Linking High-Risk, Low-Income, Pregnant Women to Public Health Services

1997 ◽  
Vol 3 (2) ◽  
pp. 27-36 ◽  
Author(s):  
LaVohn Josten ◽  
Lorene Wedeking ◽  
Derryl E. Block ◽  
Kay Savik ◽  
Pauline Vincent
Keyword(s):  
Public Health ◽  
High Risk ◽  
Health Services ◽  
Pregnant Women ◽  
Low Income ◽  
Public Health Services

scholarly journals Does a Different Household Registration Affect Migrants’ Access to Basic Public Health Services in China?

2019 ◽  
Vol 16 (23) ◽  
pp. 4615 ◽  
Author(s):  
Meng
Keyword(s):  
Public Health ◽  
Health Services ◽  
Low Income ◽  
Health Knowledge ◽  
Medical Knowledge ◽  
Public Health Services ◽  
Household Registration ◽  
Career Training ◽  
Permanent Settlement ◽  
The Impact

On the basis of the China Migrants Dynamic Survey Data of 2015, the author provides an analysis of how a different household registration impacts migrants’ access to preventive care provided by public health services, such as health records and medical knowledge, in areas of immigration. This study shows that eliminating the distinction between agricultural and non-agricultural permanent residence registration could raise the rate of establishing health files, but it has no significant effect on migrants’ health knowledge. In fact, encouraging those with non-agricultural registration to move to different counties that belong to the same city or to different cities that belong to the same province can notably eliminate the impact of a different household registration status. Improving the income level of low-income migrants can have the same impact. Recommendations to enable migrants to obtain basic public health services include abolishing the separation of agricultural and non-agricultural household registration, increasing the permanent settlement rate of resident migrants, promoting basic medical security systems across the whole country, strengthening career training, and enhancing the education level of migrants.

scholarly journals What Are the Challenges Faced by Village Doctors in Provision of Basic Public Health Services in Shandong, China? A Qualitative Study

2019 ◽  
Vol 16 (14) ◽  
pp. 2519 ◽  
Author(s):  
Qian Wang ◽  
Yuejia Kong ◽  
Jiyao Sun ◽  
Yue Zhang ◽  
Linlin Yuan ◽  
...  
Keyword(s):  
Public Health ◽  
Qualitative Study ◽  
Health Services ◽  
Low Income ◽  
Comparison Method ◽  
Public Health Services ◽  
Framework Analysis ◽  
Rural Residents ◽  
Village Doctors ◽  
Wide Range

Background: Village doctors, as gatekeepers for the health of rural residents in China, are confronted with adversity in providing the basic public health services (BPHS), which has significantly impeded them from providing high quality BPHS. This study aimed to explore the obstacles and difficulties faced by village doctors in order to improve the quality and efficiency of BPHS provision and increase the health level of the population. Methods: In-depth interviews were employed to conduct this qualitative study. A total of 51 village doctors in four cities of Shandong Province were interviewed. The interviews were transcribed, anonymized, and imported into NVivo11.0 to facilitate management. Thematic framework analysis employing the constant comparison method was applied to the data analysis. Results: The main challenges faced by village doctors comprised the shortage, gender imbalance, and poor education of village doctors; older village doctors in some villages; low income; lack of social security; inappropriate performance assessment; inadequate professional BPHS training; heavy workload; and insufficient cooperation from rural residents, which have exacerbated the quality, efficiency, and accessibility of BPHS to some extent. Conclusions: Village doctors, as the important BPHS providers in rural Shandong, are facing a wide range of challenges. It is urgent for government officials and policy makers to consider these challenges and concentrate on improving the quality of BPHS provision by developing relevant and practical strategies.

scholarly journals Prenatal care quality indexes of public health services in Salvador, Bahia

2007 ◽  
Vol 20 (3) ◽  
pp. 311-315 ◽  
Author(s):  
Enilda Rosendo do Nascimento ◽  
Quessia Paz Rodrigues ◽  
Mariza Silva Almeida
Keyword(s):  
Public Health ◽  
Prenatal Care ◽  
Health Services ◽  
Pregnant Women ◽  
Descriptive Study ◽  
Care Quality ◽  
Public Health Services ◽  
Low Performance ◽  
Quantitative Descriptive ◽  
Quality Indexes

