scholarly journals Benefits and Risks of Aquaculture Foods in Primary Health Care: A Mini-Review

2021 ◽  
Author(s):  
A.M. Tiamiyu ◽  
I.A. Adesina
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Sector ◽  
Developed Countries ◽  
Economic Prosperity ◽  
Primary Health ◽  
Primary Responsibility ◽  
Aquaculture Industry ◽  
Important Health ◽  
The Right

Primary Health Care (PHC) is expected to serve as a basis for the country's health sector, of which it is the primary responsibility and priority, as well as the community's overall collective and economic prosperity. Promotion of food supply and proper nutrition are among eight elements of PHC. Protein deficiency is one of the most important health concerns in some parts of the world. A huge numbers of malnourished or hungry people have been reported particularly in the less developed countries. Advantages of aquaculture in nutrition are varied. However, there are some zoonotic microbial illnesses occurred due to consumption of infected seafood. Some of these challenges will be cor- rected by good aquaculture practices. With the right reforms in the aquaculture industry, progress can be made toward solving some of the challenges facing PHC delivery. In this mini-review, the benefits and risks of aquaculture foods in PHC are briefly discussed.

scholarly journals Access to medicines by patients of the primary health care in the Brazilian Unified Health System

2017 ◽  
Vol 51 ◽  
pp. 20s ◽  
Author(s):  
Juliana Álvares ◽  
Augusto Afonso Guerra Junior ◽  
Vânia Eloisa de Araújo ◽  
Alessandra Maciel Almeida ◽  
Carolina Zampirolli Dias ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Developed Countries ◽  
Access To Medicines ◽  
Essential Medicines ◽  
Unified Health System ◽  
Primary Health ◽  
Significant Difference ◽  
Good For

OBJECTIVE: To evaluate the access to medicines in primary health care of the Brazilian Unified Health System (SUS), from the patients’ perspective. METHODS: This is a cross-sectional study that used data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Services, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), conducted by interviews with 8,591 patients in cities of the five regions of Brazil. Evaluation of access to medicines used concepts proposed by Penshansky and Thomas (1981), according to the dimensions: availability, accessibility, accommodation, acceptability, and affordability. Each dimension was evaluated by its own indicators. RESULTS: For the “availability” dimension, 59.8% of patients reported having full access to medicines, without significant difference between regions. For “accessibility,” 60% of patients declared that the basic health unit (UBS) was not far from their house, 83% said it was very easy/easy to get to the UBS, and most patients reported that they go walking (64.5%). For “accommodation,” UBS was evaluated as very good/good for the items “comfort” (74.2%) and “cleanliness” (90.9%), and 70.8% of patients reported that they do not wait to receive their medicines, although the average waiting time was 32.9 minutes. For “acceptability,” 93.1% of patients reported to be served with respect and courtesy by the staff of the dispensing units and 90.5% declared that the units’ service was very good/good. For “affordability,” 13% of patients reported not being able to buy something important to cover expenses with health problems, and 41.8% of participants pointed out the expense with medicines. CONCLUSIONS: Results show 70%–90% compliance, which is compatible with developed countries. However, access to medicines remains a challenge, because it is still heavily compromised by the low availability of essential medicines in public health units, showing that it does not occur universally, equally, and decisively to the population

scholarly journals Humanization on the embracement of lesbians, gays, bisexuals, transvestites and transsexuals in primary care: bioethical thoughts for nursing

2011 ◽  
Vol 5 (4) ◽  
pp. 1064 ◽  
Author(s):  
Patrícia Juliana de Sousa ◽  
Fátima Maria Da Silva Abrão ◽  
Aurélio Molina da Costa ◽  
Luiz Oscar Cardoso Ferreira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Equal Opportunity ◽  
Extensive Literature ◽  
State University ◽  
Transgender People ◽  
Primary Health ◽  
Bisexual And Transgender ◽  
Lgbt People ◽  
The Right

