scholarly journals Efforts by the Coalition to End Social Isolation and Loneliness

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 178-178
Author(s):  
Andrew MacPherson
Keyword(s):  
Health Care ◽  
Social Services ◽  
Social Isolation ◽  
Care Delivery ◽  
Public Awareness ◽  
Executive Branch ◽  
National Organizations ◽  
Socially Isolated ◽  
Services And Supports ◽  
Multi Stakeholder

Abstract Established in the Fall 2018 and based in Washington, D.C., the Coalition to End Social Isolation & Loneliness brings together dozens of national organizations including consumer groups, community-based organizations, health plans, mental and behavioral health organizations, health care innovators, and many others to lead a multi-stakeholder dialogue to address the crisis of social isolation and loneliness in America. The Coalition focuses on three major areas to achieve this goal: Disseminating research findings, developing and advocating for federal and state legislative and regulatory policy interventions, and leading public awareness events in Washington, D.C. and across the nation. The COVID-19 pandemic has greatly accelerated efforts to engage Congress and the Executive Branch on a range of federal policy priorities, including leveraging and advancing social services and supports, supporting health care delivery to support those who are socially isolated and/or lonely, and advancing federally-funded research initiatives.

scholarly journals Canada’s history of failing to provide medical care for Indigenous children

2020 ◽  
Author(s):  
Rakhshan Kamran
Keyword(s):  
Health Care ◽  
Human Rights ◽  
First Nations ◽  
Social Services ◽  
Current Status ◽  
House Of Commons ◽  
Canadian Government ◽  
Indigenous Children ◽  
History Of ◽  
Services And Supports

Abstract In December 2007, the House of Commons unanimously supported Jordan’s Principle, a commitment that all First Nations children would receive the health care products, social services, and supports, and education they need, in memory of Jordan River Anderson. However, the process of applying for Jordan’s Principle was convoluted and not transparent, leaving several cases not being responded to. The Canadian Human Rights Tribunal found the definition and implementation of Jordan’s Principle to be racist and discriminatory in 2016, ordering the Canadian government to make immediate changes. Failing to make changes to Jordan’s Principle, the Canadian government was found to be noncompliant with the Canadian Human Rights Tribunal orders in 2018. This article provides one case example of Jordan’s Principle that was not responded to, details on the current status of Jordan’s Principle, and information on the recent implementation of the Act respecting First Nations, Inuit and Métis children, youth and families.

Changes in Cuban Health Care: An Argument against Technological Pessimism

1977 ◽  
Vol 7 (3) ◽  
pp. 383-400 ◽  
Author(s):  
Sally Guttmacher ◽  
Ross Danielson
Keyword(s):  
Health Care ◽  
Social Services ◽  
Health Care System ◽  
Health Workers ◽  
Care Delivery ◽  
Social Changes ◽  
The Past ◽  
Political Economic ◽  
Care System

Since the popular revolution in 1959, alterations in the organization and delivery of health care in Cuba have paralleled the country's broader political, economic, and social changes. This paper discusses the evolution of the Cuban health care system during the past seventeen years within the wider context of societal development. The authors compare three “snapshots” of Cuba, the first in 1959, the second in 1970, and the last in 1976, and touch upon such issues as the organization of health care delivery, the recruitment and socialization of health workers, and aspects of the process of receiving health care. They point out that the Cuban experience should be of particular interest to the developing world. For though it is true that a larger portion of Cuban national resources has been directed to the health and social services than in other developing countries, nonetheless, it was largely through the reorganization and equalization of the prerevolutionary health care system that improvement in the health status of the population was achieved. It appears that Cuba could well serve as an example for those who are skeptical about the possibility of combining technical development with improvement in the humane quality of care.

scholarly journals EXTERNAL ACTORS, GOOD GOVERNANCE AND HEALTH CARE DELIVERY IN AFRICA

2020 ◽  
Vol 9 (17) ◽  
Author(s):  
Benjamin Uchenna Anaemene
Keyword(s):  
Health Care ◽  
Social Services ◽  
Health Care Delivery ◽  
Structural Adjustment ◽  
Good Governance ◽  
Care Delivery ◽  
Health State ◽  
Negative Consequences ◽  
Governance Challenges ◽  
External Actors

