scholarly journals Movilidad y límites en el acceso a los servicios de salud para personas mayores con discapacidad tras el terremoto de 2016 en Ecuador = Mobility and access limitations to health services for the elderly with disabilities after the 2016 earthquake in Ecuador

2019 ◽  
pp. 191
Author(s):  
Andrea Pacheco Barzallo

ResumenEl terremoto de abril de 2016 ocurrido en la costa ecuatoriana afectó a decenas de ciudades y sus resultados repercutieron de manera especial en algunos colectivos. Los servicios de salud se saturaron y, por diferentes motivos, quedaron inaccesibles para parte de la población. El objetivo de este trabajo es analizar la movilidad peatonal y el acceso de forma autónoma a los servicios de salud para personas mayores y con discapacidad en tres de las ciudades más afectadas de la provincia donde tuvo lugar el epicentro del terremoto: Manta, Pedernales y Portoviejo. La metodología incluye la revisión de literatura científica y normativas técnicas sobre la movilidad peatonal para personas mayores o con discapacidad y, sobre los aportes y parámetros tomados de la literatura, se realiza una fotointerpretación del medio físico en las situaciones antes del terremoto, misma que es comparada con la situación post-terremoto en base a la elaboración y recopilación de cartografía. Los resultados indican que las condiciones del territorio, antes y después del desastre, impedían el acceso de forma autónoma a los servicios de salud para las personas mayores con discapacidad.AbstractThe earthquake of April 2016 that occurred on the Ecuadorian coast affected dozens of cities and its results had a special impact on some groups. Health services were saturated and for different reasons, they were inaccessible for part of the population. The objective of this paper is to analyze the forms of pedestrian mobility and autonomous access to health services for the elderly with disabilities after the earthquake in three of the most affected cities: Manta, Pedernales and Portoviejo. The methodology used includes a literature review of technical documents and standards about inclusive pedestrian mobility, and based on the parameters taken from these documents, an evaluation through photointerpretation of the physical environment conditions previous to the earthquake, is made. The results of this evaluation are compared with the post-disaster situation through the elaboration and collection of cartography. The results show that the territorial conditions limited the autonomous mobility and access to health services for the elderly with disabilities in both situations, before and after the earthquake.

2019 ◽  
pp. 191
Author(s):  
Andrea Pacheco Barzallo

ResumenEl terremoto de abril de 2016 ocurrido en la costa ecuatoriana afectó a decenas de ciudades y sus resultados repercutieron de manera especial en algunos colectivos. Los servicios de salud se saturaron y, por diferentes motivos, quedaron inaccesibles para parte de la población. El objetivo de este trabajo es analizar la movilidad peatonal y el acceso de forma autónoma a los servicios de salud para personas mayores y con discapacidad en tres de las ciudades más afectadas de la provincia donde tuvo lugar el epicentro del terremoto: Manta, Pedernales y Portoviejo. La metodología incluye la revisión de literatura científica y normativas técnicas sobre la movilidad peatonal para personas mayores o con discapacidad y, sobre los aportes y parámetros tomados de la literatura, se realiza una fotointerpretación del medio físico en las situaciones antes del terremoto, misma que es comparada con la situación post-terremoto en base a la elaboración y recopilación de cartografía. Los resultados indican que las condiciones del territorio, antes y después del desastre, impedían el acceso de forma autónoma a los servicios de salud para las personas mayores con discapacidad.AbstractThe earthquake of April 2016 that occurred on the Ecuadorian coast affected dozens of cities and its results had a special impact on some groups. Health services were saturated and for different reasons, they were inaccessible for part of the population. The objective of this paper is to analyze the forms of pedestrian mobility and autonomous access to health services for the elderly with disabilities after the earthquake in three of the most affected cities: Manta, Pedernales and Portoviejo. The methodology used includes a literature review of technical documents and standards about inclusive pedestrian mobility, and based on the parameters taken from these documents, an evaluation through photointerpretation of the physical environment conditions previous to the earthquake, is made. The results of this evaluation are compared with the post-disaster situation through the elaboration and collection of cartography. The results show that the territorial conditions limited the autonomous mobility and access to health services for the elderly with disabilities in both situations, before and after the earthquake.


