scholarly journals Collaborative population health planning between Australian primary health care organisations and local government: lost opportunity

2018 ◽  
Vol 43 (1) ◽  
pp. 68-74 ◽  
Author(s):  
Sara Javanparast ◽  
Fran Baum ◽  
Toby Freeman ◽  
Anna Ziersch ◽  
Julie Henderson ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Local Government ◽  
Population Health ◽  
Health Planning ◽  
Primary Health ◽  
Lost Opportunity

scholarly journals How institutional forces, ideas and actors shaped population health planning in Australian regional primary health care organisations

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Sara Javanparast ◽  
Toby Freeman ◽  
Fran Baum ◽  
Ronald Labonté ◽  
Anna Ziersch ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Population Health ◽  
Health Planning ◽  
Primary Health ◽  
Institutional Forces

scholarly journals Using population health surveys to provide information on access to and use of quality primary health care

2006 ◽  
Vol 30 (4) ◽  
pp. 485 ◽  
Author(s):  
Elizabeth J Comino ◽  
Oshana Hermiz ◽  
Jeff Flack ◽  
Elizabeth Harris ◽  
Gawaine Powell Davies ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Population Health ◽  
Health Survey ◽  
Health Surveys ◽  
Diabetes Management ◽  
Relevant Information ◽  
Population Based ◽  
Primary Health ◽  
Data Collections

Objective: Currently, primary health care (PHC) is under-represented in health statistics due to the lack of a comprehensive PHC data collection. This research explores the utility of population health surveys to address questions relating to access to and use of PHC, using diabetes as an example. Methods: Drawing on published material relating to diabetes management, we developed a conceptual framework of access to and use of quality PHC. Using this framework we examined three recent population-based health surveys ? the 2001 National Health Survey, 2002?03 NSW Health Survey, and AusDiab ? to identify relevant information collection. Results: We identified seven domains comprising aspects of quality PHC for people with diabetes. For each domain we proposed associated indicators. In critiquing the three population health surveys in relation to these indicators, we identified strengths and weaknesses of the data collections. Conclusion: This approach could inform the development of questions and extension of population health surveys to provide a better understanding of access to and use of quality PHC in Australia. The additional information would complement other data collections with a communitybased perspective and contribute to the develop- ment of PHC policy.

Health Worker Perceptions of the Integration of Leprosy Control Services at the Primary Health Care Level in Ibadan, Nigeria

2003 ◽  
Vol 22 (1) ◽  
pp. 111-124 ◽  
Author(s):  
Oluseyi R. Olaseinde ◽  
William R. Brieger
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Local Government ◽  
Health Worker ◽  
Health Staff ◽  
Basic Training ◽  
Front Line ◽  
Primary Health ◽  
Service Training ◽  
Leprosy Control

A goal of both the World Health Organization and the Nigerian National Tuberculosis and Leprosy Control (TBL) Program is to integrate leprosy control services into the front line primary health care service system. Traditionally, leprosy services had been handled by one local government officer with little involvement of other health staff, and this limited access and timeliness of services for leprosy patients. Even after the national TBL program was implemented, integration has not been achieved, and this study of 203 front line health workers in the five local government areas that comprise the Ibadan metropolitan area of Oyo State, Nigeria sought to determine the role of health worker knowledge, attitudes, and self-efficacy in fostering or inhibiting leprosy service integration. Leprosy knowledge scores were positively associated with years in service, having lectures on leprosy during basic training, and having attended in-service training (IST) on leprosy. Among the cadres interviewed, Environmental Health Officers (EHOs), who had traditionally managed leprosy services prior to the move for integrated services, had the highest scores. EHOs and those who had leprosy lectures during basic training also had better attitudes toward leprosy than their counterparts. Male health staff and those who had leprosy lectures during basic training also had higher attitude scores concerning integrating leprosy control services with primary care. Finally, the only factor associated with perceived self-efficacy to perform leprosy control services was cadre. Ironically, Community Health Extension workers, who have had little in the way of experience with and training in leprosy control, believed they could handle these responsibilities better than other cadres. The influence of basic and in-service training on enhancing leprosy control knowledge and attitudes is recognized and enhancement of curricula for all cadres on leprosy issues is recommended.

