Stakeholders’ Perspectives on the Unmet Needs and Health Priorities of the Urban Poor in South-East Nigeria

2021 ◽  
pp. 0272684X2110334
Author(s):  
Ifeyinwa Arize ◽  
Daniel Ogbuabor ◽  
Chinyere Mbachu ◽  
Enyi Etiaba ◽  
Benjamin Uzochukwu ◽  
...  
Keyword(s):  
Urban Areas ◽  
Urban Poor ◽  
Health Workers ◽  
Cost Of Care ◽  
Health Needs ◽  
Health Priorities ◽  
Primary Health Care System ◽  
Dual Practice ◽  
Double Burden ◽  
Primary Health

Relatively little is known about readiness of urban health systems to address health needs of the poor. This study explored stakeholders’ perception of health needs and strategies for improving health of the urban poor using qualitative analysis. Focus group discussions (n = 5) were held with 26 stakeholders drawn from two Nigerian states during a workshop. Urban areas are characterised by double burden of diseases. Poor housing, lack of basic amenities, poverty, and poor access to information are determinants of health of the urban poor. Shortage of health workers, stock-out of medicines, high cost of care, lack of clinical practice guidelines, and dual practice constrain access to primary health services. An overarching strategy, that prioritises community-driven urban planning, health-in-all policies, structured linkages between informal and formal providers, financial protection schemes, and strengthening of primary health care system, is required to address health needs of the urban poor.

scholarly journals It is beyond remuneration: Bottom-up health workers’ retention strategies at the primary health care system in Tanzania

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0246262
Author(s):  
Nathanael Sirili ◽  
Daudi Simba
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Local Government ◽  
Health Facility ◽  
Health Workers ◽  
Primary Health Care System ◽  
Retention Strategies ◽  
Bottom Up ◽  
Key Informants ◽  
Primary Health

Although Tanzania is operating a decentralized health system, most of the health workers’ retention strategies are designed at the central level and implemented at the local level. This study sought to explore the bottom-up health workers’ retention strategies by analyzing experiences from two rural districts, Rombo and Kilwa in Tanzania by conducting a cross-sectional exploratory qualitative study in the said districts. Nineteen key informants were purposefully selected based on their involvement in the health workers’ retention scheme at the district and then interviewed. These key informants included district health managers, local government leaders, and in-charges of health facilities. Also, three focused group discussions were conducted with 19 members from three Health Facility Governing Committees (HFGCs). Qualitative content analysis was deployed to analyze the data. We uncovered health-facility and district level retention strategies which included, the promotion of good community reception, promotion of good working relationships with local government leaders, limiting migration within district facilities and to districts within the region, and active head-hunting at training institutions. Retention of health workers at the primary health care level is beyond remuneration. Although some of these strategies have financial implications, most of them are less costly compared to the top-bottom strategies. While large scale studies are needed to test the generalizability of the strategies unveiled in our study, more studies are required to uncover additional bottom-up retention strategies.

Opportunities for Physiotherapists in Primary Health Care in Nigeria

2017 ◽  
Vol 19 (1) ◽  
Author(s):  
Ganiyu Oluwaleke Sokunbi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Delivery System ◽  
Health Care Professionals ◽  
Urban Areas ◽  
The Elderly ◽  
Primary Health Care System ◽  
Care Needs ◽  
Primary Health ◽  
Big Cities

Summary: This paper examines the concept, strength and weakness of Primary health care system (PHC) program in Nigeria, the opportunity and potential roles for physiotherapists in PHC delivery system as well as the perceived benefits of integrating physiotherapy profession into PHC delivery system in Nigeria.Currently, physiotherapy services are available at the big cities in the urban areas of the country, thus denying the myriads of people that might need the service that could not get to the big cities either due to their health conditions or due to financial incapacitation. Emphasis for the greater involvement of physiotherapists in PHC further arose from the fact PHC system in Nigeria is not yet adequately sensitized to promoting preventative measures needed to combats chronic non communicable diseases, the health care needs of the elderly and those of the people living with disability (PLWD).In conclusion, the paper recommendsa need for an urgent reform of the mode and delivery of PHC in Nigeria with emphasis on integrating physiotherapists and other relevant health care professionals and with enhancement of intersectoral/ interdisciplinary collaborations. This integration will undoubtedly increase health care providers’satisfaction and improve patients’ outcome in both acute and chronic care settingsKeywords: Primary Heath Care, Physiotherapy

scholarly journals The capacity of primary health care facilities in Saudi Arabia: infrastructure, services, drug availability, and human resources

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Quds Al Saffer ◽  
Taghred Al-Ghaith ◽  
Ahlam Alshehri ◽  
Rimah Al-Mohammed ◽  
Shahad Al Homidi ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Areas ◽  
Urban Areas ◽  
Health Workers ◽  
National Level ◽  
Health Care Facilities ◽  
Noncommunicable Disease ◽  
Drug Availability ◽  
Primary Health

