scholarly journals Improving access to health of Migrants in France. Qualitative assessment of a national guide

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Hamel ◽  
M Karrer

Abstract The National Public Health Agency and the Committee for the healthcare of persons in exile are providing, in the service of professionals, a Practical Guide for the care and the accompaniment of Migrants Foreigners living in precarious conditions, in France. The 2015 edition of this guide has been subjected to qualitative assessment in order to gather information regarding its use, the way it is perceived by its users, as well as their subsequent expectations, in order to design a new version that is more adapted to their needs. The study was carried out in December 2018 by an independent market research institute with the following design: 24 face-to-face interviews, whose duration was 1h30min, involving current users or past users: 6 working in structures specialised in accommodation for migrants, 6 in health care facilities, 6 in municipal or departmental social service facilities.3 focus groups, of 7-8 people, whose duration was 2H30min, involving potential future users of the guide. The recruitment of the participants took place in 3 cities as well as the overseas departments. The findings show: the legitimacy of this guide which is co-produced by an official national agency and an association recognized for its expertise.the interest of a transversal and multi-professional approach which allows to better grasp the social, legal and medical support and carethe need for information and operational resources This assessment underlines the relevance of the content and the symbolic importance of this guide which ’materializes’ the needs in terms of access to the rights and health of migrant people, often overlooked by professionals and administrations. It is thus a vehicle of vocational training and advocacy on this subject. The study provides concrete ways of optimization, particularly via digitalization, in order to cope with the rapid obsolescence of information, the availability of local directories and the need for exchange of professional practices. Key messages A national guide co written by a national agency and an association is a relevant tool to draw attention to migrants needs. Qualitative assessment highlighted the operationnal and symbolic role of this guide to foster cross professionnal work.

2021 ◽  
pp. 002214652110444
Author(s):  
Orlaith Heymann ◽  
Tamika Odum ◽  
Alison H. Norris ◽  
Danielle Bessett

Recent shifts in the abortion provision landscape have generated increased concern about how people find abortion care as regulations make abortion less accessible and clinics close. Few studies examine the reasons that people select particular facilities in such constrained contexts. Drawing from interviews with 41 Ohio residents, we find that people’s clinic selections are influenced by the risks they associate with abortion care. Participants’ strategies for selecting an abortion clinic included: drawing on previous experience with clinics, consulting others online, discerning reputation through name recognition and clinic type, and considering location, especially perceptions about place (privacy, legality, safety). We argue that social myths inform the risks people anticipate when seeking health care facilities, shaping care seeking in ways that are both abortion-specific and more general. These findings can also inform research in other health care contexts where patients increasingly find their options constrained by rising costs, consolidation, and facility closure.


2014 ◽  
Vol 8 (1) ◽  
pp. 51-74
Author(s):  
Fateh Muhmmad Burfat ◽  
Muhammad Yaqub ◽  
Naima Saeed ◽  
Misbah B. Qureshi

The present study “Promotion of Primary Health Care in Pakistan: A Case Study of the Role of Non-Governmental Organizations (NGOs) in Promoting Primary Health Care in Karachi” is aimed at determining the role of NGOs in the promotion of primary health Care sector in Pakistan with special reference to Karachi. The primary objective of this research is to evaluate the role and performance of relevant NGOs working in Karachi in the health sector. It is a quantitative research. A questionnaire based to obtain the opinions of respondents. The health care is the basic responsibility of the state. However, the NGOs play their role in promoting the health care facilities. It was noted that the primary health care system is still not working properly. NGO sector was given a wide room and finances but unfortunately they did not make the required contribution. Their lack of technical knowledge and accountability was a factor in their failure. The prevailing attitude towards health care among the masses has not changed despite the efforts of the NGO sector. Therefore the basic health conditions of the masses at the grass roots level continue to be poor. The stake holders in the health care sector should rethink about their strategies to improve health care facilities in Karachi.


2020 ◽  
Vol 4 (2) ◽  
pp. 101-118
Author(s):  
Mahreen Hussain ◽  
Mahwish Zeeshan ◽  
Abid Ghafoor Chaudhry

This study intended to learn the mobilization of social capital for the access to better health care facilities emphasizing the role of religiosity culture and social identity. Social capital was limited to religiosity culture and the social identity using the bonding and bridging concepts for this study. The three variables gauged in the study were social capital, religiosity culture and social identity which are barely used for the health care industry. The target population was public health care practitioners of the Federal Capital with sample size of 215 doctors and nurses over a period of six months. The data was quantitative and analyzed through co-relational tests. Questionnaire was developed for the study using the validity and reliability statistics. However, the results from the study reflected the significant impact of religiosity culture and social identity. Thus, it was concluded that positive and negative externalities affect the social identity in the creation of social capital. The findings of this study can provide a framework for future reference and to the policy makers in enhancing the social responsibility through mobilization of social capital of healthcare professionals in the industry.


