Strengthening interdisciplinary communications to meet the needs of primary and district health workers in developing countries

2008 ◽  
Author(s):  
N. Pakenham-Walsh ◽  
P.J.G. Lisboa
Keyword(s):  
Developing Countries ◽  
Health Workers ◽  
District Health

scholarly journals Health Workers’ Perspectives on Infrastructure to Support Maternal Health Services in Rural Areas of Vietnam

2017 ◽  
Vol 12 (2) ◽  
pp. 55-61
Author(s):  
Thi Hoai Thu Nguyen ◽  
Fiona McDonald ◽  
Andrew Wilson
Keyword(s):  
Primary Care ◽  
Developing Countries ◽  
Maternal Health ◽  
Health Services ◽  
Rural Areas ◽  
Health Workers ◽  
Maternal Health Services ◽  
District Health ◽  
Health Centres ◽  
The Impact

Background: One common governance issue faced by developing countries is the establishment and maintenance of infrastructure to support the delivery of primary health services. This qualitative study explores the perspective of maternal health workers on how infrastructure impacts the provision of maternity services in rural areas in Vietnam. Methods: Forty-one health workers and health managers at the commune, district and provincial levels of the Vietnamese public health system were interviewed. Questions focused on the impact of various organisational factors, including the impact of infrastructure on the performance of the health workforce, which provides publicly funded primary care. All interviews were recorded, transcribed and coded for thematic analysis. Findings: Participants noted that infrastructure directly affected their ability to perform certain tasks and could both directly and indirectly negatively impact their motivation. In general, participants noted a lack of investment in infrastructure for the provision of primary care services in rural areas. They identified that there were deficits in the availability of utilities and the adequacy of facilities. Conclusion: This research contributes to understanding the barriers to the provision of primary care in developing countries and in particular. The current inadequacy of facility buildings and inadequacy of clean water supply are issues for health workers in meeting the technical requirements of the standards as set out in the National Guidelines on reproductive health, and lead to safety concerns for the quality of maternal health services provided in commune health centres and District Health Centres. Abbreviations: CHC – Commune Health Centres; DHC – District Health Centre; HW – Health Worker.

An Intelligent Computer-Assisted Instruction System Designed for Rural Health Workers in Developing Countries

1992 ◽  
Vol 31 (03) ◽  
pp. 193-203 ◽  
Author(s):  
B. Auvert ◽  
V. Gilbos ◽  
F. Andrianiriana ◽  
W. E. Bertrand ◽  
X. Emmanuelli ◽  
...  
Keyword(s):  
Developing Countries ◽  
Decision Support ◽  
Rural Health ◽  
Health Workers ◽  
Computer Assisted Instruction ◽  
Computer Assisted ◽  
Instruction System ◽  
Knowledge Based ◽  
Assisted Instruction ◽  
Intelligent Computer

Abstract:This paper describes an intelligent computer-assisted instruction system that was designed for rural health workers in developing countries. This system, called Consult-EAO, includes an expert module and a coaching module. The expert module, which is derived from the knowledge-based decision support system Tropicaid, covers most of medical practice in developing countries. It allows for the creation of outpatient simulations without the help of a teacher. The student may practice his knowledge by solving problems with these simulations. The system gives some initial facts and controls the simulation during the session by guiding the student toward the most efficient decisions. All student answers are analyzed and, if necessary, criticized. The messages are adapted to the situation due to the pedagogical rules of the coaching module. This system runs on PC-compatible computer.

scholarly journals Factors influencing the migration intention of dental and medical graduates in developing countries

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Hajian ◽  
M H Khoshnevisan ◽  
S h Yazdani ◽  
M P Jadidfard
Keyword(s):  
Developing Countries ◽  
Developing Country ◽  
English Language ◽  
Health Workers ◽  
Service Planning ◽  
Primary Data ◽  
Pull Factors ◽  
Factors Influencing ◽  
Migration Decisions ◽  
Push And Pull

Abstract Background Migration of skilled health workers could result in shortage of human resources and rising inequalities in service provision in source countries. To date, most of relevant papers are focused on rate and reasons of migration while the need for conducting studies on modelling of factors is more vividly felt. The aim of this review was to determine the factors influencing the migration decisions of medical and dental graduates migrating from developing countries and to introduce a practical conceptual framework for health worker migration. Methods Electronic databases PubMed, Google Scholar and relevant Journals were systematically searched for English language publications from January 2009 to April 2019. The inclusion criteria were: 1) article stated factors affecting migration decisions of medical doctors and/or dentists, 2) the source country in the study was a developing country, 3) participants’ primary qualification country was in a developing country,4) the study used primary data both qualitative or quantitative. Results The search identified 814 articles from which we included 23 full-text studies after applying eligibility checklist. Push and pull theory was the most popular model to describe the migration driving factors. Poor socio-economic situation, political instability, lack of professional and educational opportunities together with family concerns found as strong common push factors that perpetuate migration. The most influencing pull factors were desire for better quality of life, career and training opportunities and financial gain. Conclusions Despite the fact that health workers migrate for different reasons, they follow a same route for decision to stay or leave their own countries. Un-fulfillment of expectations in mother land in addition to media reconstructed reality of life in foreign land can develop a positive attitude for migration Which should be considered before weighing up the push and pull factors of both sides. Key messages A better understanding of the migration motives of health professionals will help health authorities to improve their workforce recruitment and retention strategies and health service planning. Our simple yet comprehensive framework can mainly identify the development of migration desire through combining different models and concepts of migration, behavioral change, values, needs and so on.

