CHWs (170) Research collaboration on community health worker programmes in low-income countries (4)

2 September, 2019

Hi Joseph

[Joseph Ana, Nigeria: "I wish we can have the full citation so that we can read the full text which I pray is free and open access." ]

The text is available [*see note below]

An article published on Wonca Africa's official journal, the African Journal of Primary Health Care and Family Medicine, ( shows how family doctors view their integration into PHC.

"Family Medicine is an emerging speciality in sub-Saharan Africa and yet potential interest in the contribution of Family Medicine to health, primary care and district health services is limited by the lack of a regional definition. Governments, health departments and academic institutions would benefit from a clearer understanding of Family Medicine in an African context.

The 2nd African Regional WONCA (World Organisation of Family Doctors) Conference, held in Rustenberg, South Africa in October 2009, engaged participants from sub-Saharan Africa in the development of a consensus statement on Family Medicine. The consensus statement agreed to by the conference defined the contribution of Family Medicine to equity, quality and primary health care within an African context, as well as the role and training requirements of the family physician. Particular attention was given to the contribution of women in Family Medicine"

There is a lot of more literature available on this if you search for family medicine in Africa.

rgds, Shabir

Prof S. Moosa

HIFA profile: Shabir Moosa is an Associate Professor and Family Physician in the Department of Family Medicine & Primary Health Care, Johannesburg Health District and University of Witwatersrand. Visit website and email shabir AT

[*Note from HIFA moderator (Neil PW): For the benefit of those who may not have immediate web access, here are the citation and abstract:

CITATION: Maaike Flinkenflögel, Akye Essuman, Patrick Chege, Olayinka Ayankogbe, Jan De Maeseneer, Family medicine training in sub-Saharan Africa: South–South cooperation in the Primafamed project as strategy for development, Family Practice, Volume 31, Issue 4, August 2014, Pages 427–436,


Background. Health-care systems based on primary health care (PHC) are more equitable and cost effective. Family medicine trains medical doctors in comprehensive PHC with knowledge and skills that are needed to increase quality of care. Family medicine is a relatively new specialty in sub-Saharan Africa.

Objective. To explore the extent to which the Primafamed South–South cooperative project contributed to the development of family medicine in sub-Saharan Africa.

Methods. The Primafamed (Primary Health Care and Family Medicine Education) project worked together with 10 partner universities in sub-Saharan Africa to develop family medicine training programmes over a period of 2.5 years. A SWOT (strengths, weaknesses, opportunities and threats) analysis was done and the training development from 2008 to 2010 in the different partner universities was analysed.

Results. During the 2.5 years of the Primafamed project, all partner universities made progress in the development of their family medicine training programmes. The SWOT analysis showed that at both national and international levels, the time is ripe to train medical doctors in family medicine and to integrate the specialty into health-care systems, although many barriers, including little awareness, lack of funding, low support from other specialists and reserved support from policymakers, are still present.

Conclusions. Family medicine can play an important role in health-care systems in sub-Saharan Africa; however, developing a new discipline is challenging. Advocacy, local ownership, action research and support from governments are necessary to develop family medicine and increase its impact. The Primafamed project showed that development of sustainable family medicine training programmes is a feasible but slow process. The South–South cooperation between the ten partners and the South African departments of family medicine strengthened confidence at both national and international levels.]