The structural adjustment programme imposed by the World Bank and IMF in the face of the serious economic crisis that confronted African states in the 1980s resulted in severe cuts in state spending on social services including health. State failure in the provision of social services led to the externalisation of responsibility for health and the proliferation of actors working in the field of health across the continent. Despite the positive and negative consequences of this development on Africa, the debate about the role of external actors in health care delivery in Africa has dwelt extensively on the degree they should participate neglecting the emphasis on how they participate, under what conditions and with what consequences. Using qualitative data techniques, this article examines the involvement of external actors in health care delivery in Africa illustrating the nature, pattern, dimensions, and dynamics of such engagements in the context of popular concerns with good governance. It found that governance challenges constitute a serious obstacle to better health outcome in Africa. It posits that African states can only maximise their gains from external assistance for health if they take leadership in coordinating health activities in their countries within the context of a comprehensive national health plan.

scholarly journals Compliance with the Informed Consent to Blood Transfusion: Constraints and Physic for the Developing Africa

2021 ◽  
pp. 78-91
Author(s):  
Joseph Aondowase Orkuma ◽  
George N. Ayia ◽  
Mernan Roselynda Ikwue ◽  
Joseph Ojobi ◽  
Gomerep Samuel Simji
Keyword(s):  
Health Care ◽  
Informed Consent ◽  
Blood Transfusion ◽  
Health Care Providers ◽  
Cultural Practices ◽  
Blood Donation ◽  
Care Delivery ◽  
Public Awareness ◽  
Care Providers ◽  
Quality Health Care

The informed consent to blood transfusion is a patient centered care where the health care provider is ethically obliged and legally compelled to disclose the details, alternatives and consequences of a procedure such as blood donation or transfusion and obtain from the patient a prior consent before it is carried out. However, this newly evolving practice is largely constrained in many developing countries of Africa and this study sought to identify constraints and advance remedies. Literature search on PubMed, PubMed Central, Google Scholar, and African Journal on Line (AJOL) as well as print material literatures where applicable was used to retrieve 66 publications whose contents met the criteria for inclusion into the study. Constraints range from nondisclosure or defective disclosure, knowledge gaps of health care providers and non-comprehension of consent-based information by patients, illiteracy, religious and cultural practices, poor funding and administrative bottlenecks like non provision of consent forms or consent-based information materials as well as weak structures of effective oversight for compliance of health institutions by governmental regulating agencies. Physic like deployment of contentious professional development (CPD) activities for different professionals, focused training on consent-related guidelines, public awareness and education on prevailing social, religious and cultural impediments, research and localization of institution specific challenges. Additionally, proactive economic policies like the deployment of insurance indemnity covers for healthcare workers with negligent liabilities in order to dissuade health care providers from practicing defensive medicine which is inimical to quality health care delivery. There is a need for more researches on constraints prevalent in each developing country in Africa for a more appreciable advancement of the practice.

scholarly journals Challenges experienced by mothers caring for children with cerebral palsy in Zambia

2015 ◽  
Vol 71 (1) ◽  
Author(s):  
Carol Singogo ◽  
Margaret Mweshi ◽  
Anthea Rhoda
Keyword(s):  
Health Care ◽  
Cerebral Palsy ◽  
Social Isolation ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Care Providers ◽  
Community Members ◽  
Marital Problems ◽  
Children With Cerebral Palsy ◽  
Socially Isolated

Background: Mothers caring for children with disability experience a number of challenges.Aim: The aim of the study was to explore the challenges that mothers who cared for children with cerebral palsy (CP) living in Zambia experienced.Methods: During a qualitative study the experiences of 16 conveniently sampled mothers of children with CP, from the Ndola district in Zambia, were explored by means of interviews. The responses were thematically analysed. All the necessary ethical considerations were upheld.Results: Mothers experienced social isolation and marital problems, as well as negative attitudes from family, friends, community members and health care professionals. The physical environment created access challenges because of a lack of sidewalks, ramps, functioning lifts and small indoor spaces.Conclusion: Mothers of children with CP feel socially isolated owing to a lack of support from family, community members, and health care providers. This social isolation was exacerbated by attitudes of others towards the mothers; it was felt that mothers were responsible for their children’s condition. Mothers also experienced marital problems as a result of having a child with CP.

