Questioning the Solution. The Politics of Primary Health Care and Child Survival with an In-depth Critique of Oral Rehydration Therapy. By David Werner & David Sanders. (HealthWrights, Palo Alto, USA, 1997.) US$18, paperback; US$30, hardback.

1999 ◽  
Vol 31 (3) ◽  
pp. 425-432
Author(s):  
MICHAEL HERMANUSSEN
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Child Survival ◽  
Oral Rehydration Therapy ◽  
Palo Alto ◽  
Oral Rehydration ◽  
Primary Health

scholarly journals Primary Health Care by Vhembe women in the Limpopo province of South Africa: Knowledge and Practice

2014 ◽  
Vol 5 (2) ◽  
pp. 89-101
Author(s):  
Kyei KA ◽  
Spio K .
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Limpopo Province ◽  
Childhood Mortality ◽  
Sample Survey ◽  
Oral Rehydration ◽  
Risk Of Death ◽  
Primary Health ◽  
Women And Children

Child mortality has increased in South Africa since 1990, despite a national policy of free primary healthcare for pregnant women and children under the age of five years. A significant number of women and children die during childbirth and 40% of stillbirths happen during labour. Lack of sufficient knowledge about primary health care (PHC) is costing South Africa greatly because many of the deaths of mothers, babies and young children could be avoided. Teenagers conceal pregnancy and that adds to higher risk of death among themselves and their unborn babies. Almost a half of all new-born babies die during the first 24 hours of birth, and 75% die in their first week of life. This study looks at primary health care by women in Vhembe by identifying knowledge and skills they possess to deal with health care issues. A 3-stage sample survey was conducted covering all the municipalities in the district. About 2660 women aged between 13 and 50 years were interviewed using structured questionnaire. Applying various statistical methods including logistic and regression modelling, this study shows that majority of the respondents know about PHC and that age and education of women are important factors affecting child’s health and survival in the Vhembe district. If Limpopo wants to reduce childhood mortality, this study recommends that efforts be made to educate women, especially teenagers about primary health care, immunization, oral rehydration therapy and attendance at clinics for pre-natal medical check-ups during pregnancy.

scholarly journals Knowledge in Tracking Danger Signs in Newborns and their Referrals by ASHA in Uttar Pradesh, India

2019 ◽  
Vol 10 (12) ◽  
pp. 20762-20765
Author(s):  
Dr. Tridibesh Tripathy
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Child Survival ◽  
Uttar Pradesh ◽  
Structured Interview ◽  
Interview Schedule ◽  
Danger Signs ◽  
Primary Health ◽  
Depth Interviews

When ASHAs were introduced in NRHM in 2005, their primary aim was to visit homes of newborns as the first program in UP operated through the ASHAs was the Comprehensive Child Survival Program in 2008. Since then, tracking of all deliveries and all the newborns are an integral part of the work of ASHAs in all the primary health care programs operated by the NHM in UP. The current study explores some of the crucial variables of the danger signs in newborns and their subsequent referrals by the ASHAs in four districts of UP. Through this profile, the knowledge of ASHAs on these danger signs and the action that they take after identification is detailed out.    The relevance of the study assumes significance as data on the details of targeted activities on high risk newborns done by ASHAs in comparison to their performance are usually not available in various studies. A total of four districts of Uttar Pradesh were selected purposively for the study and the data collection was conducted in the villages of the respective districts with the help of a pre-tested structured interview schedule with both close-ended and open-ended questions. In addition, in-depth interviews were also conducted amongst the ASHAs and a total 250 respondents had participated in the study.

