Psychosocial Problems among Patients in Neighborhood Health Centers: Perspectives from Health Care Providers

2005 ◽  
Vol 30 (2) ◽  
pp. 125-140 ◽  
Author(s):  
Victoria M. Rizzo ◽  
Terry Mizrahi ◽  
Kristen Kirkland
2020 ◽  
Vol 5 (1) ◽  
pp. 3-7
Author(s):  
Moradali Zareipour ◽  
Mahdi Abdolkarimi ◽  
Zahra Moradi ◽  
Mahmood Mahbubi ◽  
◽  
...  

2020 ◽  
Vol 6 (1) ◽  
pp. 39-46
Author(s):  
Mandana Sahebzadeh ◽  
◽  
Abdol Hossein Gherekhloo ◽  
Golrokh Atighechian ◽  
◽  
...  

Background: Every year, numerous natural disasters occur around Iran, with many casualties and financial losses. In these crises, the demand for health care suddenly and uncontrollably increases. In such circumstances, the readiness of health centers and their staff is critical in reducing injuries and mortality. This study aimed to determine the effect of disaster preparedness intervention on the attitude, knowledge, and practice of health care providers in Shahreza City, Iran. Materials and Methods: This one-group quasi-experimental study was conducted on 55 health care providers in Shahreza health centers selected by the census method. The participants completed a researcher-made questionnaire in two stages before and two months after attending a disaster preparedness workshop, a top-table maneuver, and an operational maneuver. The obtained data were analyzed by SPSS v. 23 using descriptive statistics and paired t-test. Results: Data analysis showed a significant difference between the mean scores of pretraining and posttraining regarding the rate of knowledge, attitude, and preparedness (P<0.05), but there was no significant difference between the mean scores of performance (P>0.05). Conclusion: The intervention significantly improved awareness and developed a positive attitude about disaster preparedness. Although it slightly increased performance, it was not significant. Nonetheless, it appears that the continuation of training along with other operational methods can improve individual performance. It is recommended that disaster preparedness programs be considered as one of the topics of in-service education of health care providers and also as the subject of educational courses in different academic periods.


Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Stephanie J Frisbee ◽  
Courtney Pilkerton ◽  
Thomas K Bias

Cardiovascular disease (CVD) remains the leading cause of death in the U.S. Reducing the population burden of CVD will require an increased focus on understanding how to promote and support population-level cardiovascular health (CVH), which will include the ability to measure the presence of CVH, not merely the presence or absence of CVD. Recently, the American Heart Association developed a comprehensive metric designed to measure CVH at the population level. The metric includes smoking, body mass index, physical activity, diet, cholesterol, blood pressure, and blood glucose. The purpose of this study was to assess how population-level CVH is related to the availability of health care providers and services within the county. Data from the Behavioral Risk Factor Surveillance System were used to calculate age-adjusted CVH for each county in 2009. Federal Information Processing Standards codes were used to obtain scores for counties with a sample size of 15 or more. Data on county-level health care services and providers were abstracted from the Area Resource File. The main outcomes were age-standardized mean CVH score. In total, 2236 counties were included in the analysis. Mean CVH score was 3.49 (0.39 SD). After adjustment for county population, county-level CVH score was positively correlated to per capita primary care physicians (rho=0.33, p<0.0001) and nurse practitioners (rho=0.106, p<0.0001). County CVH was also positively and significantly correlated to cardiovascular disease specialists (rho=0.220, p<0.0001). The number of per capita physicians assistants and dieticians / nutritionists were also positively associated with county CVH (rho=0.232, p<0.0001; rho=0.112, p=0.003, respectively). In assessing the effect of the availability of health care facilities, county CVH was positively associated with per capita county-level long term hospital beds, nursing home beds, and community mental health centers (rho/p-values respectively: 0.122/<0.0001; 0.062/p=0.003; 0.078/<0.0001) but negatively associated with per capita county-level beds in skilled nursing facilities, home health agencies and federally qualified health centers (rho/p-values respectively: -0.189/<0.0001; -0.086/<0.0001; -0.065/0.002). Further study is needed to understand the marginal impact of health care providers and facilities on county CVH.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hailemariam Segni Abawollo ◽  
Zergu Tafesse Tsegaye ◽  
Binyam Fekadu Desta ◽  
Tsega Teferi Mamo ◽  
Haregewoin Getachew Mamo ◽  
...  

Abstract Background Childbirth is a complex process, and checklists are useful tools to remember steps of such complex processes. The World Health Organization safe childbirth checklist is a tool used to improve the quality of care provided to women giving birth. The checklist was modified by Ministry of Health and was introduced to health centers in Ethiopia by the USAID Transform: Primary Health Care Activity. Methods A pre and post intervention study design with prospective data collection was employed. The availability of essential childbirth supplies and adherence of health care providers to essential birth practices were compared for the pre and post intervention periods. Results The pre and post intervention assessments were conducted in 247 and 187 health centers respectively. A statistically significant improvement from 63.6% pre intervention to 83.5% post intervention was observed in the availability of essential childbirth supplies, t (389.7) = − 7.1, p = 0.000. Improvements in adherence of health care providers to essential birth practices were observed with the highest being at pause point three (26.2%, t (306.3) = − 10.6, p = 0.000) followed by pause point four (21.1%, t (282.5) = − 8.0, p = 0.000), and pause point two (18.2%, t (310.8) = − 9.7, p = 0.000). The least and statistically non-significant improvement was observed at pause point one (3.3%, t (432.0) = − 1.5, p = 0.131). Conclusion Improvement in availability of essential childbirth supplies and adherence of health care providers towards essential birth practices was observed after introduction of a modified World Health Organization safe childbirth checklist. Scale up of the use of the checklist is recommended.


Author(s):  
Arshiya Masood ◽  
Anil K Singh ◽  
DS Martolia ◽  
Tanu Midha

ABSTRACT Introduction Primary health center (PHC) is a first port of call to a qualified doctor of the public sector in rural areas. Standards are the main driver for continuous improvement in quality. The performance of PHCs can be assessed against the Indian Public Health Standards (IPHS) recommended for PHCs in early 2007. The overall objective of IPHS for PHCs is to provide health care, i.e., quality oriented and sensitive to the needs of the community. These standards would also help monitor and improve the functioning of the PHCs. Aims and objectives This study was carried out to assess (1) the infrastructure, equipments, instruments, staffing, and other facilities; (2) the services being provided at PHCs; (3) to find out the reasons for nonutilization of health services and suggest remedial measures for the same. Material and methods This was a cross-sectional study at two PHCs, namely Thatiya and Umerda of Tirwa block of Kannauj District selected randomly for assessment. Health care providers, mainly medical officers, were interviewed using pretested, precoded pro forma. Descriptive analysis was used as per study requirements. Results It has been found that only outpatient department services were being provided with many missing components, such as one of the most important ones like maternal and child health and family planning. Physical infrastructure and facilities were inadequate at both the PHCs. Both of them were grossly underequipped and understaffed. Medical officers face their own problems; even basic amenities of life like water, electricity, canteen, etc., are lacking there. Conclusion Both the PHCs were not performing up to the expectations and standards of the Indian Public Health. How to cite this article Masood A, Singh AK, Martolia DS, Midha T. Assessment of Indian Public Health Standards in the Primary Health Centers in a District of Uttar Pradesh, India. Int J Adv Integ Med Sci 2017;2(2):53-60.


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