African Journal of Primary Health Care and Family Medicine
African Journal of Primary Health Care and Family Medicine (PHCFM) welcomes submissions that encourage scholarly exchange between family medicine and primary health care researchers and practitioners across Africa, whilst providing a contextual and holistic view of family medicine as practised across the continent. The journal is indispensable for primary health care practitioners, family medicine specialists and academics from both the developing and developed worlds, and offers an engaging insight into the growth of these disciplines from a distinctly African perspective
PHCFM seeks to publish innovative research and clinical reviews in all aspects of primary health care and family medicine in the African context including, but not limited to:
- family medicine
- primary health care
- district health care
- rural health care
- health promotion
- prevention of disease and disability
- community-oriented primary health care
- education and training of professionals and health workers in family medicine and primary health care
Submissions in English (full article) and French (full article) will be considered for publication.
|Coverage||Vol 1 Issue 1 2009 - current|
Substance use amongst secondary school students in a rural setting in South Africa : prevalence and possible contributing factors : original research
Introduction : This study determined the prevalence of substance abuse amongst rural secondary school learners in a selected province of South Africa.
Methodology : The study adopted a quantitative approach using a descriptive survey design. Data were collected using a self-administered questionnaire from a total of 338 randomly selected learners, age 14 to 18 years, from 10 secondary schools that make up a rural Vhembedzi circuit in the Limpopo Province. Permission to enter the circuit and the schools was obtained from the circuit manager and parents' or learners' informed consent was obtained prior to data collection.
Results : The majority of the participants (94% male, 98% female) had never used substances. Most of the learners started using substances between the ages 15 to 20 years. The majority of learners who were using substances were male. Of the respondents, all the female (100%) students reported to have stopped substance abuse. The majority (63% male, 50% female) of the learners tried to stop substance abuse but failed. Most of the learners (72% male, 71% female) did not have family members who were substance users. The majority of the students attested that substances can be easily obtained in their communities or villages. The majority (68%) of the leaners knew that substance abuse is dangerous to health.
Conclusion and recommendation : Rural secondary school learners in South Africa have a low prevalence rate of substance abuse. Hence, there is a need for a counselling program in each school to provide support and refer such learners to an appropriate institution for rehabilitation.
Awareness of prevention of teenage pregnancy amongst secondary school learners in Makhado municipality : original research
Background : Sexuality plays a very significant role in the lives of both boys and girls. It is, therefore, considered important for schools to recognise and accept sexuality as part of the development process of the child. Professor Kader Asmal (previous South African Minister of Education) suggested that the earlier the school begins to teach learners about sexuality, the better because they can be easily misled by their peers if proper guidance regarding their sexuality is not given.
Aim : The current study was conducted to assess the awareness of teenagers on the prevention of teenage pregnancy (TP) in six secondary school learners situated in the Soutpansberg-West circuit, Makhado Municipality in Limpopo province.
Setting : The study was conducted at six secondary schools situated in the Soutpansberg-West circuit, Makhado Municipality in Limpopo province in 2014.
Methodology : A quantitative descriptive survey study was conducted where data were collected, using self-administered questionnaires, from 381 systematically sampled participants from six secondary schools situated in the Soutpansberg-West circuit, Makhado Municipality in Limpopo province. Data were analysed descriptively using the Statistical Package for the Social Sciences (SPSS) software, version 22.0. Necessary approval procedures and ethical clearance were obtained prior to data collection.
Results : Ninety-four percent of participants agreed that TP can be prevented through abstaining from sex, whilst 65% of participants agreed that TP could be prevented by using contraceptives such as pills and injections. Eighty-three percent of participants agreed that TP could be prevented through the use of condoms. Seventy-four percent participants disagreed that bathing after sex prevents teenage pregnancies. Furthermore, 28% participants agreed that TP can be prevented by oral sex.
Conclusion : The conclusion drawn was that learners are aware of the measures for preventing TP.
An improved model for provision of rural community-based health rehabilitation services in Vhembe District, Limpopo Province of South Africa : original research
Background : In 1991, Riakona Community Rehabilitation Programme initiated community-based rehabilitation (CBR) in the Vhembe District of Limpopo Province. Subsequently, the South African government adopted the programme.
Aim : The aim of the study was to suggest an improvement in the model of providing CBR services.
Setting : The study was conducted in six rehabilitation centres located in hospitals in the Vhembe District in Limpopo Province of South Africa.
Method : A mixed-mode research design with qualitative and quantitative elements was used to conduct the study. Content analysis, the chi-square test for Goodness of Fit and the Kruskal-Wallis and Mann-Whitney non-parametric tests were conducted.
