University of Connecticut, Charsey Cherry --- Psychology Department, University of Connecticut, Seth C. Kalichman --- Psychology Department, University of Connecticut,
    South Africa urgently needs HIV prevention interventions that can be disseminated for use in clinical and community settings. A brief theory-based HIV risk reduction counselling intervention originally developed in the USA has recently been adapted for use in a South...