Global Shortage of Health Workers, Brain Drain Stress Developing Countries

JAMA ◽  
2007 ◽  
Vol 298 (16) ◽  
pp. 1853 ◽  
Author(s):  
Bridget M. Kuehn
Keyword(s):  
Developing Countries ◽  
Brain Drain ◽  
Health Workers

Childhood Mental Disorders in Primary Health Care: Results of Observations in Four Developing Countries

PEDIATRICS ◽  
1981 ◽  
Vol 68 (5) ◽  
pp. 677-683
Author(s):  
R. Giel ◽  
M. V. de Arango ◽  
C. E. Climent ◽  
T. W. Harding ◽  
H. H. A. Ibrahim ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Health Workers ◽  
Health Care Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Research Procedure ◽  
Primary Health Care Facilities

To ascertain the frequency of mental disorders in Sudan, Philippines, India, and Colombia, 925 children attending primary health care facilities were studied. Rates of between 12% and 29% were found in the four study areas. The range of mental disorders diagnosed was similar to that encountered in industrialized countries. The research procedure involved a two-stage screening in which a ten-item "reporting questionnaire" constituted the first stage. The study has shown that mental disorders are common among children attending primary health care facilities in four developing countries and that accompanying adults (usually the mothers) readily recognize and report common psychologic and behavioral symptoms when these are solicited by means of a simple set of questions. Despite this, the primary health workers themselves recognized only between 10% and 22% of the cases of mental disorder. The results have been used to design appropriate brief training courses in childhood mental disorders for primary health workers in the countries participating in the study.

CURRENT STATUS OF PHYSICAL ACTIVITY AND SOME FACTORS RELATED TO ENOUGH PHYSICAL ACTIVITY IN DIABETES AT LONG HO DISTRICT HEALTH CENTER, VINH LONG PROVINCE IN 2021

2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Luu Thi Phuong Thao ◽  
Nguyen Thi Dao
Keyword(s):  
Physical Activity ◽  
Health Center ◽  
Local Governments ◽  
Health Workers ◽  
Current Status ◽  
Multivariable Logistic Regression Analysis ◽  
Diabetic Patients ◽  
Average Intensity ◽  
District Health ◽  
Cross Sectional

Objectives: To determine the rate of physical activity and some associated factors between adequate physical activity and understanding, barriers, and support from family and friends in diabetic patients at the Long Ho district Health Center in Vinh Long province in 2021. Subjects and research methods: A cross-sectional descriptive study with analysis. The toolkit is based on the GPAQ (Global Physical Activity Questionnaire) questionnaire and related research [9]. Results and discussions: Patients with incorrect knowledge about diabetes accounted for 53%, with sufficient physical activity 43.6%. The results of multivariable logistic regression analysis showed that there were relationship between sufficient physical activity and age (p<0.05), barriers including exercise taking a long time, remote locations, and a lack of facilities (p<0.05) and the patient was still confident in futures activities even when the weather was bad (OR = 0.486, p<0.05). The family and friends had not supported (OR= 0.317, p<0.05). Conclusions and recommendations: Patients need to sufficient physical activity as recommended with an average intensity of 150 minutes/week. It is necessary to update the knowledge of diabetes as well as the knowledge of sufficient physical activity from health workers, family and friends. Local governments should construct cultural houses and playgrounds to make it easier for patients to participate in activities.

scholarly journals A job analysis of selected health workers in a district health system in KwaZulu Natal - Part two: Job analysis of nurses in primary health care settings

Curationis ◽  
2003 ◽  
Vol 26 (3) ◽  
Author(s):  
S Mbambo
Keyword(s):  
Health System ◽  
Current Practice ◽  
Health Workers ◽  
Job Analysis ◽  
District Health ◽  
District Health System ◽  
Primary Health ◽  
Kwazulu Natal ◽  
Descriptive Survey ◽  
Primary Health Care Settings

The aim of this descriptive survey was to do a job analysis of different categories of nurses in a District Health System in order to clarify job expectations, describe current practice of nurses in hospitals and clinics and to make recommendations about skills mix in district services. This article deals with the clinics only.

scholarly journals A job analysis of selected health workers in a district health system in KwaZulu Natal - Part one: Job analysis of nurses in hospital settings

Curationis ◽  
2003 ◽  
Vol 26 (3) ◽  
Author(s):  
L.R. Uys
Keyword(s):  
Health System ◽  
Current Practice ◽  
Health Workers ◽  
Job Analysis ◽  
District Health ◽  
District Health System ◽  
Job Expectations ◽  
Kwazulu Natal ◽  
Descriptive Survey

The aim of this descriptive survey was to do a job analysis of different categories of nurses in a District Health System in order to clarify job expectations, describe current practice of nurses in hospitals and clinics and to make recommendations about skills mix in district services.

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