scholarly journals Child Health in the Peruvian Amazon: Prevalence and Factors Associated with Referred Morbidity and Health Care Access in the City of Iñapari

2015 ◽  
Vol 2015 ◽  
pp. 1-11
Author(s):  
Maria Gabriela Silva Guimarães ◽  
Athos Muniz Braña ◽  
Humberto Oliart-Guzmán ◽  
Fernando Luiz Cunha Castelo Branco ◽  
Breno Matos Delfino ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Access ◽  
Respiratory Symptoms ◽  
Respiratory Infections ◽  
Access To Health Services ◽  
Care Access ◽  
Poor Access ◽  
Access To Health ◽  
The City

Introduction. Children under 5 years of age are more susceptible to developing morbidities such as diarrhea, respiratory infections, anemia, and malnutrition. The objective of the study is to evaluate the prevalence of reported morbidities in this age group in the city of Iñapari (Peru) and the access to health services in this municipality.Methods. Data collection using interviews that assessed socioeconomic and demographic conditions, child morbidity, and access to health services was performed in 2011. Statistical analysis was performed using SPSS 13.0.Results. Regarding morbidities that occurred during lifetime, 39.8% reported previous anemia and intestinal parasite infection. About 53.7% of the children reported any type of morbidities in the last 15 days before interview, being most frequent respiratory symptoms (38.9%), diarrhea (23,4%), and fever (23,1%). Only 63.1% of those reporting recent morbidities sought health care. These morbidities were associated with precarious sanitation and lack of infrastructure, the presence of other comorbidities, and poor access to health services.Conclusion. The main referred morbidities in Amazonian Peruvian children were diarrhea, respiratory symptoms, anemia, and vomiting. Incentives and improvements in the health and sanitation conditions would be important measures to improve the quality of life of the Amazonian child population.

scholarly journals Barriers to accessing health care services: A qualitative study of migrant construction workers in a Southwestern Indian city

2020 ◽  
Author(s):  
Maija Santalahti ◽  
Kumar Sumit ◽  
Mikko Perkiö
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Access ◽  
Access To Health Care ◽  
Health Care Services ◽  
Construction Workers ◽  
Access To Health Services ◽  
Care Access ◽  
Care Services ◽  
Access To Health

Abstract Background: This study examined access to health care in an occupational context in an urban city of India. Many people migrate from rural areas to cities, often across Indian states, for employment prospects. The purpose of the study is to explore the barriers to accessing health care among a vulnerable group – internal migrants working in the construction sector in Manipal, Karnataka. Understanding the lay workers’ accounts of access to health services can help to comprehend the diversity of factors that hinder access to health care. Methods: Individual semi-structured interviews involving 15 migrant construction workers were conducted. The study applied theory-guided content analysis to investigate access to health services among the construction workers. The adductive analysis combined deductive and inductive approaches with the aim of verifying the existing barrier theory in a vulnerable context and further developing the health care access barrier theory. Results: This study’s result is a revised version of the health care access barriers model, including the dimension of trust. Three known health care access barriers – financial, cognitive and structural, as well as the new barrier (distrust in public health care services), were identified among migrant construction workers in a city context in Karnataka, India. Conclusions: Further qualitative research on vulnerable groups would produce a more comprehensive account of access to health care. The socioeconomic status behind access to health care, as well as distrust in public health services, forms focal challenges for any policymaker hoping to improve health services to match people’s needs.

scholarly journals Barriers to accessing health care services: A qualitative study of migrant construction workers in a Southwestern Indian city

2020 ◽  
Author(s):  
Maija Santalahti ◽  
Kumar Sumit ◽  
Mikko Perkiö
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Access ◽  
Access To Health Care ◽  
Health Care Services ◽  
Construction Workers ◽  
Access To Health Services ◽  
Care Access ◽  
Care Services ◽  
Access To Health

