scholarly journals Outcomes of community-based suicide prevention program in primary health care of Iran

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Hosein Azizi ◽  
Ali Fakhari ◽  
Mostafa Farahbakhsh ◽  
Elham Davtalab Esmaeili ◽  
Mohammad Mirzapour
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Suicide Prevention ◽  
Public Awareness ◽  
Healthcare Providers ◽  
Incidence Rates ◽  
Awareness Campaigns ◽  
Primary Health ◽  
Wide Range ◽  
Iranian Context

Abstract Background Suicidal management and prevention in communities, especially in its first stages, is an effective intervention for the health systems. However, in numerous societies most cases go undetected. Primary Health Care (PHC) is an effective place for the management of Suicide Prevention Programs (SPP). In Malekan County, a health community assessment found suicide as the most important health problem. A regional SPP was performed for suicide prevention during 2014–2017. Methods This study was carried out in six steps: (1) Establishing a research team, (2) Improving a registry for suicidal behaviors (SBs), (3) Identifying local determinants of SBs, (4) Training healthcare providers, (5) Follow-up and monitoring of SBs, and (6) Public awareness campaigns. Our ultimate goal was to lower the rates of suicide, and suicide attempt (SA) by 15 and 20 %, respectively. Multiple logistic regression was used to estimate the adjusted odds ratios and the 95% confidence intervals. Results A total of 821 SAs and 32 suicides were identified. The gender distribution for suicides was 70% males whereas SAs were 64% among females. The majority of suicides occurred in spring 18 (56.25%) while summer was the most common season among SAs 288 (35.8%). Almost 62 and 75% of suicides and SAs have used hanging and poisoning methods, respectively. Hanging increased suicide risk significantly (OR: 8.5, 95% CI 2.9–76.99). During the study, 93 life-skill and parenting education sessions were held. The incidence rates of suicide and SA decreased from 11.22, and 203 per 100,000 in 2013 to 2.63, and 157 in 2017, respectively. Similarly, the re-attempt to SAs ratio decreased from 12% to 2013 to 6.7% in 2017. Moreover, more than 8% of SBs were collected from adjacent Counties. Conclusions At the study end, suicide, SA, and re-attempt were lowered by 75%, 22%, and 42%, respectively. The practical framework that achieved in this study could be used as a basis for developing future SPPs and suicide researches in the Iranian context. Furthermore, the various socio-economic and socio-cultural challenges highlight the need to consider a wide range of contextual factors when developing an SPP.

scholarly journals Attitudes of Pregnant Women Towards Antenatal Care Services Provided in Primary Health Care Facilities of Mbombela Municipality, Mpumalanga Province, South Africa

2020 ◽  
Vol 13 (1) ◽  
pp. 569-575
Author(s):  
Lucia Drigo ◽  
Masane Luvhengo ◽  
Rachel T. Lebese ◽  
Lufuno Makhado
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Healthcare Providers ◽  
Health Care Facilities ◽  
Care Services ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Background: Pregnant woman’s personal experience of antenatal care services can either be positive or negative; however, knowledge and experience appear to be of paramount importance in shaping their attitudes towards any healthcare-related services. This implies that women's experience of antenatal care services may affect their decision for seeking antenatal care in their present pregnancy, which can lead them to delay seeking care. Purpose: This study sought to explore the attitudes of pregnant women towards antenatal care services provided in primary health care facilities of Mbombela Municipality, Mpumalanga Province, South Africa. Methods: A qualitative exploratory descriptive study design was used for this study. Purposive sampling technique was used to sample pregnant women who fail to attend antenatal services as expected. Data were collected through face to face unstructured in-depth interview. A total of eighteen pregnant women participated in the study until data saturation. Data were analysed using Tech’s method of analysis. Results: Results revealed the following theme and sub-themes: Attitudes of pregnant women related to individual perceptions, perceived barriers to utilizing antenatal care services,’ attitudes of healthcare providers, long waiting times in healthcare facilities, lack privacy and confidentiality in healthcare facilities and attitudes of pregnant women related to attendance of antenatal services. Conclusion: Attitudes of pregnant women about antenatal care are shaped by their knowledge and previous encounters with the health care services that they had previously received. It is therefore important to provide women-friendly services. It is recommended that health education regarding the importance of antenatal care services must be given to all women daily in the waiting areas of each primary health care facilities, thus, the healthcare providers should promote the active participation of pregnant women during the health education sessions and provide opportunities to ask questions.

scholarly journals Evaluation of the Effectiveness of Telemedicine in the Management of Cardiovascular Diseases in Primary Health Care in Cameroon: An Interventional Study

