scholarly journals Implementation and evaluation of a team approach to managing diabetes mellitus and diabetic retinopathy in the South African district health system

2020 ◽  
Vol 79 (1) ◽  
Author(s):  
Zaheera Abdool ◽  
Kovin Naidoo ◽  
Linda Visser
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Retinopathy ◽  
Health System ◽  
South African ◽  
Team Approach ◽  
The South ◽  
District Health ◽  
District Health System

scholarly journals Implementation and evaluation of a team approach to managing diabetes mellitus and diabetic retinopathy in the South African district health system

2021 ◽  
Vol 80 (1) ◽  
Author(s):  
Zaheera Abdool ◽  
Kovin Naidoo ◽  
Linda Visser
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Retinopathy ◽  
Health System ◽  
Team Approach ◽  
Haemoglobin A1c ◽  
District Health ◽  
Systemic Complications ◽  
District Health System ◽  
Screening Model ◽  
The Mean

Background: Diabetic retinopathy (DR) screening programmes have been developed and implemented in different countries based on availability of resources. Most protocols developed for DR have been solely dedicated to DR screening without involving systemic screening.Aim: To implement and evaluate a DR screening model utilising a team of healthcare practitioners (HCPs) to manage diabetes mellitus (DM) to reduce DR progression.Setting: Primary healthcare clinics and Voortrekker hospital in Waterberg district of Limpopo province.Methods: A cross-sectional study was conducted, in which a total of 107 patients with DM from seven clinics consented to participation. A proposed DR screening model was implemented where patients with DM were screened for systemic complications at clinics and referred to Voortrekker district hospital for retinal photography. Questionnaire responses evaluated the success of the screening process and operational challenges.Results: From the study population, 32 (29.1%) were male and 75 (70.1%) were female. The mean age of patients was 63.7 years with a mean weight of 80.69 kg. The mean duration of DM was 9.26 years and the mean haemoglobin A1c (HbA1c) level was 9.7%. From the 47 patients who had visual acuity less than 6/9, 74.5% had refractive error. About 10% (9.4%) had DR or diabetic macular oedema (DME) and 38.3% had other lesions. Referral to an ophthalmologist was necessary in 36.5% of cases.Conclusion: The implementation of a team approach to co-manage DM and DR utilising the developed protocol improved the quality of care for patients with DM in the district health system.

scholarly journals The Influence of Family Physicians Within the South African District Health System: A Cross-Sectional Study

2018 ◽  
Vol 16 (1) ◽  
pp. 28-36 ◽  
Author(s):  
Klaus B. von Pressentin ◽  
Robert J. Mash ◽  
Laurel Baldwin-Ragaven ◽  
Roelf Petrus Gerhardus Botha ◽  
Indiran Govender ◽  
...  
Keyword(s):  
Health System ◽  
South African ◽  
Family Physicians ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
The South ◽  
District Health ◽  
Cross Sectional ◽  
District Health System ◽  
System A

scholarly journals The bird’s-eye perspective: how do district health managers experience the impact of family physicians within the South African district health system? A qualitative study

2018 ◽  
Vol 60 (1) ◽  
pp. 46
Author(s):  
Klaus B Von Pressentin ◽  
Robert J Mash ◽  
L Baldwin-Ragaven ◽  
R P G Botha ◽  
I Govender ◽  
...  
Keyword(s):  
Health System ◽  
South African ◽  
Health Systems ◽  
Family Physicians ◽  
Position Paper ◽  
Healthcare Team ◽  
Local Health ◽  
District Health ◽  
District Health System ◽  
The Impact

