NDLI: Understanding of family medicine in Africa: a qualitative study of leaders' views.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Moosa, Shabir Downing, Raymond Mash, Bob Reid, Steve Pentz, Stephen Essuman, Akye
Spatial Coverage	Africa South of the Sahara
Description	Country affiliation: South Africa Author Affiliation: Moosa S ( Department of Family Medicine, University of Witwatersrand, Johannesburg, South Africa. shabir@drmoosa.co.za)
Abstract	BACKGROUND: The World Health Organization encourages comprehensive primary care within an ongoing personalised relationship, including family physicians in the primary healthcare team, but family medicine is new in Africa, with doctors mostly being hospital based. African family physicians are trying to define family medicine in Africa, however, there is little clarity on the views of African country leadership and their understanding of family medicine and its place in Africa. AIM: To understand leaders' views on family medicine in Africa. DESIGN AND SETTING: Qualitative study with in-depth interviews in nine sub-Saharan African countries. METHOD: Key academic and government leaders were purposively selected. In-depth interviews were conducted using an interview guide, and thematically analysed. RESULTS: Twenty-seven interviews were conducted with government and academic leaders. Responders saw considerable benefits but also had concerns regarding family medicine in Africa. The benefits mentioned were: having a clinically skilled all-rounder at the district hospital; mentoring team-based care in the community; a strong role in leadership and even management in the district healthcare system; and developing a holistic practice of medicine. The concerns were that family medicine is: unknown or poorly understood by broader leadership; poorly recognised by officials; and struggling with policy ambivalence, requiring policy advocacy championed by family medicine itself. CONCLUSION: The strong district-level clinical and leadership expectations of family physicians are consistent with African research and consensus. However, leaders' understanding of family medicine is couched in terms of specialties and hospital care. African family physicians should be concerned by high expectations without adequate human resource and implementation policies.
File Format	HTM / HTML
ISSN	09601643
e-ISSN	14785242
DOI	10.3399/bjgp13X664261
Journal	British Journal of General Practice
Issue Number	608
Volume Number	63
Language	English
Publisher	Royal College of General Practitioners
Publisher Date	2013-03-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Organization & Administration Research Support, Non-u.s. Gov't Holistic Health Discipline Family Medicine Attitude To Health Africa South Of The Sahara Delivery Of Health Care Health Policy
Content Type	Text
Resource Type	Article
Subject	Family Practice

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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