scholarly journals Barriers to Receiving the Recommended Standard Care During Pregnancy by Illiterate Women in Rural, Northern Tanzania

2020 ◽  
Author(s):  
Dismas Matovelo ◽  
Pendo Ndaki ◽  
Victoria Yohani ◽  
Rose Laisser ◽  
Respicious Bakalemwa ◽  
...  
Keyword(s):  
Public Health ◽  
Health Service ◽  
Patient Care ◽  
Service Providers ◽  
Healthcare Providers ◽  
Continuity Of Patient Care ◽  
Sub Saharan Africa ◽  
Health Crisis ◽  
Health Service Providers ◽  
Health Messaging

Abstract Background: In 2017, an estimated 540 women in Sub-Saharan Africa died every day from preventable causes related to pregnancy and childbirth. To stem this public-health crisis, the WHO recommends a maternal and neonatal health continuity of patient care, yet most women do not meet this recommendation. Surveys suggest that illiteracy limits uptake of the proposed maternal-newborn package, yet little is known about the association between illiteracy and healthcare seeking, particularly in rural regions of low-income countries. This knowledge gap compromises the ability of public health experts and healthcare providers to provide culturally relevant policy and practice. To begin to address this gap this study explores the experiences related to care-seeking by illiterate, pregnant women in rural Tanzania.Methods: A qualitative study was conducted in four communities encompassing eight focus group discussions with 81 illiterate women, 13 interviews with illiterate women of reproductive age and seven interviews with members of these communities perceived to have some influence on women’s decisions concerning perinatal care services. Themes were coded and their relative importance determined using frequency reports and cross-tabulations. Findings: Three key themes emerged, illiterate women (1) could not read their healthcare cards or public health messaging; (2) spoke the local language, not Swahili, the language used by healthcare providers, and (3) have endeavored to develop coping strategies to overcome these obstacles. In addition, health service providers are often unaware of who is illiterate.Recommendations: More health needs of this group could be met, in the short term, by developing a protocol for health service providers to determine who is illiterate, providing translation services for those unable to speak Swahili, and graphic public health messaging that does not require literacy. In the long term, this barrier may be addressed by ensuring that all Tanzanians receive a high-quality, formal education, supporting community health workers, and recruiting healthcare providers from rural areas. A failure of to address the needs of this at-risk group will likely mean that they will continue to experience barriers to achieving the recommended continuity of patient care with detrimental health outcomes for both mothers and newborns.

scholarly journals Why don’t illiterate women in rural, Northern Tanzania, access maternal healthcare?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dismas Matovelo ◽  
Pendo Ndaki ◽  
Victoria Yohani ◽  
Rose Laisser ◽  
Respicious Bakalemwa ◽  
...  
Keyword(s):  
Public Health ◽  
Maternal Care ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Care Seeking ◽  
Maternal Healthcare ◽  
Health Crisis ◽  
Health Messaging

Abstract Background In 2017, roughly 540 women in Sub-Saharan Africa died every day from preventable causes related to pregnancy and childbirth. To stem this public-health crisis, the WHO recommends a standard continuity of maternal healthcare, yet most women do not receive this care. Surveys suggest that illiteracy limits the uptake of the recommended care, yet little is understood about why this is so. This gap in understanding why healthcare is not sought by illiterate women compromises the ability of public health experts and healthcare providers to provide culturally relevant policy and practice. This study consequently explores the lived experiences related to care-seeking by illiterate women of reproductive age in rural Tanzania to determine why they may not access maternal healthcare services. Methods An exploratory, qualitative study was conducted in four communities encompassing eight focus group discussions with 81 illiterate women, 13 in-depth interviews with illiterate women and seven key-informant interviews with members of these communities who have first-hand experience with the decisions made by women concerning maternal care. Interviews were conducted in the informant’s native language. The interviews were coded, then triangulated. Results Two themes emerged from the analysis: 1) a communication gap arising from a) the women’s inability to read public-health documents provided by health facilities, and b) healthcare providers speaking a language, Swahili, that these women do not understand, and 2) a dependency by these women on family and neighbors to negotiate these barriers. Notably, these women understood of the potential benefits of maternal healthcare. Conclusions These women knew they should receive maternal healthcare but could neither read the public-health messaging provided by the clinics nor understand the language of the healthcare providers. More health needs of this group could be met by developing a protocol for healthcare providers to determine who is illiterate, providing translation services for those unable to speak Swahili, and graphic public health messaging that does not require literacy. A failure to address the needs of this at-risk group will likely mean that they will continue to experience barriers to obtaining maternal care with detrimental health outcomes for both mothers and newborns.

