scholarly journals A Model for Provision of ENT Health Care Service at Primary and Secondary Hospital Level in a Developing Country

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Lingamdenne Paul Emerson ◽  
Anand Job ◽  
Vinod Abraham
Keyword(s):  
Urban Communities ◽  
Rural Community ◽  
Hearing Aids ◽  
Tamil Nadu ◽  
Care Service ◽  
Health Care Service ◽  
Care Hospital ◽  
Rural And Urban ◽  
Secondary Hospital ◽  
A Prospective Study

ENT problems are the most common reason for a visit to a doctor in both rural and urban communities. In many developing countries, there is a lack of ENT specialists and overburdened hospital facilities. To date, there is no comprehensive study that has evaluated the spectrum of ENT disorders in a rural community.Methods. A prospective study was done for a period of three years to profile the cases presenting to the outpatient clinic in a secondary care hospital and in the camps conducted in tribal areas in Vellore District of Tamil Nadu, India. Trained community volunteers were used to identify ENT conditions and refer patients.Results. A total of 2600 patients were evaluated and treated. Otological symptoms were the most commonly reported with allergic rhinitis being the second most commonly reported. Presbycusis was the most common disability reported in the rural community. The other symptoms presented are largely related to hygiene and nutrition.Conclusion. Using trained community workers to spread the message of safe ENT practices, rehabilitation of hearing loss through provision of hearing aids, and the evaluation and surgical management by ENT specialist helped the rural community to access the service.

scholarly journals The reality of rurality : parent experiences with best start in two rural communities

2021 ◽  
Author(s):  
Kerri Graham
Keyword(s):  
Rural Communities ◽  
Service Delivery ◽  
Urban Communities ◽  
Care Service ◽  
Future Research ◽  
Systems Perspective ◽  
Parent Experiences ◽  
Rural And Urban ◽  
Challenges And Opportunities ◽  
Rural Service Delivery

Human services literature from a variety of disciplines demonstrates that rural and urban communities pose different challenges and opportunities for service delivery; however, little research specifically explores early learning and care service delivery in rural communities. This qualitative study draws on a critical ecological systems perspective to examine the experiences of rural parents accessing services through a specific service delivery strategy, Best Start networks. Thematic analysis was used to analyze data gathered from two rural communities as part of a larger study examining parent experiences with Best Start in three communities across Ontario (Underwood, Killoran, & Webster, 2010). Three themes emerged that related specifically to the rural experience: (a) Opportunities for Social Interaction; (b) Accessibility of Services; and, (c) Impact of Personal Relationships. Results indicate that certain factors related to rural life and location affected parents' experiences with Best Start services. Drawing on the broadly defined concept of accessibility, implications for rural service delivery are discussed and recommendations for practice and future research are presented.

The cost of health care for HIV-positive patients

1997 ◽  
Vol 8 (1) ◽  
pp. 50-53 ◽  
Author(s):  
R P Brettle ◽  
F I Atkinson ◽  
J Wilcock ◽  
A Richardson ◽  
R Lewis ◽  
...  
Keyword(s):  
Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Hospital Costs ◽  
Risk Groups ◽  
Clinical Staging ◽  
Service Activity ◽  
Comprehensive Health ◽  
Definition Of ◽  
A Prospective Study

Utilizing a prospective study of health service activity for HIV/AIDS, 2 estimates of hospital costs of care analysed with reference to gender, risk activity, immunological and clinical staging (1987 definition of AIDS) were undertaken. Utilizing combined costs per life year (based on hospital and hospice activity but not primary and community care) the ratio of costs for CD4< 200 and cd4> 200 was for most risk groups between 2-5 : 1 whilst for AIDS : pre-AIDS it was between 3.6-8.3 : 1 except for homosexuals where it was 12.6 : 1. A comparison of the standard hospital costs for infectious diseases with the published accounts for clinical AIDS care in Lothian suggests a 3-4-fold underestimate in the costs of providing a comprehensive health care service.

scholarly journals Self-reported outcomes after hearing aid fitting in Minas Gerais, Brazil

