AfroPHC Workshop 21st June “Labs/POCT in African PHC”

Join AfroPHC is its next interactive AfroPHC Policy Workshop on “Labs/POCT in African PHC” 11am-2 pm GMT on Tuesday 21st June. Check your local time here.

Our panel, moderated by Dr Mercy Wanjala, is made of the following POCT experts. Dr Rajiv Erasmus and Dr Rogier Hopstaken.

After the panel discussion of 1 hour we will break up into small groups with specific facilitators / language groups for 45 minutes to discuss some question/s. 

We will close the meeting with feedback and summarise key issues. We want to build discussions into the draft AfroPHC Policy Document “Building the PHC Team for UHC in Africa”. The panel and feedback will have French translations.

Please register your interest for the Policy Workshops on the AfroPHC policy page. We will provide you the zoom meeting details a few days before the meeting.

See recording of workshop and presentations below

CPD “Arthritis: A logical approach” 3pm CAT 9th June

See Prof. Sebastian Magobotha, Orthopaedic Surgeon from Chris Hani Barwagwanath Academic Hospital, Johannesburg, South Africa talk about “Arthritis: A logical approach” at 3 pm on Thursday 9th June 2022 in the CPD webinar of the African Forum for Primary Health Care (AfroPHC). This is accredited for CPD across Africa and accessible via World Continuing Education Alliance. There will be French translation. Details below

Join AfroPHC (and indicate your interest) and you will be sent login details within a week. Recordings will be available on the WCEA app. See details on accessing WCEA here.

CPD “Management of HIV in Pregnancy and Postpartum” 3pm CAT 26th May

See Dr Chris Visser, Family Physician from the District Clinical Specialist Team, Johannesburg, South Africa talk about “Management of HIV in Pregnancy and Postpartum” at 3 pm on Thursday 26th April 2022 in the CPD webinar of the African Forum for Primary Health Care (AfroPHC). This is accredited for CPD across Africa and accessible via World Continuing Education Alliance. There will be French translation. Details below

Join AfroPHC (and indicate your interest) and you will be sent login details within a week. Recordings will be available on the WCEA app. See details on accessing WCEA here.

Workshop on Lancet Commission on financing PHC

AfroPHC South Africa has managed to engage Dr Kara Hanson, chair of the The Lancet Global Health Commission on financing primary health care: putting people at the centre. She will speak on an overview of the Lancet Report at the monthly meeting of the AfroPHC South Africa Chapter: 2-4pm Friday 13 May 2022.

Join Zoom Meeting Meeting ID: 841 2268 5709 | Passcode: 947479

Please download and import the following iCalendar (.ics) files to your calendar system.

Dr Kara Hanson

Kara Hanson is Professor of Health System Economics and Dean of the Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine.  She has over 30 years’ experience in health economics research, focusing on low- and middle-income countries, particularly in Africa and Asia. She has spent extended periods working in Africa and has led several large multi-partner, cross-regional research programs. Her research interests include health care financing, the operation of healthcare markets, human resources, and the economics of delivering priority health interventions.   She chaired the recent Lancet Global Health Commission on Financing PHC.

AfroPHC Workshop 19th Apr “Oral Health in African PHC”

Join AfroPHC is its next interactive AfroPHC Policy Workshop on “Oral Health in African PHC” 1-4 pm Central Africa Time on Tuesday 19th April. Check your local time here.

Our panel, moderated by Dr Mercy Wanjala, is made of the following oral health experts . See their bios below.

Dr. Anbar Ganatra:

Dr.Anbar Ganatra is a public health specialist with a keen interest in Primary health care. She currently works in Kiambu county as the County dentist and Sub County Medical Officer of Health for Gatundu South. She serves as the National Deputy Treasurer of the Kenya Medical Practitioners, Pharmacists and And Dentists Union, and council member of the Kenya Dental Association. As county dentist, she has planned and coordinated oral health programs at the community level, and integrated oral health care into existing programs such as the beyond zero program and the Transforming Health Systems programs by World Bank. She most recently contributed to the Curriculum design for an eTraining course on oral health promotion, oral disease prevention and control for primary health care workers by the World Health Organisation

Dr. Ansuyah Magan

Dr. Ansuyah Magan is a private general dentist. She has been affiliated to the University of the Witwatersrand since 1990, and is currently an Honorary Senior Research Fellow in the Paediatrics Department. Since completing a doctorate in 2018 on bone growth in South African children, she has mentored local and international PhD students in maternal and child health, health psychology and oral epidemiology. She has published in leading international journals and presented at local and international congresses. Her research interests are in skeletal and dental growth and maturity, and oral health, with a life course and interdisciplinary approach to well-being.