Abstract Background: This study examined access to health care in an occupational context in an urban city of India. Many people migrate from rural areas to cities, often across Indian states, for employment prospects. The purpose of the study is to explore the barriers to accessing health care among a vulnerable group – internal migrants working in the construction sector in Manipal, Karnataka. Understanding the lay workers’ accounts of access to health services can help to comprehend the diversity of factors that hinder access to health care. Methods: Individual semi-structured interviews involving 15 migrant construction workers were conducted. The study applied theory-guided content analysis to investigate access to health services among the construction workers. The adductive analysis combined deductive and inductive approaches with the aim of verifying the existing barrier theory in a vulnerable context and further developing the health care access barrier theory. Results: This study’s result is a revised version of the health care access barriers model, including the dimension of trust. Three known health care access barriers – financial, cognitive and structural, as well as the new barrier (distrust in public health care services), were identified among migrant construction workers in a city context in Karnataka, India. Conclusions: Further qualitative research on vulnerable groups would produce a more comprehensive account of access to health care. The socioeconomic status behind access to health care, as well as distrust in public health services, forms focal challenges for any policymaker hoping to improve health services to match people’s needs.

Health Care Access and Utilization after the 2010 Pakistan Floods

2016 ◽  
Vol 31 (5) ◽  
pp. 485-491 ◽  
Author(s):  
Gabrielle A. Jacquet ◽  
Thomas Kirsch ◽  
Aqsa Durrani ◽  
Lauren Sauer ◽  
Shannon Doocy
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Providers ◽  
Health Care Access ◽  
Access To Health Care ◽  
Survey Method ◽  
Care Providers ◽  
Care Access ◽  
Access To Health ◽  
Residence Location

AbstractIntroductionThe 2010 floods submerged more than one-fifth of Pakistan’s land area and affected more than 20 million people. Over 1.6 million homes were damaged or destroyed and 2,946 direct injuries and 1,985 deaths were reported. Infrastructure damage was widespread, including critical disruptions to the power and transportation networks.HypothesisDamage and loss of critical infrastructure will affect the population’s ability to seek and access adequate health care for years to come. This study sought to evaluate factors associated with access to health care in the aftermath of the 2010 Pakistan floods.MethodsA population-proportional, randomized cluster-sampling survey method with 80 clusters of 20 (1,600) households of the flood-affected population was used. Heads of households were surveyed approximately six months after flood onset. Multivariate analysis was used to determine significance.ResultsA total of 77.8% of households reported needing health services within the first month after the floods. Household characteristics, including rural residence location, large household size, and lower pre- and post-flood income, were significantly associated (P<.05) with inadequate access to health care after the disaster. Households with inadequate access to health care were more likely to have a death or injury in the household. Significantly higher odds of inadequate access to health care were observed in rural populations (adjusted OR 4.26; 95% CI, 1.89-9.61).ConclusionAdequate health care access after the 2010 Pakistani floods was associated with urban residence location, suggesting that locating health care providers in rural areas may be difficult. Access to health services also was associated with post-flood income level, suggesting health resources are not readily available to households suffering great income losses.JacquetGA, KirschT, DurraniA, SauerL, DoocyS. Health care access and utilization after the 2010 Pakistan floods. Prehosp Disaster Med. 2016;31(5):485–491.

scholarly journals Barriers to accessing health-care services: A qualitative study of migrant construction workers in a Southwestern Indian city

2020 ◽  
Author(s):  
Maija Santalahti ◽  
Kumar Sumit ◽  
Mikko Perkiö
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Access ◽  
Access To Health Care ◽  
Health Care Services ◽  
Construction Workers ◽  
Care Access ◽  
Care Services ◽  
Access To Health ◽  
Health Care Access Barriers

