Access point analysis on the state of health care services in South African prisons: A qualitative exploration of correctional health care workers’ and inmates’ perspectives in Kwazulu-Natal and Mpumalanga

2006 ◽  
Vol 63 (9) ◽  
pp. 2301-2309 ◽  
Author(s):  
Sibusiso Sifunda ◽  
Priscilla S. Reddy ◽  
Ron Braithwaite ◽  
Torrance Stephens ◽  
Rob AC Ruiter ◽  
...  
Keyword(s):  
Health Care ◽  
South African ◽  
Health Care Services ◽  
Access Point ◽  
Correctional Health ◽  
Care Services ◽  
Point Analysis ◽  
Care Workers ◽  
Kwazulu Natal ◽  
Qualitative Exploration

Substantive Equality in South African Health Care: The Limits of Law

2000 ◽  
Vol 4 (2) ◽  
pp. 111-131 ◽  
Author(s):  
Charles Ngwena
Keyword(s):  
Health Care ◽  
South African ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Care Reforms ◽  
Structural Inequality ◽  
Care Services ◽  
Substantive Equality ◽  
African Health ◽  
Access To Health

The article considers the scope and limits of law as an instrument for facilitating equitable access to health care in South Africa. The focus is on exploring the extent to which the notion of substantive equality in access to health care services that is implicitly guaranteed by the Constitution and supported by current health care reforms, is realisable for patients seeking treatment. The article highlights the gap between the idea of substantive equality in the Constitution and the resources at the disposal of the health care sector and the country as a whole. It is submitted that though formal equality in access to health care services has been realised, substantive equality is currently unattainable, if it is attainable at all, on account of entrenched structural inequality, general poverty and a high burden of disease.

Promoting Health in Rural India: Enhancing Job Performance of Lay Health Care Activists

2019 ◽  
Vol 9 (2) ◽  
pp. 226-242 ◽  
Author(s):  
Jatin Pandey ◽  
Manjari Singh ◽  
Biju Varkkey ◽  
Dileep Mavalankar
Keyword(s):  
Health Care ◽  
Job Performance ◽  
Community Health ◽  
Health Care Workers ◽  
Rural Areas ◽  
Health Care Services ◽  
Rural India ◽  
Community Health Care ◽  
Care Services ◽  
Care Workers

The health of people in a nation is a potential indicator of its development. Over and above that, the job performance of people involved in the delivery and facilitation of health care services within a nation reflects the actual health conditions in it. In developing countries, where a large chunk of the population lives in rural areas, the job performance of grass-roots health care workers gains significant importance in order to ensure effective and efficient delivery of health care services to the masses and marginalized communities. The present study takes the case of Accredited Social Health Activists (ASHAs) in difficult rural areas of India to identify factors that affect their job performance and suggests interventions through which it could be enhanced. Fifty-five ASHAs were interviewed and five focused group discussions (FGDs) were conducted. Additionally, triangulation was done by interviewing other stakeholders, while studying relevant documents. Through content analysis of these interviews and documents, this study identifies the demands, resources and stressors that affect the job performance of these important intermediaries in the health care supply chain (in the Indian context). The study also suggests policy-level decisions that could help in enhancing job performance of ASHAs by managing demands, increasing resources and reducing stressors. Key Messages We have developed a model that delineates the demands, resources and stressors that affect job performance of women workers in rural India. We have studied Accredited Social Health Activists (ASHAs) who are part of community health care sector. However, our findings are applicable to a wider set of similar job roles. We have studied the nuances of factors affecting job performance for a category of community health care workers who are not full-time employees, have received minimal training and work in close proximity of their residence in a closely knit society. We have looked at job performance of ASHAs who are women community health workers, with low educational qualifications, based in rural setting of a developing country. We have recommended policy implications that would aid in enhancing the performance of ASHAs and thus improve the health care situation in rural India.

Anthropology and Informatics in Health Care

2020 ◽  
Author(s):  
Laurie Novak ◽  
Joyce Harris
Keyword(s):  
Health Care ◽  
Delivery Of Health Care ◽  
Health Informatics ◽  
Health Care Services ◽  
Collaborative Work ◽  
Health Records ◽  
Care Services ◽  
Care Workers ◽  
Health And Illness ◽  
Using Data

Information technology increasingly figures into the activities of health-care workers, patients, and their informal caregivers. The growing intersection of anthropology and health informatics is reviewed, a field dedicated to the science of using data, information, and knowledge to improve human health and the delivery of health-care services. Health informatics as a discipline wrestles with complex issues of information collection, classification, and presentation to patients and working clinical personnel. Anthropologists are well-suited as collaborators in this work. Topics of collaborative work include the construction of health and illness, patient-focused research, the organization and delivery of health-care services, the design and implementation of electronic health records, and ethics, power, and surveillance. The application of technology to social roles, practices, and power relations that is inherent in health informatics provides a rich source of empirical data to advance anthropological theory and methods.

scholarly journals Can Health Care Services Attract Retirees And Contribute to the Economic Sustainability of Rural Places?

