The views of key stakeholders in Zimbabwe on the introduction of postgraduate family medicine training: A qualitative study

Sururu, Cherifa; Mash, Robert

doi:10.4102/phcfm.v9i1.1469

Cited by 4 publications

(5 citation statements)

References 13 publications

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“…It is argued that governance is linked to the role of governments in providing healthcare services and its relationship with other health-related actors ( 48 ). Some developing countries lack transparency in the implementation of the FPP ( 39 , 41 ) and have rushed to implement the program and have not paid attention to providing the necessary infrastructure ( 16 ). Nevertheless, the problem is reported in developed nations as well, where physicians' private practice challenges their accountability ( 10 , 45 ).…”

Section: Resultsmentioning

confidence: 99%

“…The trend of specialization among people and physicians, unnecessary referral to specialists, mistrust of family physicians, and induced demands are the cultural problems of societies, especially in countries where the role of the family physician is not well known ( 10 ). Conflict of interests is also reported between family physicians and specialists; there is resistance by specialists against family physicians and their gatekeeping role in some countries like Israel, Ethiopia, Zimbabwe, Iran, and the USA ( 35 , 39 , 41 , 43 , 74 ). Implementation of any health program is affected by the context and culture of embedding society( 52 ).…”

Section: Discussionmentioning

confidence: 99%

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Implementation Challenges of Family Physician Program: A Systematic Review on Global Evidence

Mohammadibakhsh

Aryankhesal

Sohrabi

et al. 2023

Med. J. Islam. Republ. Iran

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There is no systematic review specifically focused on the implementation challenges of family physician program on the global scale. →What this article adds:Like other policies in the health sector, in the family physician program, there may be gaps between the program and implementation, and in some countries, the lack of proper implementation of the program in various dimensions has made it difficult to achieve its goals.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Implementation Challenges of Family Physician Program: A Systematic Review on Global Evidence

Mohammadibakhsh

Aryankhesal

Sohrabi

et al. 2023

Med. J. Islam. Republ. Iran

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“…The important teaching and learning roles of FPs have been described in the CanMeds Initiative 30 and other publications. 31,32,33…”

Section: Discussionmentioning

confidence: 99%

Roles and challenges of family physicians in Uganda: A qualitative study

Besigye

Onyango

Ndoboli

et al. 2019

Afr. j. prim. health care fam. med.

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BackgroundThe World Health report (2008), the World Health Assembly (2009) and the Declaration of Astana (2018) acknowledge the significant contribution of family physicians (FPs) in clinical and primary healthcare. Given the lack of resources and low numbers of FPs coupled with the contextual nature of family medicine (FM), the scope of practice of African FPs is likely to differ from that of colleagues in America and Europe. Thus, this study explored the roles of Ugandan FPs and the challenges they face.MethodsThis cross-sectional qualitative study was conducted through in-depth interviews with FPs who are working in Uganda. Participants who work in public and private healthcare systems including non-governmental organisations and in all geographical regions were purposively selected. Interviews were conducted from July 2016 to June 2017. Qualitative thematic content analysis of the transcripts was performed using a framework approach.ResultsThe study team identified three and six thematic roles and challenges, respectively, from the interview transcripts. The roles were clinician, leadership and teaching and learning. Challenges included lack of common identity, low numbers of FPs, conflicting roles, unrealistic expectations, poor organisational infrastructure and lack of incentives.ConclusionThe major roles of FPs in Uganda are similar to those of their counterparts in other parts of the world. Family physicians provide clinical care for patients, including preventive and curative services; providing leadership, management and mentorship to clinical teams; and teaching and learning. However, their roles are exercised differently as a result of lack of proper institutionalisation of FM within the Uganda health system. Family physicians in Uganda have found many opportunities to contribute to healthcare leadership, education and service, but have not yet found a stable niche within the healthcare system.

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“…19,27,36,40,47,48,55,58,59 Obtaining recognition from the private sector for the specialist status of FPs was identified as difficult in several countries. 36,49 International Collaboration Eighteen papers emphasised the role of international collaboration in supporting FP training programmes, particularly during their infancy. 15,21,22,27,28,33,40,48,55,[60][61][62][63][64][65][66][67][68][69] Primary Care and Family Medicine Network for sub-Saharan Africa (PRIMAFAMED) was important for enhancing regional cooperation and providing support to newly established training programmes.…”

Section: Recognition Of Fps As Specialistsmentioning

confidence: 99%

Factors affecting family medicine programmes in Sub-Saharan Africa: a narrative review of recent literature

Davies

Ellis

Moses

et al. 2022

gmj

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Objective: To identify the factors enabling and limiting family medicine (FM) programmes in Sub-Saharan Africa (SSA).Design: A narrative review was conducted by searching a variety of databases. Papers focusing on the training, deployment, or contribution to healthcare systems of doctors with postgraduate training in FM in SSA, published in peer-reviewed journals from 2015 onwards and in English language were included. Included papers underwent qualitative analysis.Results: Seventy-one papers were included in the review. 38% focussed on South Africa, while papers focussing on FM in a further 15 countries in SSA were identified. Key factors enabling FM programmes are support from key stakeholders, recognition of family practitioners (FP) as specialists, international collaboration, and dedicated FPs. Key factors limiting FM programmes are a lack of sufficient and well-trained faculty, inappropriate training settings, higher rates of trainee attrition, lack of FM in undergraduate curriculums, lack of career pathways, inappropriate deployment, and a lack of a critical mass.Conclusions: Support from national stakeholders, the recognition of FPs as specialists, and sustainable international collaboration promote FM programmes. The absence of a defined role within the healthcare system, low numbers of FM faculty, a poor presence in undergraduate curriculum, high attrition rate of trainees and the lack of a critical mass limit FM programmes. The standardisation of the role of FM and the implementation of undergraduate and postgraduate FM programmes with national and international collaboration could enable FM to reach a critical mass and realise its full potential in strengthening primary healthcare in SSA.

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The views of key stakeholders in Zimbabwe on the introduction of postgraduate family medicine training: A qualitative study

Cited by 4 publications

References 13 publications

Implementation Challenges of Family Physician Program: A Systematic Review on Global Evidence

Implementation Challenges of Family Physician Program: A Systematic Review on Global Evidence

Roles and challenges of family physicians in Uganda: A qualitative study

Factors affecting family medicine programmes in Sub-Saharan Africa: a narrative review of recent literature

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