Difficulties involved in taking health services to the people: The example of a public health care center in a Caracas barrio

1985 ◽  
Vol 21 (1) ◽  
pp. 67-75 ◽  
Author(s):  
Cathy A. Rakowski ◽  
George Kastner
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Care Center ◽  
Public Health Care ◽  
Health Care Center ◽  
The People

The Need for Tighter Rheumatoid Arthritis Control in a South African Public Health Care Center

2005 ◽  
Vol 35 (2) ◽  
pp. 122-131 ◽  
Author(s):  
Ahmed Solomon ◽  
Berenice F. Christian ◽  
Patrick H. Dessein ◽  
Anne E. Stanwix
Keyword(s):  
Public Health ◽  
Rheumatoid Arthritis ◽  
Health Care ◽  
South African ◽  
Care Center ◽  
Public Health Care ◽  
Health Care Center

scholarly journals The first dental visit - comparative analysis of two successive five-years periods

2019 ◽  
Vol 147 (3-4) ◽  
pp. 148-151
Author(s):  
Duska Blagojevic ◽  
Ljubica Pavlovic-Trifunovic ◽  
Milica Sipovac ◽  
Isidora Neskovic ◽  
Sanja Vujkov ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Healthcare Reform ◽  
Care Center ◽  
Public Health Care ◽  
Dental Visit ◽  
Health Care Center ◽  
Novi Sad ◽  
Second Period ◽  
Made In

Introduction/Objective. An important moment in oral health care and preventive dentistry is the first dental visit, recommended to be undertaken between the child?s sixth and 12th month of life. Worldwide evidence shows a considerable delay. This study evaluates characteristics of the first dental visit in a public health care center in Novi Sad, Serbia, during 2006?2015 period, and changes in occurrence driven by the healthcare reform. Methods. The study design was retrospective, evaluating available data on age and the main reason for the first dental visit of 270 children, who come to the same dentist and pediatrician in a public health care center during the 2006?2015 period. Results. Collected data determined the third and the fourth year of life as the dominant age (45.8% of children) for the first dental visit in 2006?2010, initiated mostly by a dental check-up (53.8%). During the second period (2011?2015), most of the first visits (31.1%) were done by the age of one, while the main reason for 80.1% of the visits was dental check-up. Conclusion. Considerable progress regarding the first dental visit was made in the observed period, which is, at least partially, due to the health care reform and emphasized preventive versus curative measures, by means of advanced communication between parents and chosen medical staff in prenatal and pediatric clinics.

scholarly journals Kajian Pencegahan Penularan HIVdari Ibu ke Anakpada Antenatal Care Oleh Bidan Praktik Mandiri di Yogyakarta

2018 ◽  
Vol 6 (1) ◽  
pp. 61
Author(s):  
Inka Kartika Ningsih
Keyword(s):  
Public Health ◽  
Health Care ◽  
Antenatal Care ◽  
Health Center ◽  
Care Center ◽  
Research Result ◽  
Public Health Care ◽  
Snowball Sampling ◽  
Public Health Center ◽  
Health Care Center

In 2013, DIY AIDS prevalence was 23,75 %. ODHA has touched 72,6%, based on age class 25-49 years old peak. PMTCT programs was done to prevent HIV to infect children from their mother. This research was qualitative descriptive research which have implement grounded theory. This research was conducted in Independent Midwifery Clinic in Kota Yogyakarta on March-June 2014. Research subject was  midwifes in Independent Midwifery Clinic, mother pregnancy patient of the Independent Midwifery Clinic, midwife coordinator of primary public health care center, and family health care sector in health care Department of Kota Yogyakarta. The first respondent has been taken a sample by snowball sampling. Research instrument was use manual interview  and the data were collect with in depth interview. Data analysis is done using content analysis and data validation using triangle source. Research result is that PMTCT in ANC doesn’t work effective in Independent Midwifery Clinic Yogyakarta because PMTCT couldn’t work their program without midwife and primary public health center. The mother pregnancy have been send to get ANC Terpadu in primary public health center. Counseling and bergaining about HIV diagnostic. Cadre and all of public sector of this region can involved in this program.  Keywords: antenatal care, HIV, PPIA

scholarly journals The Corerelation between Blood Glucose Levels and Blood Pressure in Prolanis Members of Puskesmas Somagede, Banyumas Regency