Invisible populations: parallels between the health of people with intellectual disability and people of a refugee background

2011 ◽  
Vol 17 (3) ◽  
pp. 210 ◽  
Author(s):  
Claire E. Brolan ◽  
Robert S. Ware ◽  
Nicholas G. Lennox ◽  
Miriam Taylor Gomez ◽  
Margaret Kay ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Intellectual Disability ◽  
Best Practice ◽  
Care Delivery ◽  
Health Assessment ◽  
Multidisciplinary Care ◽  
Primary Health ◽  
Optimal Health ◽  
Lost Opportunity

When considering the delivery of primary health care in the community, some populations remain virtually invisible. While people with intellectual disability might seem to share few characteristics with refugees and humanitarian entrants, there are a number of difficulties that both groups share when accessing and receiving primary health care. Commonalities include communication barriers, difficulties accessing past medical records and the complexity of health needs that confront the practitioner providing health care. These issues and additional systemic barriers that prevent the delivery of optimal health care to both groups are explored. Integrated multidisciplinary care is often required for the delivery of best practice care; however, such care can be difficult for each group to access. In May 2010, the specific Medicare Health Assessment Item numbers for both of these groups were incorporated into a group of more generic Item numbers. This has resulted in a lost opportunity to enhance the evidence surrounding health care delivery to these vulnerable populations. This paper recognises the importance of health policy in leading affirmative action to ensure these populations become visible in the implementation of the National Primary Health Care Strategy.

scholarly journals Regional government concerns in health services in remote areas: Case study on special capitation policies in North Bengkulu Regency

2020 ◽  
Vol 28 ◽  
pp. 05003
Author(s):  
Try Purnamasari ◽  
Diah Ayu Puspandari ◽  
Mubasysyir Hasanbasri ◽  
Firdaus Hafidz ◽  
Muttaqien Muttaqien
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Local Government ◽  
Health Services ◽  
Local Governments ◽  
Regional Government ◽  
Weak Support ◽  
Remote Areas ◽  
Primary Health ◽  
Branch Office

The Minister of Health Regulation No. 52 of 2016 states that the tariff for first-level health services in remote areas and islands is determined based on special capitation tariffs, which is greater than the usual capitation tariffs. In North Bengkulu there is a primary health care that does not include a special capitation even though the criteria are the same as the primary health care that received it. The perception of stakeholders involved is needed to see whether the determination of criteria for disadvantaged areas for recipients of special capitation funds is in accordance with existing regulations or not. The study was based on in-depth interviews with 6 respondents from 6 institutions (Local Government, Regional Secretary, Health Office, the BPJS health branch office, and two Primary health care). The local government does not help question that matter to BPJS or help in other ways so that health care that do not receive special capitation funds can still provide optimal services like other remote health care. This study found the lack of socialization about health services in remote areas to non-health officials in local governments is the causes of weak support by local governments. This research shows that the application of central policies without joint review and verification with local stakeholders can lead to unproductive situations. Local governments should also look for solutions so that health care in remote areas that do not receive special capitation funds continue to run optimally.

scholarly journals Access to primary health care among women: the role of Ghana’s community-based health planning and services policy

2019 ◽  
Vol 20 ◽  
Author(s):  
Joseph Asumah Braimah ◽  
Yujiro Sano ◽  
Kilian Nasung Atuoye ◽  
Isaac Luginaah
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Access To Health Care ◽  
Health Planning ◽  
Household Wealth ◽  
Considerable Proportion ◽  
Wealth Status ◽  
Community Based ◽  
Primary Health ◽  
Access To Health

AbstractBackground:Ghana in 1999 adopted the Community-based Health Planning and Service (CHPS) policy to enhance access to primary health care (PHC) service. After two decades of implementation, there remains a considerable proportion of the country’s population, especially women who lack access to basic health care services.Aim:The aim of this paper is to understand the contribution of Ghana’s CHPS policy to women’s access to PHC services in the Upper West Region (UWR) of Ghana.Methods:A logistic regression technique was employed to analyse cross-sectional data collected among women (805) from the UWR.Findings:We found that women who resided in CHPS zones (OR = 1.612;P ≤0.01) were more likely to have access to health care compared with their counterparts who resided in non-CHPS zones. Also, rural-urban residence, distance to health facility, household wealth status and marital status predicted access to health care among women in the region. Our findings underscore the need to expand the CHPS policy to cover many areas in the country, especially rural communities and other deprived localities in urban settings.

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