Armed Violence and the Breakdown of the Health System: Vulnerabilities of Health Personnel in the Conflict-Affected Borderland

2021 ◽  
pp. 113-141
Author(s):  
Samrat Sinha ◽  
Jennifer Liang
Keyword(s):  
Health System ◽  
Health Personnel ◽  
Armed Violence

Health Personnel Training in the Nicaraguan Health System

1985 ◽  
Vol 15 (4) ◽  
pp. 699-705 ◽  
Author(s):  
Paula A. Braveman ◽  
Milton I. Roemer
Keyword(s):  
Primary Care ◽  
Health System ◽  
Health Personnel ◽  
Training Programs ◽  
National Health System ◽  
Personnel Training ◽  
Health Indices ◽  
School Of Medicine ◽  
The Status ◽  
Rapid Appearance

The “Unified National Health System” of Nicaragua was established in 1979, in an attempt to transform some of Latin America's worst health indices. This system, based on the stated principles of planning, regionalization, public participation, and primary care, has prioritized the development of health professions training programs appropriate to its special needs and principles. Public Health and Epidemiology training was inaugurated in 1982. A new campus of the School of Medicine was opened in 1981, increasing the number of medical students by a factor of five. Formal residency training (never before available within the country) in primary care specialties has been established. Training for allied health personnel has been formalized in several fields, with the establishment of the Polytechnical Institute of Health. The rapid increase in number and size of training programs has created a tremendous need for educational resources both human and material. This article reviews the status of health personnel training in Nicaragua today, the integration of these programs into planning for the health system, and problems arising from their rapid appearance.

Education of Allied Health Personnel Key in Improving Provider Practice in a Large Health System

2010 ◽  
Vol 125 (2) ◽  
pp. AB63
Author(s):  
D. VanSickle ◽  
K. Grossman ◽  
A. Sy ◽  
S. Bernstein ◽  
G. Sanders
Keyword(s):  
Health System ◽  
Health Personnel ◽  
Allied Health ◽  
Allied Health Personnel ◽  
Provider Practice

scholarly journals Persepsi Beban Kerja Tenaga Kesehatan Puskesmas di Kabupaten Nagekeo Provinsi Nusa Tenggara Timur Tahun 2019

2020 ◽  
Vol 48 (3) ◽  
Author(s):  
Majematang Mading ◽  
Ruben Wadu Willa
Keyword(s):  
Health System ◽  
Health Personnel ◽  
Health Workers ◽  
Health Sector ◽  
Health Centers ◽  
Administrative Staff ◽  
Center Staff ◽  
Comprehensive Health ◽  
Administrative Tasks ◽  
Health Center Staff

Abstract Human resources in the health sector are an important factor in quality and comprehensive health services that play a role in the implementation of the health system. The limited number of health personnel and their competency is a particular obstacle in the implementation of the health system. The purpose of this article is to provide an overview of the availability and perceptions of workload felt by health center staff in Nagekeo District. This type of research is a qualitative method applying interviews with informants who are program holders at seven health centers in 2019. The results showed that the types of personnel in the health centers include general practitioners, dentists, pharmacists, pharmacist assistants, nurses, dental nurses, public health, nutrition workers, midwives, analysts and sanitarians.. Health personnel types in the health centers are still limited and there are 3 health centers that do not yet have dentists and pharmacist assistants, health workers are given basic tasks inside and outside the building and additional tasks as administrative staff. Health workers must perform simultaneously to complete technical and administrative tasks. The study conclude that the types of health personnel is still limited compared to their workload including core and additional tasks. Keywords: Perception of workload, health workers, Nagekeo. Abstrak Sumber daya manusia dalam bidang kesehatan merupakan faktor penting dalam pelayanan kesehatan yang bermutu dan komprehensif yang berperan dalam implementasi sistem kesehatan. Jumlah tenaga kesehatan yang terbatas dan rendahnya kompetensi menjadi hambatan tersendiri dalam pelaksanaan sistem kesehatan. Tujuan penelitian ini adalah memberi gambaran tentang ketersediaan dan persepsi beban kerja yang dirasakan oleh tenaga kesehatan puskesmas di Kabupaten Nagekeo Provinsi Nusa Tenggara Timur. Jenis penelitian adalah kualitatif yang melakukan wawancara dengan informan petugas pemegang program di tujuh puskesmas tahun 2019. Hasil penelitian menunjukan bahwa jenis tenaga yang ada di puskesmas meliputi dokter umum, dokter gigi, apoteker, asisten apoteker, perawat, perawat gigi, kesehatan masyarakat, tenaga gizi, bidan, analis dan sanitarian. Tenaga kesehatan di puskesmas masih terbatas dan terdapat 3 puskesmas yang belum memiliki dokter gigi dan asisten apoteker. Tenaga kesehatan diberi tugas pokok di dalam dan di luar gedung dan tugas tambahan sebagai tenaga administrasi. Tenaga kesehatan harus bekerja ekstra dengan mengatur waktu kerja dengan sebaik-baiknya antara waktu melayani pasien dan menyelesaikan tugas administrasi lainnya. Kesimpulan jumlah tenaga kesehatan di puskesmas di Kabupaten Nagekeo masih sangat terbatas dengan beban kerja yang cukup berat antara tugas pokok dan tugas tambahan. Kata kunci: Persepsi beban kerja, tenaga kesehatan, Nagekeo.

