Design of mHealth Application for Integrating Antenatal Care Service in Primary Health Care: A User-Centered Approach

The current study assessed pregnant women’s satisfaction with antenatal care (ANC) services at primary health care centers (PHCs) in Riyadh Cluster One. The study was conducted at 11 PHCs where the ANC initiative has been implemented. A total of 646 pregnant women were enrolled. A questionnaire was completed by participants to measure the level of satisfaction with the provided services, care, and consultation. Subsequently, the data were analyzed to determine the significant differences and conduct regression analysis. The overall satisfaction with initial triage assessment, provided services, consultation, and examination was 93.7%, 87.8%, 71.8%, and 53.9%, respectively. Regarding ANC services, education was the only statistically significant variable that influenced patient satisfaction (p < 0.05). In contrast, satisfaction with the provided care was significantly related to all the variables studied. For consultation, education (p < 0.001) and monthly income (p < 0.05) were the statistically significant role players. In the regression analysis, secondary education was statistically significantly related to the provided services, consultation, and examination. Despite the satisfactory level of ANC at the selected PHCs, higher patient satisfaction could be achieved in the future by improving the consultation and examination practices. Overall satisfaction with the health care workers at PHCs is high. Incorporating implied ameliorations would enhance the quality of services and patient satisfaction.

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The Midwife-woman interaction as a critical component of antenatal care: ethical implications and lessons to be learned

Africa Journal of Nursing and Midwifery ◽

10.25159/2520-5293/6882 ◽

2020 ◽

Vol 22 (2) ◽

Author(s):

Johanna Mmabojalwa Mathibe-Neke

Keyword(s):

Health Care ◽

Primary Health Care ◽

Antenatal Care ◽

Pregnant Women ◽

Care Service ◽

Health Care Facilities ◽

Ethical Implications ◽

Primary Health ◽

Care Facilities ◽

Primary Health Care Facilities

Pregnancy and childbirth are important rites of passage for women and their families, with deep personal and cultural significance, bringing joy along with great physical and emotional vulnerability. The purpose of the study under review was to explore pregnant women’s experiences of midwife-woman interaction and the extent to which it conforms to respectful ethical care. A qualitative case study design was applied. The setting was randomly selected primary health care facilities that form a first point of contact for pregnant women for antenatal care in Gauteng, South Africa. The population of the study was pregnant women of low socio-economic class receiving free antenatal care service at public primary health care facilities. Women waiting for their routine antenatal care were conveniently selected to be part of the focus group discussions (FGDs). The data was analysed thematically. Whilst a few positive aspects regarding midwife-woman interaction were shared, the participants expressed a desire for personal care; a shorter waiting time; continuity of care; enhanced communication with midwives; a greater opportunity for asking questions and receiving comprehensive answers; and a greater attention to their needs and fears. Recommendations were provided based on the study findings to enhance respectful practice by midwives.

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Impulse Control Disorders in Medical Settings

10.1093/oxfordhb/9780195389715.013.0123 ◽

2012 ◽

Author(s):

Sean G. Sullivan

Keyword(s):

Health Care ◽

Primary Health Care ◽

Impulse Control ◽

Care Service ◽

Health Care Service ◽

Impulse Control Disorders ◽

Short Supply ◽

Medical Settings ◽

Primary Care Settings ◽

Primary Health

Impulse control disorders (ICDs) and conditions with impulse control features provide a challenge in terms of identification, treatment, and follow-up when mental health specialists are in short supply. Medical settings, in particular the largest, primary health care, provide an opportunity to address many impulse-affected conditions currently poorly assessed and treated in health care settings. Barriers to intervention for ICDs in primary health care are time constraints; understanding of the etiology, symptoms, and appropriate interventions; the health and social costs; and prioritizing of training in and treatment of conditions perceived as more serious or appropriate to a primary health care service. These barriers may possibly be overcome in primary care settings, and in this chapter, a model to address problem gambling is described.