2007 ◽  
Vol 36 (1) ◽  
pp. 95-106 ◽  
Author(s):  
James F. Oehmke ◽  
Satoshi Tsukamoto ◽  
Lori A. Post
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Health Care Services ◽  
Health Care Industry ◽  
Economic Sustainability ◽  
Care Services ◽  
Care Workers ◽  
Aging Populations ◽  
Rural Places ◽  
Positive Effect

The search for engines to power rural economic growth has gone beyond the traditional boundaries of the food and fiber sector to industries such as tourism and to schemes such as attracting metropolitan workers to commuter communities with rural amenities. A group that has been somewhat overlooked is retirees, who may wish to trade in urban or suburban lifestyles for a more peaceful rural retirement. An industry that has been neglected is the health care industry, which is the most rapidly growing industry nationally and of particular interest to retirees and aging populations. This paper examines the importance of rural health care services in attracting migrants age 65+ to rural counties in Michigan. Results indicate that the number of health care workers has a positive effect on net in-migration, and that this effect is large and statistically significant for the 70+ age group. Implications for rural development strategies are discussed.

scholarly journals An Empirical Study of Service Delivery within the Provincial Hospital of Kwa-Zulu Natal South Africa-A case Study

2013 ◽  
Vol 5 (7) ◽  
pp. 439-448
Author(s):  
A. Deen
Keyword(s):  
South Africa ◽  
Service Delivery ◽  
South African ◽  
Health Care Services ◽  
Management Practices ◽  
Structured Interview ◽  
Provincial Hospital ◽  
Care Services ◽  
Kwazulu Natal ◽  
Key Participants

Health care services are an essential component of South African government policy and this is regulated by the Health Act, Act 61 of 2003. The study explores the services offered by the Provincial Hospital KwaZulu Natal, South Africa in relation to service delivery and management practices. The key participants to the study are the patients and staff of the hospital. A structured questionnaire to the patients and departmental heads of the hospital was applied. A structured interview was conducted with strategic level management of the hospital. The results of the study were organized thematically and were triangulated between the results of the various data collecting instruments. A presentation of graphs and tables would be used to facilitate the results of the data. The paper provides sound conclusions and recommendations for efficient and effective management and service delivery within the provincial hospital and which are applicable to many of the provincial hospitals in the country.

scholarly journals Health care worker’s perception about the quality of health care at the outpatient department in Mwananyamala Hospital in Dar es Salaam, Tanzania

2015 ◽  
Vol 18 (1) ◽  
Author(s):  
Kudra Khamis ◽  
Bernard Njau
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Health Care Workers ◽  
Health Care Services ◽  
Intrinsic Factors ◽  
Staffing Levels ◽  
Care Services ◽  
Care Workers ◽  
Physical Infrastructure

Background: Quality of care is a complex issue influenced by many factors. It is fundamental in assessing health care delivery in health facilities in developing countries. Health care workers’ perceptions help policy makers and planners to identify bottlenecks in the system to improve utilisation and sustainability of health care services in the population. The objective of this study was to explore health care workers’ perception about the quality of health care delivered at the outpatient department in Mwananyamala Hospital in Dar es Salaam, Tanzania.  Methods: A cross-sectional qualitative study was conducted from April to May 2013.  Results: Health care workers’ mentioned extrinsic as well as intrinsic factors, which may influence the quality of health care services. Extrinsic factors included poor physical infrastructure, unavailability of medical equipment and/or essential drugs and poor staffing levels. Intrinsic factors mentioned were motivation for health care workers and workplace training opportunities.Conclusion: Multiple factors influencing perceived quality of health care Mwananyamala hospital have been identified to include physical infrastructure, availability of medical equipment and essential medicines, staffing levels, remuneration and promotion.

scholarly journals Primary health care psychiatry

2008 ◽  
Vol 14 (1) ◽  
pp. 1
Author(s):  
J L Roos
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Care Physicians ◽  
Health Care Services ◽  
Font Size ◽  
Intensive Training ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Care Workers

