scholarly journals Family planning practice among Christian health service providers in Ghana: a case study

2017 ◽  
Vol 4 (2) ◽  
pp. 80-86 ◽  
Author(s):  
James Duah ◽  
Peter Yeboah

Introduction: The interphase of faith and practicing health professionally often presents a challenge. To navigate between the two requires tact, experience and professionalism. Such is the case of the Christian Health Association of Ghana. Objective: This case report presents overview of how the Christian Health Association has provided family planning services for marginalized communities in Ghana by Church denominations some of whose faith abhor them from practicing certain forms of family planning. Background: CHAG is a Network of 300 Health Facilities and Health Training Institutions owned by 25 different Christian Church Denominations. CHAG provides health care to the vulnerable, deprived, and marginalized population groups in all 10 Regions of Ghana. As implementing partner of the Ministry of Health, CHAG is mandated to implement key policies to achieve national health outcomes including family planning. Some members do not accept artificial family planning on the account of religious faith. This often presents a challenge in addressing the need to provide family planning service as required. This challenge is further complicated by the fact that the CHAG secretariat is steward that should protect the interest of member institutions as well as that of the ministry. Strategy: CHAG tailors the provision of family planning interventions to the confines of denominational, socio-cultural, religious acceptability and client needs. Results: Over a period of three years, proportion of family planning acceptors who are adolescents (10-19 years) increased from 13.7% to 17.0%, total family planning acceptors increased from 67,312 to 73,648 and total couple years of protection from 71,296 to 92,852. Male sterilization increased contrary to cultural beliefs. Importantly, CHAG as an implementing partner is able to satisfy its obligation of providing service to achieve national health outcomes. Conclusion: Protecting the interest of Christian health institutions and that of government may conflict at some point. Being tactful and allowing work within the confines of faith and obligations always helps in achieving desired results.

2011 ◽  
Vol 17 (4) ◽  
pp. 347 ◽  
Author(s):  
Saras Henderson ◽  
Elizabeth Kendall

A key component of the 2011 Australian National Health Reform, via the Access and Equity Policy, is to improve access to quality health services for all Australians including CALD communities. Awareness has been raised that certain CALD communities in Australia experience limited access to health care and services, resulting in poor health outcomes. To address this issue, the Community Navigator Model was developed and implemented in four CALD communities in Logan, Queensland, through a partnership between government and non-government organisations. The model draws on local natural leaders selected by community members who then act as a conduit between the community and health service providers. Nine ‘navigators’ were selected from communities with low service access including the Sudanese, Burmese, Afghan and Pacific Islander communities. The navigators were trained and employed at one of two local non-government organisations. The navigators’ role included assessing client needs, facilitating health promotion, supporting community members to access health services, supporting general practitioners (GPs) to use interpreters and making referrals to health services. This paper explores the ‘lived experience’ of the navigators using a phenomenological approach. The findings revealed three common themes, namely: (1) commitment to an altruistic attitude of servility allowing limitless community access to their services; (2) becoming knowledge brokers, with a focus on the social determinants of health; and (3) ‘walking the walk’ to build capacity and achieving health outcomes for the community. These themes revealed the extent to which the role of CALD community navigators has the potential to make a difference to health equity in these communities, thus contributing to the Australian National Health Reform.


Author(s):  
Sebrene Margaret Maher

The purpose of this chapter is to examine government policy framework relating to the development of social enterprise within National Health Service providers. The number of social enterprises delivering public healthcare services is continually growing. This chapter discusses challenges and benefits for the government. Potential barriers to achieving this development are also evaluated. Although the focus is primarily upon the policy agenda in England, the chapter makes a useful contribution to the ongoing international debate on the development of social enterprises in primary and secondary care. This review identifies that National Health Service social enterprises responds to local needs, bring innovative, effective ways of managing heathcare in the community. It is clear from reviewing the literature that healthcare services are changing and being continually shaped by social enterprises providers.


Author(s):  
Kirsten Visser

People believe the combination of autism spectrum disorder (ASD) and gender dysphoria (GD) is a complicated one. In addition, clinicians can be reluctant to diagnose and treat this combination of problems. In scientific research, several researchers are currently debating the existence of a link between ASD and GD. Nevertheless, everyone agrees that there is more gender diversity among adolescents with ASD than previously thought. The current case study illustrates an example of a gender journey for an adolescent with ASD and the challenges faced by mental health service providers in guiding adolescents or young adults with ASD in this gender quest.


