Chronic diseases of lifestyle: A risk assessment and health promotion framework for a rural and urban primary health care setting in the Free State province, South Africa
| dc.contributor.author | van Zyl, Sanet | |
| dc.contributor.author | Kruger, Willem H. | |
| dc.contributor.author | Walsh, Corinna M. | |
| dc.date.accessioned | 2025-04-23T21:51:59Z | |
| dc.date.available | 2025-04-23T21:51:59Z | |
| dc.date.issued | 2024 | |
| dc.description.abstract | ๐๐ฎ๐ฐ๐ธ๐ด๐ฟ๐ผ๐๐ป๐ฑ: Non-communicable diseases (NCDs) are the leading cause of global mortality. The WHO projects a rise in NCD-related deaths from 36 million in 2018 to 55 million by 2030, with developing countries being the most affected. Effective community-based primary health care (PHC) can reduce the burden of chronic diseases of lifestyle (CDLs). This study aimed to develop a risk assessment and health promotion framework to strengthen CDL prevention and control in Free State (FS) communities in South Africa. ๐ ๐ฒ๐๐ต๐ผ๐ฑ๐: A convergent mixed-method design was used. Quantitative analysis identified CDL risk factors in rural and urban FS settings, while qualitative focus group discussions explored participantsโ knowledge of CDLs and their experiences with program implementation. ๐ฅ๐ฒ๐๐๐น๐๐: Key findings highlighted differences in risk profiles, CDL training needs for PHC teams, patient education gaps, and curriculum development. Step 1 of the framework development identified differences and similarities in the CDL risk profiles of the study populations. Step 2 identified CDL training needs for PHC teams, patient educational needs, and CDL curriculum development needs. Step 3 revealed three main barriers: resource constraints, patient non-compliance, and the lack of supporting healthcare services. In Step 4, the six focus areas identified (steps 1โ3) were used to develop strategies for implementing a tailored, community-based, patient-centred approach. ๐๐ผ๐ป๐ฐ๐น๐๐๐ถ๐ผ๐ป๐: The results provide valuable insights for improving PHC responses in resource-limited settings. | |
| dc.description.version | Publisher's version | |
| dc.identifier.citation | van Zyl, S., Kruger, W. H., & Walsh, C. M. (2025). Chronic diseases of lifestyle: a risk assessment and health promotion framework for a rural and urban primary health care setting in the Free State province, South Africa. Healthcare, 13(1), 55. https://doi.org/10.3390/healthcare13010055 | |
| dc.identifier.issn | 2227-9032 (online) | |
| dc.identifier.uri | https://doi.org/10.3390/healthcare13010055 | |
| dc.identifier.uri | http://hdl.handle.net/11660/13031 | |
| dc.language.iso | en | |
| dc.publisher | MDPI | |
| dc.rights.holder | Author(s) | |
| dc.rights.license | https://creativecommons.org/licenses/by/4.0/ | |
| dc.subject | Chronic diseases of lifestyle | |
| dc.subject | Primary health care | |
| dc.subject | Risk assessment | |
| dc.subject | Community-based education | |
| dc.subject | CDL intervention programs | |
| dc.title | Chronic diseases of lifestyle: A risk assessment and health promotion framework for a rural and urban primary health care setting in the Free State province, South Africa | |
| dc.type | Article |