Prof Sudeshni Naidoo

Sudeshni Naidoo is Emeritus Professor and specialist in dental public health at the University of the Western Cape. She is also the Director of the WHO Collaborating Centre for Oral Health and has worked closely for nearly three decades with the WHO in Geneva and Africa consulting and assisting country members with the development and implementation of policy. She is involved mainly with post-graduate education and training, and has successfully mentored, supervised and graduated nearly 60 Masters and 15 Doctoral students. Her research interests include how colonization and the social, environmental and political contexts influences oral health. Professor Naidoo has presented numerous scientific papers at international conferences and has been an invited, keynote speaker, nationally and internationally on several occasions. She spent many years on the Medical and Dental Professional Board of the Health Professions Council of South Africa, is a Past President of the SA Division of the IADR, current President of the International Dental Ethics and Law Society and on the Preliminary Committee of Inquiry at the Health Professions Council of South Africa.

After the panel discussion of 1 hour we will break up into small groups with specific facilitators / language groups for 45 minutes to discuss the following question/s. 

  1. What are the challenges in integration and delivery of oral health services at the primary care level?
  2. What solutions can be employed to improve oral health care services and their integration into primary care services?
  3. What role can digital health technology and innovations play in the improvement of oral health care in Africa?

We will close the meeting with feedback and summarise key issues. We want to build discussions into the draft AfroPHC Policy Document “Building the PHC Team for UHC in Africa”. The panel and feedback will have French translations.

Please register your interest for the Policy Workshops on the AfroPHC policy page. We will provide you the zoom meeting details a few days before the meeting.

See recording of workshop and presentations below

The Experiences and Challenges of Community Health Volunteers as Agents for Behaviour Change Programming in Africa: A Scoping Review

Abstract
Community health volunteers (CHVs) are considered a vital part of the community health structure in
Africa. Globally, community health volunteers are widely recognized as vital components in the health
system of low- and middle-income countries, enabling the extension of national and sub-national
capacities for diagnosis, treatment, monitoring, and health promotion programs. Despite this vital role in
the health system, very little is known about the CHVs day-to-day lived experiences providing services in
communities and supporting other health workers. The purpose of this scoping review is to better
understand the experiences and challenges of a community health volunteer in Africa. More specifically,
drawing on the community health volunteers’ accounts of their experiences as reported in the literature to date, this review aims to identify critical factors or conditions that represent challenges to community
health volunteers work in Africa. Advancing an understanding of community health volunteers
experiences and challenges can inform governments and programs on how best to support community
health volunteers both generally and specifically with respect to performance expectations within
community-based healthcare delivery or health behaviour change and promotion programs…..more

CPD “Venous Thrombo-embolism” 3pm CAT 7th Apr

See Dr Nolukholo Ncete, Internal Physician from Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa talk about “Venous Thrombo-embolism” at 3 pm on Thursday 7th April 2022 in the CPD webinar of the African Forum for Primary Health Care (AfroPHC). This is accredited for CPD across Africa and accessible via World Continuing Education Alliance. See post here. There will be French translation.

Join AfroPHC (and indicate your interest) and you will be sent login details within a week. Recordings will be available on the WCEA app. See details on accessing WCEA here.

CPD “Abnormal Uterine Bleeding” 3pm CAT 31 Mar

See Dr Koena Kgomo, Obstetrician from Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa talk about “Abnormal Uterine Bleeding” at 3 pm on Thursday 31st March 2022 in the CPD webinar of the African Forum for Primary Health Care (AfroPHC). This is accredited for CPD across Africa and accessible via World Continuing Education Alliance. See post here. There will be French translation.

Join AfroPHC (and indicate your interest) and you will be sent login details within a week. Recordings will be available on the WCEA app. See details on accessing WCEA here.

AfroPHC Western Africa

A meeting was held on 18th February for AfroPHC members of Western Africa: Nigeria, Ghana, Niger, Guinea, Benin, Burundi, Togo, Sierra Leone, Liberia, Mauritania, Gambia, Cote d’Ivoire, Burkina Faso, Mali, Senegal. The presentation is below.