<div style="left: 73.788px; top: 351.428px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.886868);" data-canvas-width="406.22999999999996">Much needs to be done to improve psychiatric care in South</div><div style="left: 73.788px; top: 374.757px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.905417);" data-canvas-width="406.16999999999996">Africa. Resources need to be developed, particularly in rural</div><div style="left: 73.788px; top: 398.087px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.914111);" data-canvas-width="406.16999999999985">areas, and psychiatric services need to be better integrated</div><div style="left: 73.788px; top: 421.416px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.855137);" data-canvas-width="406.2899999999999">into primary health care services. This process will include the</div><div style="left: 73.788px; top: 444.746px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.905584);" data-canvas-width="406.24499999999995">intensive training of mental health care workers. If we look at the</div><div style="left: 73.788px; top: 468.075px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.893698);" data-canvas-width="406.27500000000015">training of primary care physicians, their rotation during the 2-year</div><div style="left: 73.788px; top: 491.405px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.9028);" data-canvas-width="406.21500000000003">internship falls short in psychiatry. It is not seen as a mainstream</div><div style="left: 73.788px; top: 514.734px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.886965);" data-canvas-width="406.21500000000015">rotation point like disciplines such as surgery or internal medicine.</div><div style="left: 73.788px; top: 538.064px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.921503);" data-canvas-width="406.26000000000005">This fact, as well as a more student-centred approach and</div><div style="left: 73.788px; top: 561.393px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.923528);" data-canvas-width="406.26">emphasis on self-learning in medical curricula, make the search</div><div style="left: 73.788px; top: 584.723px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.910728);" data-canvas-width="406.20000000000005">for an appropriate prescribed textbook in psychiatry an important</div><div style="left: 73.788px; top: 608.052px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.845747);" data-canvas-width="34.14000000000001">issue.</div>

scholarly journals Career commitment and career entrenchment among Primary Health Care workers

2022 ◽  
Vol 75 (1) ◽  
Author(s):  
Luciano Garcia Lourenção ◽  
Jacqueline Flores de Oliveira ◽  
Francisco Rosemiro Guimarães Ximenes Neto ◽  
Carlos Leonardo Figueiredo Cunha ◽  
Sandra Verónica Valenzuela-Suazo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Health Care Services ◽  
Career Commitment ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Primary Health ◽  
Care Workers

ABSTRACT Objective: Assess levels of career commitment and career entrenchment among Primary Health Care workers. Methods: This Cross-sectional study addressed 393 workers using the Brazilian versions of the Career Commitment Measure (CCM) and Career Entrenchment Measure (CEM). Results: Levels of Career commitment [75.5-77.5] were higher (p<0.001) than Career Entrenchment [66.7-69.2]. Identity levels [82.7-85.5] were higher (p<0.001) than Investment levels [60.4-65.0]. Career resilience levels [75.1-79.2] were higher (p<0.001) than Emotional costs [69.0-72.1]. Planning levels [64.2-67.1] were lower (p<0.001) than levels of limitedness of career alternatives [68.1-71.0]. Conclusion: The highest scores were obtained in Career commitment, showing the workers’ identification and positive relationship with their careers, that is, these workers remain in Primary Health Care services because they identify themselves with their professions.

scholarly journals Health status of female Moldovan immigrants to Italy by health literacy level and age group: a descriptive study

2020 ◽  
Author(s):  
Alessandra Buja ◽  
Francesca Alice Vianello ◽  
Federica Zaccagnini ◽  
Carlo Pinato ◽  
Pietro Maculan
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Literacy ◽  
Health Services ◽  
Health Care Services ◽  
Care Services ◽  
Health Literacy Level ◽  
Care Workers ◽  
Access To Health ◽  
Literacy Level

Abstract Background: Migration flows from Eastern Europe to Italy have been large and continue to grow. The purpose of this study was to examine the health status of a population of Moldovan immigrant women, and their access to health care services in northern Italy, by age group and health literacy level. Methods: We administered an ad-hoc questionnaire to adult Moldovan women to assess their lifestyles, self-reported health status (symptoms and diseases), access to health services, and health literacy. Then, using descriptive statistics, we compared our data with findings for a sample of Italian women of the same age living in the north-east of the country. Results: Our sample included 170 Moldovan women (aged 46.5 ± 12.3) in five occupational categories: home care workers (28.2%); cleaners (27.1%); health care workers (5.9%); other occupations (28.8%); and unemployed (10%). Active smokers were twice as prevalent among the women with a low health literacy. Health literacy level also determined access to healthcare services: women with a higher health literacy tended to use scheduled health services and screening programs, while those with a lower health literacy relied more on emergency health services. For all age groups, the Moldovan sample reported a higher prevalence of allergies, lumbar disorders and depression than the Italian controls. Conclusions: The reported prevalence of some diseases was higher among Moldovan immigrant women than among Italian resident women. Health literacy was associated with the immigrant women’s lifestyle and the use of health care services, as previously seen for the autochthonous population.

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