Abstract Background Primary healthcare (PHC) is an essential component of an effective healthcare system. The Kingdom of Saudi Arabia’s (KSA) health reforms prioritize tackling the increasing noncommunicable disease burden by prioritizing PHC, centering it as the core of the newly proposed Model of Care. To identify challenges and opportunities to scale up PHC capacity, understanding the current capacity of primary health care centers (PHCC) is critical. A limited number of publications review PHC capacity in KSA, focusing on specific regions/sectors; this paper is a first to examine PHC capacity on a national level. Methods The study uses a countrywide Facility Survey that collected data in 2018 from 2319 PHCCs, generating information on their characteristics, number of health workers, services provided, and capacity elements captured through the Service Availability and Drug Availability constructed indices. Descriptive analysis was performed by rural-urban classification. Ordinary Least Squares (OLS) regressions were used to understand correlates to health workers and equipment availability. Finally, a logistic regression was fitted for selected services. Regressions controlled for various measures to determine correlates with facilities’ capacity. Results On a national level, there are 0.74 PHCCs per 10,000 population in KSA. There are variations in the distribution of PHCCs across regions and within regions across rural and urban areas. PHCCs in urban areas have more examination rooms but lower examination room densities. Offering 24 × 7 services in PHCCs is infrequent and dependency on paper-based medical recording remains common. More urban regions are more likely to offer general services but less likely to offer burn management and emergency services. PHCCs are mostly staffed with general medicine, family medicine, and obstetrics & gynecology physicians, whose numbers are more concentrated in urban areas; however, their densities are higher in rural areas. Finally, psychiatrists and nutritionists are rare to find in PHCCs. Conclusions Decision-makers need to consider several factors when designing PHC policies. For instance, PHC accreditation needs to be prioritized given its positive correlation with service provision and health workers availability. PHC 24 × 7 operation also needs considerations in rural areas due to the high dependency on PHCCs. Finally, there is a substantial need for improvements in e-health.

scholarly journals Tuberculosis Control Measures in Urban India: Strengthening Delivery of Comprehensive Primary Health Services

2020 ◽  
Author(s):  
Ranjani Gopinath ◽  
Rajesh Bhatia ◽  
Sonalini Khetrapal ◽  
Sungsup Ra ◽  
Giridhara R. Babu
Keyword(s):  
Urban Areas ◽  
Urban Poor ◽  
Health Care Services ◽  
Control Measures ◽  
Migrant Populations ◽  
Care Services ◽  
National Strategic Plan ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
Primary Health Care Services

Approximately 2.69 million tuberculosis (TB) cases—about a quarter of the global cases—were reported in India on The Global TB Report 2019. There are nearly half a million “missing” cases every year, either undiagnosed, unaccountable, or inadequately diagnosed and treated. This paper analyzes the magnitude of TB transmission and the quality of interventions in urban areas and migrant populations in India. It identifies key factors and areas that need to be further strengthened for the country to achieve its goal of eliminating TB by 2025. The study is aligned with the government’s objective to strengthen the provision of comprehensive primary health care services for the urban poor as part of India’s National Strategic Plan, 2017–2025.

scholarly journals Integrating Oral Health Care into Primary Health Care System

2012 ◽  
Vol 2012 ◽  
pp. 1-7
Author(s):  
Abolghasem Hajizamani ◽  
Tayebeh Malek Mohammadi ◽  
Ebadollah Hajmohammadi ◽  
Shahin Shafiee
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Health Workers ◽  
Pearson Correlation ◽  
Oral Health Care ◽  
Systematic Evaluation ◽  
Primary Health Care System ◽  
Primary Health ◽  
Significant Difference

Introduction. Systematic evaluation is an integral part of the organization and delivery of community oral health care programmes, ensuring the effectiveness of these community-based interventions. This study aimed to assess the knowledge and practice of primary health care (PHC) personnel regarding their duties toward oral health. Methods and Material. A cross-sectional study was carried out among three groups of PHC personnel in the city of Kerman (Iran). Volunteer personnel completed a piloted questionnaire which included demographic data, some question regarding their knowledge about oral health, their duties and also their practice regarding public oral health. All data were analyzed using chi-square and Pearson correlation test. Results. One hundred and fifty-seven out of 225 eligible personnel participated in the study. Sixty percent were auxiliary health workers (Behvarz). All personnel had a good level of knowledge regarding oral health. Despite significant differences among the knowledge of the personnel toward oral health, there was no significant difference between their knowledge related to their duties regarding oral health. The auxiliary health worker group had a higher rate (45.6%) for better public oral health practice. Conclusion. The study showed the personnel have good knowledge of their duties regarding oral health. However, their practice is not in line with their knowledge and needs more attention.

scholarly journals Community clinics: an effective avenue for delivering primary healthcare services to urban vulnerable population under NUHM during COVID-19 era and beyond

2021 ◽  
Vol 8 (2) ◽  
pp. 1003
Author(s):  
Sudipta Basa ◽  
Basab Gupta
Keyword(s):  
Primary Healthcare ◽  
Urban Areas ◽  
Urban Poor ◽  
Social Inclusion ◽  
Healthcare Services ◽  
Vulnerable Population ◽  
Community Clinics ◽  
Income Groups ◽  
Primary Health ◽  
Urban India

The urban population in our country is increasing rapidly and represents the 2-3-4-5 syndrome. It is estimated that by 2031, there would be about 600 million people living in urban India. The health of the urban poor is considerably worse off than the urban middle and high income groups and is maybe even worse than the rural population. Even after more than 40 years of Alma Ata’s declaration the main focus on provision of Primary Healthcare based on principles of social inclusion, equity and comprehensiveness has lost some attention in-between. With the abrupt and sudden outbreak of COVID-19, has put the health system into crisis all over the country especially in urban areas. Lakhs of vulnerable population in slum areas had to suffer in absence of provision of basic primary health care (PHC) services during the lockdown period. In this article we present the need of community clinics under NUHM, an effective avenue for delivering PHC services for vulnerable population in this ongoing COVID-19 pandemic era and beyond.

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