African journal of primary health care & family medicine
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Afr J Prim Health Care Fam Med · Nov 2018
The Astana Declaration and future African primary health care.
No abstract available.
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Afr J Prim Health Care Fam Med · Nov 2018
Randomized Controlled TrialEffect of diabetes self-management education on glycaemic control among type 2 diabetic patients at a family medicine clinic in Kenya: A randomised controlled trial.
Diabetes self-management education (DSME) is a key component of diabetes care aimed at delaying complications. Unlike usual care, DSME is a more structured educational approach provided by trained, certified diabetes educators (CDE). In Kenya, many diabetic patients are yet to receive this integral component of care. At the family medicine clinic of the Aga Khan University Hospital (AKUH), Nairobi, the case is no different; most patients lack education by CDE. ⋯ From this study, short-term biomedical benefits of a structured educational approach seemed to be limited. This suggested that offering a short, intensified education programme might have limited additional benefit above and beyond the family physicians' comprehensive approach in managing chronic conditions like diabetes.
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Afr J Prim Health Care Fam Med · May 2018
Burnout among rural hospital doctors in the Western Cape: Comparison with previous South African studies.
Burnout among doctors negatively affects health systems and, ultimately,patient care. ⋯ This study demonstrates high burnout rates among doctors working at district level hospitals, similar to the prevalence thereof in the Cape Town Metropolitan primary health care facilities. Health services planning should include strategies to address and prevent burnout of which adequate staffing and improved work environment are of prime importance.
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Afr J Prim Health Care Fam Med · Apr 2018
Multicenter StudyAssessment of nurses' cardiopulmonary resuscitation knowledge and skills within three district hospitals in Botswana.
Nurses are usually the first to identify the need for and initiate cardiopulmonary resuscitation (CPR) on patients with cardiopulmonary arrest in the hospital setting. Cardiopulmonary resuscitation has been shown to reduce in-hospital deaths when received from adequately trained health care professionals. ⋯ Poor CPR knowledge and skills among registered nurses may impede the survival and management of cardiac arrest victims. Employers and nursing professional bodies in Botswana should encourage and monitor regular CPR refresher courses.