2015 ◽  
Vol 49 (4) ◽  
pp. 0589-0595 ◽  
Author(s):  
Ana Carla Borghi ◽  
Angela Maria Alvarez ◽  
Sonia Silva Marcon ◽  
Lígia Carreira

OBJECTIVEDescribing how Kaingang seniors and their primary caregivers experience access to public health services.METHODA qualitative study guided by ethnography, conducted with 28 elderly and 19 caregivers. Data were collected between November 2010 and February 2013 through interviews and participative observation analyzed by ethnography.RESULTSThe study revealed the benefits and difficulties of the elderly access to health services, the facility to obtain health care resources such as appointments, medications and routine procedures, and the difficulties such as special assistance service problems and delays in the dispatching process between reference services.CONCLUSIONThe importance of knowing and understanding the cultural specificities of the group in order to offer greater opportunities for the elderly access to health services was reinforced.


2020 ◽  
Vol 73 (4) ◽  
Author(s):  
Nelma Nunes da Silva ◽  
Veronica Batista Cambraia Favacho ◽  
Gabriella de Andrade Boska ◽  
Emerson da Costa Andrade ◽  
Neuri Pires das Merces ◽  
...  

ABSTRACT Objectives: demonstrate and discuss how the black population’s access to health services occurs Methods: integrative literature review with the following question: How does the black population’s access to health services occur? The search was carried out in the Scholar, LILACS and SciELO databases and used the descriptor “access to health services” and the term “population,” resulting in a sample with twelve articles. Results: studies show that the difficulty of access is a fundamental factor for the quality of life of people, directly compromising preventive services, especially for women’s health and, in addition, it has significant impact on the illness process of the black population within its particularities. Final Considerations: several limiting factors compromise the black population’s access to health services, including institutional and structural factors


2018 ◽  
Vol 7 (2) ◽  
pp. 81
Author(s):  
Évely Renken ◽  
Clair Antônio Wathier ◽  
Giovane Pereira Balbé

Este estudo teve o objetivo de analisar os indicadores de morbidade, o acesso a serviços de saúde e a prática de atividade física de lazer em idosos. Houve também verificação do padrão de morbidade referida nestes idosos entrevistados, identificando a prevalência da prática de atividades físicas no lazer. Para isso, foram analisados os dados sociodemográficos da amostra pesquisada, identificando o acesso aos serviços de saúde. A coleta das informações necessárias à apuração dos resultados ocorreu por meio de questionário sociodemográfico e Questionário Internacional de Atividades Físicas (IPAQ). Os questionários foram aplicados em 213 idosos de ambos os sexos, com 60 anos de idade ou mais, residentes na zona urbana da cidade de Rio do Sul - Santa Catarina. Percebe-se que pouco mais de 80% dos idosos foram classificados como inativos nas atividades de lazer, a maioria das mulheres auto avaliaram sua saúde de forma positiva, e cerca de 37% dos idosos procuraram acesso e uso regular dos serviços de saúde nas semanas anteriores à realização da pesquisa, tendo ainda valores significativos em relação ao plano de saúde, onde a maioria dos idosos foi inativa. Conclui-se que a associação da prática de atividades físicas aos indicadores de morbidade de acesso a serviços de saúde está ligada de maneira a impedir que os idosos sejam ativos no lazer. ABSTRACTThis study aimed to analyze the indicators of morbidity, access to health services and the practice of leisure physical activity in older adults. For this, the demographic data of the studied sample were analyzed by identifying access to health services. There was also checking the pattern of morbidity in these elderly respondents, identifying the prevalence of physical activity at leisure. The collection of information necessary for the determination of the results was through sociodemographic questionnaire and International Physical Activity Questionnaire (IPAQ). The questionnaires were applied in 213 elderly men and women, aged 60 and older living in the urban area of the city of Rio do Sul - Santa Catarina. It can be seen that just over 80% of the elderly were classified as inactive in leisure activities, most women self rated their health positively, and about 37% of the elderly sought access and regular use of health services in the weeks prior to the survey. In conclusion, it can be seen that the association of physical activity with access to health services is on morbidity indicators in order to prevent the elderly are active during leisure.


