Decentralization of health services in Western Highlands Province, Papua New Guinea: An attempt to administer health service at the subdistrict level

1995 ◽  
Vol 40 (8) ◽  
pp. 1091-1098 ◽  
Author(s):  
Doug Campos-Outcalt ◽  
Kelly Kewa ◽  
Jane Thomason
Keyword(s):  
Health Service ◽  
Health Services ◽  
Papua New Guinea ◽  
New Guinea

scholarly journals Health service needs and perspectives of remote forest communities in Papua New Guinea: study protocol for combined clinical and rapid anthropological assessments with parallel treatment of urgent cases

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e041784
Author(s):  
Jo Middleton ◽  
Mohammad Yazid Abdad ◽  
Emilie Beauchamp ◽  
Gavin Colthart ◽  
Maxwell J F Cooper ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Service ◽  
Medical Research ◽  
Papua New Guinea ◽  
New Guinea ◽  
Health Needs ◽  
Service Needs ◽  
Plain Language ◽  
Research Activity ◽  
Health Service Provision

IntroductionOur project follows community requests for health service incorporation into conservation collaborations in the rainforests of Papua New Guinea (PNG). This protocol is for health needs assessments, our first step in coplanning medical provision in communities with no existing health data.Methods and analysisThe study includes clinical assessments and rapid anthropological assessment procedures (RAP) exploring the health needs and perspectives of partner communities in two areas, conducted over 6 weeks fieldwork. First, in Wanang village (population c.200), which is set in lowland rainforest. Second, in six communities (population c.3000) along an altitudinal transect up the highest mountain in PNG, Mount Wilhelm. Individual primary care assessments incorporate physical examinations and questioning (providing qualitative and quantitative data) while RAP includes focus groups, interviews and field observations (providing qualitative data). Given absence of in-community primary care, treatments are offered alongside research activity but will not form part of the study. Data are collected by a research fellow, primary care clinician and two PNG research technicians. After quantitative and qualitative analyses, we will report: ethnoclassifications of disease, causes, symptoms and perceived appropriate treatment; community rankings of disease importance and service needs; attitudes regarding health service provision; disease burdens and associations with altitudinal-related variables and cultural practices. To aid wider use study tools are in online supplemental file, and paper and ODK versions are available free from the corresponding author.Ethics and disseminationChallenges include supporting informed consent in communities with low literacy and diverse cultures, moral duties to provide treatment alongside research in medically underserved areas while minimising risks of therapeutic misconception and inappropriate inducement, and PNG research capacity building. Brighton and Sussex Medical School (UK), PNG Institute of Medical Research and PNG Medical Research Advisory Committee have approved the study. Dissemination will be via journals, village meetings and plain language summaries.

Perceptions of Eye Health and Eye Health Services among Adults Attending Outreach Eye Care Clinics in Papua New Guinea

2015 ◽  
Vol 22 (6) ◽  
pp. 361-369 ◽  
Author(s):  
Anthea Burnett ◽  
Mitasha Yu ◽  
Prakash Paudel ◽  
Thomas Naduvilath ◽  
Tim R Fricke ◽  
...  
Keyword(s):  
Health Services ◽  
Papua New Guinea ◽  
New Guinea ◽  
Eye Care ◽  
Eye Health

Health services in Papua New Guinea

Public Health ◽  
1989 ◽  
Vol 103 (3) ◽  
pp. 161-169
Author(s):  
Doug Campos-Outcalt
Keyword(s):  
Health Services ◽  
Papua New Guinea ◽  
New Guinea

Case Management Quality Assessment in Rural Areas of Papua New Guinea

1995 ◽  
Vol 25 (2) ◽  
pp. 69-74 ◽  
Author(s):  
Elvira Beracochea ◽  
Rumona Dickson ◽  
Paul Freeman ◽  
Jane Thomason
Keyword(s):  
Health Services ◽  
Case Management ◽  
Rural Health ◽  
Papua New Guinea ◽  
Health Workers ◽  
Health Centre ◽  
New Guinea ◽  
History Taking ◽  
Primary Health ◽  
Tract Infections

