scholarly journals It Is Complicated: The Medico-Social Journey of an Undocumented Pregnant Adolescent

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Helen Kest ◽  
Ashlesha Kaushik ◽  
Bushra Tehreem ◽  
David Goldberg
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Health Care Systems ◽  
Large Population ◽  
Health Resources ◽  
Secondary Syphilis ◽  
Sexually Transmitted ◽  
Pregnant Adolescent ◽  
Care Access ◽  
Social Insecurity

Adolescent pregnancies are a global health problem with over 16 million children born to this age group globally. Adolescent females also represent almost half of all adolescent global migrants. Adolescent pregnancy by itself is associated with poor health care access and morbidities; the additional risk of social insecurity in the case of undocumented adolescent migrants leads to higher risks for the mother and newborn. According to the CDC, adolescents comprise half of all new sexually transmitted diseases (STDs) including reported primary and secondary syphilis. Our case highlights the relationship between social insecurity for the undocumented adolescent migrant and excess risks for preventable mother-to-child transmission of communicable diseases. In formulating preventive measures and policies for the recent rise in sexually transmitted maternal diseases with resultant congenital infections, there is need for health care systems and providers to familiarize themselves with advocacy and other useful resources that will promote health care access for undocumented and other vulnerable adolescents. Additionally, local providers who work in areas with a large population of immigrant adolescents should utilize the untapped resources of these adolescents to develop youth community advocacy projects that link adolescents to health resources, including reproductive health.

Sexually Transmitted Infections in the U.S. Military: A Sexual Health Paradigm to Address Risk Behaviors, Unintended Pregnancy, Alcohol Use, and Sexual Trauma

2021 ◽  
Author(s):  
Cherrie B Boyer ◽  
Charlotte A Gaydos ◽  
Amy B Geller ◽  
Eric C Garges ◽  
Sten H Vermund
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Health Care Access ◽  
The United States ◽  
Universal Health Care ◽  
Sexually Transmitted ◽  
Care Access ◽  
Control And Prevention ◽  
The Military ◽  
Universal Health

ABSTRACT To address the ongoing epidemic of sexually transmitted infections (STIs) in the United States, the National Academies of Sciences, Engineering, and Medicine (National Academies) conducted a consensus study on STI control and prevention in the United States to provide recommendations to the Centers for Disease Control and Prevention and the National Association of County and City Health Officials. The culminating report identified military personnel as one of the priority groups that require special consideration given the high prevalence of STIs and their associated behaviors (e.g., concurrent sexual partners and infrequent condom use) that occur during active duty service. Universal health care access, the relative ease and frequency of STI screening, and the educational opportunities within the military are all assets in STI control and prevention. The report offers a comprehensive framework on multiple and interrelated influences on STI risk, prevention, health care access, delivery, and treatment. It also provides an overview of the multilevel risk and protective factors associated with STIs that could be applied using a sexual health paradigm. The military context must integrate the multilevel domains of influences to guide the effort to fill current gaps and research needs. The Department of Defense, with its large clinical and preventive medicine workforce and its well-established universal health care system, is well positioned to enact changes to shift its current approach to STI prevention, treatment, and control. STI control based on highlighting behavioral, social, cultural, and environmental influences on service members’ sexual health and wellness may well drive better STI care and prevention outcomes.

Health Care Access and Quality Index and Financing of Health Care Systems

2019 ◽  
Vol 22 (1) ◽  
pp. 90-90
Author(s):  
Mindaugas Stankunas ◽  
Mark Avery ◽  
Richard Olley ◽  
Gaery Barbery
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Quality Index ◽  
Health Care Systems ◽  
Care Access ◽  
Care Systems ◽  
Access And Quality

scholarly journals Neighborhood Health Care Access and Sexually Transmitted Infections Among Women in the Southern United States

2018 ◽  
Vol 45 (1) ◽  
pp. 19-24 ◽  
Author(s):  
Danielle F. Haley ◽  
Andrew Edmonds ◽  
Nadya Belenky ◽  
DeMarc A. Hickson ◽  
Catalina Ramirez ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Sexually Transmitted Infections ◽  
Health Care Access ◽  
Southern United States ◽  
Sexually Transmitted ◽  
Care Access

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.

scholarly journals Acceptability and feasibility of self-sampling for the screening of sexually transmitted infections in cabana privacy shelters

2017 ◽  
Vol 29 (5) ◽  
pp. 461-465 ◽  
Author(s):  
Ellen Pittman ◽  
Hillary Purcell ◽  
Laura Dize ◽  
Charlotte Gaydos ◽  
Sherine Patterson-Rose ◽  
...  
Keyword(s):  
Health Care ◽  
Sexually Transmitted Infections ◽  
Health Care Access ◽  
Health Care Facilities ◽  
Sample Collection ◽  
Sexually Transmitted ◽  
Care Access ◽  
Before And After ◽  
Participant Characteristics ◽  
Doctor's Office