Results : The key determinants of client satisfaction with the services that the community rehabilitation workers rendered included provision of assistive devices and the adoption of a holistic approach to their work. Overall, satisfaction per domain for each one of the five domains of satisfaction scored less than 90%. More than 80% of clients were satisfied with empathy (83%) and assurance (80%) domains. Tangibles, reliability and responsiveness domains had scores of 78%, 72% and 67%, respectively. These results, together with the reasoning map of conceptual framework description, were used as the building blocks of the CBR model.
Conclusion : The improved CBR model is useful for putting the programme into practice. This is particularly so for the CBR managers in the districts of the Limpopo Province.
Factors influencing weight control practices amongst the adolescent girls in Vhembe District of Limpopo Province, South Africa : original research
Background: The incidence of overweight is increasing amongst adolescents in many countries around the world. Healthy and unhealthy weight control practices are common amongst overweight and non-overweight adolescents.
Aim: The aim of this study was to explore factors influencing weight control practices amongst adolescent girls.
Setting: The study was conducted at selected secondary schools of Vhembe District of Limpopo Province, South Africa.
Methods: A qualitative, exploratory, descriptive and contextual design was used. Non-probability, purposive sampling was used to select adolescents who are practicing weight control. In-depth interviews were conducted with 30 participants. Data were analysed according to Tesch's open-coding method.
Results: This study revealed that adolescent girls are influenced by a variety of factors to control their weights. These included individual factors, such as body image dissatisfaction; family factors, caused by parental criticism about adolescent weight; and environmental factors, which contain peer group endorsement of dieting.
Conclusion: Adolescents are exposed to many unhealthy weight control practices, as a way of controlling excess weight. So it is of importance for healthcare providers to make them aware of healthy practices.
Self-reported impact of caregiving on voluntary home-based caregivers in Mutale Municipality, South Africa : original research
Background: The establishment of home-based care (HBC) programmes in developing countries has resulted in a shift of burden from hospitals to communities where palliative care is provided by voluntary home-based caregivers.
Aim: The study investigated the impact of caregiving on voluntary home-based caregivers.
Setting: The study was conducted at HBC organisations located in Mutale Municipality of Limpopo Province, South Africa.
Methods: A quantitative cross-sectional descriptive survey design was applied to investigate the impact of caregiving on voluntary home-based caregivers. The sample was comprised of (N = 190) home-based caregivers. Home-based caregivers provide care to people in need of care in their homes, such as orphans, the elderly and those suffering from chronic illnesses such as tuberculosis, HIV and/or AIDS, cancer and stroke. Self-administered questionnaires were used to collect data which were analysed descriptively using the Statistical Package for the Social Sciences software, Version 20.
Results: The results showed that 101 (53.2%) participants were worried about their financial security because they were not registered as workers, whilst 74 (39.0%) participants were always worried about getting infection from their clients because they often do not have protective equipment.
Conclusion: Voluntary home-based caregivers have an important role in the provision of palliative care to people in their own homes, and therefore, the negative caregiving impact on the lives of caregivers may compromise the provision of quality palliative care.
The constraints and concerns regarding the size and/or shape of the second generation female condom : the narratives from the healthcare providers : original research
Background: Despite the redesigning of the Reality condom (FC) to a new version of the second generation female condom commonly known as (FC2), the users are persistently constrained and concerned about the size and shape of this new version. Condom use is aligned to the Millennium Development Goals (MDG) 3, 5 and 6, which address gender equality, improving maternal health and preventing HIV and AIDS.
Aim: To explore and describe the constraints and concerns regarding the size and/or shape of the FC2.
Setting: The study was conducted at Tshwane health district in Gauteng province.
Methods: A qualitative exploratory descriptive design was used. Individual in-depth interviews that yielded narratives in a designated health district in South Africa were conducted.
Results: From the analysis of narratives three specific themes emerged. Firstly, the specific theme was that the size and shape of FC2 is undesirable for the health care providers, which may lead women to contract HIV and AIDS. The second theme was that the size and shape of FC2 and female genitals makes insertion complicated and predisposes women to be vulnerable in sexual relationships. The third was that the size and shape of FC2 results in pain and discomfort during coitus, exposing women to unwanted pregnancies and HIV and AIDS.
Conclusions: The findings indicated the need for an evocative collaborative, interdisciplinary 'walk the talk' sexual health and AIDS education training programme for health care providers in primary health care facilities. Such programmes, if maintained, may assist health care providers to achieve the MDG 3, 5 and 6.