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Lookup NU author(s): Dr Matthew Davies, Penny Ellis, Professor Richard Walker
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 2022 The Author(s).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, de-ployment, 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 qual-itative 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 de-ployment, 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 postgrad-uate 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.
Author(s): Davies ML, Ellis PK, Moses A, Lawson H, Akpalu A, Walker RW
Publication type: Article
Publication status: Published
Journal: Ghana Medical Journal
Year: 2022
Volume: 56
Issue: 4
Pages: 311-321
Print publication date: 01/09/2022
Online publication date: 01/12/2022
Acceptance date: 02/04/2022
Date deposited: 18/05/2023
ISSN (print): 0016-9560
ISSN (electronic): 2616-163X
Publisher: Ghana Medical Association
URL: https://doi.org/10.4314/gmj.v56i4.10
DOI: 10.4314/gmj.v56i4.10
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