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A Review of Published Research in the South African Family Practise - A Clarion Call to Action

- Von Pressentin, Klaus B, Kaswa, Ramprakash, Murphy, Shane, Nair, Arun

Authors: Von Pressentin, Klaus B , Kaswa, Ramprakash , Murphy, Shane , Nair, Arun
Date: 2023
Subjects: Family practice , South Africa , Primary care , Research
Language: English
Type: Article
Identifier: http://hdl.handle.net/11260/14586 , vital:79636 , DOI: https://doi.org/10.4102/safp.v65i1.5777
Description: It has no abstract
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Date Issued: 2023

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Acute Kidney Injury Among Hospitalised Patients Who Died Due to Covid-19 in the Eastern Cape South Africa

- Kaswa, Ramprakash

Authors: Kaswa, Ramprakash
Date: 2023
Subjects: AKI , COVID-19 , Hospitalised , Comorbility , Prognosis
Language: English
Type: Article
Identifier: http://hdl.handle.net/11260/14768 , vital:79809 , DOI: https://doi.org/10.4102/safp.v65i1.5616
Description: Acute kidney injury (AKI) commonly occurs in coronavirus disease 2019 (COVID-19) patients who have been hospitalised and is associated with a poor prognosis. This study aimed to determine the incidence of AKI among COVID-19 patients who died in a regional hospital in South Africa...
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Date Issued: 2023

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Do Not Loose Your Patient in Translation: Using Interpreters Effectively in Primary Care

- Habib, Talat, Nair, Arun, Von Pressentin, Klaus, Kaswa, Ramprakash, Saeed, Hamid

Authors: Habib, Talat , Nair, Arun , Von Pressentin, Klaus , Kaswa, Ramprakash , Saeed, Hamid
Date: 2023
Subjects: Medical interpreter , Modes of Interpretation , Types of medical interpreters , Cultural liaison , Communication barriers , Primary care
Language: English
Type: Article
Identifier: http://hdl.handle.net/11260/14758 , vital:79813 , DOI: https://doi.org/10.4102/safp.v65i1.5655
Description: South Africa is a multicultural society characterised by a rich diversity of languages. As a result, many healthcare providers and their patients often do not speak the same language, which makes communication challenging. The language barriers, when present, require an interpreter to ensure accurate and effective communication between the parties. In addition to assisting in a clear exchange of information, a trained medical interpreter also acts as a cultural liaison. This is especially true when the provider and the patient come from different cultural backgrounds. Based on the patient’s needs, preferences, and available resources, clinicians should select and engage with the most appropriate interpreter. The effective use of an interpreter requires knowledge and skill. Patients and healthcare providers can benefit from several specific behaviours during interpreter-mediated consultations. This review article provides practical tips on when and how to use an interpreter effectively during clinical encounters in primary healthcare settings in South Africa
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Date Issued: 2023

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Guiding the Emerging Primary Care Researcher: A Report of Research Capacity-Buliding Workshop

- Murphy, Shane D, Nair, Arun, Kaswa, Ramprakash, Govender, Indiran, Von Pressentin, Klaus

Authors: Murphy, Shane D , Nair, Arun , Kaswa, Ramprakash , Govender, Indiran , Von Pressentin, Klaus
Date: 2023
Subjects: Research , Caparcity building , Clinician-scientist , Education , Family medicine
Language: English
Type: Article
Identifier: http://hdl.handle.net/11260/14721 , vital:79812 , DOI: https://doi.org/10.4102/safp.v65i1.5769
Description: There is an escalating interest in research capacity building across the globe. Research is an integral part of the continuous improvement process, clinical decision making and health system strengthening and should be embedded into the health system. The South African Family Practice Journal editorial team held a workshop on 19 August 2022 at the 24th National Family Practitioners Congress in Cape Town, with the aim of supporting primary care clinicians in their development from early-career researchers to established clinician-scientists. Small group and plenary discussions yielded valuable insights into the lived experiences of early career researchers and highlighted critical action areas to build the landscape of clinician-led research in the South African context.
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Date Issued: 2023

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One World, One Health: A Growing Need for an Intergrated Global Health Approach

