A scoping review on family medicine in sub-Saharan Africa: practice, positioning and impact in African health care systems

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisReviewForskningpeer review

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A scoping review on family medicine in sub-Saharan Africa : practice, positioning and impact in African health care systems. / Flinkenflögel, Maaike; Sethlare, Vincent; Cubaka, Vincent Kalumire; Makasa, Mpundu; Guyse, Abraham; De Maeseneer, Jan.

I: Human Resources for Health, Bind 18, Nr. 1, 27, 2020.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisReviewForskningpeer review

Harvard

Flinkenflögel, M, Sethlare, V, Cubaka, VK, Makasa, M, Guyse, A & De Maeseneer, J 2020, 'A scoping review on family medicine in sub-Saharan Africa: practice, positioning and impact in African health care systems', Human Resources for Health, bind 18, nr. 1, 27. https://doi.org/10.1186/s12960-020-0455-4

APA

Flinkenflögel, M., Sethlare, V., Cubaka, V. K., Makasa, M., Guyse, A., & De Maeseneer, J. (2020). A scoping review on family medicine in sub-Saharan Africa: practice, positioning and impact in African health care systems. Human Resources for Health, 18(1), [27]. https://doi.org/10.1186/s12960-020-0455-4

CBE

Flinkenflögel M, Sethlare V, Cubaka VK, Makasa M, Guyse A, De Maeseneer J. 2020. A scoping review on family medicine in sub-Saharan Africa: practice, positioning and impact in African health care systems. Human Resources for Health. 18(1):Article 27. https://doi.org/10.1186/s12960-020-0455-4

MLA

Vancouver

Author

Flinkenflögel, Maaike ; Sethlare, Vincent ; Cubaka, Vincent Kalumire ; Makasa, Mpundu ; Guyse, Abraham ; De Maeseneer, Jan. / A scoping review on family medicine in sub-Saharan Africa : practice, positioning and impact in African health care systems. I: Human Resources for Health. 2020 ; Bind 18, Nr. 1.

Bibtex

@article{bada501ce47d40cfbaf6eb5834e0a3ab,
title = "A scoping review on family medicine in sub-Saharan Africa: practice, positioning and impact in African health care systems",
abstract = "BACKGROUND: Family medicine (FM) is a relatively new discipline in sub-Saharan Africa (SSA), still struggling to find its place in the African health systems. The aim of this review was to describe the current status of FM in SSA and to map existing evidence of its strengths, weaknesses, effectiveness and impact, and to identify knowledge gaps. METHODS: A scoping review was conducted by systematically searching a wide variety of databases to map the existing evidence. Articles exploring FM as a concept/philosophy, a discipline, and clinical practice in SSA, published in peer-reviewed journals from 2000 onwards and in English language, were included. Included articles were entered in a matrix and then analysed for themes. Findings were presented and validated at a Primafamed network meeting, Gauteng 2018. RESULTS: A total of 73 articles matching the criteria were included. FM was first established in South Africa and Nigeria, followed by Ghana, several East African countries and more recently additional Southern African countries. In 2009, the Rustenburg statement of consensus described FM in SSA. Implementation of the discipline and the roles and responsibilities of family physicians (FPs) varied between and within countries depending on the needs in the health system structure and the local situation. Most FPs were deployed in district hospitals and levels of the health system, other than primary care. The positioning of FPs in SSA health systems is probably due to their scarcity and the broader mal-distribution of physicians. Strengths such as being an {"}all- round specialist{"}, providing mentorship and supervision, as well as weaknesses such as unclear responsibilities and positioning in the health system were identified. Several studies showed positive perceptions of the impact of FM, although only a few health impact studies were done, with mixed results. CONCLUSIONS: FM is a developing discipline in SSA. Stronger evidence on the impact of FM on the health of populations requires a critical mass of FPs and shared clarity of their position in the health system. As FM continues to grow in SSA, we suggest improved government support so that its added value and impact on health systems in terms of health equity and universal health coverage can be meaningfully explored.",
keywords = "Africa, Family Medicine, Family physician, Health systems strengthening, Primary Health Care",
author = "Maaike Flinkenfl{\"o}gel and Vincent Sethlare and Cubaka, {Vincent Kalumire} and Mpundu Makasa and Abraham Guyse and {De Maeseneer}, Jan",
year = "2020",
doi = "10.1186/s12960-020-0455-4",
language = "English",
volume = "18",
journal = "Human Resources for Health",
issn = "1478-4491",
publisher = "BioMed Central",
number = "1",