ABSTRACT Objective: to reflect on how nursing may employ the bioethics knowledge inside their practice to assistance and humanize the embracement on primary health care to Lesbian, Gay, Bisexual, and Transgender people (LGBT). Methodology: a reflective essay based on extensive literature review and consolidated through discussions during classes, as also seminars and Bioethics readings extracted from the discipline  "Fundamentals of Ethics and Bioethics in Health Care” from Masters of Science in Nursing’s Associate Program of Pernambuco State University and Paraiba State University, Brazil. Results: the bioethics knowledge can subscribe the real recognition of citizenship for all people, especially the most vulnerable ones, providing a space for reflections in the direction of harmony and equal opportunity among LGBT and health professionals. Conclusion: the theoretical framework of bioethics can help and support registered Nurses to promote humanized care for embracement of LGBT people in primary health services, in that it gives them sense of dignity and respect through the tolerance and acceptance of the right of diversity. Descriptors: user embracement; primary health care; homosexuality; bioethics; nursing. RESUMO Objetivo: refletir sobre como a Enfermagem pode utilizar o referencial da Bioética para fundamentar sua prática e assistência em relação à garantia de um acolhimento humanizado a Lésbicas, Gays, Bissexuais, Travestis e Transexuais (LGBT) nos serviços de saúde da atenção básica. Metodologia: ensaio reflexivo baseado em revisão bibliográfica e consolidado por meio de discussões e seminários realizados na disciplina Fundamentos da Ética e Bioética na Saúde e Enfermagem do Programa de Mestrado Associado de Pós-Graduação em Enfermagem UPE/UEPB. Resultados: a Bioética contribui para o reconhecimento da plena cidadania de todos os seres humanos principalmente dos mais vulneráveis, deste modo, proporcionando um espaço de reflexão na busca da convivência e da oportunidade entre usuários LGBT e profissionais da saúde. Conclusão: o referencial teórico da Bioética pode ajudar a respaldar e promover o acolhimento humanizado de LGBT pela Enfermagem nos serviços da atenção básica por meio da tolerância com a diversidade e respeito à dignidade humana destes cidadãos. Descritores: acolhimento; atenção básica; homossexualidade; bioética; enfermagem. RESUMEN Objectivo: refletir cómo las enfermeras pueden emplear los conocimientos de bioética dentro de su práctica  para  la asistencia y humanización de la acogida dentro la atención primaria de la salud de lesbianas, gays, bisexuales y personas transgénero. Metodología: ensayo reflexivo basado en  revisión de la literatura y consolidado através de discusiones y seminarios  durante las clases, así como seminarios y lecturas de Bioética extraídos de la disciplina "Fundamentos de la Ética y Bioética en la Atención Sanitaria" del Programa Master en Enfermeria Asociado de las Universades de los estados de Pernambuco y Paraiba, Brazil. resultados: la Bioética puede sostener um reconocimiento real de la ciudadanía de las personas, especialmente los más vulnerables, proporcionando un espacio de reflexión en el sentido de la armonía y la igualdad de oportunidades entre los LGBT y profesionales de la salud. Conclusión: el marco teórico de la bioética puede sustener a las enfermeras  para una atención más humanizada  de la acogida a los LGBT dentro de los servicios de salud primaria, garantizando a estas personas un sentido de dignidad y respeto a través de la tolerancia y la aceptación del derecho de la diversidad. Descriptores: acogimiento; atención primaria de salud; homosexualidad; bioética; enfermería.

scholarly journals The health response to the Rohingya refugee crisis post August 2017: Reflections from two years of health sector coordination in Cox’s Bazar, Bangladesh

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253013
Author(s):  
Rosanna Jeffries ◽  
Hassan Abdi ◽  
Mohammad Ali ◽  
Abu Toha Md Rezuanul Haque Bhuiyan ◽  
Mohamed El Shazly ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Health Sector ◽  
Advisory Group ◽  
Primary Health ◽  
Working Groups

