Browsing by Author "Reid, Steve"

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    African primary care research : qualitative interviewing in primary care
    (AOSIS Publishing, 2014-06) Reid, Steve; Mash, Robert
    This article is part of a series on African Primary Care Research and focuses on the topic of qualitative interviewing in primary care. In particular it looks at issues of study design, sample size, sampling and interviewing in relation to individual and focus group interviews. There is a particular focus on helping postgraduate students at a Masters level to write their research proposals.
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    A framework for implementation of community-orientated primary care in the Metro Health Services, Cape Town, South Africa
    (AOSIS, 2020-12) Mash, Bob; Goliath, Charlyn; Mohamed, Hassan; Reid, Steve
    In South Africa, the national policy on re-engineering primary health care (PHC) supports the implementation of ward-based outreach teams with community health workers. In the Western Cape, a community-orientated primary care (COPC) approach has been adopted in provincial goals for 2030 and the key strategies for the improvement of district health services. This approach is expected to improve health and also save costs. A task team was established in the Metropolitan Health Services to develop an implementation framework for COPC. The framework was developed in an iterative process with four learning sites in the metropole over a period of 18 months. The framework consists of 10 inter-related elements: geographic delineation of PHC teams, composition of PHC teams, facility-based and community-based teamwork, partnership of government and non-government organisations, scope of practice, information system, community engagement, stakeholder engagement, training and development of PHC teams, system preparation and change management. This framework was implemented at the four learning sites and is now being taken to scale and further assessed in the metropole.
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    Names and roles for the generalist doctor in Africa
    (AOSIS Publishing, 2010) Reid, Steve; Mash, Bob; Thigiti, Joseph; Nkombua, Lushiku; Bossyns, Paul; Downing, Ray; Heyrman, Jan
    The following dialogue between six family physicians was used as one of several discussion papers at the Regional Africa WONCA Conference in 2009 and was designed to stimulate debate and dialogue on the nature of Family Medicine in Sub-Saharan Africa. This is an edited version of an actual email exchange between March and June 2009, edited by the conference convenor, and reproduced with the kind permission of the authors.
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    Prohibiting alcohol sales during the coronavirus disease 2019 pandemic has positive effects on health services in South Africa
    (2020-07-15) Reuter, Hermann; Jenkins, Louis S; De Jong, Marischka; Reid, Steve; Vonk, Michael
    As the coronavirus disease 2019 (Covid-19) pandemic evolves globally, we are realising its impact on communities from the disease itself and the measures being taken to limit infection spread. In South Africa (SA), 62 300 adults die annually from alcohol-attributable causes. Alcohol-related harm can be reduced by interventions, such as taxation, government monopolising retail sales, outlet density restriction, hours of sales and an advertising ban. To mitigate the impact of the Covid-19 pandemic, SA instituted a lockdown that also prohibited alcohol sales. This led to a sharp reduction in unnatural deaths in the country from 800–1000/week to around 400/week during the lockdown. We reviewed three 2-week periods at a large rural regional hospital: Before Covid-19 (February), during social distancing (March) and during lockdown with alcohol ban (April). A dramatic drop in patient numbers from 145 to 64 (55.8%) because of assault, from 207 to 83 (59.9%) because of accidents, from 463 to 188 (59.4%) because of other injuries and from 12 to 1 (91.6%) because of sexual assaults was observed during the first 2 weeks of lockdown. As healthcare professionals, we need to advocate for the ban to remain until the crisis is over to ensure that health services can concentrate on Covid-19 and other patients. We encourage other African states to follow suit and implement alcohol restrictions as a mechanism to free up health services. We see this as an encouragement to lobby for a new normal around alcoh
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    Statement of consensus on family medicine in Africa
    (AOSIS OpenJournals, 2010) Mash, Robert; Reid, Steve; African Regional WONCA Conference (2nd. : 2009 : Rustenburg, South Africa)
    Family Medicine is an emerging speciality in sub-Saharan Africa and yet potential interest in the contribution of Family Medicine to health, primary care and district health services is limited by the lack of a regional definition. Governments, health departments and academic institutions would benefit from a clearer understanding of Family Medicine in an African context. The 2nd African Regional WONCA (World Organisation of Family Doctors) Conference, held in Rustenberg, South Africa in October 2009, engaged participants from sub-Saharan Africa in the development of a consensus statement on Family Medicine. The consensus statement agreed to by the conference defined the contribution of Family Medicine to equity, quality and primary health care within an African context, as well as the role and training requirements of the family physician. Particular attention was given to the contribution of women in Family Medicine.