Background: Health policy-makers in Africa are looking for local solutions to strengthen primary care teams. A South African national position paper (2015) described six aspirational roles of family physicians (FPs) working within the district health system. However, the actual contributions of FPs are unclear at present, and evidence is required as to how this cadre may be able to strengthen health systems. Methods: Using semi-structured interviews, this study sought to obtain the views of South African district health managers regarding the impact made by FPs within their districts on health system performance, clinical processes and health outcomes. Results: A number of benefits of FPs to the health system in South Africa were confirmed, including: their ability to enhance the functionality of the local health system by increasing access to a more comprehensive and coordinated health service, and by improving clinical services delivered through clinical care, capacitating the local health team and facilitating clinical governance activities. Conclusions: District managers confirmed the importance of all six roles of the FP and expressed both direct and indirect ways in which FPs contribute to strengthening health systems’ performance and clinical outcomes. FPs were seen as important clinical leaders within the district healthcare team. Managers recognised the need to support newly appointed FPs to clarify their roles within the healthcare team and to mature across all their roles. This study supports the employment of FPs at scale within the South African district health system according to the national position paper on family medicine. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2018; DOI: 10.1080/20786190.2017.1348047

scholarly journals A job analysis of selected health workers in a district health system in KwaZulu Natal - Part two: Job analysis of nurses in primary health care settings

Curationis ◽  
2003 ◽  
Vol 26 (3) ◽  
Author(s):  
S Mbambo
Keyword(s):  
Health System ◽  
Current Practice ◽  
Health Workers ◽  
Job Analysis ◽  
District Health ◽  
District Health System ◽  
Primary Health ◽  
Kwazulu Natal ◽  
Descriptive Survey ◽  
Primary Health Care Settings

The aim of this descriptive survey was to do a job analysis of different categories of nurses in a District Health System in order to clarify job expectations, describe current practice of nurses in hospitals and clinics and to make recommendations about skills mix in district services. This article deals with the clinics only.

The district health system

2018 ◽  
pp. 81-98
Author(s):  
Geoff Meads ◽  
Michiyo Iwami ◽  
Yvonne Carter
Keyword(s):  
Health System ◽  
District Health ◽  
District Health System

scholarly journals A job analysis of selected health workers in a district health system in KwaZulu Natal - Part one: Job analysis of nurses in hospital settings

Curationis ◽  
2003 ◽  
Vol 26 (3) ◽  
Author(s):  
L.R. Uys
Keyword(s):  
Health System ◽  
Current Practice ◽  
Health Workers ◽  
Job Analysis ◽  
District Health ◽  
District Health System ◽  
Job Expectations ◽  
Kwazulu Natal ◽  
Descriptive Survey

The aim of this descriptive survey was to do a job analysis of different categories of nurses in a District Health System in order to clarify job expectations, describe current practice of nurses in hospitals and clinics and to make recommendations about skills mix in district services.

scholarly journals Study on Epidemiology of Chronic Obstructive Pulmonary Disease (COPD) at Western Regional Hospital, Pokhara

2017 ◽  
Vol 9 (2) ◽  
pp. 65-69
Author(s):  
Vivek Ghosh ◽  
S Lamichhane ◽  
SB Thakuri ◽  
KCS Khadka ◽  
SS Teli ◽  
...  
Keyword(s):  
Health System ◽  
Regional Hospital ◽  
Chronic Obstructive ◽  
System Management ◽  
District Health ◽  
Obstructive Pulmonary Disease ◽  
District Health System ◽  
Medical College ◽  
Third Phase ◽  
Western Regional

According to the curriculum of Bachelor of Medicine and Bachelor of Surgery (MBBS) program of the Tribhuvan University (TU), Institute of Medicine (IOM), the Department of Community Medicine of Gandaki Medical College (GMC) has been conducting the District Health System Management (DHSM) study for the students of MBBS, third phase (4th year). This program provides us an opportunity for clinical and community orientation to develop skills to become a competent medical professional to work at different levels of hospitals and district health system. This course enables us to assess resource potentials and constraints, prioritize the health problems and set strategies for solving them. It also enables us to be able to work in promotive, preventive, curative and rehabilitative health services as part of district health team. The program begins with theory classes on management and orientation classes at the college and placement of the students in three different places with rotation along with field supervisions in between. Here we are presenting our investigations on epidemiology of chronic obstructive pulmonary disease made at Western Regional Hospital during our District Health System Management (DHSM) study in third phase (Fourth year).Journal of Gandaki Medical College Volume, 09, Number 2, July December  2016, Page: 65-69 

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