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Reasons for students’ poor clinical competencies in the Primary Health Care: Clinical nursing, diagnosis treatment and care programme

Health SA Gesondheid ◽

10.4102/hsag.v15i1.525 ◽

2010 ◽

Vol 15 (1) ◽

Cited By ~ 3

Author(s):

Nomasonto B. Magobe ◽

Sonya Beukes ◽

Ann Müller

Keyword(s):

South Africa ◽

Health Care ◽

Primary Health Care ◽

Care Service ◽

Health Care Service ◽

Health Staff ◽

Care Programme ◽

Clinical Competencies ◽

Primary Health ◽

Comprehensive Primary Health Care

‘No member of [health] staff should undertake tasks unless they are competent to do so’ is stated in the Comprehensive Primary Health Care Service Package for South Africa (Department of Health 2001)document. In South Africa, primary clinical nurses (PCNs), traditionally known as primary health care nurses (PHCNs), function as ‘frontline providers’ of clinical primary health care (PHC) services within public PHC facilities, which is their extended role. This extended role of registered nurses(set out in section 38A of the Nursing Act 50 of 1978, as amended) demands high clinical competency training by nursing schools and universities.The objectives of the study were to explore and describe the perceptions of both clinical instructors and students, in terms of the reasons for poor clinical competencies. Results established that two main challenges contributed to students’ poor clinical competencies: challenges within the PHC clinical field and challenges within the learning programme (University).OpsommingDie primêre kliniese verpleegkundiges, tradisioneel bekend as primêre gesondheidsorg verpleegkundiges, funksioneer in Suid-Afrika as eerste-linie verskaffers van kliniese primêre gesondheidsorg (PGS) dienste binne die publieke PGS fasiliteite. Dit is hulle uitgebreide rol. Hierdie uitgebreide rol van die verpleegkundige (soos deur Wet op Verpleging,No 50 van 1978, artikel 38A voorgeskryf), vereis opleiding in kliniese vaardighede van hoë gehalte deur verpleegskole en universiteite.Die doelwitte van die navorsing was om die persepsies van beide kliniese dosente en leerders,met betrekking tot die redes vir swak kliniese vaardighede, repektiewelik te verken en te beskryf.Twee temas is deur die resultate as uitdagings (hoof redes) vir die swak vaardighede van leerders aangetoon, naamlik uitdagings in die PGS kliniese praktyk en die uitdagings in die leerprogram (universiteit).

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Cross-cultural adaptation of the primary health care satisfaction questionnaire

Acta Paulista de Enfermagem ◽

10.1590/1982-0194201400070 ◽

2014 ◽

Vol 27 (5) ◽

pp. 419-426 ◽

Cited By ~ 1

Author(s):

Elisabete Pimenta Araujo Paz ◽

Pedro Miguel Santos Dinis Parreira ◽

Alexandrina de Jesus Serra Lobo ◽

Rosilene Rocha Palasson ◽

Sheila Nascimento Pereira de Farias

Keyword(s):

Primary Care ◽

Health Care ◽

Primary Health Care ◽

Psychometric Properties ◽

Internal Consistency ◽

Cultural Adaptation ◽

Care Service ◽

Cross Cultural ◽

Care Services ◽

Primary Health

Objective To develop the cross-cultural validation and assessment of the psychometric properties of the Questionnaire about the quality and satisfaction dimensions of patients with primary health care. Methods Methodological cultural adaptation and assessment study of the psychometric properties, involving 398 users from a primary care service. The construct validity was verified through principal components factor analysis and internal consistency assessment as determined by Cronbach’s alpha, using SPSS. Results A factorial structure was identified that is equivalent to the original instrument, showing six factors that explain 70.81% of the total variance. All internal consistency coefficients were higher than 0.84, indicating appropriate psychometric properties. Conclusion The results show that the Brazilian Portuguese version of the instrument is culturally and linguistically appropriate to assess the satisfaction of users attended in primary care services.