scholarly journals Decreased Access to Health Care and Social Isolation among Young Adults with Cerebral Palsy after Leaving School

2003 ◽  
Vol 11 (1) ◽  
pp. 80-89 ◽  
Author(s):  
SY Ng ◽  
SK Dinesh ◽  
SKH Tay ◽  
EH Lee
Keyword(s):  
Health Care ◽  
Young Adults ◽  
Cerebral Palsy ◽  
Social Isolation ◽  
General Practitioners ◽  
Access To Health Care ◽  
Negative Impact ◽  
Special Schools ◽  
Entire Cohort ◽  
Socially Isolated

Objective. T o examine if leaving special schools has a negative impact on the health care and social isolation of young adults with cerebral palsy. Methods. Young adults with cerebral palsy, aged between 15 and 22 years, were divided into 2 cohorts: current students, who were still receiving services from special schools, and school-leavers, who had since been discharged from care. A questionnaire and physical examination were administered to assess the extent of disability, health care received by, and social isolation of these young adults. Results. School-leavers had a greater degree of dissability than did students, although the results were not statistically significant. Health care exposure to specialists, general practitioners, therapists (physiotherapists, occupational therapists, and/or speech therapists), and medical social workers decreased after leaving school; with the exception of contact with general practitioners, these results were significant (p<0.05). The entire cohort was more socially isolated than a control cohort. School-leavers participated in fewer activities outside their homes, but showed less concern about their disability than did current students. Conclusions. Young adults with cerebral palsy continue to have health care and lifestyle needs after leaving school, which are currently not being adequately met.

scholarly journals Using CBPR to Decrease Health Disparities in a Suburban Latino Neighborhood

2017 ◽  
Vol 15 (3) ◽  
pp. 121-129 ◽  
Author(s):  
Maren J. Coffman ◽  
Brisa Urquieta de Hernandez ◽  
Heather A. Smith ◽  
Andrew McWilliams ◽  
Yhenneko J. Taylor ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
High Risk ◽  
Social Services ◽  
Care Provider ◽  
Primary Care Provider ◽  
Access To Health Care ◽  
Care Delivery ◽  
Research Network ◽  
Community Based

Introduction: This project tested the feasibility of using a community-based participatory research (CBPR) approach to deliver health and social resources in two high-risk, suburban neighborhoods. Method: An established research network was used to engage stakeholders to design and deliver a neighborhood-based intervention targeting a Latino immigrant population. The intervention provided screenings for hypertension, diabetes, and depression; primary care provider visits; and information about navigating health care delivery systems and related community-based resources. Participants ( N = 216) were consented for participation and their subsequent use of health and social services were measured at baseline and 1 year post intervention. Results: At baseline, 5.1% of participants had health insurance, 16.7% had a primary care provider, and 38.4% had a chronic illness. SF-12 scores showed a majority of participants with low perceived health status (56%) and high risk for clinical depression (33%). Self-reported use of primary care services increased from 33.8% at baseline to 48% 1 year after the intervention, and 62% reported use of social services. Conclusion: Neighborhood-based interventions informed by a CBPR approach are effective in both identifying community members who lack access to health care–related services and connecting them into needed primary care and social services.

scholarly journals Guidelines for implantation of a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 54
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Social Services ◽  
Health Professionals ◽  
Care Delivery ◽  
Training Programme ◽  
Health Care Facilities ◽  
Successful Implementation ◽  
Quality Health Care ◽  
Care Facilities

