Prise en charge du diabète sucré (les formes les plus rencontrées) de la définition, physiopathologie jusqu’au traitement. Le webinaire se déroulera en français.
Webinar Title: Diabète Sucré
Retenir les symptômes du diabète sucrée Connaitre les complications Savoir prendre en charge avant de référer au spécialiste
Speaker: Dr Takam Mafoche Ruth Daniele
Formation de médecin généraliste obtenu à l’Université des Montagnes au Cameroun en 2012, diplôme de spécialité obtenu à l’université Félix Houphouët Boigny en Côte d’Ivoire en 2021, diplôme universitaire sur le pied diabétique obtenu à l’université Sorbonne en France en 2022.
Chiawelo Community Practice is an experiment in developing community-oriented primary care (COPC) more strongly in South Africa, as a model for GP-led teams contracted to the National Health Insurance (NHI). It is part of the Chiawelo Community Health Centre in Soweto, a facility owned by the public health service in South Africa. It also functions as part of the Wits University teaching and research platform. It is led by a family physician (Prof. Shabir Moosa). The team includes a family physician, an occasionally rotating 1st-year family medicine registrar, one clinical associate, three medical interns rotating weekly, one professional nurse, three enrolled nurses (team leaders), and 30-42 CHWs. They are caring for 30 000+ residents from the community of Ward 11, 12, 15, 16, & 19 in strong teamwork. Local stakeholders are engaged strongly, supporting a growing targeted health promotion programme. This has resulted in low utilisation rates (less than one visit per person per year), easy access aligned to need, high 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 were 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.
Thank you for being part of the AfroPHC research mentorship programme.
We have 17 concept notes that have been submitted by the end of July. See them all listed here https://afrophc.org/afrophc-systems-research/ Some supervisors have reached out to these researchers. If you are interested in supervising a researcher and see an interesting concept note then reach out to the researcher by email (as listed there) to indicate your willingness to supervise the researcher in their endeavour.
We hope researchers will use the monthly meetings organised by Senkyire to attend, and present their research ideas and find a supervisor for themselves, even if you have not submitted a concept note ( for November meeting). Unfortunately this matching process takes a lot of organisation and we can do no more than this. Reach out to Senkyire and the AfroPHC research team if you would like further assistance especially if you would like to present your research at the meetings.
PS; participants are required to read the following article and attached checklist beforehand ; bmjopen.bmj.com/content/11/4/e043652.abstract Price J, Willcox M, Dlamini V, et al. Care- seeking during fatal childhood illness in rural South Africa: a qualitative study. BMJ Open 2021;11:e043652. doi:10.1136/ bmjopen-2020-043652
Our next meeting next Tuesday, 6th Sept [12-2 pm GMT, 1-3pm WAT, 2-4pm CAT/SAST and 3-5pm EAT], will be about “Getting to grips with Qualitative Research” by Deborah Lindell,DNP,RN,CNE,ANEF,FAAN
The agenda is as follows. The link is below Welcome/Introductions Introduction to AfroPHC and Chapter Discussions on “What are the challenges of PHC in the region?” Review of AfroPHC Policy Framework Discussions on “The Draft Policy Framework: what we like, don’t like and suggestions” Discussions on “How we take AfroPHC forward?” Join Zoom Meeting Meeting [https://us02web.zoom.us/j/87667423120?pwd=R1p0NHY1ZlNDQ3dGTlRZcjduczlOUT09] ID: 876 6742 3120 | Passcode: 111364
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.
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 firstname.lastname@example.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 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!
Join us at our next interactive AfroPHC Policy Workshop on “Workers Health in African PHC” 11am-2pm Ghana, 12pm-3pm Nigeria, 1-4 pm Central/Southern Africa and 2-5pm Kenya next Tuesday 16th August. Check your local time here.
Our panel, moderated by Dr Jamie Colloty, is made up of the following expert. · Dr. Dorothy Ngajilo, Occupational Medicine Specialist, World Health Organization (WHO) Global Occupational and Workplace Health Programme 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. What are some of the positive and negative experiences that have affected yourhealth and safety as a healthcare worker? What do you understand by the term burnout and what are some of the factors thatlead to burnout among primary health care workers in Africa? What policies and strategies would you recommend protecting the health and safetyof primary health care workers 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. See more details, including speaker’s bios here.
