Health as a Context for Social and Gender Activism: Female Volunteer Health Workers in Iran

2010 ◽  
Vol 36 (3) ◽  
pp. 487-510 ◽  
Author(s):  
Homa Hoodfar
Keyword(s):  
Health Workers ◽  
Female Volunteer ◽  
And Gender

scholarly journals Beyond Professional Licensure: A Statement of Principle on Culturally-Responsive Healthcare

2021 ◽  
Vol 11 ◽  
pp. 216495612110430
Author(s):  
Nadine Ijaz ◽  
Michelle Steinberg ◽  
Tami Flaherty ◽  
Tania Neubauer ◽  
Ariana Thompson-Lastad
Keyword(s):  
Decision Making ◽  
Quality Assurance ◽  
Shared Decision Making ◽  
Culturally Responsive ◽  
Health Workers ◽  
Shared Decision ◽  
Community Based ◽  
Interdisciplinary Dialogue ◽  
And Gender ◽  
Professional Licensure

This work calls on healthcare institutions and organizations to move toward inclusive recognition and representation of healthcare practitioners whose credibility is established both inside and outside of professional licensure mechanisms. Despite professional licensure’s advantages, this credentialing mechanism has in many cases served to reinforce unjust sociocultural power relations in relation to ethnicity and race, class and gender. To foster health equity and the delivery of culturally-responsive care, it is essential that mechanisms other than licensure be recognized as legitimate pathways for community accountability, safety and quality assurance. Such mechanisms include certification with non-statutory occupational bodies, as well as community-based recognition pathways such as those engaged for Community Health Workers (including Promotores de Salud) and Indigenous healing practitioners. Implementation of this vision will require interdisciplinary dialogue and reconciliation, constructive collaboration, and shared decision making between healthcare institutions and organizations, practitioners and the communities they serve.

scholarly journals Pengaruh Terapi Kompres Air Hangat terhadap Nyeri Post Operasi ORIF pada Pasen Fraktur di RSUD Dr. Doris Sylvanus Palangka Raya

2021 ◽  
Vol 6 (2) ◽  
pp. 82-87
Author(s):  
Vina Agustina ◽  
Suryagustina Suryagustina ◽  
Henry Wiyono
Keyword(s):  
Postoperative Pain ◽  
Health Workers ◽  
Wilcoxon Test ◽  
Warm Water ◽  
P Value ◽  
Internal Factors ◽  
Age And Gender ◽  
Common Complaint ◽  
Before And After ◽  
And Gender

A fracture or often called a fracture is a break in the continuity of bone tissue and is determined according to its type and extent. Pain is the most common complaint in fracture patients. Based on the results of the preliminary survey on February 14, 2018, in the Dahlia room, RSUD dr. Doris Sylvanus Palangka Raya, from 10 patients, it was found that 6 patients did not know that warm water compress therapy could reduce pain and 4 patients had heard that warm water compresses could reduce pain but still did not dare to take action alone without advice from a health professional. The results of the analysis research with the Wilcoxon test obtained a significant p-value (0.008 <0.05), then Ha is accepted, which means that there is an effect of giving warm water compress therapy before and after on the postoperative pain of ORIF in fracture patients. It can be concluded that the factors that influence the provision of warm water compress therapy to postoperative pain in ORIF fracture patients are age and gender (internal factors) and external factors including the compressing medium, warm water temperature, and the duration of the compress so that the warm water compress method is effective against decreasing intensity. pain. Health workers are advised to apply warm compress therapy as an intervention to reduce postoperative pain in patients with ORIF fractures.

scholarly journals Men perspectives on attending antenatal care visits together with their pregnant partners in Misungwi district, rural Tanzania: a qualitative study

2020 ◽  
Author(s):  
Maendeleo Boniphace ◽  
Dismas Matovelo ◽  
Rose Laisser ◽  
Hadija Swai ◽  
Victoria Yohana ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Health Workers ◽  
Cultural Norms ◽  
Health Providers ◽  
Group Discussions ◽  
Individual Interviews ◽  
Men 2 ◽  
Rural Tanzania ◽  
Expectant Fathers ◽  
And Gender