Screening for sexually transmitted infections (STIs) outside of traditional health-care facilities is limited by the privacy needed for sample collection. We explored the acceptability of privacy shelters for the self-collection of genital swabs and tested the use of privacy shelters during mobile STI screening. Attendees ≥14 years old at two outdoor community events completed a questionnaire that assessed participant characteristics, health-care access, and rating of acceptability of self-collecting penile or vaginal swabs in a privacy shelter and four other private spaces: portable restroom, health van, home, and doctor’s office. A privacy shelter was used during mobile STI screening. The majority (65%) of the 95 participants reported that using a privacy shelter was somewhat or very acceptable. No participant characteristics or health-care access factors were associated with the acceptability of privacy shelters. Women rated a privacy shelter more acceptable than a portable restroom or health van. Men rated a privacy shelter more acceptable than a portable restroom. During mobile STI screening, all 13 men and women who requested STI testing used the privacy shelter for self-sampling. Rating of acceptability before and after privacy shelter use was the same. Privacy shelters may enable STI screening without using a building or vehicle for sample collection.

E-health and the Universitas 21 organization: 3. Global policy

2005 ◽  
Vol 11 (5) ◽  
pp. 225-229 ◽  
Author(s):  
Richard E Scott ◽  
Anna Lee
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Care Access ◽  
Swot Analysis ◽  
Health Care Systems ◽  
Global Public Good ◽  
Global Policy ◽  
Care Access ◽  
The Status ◽  
Care Systems

There is an urgent need to develop global e-health policy in order both to facilitate and to manage the potential of e-health. As part of the Universitas 21 (U21) project in e-health, an evaluation of the status of global e-health policy was performed using a SWOT analysis (strengths, weaknesses, opportunities and threats). The analysis showed that the greatest threat to global e-health policy is the autonomous nature of domestic health-care systems. The greatest opportunity may be the prospect for nations and individuals to work together in establishing mechanisms necessary to offer health-care access through global e-health – a new 'global public good'. Full integration of e-health into existing health-care systems could be achieved in both a practical and a policy sense through global e-health policy initiatives that facilitate integration across jurisdictions. There is a pressing need to resolve a range of e-health policy issues, and a concomitant need for research that will inform and support the process. A process that adopts a global approach is recommended.

scholarly journals Health Care Access and Sexually Transmitted Infection Screening Frequency Among At-Risk Massachusetts Men Who Have Sex With Men

2009 ◽  
Vol 99 (S1) ◽  
pp. S187-S192 ◽  
Author(s):  
Carey V. Johnson ◽  
Matthew J. Mimiaga ◽  
Sari L. Reisner ◽  
Ashley M. Tetu ◽  
Kevin Cranston ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Sexually Transmitted Infection ◽  
Health Care Access ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Care Access ◽  
Sex With Men ◽  
Screening Frequency

scholarly journals Barriers to epilepsy care in central Uganda, a qualitative interview and focus group study involving PLWE and their caregivers

2019 ◽  
Author(s):  
Mark Kaddumukasa ◽  
Haddy Nalubwama ◽  
Martin N Kaddumukasa ◽  
Samden Lhatoo ◽  
Nelson Sewankambo ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Barriers To Care ◽  
Health Care Systems ◽  
The United States ◽  
Focus Group Study ◽  
Substantial Impact ◽  
Management Intervention ◽  
Care Access ◽  
Care Systems

Abstract Background Epilepsy is a common neurological disease with substantial impact on the subject and their caretakers. This exploratory study identified barriers to care for persons living with epilepsy (PLWE) to develop a culturally acceptable nurse led self-management intervention for PLWE previously developed in the United States. Methods The study involving 48 participants (31 PLWE and 17 caregivers) with in depth interviews and focus groups was conducted. We obtained insights into barriers to care in PLWE and their caregivers. Using a thematic analytic procedure emphasizing the dominant themes the qualitative responses were analyzed. Median age of PLWE was 24 years (IQR 19–30), and10 (52.6%) were male. The median age of epilepsy onset was 12 years (IQR 6 – 18), range of 1 -37 years. The median age of caregivers was 50 years (IQR 45 – 50.5), with a range of 18 -78 years. Seventy five percent of caregivers (6/8) were females. Results Three major areas of perceived barriers involving individual, family or community and provider and healthcare system barriers to epilepsy care emerged. Individual factors like limited epilepsy knowledge and medication non-adherence were reported to be key barriers to epilepsy care. Caregiver burden and lack of family support as well as poor health care access were identified from the family and health care systems. Conclusions The main barrier to epilepsy care is limited epilepsy knowledge in PLWE and their caregivers. Improving epilepsy care awareness and knowledge within communities and appropriate health care provider service for epilepsy would help reduce epilepsy barriers and improve care.

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