scholarly journals Epidemiology of group A streptococcus in Australia

2009 ◽  
Vol 30 (5) ◽  
pp. 171
Author(s):  
Johnathan R Carpetis

The Australian population experiences the extremes of group A streptococcal (GAS) disease. The majority of our population lives an affluent, middle class existence and experiences the same types and rates of GAS disease as are found in most industrialised countries. By contrast, the Aboriginal and Torres Strait Islander populations, particularly those living in remote and rural settings, experience a developing-country profile of GAS disease, which is almost entirely attributable to poverty, particularly as it is manifest by overcrowded housing, poor environmental health and reduced access to health care.

2015 ◽  
Vol 39 (1) ◽  
pp. 26 ◽  
Author(s):  
Sarah Dennis ◽  
Iqbal Hasan ◽  
Lisa Jackson Pulver ◽  
Ian Wilson ◽  
Nicholas Zwar

Objective A mixed methods study was conducted to determine the views of Aboriginal people on their experiences of a brokerage model for access to community-based health services in an urban setting. Methods A broad range of approaches, using surveys, semi-structured interviews and community forums with Aboriginal people were used to find out people’s views and experiences of using the brokerage service. Results Of the 1304 people invited to participate, only 127 people provided feedback on the brokerage service model for Aboriginal people. Of these, 120 people identified as being Aboriginal. Participants said that the service helped them to navigate the system and access health care. Participants felt that the health professionals involved with the service were respectful of their needs. The service was not able to improve access to dental care. Conclusions The brokerage model implemented in this area appears to have been well received and is supporting urban Aboriginal people to access some of the health care needed. What is known about the topic? Aboriginal and Torres Strait Islander people often experience difficulty accessing health services. Urban brokerage models of care were funded by the Office for Aboriginal and Torres Strait Islander Health (OATSIH) under the Improving Indigenous Access to Health Care Services initiative and aimed to increase access to mainstream health services. What does this paper add? The brokerage model of care in South West Sydney has been well-received by the Aboriginal people receiving the service and participants are positive about the role of the service in increasing access to mainstream health care. What are the implications for practitioners? Navigating the healthcare system is difficult for some and a brokerage service with supportive Aboriginal health workers increases access.


2021 ◽  
Vol 14 (1) ◽  
pp. 336-344
Author(s):  
Rachel Chinyakata ◽  
Nicolette V. Roman ◽  
Fikile B. Msiza

Background: Despite efforts to achieve universal access to health care by various stakeholders globally, most developing countries continue to face serious health delivery challenges, especially in rural areas. Introduction: These inhibit individuals and communities’ ability to obtain health care services when needed and the freedom to use health care. Although issues of access to health care have been widely researched in South Africa, a detailed account on access to health care in particular communities is necessary for developing interventions that are tailored to the specific needs of that community. Understanding the accounts of stakeholders to the perceived barriers to access to health care services can help comprehend the issues that hinder people from accessing health care. Therefore, this study explored the stakeholders’ perspectives on the barriers to accessing health care services in rural settings in South Africa. Methods: A qualitative approach was used to guide the collection and analysis of the data. Data were collected from a sample of stakeholders selected from three rural areas in South Africa and analysed through thematic analysis. According to the stakeholders interviewed, there are some barriers that exist in the community that impede access to health. Reusults: These are limited or lack of health care facilities and personnel, shortages of medicine, distrust in the health care providers, opening hours of health care facilities and financial constraints, which resulted in the perceived poor health status of the people in those rural areas. Conclusion: This study calls for multifaceted health care reforms and strategies to address infrastructure deficiencies, human resources and medicine shortages to ensure equitable provision of high-quality public services. These strategies or measures must be tailored to the specific needs of rural communities.


Author(s):  
Pauline A. Mashima

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.


Sign in / Sign up

Export Citation Format

Share Document