The resolutions broadly were to build AfroPHC membership and build AfroPHC Regional/Country Chapters using the following approaches

  • Strengthen SoMe marketing
  • Using world health days – ECT to plan
  • Mobilise NGO’s working locally
  • Recruit UG/PG student associations
  • Recruit professional organisations / associations
  • Develop academic network with PHC Clinical Course
  • Build a network of members in country
  • Identify key org / focal persons in PHC
  • Mobilise all groups to contextualise unique regional issues
  • Building AfroPHC as forum to advocate for PHC
  • Builds link to govt starting with WCR à Nat Govt/Local Govt

A team has been formed and is working in a WhatsApp group to take the process forward.

AfroPHC Youth Hub Side event at CPHIA 2021

The Youth Hub of AfroPHC had a side event at the CPHIA 2021 14-16 December 2021. The first International Conference on Public Health in Africa (CPHIA 2021) comes at a critical time on the continent and in the world. COVID-19 has strained health systems globally, and with limited access to vaccines in Africa, the pandemic has laid bare deep inequities in access to healthcare and scientific innovations. CPHIA will create a unique platform where African researchers, policymakers and stakeholders can share perspectives and research findings in public health, while ushering in a new era of strengthened scientific collaboration and innovation across the continent. See recording below.

The clinical skills of general practitioners in Nairobi, Kenya: a cross-sectional study

Abstract

Background Quality service delivery in primary care requires motivated and competent health professionals. In the Kenyan private sector, general practitioners (GP), with no post-graduate training in family medicine, offer primary care. There is a paucity of evidence on the ability of primary care providers to deliver comprehensive care and no such evidence is available for GPs practising in the private sector in Kenya.

Aim To evaluate GPs’ training and experience in the skills required for comprehensive primary care.

Design and setting A cross-sectional descriptive survey in 13 primary care clinics in the private sector of Nairobi, Kenya

Method A questionnaire, originally designed for a national survey of primary care doctors in South Africa, was adapted. The study collected self-reported data on performance of clinical skills by 25 GPs. Data were analysed in the Statistical Package for Social Sciences.

Results GPs were mostly under 40 years, with less than 10 years of experience and an equal gender distribution. GPs reported moderate performance with adult health, communication and consultation, and clinical administration; and weak performance with emergencies, child health, surgery, ear-nose-and-throat, eyes, women’s health and orthopaedics. The GPs lacked training in specific skills such as proctoscopy, contraceptive devices, skin procedures, intra-articular injections, red reflex test and use of a genogram.

Conclusion General practitioners lacked training and performed poorly in some of the essential skills required in primary care. Continuing professional development, training in Family Medicine and deployment of family physicians to the clinics could improve the comprehensiveness of care. ….more

Model of new TB vaccine shows its potential impact and value in South Africa and India

Two years of battling COVID-19 has been bad news for tuberculosis (TB) programmes. Respiratory clinicians and researchers have had their time and focus directed elsewhere. And TB has taken advantage. In 2021, the number of TB deaths rose for the first time in over a decade.

The barriers caused by lockdowns and overstretched healthcare systems have had a negative impact on TB diagnosis and treatment. The World Health Organisation found that 21% fewer people received care for TB in 2020 compared to 2019. Prevention, referral, and treatment programmes have all been heavily affected. To make matters worse, potential increases in povertyundernutrition, and long-term lung damage due to COVID-19 are all likely to make many more people vulnerable to TB disease, which also causes significant long-term lung issues……more

How Health Data Standards Support Healthcare Interoperability

Adopting health data standards in a consistent and comprehensive manner will be key to enabling meaningful healthcare interoperability. Achieving true healthcare interoperability across the care continuum is a top priority for providers, payers, and other key industry stakeholders. Seamless, comprehensive data sharing is particularly important for healthcare organizations looking to earn incentive payments through the CMS Promoting Interoperability (PI) Program, formerly known as meaningful use. The adoption and use of health data standards forms the basis for enabling interoperability across organizations and between EHR systems….more

AfroPHC Workshop 15th Mar “Value of Pharmacists in African PHC”

Join AfroPHC is its next interactive AfroPHC Policy Workshop on “The value of Pharmacists in African PHC” 1-4 pm Central Africa Time on Tuesday 15th March. Check your local time here.

Our panel, moderated by Dr Mercy Wanjala, is made of the following pharmacists and their topics. See their bios below.

  • Dr. Nseabasi Ekanem: “Strengthening the involvement of Pharmacists in the provision of life-saving vaccines for infectious disease control; Opportunities and Challenges”. 
  • Dr. David Odhiambo: “Modelling the integration of Pharmacists in Primary Healthcare towards the realization of SDG-3
  • Ms. Tolulope Osigbesan: “The role of Pharmacists In PHC: A case-study on NCDs”.

