scholarly journals Factors affecting the exit from farming of young farmers in Turkey: the case of Niğde province

2018 ◽  
Vol 48 (8) ◽  
Author(s):  
Ali Berk
Keyword(s):  
Health Care Services ◽  
Agricultural Activity ◽  
Factors Affecting ◽  
Face To Face ◽  
Learning Modules ◽  
Number Of Children ◽  
Interview Method ◽  
Care Services ◽  
Education And Health ◽  
The City

ABSTRACT: This study has focused on the factor affecting the exit from farming of young farmers, since it is an important issue in many provinces of Turkey. Data obtained through face-to-face interview method with 85 selected young farmers (aged 15-40 years) engaged in agricultural activity in the Niğde province in 2017. Logistic regression model based upon the dependent variable decision to exit from farming was used to determine relevant factors. According to results, number of children, the presence of house in the city center and the monthly income level has effects to exit from farming. Young farmers have priorities to reach a better life conditions for their children such as better education and health care services. Rural investment support should be increased; entrepreneurship and innovation trainings should be expanded by encouraging training on agriculture. It would be beneficial to develop different applications such as distance learning modules and digital agriculture.

Toward establishing telepsychology guideline: Turning the challenges of COVID-19 into opportunity (Preprint)

2020 ◽  
Author(s):  
Mohammed M. J. Alqahtani
Keyword(s):  
Mental Health ◽  
Health Care Services ◽  
Task Force ◽  
Healthcare Services ◽  
Psychological Services ◽  
Face To Face ◽  
Care Services ◽  
Governance Model ◽  
Provision Of Services ◽  
Temporary Response

BACKGROUND The COVID-19 pandemic has obstructed the classical practices of psychological assessment and intervention via face-to-face interaction. Patients and all health professionals have been forced to isolate and become innovative to continue receiving and providing exceptional healthcare services while minimizing the risk of exposure to, or transmission of, COVID-19. OBJECTIVE This document is proposed initially as a guide to the extraordinary implementation of telepsychology in the context of the COVID-19 pandemic and to extend its implementation to use fundamentally as the main guideline for telepsychology services in Saudi Arabia and other Arabic communities. METHODS A professional task force representing different areas of professional psychology reviewed, summarized, and documented methods, policies, procedures, and other resources to ensure that the recommendations and evidence reviews were valid and consistent with best practices. RESULTS The practice of telepsychology involves the consideration of legal and professional requirements. This paper provides a guideline and recommendations for procedural changes that are necessary to address psychological services as we transition to telepsychology, as well as elucidates and demonstrates practical telepsychology frameworks, procedures, and proper recommendations for the provision of services during COVID-19. It adds a focused examination and discussion related to factors that could influence the telemedicine guideline, such as culture, religion, legal matters, and how clinical psychologists could expand their telepsychology practice during COVID-19 and after, seeking to produce broadly applicable guidelines for the practice of telepsychology. Professional steps in practical telemedicine were illustrated in tables and examples. CONCLUSIONS Telepsychology is not a luxury or a temporary response. Rather, it should be considered part of a proactive governance model to secure a continuity of mental health care services. Arabic communities could benefit from this guideline to telepsychology as an essential protocol for providing mental health services during and after the COVID-19 pandemic.

Understanding untreated hypertension from patients’ point of view: A qualitative study in rural Yogyakarta province, Indonesia

2017 ◽  
Vol 14 (3) ◽  
pp. 228-240 ◽  
Author(s):  
Riana Rahmawati ◽  
Beata Bajorek
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Health Care Services ◽  
Point Of View ◽  
Rural Villages ◽  
Face To Face ◽  
Care Services ◽  
Alternative Medicines ◽  
One Year ◽  
Untreated Hypertension

