UpToDate – Monkeypox Content Available for FREE

Wolters Kluwer are providing FREE access to the latest evidence-based content in UpToDate and Ovid relating to the Monkeypox outbreak to all clinicians and organisations, including those that do not currently subscribe to UpToDate. As with all UpToDate clinical topics, the content is being constantly reviewed by our team of clinical experts, clinical researchers and editors and is updated as new information becomes available.

Get FREE access to the related clinical topics as well as FREE access the information below here: http://gag.gl/rQQeJj

– European and UK Society guidelines including the British HIV association and UK Health Security Agency.

– Patient education informmation relating to risk, symptoms and treatments in a printable, understandable format.

– Understanding the neurollogical effects of the monkeypox virus on patients.

– A primer on Monkeypox foor obstetricians and gynaecologists.

– Additional Monkeypox ressources.

WHO publishes new guidelines on HIV, hepatitis and STIs

The guidelines outline a public health response to HIV, viral hepatitis and sexually transmitted infections (STIs) for 5 key populations (men who have sex with men, trans and gender diverse people, sex workers, people who inject drugs and people in prisons and other closed settings)…

“The new data from UNAIDS show that around 70% of new HIV infections occur among key populations and their partners…” said Meg Doherty, Director of WHO’s Global HIV, Hepatitis and STI Programmes…

These guidelines also acknowledge that behavioural interventions aimed at changing behaviours – which tend to be prioritized in many settings – have no impact on incidence of HIV, viral hepatitis and STIs or on behaviour change…more

AfroPHC Newsletter August 2022

It has been an arduous task to prepare the next draft of the AfroPHC Policy Framework, after extensive discussions at the AfroPHC e-Conference 17-18th May. Sorry that we did not share anything in June and July! We have now fashioned a “Health care worker call for Africa to build effective PHC teams for PHC and UHC in Africa” It is now available for public comment after the Executive and Advisory Boards have engaged with it.

This second draft of the AfroPHC policy framework is still an argument from healthcare workers for policymakers to prioritise PHC teamwork for holistic care of empanelled populations in decentralised units of community practice. We see the definition of PHC services and modelling of teams in the light of country resources, emerging blended capitation payment systems in UHC reforms across Africa, the inclusion of private providers and the use of complexity theory in bottom-up organisation of PHC in Africa as critical supports that are needed to build PHC teams for UHC in Africa. See the document here and please feel free to comment on it [https://afrophc.org/2022/08/07/afrophc-draft-policy-framework-released-for-stakeholder-comment/].

We have been fortunate in winning a PHC Performance Initiative Micro-Grant of $40 000 to take the policy framework further. It was an incredibly strong pool of 200 applicants and our proposal rose to the top. The goal in our grant-seeking project is to deepen the draft AfroPHC Policy Framework on “Building PHC teams for UHC in Africa” by focusing on EFFECTIVENESS. The target participants and audiences will be AfroPHC members, PHC team members and other stakeholders as well as young health professionals and students at regional and country levels. Activities will be mostly online across African countries, with hybrid Final Workshop of the AfroPHC Executive and Advisory Board in Johannesburg, South Africa 25th-26th October 2022 and a virtual Launch Event on 12th December 2022. See more about the overall grant activities here [https://afrophc.org/2022/08/07/phc-performance-initiative-micro-grant/].

Our process starts in earnest as we have until end October to use the funds. We have a list of regions and stakeholder groups we would like to engage: Central, Southern, Western, Eastern, Arabic and Portuguese Africa. See the detailed list of countries and key stakeholders with dates of consultations and join the WhatsApp group for these regions. See more here [https://afrophc.org/chapters/]. We are very keen that as many local stakeholders participate. These include professional associations, ministries of health, accreditation / certification bodies, academics, patient advocacy groups etc. Please feel free to share this email to any key stakeholders you think should be there and ask them to join us to discuss AfroPHC and the Policy Framework.

We keen to collect cases on ““Building effective multidisciplinary primary health care teams for universal health coverage in Africa” and have set aside prizes worth $1000 for this purpose. We are looking for short, real-life stories about an initiative, project or advocacy campaign that highlight interdisciplinary and interprofessional teamwork being implemented within the African context, demonstrating person and family centered care and helping communities and societies transition to healthy populations. Sharing experiences of less successful case studies and lessons learned is also welcome. The deadline for submitting the case studies is 11th September. Winners will be announced by 31st October. The case studies can be submitted in text format (1200 words max), following the guiding questions, by email to info@afrophc.org. Complementing the case studies with visual materials, such as photos from the field, would be most welcome. See details here https://afrophc.org/2022/08/07/call-for-submissions-of-short-cases/

