scholarly journals Simplifying HCV treatment: a pathway to elimination and model for delivering health care to vulnerable populations

Author(s):  
Marina B Klein
2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F R Rab ◽  
S S Stranges ◽  
A D Thind ◽  
S S Sohani

Abstract Background Over 34 million people in Afghanistan have suffered from death and devastation for the last four decades as a result of conflict. Women and children have borne the brunt of this devastation. Afghanistan has some of the poorest health indicators in the world for women and children. In the midst of armed conflict, providing essential healthcare in remote regions in the throws of conflict remains a challenge, which is being addressed the Mobile Health Teams through Afghan Red Crescent (ARCS). To overcome socio-cultural barriers, ARCS MHTs have used local knowledge to hire female staff as part of the MHTs along with their male relatives as part of MHT staff. The present study was conducted to explore the impact of engaging female health workers as part of MHTs in conflict zones within Afghanistan on access, availability and utilization of maternal and child health care. Methods Quantitative descriptive and time-trend analysis were used to evaluate impact of introduction of female health workers. Qualitative data is being analyzed to assess the possibilities and implications of engaging female health workers in the delivery of health services. Results Preliminary results show a 96% increase in uptake of services for expectant mothers over the last four years. Average of 18 thousand services provided each month by MHTs, 70% for women and children. Service delivery for women and children significantly increased over time (p < 0.05) after inclusion of female health workers in MHTs. Delivery of maternity care services showed a more significant increase (p < 0.001). Time trend and qualitative analyses is ongoing. Conclusions Introduction of female health workers significantly improved uptake of health care services for women and children especially in extremely isolated areas controlled by armed groups in Afghanistan. Engaging with local stakeholders is essential for delivery of health services for vulnerable populations in fragile settings like Afghanistan. Key messages Understanding cultural norms results in socially acceptable solutions to barriers in delivery of healthcare services and leads to improvements in access for women and children in fragile settings. Building local partnerships and capacities and using local resources result in safe, efficient and sustainable delivery of healthcare services for vulnerable populations in fragile settings.


2009 ◽  
Vol 33 (1) ◽  
pp. 100 ◽  
Author(s):  
Loren Brener ◽  
Carla J Treloar

To assess whether HCV-positive clients perceive that alcohol and other drug (AOD) staff discriminate against them, this study compared the treatment experiences of 120 HCV-positive clients with those of 120 HCV-negative clients attending the same AOD treatment facility. Despite the overall findings of favourable attitudes of HCV-positive clients toward their health care workers, these attitudes were less positive than those of their HCV-negative counterparts. Clients with HCV also rated their interpersonal treatment by their health care workers less favourably. These findings suggest that HCV-positive clients? attitudes towards their health care workers and their experiences of differential treatment by these health care workers might be a barrier to HCV treatment uptake in AOD treatment facilities.


2012 ◽  
pp. 1277-1294
Author(s):  
Mary S. Jackson ◽  
Heather M. Jackson

Technology plays a very important role in the world. Therefore if some individuals or groups have no access or very limited access to technological advances, these advances have little or no value to them. In American society, which by its standards is considered a technological leader, there are some vulnerable populations which are underserved in critical areas such as health care and education. America’s proficiency at highly technological advances does not serve to elevate the quality of life nor eliminate social injustices for these vulnerable populations. This chapter examines one of America’s most vulnerable groups, African American children. Its intent is to remind readers of the importance of working toward continued efforts to ensure that children are not forgotten or lost in the ever-expanding global awareness of technological advances. The focus on health care and education is to provide a cursory view of the past, awaken a consideration for the present, and solicit anticipation of the future for these African American children if they continue to be the underserved population in American society.


Author(s):  
Mary S. Jackson ◽  
Heather M. Jackson

Technology plays a very important role in the world. Therefore if some individuals or groups have no access or very limited access to technological advances, these advances have little or no value to them. In American society, which by its standards is considered a technological leader, there are some vulnerable populations which are underserved in critical areas such as health care and education. America’s proficiency at highly technological advances does not serve to elevate the quality of life nor eliminate social injustices for these vulnerable populations. This chapter examines one of America’s most vulnerable groups, African American children. Its intent is to remind readers of the importance of working toward continued efforts to ensure that children are not forgotten or lost in the ever-expanding global awareness of technological advances. The focus on health care and education is to provide a cursory view of the past, awaken a consideration for the present, and solicit anticipation of the future for these African American children if they continue to be the underserved population in American society.


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