scholarly journals A public health campaing – health promotion in Roma minority population in the City of Zagreb

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Polic-Vizintin ◽  
M Škes ◽  
M Marić Bajs ◽  
Z Šostar ◽  
I Portolan Pajić ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Health Status ◽  
Health Literacy ◽  
Access To Health Care ◽  
Minority Population ◽  
Roma Population ◽  
Access To Health ◽  
The City

Abstract Background Researchers into health inequalities consistently show disadvantages in health status for various ethnic minority groups. Socially and economically Roma are one of the most vulnerable and disadvantaged groups. The Roma population of Zagreb approximates 2.755 according to the 2011 census. “Health promotion in Roma minority” is public health initiative undertaken in the City of Zagreb in 2018. Objectives The aim was to recognize the need for early risk factors prevention, to increase health literacy and to improve access to health-care in Roma minority. The stakeholders involved in this program were Roma NGOs, Andrija Stampar Institute of Public Health, local Medical Centre and City office for health. The role of Roma activist was inportant for including Roma population. Results In order to assess the health status and health-related lifestyle attributes a multidisciplinary approach was carried out including a total of 141 members of the Roma minority living in three different quarters. Activities included preventive exams, conducted workshops “Reproductive health”, “Access right to health-care”and “Healthy lifestyles”. Hypertension was found in 15,6% Roma using standard diagnostic criteria (i.e. BP ≥ 140/90 mm Hg). High blood shugar was found in 16,3% Roma. Screening mammography exams were also carried out including 73 Roma women over 50. BI-RADS 3 category was found in 17 women (23,3%) and BI-RADS 4 + 5 category was found in one woman. Conclusions The multisectoral collaboration and the involment of Roma activist could help to achieve better inclusion of Roma population, better perception of the health messages and behavioural changes. Health sector should promote and advocate for healthier lifestyle, but community and policy are to support and complement the actions. Access to health care cannot be discussed in isolation from other problems this population group experiences, such as poverty, restricted access to education and social exclusion. Key messages The empowerment is an outcome of health literacy, but does not automatically lead to empowerment. Individual’s social and cultural context must be in focus. The involment of Roma activist could help to achieve better results.

scholarly journals The impact of microfinance programmes on access to health care, knowledge to health indicators and health status among women in Moshi, Tanzania

2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Christopher D. Mtamakaya ◽  
Joachim Kessy ◽  
Damian Jeremia ◽  
Sia Msuya ◽  
Babill Stray-Pedersen
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Health Status ◽  
Health Outcomes ◽  
Access To Health Care ◽  
Health Indicators ◽  
Program Participation ◽  
Access To Health ◽  
Programme Participation ◽  
Self Assessed Health

Background:  Microfinance Institutions (MFI) award small loans and women are the primary target. Whilst much literature has explored and acknowledged its impact on poverty alleviation and gender equality few studies have examined whether the added income also improves health outcomes to program clients. This study examined the association between participation in MFI programmes and wellbeing of clients and their family members via social determinants of health in Moshi, Tanzania.Methods: Cross-sectional data among non-elderly women were collected between October and December 2011. Multistage random sampling technique was employed to obtain study participants. The primary predictor variable was participation in MFI programs while the outcome measures were: odds of facing exclusion to health care, knowledge to health indicators related to health promotion, and self-assessed health status. A questionnaire was used to collect extensive data on demographic and socioeconomic information of the study participants.Results: A total of 900 women participated in the study. Program participation was found to be associated with increasing age (p<0.001), increasing number of living children (p<0.002) and level of income (p<0.001).  We found no association between program participation and access to health care, knowledge to health indicators related to health promotion and self-assessed health status. Only one out of seven indicators (14.2%) was significantly associated with MFI participation and access to health care. Two out of six (33.3%) health indicators showed association to MFI programme participation, while only 3 out of 15 (20%) dimensions measured in self-assessed health status showed significant association to MFI programme participation.Conclusion: These findings indicate that MFI programme participation is not associated with improved health outcomes of clients and their family members in Moshi. Strategies are needed to enhance the health-promoting capacity of MFI programmes in Moshi as shown elsewhere.