On August 25 2017, an unprecedented influx of Rohingya refugees began from Rakhine State in Myanmar into Bangladesh’s district of Cox’s Bazar. The scale and acuteness of this humanitarian crisis was unprecedented and unique globally, requiring strong coordination of a multitude of actors. This paper reflects on the health sector coordination from August 2017 to October 2019, focusing on selected achievements and persisting challenges of the health sector strategic advisory group (HSSAG), and the health sector working groups including epidemiology and case management, sexual and reproductive health, community health, mental health and psychosocial support, and emergency preparedness. In the early days of the response, minimum service standards for primary health care were established, a fundamental initial step which enabled the standardization of services based on critical needs. Similarly, establishing standards for community health outreach was the backbone for capitalizing on this important health workforce. Novel approaches were adopted for infectious disease responses for acute watery diarrhoea and varicella, drawing on inter-sectoral collaborations. Sexual and reproductive health services were prioritized from the initial onset of the crisis and improvements in skilled delivery attendance, gender-based violence services, abortion care and family planning were recorded. Mental health service provision was strengthened through community-based approaches although integration of mental health programmes into primary health care has been limited by availability of specialist psychiatrists. Strong, collaborative and legitimate leadership by the health sector strategic advisory group, drawing on inter-sectoral collaborations and the technical expertise of the different technical working groups, were critical in the response and proved effective, despite the remaining challenges to be addressed. Anticipated reductions in funding as the crisis moves into protracted status threatens the achievements of the health sector in provision of health services to the Rohingya refugees.

Dietitians in the Right Place at the Right Time For Primary Health Care

2006 ◽  
Vol 67 (S1) ◽  
pp. S2-S3
Author(s):  
Elizabeth Bright-See
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Health ◽  
The Right

Addressing inequities in access to primary health care: lessons for the training of health care professionals from a regional medical school

2011 ◽  
Vol 17 (4) ◽  
pp. 362 ◽  
Author(s):  
Sarah Larkins ◽  
Tarun Sen Gupta ◽  
Rebecca Evans ◽  
Richard Murray ◽  
Robyn Preston
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Professional Education ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Underserved Populations ◽  
Health Sector ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

Attention to the inequitable distribution and limited access to primary health care resources is key to addressing the priority health needs of underserved populations in rural, remote and outer metropolitan areas. There is little high-quality evidence about improving access to quality primary health care services for underserved groups, particularly in relation to geographic barriers, and limited discussion about the training implications of reforms to improve access. To progress equity in access to primary health care services, health professional education institutions need to work with both the health sector and policy makers to address issues of workforce mix, recruitment and retention, and new models of primary health care delivery. This requires a fundamental shift in focus from these institutions and the health sector, to each view themselves as partners in an integrated teaching, research and service-oriented health system. This paper discusses the challenges and opportunities for primary health care professionals, educators and the health sector in providing quality teaching and clinical experiences for increasing numbers of health professionals as a result of the reform agenda. It then outlines some practical strategies based on theory and evolving experience for dealing with some of these challenges and capitalising on opportunities.

Primary Health Care an Important Health Initiative- Awareness of Medical Students from Karachi-Pakistan

2017 ◽  
Vol 19 (12) ◽  
pp. 1-7
Author(s):  
Nasha Elavia ◽  
Rubab Ehsan ◽  
F Rahool ◽  
Nosheen Zehra
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Students ◽  
Health Initiative ◽  
Primary Health ◽  
Important Health

Neoliberal Reforms in Swedish Primary Health Care: For Whom and for What Purpose?

2008 ◽  
Vol 38 (4) ◽  
pp. 697-715 ◽  
Author(s):  
Göran Dahlgren
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Low Income ◽  
Health Sector ◽  
High Income ◽  
Public Hospitals ◽  
Primary Health ◽  
Access And Quality

The conservative government that came to power in Sweden in 2006 has initiated major market-oriented reforms in the health sector. Its first health care policy bill changed the health legislation to make it possible to sell/transfer public hospitals to commercial providers while maintaining public funding. Far-reaching market-oriented primary health care reforms are also initiated, for example in Stockholm County. They are typically presented as “free choice models” in which “the money follows the patient.” The actual and likely effects of these reforms in terms of access and quality of care are discussed in this article. One main finding is that existing social inequities in geographic access to care not only are reinforced but also become very difficult to change by democratic political decisions. Furthermore, dynamic market forces will gradually reduce the quality of care in low-income areas while both access and quality of care will be even better in high-income areas. Public funds are thus transferred from people living in low-income areas to people living in high-income areas, even though the need for good health services is much greater in the low-income areas. Certain policy options for reversing the inverse law of care are also presented.