Objectives This study aimed to explore perspectives about hypertension from patients who do not take anti-hypertensive medications. Factors that shape their perspectives as well as patients’ expectations were also canvassed. Method Individual, face-to-face interviews were conducted with 30 people (≥45 years old) living in rural villages, diagnosed with hypertension, who had not taken any anti-hypertensive medications for at least one year. Interviews were audiotaped, transcribed verbatim and thematically analysed. Results Four themes emerged: (1) alternative medicines for managing high blood pressure; (2) accessing health care services; (3) the need for anti-hypertensive medications; and (4) existing support and patients’ expectations. Reluctance to take anti-hypertensive medications was influenced by patients’ beliefs in personal health threats and the effectiveness of anti-hypertensive medications, high self-efficacy for taking alternative medicines, the lack of recommendation regarding hypertension treatment, and barriers to accessing supplies of medicines. Conclusion Despite their awareness of being diagnosed with hypertension, patients undervalued visiting a health professional to control their high blood pressure. Health strategies need to consider patients’ beliefs, concerns and expectations. Providing an accessible, affordable and adequate supply of hypertension medication is also key to any programs designed to optimise hypertension management.

scholarly journals Psychiatry in Sri Lanka

1999 ◽  
Vol 23 (11) ◽  
pp. 686-688 ◽  
Author(s):  
K. A. L. A. Kuruppuarachchi ◽  
R. R. Rajakaruna
Keyword(s):  
Sri Lanka ◽  
Health Care Services ◽  
Community Care ◽  
Institutional Care ◽  
General Hospitals ◽  
State Sector ◽  
Care Services ◽  
Education And Health ◽  
The Indian Ocean ◽  
The Moment

Sri Lanka is a developing country situated in the Indian ocean with a population of about 18.5 million. Its education and health care services are free in the state sector. Psychiatric services are mainly confined to the units in the general hospitals and two large mental hospitals situated in Angoda and Mulleriyawa (suburbs of Colombo) at the moment. However the institutional care is gradually changing and many professionals are aware of the importance of community care. There are a few reasonably organised community centres available at present.

THE IMPORTANCE OF PRE-MARRIAGE PRECONCEPTIONAL CARE AND THE COUNSELING ROLE OF MIDWIVES

2021 ◽  
Vol 6 (11) ◽  
pp. 79-85
Author(s):  
Sevil GÜNER ◽  
Birsen SAYDAM ◽  
Esin ÇEBER TURFAN ◽  
Neriman SOĞUKPINAR ◽  
Rabia EKTİ GENÇ
Keyword(s):  
Health Care Services ◽  
Sample Selection ◽  
Preventive Health Services ◽  
Lifestyle Behaviors ◽  
Factors Affecting ◽  
Care Services ◽  
Primary Health Care Services ◽  
Package Program ◽  
Preconceptional Care ◽  
Preconceptional Counseling

Introduction: Preconceptional care is an important opportunity to identify risk factors affecting the pregnancy process and to provide appropriate care. In this study; it was aimed to provide preventive health services related to reproductive health to couples who applied for marriage and to emphasize the importance of midwives in preconceptional care services. Method: The population of the descriptive study consisted of couples who applied to Izmir Bornova Municipality Marriage Office between June 15, 2016 and June 15, 2017. Sample selection was not made, all couples who agreed to participate and were given counseling formed the sample (n: 126). Data were collected through a questionnaire using face-to-face interview method, and their analyzes were presented in the SPSS 20.0 package program by making a percentage distribution. Results: The average age of women is 26.0±4.0 (min:18.0-max:42.0). It was determined that 91.2% of the participants planned pregnancy after getting married. 42.6% of those planning pregnancy use cigarette, 33.9% use alcohol, only 20.9% exercise regularly. 96.0% of the participants stated that consultancy should be given before getting married, 30.2% of them stated that this training should be given by experts and 19.0% by midwives. Discussion and Conclusion: In our study, where we evaluated the application for marriage as an opportunity and offered preconceptional counseling, it was determined that the participants planning pregnancy had risky lifestyle behaviors and wanted to receive formal training from experts. It is thought that preconceptional counseling, which will be given by midwives by expanding its scope within the scope of primary health care services, will contribute to harmony in marriage and the formation of healthy generations.

scholarly journals Health mediator model as a way to access to care and health information for Syrian refugees in Turkey

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
I Kayi ◽  
Z Şimşek2 ◽  
G Yıldırımkaya
Keyword(s):  
Health Care ◽  
Health System ◽  
Access To Health Care ◽  
Health Care Services ◽  
Legal Status ◽  
Healthcare Access ◽  
Syrian Refugees ◽  
Care Services ◽  
Access To Health ◽  
The City