Empowerment for Primary Health Care and Child Survival: Escalating Community Participation, Community Competence, and Self-Reliance in the Pacific

1988 ◽  
Vol 2 (2) ◽  
pp. 90-95 ◽  
Author(s):  
JS Raymond ◽  
W Patrick
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Participation ◽  
Child Survival ◽  
Community Empowerment ◽  
Paradigm Shifts ◽  
New Paradigm ◽  
Community Competence ◽  
Primary Health ◽  
The Pacific

Community participation is universally held to be central to the achievement of Health For All through Primary Health Care (PHC) and Child Survival (CS) strategies. Nevertheless, community participation remains a little understood and underachieved precept in public health. Some propositions and principles on the theory of community empowerment through escalating community participation in health are presented to help health planners, administrators and educators to implement PHC and CS programmes. The “expert driven” model of participation, employing persuasion, coercion, and incentives, is contrasted with a new paradigm of empowerment and community competence, the “community driven, ” expert guided model. A case study from Micronesia (Yap) is presented as one application of the community driven paradigm. Shifts in the ways experts think about communities are proposed. Implications are discussed for Primary Health Care and Child Survival as complementary strategies toward achieving Health For All.

Primary health care and child survival in India

2010 ◽  
Vol 77 (3) ◽  
pp. 283-290 ◽  
Author(s):  
Chandrakant Lahariya ◽  
Rajesh Khanna ◽  
Deoki Nandan
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Child Survival ◽  
Primary Health

scholarly journals Primary Heealth Care Development: Where is Nepal after 30 years of Alma Ata Declaration??

2010 ◽  
Vol 49 (178) ◽  
Author(s):  
R Karkee ◽  
N Jha
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Workers ◽  
Care Delivery ◽  
Policy Formulation ◽  
Community Empowerment ◽  
Oral Rehydration ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
Care Development

The year 2008 has witnessed the global conversation to return to tenets of Alma-Ata and to review its 30 years of journey. We reviewed Nepal's journey on Primary Health Care development: policy formulation, structure development, progress and constraints. Though Nepal has institutionalised the PHC approach in health policy, strategy and health care delivery system, this has not been effectively translated into actions, and the results are mixed. Nepal has gained impressive achievements in selective primary health care markers: 45.43% maternal mortality and 62.34% child mortality reduction during 1990-2005. But gain in comprehensive health care markers is not impressive: 18.7% Skilled Birth Attendant (4% in poorest quintile and 45% in richest quintile), 39% having access to improved sanitation and 55.7% of females are literate as compared to males. Socio-political environment until recently was not favourable for comprehensive primary health care, allowing limited health sector decentralisation and community empowerment. Health activities were focussed more on selective health care strategy in the form of disease control, immunisation, vitamin A supplementation, oral rehydration solution use and contraceptive use. Nepal's rural hilly geography posed great challenge on logistic supply, communication and retention of health workers rendering public health centres of low quality with negative perceptions of consumers. Nepal is on the pathway to build equitable comprehensive primary health care.

scholarly journals Some aspects of primary healthcare in a rural part of Zaire

Afrika Focus ◽  
1985 ◽  
Vol 1 (1-2) ◽  
Author(s):  
Antoon De Schryver
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Whooping Cough ◽  
Respiratory Infections ◽  
Health Problems ◽  
Positive Influence ◽  
Local Health ◽  
Oral Rehydration ◽  
Primary Health ◽  
Set Up

Primary health care during the period 1980-1982 in the sector of Kasongo-Lunda, Zaire is considered. Health infrastructure and main health problems are discussed. These problems were mainly diarrheas, respiratory infections, malaria, tuberculosis, whooping cough, measles, malnutrition and wormrelated diseases. A vaccination programme against diphteria, tetanus, whooping cough, poliomyelitis, measles and tuberculosis was set up and adapted to W.H.O. recommendations in 1981. The incidence of measles and whooping cough declined dramatically during the period 1978-1982. Diarrhea was treated with oral rehydration. About 16% of the children under five years of age suffered from malnutrition, mostly related to worm diseases ; therefore, a suppressive dose of antihelminthics was given every three months. These results show that local health centers, concerned with everyday health problems of the population, can have a strong positive influence upon the general health situation of a rural population. KEYWORDS : primary health care, expanded programme of immunisation, measles, whooping cough, diarrhea, tuberculosis, malnutrition, wormdiseases 

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