2018 ◽  
Vol 13 (03) ◽  
pp. 511-518
Author(s):  
Mehdi Esfandyari ◽  
Elnaz Vaghef-Mehrabany ◽  
Mehrangiz Ebrahimi-Mameghani

ABSTRACTObjectiveWe aimed to compare the pregnancy status of the pregnant women and birth status of their newborns, socioeconomic status, and access to health services, between high- and low-damage areas in Heris, affected by the Varzaghan Earthquake, 2012.MethodsThe study was conducted on pregnant women at any trimester of pregnancy (with complete medical profiles in local health centers) in August 2012 (time of the earthquake) who lived in Heris and delivered up to March 2013. Data were obtained on pregnancy- and infant-related variables, housing, socioeconomic status, and access to health services, including food supplies, before and after the earthquake.ResultsFamily income and mothers’ education were lower in highly damaged areas. Among these women, underweight at first trimester of pregnancy was higher, and weight gain during the last trimester was lower, compared with low-damage regions. Preterm delivery was higher in low-damage areas. Birth indices of the infants were not significantly different between the 2 areas; however, in highly damaged areas, moderate malnutrition was more prevalent among children under 1 year (weight-for-age) and under 2 years (height-for-age).ConclusionsSocioeconomic status of mothers was lower in highly damaged areas and might have played a role in their own and newborns’ health status. (Disaster Med Public Health Preparedness. 2019;13: 511-518)


Author(s):  
Grayce Alencar Albuquerque ◽  
Cintia de Lima Garcia ◽  
Glauberto da Silva Quirino ◽  
Maria Juscinaide Henrique Alves ◽  
Jameson Moreira Belém ◽  
...  

Circulation ◽  
2012 ◽  
Vol 125 (16) ◽  
pp. 2006-2014 ◽  
Author(s):  
Robyn A. Clark ◽  
Neil Coffee ◽  
Dorothy Turner ◽  
Kerena A. Eckert ◽  
Deborah van Gaans ◽  
...  

2020 ◽  
Vol 42 ◽  
pp. e48896
Author(s):  
Pamela Kaezynski Maciel ◽  
Carla Weber Peters ◽  
Celmira Lange ◽  
Denise Somavila Przylynski Castro ◽  
Jessica Noema da Rosa Braga ◽  
...  

 This study aimed to learn about the conditions of access to health services that seniors living in rural areas have, as well as their satisfaction. This is a qualitative, descriptive and exploratory research conducted in a municipality located in the southern region of Rio Grande do Sul, Brazil. It included 19 elderly individuals registered in three Basic Health Units organized in the form of Family Health Strategy. Data were collected between July and August 2018 through semi-structured interviews, which were analyzed based on Minayo's operational proposal. Afterwards, two categories were defined: "Access to health services used by elderly residents of rural areas" and "Satisfaction with health services used by elderly residents of rural areas". Concerning access, many are the difficulties faced, such as long distances to be traveled until arriving at a health service, poor road conditions, limitations related to public transport days, timetables and itineraries, lack of human and material resources, and long waiting time to make appointments with specialists and schedule exams through the Brazilian Unified Health System. As for satisfaction, the main complaint of the elderly participants refers to issues involving, above all, health management and work process, such as delay in making health care appointments, although most participants reported being satisfied with the care provided by health professionals. It is worth noting that learning about the conditions of access to health services used by elderly people living in rural areas and their satisfaction contributes to the planning, implementation, development and evaluation of public health actions, programs and policies.


2019 ◽  
Vol 24 (3) ◽  
pp. 193
Author(s):  
Theresia Pratiwi Elingsetyo Sanubari ◽  
Catherina Frisca Yaniariyani

<p>The increasing number of elderly people from year to year shows the high life expectancy in elderly women. This situation coupled with cultural and social aspects can trigger vulnerability for elderly women, including the health aspect. This study aims to describe the factors of access to health services for elderly women in the village of Pancuran, Salatiga. The method used is descriptive-quantitative with data collection carried out in Pancuran Village using a questionnaire. Elderly women in Pancuran Village have different economic, educational, employment and social status backgrounds but have the same vulnerability to access health services due to the unavailability of <em>posyandu</em> for the elderly in Pancuran Village. Nevertheless, efforts to access health services are still underway. This research shows that cultural involvement in health care is needed to realize integrated, patient-centered, and gender-friendly health services.</p>


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