Abstract Background: This study examined access to health care in an occupational context in an urban city of India. Many people migrate from rural areas to cities, often across Indian states, for employment prospects. The purpose of the study is to explore the barriers to accessing health care among a vulnerable group – internal migrants working in the construction sector in Manipal, Karnataka. Understanding the lay workers’ accounts of access to health service can help to comprehend the diversity of factors that hinder access to health care. Methods: Individual semi-structured interviews involving 15 migrant construction workers were conducted. The study applied theory-guided content analysis to investigate access to health services among the construction workers. The adductive analysis combined deductive and inductive approaches with the aim of verifying the existing barrier theory in a vulnerable context and further developing the health-care access barrier theory. Results: This study’s result is a revised version of the health-care access barriers model, including the dimension of trust. Three known health-care access barriers – financial, cognitive and structural, as well as the new barrier (distrust in public health-care services), were identified among migrant construction workers in a city context in Karnataka, India.Conclusions: Further qualitative research on vulnerable groups would produce a more comprehensive account of access to health care. The socioeconomic status behind access to health care, as well as distrust in public health services, forms focal challenges for any policymaker hoping to improve health services to match people’s needs.

scholarly journals Barriers to accessing health care services: A qualitative study of migrant construction workers in a Southwestern Indian city

2020 ◽  
Author(s):  
Maija Santalahti ◽  
Kumar Sumit ◽  
Mikko Perkiö
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Access ◽  
Access To Health Care ◽  
Health Care Services ◽  
Construction Workers ◽  
Care Access ◽  
Care Services ◽  
Access To Health ◽  
Health Care Access Barriers

Abstract Background: This study examined access to health care in an occupational context in an urban city of India. Many people migrate from rural areas to cities, often across Indian states, for employment prospects. The purpose of the study is to explore the barriers to accessing health care among a vulnerable group – internal migrants working in the construction sector in Manipal, Karnataka. Understanding the lay workers’ accounts of access to health service can help to comprehend the diversity of factors that hinder access to health care. Methods: Individual semi-structured interviews involving 15 migrant construction workers were conducted. The study applied theory-guided content analysis to investigate access to health services among the construction workers. The adductive analysis combined deductive and inductive approaches with the aim of verifying the existing barrier theory in a vulnerable context and further developing the health care access barrier theory. Results: This study’s result is a revised version of the health care access barriers model, including the dimension of trust. Three known health care access barriers – financial, cognitive and structural, as well as the new barrier (distrust in public health care services), were identified among migrant construction workers in a city context in Karnataka, India. Conclusions: Further qualitative research on vulnerable groups would produce a more comprehensive account of access to health care. The socioeconomic status behind access to health care, as well as distrust in public health services, forms focal challenges for any policymaker hoping to improve health services to match people’s needs.

scholarly journals Towards Equitable Health Care Access: Community Participatory Research Exploring Unmet Health Care Needs of Homeless Individuals

2021 ◽  
pp. 084456212110321
Author(s):  
Melba Sheila D’Souza ◽  
Noeman Ahmad Mirza
Keyword(s):  
Social Support ◽  
Health Care ◽  
Health Services ◽  
Health Care Access ◽  
Access To Health Care ◽  
Health Care Needs ◽  
Care Needs ◽  
Care Access ◽  
Access To Health ◽  
Unmet Health Care Needs

Community and health services often overlook health care needs of persons experiencing homelessness, which leads to deterioration in health and increased utilization of emergency services. Since homeless people are underrepresented in health service research, little is known about their unmet health care needs, particularly in smaller cities where resources are limited. This community-based participatory research explored the experiences of small-city homeless service users (HSUs) with unmet health care needs and community service providers (CSPs) who work with them to determine barriers to health care access affecting them. Structured interviews were conducted with 65 HSUs and 15 CSPs in interior British Columbia, Canada. These interviews were audio-recorded, and the retrieved data were analyzed thematically. The three themes uncovered included: a lack of access to health care and risk of stigma, a lack of trust and fear of discrimination, and a need for community navigation and social support. The findings indicate that HSUs do not receive equitable care and face challenges in accessing appropriate and timely foot care, which contributes to increased foot-related emergency visits, loss of trust in the health care system, and disabilities due to worsening foot conditions. Various social determinants of health also impact HSUs, such as low socioeconomic status, lack of housing, decreased social support, unhealthy behaviors, and inequitable access to health services. By collaborating with HSUs, community and health services need to develop innovative outreach programs that provide better community resources as the first step toward equitable access to health care.