Assessing pharmacists’ impacts in primary health care: are we asking the right questions?

2011 ◽  
Vol 4 (1) ◽  
Author(s):  
Peri Joanne Ballantyne
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Health ◽  
The Right

scholarly journals Scope of Physiotherapy Practice in District Hospitals of the Semi-developed Barisal Division, Barisal, Bangladesh

2018 ◽  
Vol 3 (2) ◽  
pp. 94
Author(s):  
John Tilock Sarkar ◽  
Md Jobair Khan ◽  
Atiqur Rahman Khan
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Medical Condition ◽  
Treatment Success ◽  
Primary Health Care System ◽  
Physiotherapy Practice ◽  
Primary Health ◽  
District Hospitals ◽  
The Right

In the developed nations physiotherapist are autonomously participating in the first line and already they are working in the second line treatment alongside with other professionals and the right for the mass population similar to the goal of the public health. The aim of the study was to sort out the real scenario of the development of physiotherapy services as a part of primary health care services including the knowledge and attitude of the general people. A multistage sampling method was selected for conducting the study in districts hospitals of the Barisal division. Result depicted that among the respondents mean age 36.86 ± 4.558 years and most 33.3% (n= 73) of them were younger age range 21-30 years and interestingly highest 41.55% (n= 91) were graduated with highly significant (x2= 1.196, P= 0.000). 65.3% (n= 143) of patients had knowledge about physiotherapy. Majority of case 41.1% (n= 90) orthopedic (x2= 86.175, P= 0.000) and medical condition stroke ware highest 30.1% (n= 66) statically significant (x2= 1.561, P= 0.000). Due to the awareness maximum, 39.70% (n= 87) came from self-reference and 88.4% (n= 176) received exercise therapy including other electrical modalities. Lowest 8.70% (n= 19) of patient expense > 300 BDT. Treatment right time 60.3% (n= 132). Treatment success rate 69.4% (n= 152). Difficulty to come physiotherapy center 43.8% (n= 96). Some limitation that causes insufficiency in treatment provide; 10.6% patient noted poor timing, 30.7% long witting time, 68.3% (n= 136) unpleasant, 78.9% (n= 157) absence of physiotherapist, 9.5% (n= 19) lack of cooperation. Although that 99.5% patient demand physiotherapy center as close as their range and 60.3% (n=132) satisfied with the treatment. Therefore it is strongly suggested to set up a modern physiotherapy department within the primary health care system with the qualified physiotherapist in community-level also District level hospital

scholarly journals Dynamics surrounding the Implementation of the Primary Health Care Approach in Zimbabwe’s Rural Areas: The Case of Mt Darwin District

2021 ◽  
Vol 3 (1) ◽  
pp. 1-17
Author(s):  
Alouis Chilunjika ◽  
Sharon R.T. Muzvidziwa-Chilunjika
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Areas ◽  
Health Sector ◽  
Health Service Delivery ◽  
Face To Face ◽  
Primary Health ◽  
Care Approach ◽  
Health Related ◽  
Research Findings

This research studied the implementation of the Primary Health Care approach to health service delivery in Zimbabwe’s rural areas from 2009 to 2012. The approach was launched in response to the Alma-Alta Declaration in 1978 which sought to end the inequalities in health care provision around the globe and was first adopted and implemented in 1982 in Zimbabwe. The approach almost collapsed due to the economic meltdown in the past decade but the period 2009 to 2013 marked a new economic paradigm in Zimbabwe which saw the economy being dollarized which subsequently led to the revival and the resuscitation of the health sector. It is therefore to explore the progress and the dynamics surrounding the implementation of the PHC at Mt Darwin Hospital in light of the dollarized economy. The study explores the dynamics surrounding the implementation of PHC at Mt Darwin District Hospital by particular attention to the following key elements: promotion of nutrition, sanitation, maternal and child care, immunization, treatment of common diseases and provision of essential drugs. Qualitative techniques such as face to face interviews with key informants and documentary research were used to generate data. The research findings revealed that PHC is a powerful tool in delivering health services in Mt Darwin. However, lack of material, financial and human resources have hindered the proper implementation of the PHC approach in Mt Darwin district. The study recommends multi sectoral collaboration in solving health related issues.

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