scholarly journals Child Feeding Practice and Primary Health Care as Major Correlates of Stunting and Underweight among 6- to 23-Month-Old Infants and Young Children in Food-Insecure Households in Ethiopia

2020 ◽  
Vol 4 (9) ◽  
Author(s):  
Zelalem Tafese ◽  
Fikadu Reta Alemayehu ◽  
Anchamo Anato ◽  
Yifru Berhan ◽  
Barbara J Stoecker
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Public Health Problem ◽  
Iodized Salt ◽  
Feeding Practice ◽  
Major Public Health Problem ◽  
Child Feeding ◽  
Cross Sectional ◽  
Child Undernutrition ◽  
Primary Health

ABSTRACT Background Child undernutrition is a major public health problem in Ethiopia. Stunting is highest in food-insecure areas and insufficient evidence may impair the design of suitable interventions. Objectives This study aimed to identify key factors contributing to undernutrition among 6- to 23-mo-old children. Methods A community-based cross-sectional study in food-insecure areas of Amhara and Oromia regions in April-June, 2018, enrolled 464 mother–child dyads. Bivariate and multivariate logistic regression analyses were conducted. Results The prevalence of stunting (43.1%), wasting (12.3%), and underweight (27.3%) were high. Factors significantly associated with both stunting and underweight were child age of 12–23 mo (vs 6–11 mo), female, more siblings, lack of zinc supplement for diarrhea, inadequate diet diversity, and lack of iodized salt in complementary food. Conclusions: Our findings support the need to emphasize appropriate child feeding practices and iodized salt utilization. Improvement of primary health care services related to micronutrient supplementation and family spacing also are important to address child undernutrition in the study area.

scholarly journals Clinical and epidemiological profile of hypertensive patients at the primary health care level in the state of Alagoas

2018 ◽  
Vol 50 (6) ◽  
pp. 349-357
Author(s):  
Raphaela Costa Ferreira ◽  
Bruna Merten Padilha ◽  
Yasmin Eugênia Santos e Silva Pedrosa ◽  
Rosielle Batista Ferreira ◽  
Poliana Coelho Cabral ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Public Health Problem ◽  
Population Based ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Study Objective ◽  
Hypertensive Patients ◽  
Primary Health ◽  
Epidemiological Profile

Study design: This was a cross-sectional, population-based and descriptive study. Study objective: To describe the clinical and epidemiological profile of hypertensive patients at the primary health care of Alagoas state. Methods: This study was carried out in the Basic Health Units of 12 cities of Alagoas, between 2014 and 2015, with hypertensive individuals between 20 and 60 years, of both gender. Socioeconomic, demographic, clinical, lifestyle, anthropometric and biochemical data were collected. Data were analyzed using descriptive statistics by Epi-Info version 7. Results: We evaluated 645 individuals. Of these, 86.2% were women, 62.3% had uncontrolled blood pressure, 41.9% had low educational level, 11.1% were smokers, 26.3% were alcohol users, 64.7% were sedentary, 48.4% were obese, 73.6% had high cardiovascular risk, according to waist circumference; 54.4% and 47.2% had elevated total cholesterol and triglycerides, respectively. Conclusion: Since hypertension is an important public health problem that has serious consequences, the knowledge of the hypertensive population profile of Alagoas will facilitate the treatment for the health of patients with this condition.

scholarly journals Parents’ Knowledge and Practice of Iron Therapy for Anemic Infants in Primary Health Care in Bahrain

2017 ◽  
Vol 9 (8) ◽  
pp. 99
Author(s):  
Ahmed Al-Jamri ◽  
Fatema Al-Awainati ◽  
Marwa Ali ◽  
Masooma Jaafar ◽  
Mustafa Hussain ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Iron Deficiency ◽  
Iron Deficiency Anemia ◽  
Public Health Problem ◽  
Deficiency Anemia ◽  
Cross Sectional ◽  
Primary Health ◽  
Knowledge And Practice ◽  
Prevalence Of Anemia

BACKGROUND: Anemia in children aged less than five years is a common medical problem worldwide. Iron deficiency anemia is the most prevalent anemia in infants and has been shown to be a public health problem. Many studies have been conducted on anemia among infants but the scope of the conducted studies was focused on the prevalence of anemia with less emphasis on the knowledge and parental practice of anemia and its treatment. Providing infants with iron supplements and simultaneously ensuring their compliance has shown an improvement in hemoglobin levels, along with a significant reduction in the prevalence of iron deficiency anemia (IDA).OBJECTIVE: To explore the level of parental knowledge and practice towards iron syrup.METHODS: A Cross- sectional study was carried out from 21st June to 2nd July, 2015 in ten Primary Health Care centers in Bahrain. During the study period, a phone survey was conducted using a self-constructed questionnaire. The response rate was 98%.RESULTS: In this study, the prevalence of anemia in infants is 45%. 58.4% of parents did not give the offered iron for their infants or stopped it within the first week of use. Overall, around 70% of parents correctly answered half or more of the knowledge questions regarding iron syrup side effects but only 32.5% of parents correctly answered half or more of the questions regarding IDA complications.CONCLUSION: Anemia is prevalent among 9 months old infants with considerable gaps in knowledge and practices of parents.

scholarly journals Convergent and discriminative validity of the Frail-VIG index with the EQ-5D-3L in people cared for in primary health care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan-José Zamora-Sánchez ◽  
Edurne Zabaleta-del-Olmo ◽  
Vicente Gea-Caballero ◽  
Iván Julián-Rochina ◽  
Gemma Pérez-Tortajada ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Convergent Validity ◽  
Frailty Index ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Programme ◽  
Discriminative Validity ◽  
Primary Health ◽  
Related Quality

