scholarly journals Family Planning Programs – An Opportunity to Integrate Preconception Health Services into Primary Health Care

2021 ◽  
Vol 11 (4) ◽  
pp. 467-472
Author(s):  
Dumitru Dumitru ◽  
Sarah Sarah ◽  
Corina Corina ◽  
Anait Anait ◽  
Patricia Patricia ◽  
...  
Keyword(s):  
Primary Care ◽  
Family Planning ◽  
Preconception Care ◽  
Reproductive Rights ◽  
Healthcare Providers ◽  
Well Being ◽  
Preconception Health ◽  
The Moment ◽  
Health And Well Being ◽  
Sexual And Reproductive Rights

A life-course approach to enhancing maternal and child health by improving parental health prior to conception is gaining international interest. Healthcare providers and researchers are seeking effective ways to increase women’s and men’s access to preconception care, especially through primary care. At the same time, preconception health includes conversations about pregnancy planning (or avoidance), which is a part of FP services. Unfortunately, “family planning” has the same meaning as “contraception” for many people at the moment, which is too simplistic because there are multiple aspects of preconception health and well-being. Expanding the understanding of preconception health as inclusive of FP and primary care has the potential to increase access to this important care while respecting sexual and reproductive rights, according to a couple’s reproductive plans. Respecting the sexual and reproductive rights of the population requires that FP programs be focused not only on contraception but, equally, on preconception care.

scholarly journals ‘It’s a real fine balancing act’: directly employed care workers’ experiences of engaging with health services

2021 ◽  
Author(s):  
Jane Wilcock ◽  
Jill Manthorpe ◽  
Jo Moriarty ◽  
Steve Iliffe
Keyword(s):  
Health Services ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Well Being ◽  
Care Work ◽  
Structured Interviews ◽  
Care Workers ◽  
The Impact ◽  
Health And Well Being

Little is known of the experiences of directly employed care workers communicating with healthcare providers about the situations of their employers. We report findings from 30 in-depth semi-structured interviews with directly employed care workers in England undertaken in 2018–19. Findings relate to role content, communication with healthcare professionals and their own well-being. Directly employed care workers need to be flexible about the tasks they perform and the changing needs of those whom they support. Having to take on health liaison roles can be problematic, and the impact of care work on directly employed workers’ own health and well-being needs further investigation.

scholarly journals Exploring the impact of economic and sociopolitical development on people’s health and well-being: A case study of the Karanga people in Masvingo, Zimbabwe

2016 ◽  
Vol 72 (4) ◽  
Author(s):  
Sophia Chirongoma
Keyword(s):  
Health Care ◽  
Healthcare Providers ◽  
Well Being ◽  
Faith Healing ◽  
Sociopolitical Development ◽  
The Sustainable Development ◽  
Western Development ◽  
Development Goals ◽  
The Impact ◽  
Health And Well Being

Through an exploration of the collapse of the Zimbabwean health delivery systems during the period 2000–2010, this article examines the Karanga people’s indigenous responses to utano (health and well-being). The first section explores the impact of Zimbabwe’s economic and sociopolitical development on people’s health and well-being. The next section foregrounds the ‘agency’ of the Karanga community in accessing and facilitating health care, especially their utilisation of multiple healthcare providers as well as providing health care through indigenous remedies such as traditional medicine and faith-healing. In line with the Sustainable Development Goals (SDGs), particularly SDG 3 which aspires to ensure healthy lives and promote well-being for all at all ages, the concluding section offers insights for developing an indigenous Karanga theology of utano utilising communal resources and illustrating that the concept of ‘development’ should not be confined to rigid Western development perspectives.

scholarly journals Evaluating health and well-being outcomes following the South Gloucestershire Pain Review pilot for patients on long-term opioids for chronic non-cancer pain

2019 ◽  
Vol 69 (suppl 1) ◽  
pp. bjgp19X703445
Author(s):  
Jo Kesten ◽  
Lauren Scott ◽  
Kevin Bache ◽  
Rosie Closs ◽  
Sabi Redwood ◽  
...  
Keyword(s):  
Primary Care ◽  
Pain Management ◽  
Cancer Pain ◽  
Management Strategies ◽  
Well Being ◽  
Service Users ◽  
Opioid Use ◽  
The South ◽  
Health And Well Being

BackgroundThe South Gloucestershire Pain Review pilot is an individually-tailored service to help primary care patients on long-term (>3 months) treatment with opioid painkillers for chronic non-cancer pain understand their relationship with opioids and support alternative non-drug-based pain management strategies. The pilot was based in two GP practices in South Gloucestershire.AimTo evaluate the health and well-being outcomes and perceived impact of the pilot service to inform future service development.MethodQuantitative data were collected for all enrolled patients on demographics; opioid use, misuse and dose; and pre-post intervention changes in health, well-being, quality of life (QoL), pain intensity/relief, and interference with life measures. Twenty-five semi-structured interviews (18 service users, seven service providers) explored experiences of the pilot including perceived impacts.ResultsFifty-nine patients were invited to use the service and 34 (58%) enrolled. The median prescribed opioid dose reduced from 90 mg (interquartile range [IQR] 60–240) at baseline to 72 mg (IQR 30–160) at follow-up (P<0.001). On average, service users showed improvement on all health, well-being, and QoL outcomes except pain relief. The service was received positively. Perceived benefits related to well-being and QoL, use of pain management strategies (for example pacing), changes in medication use and changes in primary care use.ConclusionThe pilot has shown promising results. The service was viewed as acceptable and health and well-being outcomes suggest a benefit. Following further development of the service, a randomised controlled trial is needed to formally test the effects of this type of care pathway on pain management and reducing long-term opioid use.