Join us 12-2pm GMT this Friday 12th August to meet with as many colleagues from Cameroon, DR Congo, Chad, Congo, Central African Republic, Gabon, Equatorial Guinea [with English – French translators]. The consultation will be facilitated by Francoise Nwabufo and Elie Badjo.
The agenda is as follows. The link is below Welcome/Introductions Introduction to AfroPHC and Chapters and Discussions on “What are the challenges of PHC in the region?” Review of AfroPHC Policy Framework and Discussions on “The Draft Policy Framework: what we like, don’t like and suggestions” Discussions on “How we take AfroPHC forward?” Join Zoom Meeting Meeting [https://us02web.zoom.us/j/87667423120?pwd=R1p0NHY1ZlNDQ3dGTlRZcjduczlOUT09] ID: 876 6742 3120 | Passcode: 111364
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.
Today, the PHCPI Secretariat is thrilled to announce the thirteen (13) organizations selected for PHC Advocacy Micro-Grants in 2022 — all either longstanding or newly joined members of the Allies Improving PHC. I would also like to extend another huge thank you to everyone who took the time to apply or reshare the application several months ago — the PHCPI Secretariat received more than 200 impressive applications, a true testament to the dedication and demand for action on PHC, as well as the need to continue supporting local champions to engage to the fullest. It’s your energy and passion that keeps this group alive and continues to push the needle on strong primary health care.
More to come: In the days ahead, we will also at last be announcing the new Advisors to the Allies Improving PHC, who will be instrumental in guiding this group through the next few months – including as we aim to finalize and launch our Allies’ open letter ahead of next year’s High-Level Meeting on UHC.
Stay tuned, and congratulations again to the 13 awardees.
Best, Emily & Team PHCPI
Congratulations PHC Advocacy Micro-Grant awardees: The African Forum for Primary Health Care @AfroPHC Alliance for Reproductive Health Rights @arhrghana Community Working Group on Health @CWGH1 George Institute for Global Health/Primary Health Care Research Consortium @GeorgeInstIN/@care_PHCRC International Alliance of Patient Organizations’ Patients for Patient Safety Observatory @IapoP4ps Inuka Success Organization @inukasuccess Khmer HIV/AIDS NGO Alliance @KhanaCambodia People’s Health Movement @PHMTanzania Stage Media Arts CBO, Bungoma County @stagemediaarts Stawisha Dada @stadakenya Success Capital Organisation @ProSuccessBW TINADA Youth Organization @TinadaOrg White Ribbon Alliance @WRAMalawi…more
Our last AfroPHC Advisory Board Meeting of the African Forum for Primary Health Care (AfroPHC) was 6th May 2022 in preparation for the AfroPHC Conference and AGM. Minutes attached. The Conference/AGM successfully discussed the AfroPHC Policy Framework with the revised draft attached now (and some unresolved issues still highlighted). Apologies for the delay! We are really chuffed that AfroPHC has been awarded $40 000 by PHCPI to deepen the draft AfroPHC Policy Framework on “Building PHC teams for UHC in Africa”. Activities will be extensive online consultations on the document across Africa over August-October, with a hybrid Final Workshop in South Africa 25-26 October 2022 and a virtual Launch Event around 12th December 2022.
Please join the next AfroPHC ADVISORY Board Meeting next week Friday August 5th, 2021 1-3pm Ghana/GMT, 2-4pm Nigeria, 3-5pm SA, 4-6pm Kenya. Confirm your local time here PLEASE NOTE THAT IT IS AN HOUR LATER THAN USUAL AS AGREED IN OUR LAST EB MEETING.
We are also inviting leaders in the AfroPHC Youth Hub to be part of this meeting. We hope to briefly update you on AfroPHC organisational progress, and to more extensively discuss this iteration of the AfroPHC Policy Call and the AfroPHC Workshop in October. We are really keen to see as many of you at the October workshop in person. Please see draft agenda below. Welcome and brief introductions Adoption of minutes of last meeting/matters arising EB Report (Brief) AfroPHC Policy Call Draft “Building effective PHC Teams for UHC in Africa” Closure See you on the 5th August!