scholarly journals Application of Geographic Modeling Techniques to Quantify Spatial Access to Health Services Before and After an Acute Cardiac Event

Circulation ◽  
2012 ◽  
Vol 125 (16) ◽  
pp. 2006-2014 ◽  
Author(s):  
Robyn A. Clark ◽  
Neil Coffee ◽  
Dorothy Turner ◽  
Kerena A. Eckert ◽  
Deborah van Gaans ◽  
...  
2018 ◽  
Vol 13 (03) ◽  
pp. 511-518
Author(s):  
Mehdi Esfandyari ◽  
Elnaz Vaghef-Mehrabany ◽  
Mehrangiz Ebrahimi-Mameghani

ABSTRACTObjectiveWe aimed to compare the pregnancy status of the pregnant women and birth status of their newborns, socioeconomic status, and access to health services, between high- and low-damage areas in Heris, affected by the Varzaghan Earthquake, 2012.MethodsThe study was conducted on pregnant women at any trimester of pregnancy (with complete medical profiles in local health centers) in August 2012 (time of the earthquake) who lived in Heris and delivered up to March 2013. Data were obtained on pregnancy- and infant-related variables, housing, socioeconomic status, and access to health services, including food supplies, before and after the earthquake.ResultsFamily income and mothers’ education were lower in highly damaged areas. Among these women, underweight at first trimester of pregnancy was higher, and weight gain during the last trimester was lower, compared with low-damage regions. Preterm delivery was higher in low-damage areas. Birth indices of the infants were not significantly different between the 2 areas; however, in highly damaged areas, moderate malnutrition was more prevalent among children under 1 year (weight-for-age) and under 2 years (height-for-age).ConclusionsSocioeconomic status of mothers was lower in highly damaged areas and might have played a role in their own and newborns’ health status. (Disaster Med Public Health Preparedness. 2019;13: 511-518)


Author(s):  
Karyn Morrissey ◽  
Dimitris Ballas ◽  
Graham Clarke ◽  
Stephen Hynes ◽  
Cathal O’Donoghue

2019 ◽  
pp. 191
Author(s):  
Andrea Pacheco Barzallo

ResumenEl terremoto de abril de 2016 ocurrido en la costa ecuatoriana afectó a decenas de ciudades y sus resultados repercutieron de manera especial en algunos colectivos. Los servicios de salud se saturaron y, por diferentes motivos, quedaron inaccesibles para parte de la población. El objetivo de este trabajo es analizar la movilidad peatonal y el acceso de forma autónoma a los servicios de salud para personas mayores y con discapacidad en tres de las ciudades más afectadas de la provincia donde tuvo lugar el epicentro del terremoto: Manta, Pedernales y Portoviejo. La metodología incluye la revisión de literatura científica y normativas técnicas sobre la movilidad peatonal para personas mayores o con discapacidad y, sobre los aportes y parámetros tomados de la literatura, se realiza una fotointerpretación del medio físico en las situaciones antes del terremoto, misma que es comparada con la situación post-terremoto en base a la elaboración y recopilación de cartografía. Los resultados indican que las condiciones del territorio, antes y después del desastre, impedían el acceso de forma autónoma a los servicios de salud para las personas mayores con discapacidad.AbstractThe earthquake of April 2016 that occurred on the Ecuadorian coast affected dozens of cities and its results had a special impact on some groups. Health services were saturated and for different reasons, they were inaccessible for part of the population. The objective of this paper is to analyze the forms of pedestrian mobility and autonomous access to health services for the elderly with disabilities after the earthquake in three of the most affected cities: Manta, Pedernales and Portoviejo. The methodology used includes a literature review of technical documents and standards about inclusive pedestrian mobility, and based on the parameters taken from these documents, an evaluation through photointerpretation of the physical environment conditions previous to the earthquake, is made. The results of this evaluation are compared with the post-disaster situation through the elaboration and collection of cartography. The results show that the territorial conditions limited the autonomous mobility and access to health services for the elderly with disabilities in both situations, before and after the earthquake.