The AfroPHC Annual General Meeting (AGM) on Thursday 19th May agreed to some few changes. A key change is that we will have associate membership having full access to all the current benefits of AfroPHC. We have created full membership at a fee of $20 for individual members and $40 for institutional members with the additional benefit of having vote/s at the Annual General Meeting and being able to stand for election to the Executive Board (EB). We will begin this process from November 2022. Speaking of elections we welcome our three new EB members: Dr Umar Ibrahim (CHEW, Nurse with PhD from Nigeria) (https://afrophc.org/conference-agm/agm-2022/umar-ibrahim-2/), Mr Innocent Somboi (Clinical Officer from Tanzania) (https://afrophc.org/about/innocent-somboi/) and Dr Mercy Wanjala (Family Physician from Kenya) (https://afrophc.org/conference-agm/agm-2022/mercy-wanjala-2/) [who has since resigned to become the Deputy Executive Coordinator].

We always have wonderful AfroPHC Policy Workshops. Mercy has organised several: “Point of Care Testing in African PHC” 21st June [https://afrophc.org/2022/06/20/afrophc-workshop-21st-june-labs-poct-in-african-phc/], “Onehealth n African PHC” July [https://afrophc.org/2022/07/18/afrophc-workshop-19-july-onehealth-in-african-phc/], and now plans one on “Workers Health in African PHC” 16th August [https://afrophc.org/2022/08/07/afrophc-workshop-16-aug-workers-health-in-african-phc/]. Do join us at the next one.

AfroPHC also provides great value for members at no cost: management course, research support, CPD and the development of a family medicine postgraduate diploma for doctors, nurse clinicians and clinical officers.

See this article on a South African model for community practice https://www.timeslive.co.za/sunday-times-daily/news/2022-03-07-this-is-how-nhi-can-shine-doctor-behind-soweto-clinic-that-broke-the-mould/

A useful article on “African primary healthcare as a complex adaptive system” has been published and is available in pre-publication form on a webpage here. It is an important support to the AfroPHC Policy Framework. See here https://profmoosa.com/article-african-primary-healthcare-as-a-complex-adaptive-system/

See below a sample of useful posts on the AfroPHC blog and keep tabs on it.

Blood Exposure Accidents among Health Care Personnel
Are Africa’s health resources overly focused on HIV/AIDS?
WHO publication “Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review”, Tuesday, 09 August 2022
Monkeypox declared global health emergency by WHO as cases surge
LeBoHA’s June Newsletter
Don’t forget to engage with us on Facebook, Twitter and YouTube and keep in touch!

New global alliance launched to end AIDS in children by 2030

Globally, only half of children living with HIV are on life-saving treatment. UNAIDS, UNICEF, and WHO have brought together a new alliance to fix one of the most glaring disparities in the AIDS response…more

WHO launches appeal to respond to urgent health needs in the greater Horn of Africa

The health and lives of people in the greater Horn of Africa are threatened as the region faces an unprecedented food crisis. In order to carry out urgent, life-saving work, WHO is launching a funding appeal for US$ 123.7 million…more

Are Africa’s health resources overly focused on HIV/AIDS?

… Africa’s double burden of infectious and chronic disease is at the center of this debate on whether Africa is overspending health resources on … For starters, according to the World Health Organization, Africa has the highest incidence of HIV…more

General practitioners’ communication skills in Nairobi, Kenya: A descriptive observational study

Abstract

Background High quality primary care is associated with person-centeredness and effective communication that also supports continuity and coordination of care. In Kenya, there is little knowledge about the quality of communication in consultations by general practitioners (GPs).

Aim To evaluate the quality of communication by GPs.

Design & setting Descriptive, observational study of 23 GPs consultations in 13 private sector primary care facilities in Nairobi, Kenya.

Method One consultation with a randomly selected adult patient was recorded per GP, and 16 communication skills evaluated with the Stellenbosch University Observation Tool. A total percentage score was calculated per consultation, and compared with the GPs’ demographics, consultations’ complexity and duration using the Statistical Package for Social Sciences.

Results The GPs’ median age was 30.0 years (IQR: 29–32) and median consultation time was 7.0 minutes (IQR =3–9). Median overall score was 64.3% (IQR: 48.4–75.7). They demonstrated skills in gathering information, making and explaining the diagnosis and suggesting appropriate management. They did not make an appropriate introduction, explore the context or patient’s perspective, allow shared decision making or provide adequate safety netting. There was a positive correlation between the scores and duration of the consultations (r=0.680, P=0.001). The score was higher in consultations of moderate complexity (78.1; IQR =57.1–86.7) versus low complexity (52.2; IQR =45.1–66.6) (P=0.012).

Conclusion Consultations were brief and biomedical by young and inexperienced GPs. GPs needed further training in communication skills, particularly with regard to person-centredness. Deploying family physicians to the primary care setting would also improve the overall quality of service delivery.

Article