Disparities in Access to Health Care and Health Status Between Documented and Undocumented Mexican Immigrants in North Texas

2006 ◽  
Vol 4 (1) ◽  
pp. 5-14 ◽  
Author(s):  
Ximena Urrutia-Rojas ◽  
Khiya Marshall ◽  
Elizabeth Trevino ◽  
Sue Gena Lurie ◽  
Guadalupe Minguia-Bayona
Keyword(s):  
Health Care ◽  
Health Status ◽  
Access To Health Care ◽  
Mexican Immigrants ◽  
North Texas ◽  
Access To Health

Susceptibility to Environmental Pollutants among Minorities

1993 ◽  
Vol 9 (5) ◽  
pp. 797-820 ◽  
Author(s):  
Richard Rios ◽  
Gerald V. Poje ◽  
Roger Detels
Keyword(s):  
Health Care ◽  
Substance Abuse ◽  
Health Status ◽  
Communication Skills ◽  
Access To Health Care ◽  
Minority Groups ◽  
Environmental Pollutants ◽  
Health Care Education ◽  
Access To Health ◽  
Genetic Makeup

Susceptibility to environmental pollutants involves both biological and nonbiobgical factors. Individuals belonging to minority groups are much more likely to be subject to a number of these factors. This paper examines biological susceptibility of minorities to environmental pollutants and provides specific examples of susceptibility resulting from: genetic makeup; occupation; other factors such as compromised health status, exposure to mixtures of pollutants, substance abuse, and unemployment; and social inequality of access to health care, education, and communication skills. Recommendations are made for specific actions and for additional studies.

scholarly journals Does better availability mean better accessibility? Spatial inequalities in the care of acute myocardial infarction in Hungary

2020 ◽  
Vol 69 (4) ◽  
pp. 401-418
Author(s):  
Annamária Uzzoli ◽  
Zoltán Egri ◽  
Dániel Szilágyi ◽  
Viktor Pál
Keyword(s):  
Myocardial Infarction ◽  
Health Care ◽  
Acute Myocardial Infarction ◽  
Statistical Analysis ◽  
Health Literacy ◽  
Access To Health Care ◽  
Health Care Services ◽  
Care Services ◽  
Spatial Inequalities ◽  
Access To Health

The availability of health care services is an important issue, however, improving availability of health care services does not necessarily mean better accessibility for everybody. The main aim of this study is to find out how better availability in the care of acute myocardial infarction vary with accessibility of patients’ geographical location within Hungary. We applied statistical analysis and interview techniques to unfold the role of spatiality in the conditions of access to health care. Results of statistical analysis indicate significant health inequalities in Hungary. Decreasing national mortality rates of acute myocardial infarction, has been coupled by increasing spatial inequalities within the country especially at micro-regional level. According to in-depth interviews with local health care stakeholders we defined factors that support access to health care as well as important barriers. The supporting factors are related to the improvement of availability (i.e. infrastructural developments), while geographical distance, lack of material and human resources, or low level of health literacy proved to be the most relevant barriers. Main conclusion is that barriers to accessibility and availability are not only spatial but are also based on individual stages of acute myocardial infarction care. The development of cardiac catheter centres in Hungary has improved the short-term chances of infarction survival, but long-term survival chances have worsened in recent years due to deficiencies in rehabilitation care as well as low level of health literacy.

Access to Health Care for Pregnant Arabic-Speaking Refugee Women and Mothers in Germany

2019 ◽  
Vol 30 (3) ◽  
pp. 437-447 ◽  
Author(s):  
Julia Henry ◽  
Christian Beruf ◽  
Thomas Fischer
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Access To Health Care ◽  
Language Skills ◽  
Structured Interviews ◽  
Limited Health Literacy ◽  
Pregnancy And Childbirth ◽  
Refugee Women ◽  
Health Care Experiences ◽  
Access To Health

Refugee women often encounter multiple barriers when accessing ante-, peri-, and postnatal care. The aim of this study was to investigate how premigration experiences, conceptions about pregnancy and childbirth, health literacy, and language skills influence access to health care, experiences of health care, and childbirth. A total of 12 semi-structured interviews with refugee women from Iraq, Syria, and Palestine were conducted in the city of Dresden. Content analysis was applied using Levesque’s access model as a framework. Results indicate that conceptions of pregnancy and childbirth and premigration experiences influence women’s behaviors and experiences of pregnancy and childbirth. They contribute to barriers in accessing health care and lead to negative health outcomes. In view of limited health literacy, poor language skills, lack of information, and missing translators, female relatives in countries of origin remain an important source of information. Improved access to services for refugee women is needed.