Author(s):  
Aleksandra Rosiek-Kryszewska ◽  
Anna Rosiek

This chapter discusses the leadership features that support the creation of an innovative culture of the organization, with particular emphasis on the attributes that are essential to building a competitive advantage in the medical services market. According to the concept of new management, managers are the initiators of change and development within the healthcare facility where they work. They require professionalism and a high level of competence which allows them to create and implement creative management solutions. Thus, the influence of management and the role of the leader in building competitive health care units is undisputed. Due to the specific nature of health care facilities, the ability to build trust, as well as the clear and precise communication of plans and visions, is gaining importance, in addition to knowledge and experience.


2021 ◽  
Vol 6 (4) ◽  
Author(s):  
Muhammad Fadli Ramadhansyah ◽  
Arief Nugroho ◽  
Nur Endah Wahyuningsih

Policy briefs have an important role in solving problems that exist in a health agency, especially during the COVID-19 pandemic. One example of the problems that exist in health care facilities is air pollution that comes from the ashes resulting from the burning of medical waste. The impact of air pollution on humans is that it triggers respiratory disorders which are characterized by a decrease in the elasticity of the lungs to accommodate the volume of air so that this can be associated with the incidence of respiratory disorders. In addition, it has a small particle size and is scattered in the air in large quantities. The purpose of this study is to provide information related to the summary of policy making that is used as a reference to increase the effectiveness of processing ash from combustion based on a review study. This study uses a descriptive method with a literature review approach. The criteria for the articles used have a publication time of the last 10 years, discuss the utilization of combustion ash, and discuss the policy of processing incinerator ash waste. Making a policy brief can be used as a starting point for advocating for local governments to use ash from burning as an alternative to building materials to reduce air pollution and the accumulation of ash waste that accumulates in incinerators in health care facilities.


2017 ◽  
Vol 12 (1) ◽  
pp. 57 ◽  
Author(s):  
Sarah Herbert ◽  
Margaret Forster ◽  
Timothy McCreanor ◽  
Christine Stephens

<p class="Abstract">To broaden public health approaches to alcohol use, this study provides an initial exploration of the social context of alcohol use among Māori in Aotearoa/New Zealand, from the perspectives of older Māori. Utilising a Māori-centred research approach, face-to-face interviews were conducted with 13 older Māori people to explore their personal experiences of alcohol use across their lifetime. Thematic analysis was used to identify common themes that contextualised stories of alcohol use within a Māori cultural framework. Four themes were identified: alcohol use within (1) a sporting culture, (2) a working culture, (3) the context of family, and (4) Māori culture. These themes highlight the influence of social factors such as the desire to socialise and seek companionship; the physical location of alcohol use; the importance of social networks, particularly <em>whānau</em> (family); and the role of cultural identity among Māori. In regard to cultural identity, the role of the <em>marae</em> (traditional meeting place/s of Māori), <em>tikanga</em> (the right way of doing things), and the relationship of <em>kaumātua</em> (respected elder) status to personal and whānau alcohol use are highlighted as important focuses for further research among Māori in Aotearoa/New Zealand.</p>


2013 ◽  
Vol 41 (5) ◽  
pp. S105-S110 ◽  
Author(s):  
David J. Weber ◽  
Deverick J. Anderson ◽  
Daniel J. Sexton ◽  
William A. Rutala

Author(s):  
Nor Azlin Mohd Nordin ◽  
Eyu Hui Shan ◽  
Asfarina Zanudin

The overall care for children with cerebral palsy (CP) is challenging to the family which causes significant impacts to their livelihood. There is limited qualitative research that reports the unmet needs of parents with physically disabled children, especially highly dependent CP. The aim of this study was to explore the unmet needs of parents of highly dependent children with CP. A qualitative study using semi-structured face to face interviews was carried out among nine parents of children with CP with gross motor classification function score (GMFCS) levels III, IV, and V. The interviews were tape-recorded and transcribed verbatim. Transcribed data was analysed using thematic analysis method. Several unmet needs were highlighted by the parents; namely the needs in receiving information regarding CP conditions, getting psychological and financial support and explaining the child’s condition to strangers. In addition, parents expressed the need for better support from the social welfare department, as well as in effectively organising family functioning. The findings of this study indicate that there is a need for the healthcare professionals to develop suitable strategies to assist the parents of highly dependent children with CP in fulfilling their specific needs. The role of relevant agencies should be optimised in addressing this area of concern.


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