scholarly journals Early presentation of symptomatic individuals is critical in controlling sexually transmissible infections

Sexual Health ◽  
2015 ◽  
Vol 12 (3) ◽  
pp. 181 ◽  
Author(s):  
Christopher K. Fairley ◽  
Eric P. F. Chow ◽  
Jane S. Hocking
Keyword(s):  
Access To Health Care ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Health Seeking ◽  
Australian Population ◽  
Sexual Risks ◽  
Early Presentation ◽  
Access To Health ◽  
Sexually Transmissible Infections ◽  
General Australian Population

Two papers in this issue by Williams et al. and Scott et al. describe the sexual risks and health-seeking behaviour of young Indigenous Australians. Their sexual risks and health-seeking behaviours are similar to the general Australian population, yet their risk of past sexually transmissible infections (STIs) is higher. These findings are consistent with previous findings and suggest that access to health care, and not sexual risk, remain critical to STI control in remote Indigenous communities.

scholarly journals Antenatal and Postnatal Care Practices among Indigenous People in Bangladesh: A Case Study in Dinajpur

2020 ◽  
pp. 38-56
Author(s):  
Sumaia Aktar ◽  
U. K. Majumder ◽  
Md. Salauddin Khan
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Health Center ◽  
Indigenous People ◽  
Postnatal Care ◽  
Access To Health Care ◽  
Care Service ◽  
Indigenous Communities ◽  
Access To Health ◽  
Antenatal And Postnatal Care

Antenatal (ANC) and postnatal care (PNC) contact have long been considered a critical component of the continuum of care for a pregnant mother along with the newborn child. The study aims to determine the influential factors related to the practice of antenatal and postnatal care amongst indigenous mothers of newborns and identifier associated with the ANC and PNC contacts for women in indigenous communities. This study was carried out purposefully selected six upazilas of Dinajpur district where most of the indigenous people live and respondents were 223 married women having at least one under-five children. Results found that the respondents had very poor knowledge about their maternal status and literacy. During the pregnancy period, 39.5% and 6.7% mothers had one and two-time miscarriage respectively. Only 43.9% indigenous pregnant mothers appointed to the health center during pregnancy, 27.8% appointed within three months, 13% went at the last stages of pregnancy and 10.3% felt no need to go there. In 69.1% cases delivery occurred at home by inexpert birth attendance. About 10.3% of deliveries, the placenta was removed manually during delivery. About 33% mothers and their husbands (34%) were found illiterate. The likelihood of mothers who received either antenatal care or postnatal care depended on husband’s education level. It was significantly lower for illiterate (OR=0. 247, 95% CI = 0.063-0.969) husband’s compared to a secondary and above level of educated husbands. Distant health service center (More than 2 km from home) was the lower chances (OR=0. 384, 95% CI = 0.152-0.970) for mothers being access to health care service centers compared to low distant centers (≤ 2 km from home). Also, the age of the mother (30+) was another factor that influenced the mothers for taking the service from hospitals or health centers during pregnancy. This study concludes that about one-third of the respondents of the community has access to health care services, which can be one of the most important factors in their poor health. Counseling and proper education can influence people to take antenatal care and visits to the health center to take postnatal care service further.

scholarly journals Epidemiology of group A streptococcus in Australia

2009 ◽  
Vol 30 (5) ◽  
pp. 171
Author(s):  
Johnathan R Carpetis
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Torres Strait Islander ◽  
Group A Streptococcus ◽  
Australian Population ◽  
Access To Health ◽  
Rural Settings ◽  
Group A ◽  
Torres Strait ◽  
Industrialised Countries

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.

scholarly journals Clinical and radiological presentation in patients with conserved blunt liver and splenic injuries at a tertiary care center in western India

2019 ◽  
Vol 6 (6) ◽  
pp. 1991
Author(s):  
Prashant Meshram
Keyword(s):  
Blood Transfusion ◽  
Access To Health Care ◽  
Care Center ◽  
Tertiary Care ◽  
Western India ◽  
High Grade ◽  
Tertiary Care Center ◽  
Early Presentation ◽  
Young Males ◽  
Access To Health

Background: There has been an increase in abdominal injuries following industrialisation and urbanisation. The mortality due to these injuries however has shown a declining trend worldwide. This is most probably due to early presentation, better access to health care and improved monitoring and treatment modalities.Methods: 51 patients of conserved blunt liver and/or splenic injuries admitted in the trauma ICU of a tertiary care center were studied over a year for demographics, mode of injuries, pre- hospital delay, clinical and radiological presentation.Results: Majority of the patients were males in the age group of 16-30 years. Vehicular accidents were the commonest mode of injuries. Liver was commonly injured. Both liver and spleen were injured in only 3 patients. 20 out of the injured 51 patients received blood transfusion and majority of them had high grade injuries. The severity of injuries was graded with both USG abdomen and CT scan of the abdomen. There was not much difference in grading of liver and splenic injuries by Ultrasound and CT scan.Conclusions: Blunt liver and splenic injuries were commonly seen in young males. Blood transfusion was required in patients with high grade injuries. USG abdomen can be safely used to grade injuries without much discrepancy when compared to CT abdomen.