scholarly journals Fragilidades e fortalezas da assistência à saúde do homem na atenção primária à saúde

2020 ◽  
Vol 10 (32) ◽  
pp. 53-61
Author(s):  
Angélica Cristina Silveira Marques ◽  
Adriani Izabel de Souza Moraes ◽  
Sílvia Carla da Silva André Uehara
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Men’S Health ◽  
Men's Health ◽  
Health It ◽  
Access To Health Services ◽  
Primary Health ◽  
Access To Health ◽  
Care Health ◽  
The City

O processo de adoecimento dos homens vem sendo determinado pelo seu comportamento na sociedade e como expressam suas crenças de masculinidade. O objetivo deste trabalho foi identificar as ações realizadas pelos enfermeiros da Atenção Primária à Saúde (APS) direcionadas à promoção da saúde do homem. Trata-se de uma pesquisa descritiva, exploratória e de abordagem quantitativa. A pesquisa foi realizada com 29 enfermeiros de serviços da APS do município de São Carlos-SP. Os dados foram coletados por meio de uma entrevista, utilizando um instrumento validado. Os dados foram analisados por meio da estatística descritiva. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa. Os resultados mostram que 65,5% (19) dos enfermeiros referiram não ter recebido capacitação sobre a saúde do homem. Quanto aos fatores facilitadores do acesso dos homens nos serviços de saúde, destacam-se que 19% (11) das respostas incluíram o vínculo estabelecido entre os profissionais e usuários; e, como agentes dificultadores, em 35,1% (19) das respostas foi ressaltada a cultura do homem. Para uma maior efetividade da assistência à saúde do homem, torna-se necessário a sensibilização de profissionais e gestores de saúde na busca de estratégias para facilitar o acesso da população masculina aos serviços de saúde.Descritores: Saúde do Homem, Atenção Primária à Saúde, Enfermagem. Fragilities and strengths of man's health care in primary health careAbstract: The illness process of men has been determined by their behavior in society and how they express their beliefs about masculinity. The objective of this study was to identify the actions performed by nurses of Primary Health Care (PHC) directed to the promotion of men's health. It is descriptive, exploratory, and quantitative approach research. The research was conducted with 29 nurses from the PHC services of the city of São Carlos-SP. Data were collected through an interview using an instrument validated. Data were analyzed using descriptive statistics. Still, data collection began after approval by the Research Ethics Committee. The results show that 65.5% (19) of the nurses reported not having received training on men's health. Regarding factors that facilitate men's access to health services, it is noteworthy that 19% (11) of the answers included the bond established between professionals and users; and, as hindering agents, 35.1% (19) of the answers highlighted men's culture. Thus, for greater effectiveness of men's health care, health professionals and managers need to be sensitized in the search for strategies to facilitate the male population's access to health services.Descriptors: Men's Health, Primary Health Care, Nursing. Fragilidades y fortalezas de la atención médica del hombre en la atención primaria de saludResumen: El proceso de enfermedad de los hombres ha sido determinado por su comportamiento en la sociedad y cómo expresan sus creencias sobre la masculinidad. El objetivo de este estudio fue identificar las acciones realizadas por las enfermeras de Atención Primaria de Salud (APS) dirigidas a la promoción de la salud de los hombres. Es una investigación de enfoque descriptivo, exploratorio y cuantitativo. La investigación se realizó con 29 enfermeras de los servicios de APS de la ciudad de São Carlos-SP. Los datos fueron recolectados a través de una entrevista utilizando un instrumento validado. Los datos se analizaron mediante estadística descriptiva. Aún así, la recopilación de datos comenzó después de la aprobación del Comité de Ética en Investigación. Los resultados muestran que el 65.5% (19) de las enfermeras informaron no haber recibido capacitación sobre la salud de los hombres. En cuanto a los factores que facilitan el acceso de los hombres a los servicios de salud, cabe destacar que el 19% (11) de las respuestas incluyeron el vínculo establecido entre profesionales y usuarios; y, como agentes obstaculizadores, el 35,1% (19) de las respuestas destacaron la cultura de los hombres. Por lo tanto, para una mayor efectividad de la atención médica de los hombres, los profesionales de la salud y los gerentes deben ser sensibilizados en la búsqueda de estrategias para facilitar El acceso de la población masculina a los servicios de salud.Descriptores: Salud del Hombre, Atención Primaria de Salud, Nursing.

