Refugee camp health services utilisation by non-camp residents as an indicator of unaddressed health needs of surrounding populations: a perspective from Mae La refugee camp in Thailand during 2006 and 2007

The purpose of this study was to analyze the efficiency of government spending in the health sector of West Java province in improving public health as measured by indicators of health status that is Infant Mortality Rate, Mother Mortality Rate, and Life Expectancy Rate in all regencies / cities in West Java Province. DEA method used to achieve these goals. DEA works with measures to identify the units to be evaluated, the input and output of the unit. Furthermore, the calculated value of productivity and identify the unit which does not use inputs efficiently or effectively produces no output. Research indicates that although every region in the province of West Java there is an increase in the health budget annually will produce additional output (facilities and health services) are few and have not been up to meet basic health needs for the community. Budget areas that have not been efficient is because of Rp. 421.8 billion total health budget of the province of West Java is not entirely used for the procurement of facilities and health services. Only 50% of it is Rp. 213 billion to be used one of them in the provision of health facilities and servicesDOI: 10.15408/sjie.v4i2.2302

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DISASTER & NURSEâ€™S ROLE

Journal of Clinical and Nursing Research ◽

10.26689/jcnr.v2i5.537 ◽

2019 ◽

Vol 2 (5) ◽

Author(s):

Vijayreddy Vandali ◽

Rekha B Biradar

Keyword(s):

Public Health ◽

At Risk ◽

Health Services ◽

Disaster Management ◽

High Intensity ◽

Human Life ◽

Health Needs ◽

Community Or ◽

River Erosion ◽

Potential Public Health

ABSTRACT: India is vulnerable to a large number of disasters. More than 58.6 % of the landmass is prone to earthquakes of moderate to high intensity; over 40 million hectares (12%) of its land is prone to floods and river erosion; close to 5,700 kms, out of the 7,516 kms long coastline is prone to cyclones and tsunamis; 68% of its cultivable area is vulnerable to droughts; and, its hilly areas are at risk from landslides and avalanches. WHO defines Disaster as â€œany occurrence that causes damage, ecological disruption, loss of human life, deterioration of health and health services, on a scale sufficient to warrant an extraordinary response from outside the affected community or area. Roles of nurse during disaster management includes to determine the magnitude of the event, define & understand the health needs of the affected groups, prepare the priorities and objectives, Identify actual and potential public health problems at the earliest & estimate resources needed to respond to the needs identified.

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Development and Psychometric Evaluation of a Reproductive Health need Assessment Scale for violated Women

10.21203/rs.3.rs-235138/v1 ◽

2021 ◽

Author(s):

Mahrokh Dolatian ◽

Abbas Ebadi ◽

Seyedeh Batool Hasanpoor-Azghady ◽

AnvarSadat Nayebinia

Keyword(s):

Factor Analysis ◽

Health Status ◽

Reproductive Health ◽

Health Services ◽

Item Analysis ◽

Correlation Coefficients ◽

Psychometric Evaluation ◽

Health Needs ◽

Validity And Reliability ◽

Adverse Health Effects

Abstract Violence as a serious health problem and one of the main manifestations of gender inequality brings about adverse health effects for women. Therefore, it is of utmost importance to recognize the reproductive health status of women subjected to violence in order to provide the health services they need. Considering that one of the ways to determine reproductive health status is the use of valid questionnaires in this field, the present study was conducted based on a mixed-method design. The first part of the study (qualitative section) was conducted based on conventional content analysis. In this part, unstructured in-depth interviews were conducted with 18 violated women and 9 experts. In the next stage, the item pool was formed and the Reproductive Health Needs of Violated Women Scale (RHNVWS) was designed based on the review of the literature and the results of the qualitative section with 39 items using the Waltz approach. For psychometric assessment of the above instrument, face and content validity, item analysis, and construct validity were examined using exploratory factor analysis. Based on the results of factor analysis, the four following factors were extracted with a total variance of 47.62: "men's participation", "self-care", "support and health services", as well as "sexual and marital relationships. The internal consistency of the instrument was calculated at α = 0.70–0.89 and α = 0.94 for different constructs and the whole instrument, respectively. Moreover, intra-cluster correlation coefficients were obtained at ICC = 0.96–0.99 and ICC = 0.98 for constructs and the whole instruments, respectively. Based on the results of the current study, the RHNVWS is a tool that specifically assesses the reproductive health needs of violated women and has appropriate validity and reliability. The results of the assessment using the aforementioned instruments can be of great help in promoting the reproductive health of women subjected to violence.

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A Health Outreach to a Refugee Camp: Perspectives for Would-Be Volunteers

PEDIATRICS ◽

10.1542/peds.67.4.523 ◽

1981 ◽

Vol 67 (4) ◽

pp. 523-529

Author(s):

Karen Olness

Keyword(s):

Health Care ◽

Health Care Delivery ◽

Western Medicine ◽

Care Delivery ◽

Refugee Camp ◽

Health Needs ◽

Western Countries

In the short view, volunteers from western medicine can make substantial contributions to the health needs of refugees both in the camps and after resettlement to western countries. In the longer view, a well-planned exposure to health care delivery in very different cultural and economic environments tends to trigger a profound expansion of personal and professional awareness.