CoDAS ◽  
2015 ◽  
Vol 27 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Mirna Rossi Barbosa ◽  
Daniel de Sousa Medeiros ◽  
Luiza Augusta Rosa Rossi-Barbosa ◽  
Antônio Prates Caldeira
Keyword(s):  
Hearing Aids ◽  
Hearing Aid ◽  
Care Service ◽  
Health Care Service ◽  
Minas Gerais ◽  
Northern Region ◽  
Public Health Care ◽  
Cross Sectional ◽  
Hearing Aid Fitting ◽  
Fitting In

PURPOSE: To analyze the self-reported outcomes after hearing aid fitting among individuals in the northern region of Minas Gerais and associated factors. METHODS: A cross-sectional and analytical study with a random sample of adults and elderly attending the public health care service was conducted in the northern region of Minas Gerais (86 municipalities), Brazil. Study's participants answered International Outcome Inventory for Hearing Aids (IOI-HA) questionnaires. Data were analyzed descriptively and analytically with Poisson regression analysis. RESULTS: We interviewed 272 adults and 112 individuals reported not using their hearing aids regularly. The mean of IOI-HA global score was lower than expected. The individual's relationship with their hearing aid (Factor 1) was worse than the individual's relationship with their environment (Factor 2). Lower global scores were statistically associated with no work. CONCLUSIONS: The observed scores for the study's population are lower than those recorded in other studies. The results suggest that there are limitations in the fitting and follow-up of individuals who received hearing aids.

scholarly journals The reality of rurality : parent experiences with best start in two rural communities

2021 ◽  
Author(s):  
Kerri Graham
Keyword(s):  
Rural Communities ◽  
Service Delivery ◽  
Urban Communities ◽  
Care Service ◽  
Future Research ◽  
Systems Perspective ◽  
Parent Experiences ◽  
Rural And Urban ◽  
Challenges And Opportunities ◽  
Rural Service Delivery

Human services literature from a variety of disciplines demonstrates that rural and urban communities pose different challenges and opportunities for service delivery; however, little research specifically explores early learning and care service delivery in rural communities. This qualitative study draws on a critical ecological systems perspective to examine the experiences of rural parents accessing services through a specific service delivery strategy, Best Start networks. Thematic analysis was used to analyze data gathered from two rural communities as part of a larger study examining parent experiences with Best Start in three communities across Ontario (Underwood, Killoran, & Webster, 2010). Three themes emerged that related specifically to the rural experience: (a) Opportunities for Social Interaction; (b) Accessibility of Services; and, (c) Impact of Personal Relationships. Results indicate that certain factors related to rural life and location affected parents' experiences with Best Start services. Drawing on the broadly defined concept of accessibility, implications for rural service delivery are discussed and recommendations for practice and future research are presented.

scholarly journals Population health diagnosis with an ecohealth approach

2015 ◽  
Vol 49 (0) ◽  
Author(s):  
Luz Arenas-Monreal ◽  
Marlene Cortez-Lugo ◽  
Irene Parada-Toro ◽  
Lilian E Pacheco-Magaña ◽  
Laura Magaña-Valladares
Keyword(s):  
Public Health ◽  
Urban Communities ◽  
Community Participation ◽  
Gender Equity ◽  
Rural Community ◽  
Public Health Approach ◽  
Rural And Urban ◽  
And Gender ◽  
Five Phases ◽  
Health Diagnosis

OBJECTIVE To analyze the characteristics of health diagnosis according to the ecohealth approach in rural and urban communities in Mexico.METHODS Health diagnosis were conducted in La Nopalera, from December 2007 to October 2008, and in Atlihuayan, from December 2010 to October 2011. The research was based on three principles of the ecohealth approach: transdisciplinarity, community participation, gender and equity. To collect information, a joint methodology and several techniques were used to stimulate the participation of inhabitants. The diagnostic exercise was carried out in five phases that went from collecting information to prioritization of problems.RESULTS The constitution of the transdisciplinary team, as well as the participation of the population and the principle of gender/equity were differentials between the communities. In the rural community, the active participation of inhabitants and authorities was achieved and the principles of transdisciplinarity and gender/equity were incorporated.CONCLUSIONS With all the difficulties that entails the boost in participation, the incorporation of gender/equity and transdisciplinarity in health diagnosis allowed a holistic public health approach closer to the needs of the population.

