The Dana Sehat programme in Solo, Indonesia

1977 ◽  
Vol 199 (1134) ◽  
pp. 145-150 ◽  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Development ◽  
International Organizations ◽  
Health Personnel ◽  
Living Conditions ◽  
Standard Of Living ◽  
Community Leaders ◽  
Primary Health ◽  
Health Standards

Improving health standards must be related to efforts to improve the overall standard of living. Dana Sehat is in fact a framework within which the community, community leaders and health personnel can work together to develop a programme which suits the needs and capabilities of the community. The community can use the Dana Sehat to develop a prepaid health care scheme, which also aims to raise income, improve living conditions and increase the community’s understanding about health and its relation to environment and nutrition. What distinguishes Dana Sehat from other health schemes is that within this framework, the community, community leaders and health personnel are encouraged to contribute each according to his interests and capabilities. Communities can tap their own resources to overcome their own problems without depending too much on outside aid. These principles are cornerstones for approaches to primary health care and rural development, as presently envisaged by W.H.O. and other international organizations.

Práticas humanizadoras na Atenção Básica: uma revisão sistemática qualitativa

2020 ◽  
Vol 20 (2) ◽  
pp. 54-62
Author(s):  
Ieda Carla Almeida dos Santos de Souza Pastana ◽  
Erika Cardozo Pereira Cardozo Pereira ◽  
Janaina Cristina Santos Lima Cristina Santos Lima ◽  
Mariana Cabral Schveitzer
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Personnel ◽  
Personal Autonomy ◽  
Attitude Of Health Personnel ◽  
Holistic Care ◽  
Patient Centred Care ◽  
Primary Health ◽  
Care Health

Objetivos: identificar práticas de humanização na Atenção Básica. Método: revisão sistemática, partindo das seguintes fontes de in-formação: PubMed, CINAHL, Scielo, utilizando-se a palavra-chave primary health care, associada separadamente às seguintes pa-lavras-chave: humanization of assistance (humanização), holistic care/health (cuidado/saúde holístico), patient centred care, user embracement (acolhimento), personal autonomy, holism, attitude of health personnel (atitude dos profissionais). Método: Revisão sistemática qualitativa. Resultados: Foram incluídos 17 estudos identificados entre 2012 e 2018. Os dados foram sistematizados em sete categorias: (a) Oferta de práticas humanizadoras, (b) Difi-cultadores das práticas humanizadoras, (c) Facilitadores das prá-ticas humanizadoras, (d) Necessidade de capacitação sobre as práticas humanizadoras, (e) Vínculo profissional-usuário, (f) Efei-to positivo das práticas humanizadoras no trabalho em equipe e (g) Atitudes e crenças que refletem as práticas humanizadoras. Considerações Finais: As práticas humanizadoras continuam a ser desenvolvidas na Atenção Básica e seus efeitos positivos são re-conhecidos pelos profissionais de saúde. Por isso, investimentos no desenvolvimento dessas práticas e também em pesquisas de-vem continuar, incluindo também as percepções de usuários e dos órgãos gestores.  

scholarly journals Community demand for comprehensive primary health care from malaria volunteers in South-East Myanmar: a qualitative study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Win Han Oo ◽  
Elizabeth Hoban ◽  
Lisa Gold ◽  
Kyu Kyu Than ◽  
Thazin La ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Malaria Control ◽  
Universal Health Coverage ◽  
Malaria Elimination ◽  
Community Leaders ◽  
Health Coverage ◽  
Community Members ◽  
Primary Health ◽  
Universal Health

Abstract Background Malaria volunteers have contributed significantly to malaria control achieving a reduction of annual parasite incidence to pre-elimination levels in several townships across Myanmar. However, the volunteers’ role is changing as Myanmar transitions from a malaria control to elimination programme and towards the goal of universal health coverage. The aim of the study is to explore the perspectives of community leaders, members and malaria volunteers in South-East Myanmar on community-delivered models to inform an optimal design that targets malaria elimination in the context of primary health care in Myanmar. Methods Qualitative methods including focus group discussions (FGDs) with community members and current or ex-malaria volunteers, and participatory workshops with community leaders were conducted. All data collection tools were pilot tested with similar participants. The FGDs were stratified into male and female participants in consideration of diverse gender roles among the ethnic groups of Myanmar. Data saturation was the key cut-off point to cease recruitment of participants. Inductive thematic analysis was used. Results Community members were willing to be tested for malaria because they were concerned about the consequences of malaria although they were aware that malaria prevalence is low in their villages. Malaria volunteers were the main service providers for malaria and other infectious diseases in the community. Apart from malaria, the community identified common health problems such as the flu (fever, sneezing and coughing), diarrhoea, skin infections and tuberculosis as priority diseases in this order. Incorporating preventive, and whenever possible curative, services for those diseases into the current malaria volunteer model was recommended. Discussion and conclusion There was a gap between the communities’ expectations of health services and the health services currently being delivered by volunteers in the community that highlights the need for reassessment and reform of the volunteer model in the changing context. An evidence-based, community preferred, pragmatic community-delivered integrated model should be constructed based on the context of malaria elimination and progressing towards universal health coverage in Myanmar.

scholarly journals Professional education on dementias in Primary Health Care: an integrative review