A study was carried out to assess the quality of case management of malaria, malnutrition, diarrhoea and acute respiratory tract infections in children in rural primary health services in Papua New Guinea. In particular, the study focused on the knowledge and skills of different categories of rural health workers (HW) in history taking, examination, diagnosis, treatment and patient education. Quality criteria were defined and health centre (HCW) and aidpost workers' (APWs) knowledge and practices were assessed. Primary health workers' (PHW) knowledge of case management was weak, but in all cases better than their actual practice. History taking and examination practices were rudimentary. HWs tended not to make or record diagnoses. Treatment knowledge was often incorrect, with inappropriate or insufficient drugs prescribed, being worst at aidpost level. These findings raise serious questions about the effectiveness of providing health services through small, isolated health units. Far greater attention must now be directed to focus on the institutionalization of problem-based training, continuous supportive supervision and maintenance of clinical skills and provision of essential drugs, supplies and equipment to ensure that rural health workers (RHW) can provide sound care.

User charges for rural health services in Papua New Guinea

1994 ◽  
Vol 39 (8) ◽  
pp. 1105-1115 ◽  
Author(s):  
Jane Thomason ◽  
Navy Mulou ◽  
Caroline Bass
Keyword(s):  
Health Services ◽  
Rural Health ◽  
Papua New Guinea ◽  
New Guinea ◽  
Rural Health Services ◽  
User Charges

scholarly journals Knowledge among the rural parents about the vaccinations and vaccination coverage of children in the first year of life in Papua New Guinea – analysis of data provided by Christian health services

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ewelina Gowin ◽  
Jerzy Kuzma ◽  
Danuta Januszkiewicz-Lewandowska
Keyword(s):  
Health Services ◽  
Papua New Guinea ◽  
Vaccination Coverage ◽  
New Guinea ◽  
Coverage Rate ◽  
First Year ◽  
Measles Vaccine ◽  
Pentavalent Vaccine ◽  
First Year Of Life ◽  
Rural Parents

Abstract Knowledge among the rural parents about the vaccinations and vaccination coverage of children in the first year of life in Papua New Guinea – analysis of data provided by Christian Health Services. Background This analysis aimed to assess rural parents’ knowledge about the diseases prevented by vaccinations and establish vaccination coverage in PNG. Methods Knowledge of vaccinations was checked through a standard questionnaire (five closed questions). We analyzed data on vaccination coverage from 2016 to 2018 from all Catholic health facilities. Analyzed vaccinations were the pentavalent vaccine (DTaP-HiB-HepB) and measles vaccine given in the first year of life. Coverage was calculated based on the number of vaccines used compared to the number of eligible children. Analyzed vaccinations were the pentavalent vaccine (DTaP-HiB-HepB) and measles vaccine given in the first year of life. Results Fifty-six parents, including 52 mothers and four fathers, participated in the interview. Many parents (46%) understood that the vaccine prevents diseases. During the analyzed period, 25,502 doses of measles vaccine were given, 31,428 children were vaccinated with the pentavalent vaccine. In 2016, the measles vaccine coverage rate was 26.6 and 33.4% for the pentavalent vaccine. In 2017, measles and pentavalent vaccines’ coverage rate was 12.5 and 16.6%, respectively. There were significant differences in immunization coverage between provinces. A decreasing trend in the number of administered vaccinations was observed. Conclusion The results of this analysis demonstrate that in PNG, the majority of children are not fully immunized. There are significant differences in the vaccination coverage between provinces. As protection from diseases is low, there is a very high risk of an outbreak of the vaccine-preventable disease in the community. Delivery of vaccinations in PNG encounters many barriers, from access to healthcare services to natural disasters and inter-tribial conflicts.

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