Development of family medicine training in Botswana: views of key stakeholders in Ngamiland
Thesis (MFamMed)--Stellenbosch University, 2014.
ENGLISH SUMMARY : Introduction: Family Medicine training as a specialty commenced in Botswana in January 2011 and Maun, is one of the two sites chosen as training complexes. There has to be an investment in the training programme and facilities by all stake holders in health care delivery in the district, in order to facilitate the success of the training programme. Understanding stakeholder opinions, priorities and attitudes towards Family Medicine training will help to build a more successful programme and a supportive environment. Aim and objectives: To explore the opinion of stake holders in health care delivery on the future of family medicine and their attitude to family medicine training in the Ngami district, Botswana. 1. To identify and describe the relevant stake holders that would be involved in the transformation of the district hospital and clinics into a family medicine training complex. 2. To explore their attitude towards the development of a family medicine training complex. 3. To explore their perspective on the future role of family physicians and family medicine registrars in the district health care delivery system. 4. To identify gaps in the training opportunities and facilities that needs to be addressed to develop a high standard of training. Methods: Thirteen in depth interviews were conducted with purposively selected key role players in the district health services. Data was recorded, transcribed and analysed using the framework method. Results: Participants welcomed the development of family medicine training in Maun and expected that this will result in improved quality of primary care Participants expected the registrars and family physicians to provide holistic health care, relevant and acceptable research into the health needs of the community, basic specialized care and, that their introduction should result in reduced need for referrals Inadequate personal welfare facilities, erratic ancillary support services and inadequate complement of mentors and supervisors for the programme were some of the gaps and challenges highlighted by participants. Conclusion: Family medicine training is welcomed by stakeholders in Ngamiland. With proper planning, introduction of the family physician in the district is expected to result in improvement of Primary Care.
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