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Indian Health Services, Continued

PEDIATRICS ◽

10.1542/peds.52.5.756 ◽

1973 ◽

Vol 52 (5) ◽

pp. 756-756

Author(s):

Daniel P. Kohen ◽

Gerald Yost ◽

Jerry Lyle

Keyword(s):

Health Care ◽

Health Status ◽

Health Service ◽

Health Services ◽

American Indian ◽

Indian Population ◽

Health Needs ◽

Indian Health Service ◽

American Indian Population ◽

Indian Health

We applaud Dr. Edward Mortimer's Commentary on the health status of the American Indian population (Pediatrics, 51:1065, 1973). Public statements that "Indian health care is inadequate because it is inadequately funded" and ". . . less than the minimum (money) is provided" are long overdue, and we concur completely with the necessity for us all to help Indians express and fulfill their health needs. We wish, however, to take issue with several remarks regarding the quality and scope of care provided in and through the Indian Health Service.

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Conceptual foundations of organizational structure: re-structuring of women's health services

Journal of Health Organization and Management ◽

10.1108/jhom-09-2021-0364 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Peter Nugus ◽

Joanne Travaglia ◽

Maureen MacGinley ◽

Deborah Colliver ◽

Maud Mazaniello-Chezol ◽

...

Keyword(s):

Health Service ◽

Health Services ◽

Women’S Health ◽

Women's Health ◽

Health Needs ◽

Structured Interviews ◽

Content Type ◽

Stakeholder Views ◽

Women’S Health Services ◽

Feminist Discourse

PurposeResearchers often debate health service structure. Understanding of the practical implications of this debate is often limited by researchers' neglect to integrate participants' views on structural options with discourses those views represent. As a case study, this paper aims to discern the extent to which and how conceptual underpinnings of stakeholder views on women's health contextualize different positions in the debate over the ideal structure of health services.Design/methodology/approachThe researchers chose a self-standing, comprehensive women's health service facing the prospect of being dispersed into “mainstream” health services. The researchers gathered perspectives of 53 professional and consumer stakeholders in ten focus groups and seven semi-structured interviews, analyzed through inductive thematic analysis.Findings“Women's marginalization” was the core theme of the debate over structure. The authors found clear patterns between views on the function of women's health services, women's health needs, ideal client group, ideal health service structure and particular feminist discourses. The desire to re-organize services into separate mainstream units reflected a liberal feminist discourse, conceiving marginalization as explicit demonstration of its effects, such as domestic abuse. The desire to maintain a comprehensive women's health service variously reflected post-structural feminism's emphasis on plurality of identities, and a radical feminist discourse, holding that womanhood itself constituted a category of marginalization – that is, merely being at risk of unmet health needs.Originality/valueAs a contribution to health organizational theory, the paper shows that the discernment of discursive underpinnings of particular stakeholder views can clarify options for the structure of health services.

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The Health of Children, A Crisis of Ethics

PEDIATRICS ◽

10.1542/peds.73.4.550 ◽

1984 ◽

Vol 73 (4) ◽

pp. 550-558

Author(s):

C. Arden Miller

Keyword(s):

Health Services ◽

Cost Effective ◽

Health Problems ◽

Health Needs ◽

Children's Health ◽

Children’S Health ◽

Age Group ◽

Poverty Level ◽

Out Of Pocket Payments ◽

The World

A number of reviews emphasize the considerable extent to which infants and children of this country continue to be burdened with afflictions and risks of poor health.1-4 Persistent problems invite speculation that either the nation's wisdom or its resources are insufficient to serve fully the health needs of children. Neither of these explanations is well supported. A thoughtful policy paper5 published by the World Bank, dealing with the health of all children in the world, marshalls evidence that the most pressing health problems of children can be controlled or treated with presently known technologies. For this country, the Select Panel for the Promotion of Child Health found that the most pressing children's health problems were related to deficiencies of access to essential basic health services, and that the cost of providing those services as a public expense would be both small and cost effective.6 Services for children account for an exceedingly small portion of the federal health expenditures; out-of-pocket payments for children's health services are proportionally higher than for any other age group, even though a higher propontion of children than any other age group live in poverty-level households.7,8 Explanations other than lack of information or lack of national resources must be sought for the failure of this nation to address adequately the health needs of children. This paper attempts to serve two purposes. It first marshalls new testimony on the health status of children and then attempts to analyze barriers that thwart effort to address unmet needs. In the first instance, the circumstances quoted are intended to confirm that in spite of substantial progress over the past decade there are some persistent problems and some new warning signals about children's health.

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