This paper is focuses on the description of the guidelines for implantation of a quality improvement training programme for health professionals. The formulation of the guidelines also borrowed the CDC (2001) steps and UNFPA phases of developing the guidelines for successful implementation of the training programme at the health care facilities in the MoHSS. The facilitator(s) and implementers of the training programme are advised to first understand the background and the development process of the training programme for successful implementation. These guidelines have been developed to assist quality manager(s) and facilitator(s) with the implementation of the quality improvement training programme for health professionals at the health care facilities (MoHSS).The guidelines enhance consistency in steps and methods to be followed during the implementation of the programme. The guidelines were derived from the conceptual framework that was developed during the exploratory and situation analysis of quality health care delivery at the health care facilities. Two prominent theories were adapted in developing these guidelines. Firstly, Deming’s PDSA model of quality improvement and secondly, Kolb’s experiential learning theory. These theories were used to understand the teaching and learning styles. The guidelines outlined the process, activities, and elements required to implement the such programme.

Advancing Trans-Affirming Practice to Recognize, Account for, and Address the Unique Experiences and Needs of Transgender Sexual Assault Survivors

2021 ◽  
pp. 152483992110091
Author(s):  
Janice Du Mont ◽  
Joseph Friedman Burley ◽  
Robyn Hodgson ◽  
Sheila Macdonald
Keyword(s):  
Health Care ◽  
Sexual Assault ◽  
Social Services ◽  
Care Needs ◽  
Positive Health ◽  
Collaborative Relationships ◽  
Sexual Assault Survivors ◽  
Acute Health Care ◽  
Psychosocial Difficulties ◽  
Services And Supports

Transgender (trans) persons are sexually assaulted at high rates and often encounter barriers to equitable services and supports. The receipt of timely and appropriate postassault care, provided increasingly by specialized forensic nurses around the world, is critical in ameliorating the harms that accompany sexual assault. In order to adequately respond to the acute health care needs of trans clients and attend to longer term psychosocial difficulties that some experience, forensic nurses not only require specialized training but must also cultivate collaborative relationships with trans-positive health and social services in their communities. To meet this need, we describe our strategy to advance trans-affirming practice in the sexual assault context. We outline the design and evaluation of a trans-affirming care curriculum for forensic nurses. We also discuss the planning, formation, and maturation of an intersectoral network through which to disseminate our curriculum, foster collaboration, and promote trans-affirming practice across health care and social services in Ontario, Canada. Our approach to advancing trans-affirming practice holds the potential to address systemic barriers experienced by trans survivors and transform the response to sexual assault across other sectors and jurisdictions.

Constructing Normalcy in Dementia Care: Carers’ Perceptions of Their Roles and the Supports They Need

2019 ◽  
Vol 60 (5) ◽  
pp. 905-915 ◽  
Author(s):  
Leigh Hale ◽  
Elizabeth Mayland ◽  
Matthew Jenkins ◽  
Yvette Buttery ◽  
Pauline Norris ◽  
...  
Keyword(s):  
Health Care ◽  
Social Services ◽  
Care Delivery ◽  
Theory Development ◽  
Social Contact ◽  
People With Dementia ◽  
Semistructured Interviews ◽  
The Cost ◽  
Design And Methods

Abstract Background and Objectives: People with dementia are critically dependent on their carers when accessing and utilizing health care. To inform health care development and delivery, we aimed to explore carers’ perceptions of their role in caring for a family member with dementia and to identify carers’ skills and attributes and factors impacting on care. Research Design and Methods: We used semistructured interviews to collect data from 25 carers supporting older adults with dementia. Data were thematically analyzed and the paradigm model was used to guide theory development. Results: “Constructing normalcy” was central to all carers did, impacted by stage of life and relationship status and driven by a holistic focus on their care-recipient’s quality of life. Goals guiding care were: keeping the peace; facilitating participation, happiness and independence; and ensuring safety. Enablers included: social contact; knowledge; and quality social services. Barriers included health and legal issues; symptoms of dementia; and reduced knowledge. These goals kept the peace and reduced stress for the cared-for person, but often at the cost of unrelenting responsibility and loss of carers’ original roles. Discussion and Implications: As carers are so critical to the access and uptake of health care of those with dementia, health professionals and services need to support carers in their quest to construct normalcy. Our findings provide guidance to assist in ensuring appropriate support and understanding of carers work in order to optimize dementia health care delivery.

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