scholarly journals Acolhimento em saúde mental na atenção primária à saúde no contexto da pandemia da COVID-19

2021 ◽  
Vol 10 (7) ◽  
pp. e49610716848
Author(s):  
Thamires Pereira de Figueiredo ◽  
Milena Nunes Alves de Sousa ◽  
Hirisleide Bezerra Alves
Keyword(s):  
Mental Health ◽  
Health System ◽  
Health Personnel ◽  
Family Health ◽  
Unified Health System ◽  
Health Strategy ◽  
Family Health Strategy

Objetivo. Analisar o acolhimento em saúde mental na atenção primária à saúde no contexto da pandemia da COVID-19. Metodologia. Foram utilizados artigos na íntegra, disponíveis nas bases dados Medical Publications (PubMed) e Literatura Latino-americana e do Caribe em Ciências da Saúde (LILACS). Para a busca, utilizaram-se as palavras-chave: “Mental Health Assistance”, “Mental Health”, “Family Health Strategy”, “Unified Health System”, “Health Personnel”, “User Embracement” e “COVID-19”; obtidos de acordo com os Descritores de Ciências da Saúde (DeCS), tendo como operadores booleano “E/AND” e “OU/OR”. Posteriormente à aplicação dos critérios de inclusão definidos, 15 artigos foram selecionados para revisão. Resultados. Todos os artigos selecionados para esta revisão abordaram estratégias de atuação da Estratégia Saúde da Família no contexto da atenção à saúde mental, tanto antes quanto no período da pandemia. Além disso, muitos estudos trouxeram limitações como dificuldades de acesso, baixa resolutividade no âmbito da Atenção Básica, ausência de qualificação dos profissionais, além de falta de acesso à internet por parte dos usuários e baixa adesão às novas abordagens no contexto da pandemia. Conclusão. Há uma implementação de novas práticas que se adaptem ao novo cenário como, por exemplo, o teleatendimento, por meio de videochamadas e ligações. Apesar disso, essas práticas possuem limitações em decorrência do perfil dos usuários. Dessa forma, são necessárias novas estratégias para acolhimento que possam incluir todos os usuários do serviço.

scholarly journals Role of the Epidemiologist in the Containment of COVID-19 Pandemic

2020 ◽  
Author(s):  
Chidera Gabriel Obi ◽  
Ephraim Ibeabuchi Ezaka ◽  
Jennifer Ifunanya Nwankwo ◽  
Irene Ifeatu Onuigbo
Keyword(s):  
Health System ◽  
Prevention And Control ◽  
Health Personnel ◽  
Health Workers ◽  
Focal Point ◽  
Visible Image ◽  
Novel Virus ◽  
Respiratory Hygiene ◽  
And Control

