scholarly journals A study on reproductive health of adolescent girls of Dongria Kondh tribe

2017 ◽  
Vol 4 (4) ◽  
pp. 1207
Author(s):  
Sikata Nanda ◽  
Rabi Narayan Dhar
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Adolescent Girls ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
General Information ◽  
Health Care Facilities ◽  
Menstrual Hygiene ◽  
Limited Health ◽  
Physical Changes

Background: Health problem in adolescent girls are different from the younger children and older adults. In the tribal population they are more neglected    because of limited health care facilities and lack of education. In the present study we have done   assessment of reproductive health status of adolescent girls in the Dongria Kondh tribe in Odisha. Methods: Dongria Kondh’ residing in Rayagada district of Odisha having its maximum concentration was studied. Bissam Cuttack block was selected randomly as the study area. Moreover, coincidently majority of the study population resided in the block having villages like Kurli, Khambesi, Hundijali, Muthesi, Khajuri, Mundabali and Uppar Gandatallli which are situated as a distance of 5000 ft height above sea level. 89 adolescent  girls were considered Schedule of general information of the family, schedule cum questionnaire on KAP on reproductive health and Lab investigation done among study subjects for prevalence of HIV/AIDS was done. Results: About 75% of adolescent girls had regular menstruation. Dysmenorhoea was present in 13% of girls. All girls are poor menstrual hygiene.84% of adolescent girls knew about menstruation from their friends. About 61% were not aware about physical changes in pregnancy. Conclusions: Counseling of adolescent girls and their mothers on sexual hygiene should be done by AWW/HWF. Health care delivery system to be strengthened by training and capacity building of AWW/HWF. 

scholarly journals Access to Maternal Health Services during COVID-19

2020 ◽  
Vol 2 (2) ◽  
pp. 48-52 ◽  
Author(s):  
Smriti Pant ◽  
Saugat Koirala ◽  
Madhusudan Subedi
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Services ◽  
Pregnant Women ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Maternal Health Services ◽  
Global Scale ◽  
Health Care Facilities ◽  
Movement Restriction

Most causes of maternal morbidity and mortality can be prevented by giving prompt, suitable treatment to the women by qualified health practitioners. Maternal health services (MHS), which include antenatal care, delivery care, and postnatal care, can play a crucial role in preventing maternal health problems. The recent coronavirus disease (COVID-19) pandemic has had a disastrous effect on the health care delivery system of people of all ages, on a global scale but pregnant women face particular challenges. The aim of this review is to assess the effect of COVID-19 on access to MHS. For writing this narrative review, national and international reports on maternal health services during COVID-19, along with journal articles on the related topic were reviewed. Due to this pandemic, women worldwide are facing more barriers to accessing maternal health care, including restrictions, transport challenges, and anxiety over possibly being exposed to coronavirus. Many women preferred not to seek healthcare due to the fear of themselves being infected with the virus or transmitting it to their unborn babies. Additionally, movement restriction has made it difficult for many pregnant women to reach health care facilities. Even those who managed to reach health facilities have reported not receiving timely care. As a result, a considerable rise in maternal mortality globally has been estimated over the next six months. Despite the circumstances, efforts have been made to boost maternal health in both developed and developing countries. This pandemic has highlighted the importance of health preparedness with special attention given to vulnerable people like pregnant women and newborns while planning for such events. Keywords: Childbirth, COVID19, Maternal Health, Pandemic, Pregnancy, Women’s health

The Health Care Delivery System in Libya with Special Emphasis on Public Health Care Services in Benghazi

1996 ◽  
Vol 27 ◽  
pp. 99-123
Author(s):  
Salem F. Salem
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Health Care Services ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Health Care Facilities ◽  
Primary Health Care System ◽  
Care Services ◽  
Developed World