scholarly journals The effects of Enhanced Primary Healthcare interventions on primary care providers job satisfaction

2019 ◽  
Author(s):  
Wen Jun Wong ◽  
Aisyah Mohd Norzi ◽  
Swee Hung Ang ◽  
Chee Lee Chan ◽  
Faeiz Syezri Adzmin Jaafar ◽  
...  
Keyword(s):  
Primary Care ◽  
Job Satisfaction ◽  
Primary Healthcare ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Intervention Group ◽  
Well Being ◽  
Primary Care Providers ◽  
Care Providers ◽  
Post Intervention

Abstract Background In response to address the rising burden of cardiovascular risk factors, Malaysian government has implemented Enhanced Primary Healthcare (EnPHC) interventions in July 2017 at public clinics level. Healthcare providers (HCPs) play crucial roles in healthcare service delivery and health system reform can influence HCPs’ job satisfaction. However, studies evaluating HCPs’ job satisfaction following primary care transformation remain scarce in low- and middle-income countries. This study aims to evaluate the effects of EnPHC interventions on HCPs. Methods This is a quasi-experimental study conducted in 20 intervention and 20 matched control clinics. We surveyed all healthcare providers who were directly involved in patient management. A self-administered questionnaire which included six questions on job satisfaction were distributed at baseline (April and May 2017) and post-intervention (March and April 2019). Difference-in-differences analysis was used in the multivariable linear regression model in which we adjusted for providers and clinics characteristics to detect the changes in job satisfaction following EnPHC interventions. Results A total of 1042 and 1215 HCPs responded at baseline and post-intervention respectively. At post-intervention, the intervention group reported higher level of stress and change in score between two groups was -0.14 (β= -0.139; 95% CI -0.266,-0.012; p =0.032). In subgroup analysis, nurses from intervention group experienced increase in work stress following EnPHC interventions (β= -0.223; 95% CI -0.419,-0.026; p =0.026). Additionally, the same group also responded that they were less likely to perceive their profession as well-respected at post-intervention (β= -0.175; 95% CI -0.331,-0.019; p =0.027). Conversely, allied health professionals from intervention group were more likely to report a good balance between work and effort (β= 0.386; 95% CI 0.033,0.738; p =0.032) after implementing EnPHC interventions. Conclusions Our findings suggest that EnPHC interventions had resulted in some untoward effect on HCPs’ job satisfaction. Job dissatisfaction can have detrimental effects on the organisation and healthcare system. Therefore, provider experience and well-being should be considered before introducing healthcare delivery reforms to avoid overburdening of HCPs.

Women

2019 ◽  
pp. 75-96
Author(s):  
Gina Maranto
Keyword(s):  
Family Planning ◽  
Gender Equity ◽  
Assisted Reproduction ◽  
Social Action ◽  
Forced Migration ◽  
Well Being ◽  
Social Injustice ◽  
Health Issues ◽  
And Gender ◽  
Health And Well Being

This chapter discusses several major issues of social injustice as they adversely affect the health and well-being of women. The chapter begins with a discussion of new modes of social action supporting women and women’s rights, starting with the 2017 Women’s March. Sections of the chapter address violence, war, and forced migration; sustainability and gender equity; family planning and related issues; abortion; infertility and assisted reproduction; and other issues. The final section of the chapter examines what needs to be done to address these issues, with an emphasis on violence, sustainability and gender equity, and reproductive and health issues.

scholarly journals Hechos de acción colectiva: Derecho a la planificación familiar y a la libre opción de la maternidad

2016 ◽  
Vol 9 (2) ◽  
pp. 89
Author(s):  
Carolina Yepes Valencia
Keyword(s):  
Family Planning ◽  
Free Choice ◽  
Sociological Theory ◽  
Reproductive Rights ◽  
Collective Actions ◽  
Reconstruction Process ◽  
Political Opportunities ◽  
Las Mujeres ◽  
The Right ◽  
Sexual And Reproductive Rights

Resumen: El presente artículo analiza los principales hechos de acción colectiva con un enfoque de género emprendidos por dos organizaciones Colombianas: La Mesa por la Vida y la Salud de las Mujeres, y Católicas por el Derecho a Decidir, quienes enmarcadas bajo el concepto de feminismo liberal centran su accionar por la reclamación del derecho a la planificación familiar y a la libre opción de la maternidad, derechos que hacen parten de los derechos sexuales y reproductivos de las mujeres. Para realizar el proceso de reconstrucción en el cual se reclamaron estos derechos mediante los principales hechos de acción colectiva de ambas organizaciones, se hizo uso de la teoría sociológica de la acción colectiva enfocada al análisis de los repertorios, la estructura de oportunidades políticas, los detractores y lo simbólico de estas acciones.Palabras clave: hechos de acción colectiva, organizaciones de mujeres, género, derechos sexuales y reproductivos.Collective Actions in Defense of Family Planning and the Right to the Free Choice of MaternityAbstract: This article analyzes the major collective actions with a focus on gender undertaken by two Colombian organizations: the Working Group for Life and Women’s Health, and Catholic Women for the Right to Choose, who, framed under the concept of liberal feminism, focus their actions on claiming the right to free family planning and to the free choice of maternity, rights that are based on the sexual and reproductive rights of women. To perform the reconstruction process in which these rights are claimed, the sociological theory of collective action was made use of focusing on analysis of the repertoires, the structure of political opportunities, detractors and the symbolic aspect of these actions.Key words: collective actions, women’s organizations, gender, sexual and reproductive rights

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