After the panel discussion of 1 hour we will break up into small groups with specific facilitators / language groups for 45 minutes to discuss the following question/s. 

  1. What role does the pharmacist play at the primary care level in your country/ region?
  2. What are the challenges that pharmacists experience in offering their services at the primary care level?
  3. What do you think needs to be done to integrate and improve pharmacy services at the primary health care level in order to support UHC in Africa?

We will close the meeting with feedback and summarise key issues. We want to build discussions into the draft AfroPHC Policy Document “Building the PHC Team for UHC in Africa”. The panel and feedback will have French translations.

Please register your interest for the Policy Workshops on the AfroPHC policy page. We will provide you the zoom meeting details a few days before the meeting.

See recording of workshop and presentations below

Dr. Nseabasi Emmanuel Ekanem

Speakers Bios

Emmanuel is a 33-year-old Nigerian Pharmacist who is passionate about expanding the roles of Pharmacists at the primary care level. Ekanem is currently the Secretary of the Vaccine Monitoring and Evaluation Committee in charge of the Covid-19 vaccine roll out across community pharmacies in Nigeria. He is also undertaking a Master of Science degree in Public Health at the University of Lagos, Lagos, Nigeria. Ekanem is the founder of Trinity Healthcare Foundation, an award-winning Non-profit organization working to strengthen access to healthcare delivery for the most vulnerable in Nigeria. He has also consulted for several other organizations towards the delivery of a number of Global health projects in areas such as Viral hepatitis, HIV, Malaria, Family planning, Nutrition (Vitamin A Supplementation) and Neglected Tropical Diseases. Ekanem loves reading, traveling, and watching movies at leisure times

Dr. Odhiambo David

David is a pharmacist with a passion for and commitment to improving access to quality healthcare services for all and nurturing socially responsible generations through his vocation. He is a Regulatory Affairs Associate with Novartis based in Kenya. He doubles up as co-founder, Ryculture Health and Social Innovation, a social enterprise committed to improving access to quality healthcare services and promoting human capital development in Africa and curator African Pharmaceutical Network (APN), an initiative working to mobilize pharmaceutical industry players in Africa for knowledge sharing, policy shaping and innovation nurturing discussions in efforts to improve access to quality, safe and efficacious healthcare products and services for the African populace. During his free time, he resorts to reading, blogging or entertaining friends

Ms.Tolulope Osigbesan

Tolu has over 10 years of work experience across the public health sector. She joined the NCD Alliance team in Geneva in 2019 to further develop NCD Alliance’s strategic relations with WHO, United Nations agencies and Member State missions. Before joining the NCDA, she worked in both the public and private health sectors in Nigeria. Her most recent role was with the secretariat of the United Nations Interagency Taskforce for Noncommunicable Diseases (UNIATF). Tolu is a pharmacist by training and holds a Master’s degree in Public Health from the London School of Hygiene and Tropical Medicine. She also serves on the Board of the African Forum for Primary Care (AfroPHC).

CPD “Infection prevention in African PHC” 3pm CAT 10 Mar

See Mr. Nkwan Jacob Gobte, Nurse, Director and Infection Prevention Nurse at Baptist Training School for Health Personnel, (BTSHP), Banso, talk about the “Infection Prevention in African Primary Health Care” at 3 pm on Thursday 10th March 2022 in the CPD webinar of the African Forum for Primary Health Care (AfroPHC). This is accredited for CPD across Africa and accessible via World Continuing Education Alliance. See post here

Join AfroPHC (and indicate your interest) and you will be sent login details within a week. Recordings will be available on the WCEA app. See details on accessing WCEA here.

WCEA News: New Content, New Courses & Webinars

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500,000 + healthcare professionals have now benefited from the free CPD platform since the launch in Ghana in January 2020. We would like to acknowledge the tremendous support from our global partners, ICN & WMA, sponsors, education partners, and all our stakeholders.
New Content
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Nursing & MidwiferyLSTM & UNFPALSTM in collaboration with UNFPA launches new series of e-learning resources on key life-saving skills.The 4 e-courses now available cover the following topics: SepsisProlonged and Obstructed LaborPostpartum HemorrhagePre-Eclampsia and Eclampsia Read more here>>
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Nursing & MidwiferyCure InternationalCure International – Pediatrics provides the following courses available in French & English:Improving Paediatric Pain ManagementImproving Nursing Pain Assessment in PaediatricsThe Importance of AssessmentFall Risk AssessmentProblem SolvingCritical Thinking Skills
AFROPHC
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Medical ContentAfroPHCThe following content is available on the mobile and desktop versions:Hypertensive Disorders in PregnancyHIV and Tuberculosis – Prescriptions, People, and ProblemsThe CPD Courses are available with Pre-test. More content coming soon. 
Weekly WebinarsAfroPHCDuring the month of February, 18.417 users registered to participate in the online events. Upcoming topics are:3rd of March – Family Medicine in African Primary Health Care10th of March – The place of Infection Prevention, Water, Sanitation & Hygiene in primary health care
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CPD “Family Medicine in African PHC” 3pm CAT 3 Mar