2019 ◽  
Vol 1 (2) ◽  
pp. 91-97
Author(s):  
Khafifah Leni Ashary
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Health Care ◽  
Blood Glucose ◽  
High Blood Pressure ◽  
Care Center ◽  
Public Health Care ◽  
Health Care Center ◽  
Glucose Levels ◽  
Blood Glucose Levels

Health problems are affected by several factors, including lifestyle, diet, work environment factors, exercise, and stress. Changes in lifestyle can lead to an increase in the prevalence of degenerative diseases such as coronary heart disease, diabetes mellitus (DM), obesity, and high blood pressure. Risk factors that will occur due to increasing age include blood circulation disorders such as hypertension, blood vessel disorders, DM, and disorders of the joints. The purpose of this study was to determine the correlation between blood glucose levels and blood pressure in prolanis (Chronic Disease Management Program) members. The type and design of this study used an Analytical Observational design and a Cross Sectional design. The population in this study was 71 people with a sample of 35 respondents. The data in this study were secondary data obtained from data on blood glucose levels and blood pressure of prolanis members of the Somagede Public Health Care Center. The results of statistical tests showed that 11 people (31%) had high blood glucose levels, 18 people (52%) had normal blood glucose levels, and 6 people (17%) had low blood glucose levels. In addition, of these respondents, it was found that 11 people (31%) had high blood pressure, 24 people (63%) had normal blood pressure, and 2 people (6%) had low blood pressure. The analysis with the Pearson test showed that the value of p = 0.728, which means that H0 was accepted. Thus, there is no relationship between glucose levels and blood pressure in Prolanis members of the Somagede Public Health Care Center, Banyumas Regency. The null correlation between blood pressure and glucose levels might be because of the respondents' ability to control glucose levels, hence there are no complications that can increase blood pressure values.

scholarly journals Trends in horizontal inequity in access to public health care services by immigrant condition in Spain (2006–2017)

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Jaime Pinilla ◽  
Miguel A. Negrín ◽  
Ignacio Abásolo
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Public Health Care ◽  
Specialist Care ◽  
Public Health Services ◽  
Horizontal Inequity ◽  
Latin Americans ◽  
Care Services

Abstract Background The objective of this research is to analyse trends in horizontal inequity in access to public health services by immigration condition in Spain throughout the period 2006–2017. We focus on “economic immigrants” because they are potentially the most vulnerable group amongst immigrants. Methods Based on the National Health Surveys of 2006–07 (N = 29,478), 2011–12 (N = 20,884) and 2016–17 (N = 22,903), hierarchical logistic regressions with random effects in Spain’s autonomous communities are estimated to explain the probability of using publicly-financed health care services by immigrant condition, controlling by health care need and other socioeconomic and demographic variables. Results Our results indicate that there are several horizontal inequities, though they changed throughout the decade studied. Regarding primary care services, the period starts (2006–07) with no global evidence of horizontal inequity in access (although the analysis by continent shows inequity that is detrimental to Eastern Europeans and Asians), giving way to inequity favouring economic immigrants (particularly Latin Americans and Africans) in 2011–12 and 2016–17. An opposite trend happens with specialist care, as the period starts (2006–07) with evidence of inequity that is detrimental to economic immigrants (particularly those from North of Africa) but this inequity disappears with the economic crisis and after it (with the only exception of Eastern Europeans in 2011–12, whose probability to visit a specialist is lower than for natives). Regarding emergency care, our evidence indicates horizontal inequity in access that favours economic immigrants (particularly Latin Americans and North Africans) that remains throughout the period. In general, there is no inequity in hospitalisations, with the exception of 2011–12, where inequity in favour of economic immigrants (particularly those from Latin America) takes place. Conclusions The results obtained here may serve, firstly, to prevent alarm about negative discrimination of economic immigrants in their access to public health services, even after the implementation of the Royal Decree RD Law 16/2012. Conversely, our results suggest that the horizontal inequity in access to specialist care that was found to be detrimental to economic immigrants in 2006–07, disappeared in global terms in 2011–12 and also by continent of origin in 2016–17.