Abstract Background: Mens’attendance with their pregnant partners at facility-based antenatal care (ANC) visits is important for maternal and child health and gender equality yet remains uncommon in parts of rural Tanzania. This study examined men’s perspectives on attending ANC with their pregnant partners in Misungwi District, Tanzania.Methods: Twelve individual interviews and five focus group discussions were conducted using semi-structured questionnaires with fathers, expectant fathers, and in-depth interviews were done to health providers, volunteer community health workers, and village leaders. Interviews were recorded and transcribed in Swahili and later translated to English. The research team conducted thematic analysis to identify common themes among interviews. Results: We identified two broad themes on the barriers to male attendance at facility-based ANC visits: (1) Perceived exclusion during ANC visits among men (2) Traditional gender norms resulting to low attendance among men.Conclusion: Attendance at health facility for ANC visits by men with their pregnant partners in the study areas were challenged by structural and local cultural norms. At the facility men were uncomfortable to sit with women due to lack of specific waiting area for men and that they perceived to be neglected. Local cultural norms demanded women to have secrecy in pregnancy while men perceived not to have a role of being with their partners during ANC visits.

scholarly journals Influence of social-cultural factors and gender on health workforce absenteeism: a qualitative study from Nigeria

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
O Omwujekwe
Keyword(s):  
Rural Areas ◽  
Health Workers ◽  
Health Sector ◽  
Structural Factors ◽  
Dual Practice ◽  
Social Events ◽  
Rural And Urban ◽  
Child Bearing ◽  
Enugu State ◽  
And Gender

Abstract Background Absenteeism is widespread across the Nigerian health sector among all cadres of providers. Little is known about the health worker incentives and drivers of absenteeism among staff working in primary health care settings in rural areas in Enugu State. Methods We focused on six primary care centers in rural and urban regions in Enugu State, south-east Nigeria. We conducted in-depth interviews and focus group discussions with 70 respondents living nearby: comprising 12 frontline health workers, 12 healthcare managers, 6 Health Facility Committee leaders and 40 service users. We used thematic data analysis, drawing on conceptualisations of culture and gender. Results Socio-cultural causes of absenteeism included gender roles (caregiving responsibilities, home keeping, child bearing issues, etc.), marital status, attending to social events and cultural ceremonies. Consequently, women were more likely to be absent than men, given traditional roles (e.g. home keeping, caregiving, farming) and child bearing. Male absenteeism reflected a need to generate additional income through dual practice and other jobs. Sanctions against those absent was similar for men and women. Individual health workers who were connected to politically powerful individuals “godmothers” or “godfathers” were able to use these connections to improve their placements and protect themselves from potential sanction. Conclusions Effective strategies to tackle absenteeism will require socio-economic and these factors to be taken into account when addressing health systems and structural factors. Long-term change also requires addressing the power imbalances that give rise to these conditions, something that is likely to be especially challenging.

Suicidal tendencies prevalence and its associated risk factors among Nigerian university students:A Quantitative survey (Preprint)

2020 ◽  
Author(s):  
Kehinde Lawrence
Keyword(s):  
Risk Factors ◽  
Undergraduate Students ◽  
Health Workers ◽  
Psychosocial Interventions ◽  
Research Approach ◽  
Prevention Education ◽  
Quantitative Survey ◽  
Southwest Nigeria ◽  
And Gender ◽  
Associated Risk Factors

BACKGROUND Stemming from the recent increase reported rate of suicide among undergraduate students in Nigeria,has created a concern to the society OBJECTIVE this study aims to investigate some risk factors associated with suicidal tendencies among undergraduate students in Nigeria using a quantitative survey research approach METHODS A multistage sampling method was used to select 2123 sampled undergraduate students in Southwest Nigeria. A self-developed questionnaire consist of indices of suicidal tendencies was used to collect data. While, Logistic regression was employed as statistical tools. RESULTS Findings suggests that 151 (7.5%) of the respondents had suicidal tendencies with risk factors like alcoholism (OR = 1.02, {1.01–1.04}) and helplessness (OR = 1.04; {1.01–1.06}) reported strong and significant association (p < 0.05). While depression (OR = .985, {.960–1.01}), hopelessness (OR = .999, {.971–1.01}), self-worry (OR = 1.00, {.988–1.02}), self-doubt (OR = 1.00, {.983–1.03}), inefficacy (OR = .991, {.966–1.02}), age (OR = 1.00, {.043–2.325}) and gender (OR = 1.04, {.724–1.50}) showed weak and non-significant association with suicidal tendencies (p > 0.05). CONCLUSIONS This study concludes there is slight prevalence of suicidal tendencies among undergraduate students, however, there is a need to introduce suicidal prevention education into university curriculum as a way to contain the prevalence of suicide among adolescents and youths. Further, studies should focus on the development of psychosocial interventions that can be used by counselling psychologist, public health and social health workers for individuals identified with suicidal tendencies, while regular suicide awareness and prevention programms are urgently suggested in the interim.

