scholarly journals Improving primary health care through partnerships: Key insights from a cross‐case analysis of multi‐stakeholder partnerships in two Canadian provinces

2021 ◽  
Vol 4 (4) ◽  
Author(s):  
Ekaterina Loban ◽  
Catherine Scott ◽  
Virginia Lewis ◽  
Susan Law ◽  
Jeannie Haggerty
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Case Analysis ◽  
Primary Health ◽  
Canadian Provinces ◽  
Stakeholder Partnerships ◽  
Multi Stakeholder ◽  
Cross Case Analysis

scholarly journals The use of PHC clinic-based women’s groups for financial empowerment in a rural area

Curationis ◽  
2006 ◽  
Vol 29 (1) ◽  
Author(s):  
LR Uys ◽  
BR Bhengu ◽  
B Majumdar
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Rural Area ◽  
Case Analysis ◽  
Economic Empowerment ◽  
Women's Groups ◽  
Primary Health ◽  
Women’S Groups ◽  
Cross Case Analysis

The article is based on a four-year project during which Primary Health Care (PHC) nurses worked with women’s groups in their areas. The aim of the study was to explore the involvement of PHC nurses in economic empowerment, both in terms of health promotion and in terms of the PHC approach. In particular the objectives were to establish whether nurses could lead economic empowerment groups, whether such groups could establish adequate external links and become financially viable. Eleven groups were used as case studies, and a cross-case analysis was done in terms of the three objectives. It was found that between the women and the nurses, adequate leadership existed for the groups to function well. Very limited external linkages were established, notwithstanding efforts in this regard. Nine out of 11 groups contributed to financial welfare of their members after 18 months, but a range of problems with regard to financial viability are identified.

scholarly journals Measuring partnership synergy and functioning: Multi-stakeholder collaboration in primary health care

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0252299
Author(s):  
Ekaterina Loban ◽  
Cathie Scott ◽  
Virginia Lewis ◽  
Jeannie Haggerty
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Assessment Tool ◽  
External Environment ◽  
Qualitative Evaluation ◽  
Self Assessment ◽  
Stakeholder Collaboration ◽  
Primary Health ◽  
Multi Stakeholder ◽  
Partnership Synergy

In primary health care, multi-stakeholder partnerships between clinicians, policy makers, academic representatives and other stakeholders to improve service delivery are becoming more common. Literature on processes and approaches that enhance partnership effectiveness is growing. However, evidence on the performance of the measures of partnership functioning and the achievement of desired outcomes is still limited, due to the field’s definitional ambiguity and the challenges inherent in measuring complex and evolving collaborative processes. Reliable measures are needed for external or self-assessment of partnership functioning, as intermediate steps in the achievement of desired outcomes. We adapted the Partnership Self-Assessment Tool (PSAT) and distributed it to multiple stakeholders within five partnerships in Canada and Australia. The instrument contained a number of partnership functioning sub-scales. New sub-scales were developed for the domains of communication and external environment. Partnership synergy was assessed using modified Partnership Synergy Processes and Partnership Synergy Outcomes sub-scales, and a combined Partnership Synergy scale. Ranking by partnership scores was compared with independent ranks based on a qualitative evaluation of the partnerships’ development. 55 (90%) questionnaires were returned. Our results indicate that the instrument was capable of discriminating between different levels of dimensions of partnership functioning and partnership synergy even in a limited sample. The sub-scales were sufficiently reliable to have the capacity to discriminate between individuals, and between partnerships. There was negligible difference in the correlations between different partnership functioning dimensions and Partnership Synergy sub-scales. The Communication and External Environment sub-scales did not perform well metrically. The adapted partnership assessment tool is suitable for assessing the achievement of partnership synergy and specific indicators of partnership functioning. Further development of Communication and External Environment sub-scales is warranted. The instrument could be applied to assess internal partnership performance on key indicators across settings, in order to determine if the collaborative process is working well.

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

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