Abstract Background The Frail-VIG frailty index has been developed recently. It is an instrument with a multidimensional approach and a pragmatic purpose that allows rapid and efficient assessment of the degree of frailty in the context of clinical practice. Our aim was to investigate the convergent and discriminative validity of the Frail-VIG frailty index with regard to EQ-5D-3L value. Methods We carried out a cross-sectional study in two Primary Health Care (PHC) centres of the Catalan Institute of Health (Institut Català de la Salut), Barcelona (Spain) from February 2017 to January 2019. Participants in the study were all people included under a home care programme during the study period. No exclusion criteria were applied. We used the EQ-5D-3L to measure Health-Related Quality of Life (HRQoL) and the Frail-VIG index to measure frailty. Trained PHC nurses administered both instruments during face-to-face assessments in a participant’s home during usual care. The relationships between both instruments were examined using Pearson’s correlation coefficient and multiple linear regression analyses. Results Four hundred and twelve participants were included in this study. Frail-VIG score and EQ-5D-3L value were negatively correlated (r = − 0.510; P < 0.001). Non-frail people reported a substantially better HRQoL than people with moderate and severe frailty. EQ-5D-3L value declined significantly as the Frail-VIG index score increased. Conclusions Frail-VIG index demonstrated a convergent validity with the EQ-5D-3L value. Its discriminative validity was optimal, as their scores showed an excellent capacity to differentiate between people with better and worse HRQoL. These findings provide additional pieces of evidence for construct validity of the Frail-VIG index.

scholarly journals Factors Related to Primary Health Care Provision: A Cross-Sectional Study in an Elderly Rural Population

2015 ◽  
Vol 38 (5) ◽  
pp. 343-356
Author(s):  
Ana Maseda ◽  
José Carlos Millán-Calenti ◽  
Julia Carpente ◽  
José Luis Rodríguez-Villamil ◽  
Carmen de Labra
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Population ◽  
Cross Sectional Study ◽  
Health Care Provision ◽  
Care Provision ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health

scholarly journals The situation of nursing education in Latin America and the Caribbean towards universal health

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Silvia Helena De Bortoli Cassiani ◽  
Lynda Law Wilson ◽  
Sabrina de Souza Elias Mikael ◽  
Laura Morán Peña ◽  
Rosa Amarilis Zarate Grajales ◽  
...  
Keyword(s):  
Health Care ◽  
Latin America ◽  
Primary Health Care ◽  
Nursing Education ◽  
Clinical Decision Making ◽  
Clinical Experiences ◽  
Cross Sectional ◽  
Primary Health ◽  
The Caribbean ◽  
Universal Health

Objective: to assess the situation of nursing education and to analyze the extent to which baccalaureate level nursing education programs in Latin America and the Caribbean are preparing graduates to contribute to the achievement of Universal Health. Method: quantitative, descriptive/exploratory, cross-sectional study carried out in 25 countries. Results: a total of 246 nursing schools participated in the study. Faculty with doctoral level degrees totaled 31.3%, without Brazil this is reduced to 8.3%. The ratio of clinical experiences in primary health care services to hospital-based services was 0.63, indicating that students receive more clinical experiences in hospital settings. The results suggested a need for improvement in internet access; information technology; accessibility for the disabled; program, faculty and student evaluation; and teaching/learning methods. Conclusion: there is heterogeneity in nursing education in Latin America and the Caribbean. The nursing curricula generally includes the principles and values of Universal Health and primary health care, as well as those principles underpinning transformative education modalities such as critical and complex thinking development, problem-solving, evidence-based clinical decision-making, and lifelong learning. However, there is a need to promote a paradigm shift in nursing education to include more training in primary health care.

scholarly journals Difficulties in nutritional counseling and child growth follow-up: from a professional perspective

2017 ◽  
Vol 70 (5) ◽  
pp. 949-957 ◽  
Author(s):  
Claudia Nery Teixeira Palombo ◽  
Elizabeth Fujimori ◽  
Áurea Tamami Minagawa Toriyama ◽  
Luciane Simões Duarte ◽  
Ana Luiza Vilela Borges
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Model ◽  
Child Growth ◽  
Nutritional Counseling ◽  
Child Feeding ◽  
Professional Experiences ◽  
Primary Health ◽  
Professional Perspective

ABSTRACT Introduction: Nutritional counseling and growth follow-up are priorities when providing care to children; however, these have not been completely incorporated into primary health care. Objective: To know the difficulties for providing nutritional counseling and child growth follow-up, from a professional healthcare perspective. Method: Qualitative study, using Donabedian as theoretical framework, developed by 53 professionals in the field of primary health care. Data was obtained from focal groups and submitted to content analysis. Results: The main difficulties for nutritional counseling were clustered in the category of ‘perceptions and beliefs related to child feeding’. The ‘problems of infrastructure and healthcare’ and ‘maintenance of the hegemonic medical model’ are the main difficulties for following-up growth. Final considerations: Besides investments in infrastructure, healthcare training is indispensable considering beliefs and professional experiences, so in fact, nutritional counseling and child growth follow-up are incorporated in primary health care.

scholarly journals Factors associated with reporting of abuse against children and adolescents by nurses within Primary Health Care

2014 ◽  
Vol 22 (6) ◽  
pp. 1048-1055 ◽  
Author(s):  
Ana Carine Arruda Rolim ◽  
Gracyelle Alves Remigio Moreira ◽  
Sarah Maria Mendes Gondim ◽  
Soraya da Silva Paz ◽  
Luiza Jane Eyre de Souza Vieira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Children And Adolescents ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Graduate Studies ◽  
Cross Sectional ◽  
Topic Identification ◽  
Factors Associated ◽  
Primary Health

OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents.METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used.RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting.CONCLUSION: the study's results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.

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