}

RIS

TY - JOUR

T1 - A scoping review on family medicine in sub-Saharan Africa

T2 - practice, positioning and impact in African health care systems

AU - Flinkenflögel, Maaike

AU - Sethlare, Vincent

AU - Cubaka, Vincent Kalumire

AU - Makasa, Mpundu

AU - Guyse, Abraham

AU - De Maeseneer, Jan

PY - 2020

Y1 - 2020

N2 - BACKGROUND: Family medicine (FM) is a relatively new discipline in sub-Saharan Africa (SSA), still struggling to find its place in the African health systems. The aim of this review was to describe the current status of FM in SSA and to map existing evidence of its strengths, weaknesses, effectiveness and impact, and to identify knowledge gaps. METHODS: A scoping review was conducted by systematically searching a wide variety of databases to map the existing evidence. Articles exploring FM as a concept/philosophy, a discipline, and clinical practice in SSA, published in peer-reviewed journals from 2000 onwards and in English language, were included. Included articles were entered in a matrix and then analysed for themes. Findings were presented and validated at a Primafamed network meeting, Gauteng 2018. RESULTS: A total of 73 articles matching the criteria were included. FM was first established in South Africa and Nigeria, followed by Ghana, several East African countries and more recently additional Southern African countries. In 2009, the Rustenburg statement of consensus described FM in SSA. Implementation of the discipline and the roles and responsibilities of family physicians (FPs) varied between and within countries depending on the needs in the health system structure and the local situation. Most FPs were deployed in district hospitals and levels of the health system, other than primary care. The positioning of FPs in SSA health systems is probably due to their scarcity and the broader mal-distribution of physicians. Strengths such as being an "all- round specialist", providing mentorship and supervision, as well as weaknesses such as unclear responsibilities and positioning in the health system were identified. Several studies showed positive perceptions of the impact of FM, although only a few health impact studies were done, with mixed results. CONCLUSIONS: FM is a developing discipline in SSA. Stronger evidence on the impact of FM on the health of populations requires a critical mass of FPs and shared clarity of their position in the health system. As FM continues to grow in SSA, we suggest improved government support so that its added value and impact on health systems in terms of health equity and universal health coverage can be meaningfully explored.

AB - BACKGROUND: Family medicine (FM) is a relatively new discipline in sub-Saharan Africa (SSA), still struggling to find its place in the African health systems. The aim of this review was to describe the current status of FM in SSA and to map existing evidence of its strengths, weaknesses, effectiveness and impact, and to identify knowledge gaps. METHODS: A scoping review was conducted by systematically searching a wide variety of databases to map the existing evidence. Articles exploring FM as a concept/philosophy, a discipline, and clinical practice in SSA, published in peer-reviewed journals from 2000 onwards and in English language, were included. Included articles were entered in a matrix and then analysed for themes. Findings were presented and validated at a Primafamed network meeting, Gauteng 2018. RESULTS: A total of 73 articles matching the criteria were included. FM was first established in South Africa and Nigeria, followed by Ghana, several East African countries and more recently additional Southern African countries. In 2009, the Rustenburg statement of consensus described FM in SSA. Implementation of the discipline and the roles and responsibilities of family physicians (FPs) varied between and within countries depending on the needs in the health system structure and the local situation. Most FPs were deployed in district hospitals and levels of the health system, other than primary care. The positioning of FPs in SSA health systems is probably due to their scarcity and the broader mal-distribution of physicians. Strengths such as being an "all- round specialist", providing mentorship and supervision, as well as weaknesses such as unclear responsibilities and positioning in the health system were identified. Several studies showed positive perceptions of the impact of FM, although only a few health impact studies were done, with mixed results. CONCLUSIONS: FM is a developing discipline in SSA. Stronger evidence on the impact of FM on the health of populations requires a critical mass of FPs and shared clarity of their position in the health system. As FM continues to grow in SSA, we suggest improved government support so that its added value and impact on health systems in terms of health equity and universal health coverage can be meaningfully explored.

KW - Africa

KW - Family Medicine

KW - Family physician

KW - Health systems strengthening

KW - Primary Health Care

UR - http://www.scopus.com/inward/record.url?scp=85083041961&partnerID=8YFLogxK

U2 - 10.1186/s12960-020-0455-4

DO - 10.1186/s12960-020-0455-4

M3 - Review

C2 - 32245501

AN - SCOPUS:85083041961

VL - 18

JO - Human Resources for Health

JF - Human Resources for Health

SN - 1478-4491

IS - 1

M1 - 27

ER -