Using reproductive health services to address sexual and gender-based violence in post-conflict northern Uganda.

2019 ◽  
Author(s):  
Keneth Opiro ◽  
Francis Pebolo Pebalo ◽  
Neil Scolding ◽  
Charlotte Hardy
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Health Workers ◽  
Northern Uganda ◽  
Gender Based Violence ◽  
Reproductive Health Services ◽  
Service Workers ◽  
Post Conflict ◽  
Gender Based ◽  
And Gender

Abstract Abstract Background Sexual and gender-based violence (SGBV), including rape and child sexual abuse, remains a significant challenge in post-conflict northern Uganda, including within refugee settlements. Many victims have never sought help from health-related services. Consequently, the scale of the problem is unknown, and SGBV victims’ injuries, both psychological and physical, remain undetected and unaddressed. We hypothesized that health workers in rural Reproductive Health Services could provide a valuable resource for SGBV screening and subsequent referral for support. Methods Our project had three elements. First, Reproductive Health Service workers were trained in the knowledge and skills needed to screen for and identify women who had experienced SGBV, using a questionnaire-based approach. Second, the screening questionnaire was used by reproductive health workers over a 3-month period, and the data analysed to explore the scale and nature of the problem. Third, victims detected were offered referral as appropriate to hospital services and/or the ActionAid SURGE (Strengthening Uganda’s Response to Gender Equality) shelter in Gulu. Results 1656 women were screened. 778 (47%) had a history of SGBV, including 123 victims of rape and 505 victims of non-sexual violence. 1,254 (76%) had been directly or indirectly affected by conflict experiences; 1066 had lived in IDP camps. 145 (9%) were referred at their request to Gulu SGBV Shelter under SURGE. Of these, 25 attended the shelter and received assistance, and a further 20 received telephone counselling. Conclusion Undetected SGBV remains a problem in post-conflict northern Uganda. Reproductive Health Service workers, following specific training, can effectively screen for and identify otherwise unreported and unassisted cases of SGBV. Future work will explore scaling up to include screening in hospital A&E departments, incorporate approaches to screening for male victims, and the impact of taking both screening and support services to rural communities through local clinics with mobile teams.

Health of the Nation Outcome Scales

1999 ◽  
Vol 174 (5) ◽  
pp. 380-388 ◽  
Author(s):  
Tom Trauer ◽  
Tom Callaly ◽  
Paul Hantz ◽  
John Little ◽  
Robert B. Shields ◽  
...  
Keyword(s):  
Mental Health ◽  
Large Scale ◽  
Service Use ◽  
Psychotic Disorders ◽  
Health Workers ◽  
Mental Health Workers ◽  
Systematic Assessment ◽  
Real Change ◽  
Large Scale Field ◽  
And Gender

BackgroundIn Victoria, Australia, systematic assessment of outcomes in mental health services are being instituted.AimsTo carry out a large-scale field trial of the Health of the Nation Outcome Scales (HoNOS).Method2137 clients were rated by mental health workers on the HoNOS, and about half were rated again within a few months.ResultsWhile interrater reliability of the total score was satisfactory, that of some individual items was unacceptable. Significant associations with age and gender were found, and clients with non-psychotic disorders obtained higher (i.e. worse) ratings than those with psychotic disorders. There were relationships between service use and HoNOS total score. For the group as a whole, total scores had not changed at the second rating, but admissions and discharges were associated with increases and decreases in total score. Among clients in the community, there was no relationship between change in HoNOS total score and frequency of contacts.ConclusionsCertain items, notably 11 and 12, were unreliable. The absence of evidence of sensitivity to change may be due to the short re-rating interval, little real change in the clients, or the characteristics of the scale itself.

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