See Prof Shabir Moosa, a family physician from Johannesburg Health District – Wits University, South Africa, talk about the “Family Medicine in African Primary Health Care” at 3 pm on Thursday 3rd March 2022 in the CPD webinar of the African Forum for Primary Health Care (AfroPHC). This is accredited for CPD across Africa and accessible via World Continuing Education Alliance. See post here

Join AfroPHC (and indicate your interest) and you will be sent login details within a week. Recordings will be available on the WCEA app. See details on accessing WCEA here.

Tackling the first COVID-19 wave at the Cape Town Hospital of Hope: Why was it such a positive experience for staff?

Background In contrast to alarming reports of exhaustion and burnout amongst healthcare workers in the first wave of the COVID-19 pandemic, we noticed surprisingly positive staff experiences of working in a COVID-19 field hospital in South Africa. The 862-bed ‘Hospital of Hope’ was established at the Cape Town International Convention Centre specifically to cope with the effects of the first wave of the COVID-19 pandemic in Cape Town.

Methods We aimed to systematically describe and assess the effects on staff and the local health system. A cross-sectional descriptive study design was employed using mixed methods including record reviews and interviews with key informants.

Results Quantitative results confirmed high job satisfaction and low staff infection rates. The emerging themes from the qualitative data are grouped around a “bull’s eye” of the common purpose of person-centredness, from both patient and staff perspectives, and include staff safety and support, rapid communication, continuous learning and adaptability, underpinned by excellent teamwork. The explanations for the positive feedback included good disaster planning, adequate resources, and an extraordinary responsiveness to the need.

Conclusions The ‘Hospital of Hope’ staff experience produced significant learnings for the design and management of routine health services outside of a disaster situation. The adaptability and responsiveness of the facility and its staff was largely a product of the unprecedented nature of the pandemic, but such approaches could benefit routine health services enormously, as individual hospitals and health facilities realize their place in a system that is ‘more than the sum of its parts’.

CPD “Post-Partum Haemorrhage” 3pm CAT 24 Feb

See Dr John Kabibu, a doctor from The Institut Médical Chrétien du Kasai (IMCK), or Christian Medical Institute of Kasai, talk about the “Post-Partum Haemorrhage” at 3 pm on Thursday 24th February 2022 in the CPD webinar of the African Forum for Primary Health Care (AfroPHC). This is accredited for CPD across Africa and accessible via World Continuing Education Alliance.

Join AfroPHC (and indicate your interest) and you will be sent login details within a week. Recordings will be available on the WCEA app. See details on accessing WCEA here.

Community-oriented primary care for National Health Insurance in South Africa

This is a report on Chiawelo Community Practice (CCP) in Ward 11, Soweto, South Africa, a community-oriented primary care (COPC) model for National Health Insurance (NHI) in South Africa, developed by a family physician. A shift to capitation contracting for primary health care (PHC) under NHI will carry risk for providers – both public and private, especially higher number of patient visits. Health promotion and disease prevention, especially using a COPC model, will be important. Leading the implementation of COPC is an important role for family physicians in Africa, but global implementation of COPC is challenged. Cuba and Brazil have implemented COPC with panels of 600 and 3500, respectively. The family physician in this report has developed community practice as a model with four drivers using a complex adaptive system lens: population engagement with community health workers (CHWs), a clinic re-oriented to its community, stakeholder engagement and targeted health promotion. A team of three medical interns: 1 clinical associate, 3 nurses and 20 CHWs, supervised by the family physician, effectively manage a panel of approximately 30 000 people. This has resulted in low utilisation rates (less than one visit per person per year), high population access and satisfaction and high clinical quality. This has been despite the challenge of a reductionist PHC system, poor management support and poor public service culture. The results could be more impressive if panels are limited to 10 000, if there was a better team structure with a single doctor leading a team of 3–4 nurse/clinical associates and 10–12 CHWs and PHC provider units that are truly empowered to manage resources locally…..more