Abstract The number of Syrian refugees residing in Turkey has increased over 200 times since 2012 reaching to 3,621,330 (April 2019). Turkey has granted temporary protection status, including access healthcare in the city of registration. Ministry of Health provides on-site health service in temporary shelters, however more than 90% of the Syrian refugees choose to stay in community settings, which along with language barriers limits their ability to access health care and information. With UNFPA we have designed a health mediator model to improve access to health care and awareness on priority concerns such as mental health, reproductive health, child health, health system in Turkey and legal status provided to Syrian refugees. This study is a participatory operational research to test the health mediator model. Operationalization took place in 3 phases: (1) selection and training of Syrian health mediators and provincial coordinators; (2) household visits and data collection; (3) evaluation and supervision. So far, we have trained 174 health mediators from 24 different Turkish cities. Training took 5 days with up to 30 participants each. UNFPA collaborated with NGOs that work with Syrian refugees for coordination purposes. Health mediators made household visits to reach out to Syrian families, gave health education and where necessary support for access to health care services, and conducted a needs assessment. Data collected has been the subject to weekly supervision meetings by local NGOs, health mediators and coordinators to set priorities for the upcoming week. Health mediator model was effective in reaching out to hard-to-reach groups among Syrian refugees, increased health system and legal awareness, contribute to improved healthcare access and prevention of negative health outcomes such as teenage marriages and pregnancies. Inclusion of refugees in decision-making and guidance during the implementation of the project was key for project success.

Factors Affecting the Utilization of Maternal and Child Health Care Services in Tribal Dominated Population States of India

2020 ◽  
pp. 0272684X2097285
Author(s):  
Bal Govind Chauhan ◽  
Suresh Jungari
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Maternal Health Services ◽  
Care Utilization ◽  
Factors Affecting ◽  
Safe Delivery ◽  
Care Services ◽  
Post Natal Care ◽  
And Child Health

The present study intended to examine that factors affecting the utilization of maternal health services in the Three tribal-dominated states of India namely Madhya Pradesh, Jharkhand and Chhattisgarh. The study used National Family Health Survey (NFHS-4) data. Both bivariate and multivariate techniques have been applied for data analysis. Logistic regression techniques and concentration curve and index have been used . Findings of the study indicate that there were wider socio-economic differential exits in the utilization of MCH services (full ANC, Safe delivery and post-natal care) in all the three states under study. The regression result shows that the tribal population is less likely to utilize maternal and child health care services than other Caste groups. The economic inequality in accessing the all three components of maternal health care utilization was higher in the Jharkhand than Madhya Pradesh and Chhattisgarh. Further, economic inequality was higher in accessing the full ANC than safe delivery and post-natal care across all the states under study. From policy point of view, the government schemes to provide maternal health services to tribal communities should consider the community-level factors affecting maternal health care utilization and should extend its operations in the small villages.

Reevaluating Funding Mechanisms for UK Primary Care Trusts: A New Model of Secondary Care Usage Incorporating Lifestyle Data

10.1068/c0427 ◽  
2005 ◽  
Vol 23 (3) ◽  
pp. 317-336 ◽  
Author(s):  
Mark Birkin ◽  
Graham Clarke ◽  
Phil Gibson ◽  
Roger Dewhurst ◽  
Jacqui Bobby
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Goodness Of Fit ◽  
Service Providers ◽  
Social Economic ◽  
Explanatory Variables ◽  
Care Services ◽  
Funding Mechanisms ◽  
The City ◽  
Use Of Health Care

This paper is concerned with modelling variations in the use of health-care services between small geographic areas. A range of potential explanatory variables are identified from a review of previous literature, ranging from social, economic, and demographic factors through access to services, and practitioner characteristics, to new measures of behaviour and lifestyle. Real admissions data for the city of Leeds relating to a variety of services over a three-year period are introduced to calibrate a series of utilisation models. It is argued that the strength of the goodness of fit makes these models potentially useful in the evaluation of resource allocation between service providers. By providing better global models of usage it is possible to examine small-area outliers to highlight areas where revealed demand, or usage, is not reflecting need as much as it should. In particular, this paper demonstrates the importance of lifestyle preferences in modelling the utilisation of health-care services.

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