The COVID-19 virus is a novel virus that is zoonotic and has infected more than two million people with over Three hundred people who died from the pandemic. The virus has been declared a pandemic by the W.H.O overwhelming the health system and capacity of many countries with known cases of death of health workers and non-health workers alike. The virus can be prevented through adequate personal and respiratory hygiene and maintaining social distancing at this point in time. Although doctors and nurses might be the frontline and visible image of health workers in the ongoing battle against the virus, there are other health workers behind the scene like epidemiologists working round the clock to control this current pandemic Epidemiologist deals with data and data is the focal point in the prevention and control of diseases. Epidemiologists are involved in the Surveillance, Identification and Monitoring of Outbreaks, conducting researches and evaluating policies geared at Outbreaks. Problems associated with Data are the major constraints of an Epidemiologist. Efforts are currently ongoing by various health personnel to control the virus and provide vaccines for the treatment of the disease.

scholarly journals Progression from tuberculosis to multi drug resistance-TB in revised national tuberculosis control programme: perspectives from health system care givers

2019 ◽  
Vol 6 (6) ◽  
pp. 2378
Author(s):  
Ashutosh Kumar ◽  
Rishabh Kumar Rana ◽  
Shalini Sundram ◽  
Sudipta Kumar Sinha ◽  
Richa Jaiswal ◽  
...  
Keyword(s):  
Health System ◽  
Health Personnel ◽  
Control Programme ◽  
Multi Drug Resistance ◽  
Tuberculosis Control ◽  
Tb Control ◽  
National Tuberculosis Control Programme ◽  
Laboratory Technician ◽  
Tuberculosis Control Programme ◽  
National Tuberculosis

Background: The aims and objectives were to study the progression from tuberculosis to multi drug resistance-TB in revised national tuberculosis control programme: perspectives from health system care givers.Methods: The study was carried out in TB Sanatorium ITKI, Sadar Hospital Ranchi and RIMS Ranchi. The interview of various health personnel including SAHIYAs was taken using a semi-structured questionnaire based on programmatic management of multi drug resistant tuberculosis guidelines -2016.Results: Among Doctors knowledge level was good compared to other health personnel which had mean value 7.33 (±2.79), laboratory technician 3.45 (±2.64), STS 4.67 (±1.59), Sahiya 2.1 (±0.73). Regarding capacity enhancement level all health personnel needed refresher trainings in which doctors got 4.67 (±1.58), laboratory technician 3.45±2.64, STS 1.72±0.34, and Sahiya 0.5±0.52. Specially sahiya needs training regarding MDR-TB because they are the connecting link between health system and community. Regarding execution level, Doctors got 1.86 (±0.74), laboratory technician 1.64 (±0.56), STS 1.64 (±0.56) and Sahiya (ASHA) 2.2 (±0.44). Sahiya were better than other health personnel at execution level.Conclusions: Advocacy, communication, and social mobilization are important aspects of TB control, Policy makers and administrators should be sensitized for need of adequate and sustained funding for TB control to ensure quality capacity building. They need to provide continuous and quality training of staff at different levels and retention of trained staff and periodic reviews to identify gaps and take corrective steps.

scholarly journals HUBUNGAN ANTARA MEROKOK dan AKTIFITAS FISIK DENGAN PREVALENSI HIPERTENSI DI INDONESIA (ANALISIS DATA RISKESDAS DAN PROFIL KESEHATAN 2013)

2019 ◽  
Vol 2 (1) ◽  
pp. 50
Author(s):  
Balgis Ali ◽  
Sumardiyono Sumardiyono
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Risk Factors ◽  
Health Services ◽  
Health System ◽  
Health Personnel ◽  
Major Health Problem ◽  
Hypertension Risk ◽  
The Relationship ◽  
Prevalence Of Diabetes Mellitus

