Department of Family and Emergency Medicine
Sub-communities within this community
Recent Submissions
-
Integrating mHealth at point of care in low- and middle-income settings : the system perspective
(Taylor & Francis Open, 2017)While the field represents a wide spectrum of products and services, many aspects of mHealth have great promise within resource-poor settings: there is an extensive range of cheap, widely available tools which can be used ...
-
A roadmap for the implementation of mHealth innovations for image-based diagnostic support in clinical and public-health settings : a focus on front-line health workers and health-system organizations
(Taylor & Francis Open, 2017)Background: Diagnostic support for clinicians is a domain of application of mHealth technologies with a slow uptake despite promising opportunities, such as image-based clinical support. The absence of a roadmap for the ...
-
The views of key stakeholders in Zimbabwe on the introduction of postgraduate family medicine training : a qualitative study
(AOSIS publishing, 2017-9)Background: Strengthening primary health care (PHC) is a priority for all effective health systems, and family physicians are seen as a key member of the PHC team. Zimbabwe has joined a number of African countries that ...
-
The value of the WIRHE Scholarship Programme in training health professionals for rural areas : views of participants
(AOSIS publishing, 2017-10)Introduction: Rural hospitals in South Africa, as elsewhere, face enduring shortages of, and challenges in attracting and retaining, suitably qualified staff. The Wits Initiative for Rural Health Education (WIRHE), based ...
-
Reaching national consensus on the core clinical skill outcomes for family medicine postgraduate training programmes in South Africa
(AOSIS publishing, 2017-5)Background: Family physicians play a significant role in the district health system and need to be equipped with a broad range of clinical skills in order to meet the needs and expectations of the communities they serve. ...
-
Prevalence of intimate partner violence and associated factors amongst women attending antenatal care at Outapi clinic, Namibia : a descriptive survey
(AOSIS publishing, 2017-12)Background: Intimate partner violence (IPV) is a significant and largely hidden public health problem for all women and, during pregnancy, can have significant effects on the health of both mother and the unborn baby. ...
-
Improving access to health care in a rural regional hospital in South Africa : why do patients miss their appointments
(AOSIS publishing, 2017-03)Background: Access to health services is one of the Batho Pele (‘people first’) values and principles of the South African government since 1997. This necessitated some changes around public service systems, procedures, ...
-
Examining the influence of family physician supply on district health system performance in South Africa: An ecological analysis of key health indicators
(AOSIS publishing, 2017-04)Background: The supply of appropriate health workers is a key building block in the World Health Organization’s model of effective health systems. Primary care teams are stronger if they contain doctors with postgraduate ...
-
Evaluating the effect of the practical approach to Care Kit on teaching medical students primary care : quasi-experimental study
(AOSIS publishing, 2017-12)Background: South Africa is committed to health reforms that strengthen primary health care. Preparing future doctors to work in primary care teams with other professionals is a priority, and medical schools have shifted ...
-
How well do public sector primary care providers function as medical generalists in Cape Town : a descriptive survey
(BioMed Central, 2018-07-19)Background: Effective primary health care requires a workforce of competent medical generalists. In South Africa nurses are the main primary care providers, supported by doctors. Medical generalists should practice ...
-
Decentralised training for medical students : towards a South African consensus
(AOSIS publishing, 2017-09)Introduction: Health professions training institutions are challenged to produce greater numbers of graduates who are more relevantly trained to provide quality healthcare. Decentralised training offers opportunities to ...
-
Critical reflections on a visit to an inner-city primary health care clinic in Rio de Janeiro
(AOSIS publishing, 2017-07)Introduction: Brazil and South Africa share many sociodemographic and health features that provide many learning opportunities. Brazil’s national health system, the Sistema Único de Saúde (SUS) prioritises primary health ...
-
Undergraduate family medicine and primary care training in Sub-Saharan Africa: Reflections of the PRIMAFAMED network
(AOSIS publishing, 2017-01)Internationally, there is a move towards strengthening primary healthcare systems and encouraging community-based and socially responsible education. The development of doctors with an interest in primary healthcare and ...
-
An exploration of the knowledge, attitudes and beliefs of Xhosa men concerning traditional circumcision
(AOSIS publishing, 2017-10)Background: The practice of traditional circumcision is associated with considerable morbidity and mortality, yet there is a paucity of literature that provides an understanding of the cultural values that influence men ...
-
Describing the categories of people that contribute to an Emergency Centre crowd at Khayelitsha hospital, Western Cape, South Africa
(Elsevier, 2017-06)Introduction: Emergency Centre (EC) crowding has globally been recognised to adversely affect patients, staff and visitors. Anecdotally, local ECs are perceived to be fairly crowded, however, not much is known about the ...
-
Poor adherence to Tranexamic acid guidelines for adult, injured patients presenting to a district, public, South African hospital
(Elsevier, 2017-06)Introduction: In South Africa’s high injury prevalent setting, it is imperative that injury mortality is kept to a minimum. The CRASH-2 trial showed that Tranexamic acid (TXA) in severe injury reduces mortality. Implementation ...