scholarly journals Exploring the interaction of activity limitations with context, systems, community and personal factors in accessing public health care services: A presentation of South African case studies

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Gubela Mji ◽  
Stine H. Braathen ◽  
Richard Vergunst ◽  
Elsje Scheffler ◽  
Janis Kritzinger ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Case Studies ◽  
Health Care Services ◽  
Public Health Care ◽  
Activity Limitations ◽  
Personal Factors ◽  
Access To Health Services ◽  
Public Health Services

Background: There are many factors that influence access to public health services, such as the context people live in, the existing health services, and personal, cultural and community factors. People with disabilities (activity limitations), through their experience of health services, may offer a particular understanding of the performance of the health services, thus exposing health system limitations more clearly than perhaps any other health service user.Aim: This article explores how activity limitations interact with factors related to context, systems, community and personal factors in accessing public health care services in South Africa.Setting: We present four case studies of people with disabilities from four low-resource diverse contexts in South Africa (rural, semi-rural, farming community and peri-urban) to highlight challenges of access to health services experienced by people with activity limitations in a variety of contexts.Methods: One case study of a person with disabilities was chosen from each study setting to build evidence using an intensive qualitative case study methodology to elucidate individual and household experiences of challenges experienced by people with activity limitations when attempting to access public health services. In-depth interviews were used to collect data, using an interview guide. The analysis was conducted in the form of a thematic analysis using the interview topics as a starting point.Results: First, these four case studies demonstrate that equitable access to health services for people with activity limitations is influenced by a complex interplay of a variety of factors for a single individual in a particular context. Secondly, that while problems with access to public health services are experienced by everyone, people with activity limitations are affected in particular ways making them particularly vulnerable in using public health services.Conclusion: The revitalisation of primary health care and the introduction of national health insurance by the Health Department of South Africa open a window of opportunity for policy makers and policy implementers to revisit and address the areas of access to public health services for people with activity limitations.

scholarly journals Academic health services and health needs of college students around the era of the Covid-19 pandemic

2021 ◽  
Vol 8 (4) ◽  
pp. 193-197
Author(s):  
Eirini Kotsalou ◽  
Evanthia Sakellari ◽  
Areti Lagiou ◽  
Evaggelia Kotsalou
Keyword(s):  
Public Health ◽  
Mental Health ◽  
College Students ◽  
Health Care ◽  
Health Services ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Needs ◽  
Public Health Care

Objective: The university medical services vary around the world (even within each university), but there are only a few publications on the utilization of these services by the students. The available on-campus services of public health care might include general health care, women’s centers, mental health care, disability services, wellness resource centers, career counseling, and alcohol and other drug education programs. Evidence Acquisition: This paper reviews the current literature on the overtime and current (due to Covid-19 pandemic) public health needs of college students based on studies that report the commonest specific diagnostic reasons for using the on-campus health care services. Results: Special reference is done on mental health problems among students generally and the students of health professions fields (a specific category themselves). Besides, other issues of interest are the substance-related problems among students and their perceptions about mental health problems and on- campus help- seeking services. Conclusions: It is unanimous that we need further educational and promotional campaigns to enhance the students; help-seeking behaviors, reduce stigmatizing behaviors and create more preventive public health services on campus, but also out-campus due to the Covid-19 pandemic. 

scholarly journals Bureaucracy Re-Functionalization in Health Services in the Health Care Center of Parepare City

2019 ◽  
Vol 14 (6) ◽  
pp. 236-241
Author(s):  
Rasidin Calundu ◽  
Juanda Nawawi ◽  
Suradi Tahmir
Keyword(s):  
Health Care ◽  
Health Services ◽  
Care Center ◽  
Health Care Center
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