<p><strong>Introduction:</strong> Currently hypertension is a major health problem in the world, including in Indonesia. The prevalence of hypertension in various regions in Indonesia varies. several factors are thought to play a role in this variation including the health system, hypertension risk factors and the prevalence of diabetes mellitus. This study aims to analyze the relationship between the health system (health services, health personnel, finance), hypertension risk factors (smoking and physical activity) and the prevalence of diabetes mellitus with differences in the prevalence of hypertension in various provinces in Indonesia. Currently hypertension is a major health problem in the world, including in Indonesia. The prevalence of hypertension in various regions in Indonesia varies. several factors are thought to play a role in this variation including the health system, hypertension risk factors and the prevalence of diabetes mellitus. This study aims to analyze the relationship between the health system (health services, health personnel, finance), hypertension risk factors (smoking and physical activity) and the prevalence of diabetes mellitus with differences in the prevalence of hypertension in various provinces in Indonesia.</p><p class="TextAbstract"><strong>Methods:</strong> This study used an observational analytic design with an ecological study approach. Data was obtained from 440 districts and 33 provinces in Indonesia. which is taken on a probability basis to size. Samples are men and women aged 18 and above. The independent variable is the prevalence of hypertension while the dependent variable is the health system (health services, health personnel, finance), hypertension risk factors (smoking and sedentary physical activity) and the prevalence of diabetes mellitus. The diagnosis of hypertension is made by a doctor. The data obtained were analyzed using multiple linear regression analysis.</p><p class="TextAbstract"><strong>Results:</strong> Smoking (b = 0, 0.463; 95% CI = 0.042-0.884; p = 0.032), and sedentary physical activity of more than 6 hours (b = 0.196; 95% CI = 0.030-0.3362; p = 0.022) increased the prevalence of hypertension. R2 from the multiple liner regression model is = 27.1%, and overall the models differ significantly (p = 0.05).</p><p class="TextAbstract"><strong>Conclusion: </strong>Smoking and sedentary physical activity are associated with the prevalence of hypertension</p><p class="TextAbstract"> </p><p class="TextAbstract"> </p>

Health Services Delivery and Satisfaction

2021 ◽  
pp. 95-108
Author(s):  
Fatih Altan ◽  
Aykut Ekiyor ◽  
Demet Unalan
Keyword(s):  
Health Services ◽  
Health System ◽  
Health Personnel ◽  
Essential Element ◽  
Health Institution ◽  
Nutrition Services ◽  
Services Delivery ◽  
Health Level ◽  
Quality Of Health Services

Health services include the services provided to prevent the occurrence of diseases and disabilities, to ensure that the sick and disabled are restored to their former health, and to those who cannot regain their health, to adapt to the environment. As an essential element of the health system, health services appear as an important factor in raising the health level of the society. Reforms in health systems worldwide have been carried out to increase the health level of the community and improve the quality of health services. Satisfaction is one of the critical determinants of quality in health services. It is possible to mention many factors that affect satisfaction in health services. However, in the literature, it is emphasized that health personnel-patient interaction, trust in a health institution, the fee of service received, physical facilities of the health institution, and nutrition services affect satisfaction.

scholarly journals Integration of health care in the Basque Country during COVID-19: the importance of an integrated care management approach in times of emergency

2021 ◽  
Vol 22 ◽  
Author(s):  
Julen Izagirre-Olaizola ◽  
Goizalde Hernando-Saratxaga ◽  
María-Soledad Aguirre-García
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health System ◽  
Health Personnel ◽  
Public Health System ◽  
Basque Country ◽  
Integration Process ◽  
The Public ◽  
The Way

Abstract The main objective of this study is to analyse the process of integration of health care implemented in the public health system (Osakidetza) of the Autonomous Community of the Basque Country (CAPV), and assess whether the steps taken to date have helped or hindered the work of health personnel in times of COVID-19. Based on a case study, an assessment is made of the way in which certain tools of the integration process have been applied, if they have worked well and if they have led to better management of the pandemic. For the purpose of this study, a qualitative methodology is chosen consisting of a case study and in-depth interviews with health personnel at the front line of the integration process and the fight against COVID-19. This study makes two fundamental contributions. First, it analyses the health integration process in recent years in the public health system of the Basque Country. Second, it gathers the perceptions of different agents related to the Basque Health System of the way in which the tools of the integration process implemented in recent years have worked during the pandemic, detailing the positive and negative perceptions in this regard. Our conclusions offer a series of strategic recommendations linked to comprehensive patient care and the use of tools related to teleconsulting: the unified medical record, electronic prescription, and non-face-to-face care channels.

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