-
Percutaneous coronary intervention still not accessible for many South Africans
(Elsevier, 2017-09)Introduction: The incidence of myocardial infarction is rising in Sub-Saharan Africa. In order to reduce mortality, timely reperfusion by percutaneous coronary intervention (PCI) or thrombolysis followed by PCI is required. ...
-
Case mix of patients managed in the resuscitation area of a district-level public hospital in Cape Town
(Elsevier, 2017-03)Introduction: At the core of the district health system is the emergency centre, for many the entry point into the healthcare system. Limited data is available on the patient population served by district-level emergency ...
-
African emergency care providers attitudes and practices towards research
(Elsevier, 2017-03)Introduction: Emergency care research in Africa is not on par with other world regions. The study aimed to assess the perceptions and practices towards research among current emergency care providers in Africa. Methods: ...
-
Acceptance of and adherence to full anti-retroviral therapy for prevention of mother to child transmission in HIV infected pregnant women with CD4 count above 350 at Nhlangano Health Centre, Swaziland.
(Stellenbosch : Stellenbosch University, 2018-03)ENGLISH SUMMARY : Epidemic of HIV infection is hitting Swaziland where the prevalence is among the highest in the world. Nhlangano Health Centre (NHC) in collaboration with Medecins Sans Frontiers Switzerland (MSF Switzerland) ...
-
Poor return on investment : investigating the barriers that cause low credentialing yields in a resource-limited clinical ultrasound training programme
(SpringerOpen, 2018-02-21)Background: Clinical ultrasound is commonly used in medical practices worldwide due to the multiple benefits the modality offers clinicians. Rigorous credentialing standards are necessary to safeguard patients against ...
-
Reasons for first-line highly active antiretroviral therapy modification : a retrospective survey at the Infectious Disease Care Clinic Princess Marina Hospital, Gaborone, Botswana
(Stellenbosch : Stellenbosch University, 2018-03)ENGLISH SUMMARY : Background: Limited highly active antiretroviral therapy (HAART) in resource-constrained countries makes the optimisation of first-line HAART regimens critical in order to improve treatment efficacy and ...
-
How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia
(Stellenbosch : Stellenbosch University, 2018-03)ENGLISH SUMMARY : Background: Although no studies on the quality of emergency obstetric care including care for postpartum haemorrhage have been published from Namibia, the condition is a major cause of maternal morbidity ...
-
Improving the quality of care for patients at increased risk for type 2 diabetes at Onandjokwe Intermediate Hospital, Oshikoto Region, Namibia
(Stellenbosch : Stellenbosch University, 2018-03)ENGLISH SUMMARY : Type 2 diabetes mellitus accounts for more than ninety per cent of patients with diabetes and its incidence is on the rise in low and middle-income countries. Obesity is the main risk factor for type 2 ...
-
The perceived impact of family physicians on the district health system in South Africa : a cross-sectional survey
(BioMed Central, 2018-02-05)Background: Evidence from first world contexts support the notion that strong primary health care teams contain family physicians (FPs). African leaders are looking for evidence from their own context. The roles and scope ...
-
Adherence to referral criteria at admission and patient management at a specialized burns centre : the case of the red cross War Memorial Children’s Hospital in Cape Town, South Africa
(MDPI, 2017-07-06)ENGLISH ABSTRACT: Referral guidelines for burn care are meant to assist in decision-making as regards patient transfer and admissions to specialized units. Little is known, however, concerning how closely they are followed ...
-
Comparison of mean on-scene times : road versus air transportation of critically ill patients in the Western Cape of South Africa
(BMJ Publishing Group, 2007-12)Background: The South African setting lends itself to the extensive use of air transport. There is a perception with healthcare providers that flight crews spend too much time with a patient before departure. The main ...
-
Utilisation of emergency blood in a cohort of emergency centres in Cape Town, South Africa
(Stellenbosch : Stellenbosch University, 2007-03)ENGLISH SUMMARY : Background: The transfusion of blood and blood products forms an essential part of the resuscitation of patients with acute haemorrhage. Group O blood is stored for this purpose in many emergency facilities ...
-
Investigation of first onset seizures in adults in Western Cape Emergency Centres
(Health & Medical Publishing Group, 2012-03)ENGLISH SUMMARY : Objectives: This study aimed to review which investigations were done on adults presenting with first onset seizures to six Emergency Centres in the Western Cape Province, South Africa. Methods: A ...
-
An analysis of the clinical practice of emergency medicine in public district and regional hospitals in Tanzania
(Stellenbosch : Stellenbosch University, 2013-03)ENGLISH SUMMARY : Aim: The aim of the study was to document the burden of disease presenting to Tanzania mainland public district and regional hospitals’ acute intake areas, to describe the range of early diagnostic and ...
RSS 1.0