The Integrated Longitudinal Clinical Clerkship (ILCC) is seen as an enabling learning space for medical students and empowering preceptors. presence of ILCC in hospitals contributes to delivering health services sustained improvement the quality those facilities. This study explored professionals' perceptions impact a South African university's on workload service delivery district hospitals. We conducted in-depth interviews with 33 purposively recruited professionals this study....

Abstract Prostate cancer is the second most diagnosed in men, disproportionately affects African populations with rural South Africa, especially Eastern Cape, facing high prevalence due to healthcare inequalities, late diagnoses and limited resources. This study will play a role aiding responsiveness of Cape Department Health deliver optimal prevention control for prostate cancer. Furthermore, it highlight ways destigmatise communities. Methods A multi-methods approach conducted OR Tambo...

Summary This paper reports a two‐phase study in Manhiça district, Mozambique: first we assessed the clinical efficacy and parasitological response of Plasmodium falciparum to chloroquine (CQ), sulphadoxine–pyrimethamine (SP) amodiaquine (AQ), then tested safety treatment uncomplicated malaria, three combinations: AQ + SP, artesunate (AR) SP AR. Based on WHO (1996, WHO/MAL/96.1077) vivo protocol, conducted two open, randomized, trials. Children aged 6–59 months with axillary body temperature...

Background Governments worldwide participate in skilled health worker (SHW) migration agreements to protect access services their countries. Previous studies have described the value offered by these separate source and destination country perspectives.Objective We sought identify summarise existing literature on shared creation for both countries.Method conducted a systematic scoping review of databases grey literature. Using Mark Moore Colin Talbot frameworks, we summarised public...

There are significant delays in initiation of multidrug-resistant tuberculosis (MDR -TB) treatment. The Xpert MTB/RIF test has been shown to reduce the time diagnosis and treatment MDR-TB predominantly urban centres. This study describes effect on a deprived rural area South Africa.This was retrospective cohort analysing medical records patients diagnosed with King Sabata Dalindyebo Sub-District between 2009 2014. Numerical data were reported using Kruskal-Wallis Wilcoxon sum rank tests...

As part of the human papillomavirus (HPV) vaccination strategy in South Africa, it is essential to have information on HPV prevalence, and types distribution among unvaccinated population. Information prevalence adolescents young women Africa's Eastern Cape Province minimal. Therefore, this study investigates types, factors associated with infection amongst female learners. A sample composed 213 sexually active learners attending high schools Africa; median age 18 years, who provided...

Globally, cancer is a leading cause of death, with cervical ranking second among all cancers. Its adversity impacts not only individuals but also families, societies, and governments. The quality services, as informed by the knowledge adequacy health workers, plays an important role in both prevention, diagnosis, management disease. A cross-sectional study 108 purposively selected workers rural facilities Eastern Cape province was conducted to assess on associated risk factors through use...

The World Health Organization introduced the workload indicators of staffing needs (WISN) in 1998 to improve country-level health workforce planning. This study presents primary care planning experiences India, South Africa and Peru.A case approach was used explore lessons learnt implementation WISN India Africa. It also describes methods developed implemented estimate Peru. We identify barriers facilitators faced by countries during phase through triangulation literature, government reports...

Abstract Background Cervical cancer is a preventable but highly prevalent in many low -and middle-income countries including South Africa. outcomes can be improved with vaccination, well-coordinated and efficient screening programme, increased community awareness uptake, knowledge advocacy of health professionals. This study therefore aimed to ascertain the knowledge, attitudes, practices barriers cervical among nurses selected rural hospitals Methods A quantitative cross-sectional was...

Abstract: Circumcision is a long-standing and frequently performed surgical procedure which holds significant cultural significance among AmaXhosa people in South Africa. Due to reasons some parts of Africa, the integration medical male circumcision with traditional manhood initiation rituals still lacks acceptance. This study examined level knowledge acceptance voluntary (VMMC) young males selected high school Nyandeni District Eastern Cape Province, A descriptive, quantitative,...