2021 ◽  
Author(s):  
Georges Bediang ◽  
Chris Nadège Nganou-Gnindjio ◽  
Yannick Kamga ◽  
Fred-Cyrille Goethe Doualla ◽  
Cheick Oumar Bagayoko ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Primary Health Care ◽  
Cardiovascular Risk ◽  
Cardiovascular Diseases ◽  
Cardiovascular Risk Factors ◽  
Clinical Outcomes ◽  
Multicenter Study ◽  
Healthcare Providers ◽  
Primary Health

Objective: This study aimed to evaluate the effectiveness of tele-expertise (tele-ECG) in primary health care in Cameroon for the management of patients with cardiovascular diseases or risk factors. Method: It is a controlled multicenter study carried out in Cameroon’s two health facilities where tele-ECG has been implemented (intervention centers) and two other where telemedicine has been not implemented (control centers). Patients having cardiovascular risk factors or diseases received usual primary health care in the control centers. In contrast, they received usual primary health care and could perform an ECG associated with cardiologists’ remote expertise (tele-ECG) in the intervention centers. The primary outcome was to evaluate the rate of patients’ access to an ECG test and to cardiologist’ expertise. Results and Discussion: Telemedicine is effective for the management of patients with cardiovascular diseases in primary health care. It could improve healthcare providers’ clinical processes, clinical outcomes of patients and their satisfaction.

scholarly journals The Role of Posyandu as Primary Health Care Services in Implementing Early Detection and Intervention for Autistic Children in Indonesia

2019 ◽  
Vol 6 (1) ◽  
pp. 101
Author(s):  
Esdaniar Khoirunisa ◽  
Ravik Karsidi ◽  
Munawir Yusuf
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Early Detection ◽  
Health Care Services ◽  
Public Awareness ◽  
Autistic Children ◽  
New Paradigm ◽  
Know How ◽  
Primary Health ◽  
The Government

Autism is one of the most complex developmental disorder in children. In the developing country, Autism is a new paradigm, it causes various problems in autism service especially in early detection. It is caused by several factors that interconnected, such as the low understanding of society about autism, the low public awareness about the importance of early detection of autistic children, and the less prioritized attention from the government. Expanding the accessibility of autism services through primary health care is needed to overcome those problems. One of the primary health care most relatable to mother and children is the Maternal and Child Health Center, or in Indonesia it is called "Posyandu" which is an acronym means Integrated service post. The services in Posyandu is not run by professionals such doctor nor midwife. Posyandu is a service-based community and society handled by "posyandu cadres". The aim of this study is to find out how far the possibility of posyandu could provide services for autistic children. The subjects involved in this study were 120 posyandu cadres and 15 parents of autistic children. The research method used is a survey. The results show the following data: 92% of Posyandu cadres did not know how to do early detection of autistic children, 87% said they did not know how to handle autistic children, and 87% of Posyandu cadres felt they still need additional knowledge about autism. While 87% of parents feel that posyandu cadres are not involved in the early detection of their children. At the same time, 93% of parents still hope Posyandu could provide better services for their autistic children. This indicates that the primary health care has not fully played a role for autistic children yet, and there is a need to increase autism services access through posyandu cadres.

scholarly journals Usability and utility of eHealth for physical activity counselling in primary health care: a scoping review

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Apichai Wattanapisit ◽  
Titiporn Tuangratananon ◽  
Sanhapan Wattanapisit
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Primary Health Care ◽  
Scoping Review ◽  
Health Behaviours ◽  
Cochrane Library ◽  
Technical Problems ◽  
Primary Health ◽  
Wide Range ◽  
Full Text Review

Abstract Background Physical activity (PA) counselling is an effective approach to promote PA in primary health care (PHC). Barriers to PA counselling in PHC include time constraints, lack of knowledge and skills of providers, and systemic barriers. Using electronic health (eHealth) has the potential to promote PA. This scoping review aimed to identify usability and utility of eHealth for tailored PA counselling introduced in PHC settings. Methods A scoping review included primary research articles. The authors systematically searched six databases (Cochrane Library, CINAHL Complete, Embase, PubMed, Scopus and Web of Science) from the inception of the databases. The search terms consisted of three search components: intervention (PA counselling), platform (eHealth), and setting (PHC). Additional articles were included through reference lists. The inclusion criteria were research or original articles with any study designs in adult participants. Results Of 2501 articles after duplicate removal, 2471 articles were excluded based on the title and abstract screening and full text review. A total of 30 articles were included for synthesis. The eHealth tools had a wide range of counselling domains as a stand-alone PA domain and multiple health behaviours. The included articles presented mixed findings of usability and utility of eHealth for PA counselling among patients and providers in PHC settings. Technical problems and the complexity of the programmes were highlighted as barriers to usability. The majority of articles reported effective utility, however, several articles stated unfavourable outcomes. Conclusions eHealth has the potential to support PA counselling in PHC. Facilitators and barriers to eHealth usability should be considered and adapted to particular settings and contexts. The utility of eHealth for promoting PA among patients should be based on the pragmatic basis to optimise resources.