2019 ◽  
pp. 191
Author(s):  
Andrea Pacheco Barzallo

ResumenEl terremoto de abril de 2016 ocurrido en la costa ecuatoriana afectó a decenas de ciudades y sus resultados repercutieron de manera especial en algunos colectivos. Los servicios de salud se saturaron y, por diferentes motivos, quedaron inaccesibles para parte de la población. El objetivo de este trabajo es analizar la movilidad peatonal y el acceso de forma autónoma a los servicios de salud para personas mayores y con discapacidad en tres de las ciudades más afectadas de la provincia donde tuvo lugar el epicentro del terremoto: Manta, Pedernales y Portoviejo. La metodología incluye la revisión de literatura científica y normativas técnicas sobre la movilidad peatonal para personas mayores o con discapacidad y, sobre los aportes y parámetros tomados de la literatura, se realiza una fotointerpretación del medio físico en las situaciones antes del terremoto, misma que es comparada con la situación post-terremoto en base a la elaboración y recopilación de cartografía. Los resultados indican que las condiciones del territorio, antes y después del desastre, impedían el acceso de forma autónoma a los servicios de salud para las personas mayores con discapacidad.AbstractThe earthquake of April 2016 that occurred on the Ecuadorian coast affected dozens of cities and its results had a special impact on some groups. Health services were saturated and for different reasons, they were inaccessible for part of the population. The objective of this paper is to analyze the forms of pedestrian mobility and autonomous access to health services for the elderly with disabilities after the earthquake in three of the most affected cities: Manta, Pedernales and Portoviejo. The methodology used includes a literature review of technical documents and standards about inclusive pedestrian mobility, and based on the parameters taken from these documents, an evaluation through photointerpretation of the physical environment conditions previous to the earthquake, is made. The results of this evaluation are compared with the post-disaster situation through the elaboration and collection of cartography. The results show that the territorial conditions limited the autonomous mobility and access to health services for the elderly with disabilities in both situations, before and after the earthquake.


The Lancet ◽  
2012 ◽  
Vol 379 (9818) ◽  
pp. 805-814 ◽  
Author(s):  
Qun Meng ◽  
Ling Xu ◽  
Yaoguang Zhang ◽  
Juncheng Qian ◽  
Min Cai ◽  
...  

2017 ◽  
Vol 23 (4) ◽  
pp. 319
Author(s):  
Del Lovett ◽  
Bodil Rasmussen ◽  
Carol Holden ◽  
Patricia M. Livingston

Meeting men’s health needs by improving healthcare service access is a key objective of comprehensive primary health care. The aims of this qualitative study were to explore the perception of nurses in men’s health services and to describe men’s expectation of the nurse. The comparative component identifies the barriers and facilitators to improved access to health services. A purposive sample of 19 nurses and 20 men was recruited from metropolitan and regional settings in the state of Victoria, Australia, and each participant was interviewed individually or as part of three focus groups. The main findings were: nurses and men were unclear on the role of the nurse in men’s health; and health promotion provided by nurses was predominantly opportunistic. Both participant groups indicated barriers to healthcare access related to: the culture and environment in general practice; limitation of Australia’s Medicare healthcare financing system; out-of-pocket costs, waiting time and lack of extended hours; and men not wanting to be perceived as complainers. Facilitators related to: positive inter-professional relations; effective communication; personal qualities; and level of preparedness of nurse education. The findings demonstrate a need for the role to be better understood by both men and nurses in order to develop alternative approaches to meeting men’s healthcare needs.


2016 ◽  
Vol 21 (1) ◽  
pp. 103-111 ◽  
Author(s):  
Manisha Poudel ◽  
Nanda Bahadur Singh

The present study focuses on traditional usages of animals and plants species for medicinal purpose and indigenous knowledge system existent in Darai ethnic group of Mangalpur VDC, Chitwan, Nepal. A total of 28 animal species and 76 plant species were found to be used by Darai people to treat 22 and 36 different ailments, respectively. Darai people have their own indigenous knowledge for making various bamboo products and fishing equipments and local drink (moat/muna). The existence of knowledge associated with animals and plants and their medicinal utility is currently threatened mainly due to modernization, easy access to health services, lack of interest of youngsters, few local healers and fading of ethnic characters of Darai ethnic group. Thus, documentation of such knowledge has become an urgent need.Journal of Institute of Science and TechnologyVolume 21, Issue 1, August 2016, page: 103-111


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