scholarly journals Primary health care management challenges for childhood atopic eczema as experienced by the parents in a Gauteng district in South Africa

2016 ◽  
Vol 21 ◽  
pp. 315-322 ◽  
Author(s):  
Kaarina Frieda Meintjes ◽  
Anna Getruida Wilhelmina Nolte
2019 ◽  
Vol 28 ◽  
Author(s):  
Denise Elvira Pires de Pires ◽  
Lara Vandresen ◽  
Francele Machado ◽  
Rosani Ramos Machado ◽  
Felipa Rafaela Amadigi

ABSTRACT Objective: to identify what is discussed in studies published in Brazilian and international literature in the last ten years on Primary Health Care management. Method: an integrative review with a search carried out from 2006 to 2016, in the SciELO®, LILACS®, Scopus®, PubMed® and CINAHL® databases in the Portuguese, English and Spanish languages. The review followed the steps: formulation of the research question, definition of the inclusion and exclusion criteria, identification and selection of the studies, and summary of the subjects found in the studies. Resources from The Atlas.ti® software was used for data organization and analysis. Results: the corpus include 90 studies which predominantly originated from LILACS® and were performed in Brazil. The themes covered in the publications were: health policy and management in Primary Health Care, material resources management, human resources management, financial management, quality management, planning, characterization of managers, management role/ activities, challenges/difficulties in management, potentialities/facilities in management. There was a prevalence of studies that dealt with Primary Health Care management in the context of reflections on health policies and those dealing with the challenges/difficulties faced in Primary Health Care management. These findings demonstrate that the Primary Health Care model is complex and challenging, both for policymakers and for those managing it. Conclusion: the number of studies on Primary Health Care management is significant in the current literature and the predominance of health policy and difficulties in performing management issues reinforce the recognition of the centrality of the management for effective Primary Health Care.


2020 ◽  
Vol 12 (6) ◽  
pp. 1 ◽  
Author(s):  
Kaarina F Meintjes

The primary health care (PHC) management guidelines for nurses treating children with atopic eczema were developed in a baseline study. The purpose of this study was to implement and evaluate the guidelines through a pilot study in a district in Gauteng, South Africa, in order to identify challenges and to adopt or adjust the guidelines for use by primary health care nurses in South Africa. The ultimate aim is to improve the child’s eczema and quality of life. A process evaluation research design was followed. Data was collected through 1) in-depth interviews with PHC nurses and also with the parents of children treated by these PHC nurses, and 2) documentation using the patient files of these children. The results showed that some aspects of the guidelines were used and seen as helpful, especially the complete emollient therapy and the evidence based health education. A simplified version of the guideline will be promoted for use by PHC nurses. The more detailed guideline could possibly be used as a basis to develop a short course on atopic eczema for PHC nurses.


1996 ◽  
Vol 14 (1) ◽  
pp. 69-76 ◽  
Author(s):  
Birgitta Wickberg-johansson ◽  
Berit Erlandsson ◽  
C. Philip Hwang

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