Despite policies for addressing shortages and maldistribution of health professionals, sub-Saharan Africa continues to experience skilled professionals. Policies such as return-of-service schemes or state-funded educational initiatives do not seem be achieving their intended objectives, potentially due poor design, implementation; lack monitoring evaluation the strategies. A focus by global experts on strengthening reformulating offers potential producing, retaining recruiting

Obesity is a global public health concern that begins in childhood and on the rise among people aged 18 up, with substantial consequences offer socioeconomic challenges at all levels, from households to governments. associated risk factors were investigated children adolescents Eastern Cape Province of South Africa. A cross-sectional study was conducted Mt Frere 209 conveniently selected participants using anthropometric measurements structured questionnaire. Chi-squared statistics or...

Return-of-service schemes (RoS) or bursaries are used in South Africa and other nations to publicly fund the training of skilled health professionals return for beneficiary agreeing serve their local provinces on a year-for-year basis. This study aimed understand insights key policymakers African identify barriers solutions implementation RoS recruit retain professionals. research draws 16 from eight its nine through semi-structured, qualitative interviews. The respondents were interviewed...

Female sex workers are a marginalized and highly vulnerable population who at risk of HIV other sexually transmitted diseases, harassment, unplanned pregnancies. Various female condoms available to mitigate the severity consequences their work. However, little is known about acceptability usage contraceptives among in small South African towns. This descriptive cross-sectional study conveniently selected explored Africa using validated questionnaires. The data were analyzed STATA 14.1. 95%...

Background A comprehensive primary healthcare (PHC) approach requires clear referral and continuity of care pathways. South Africa is a lower-middle income country (LMIC) that lacks data on the role intermediate (IC) services in health system. This study described model service provision at one facility Cape Town, including reason for admission, mix skills provided needed, patient satisfaction, outcome articulation with other across spectrum care. Methods multi-method design was used....

Tuberculosis (TB) is a major cause of severe anaemia in patients with human immunodeficiency virus (HIV) infection South Africa. However, TB can be difficult to diagnose as it may extra pulmonary and paucibacillary.The aim this study was investigate undiagnosed HIV identify the optimal investigations for diagnosing TB.Mthatha General Hospital, district hospital.The case series.Haemoglobin levels ranged from 3.6 g/dL 7.9 g/dL, mean CD4 count 176 cells/μL 80% had positive symptom screen....

Abstract Background To effectively reduce vertical HIV transmission requires a reduction of prevalence and incidence among pregnant women full understanding its epidemiology. The study aimed to determine the attending antenatal care further spousal support during attendance in rural areas Eastern Cape province, South Africa. Methods A Cross-sectional four Primary Care facilities was conducted using an interviewer-administered questionnaire which collected information on socio-demographic...

Introduction Health systems across the world are facing challenges with shortages and maldistribution of skilled health professionals. Return-of-service (ROS) initiatives government-funded strategies used to educate professionals by contracting beneficiaries undertake government work on a year-for-year basis after their qualification. It is envisaged that once they have served contract, will be attracted serve in same area or establishment beyond duration obligatory period. Little known...

Introduction Cancer contributes to a significant proportion of morbidity and mortality globally. Low-income middle-income countries such as South Africa tend be characterised by poor inequitable access cancer services. resources are more likely found in urban areas, tertiary centres quaternary hospitals. However, little is known about the linkages care, continuity care packages rural African settings. This study describes service delivery for Africa’s Eastern Cape Mpumalanga provinces....

Genital human papillomavirus (HPV) is the most common sexually transmitted virus in populations globally. Adolescent girls and young women (AGYW) remain a key population group at risk for HPV infection. However, factors of infection among AGYW, especially sub-Saharan Africa, are subject little investigation published literature. Here, we investigated associated with unvaccinated South African AGYW high burden (prevalence: 76.1%).We retrospectively recruited 213 learners (aged 15-25 years)...