- Kaswa, Ramprakash, Von Pressentin, Klaus, Nair, Arun, Murphy, Shane

Authors: Kaswa, Ramprakash , Von Pressentin, Klaus , Nair, Arun , Murphy, Shane
Date: 2023
Subjects: One health , Human-animal-plant-enviroment , Global health
Language: English
Type: Article
Identifier: http://hdl.handle.net/11260/14763 , vital:79815 , DOI: https://doi.org/10.4102/safp.v65i1.5693
Description: The increasing pressures on the human–animal–plant–environment interface contribute to the development of new and more complex diseases.1 In many cases, infectious disease outbreaks have strong links with environmental changes, such as the loss of biodiversity, the degradation of ecosystems and climate hazards,2caused by anthropogenic activities. There is an urgent need to move from a global health perspective to an integrated ‘One Health’ approach. The coronavirus disease 2019 (COVID-19) pandemic has shown that the degradation of the environment is contributing to the increasing health risks faced by society. The emergence of the coronavirus in humans has highlighted the need for more effective and multi-disciplinary coordinated efforts.1,3Furthermore, our collective responsibility is to prevent, predict, detect and respond to global health threats. Our current understanding of the various interactions between humans, animals, plants and the environment must be re-evaluated.
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Date Issued: 2023

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Prevelance of Hepatitis-B Virus Co-Infection Among People Living with HIV in Mthatha Region of South Africa

- Kaswa, Ramprakash, Von Pressentin, Klaus, Nair, Arun, Murphy, Shane

Authors: Kaswa, Ramprakash , Von Pressentin, Klaus , Nair, Arun , Murphy, Shane
Date: 2023
Subjects: HBV , HIV , PLWH , UTT , Morbidity , Mortality
Language: English
Type: Article
Identifier: http://hdl.handle.net/11260/14756 , vital:79816 , DOI: https://dx.doi.org/10.4314/ahs.v23i1.17
Description: Hepatitis-B virus (HBV) co-infection among people living with HIV (PLWH) is highly endemic in South Africa. Despite the availability of an effective vaccine for the last four decades, chronic HBV infection is a major cause of morbidity and mortality among PLWH. Although the incidence of most opportunistic infections has been reduced in individuals with HIV since the implementation of the universal test and treat program in South Africa, HBV co-infection among PLWH is still accounting for high morbidity and mortality...
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Date Issued: 2023

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Primary Health Care Providers Views on Managing Substance Use Among People Living with HIV

- Kaswa, Ramprakash, De Villiers, Marietjie

Authors: Kaswa, Ramprakash , De Villiers, Marietjie
Date: 2023
Subjects: Primary health care workers , HIV , CHC , PLWH , Adherence , Substance use
Language: English
Type: Article
Identifier: http://hdl.handle.net/11260/14727 , vital:79817 , DOI: https://doi.org/10.4102/phcfm.v15i1.3984
Description: The growing culture of substance use among people living with human immunodeficiency virus (PLWH) is a serious threat to the human immunodeficiency virus (HIV) pandemic. As the gatekeepers of comprehensive care, primary care providers are responsible for screening, assessing, and managing individuals who use substances...
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Date Issued: 2023

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The Effect of Substance Uses on Antiretroviral Treatment Adherence in Primary Health Care

- Kaswa, Ramprakash, De Villiers, Marietjie

Authors: Kaswa, Ramprakash , De Villiers, Marietjie
Date: 2023
Subjects: ART , Adherence , Cohort study , Primary care , PLWH , Substance abuse , Substance use
Language: English
Type: Article
Identifier: http://hdl.handle.net/11260/14762 , vital:79818 , DOI: https://doi.org/10.4102/safp.v65i1.5660
Description: Adherence to antiretroviral treatment (ART) is the primary factor determining how an individual responds to their treatment. Unfortunately, individuals who use substances experience suboptimal adherence to their treatment, but little is known about the exact effects of their use on ART adherence in primary health care settings...
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Date Issued: 2023

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Clinical outcomes of hospitalised COVID-19 patients at Mthatha Regional Hospital, Eastern Cape, South Africa: A retrospective study