2019 ◽  
Vol 72 (4) ◽  
pp. 1086-1093 ◽  
Author(s):  
Gislaine Desani da Costa ◽  
Vívian Marina Calixto Damasceno Spineli ◽  
Maria Amélia de Campos Oliveira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Professional Education ◽  
Health Care Professionals ◽  
Health Personnel ◽  
European Continent ◽  
North American Continent ◽  
The North ◽  
Primary Health ◽  
Mesh Terms

ABSTRACT Objective: To investigate the most commonly used educational approaches in dementia training for primary health care professionals. Method: Integrative literature review, conducted between April and June of 2018, in PubMed, LILACS and IBECS databases. The descriptors used were: Training, Health Personnel, Dementia, Primary Health Care for PubMed; and the MeSH terms, Training Programs, Health Personnel, Dementia, and Primary Health Care for LILACS and IBECS. Results: The sample consisted of 13 articles; eight were published in the last five years (62%); seven articles with a quantitative approach (54%); seven articles produced on the European continent (54%), followed by five published on the North American continent (38%). All journals were from the health area (100%). Conclusion: Educational strategies were combined and used for education. Significant improvements in knowledge, skills, and attitudes of the teams with regard to professional management of dementias were evidenced.

scholarly journals Gender equality awareness and sensitiveness of health personnel and communitySağlık çalışanlarının ve toplumun toplumsal cinsiyet eşitliği ile ilgili farkındalığı ve duyarlılığı

2015 ◽  
Vol 12 (2) ◽  
pp. 570
Author(s):  
Mesude Uluşen ◽  
Filiz Aslantekin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Personnel ◽  
Qualitative Data ◽  
Study Group ◽  
Care Clinic ◽  
The Public ◽  
Qualitative And Quantitative ◽  
Primary Health

<p>The aim of this study is to determine the level of gender awareness and sensitiveness among health personnel and gender discriminatory approach of public on using health services. In this research descriptive methods were used with the qualitative and quantitative research techniques together.</p><p>The research has two universes. First is the community living in the region of Kızılcahamam primary health care clinic and the second is health personnel working at hospital and primary health care clinic in Kızılcahamam. Data of the research was collected from a sample selected from the first population and a study group of the second population.</p><p>Semi-structured questionnarie form prepared in line with the literature knowledge, developed by the researcher, was applied on 362 people who constitute the research sample by face-to-face interviews between May 2008 and June 2008. In-depth interwievs were applied to 27 health personel who constitutes the study group of the research between June 2008 and July 2008.</p><p>In research both qualitative and quantitative methods were used. Quantitive data have been evaluated on computer by percentage and chisquare using SPSS programme. Qualitative data collected from the interwievs and open-ended questions were evaluated by the content analysis which suits research purposes.</p><p>The result of the study: According to the data obtained both from the public and health personnel, gender discriminatory approaches were identified in utilization of health services and in delivery of the public serviceby health personnel. A large number of quantitative and qualitative data related to existence of gender-based discrimination and violence were achieved in research.</p><p> </p><p><strong>Özet</strong></p><p>Bu araştırma, sağlık hizmetlerinin sunumunda sağlık çalışanlarının toplumsal cinsiyet duyarlılığına ne derecede sahip olduklarının ve sağlık hizmetlerinden yararlanma konusunda toplumun cinsiyetçi yaklaşımlarının belirlenmesi amacıyla yapılmıştır. Araştırmada nitel ve nicel araştırma verilerinin bir arada kullanıldığı “betimsel” araştırma modeli kullanılmıştır.</p><p>Araştırmanın iki evreni bulunmaktadır. İlki Kızılcahamam Merkez Sağlık Ocağı bölgesindeki halktan, ikincisi ise aynı bölgede bulunan hastane ve sağlık ocağında görev yapan sağlık personelinden oluşmaktadır. Araştırma için gerekli veriler, birinci evrenden seçilen bir örneklemden ve ikinci evrenden alınan bir çalışma grubundan elde edilmiştir.</p><p>Araştırma örneklemini oluşturan 362 kişiye, araştırmacı tarafından literatür bilgileri doğrultusunda geliştirilen yarı yapılandırılmış bir anket formu, yüz yüze görüşme tekniği ile Mayıs-Haziran 2008 tarihlerinde uygulanmıştır. Araştırmanın çalışma grubunu oluşturan 27 sağlık personeline derinlemesine görüşme yöntemi Haziran-Temmuz 2008 tarihlerinde uygulanmıştır.</p><p>Nicel veriler, SPSS programı ile yüzde, frekans ve ki-kare tekniklerinden yararlanarak, açık uçlu sorular ve görüşme yöntemi ile elde edilen nitel veriler ise, araştırma amaçları doğrultusunda içerik analizine tabi tutularak değerlendirilmiştir.</p><p>Araştırma sonunda halkın sağlık hizmetlerinden yararlanmasında ve sağlık personelinin hizmet sunumunda hem halktan hem de sağlık personelinden alınan verilere göre cinsiyet ayrımcı yaklaşımların varlığı saptanmıştır. Araştırmada toplumsal cinsiyet temelli ayrımcılık ve şiddetin varlığı ile ilgili çok sayıda nicel ve nitel veriler elde edildi.</p>

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