scholarly journals Health mediator model as a way to access to care and health information for Syrian refugees in Turkey

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
I Kayi ◽  
Z Şimşek2 ◽  
G Yıldırımkaya
Keyword(s):  
Health Care ◽  
Health System ◽  
Access To Health Care ◽  
Health Care Services ◽  
Legal Status ◽  
Healthcare Access ◽  
Syrian Refugees ◽  
Care Services ◽  
Access To Health ◽  
The City

Abstract The number of Syrian refugees residing in Turkey has increased over 200 times since 2012 reaching to 3,621,330 (April 2019). Turkey has granted temporary protection status, including access healthcare in the city of registration. Ministry of Health provides on-site health service in temporary shelters, however more than 90% of the Syrian refugees choose to stay in community settings, which along with language barriers limits their ability to access health care and information. With UNFPA we have designed a health mediator model to improve access to health care and awareness on priority concerns such as mental health, reproductive health, child health, health system in Turkey and legal status provided to Syrian refugees. This study is a participatory operational research to test the health mediator model. Operationalization took place in 3 phases: (1) selection and training of Syrian health mediators and provincial coordinators; (2) household visits and data collection; (3) evaluation and supervision. So far, we have trained 174 health mediators from 24 different Turkish cities. Training took 5 days with up to 30 participants each. UNFPA collaborated with NGOs that work with Syrian refugees for coordination purposes. Health mediators made household visits to reach out to Syrian families, gave health education and where necessary support for access to health care services, and conducted a needs assessment. Data collected has been the subject to weekly supervision meetings by local NGOs, health mediators and coordinators to set priorities for the upcoming week. Health mediator model was effective in reaching out to hard-to-reach groups among Syrian refugees, increased health system and legal awareness, contribute to improved healthcare access and prevention of negative health outcomes such as teenage marriages and pregnancies. Inclusion of refugees in decision-making and guidance during the implementation of the project was key for project success.

Inequalities in Health: What Health Systems Can and Cannot Do

1996 ◽  
Vol 1 (3) ◽  
pp. 179-182 ◽  
Author(s):  
Peggy Foster
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Health Status ◽  
Health Care Providers ◽  
Health Examination ◽  
Care Providers ◽  
Inequalities In Health ◽  
Department Of Health ◽  
The Uk

Health promotion activities are actively encouraged in most countries, including the UK. Meanwhile many health care providers and health experts are becoming increasingly concerned about the growing evidence of significant health inequalities between social groups in the UK, and in particular the strong association between relative deprivation and poor health. In 1995, a report for the British government entitled ‘Variations in health: What can the Department of Health and the NHS do?’, identified the need for the Department of Health and the NHS to play a key role in coordinating and implementing public health programmes intended to reduce inequalities in health. Examination of existing evidence on the effectiveness of health promotion and prevention programmes designed to improve the health status of the most vulnerable groups in society reveals very little evidence to support current enthusiasm for adopting public health strategies in order to reduce variations in health status between the affluent and the poor. Alternative and potentially more effective health care responses to inequalities in health status need to be considered.

scholarly journals SAMU ambulance positioning using MALP model

2017 ◽  
Vol 14 (4) ◽  
pp. 508 ◽  
Author(s):  
Ormeu Coelho ◽  
Fernando Alexandrino ◽  
Bruno Barreto
Keyword(s):  
Public Health ◽  
Health Care ◽  
Programming Model ◽  
Public Health Care ◽  
Public Health Care System ◽  
Small Deviations ◽  
Total Cost ◽  
The Public ◽  
Access To Health ◽  
The City

One of the constitutional principles of the public health care system in Brazil is universality, which turns health into a fundamental right and ensures that all citizens shall have access to health service whenever required. The purpose of this study is to assess the positioning of ambulances in Duque de Caxias-RJ, and find new arrangements to maximize the covered population. The configuration of a network that provides such service is indeed significant since small deviations may lead to users’ death. Therefore, four scenarios were built in order to represent different network arrangements, according to the manager’s strategy or the budget limitations of the city.  An Integer Programming model for servers’ positioning was used in each scenario. Indicators such as percentage of coverage population and total cost were then used to compare and choose the best solution. Results have shown that the current coverage could be doubled by just relocating facilities that already exist, without adding any costs. It is important to notice that this solution is rather different from the current positioning. 

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