AbstractThis paper outlines the main features of the Libyan health care delivery system in general and the development of the primary health care system in particular. In spite of achieving tremendous success for extending health care coverage to meet continuous and mounting demand for health care services all over the country, health status levels in the country as a whole have not yet reached the required target that should make them comparable with the developed world. Three major reasons are thought to be responsible for this deficiency — the lack of appointment systems, a proper referral system and reliable health care information centres both locally and nationally. Moreover, despite the fact that a hierarchy of health care delivery system exists in the country, it is not well-defined with a fixed division of functions and strict referral routes between health care facilities as conceptualised in most parts of the developed world.

scholarly journals Rural Healthcare Delivery in Sub-Saharan Africa

2020 ◽  
Vol 15 (3) ◽  
pp. 1-21 ◽  
Author(s):  
Nasir Faruk ◽  
N.T. Surajudeen-Bakinde ◽  
Abubakar Abdulkarim ◽  
Abdulkarim Ayopo Oloyede ◽  
Lukman Olawoyin ◽  
...  
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Health Care Delivery System ◽  
Health Care Facilities ◽  
Sub Saharan Africa ◽  
World Health ◽  
Successful Implementation ◽  
Care Facilities ◽  
Sub Saharan

Access to quality healthcare is a major problem in Sub-Saharan Africa with a doctor-to-patient ratio as high as 1:50,000, which is far above the recommended ratio by the World Health Organization (WHO) which is 1:600. This has been aggravated by the lack of access to critical infrastructures such as the health care facilities, roads, electricity, and many other factors. Even if these infrastructures are provided, the number of medical practitioners to cater for the growing population of these countries is not sufficient. In this article, how information and communication technology (ICT) can be used to drive a sustainable health care delivery system through the introduction and promotion of Virtual Clinics and various health information systems such as mobile health and electronic health record systems into the healthcare industry in Sub-Saharan Africa is presented. Furthermore, the article suggests ways of attaining successful implementation of telemedicine applications /services and remote health care facilities in Africa.

Librarians Promoting Changes in the Health Care Delivery System through Systematic Assessment

2018 ◽  
Vol 37 (2) ◽  
pp. 142-152 ◽  
Author(s):  
Sandy Oelschlegel ◽  
Kelsey Leonard Grabeel ◽  
Emily Tester ◽  
Robert E. Heidel ◽  
Jennifer Russomanno
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Systematic Assessment

Mental health policy in Greece: Implications into practice in the era of economic crisis

2011 ◽  
Vol 26 (S2) ◽  
pp. 539-539 ◽  
Author(s):  
I. Grammatikopoulos ◽  
S. Koupidis ◽  
E. Petelos ◽  
P. Theodorakis
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Mental Health Care ◽  
Economic Crisis ◽  
Rural Areas ◽  
Care Delivery ◽  
Mental Health Policy ◽  
Regional Distribution ◽  
Health Care Facilities

IntroductionBudgets allocated for mental health make up a relatively small proportion of total health expenditures, although there is an increasing burden of mental disorders.ObjectivesTo review the mental health situation in Greece with regards to mental health policy through review of relevant literature.AimsTo explore the basic implications of the economic crisis from a health policy perspective, reporting constraints and opportunities.MethodsA narrative review in PubMed/Medline along with a hand search in selected Greek biomedical journals was undertaken, relevant to mental health policy.ResultsGreece is among the OECD countries with high health expenditure as a percentage of Gross Domestic Product (9.7% of GDP in 2008) but it doesn’t have a specified budget for mental health and is mostly depended in out-of-pocket expenditure (48%). The system is plagued by problems, including geographical inequalities, overcentralization, bureaucratic management and poor incentives in the public sector. The lack of cost-effectiveness and the informal payments comprise a major source of inequity and inefficiency. Uneven regional distribution of psychiatrists exists and rural areas are mostly uncovered by mental health care facilities, as well as extramural mental health units and rehabilitation places, despite the current reorganization of the whole mental health care delivery system.ConclusionsThe core problem with mental health services in Greece is the shrinking budget with poor financial administration consistent with inadequate implementation of mental health policy. A clear authority with defined responsibility for overall mental health policy and budgetary matters is needed.

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