2017 ◽  
Vol 4 (4) ◽  
pp. 248-266 ◽  
Author(s):  
Seare Hadush Desta ◽  
Shaik Yousuf Basha

Health Extension Workers are the health service providers to the community in delivering integrated preventive, promotive and basic curative health services. Hitherto no studies have been carried out in Lim ‘at T’abya health post focusing on the role of health extension workers. Thus the researcher has randomly selected 263 participants in order to achieve the intended objectives of the study. The researcher used both quantitative and qualitative approaches. The result of the study identified the major Health Extension Program services which are delivered by Health Extension Workers in the health post to seek malaria treatment, child immunization and Antenatal Care followed by Postnatal Care, family planning, referral for delivery, diarrhea treatment and health education. The challenges of Health Extension Workers hindering their performance for the unsuccessful health service provision identified as strong societal cultural beliefs, remoteness, poor relation with supervisors, communication system and road construction, low remuneration, lack of refresher courses and improper attention by Qebelle administrators to health agendas. Attitude of community towards Health Extension Workers communication skill, quality of service provision and social behaviors is over all positive but the following up of referred patients and the skill to diagnosing community health problems that Health Extension Workers need to work sensitively which are answered negatively by the respondents. To increase community’s health post utilization, health posts should be equipped with minimum essential medical equipment with particular focus on malaria treatments, family planning, deliver, treatment of common illnesses and immunization services in the study area.Int. J. Soc. Sc. Manage. Vol. 4, Issue-4: 248-266


2011 ◽  
Vol 19 (4) ◽  
pp. 388-417 ◽  
Author(s):  
Fung Kuen Koo

This qualitative study explores how older Hong Kong Chinese Australians perceive aging and to what extent this perception affects their participation in physical activities. The main methods used were in-depth interviews with 22 participants ranging in age from 60 to 91 years. Interviews were translated from Chinese (Cantonese) and transcribed into English. Content analysis was used to find recurring themes from the interview data. The main findings indicate that the perception of aging is to some extent influenced by culture. Some participants defined aging as being measured in years, and others defined it by the state of one’s physical health, appearance, and capacity to continue fulfilling one’s social roles. These perceptions strongly influenced their preferences for and participation in physical activities. Acknowledging the fact that Chinese-speaking people are not culturally homogeneous, this article makes some recommendations to health service providers with regard to the development of appropriate physical activity programs.


2005 ◽  
Vol 7 (2) ◽  
pp. 159-166 ◽  
Author(s):  
Ken Major

No literature exists concerning the implications of using electroconvulsive therapy (ECT) in the treatment of Latinos. Given the large and increasing Latino population in the United States, the contentious history of ECT, and the possible differences in language and cultural vantage point between the typical ECT provider and Latino client, this paucity of research is worrisome. This article identifies a number of potential problems involved in multiculturally untrained service providers treating Latinos with ECT, including invalid diagnoses, an incomplete knowledge of the strengths and resiliencies of the client, and the use of ECT rather than culturally appropriate interventions. Also discussed are Latino cultural beliefs and practices salient to mental health service providers, some of the recent mandates for multiculturally informed service provision in mental health, ideas for the constructive modification of the diagnostic and treatment protocols currently guiding the use of ECT with Latinos, and needed research relevant to the issues raised.


2017 ◽  
Vol 33 (12) ◽  
pp. 615
Author(s):  
Priscilla Bawing ◽  
Retna Siwi Padmawati ◽  
Siswanto Agus Wilopo

Implementation of district level "four children better" family planning policy in MalinauPurposeThis study aimed to analyze the implementation of family planning program policy in Malinau.MethodsA case study was conducted through in-depth interviews with 18 participants.ResultsThe policy of the government in Malinau is ‘four children are better’. Differences in perceptions between stakeholders, providers, and users about family planning affecting social, economic, cultural, beliefs have an impact on contraceptive use in Malinau. The use of contraception is not prohibited for people with medical indications for using contraception, but peo­ple should access the contraception independently in the private sector.ConclusionThe policy of the Ma­linau government to stop the supply of contraceptives to government health facilities since 2012 is an effort by local governments to increase the number of inland and border populations. The unavailability of con­traceptives in government health facilities and the limitations of family planning information, communica­tion and education lead to differences in perceptions between stakeholders, service providers, and users. Therefore, the researcher recommends that the relevant regional apparatus unit does advocacy to legislative and executive boards in Malinau. The local government shall ensure the availability and quality of family planning services for the community on the basis of reproductive health rights.


1981 ◽  
Vol 36 (11) ◽  
pp. 1395-1418 ◽  
Author(s):  
Gary R. VandenBos ◽  
Joy Stapp ◽  
Richard R. Kilburg

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