OBJECTIVE: To analyze prenatal care quality indexes of public health services in Salvador, Bahia following the implementation of the Prenatal and Birth Humanization Program (PBHB). METHODS: This quantitative descriptive study was conducted in primary care units in Salvador that adopted the Prenatal and Birth Humanization Program. RESULTS: Few pregnant women registered in the Prenatal and Birth Humanization Program had the benchmark of six prenatal consultations (9.76%). More than half of these registered pregnant women received all basic exams. However, only few women received puerperal consultations (5.66%), which conclude their maternal care. CONCLUSION: Prenatal care in Salvador, carried out through the Prenatal and Birth Humanization Program in 2002, had a low performance in basic exams, and in prenatal and puerperal consultations.

scholarly journals Conformity between immunization records in prenatal charts and vaccine conditions of pregnant women seen in public health services of Jundiaí-SP

2017 ◽  
pp. 769-778
Author(s):  
Maria Cristina Traldi ◽  
Camilla Fornezigo Teleck ◽  
Juliana Querino Teixeira ◽  
Márcia Regina Campos da Costa Fonseca
Keyword(s):  
Public Health ◽  
Health Services ◽  
Pregnant Women ◽  
Public Health Services

scholarly journals Difficulties observed in a reference center in the diagnosis and management of pregnant women with toxoplasmosis

2010 ◽  
Vol 20 (1) ◽  
pp. 40 ◽  
Author(s):  
Wendy Fernandes Bueno ◽  
Renata Goulart Ferreira ◽  
Laura Berriel Da Silva ◽  
Carlos Henrique Klein ◽  
Maria Regina Reis Amendoeira ◽  
...  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Public Health Services ◽  
Serological Tests ◽  
Average Delay ◽  
Reference Center ◽  
Younger Women ◽  
Care Services

OBJECTIVES: To evaluate the difficulties met in the care of pregnant women with toxoplasmosis diagnosis in antenatal care services. METHODS: Longitudinal prospective study with 262 pregnant women referred to the Toxoplasmosis Clinic at Instituto de Pesquisa Clínica Evandro Chagas-Fundação Oswaldo Cruz, between January 2005 and July 2009. RESULTS: Most women (91.2%) were in the second and third trimesters of pregnancy, and 81.3% were referred by public health services. The average delay was 113.4 days in the collection of the first sample for serological tests in antenatal care, 52.1 days for referral and 160.6 days in starting treatment. Younger women and those from the public health system were referred later. Treatment was initiated at the origin for only 16% of the pregnant women, and 5% of these did not receive the recommended dose of spiramycin. At the Reference Center there was a low rate of confirmation of the serological tests performed in the health services of origin. It was found that 12.6% of pregnant women with an initial diagnosis of acute toxoplasmosis were susceptible to infection by Toxoplasma gondii. These tests were considered false positives. CONCLUSIONS: This study highlights the difficulties met in the management of pregnant women with toxoplasmosis in the antenatal care, including the quality of diagnostic tests and the need for greater emphasis on continuing education of health professionals.

Future Issues in Dissemination and Implementation Research

2017 ◽  
Author(s):  
Ross C. Brownson ◽  
Graham A. Colditz ◽  
Enola K. Proctor
Keyword(s):  
Public Health ◽  
Health Services ◽  
Implementation Research ◽  
Clinical Care ◽  
Dissemination And Implementation ◽  
Public Health Services ◽  
Middle Income ◽  
Middle Income Countries ◽  
Dissemination And Implementation Research ◽  
The Many

This chapter highlights just a sample of the many rich areas for dissemination and implementation research that will assist us in shortening the gap between discovery and practice, thus beginning to realize the benefits of research for patients, families, and communities. Greater emphasis on implementation in challenging settings, including lower and middle-income countries and underresourced communities in higher income countries will add to the lessons we must learn to fully reap the benefit of our advances in dissemination and implementation research methods. Moreover, collaboration and multidisciplinary approaches to dissemination and implementation research will help to make efforts more consistent and more effective moving forward. Thus, we will be better able to identify knowledge gaps that need to be addressed in future dissemination and implementation research, ultimately informing the practice and policies of clinical care and public health services.

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