It's not as Easy as just Walking in the Door': Interpretations of Indigenous People's Access to Health Care

1998 ◽  
Vol 4 (1) ◽  
pp. 66 ◽  
Author(s):  
David Paul
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Health Care Services ◽  
Royal Commission ◽  
Indigenous Australians ◽  
Care Providers ◽  
Health Seeking ◽  
Care Services ◽  
Key Issues

Discussion about the on-going poor health status of Aboriginal and Torres Strait Island peoples in Australia needs to be better informed about both history, and the nature of health determining factors. Access is only one of many factors of importance in health seeking behaviour. This paper explores how the cultural appropriateness of health care services is a determinant of whether they are accessed or not. Contemporary attitudes, and their historical roots, are key issues which need to be addressed by health care providers and services. The onus is on health care providers to be informed and to act appropriately in all their interactions with health care consumers. The Royal Commission into Aboriginal Deaths in Custody provides some useful suggestions for improving the quality of health care services for Indigenous Australians.

An analysis of reporting of sexually transmissible infections in indigenous Australians in mainstream Australian newspapers

Sexual Health ◽  
2007 ◽  
Vol 4 (1) ◽  
pp. 9 ◽  
Author(s):  
Sandra C. Thompson ◽  
Stephanie K. Green ◽  
E. Jessamy Stirling ◽  
Ross James
Keyword(s):  
Effective Action ◽  
Media Coverage ◽  
Print Media ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Journalism Education ◽  
Sexually Transmissible Infections ◽  
Control And Prevention ◽  
The Subject ◽  
The Voice

Background: To investigate the nature of, and trends in, Australian print media coverage of sexually transmissible infections (STI) in indigenous Australians. Methods: Newspaper articles from January 1986 to June 2004 were downloaded from the Factiva database. Of 164 articles examined based on our search criteria, 100 were included for analysis. An assessment of the tone and content of each article was made by two reviewers, and data were entered and analysed using EpiInfo (Centers for Disease Control and Prevention, Atlanta, GA) Results: Most articles were serious (89%), matter of fact and information dense (50%) and critical of the subject of the article (44%). Of the articles that were emotive, 78% evoked a sense of shock or frustration. The stimulus for the article was government related in 65%; a purely academic opinion was presented in 82%; and only one viewpoint was presented in 73%. The papers publishing the greatest number of articles were The Sydney Morning Herald (31%) and The Age (18%). From 1996 there was an increase in the number of articles and improvements in the voice given to indigenous informants. This may reflect initiatives in journalism education and release of a protocol on how STI in indigenous communities should be reported. Conclusion: Overall, the style of reporting was heavy, dry and critical, written in an academic style and failed to critically examine or challenge government initiatives. The potential for print media to educate the general public is poorly utilised. Further exploration of how sensitive indigenous issues can be presented to avoid stereotyping, stigma and nihilism, while initiating more effective action, is needed.

scholarly journals The Well Person's Health Check: a population screening program in indigenous communities in north Queensland

2002 ◽  
Vol 25 (6) ◽  
pp. 136 ◽  
Author(s):  
Geoffrey Miller ◽  
Robyn McDermott ◽  
Brad McCulloch ◽  
Dympna Leonard ◽  
Kerry Arabena ◽  
...  
Keyword(s):  
Screening Program ◽  
Large Population ◽  
Indigenous Communities ◽  
Health Check ◽  
Indigenous Australians ◽  
Remote Communities ◽  
Community Based ◽  
Health Strategy ◽  
Sexually Transmissible Infections ◽  
High Prevalence

The National Indigenous Australians Sexual Health Strategy 1996-97 to 1998-99 provided the impetus and resources to assess the health of the large population of Aboriginal and Torres Strait Islander people living in rural and remote communities in northern Queensland, Australia. This paper describes the development, implementation and results of a community based screening program designed to detect and treat sexually transmissible infections and a range of non-communicable conditions and attendant risk factors. The Well Person's Health Check, conducted between March 1998 and December 2000,demonstrated a high prevalence of largely preventable health problems and initiated the development of a sustainable early detection strategy for the region.

Transgender HIV and sexually transmissible infections

Sexual Health ◽  
2017 ◽  
Vol 14 (5) ◽  
pp. 451 ◽  
Author(s):  
Anna McNulty ◽  
Chris Bourne
Keyword(s):  
Access To Health Care ◽  
Mental Health Problems ◽  
Transgender Women ◽  
Social Recognition ◽  
Access To Health ◽  
Sexually Transmissible Infections ◽  
High Prevalence ◽  
Different Populations ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Transgender women across a range of different populations and settings have a high prevalence of HIV infection. There are fewer and often poorer quality studies of sexually transmissible infection (STI) prevalence. There are fewer studies in transgender men and, in general, the prevalence of HIV and STIs is lower than that of transgender women. Susceptibility to HIV and STI infection is inextricably linked to the increased vulnerability of transgender populations, a consequence of a lack of legal and social recognition that results in reduced access to educational and employment opportunities, which can result in high rates of transactional sex. Other measures of disadvantage, such as substance abuse and mental health problems, also increase the risk of HIV and STIs and have an effect on access to health care, highlighting the need for transgender-friendly multidisciplinary services offering individualised risk assessment, prevention advice and testing for STI and HIV.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

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.

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

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