scholarly journals Relative validation of a quantitative FFQ for use in Brazilian pregnant women

2012 ◽  
Vol 16 (8) ◽  
pp. 1419-1426 ◽  
Author(s):  
Patrícia Barbieri ◽  
Renata Y Nishimura ◽  
Lívia C Crivellenti ◽  
Daniela S Sartorelli
Keyword(s):  
Folic Acid ◽  
Vitamin A ◽  
Vitamin C ◽  
Pregnant Women ◽  
Nutrient Intake ◽  
Care Service ◽  
Health Care Service ◽  
Correlation Coefficients ◽  
A Prospective Study ◽  
Study Participants

AbstractObjectiveTo evaluate the ability of an FFQ, designed for use in Brazilian pregnant women, to estimate nutrient intakes during pregnancy.DesignA prospective study was conducted among 103 pregnant women attended by the Brazilian national health-care service. Food intake during pregnancy was evaluated by three 24 h dietary recalls (24hR), one per trimester of pregnancy, and also by two FFQ. The FFQ with eighty-five food items included questions about frequency of intake and portion sizes during two periods: the first 24 weeks of pregnancy and the pregnancy period as a whole. Deattenuated Pearson's correlation coefficients and joint classification into quartiles of nutrient intake were applied.SettingRibeirão Preto, São Paulo State, Brazil.SubjectsOne hundred and three pregnant women, aged 18–35 years.ResultsAcceptable correlation coefficients (r > 0·35) were found for Ca, K, Zn, Mg, fibre, vitamin C, niacin and folic acid for intake for the first 24 weeks; and for energy, lipids, protein, carbohydrate, Fe, K, Zn, fibre, vitamin B6, riboflavin and niacin for the gestational period as a whole. A high proportion of study participants (≥70 %) were categorized into the same or adjacent quartiles for estimated energy, carbohydrate, Ca, K, fibre, Zn, cholesterol, vitamin A, riboflavin, niacin, vitamin C, vitamin E and folic acid. Gross misclassification ranged from 2·3 % (dietary fibre) to 12·5 % (vitamin A, thiamin and SFA).ConclusionsThe FFQ is a useful tool for assessing categories of nutrient intake during pregnancy, since a high proportion of women were classified into the same or adjacent quartiles.

scholarly journals Health and hygienic activities of dalits, a special reference with arunthathiars in western tamil nadu

2011 ◽  
Vol 1 (1) ◽  
pp. 44-56
Author(s):  
Saranya Devi R ◽  
Suresh Babu N R
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Tamil Nadu ◽  
Access To Health Care ◽  
Health Care Services ◽  
Preventive Measures ◽  
Care Service ◽  
Health Care Service ◽  
Caste System ◽  
Basic Knowledge

Health is a common right to people in all aspects. According to Article 25 of the Universal Declarations of Human Rights, everyone has the right to a standard of living, adequate for the health of himself, including food, clothing, housing, medical care and necessary services. Though “health is wealth”, a popular sayingin almost every family world over, one seldom pays attention to the fact that it is the wealth. It determines that health and access to health care without wealth can remain merely an illusion. In India Caste system plays an important role in distribution of power and adequate services. In it, Dalits are most depressed andunder drowned people, especially in rural areas they don’t even have a permanent work and sufficient income and they do not acquire an adequate service of health. Dalits don’t have basic knowledge towards health care and preventive measures and they don’t have a proper health care service too. This conclusionhowever raises another obvious question i.e., whether one’s social or caste background determines his economic status, and consequently his access to better health care services as well. Without an economic stability and basic knowledge towards health, how they will take care of themselves and their family?Dalits are treated as untouchables till now then who will direct their health care activities? Then what is the part of government in their health progress? What is their present socio- economic and educational condition? What is their attitude towards disease and preventive measures? Who will be more responsiblein families’ health? Answering these questions becomes more crucial not only to understand the health status of any community or caste but also to identify the various factors responsible for the same.

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