scholarly journals Evaluation of Access on the perspective of adult users of Primary Health Care in Fortaleza, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Borges Costa ◽  
C Salles Gazeta Vieira Fernandes ◽  
T Custódio Mota ◽  
E Torquato Santos ◽  
M Moura de Almeida ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health System ◽  
Assessment Tool ◽  
Health Coverage ◽  
Access To Health Services ◽  
Primary Health ◽  
Care Assessment ◽  
The City

Abstract The Alma-Ata Conference promoted Primary Health Care (PHC) worldwide as a form of universal and continuous access to quality and effective health services. In Brazil, PHC, through the Family Health Strategy (FHS), aims to be the gateway to the health system and its structuring axis. For this, it is necessary to promote access, an essential condition for the quality of health care services, following the attributes systematized by Barbara Starfield. The aim of this study was to evaluate the presence of the attribute “First Contact Access” on the perspective of adult users of public PHC services in the city of Fortaleza, Ceará, Brazil. A transversal study was carried out, in 19 PHC Units, from June to December 2019, using the Primary Care Assessment Tool (PCATool) Brazil version for adult users. Kruskal-Wallis test was used for statistical analysis. 233 users participated, mostly women (69.5%), aged 30 to 59 years old (55.3%), mixed-race (69.5%), with complete high school (38.2%), without private health coverage (89.3%), homeowners (68.7%) and belonging to families of up to 4 members (87.9%). The “Accessibility” component had the lowest score, 2.83, and the “Utilization” had the highest score, 8.06. Older age was associated with higher “Accessibility” scores (p = 0,018), while lower values of “Utilization” were associated with higher education (p = 0,004). The main problems observed were: low access for acute demand consultations, lack of access at nighttime and weekends, little access through non-personal ways, bureaucratic barriers and a long time for scheduling appointments. We conclude that, although there was an improvement in PHC coverage in the city over the years, mainly due to FHS, there is still a lot to improve to ensure timely access to health services. Key messages Users consider PHC as the usual source of care, demonstrated by the high score of 'Utilization', however, they are unable to use it when necessary, demonstrated by the low score of 'Accessibility'. Expanding forms of access is essential to contribute to the strengthening of PHC in Fortaleza, Brazil, facilitating the entry to its national Universal Health System.

scholarly journals Forum: equity in access to health care. Introduction

2008 ◽  
Vol 24 (5) ◽  
pp. 1159-1161 ◽  
Author(s):  
Claudia Travassos
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Health Care Professionals ◽  
Access To Health Care ◽  
Health Care Systems ◽  
Care Access ◽  
Unethical Practices ◽  
Access To Health ◽  
Care Systems ◽  
Equity In Access

The Introduction outlines this issue's special Forum on equity in access to health care, including three Articles and a Postscript. The Forum represents a continuation of the debates raised during a seminar organized by the Oswaldo Cruz Foundation in the city of Rio de Janeiro, Brazil, in 2006, in collaboration with UNICEF, UNDP, World Bank, the WHO Special Program for Research and Training in Tropical Diseases, and the United Nations Research Institute for Social Development. The authors approach health care access and equity from a comprehensive and contemporaneous perspective, introducing a new conceptual framework for access, in which information plays a central role. Trust is proposed as an important value for an equitable health care system. Unethical practices by health administrators and health care professionals are highlighted as hidden critical aspects of inequities in health care. As a whole, the articles represent a renewed contribution for understating inequalities in access, and for building socially just health care systems.

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