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Do women want women health workers? Women's views of the primary health care service

Journal of Advanced Nursing ◽

10.1046/j.1365-2648.1996.12519.x ◽

1996 ◽

Vol 23 (6) ◽

pp. 1207-1211 ◽

Cited By ~ 16

Author(s):

Fiona Brooks ◽

David Phillips

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Workers ◽

Care Service ◽

Health Care Service ◽

Primary Health Care Service ◽

Women Health ◽

Primary Health ◽

Women’S Views

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Attitudes of Pregnant Women Towards Antenatal Care Services Provided in Primary Health Care Facilities of Mbombela Municipality, Mpumalanga Province, South Africa

The Open Public Health Journal ◽

10.2174/1874944502013010569 ◽

2020 ◽

Vol 13 (1) ◽

pp. 569-575

Author(s):

Lucia Drigo ◽

Masane Luvhengo ◽

Rachel T. Lebese ◽

Lufuno Makhado

Keyword(s):

Health Care ◽

Primary Health Care ◽

Antenatal Care ◽

Pregnant Women ◽

Healthcare Providers ◽

Health Care Facilities ◽

Care Services ◽

Primary Health ◽

Care Facilities ◽

Primary Health Care Facilities

Background: Pregnant woman’s personal experience of antenatal care services can either be positive or negative; however, knowledge and experience appear to be of paramount importance in shaping their attitudes towards any healthcare-related services. This implies that women's experience of antenatal care services may affect their decision for seeking antenatal care in their present pregnancy, which can lead them to delay seeking care. Purpose: This study sought to explore the attitudes of pregnant women towards antenatal care services provided in primary health care facilities of Mbombela Municipality, Mpumalanga Province, South Africa. Methods: A qualitative exploratory descriptive study design was used for this study. Purposive sampling technique was used to sample pregnant women who fail to attend antenatal services as expected. Data were collected through face to face unstructured in-depth interview. A total of eighteen pregnant women participated in the study until data saturation. Data were analysed using Tech’s method of analysis. Results: Results revealed the following theme and sub-themes: Attitudes of pregnant women related to individual perceptions, perceived barriers to utilizing antenatal care services,’ attitudes of healthcare providers, long waiting times in healthcare facilities, lack privacy and confidentiality in healthcare facilities and attitudes of pregnant women related to attendance of antenatal services. Conclusion: Attitudes of pregnant women about antenatal care are shaped by their knowledge and previous encounters with the health care services that they had previously received. It is therefore important to provide women-friendly services. It is recommended that health education regarding the importance of antenatal care services must be given to all women daily in the waiting areas of each primary health care facilities, thus, the healthcare providers should promote the active participation of pregnant women during the health education sessions and provide opportunities to ask questions.

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Non-steroidal anti-inflammatory drugs and gastroprotection in primary health care users

Medicine and Pharmacy Reports ◽

10.15386/mpr-1533 ◽

2020 ◽

Author(s):

Driton Shabani ◽

Ardiana Murtezani ◽

Bernard Tahirbegolli ◽

Argjira Juniku–Shkololli ◽

Zana Ibraimi

Keyword(s):

Health Care ◽

Primary Health Care ◽

Urban Areas ◽

Care Service ◽

Adult Population ◽

Health Care Service ◽

Primary Health ◽

Inflammatory Drugs ◽

Anti Inflammatory ◽

Gastroprotective Drugs

Objective: The aim of this study is to assess the prevalence of gastroprotection and identify the main factors that influence the taking of protective drugs among the adult population, who are treated with non-steroidal anti-inflammatory drugs (NSAID). Material and Methods: This study was cross-sectional, conducted by including a contingent of 800 users of primary health care services (n=369, 46% males and n=431, 54% females). Included in the study were individuals of both sexes aged 18+ who sought counselling or treatment during the three-month period. The data collection of this study was based on the completion of a structured questionnaire, which included questions related to the use of NSAID and the modalities for the description and application of these drugs, and simultaneous taking of gastroprotective drugs. Results: The prevalence of the gastroprotective drugs use was higher among the elderly, individuals living in urban areas, those with higher education, those with daily use of NSAID, individuals receiving prescriptions from their own doctors, and those suffering side effects from the use of NSAID, as well as subjects that had a longer duration of NSAID use. Conclusion: This paper demonstrates the need to improve the quality of primary health care service through informing and educating patients regarding the need to take gastro-protective drugs for those in high risk of adverse effects manifested by the use of NSAID.

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