The Role of Primary Health Care in Prevention, Early Detection, and Control of Cancer

Oncology ◽  
2017 ◽  
pp. 660-675
Author(s):  
Salwa Bahkali ◽  
Mowafa Househ ◽  
Amin Bawazir ◽  
Mohamed Khalifa ◽  
Mohamud Sheikh
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Early Detection ◽  
Public Awareness ◽  
High Risk Patient ◽  
Vital Role ◽  
Primary Health ◽  
Patient Groups ◽  
And Control

Cancer is one of the leading causes of death worldwide, and the incidence is growing. Recent evidence shows a reduced risk of dying from cancer. For years Primary Health Care (PHC) has played a vital role in promoting health, but little has been done in emphasizing its role in reducing the incidence of and mortality from cancer through performing early diagnosis. PHC is directly involved in the initial diagnosis of more than 85% of all cancer cases worldwide (Vedsted & Olesen, 2009). PHC also has an important role in the public awareness about the importance of screening, especially in high-risk patient groups. The interaction between the patient and the health service is crucial in ensuring that relevant alarming symptoms are presented and that action is taken at the earliest possible time. This chapter aims to explore the role of primary healthcare in the prevention, early detection, and control of cancer in a developing nation - Saudi Arabia.

Developing a Community-based Suicide Prevention Program in Primary Health Care

2021 ◽  
Author(s):  
Mostafa Farahbakhsh ◽  
Hosein Azizi ◽  
Ali Fakhari ◽  
Elham Davtalab Esmaeili ◽  
Habibeh Barzegar ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Suicide Prevention ◽  
Prevention Program ◽  
Community Based ◽  
Primary Health

Psychiatric Priorities in Developing Countries

1976 ◽  
Vol 128 (6) ◽  
pp. 513-522 ◽  
Author(s):  
R. Giel ◽  
T. W. Harding
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Developing Countries ◽  
Primary Health Care ◽  
Health Services ◽  
Health Workers ◽  
Limited Range ◽  
Primary Health ◽  
Wide Range ◽  
Health Action

SummaryMany psychiatrists assert that an expansion of mental health services in the developing countries is overdue. This will only take place if: (i) the tasks of mental health care are undertaken by a wide range of non-specialist health workers, including those responsible for primary health care; and (ii) services are directed initially at a very limited range of priority conditions. The method of priority selection is discussed, and the process required for translation of priority decisions into health action is exemplified by two illustrations.

scholarly journals Developing and implementing a community-based suicide prevention program in Iranian primary health care: study protocol

2020 ◽  
Author(s):  
Hosein azizi ◽  
Ali Fakhari ◽  
Elham Davtalab Esmaeili ◽  
Habibe Barzegar ◽  
Mostafa Farahbakhsh ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Suicide Prevention ◽  
Study Protocol ◽  
Prevention Program ◽  
Service Providers ◽  
Community Based ◽  
Primary Health ◽  
Regional Community

Abstract Background : Since 2013, WHO has had a global mental health action plan which includes reducing suicide rate by 10% in countries by 2020. However, only 18% of countries have a registry for suicide. The community-based Suicide Prevention Program (SPP) statistic is much lower than registry for suicide. Suicide is a growing concern in Iran. A health community assessment found that suicide and Suicidal Behaviors (SBs) are one of the most important public health problems in Malekan County, East Azerbaijan Province of Iran. This calls for a regional SPP effort in Primary Health Care (PHC). Methods: A regional community-based SPP was established during 2014-2017 in two phases including development and implementation. The development phase focuses on three pillars: 1) review of systematic reviews, 2) expert comments, and 3) report to the health care system. The implantation phase also carried out in five steps: 1) improving coverage of SBs registration, 2) identification of determinants of SBs, 3) follow up monitoring of SBs people, 4) treatment for depression and conducting research, and 5) developing public education campaigns. Primary outcome was reducing the rate of completed suicide. Secondary outcomes were considered Suicide Attempt (SA) and re-attempt. Our ultimate goal was considered to lower by 15%, 20% and 30% rates of suicide, SA, and re-attempt, respectively. Discussion : In this study protocol, we have been to outline and explain the steps of developing and implementing a regional community-based SPP by using the highly effective evidence and field expert's comments. Implementing SPP with low cost and easily adaptable in PHC is the most important site for the case management of SBs and materialization of interventions in the health system including various types of health service providers and coverage of a large number of people. This study is both research and action. It needs to involve and support of the health system and inter-sectoral collaborations to achieve the goal of such community-based Health System Research. This HSR was approved to number 60665 in an electronic system (Pajoohan) of Tabriz University of Medical Sciences.

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