- Kaswa, Ramprakash, Yogeswaran, Parimalaranie, Cawe, Busisiwe

Authors: Kaswa, Ramprakash , Yogeswaran, Parimalaranie , Cawe, Busisiwe
Date: 2021
Subjects: COVID-19 Diabetes Hypertension Diseases Article
Language: English
Type: text , article
Identifier: http://hdl.handle.net/11260/7330 , vital:53402 , xlink:href="https://doi.org/10.4102/safp.v63i1.5253"
Description: Background: Coronavirus disease 2019 (COVID-19) is a public health crisis that threatens the current health system. The sudden expansion in the need for inpatient and intensive care facilities raised concerns about optimal clinical management and resource allocation. Despite the pressing need for evidence to make context-specific decisions on COVID-19 management, evidence from South Africa remained limited. This study aimed to describe the clinical characteristics and outcomes of COVID-19 hospitalised patients. Methods: A retrospective cross-sectional study design was used to evaluate the clinical outcomes of hospitalised adult patients (≥ 18 years old) with laboratory-confirmed COVID-19 illness at Mthatha Regional Hospital (MRH), Eastern Cape. Results: Of the 1814 patients tested for COVID-19 between 20 March 2020 and 31 July 2020 at MRH, two-thirds (65.4%) were female. About two-thirds (242) of the 392 patients (21.6%) who tested positive for this disease were hospitalised and one-third (150) were quarantined at home. The mean age of the patients tested for COVID-19 was 42.6 years and there was no difference between males and females. The mean age of hospitalised patients was 55.5 years and the mean age of hospitalised patients who died (61.3 years) was much higher than recovered (49.5 years). Overall, 188 (77.6%) hospitalised patients had clinical comorbidity on admission. Diabetes (36.8%) and hypertension (33.1%) were the most common comorbidities amongst COVID-19 hospitalised patients. Conclusion: The majority of the patients who were hospitalised for COVID-19 were elderly and had high baseline comorbidities. Advance age and underlying comorbidities (diabetes, hypertension and HIV) were associated with high mortality in hospitalised COVID-19 patients. Keywords: COVID-19, diabetes; hypertension; hospitalised; co-morbidity.
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Date Issued: 2021

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Malnutrition in children under the age of 5 years in a primary health care setting

- Kaswa, Ramprakash, Govender, Indiran, Rangiah, Selvandran, Nzaumvila, Doudou

Authors: Kaswa, Ramprakash , Govender, Indiran , Rangiah, Selvandran , Nzaumvila, Doudou
Date: 2021
Subjects: Obesity Malnutrition Dietary supplements Article
Language: English
Type: text , article
Identifier: http://hdl.handle.net/11260/7260 , vital:53106 , xlink:href="https://doi.org/10.4102/safp.v63i1.5337"
Description: In this study, we outlined the types of malnutrition amongst children, the causes of malnutrition intervention at the primary health care level and some recommendations to alleviate childhood malnutrition in South Africa. Keywords: obesity; severe acute malnutrition; individual factors; community level factors; dietary intervention.
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Date Issued: 2021

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Primary healthcare approach to substance abuse management

- Kaswa, Ramprakash

Authors: Kaswa, Ramprakash
Date: 2021
Subjects: Substance abuse Diseases Primary health care Article
Language: English
Type: text , article
Identifier: http://hdl.handle.net/11260/7259 , vital:53104 , xlink:href="https://doi.org/10.4102/safp.v63i1.5307"
Description: Substance abuse is common amongst patients attending primary healthcare settings. Despite the substantial impact on one’s health, substance abuse is often underdiagnosed by primary care providers owing to a lack of training and time for screening. Self-reported screening tools are easy to administer and efficient to make a substance abuse diagnosis in primary care settings. Comorbid mental illness and intimate partner violence are common amongst patients presenting with substance abuse in primary care. An early diagnosis and a brief behavioural change counselling are effective in managing substance abuse before it develops into dependency. A brief motivational communication rather than a confrontation during substance abuse screening, counselling and treatment is important to achieve optimum patient outcomes. Keywords: substance abuse; primary healthcare setting; screening tools; brief behavioural change counselling; co-morbidity
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Date Issued: 2021

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The impact of the COVID-19 pandemic on accessing HIV care: A case report

- Kaswa, Ramprakash

Authors: Kaswa, Ramprakash
Date: 2021
Subjects: COVID-19 Pandemic, 2020- HIV (Viruses) Diseases Article
Language: English
Type: text , article
Identifier: http://hdl.handle.net/11260/7291 , vital:53107 , xlink:href="https://doi.org/10.4102/safp.v63i1.5344"
Description: The coronavirus disease 2019 (COVID-19) pandemic has had an enormous impact on the provision of human immunodeficiency virus (HIV) services amongst people living with HIV. Many people have adopted different health-seeking behaviour in alignment with the lockdown provisions during the COVID-19 pandemic. These lockdown regulations have had a huge impact on healthcare access for people on chronic medication. The disruption of antiretroviral therapy (ART) has a profound effect on HIV-associated morbidity and mortality. The impact on HIV programmes as a result of the interruption in ART could be bigger than the HIV pandemic alone. Keywords: COVID-19; pandemic; HIV; ART; lockdown; morbidity and mortality.
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Date Issued: 2021

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