An Update on Theories and Treatment of Sex Offenders

2018 ◽  
pp. 284-298
Author(s):  
Rejani Thudalikunnil Gopalan ◽  
Amrita Arvind
Keyword(s):  
Public Health ◽  
Health Service ◽  
Sex Offenders ◽  
Service Providers ◽  
Sexual Offence ◽  
Sexual Offences ◽  
Human Right ◽  
Policy Makers ◽  
Health Service Providers ◽  
Sex Offences

This chapter aims to provide an overview of the theories and treatments of sex offenders. Sex offence is a major public health and social problem, a violation of human right and has innumerable consequence for the victim, including the community at large. It becomes important for health service providers and policy makers to understand this problem, which is not yet clearly understood. This chapter discusses the concept and definitions of sex offences, briefing on the main theories of sexual offence and treatments. Though many theories and treatments are available, more researches are required for the causes, prevention and interventions of sexual offences to have better clarity in the causes and effectiveness of treatments.

The Theology of Emergency: Welfare Reform, US Foreign Aid and the Faith-Based Initiative

2014 ◽  
Vol 32 (2) ◽  
pp. 53-77 ◽  
Author(s):  
Melinda Cooper
Keyword(s):  
Public Health ◽  
Foreign Aid ◽  
Service Providers ◽  
The United States ◽  
Sub Saharan Africa ◽  
Health Crisis ◽  
Emergency Relief ◽  
Faith Based ◽  
Social Authority ◽  
Sub Saharan

This article addresses the rise of faith-based emergency relief by examining the US President’s Emergency Plan for HIV/AIDS (PEPFAR), a public health intervention focused on the AIDS epidemic in sub-Saharan Africa. It argues that the theological turn in humanitarian aid serves to amplify ongoing dynamics in the domestic politics of sub-Saharan African states, where social services have assumed the form of chronic emergency relief and religious organizations have come to play an increasingly prominent role in the provision of such services. In the context of an ongoing public health crisis, PEPFAR has institutionalized the social authority of the Pentecostal and charismatic churches, leading to a semantic confluence between the postcolonial politics of emergency and the Pentecostal/Pauline theology of kairos or event. Far from being confined to the space of foreign aid, however, the faith-based turn in humanitarianism is in keeping with ongoing reforms in domestic social policy in the United States. While on the one hand the sustained welfare programmes of the New Deal and Great Society have been dismantled in favour of a system of emergency relief, on the other hand the federal government has intensified its moral, pedagogical and punitive interventions into the lives of the poor. The wilful transfer of welfare services to overtly religious service providers has played a decisive role in this process. The article concludes with a critical appraisal of the links between African and North American Pentecostal-evangelical churches and questions the revolutionary mission ascribed to Pauline political theology in recent political theory.

scholarly journals Medical Device Regulation from a Health Service Provider’s Perspective

Prosthesis ◽  
2021 ◽  
Vol 3 (3) ◽  
pp. 261-266
Author(s):  
Man Ting Kwong ◽  
David Stell ◽  
Emmanuel Akinluyi
Keyword(s):  
Health Service ◽  
Medical Device ◽  
Medical Devices ◽  
Clinical Setting ◽  
Service Providers ◽  
Healthcare Providers ◽  
Current Trends ◽  
Health Service Providers ◽  
The Uk ◽  
Medical Device Regulation

Unfamiliarity with medical device regulations can sometimes be a barrier to deploying technology in a clinical setting for researchers and innovators. Health service providers recognise that innovation can happen within smaller organisations, where regulatory support may be limited. This article sets out to increase transparency and outline key considerations on medical device regulations from a UK healthcare provider’s perspective. The framework used by Guy’s and St Thomas’ NHS Foundation Trust (GSTFT) for assessing research devices is presented to give an overview of the routes that R&D medical devices take to enter a clinical setting. Furthermore, current trends on research studies involving medical devices were extracted from the GSTFT internal R&D database and presented as the following categories (i) commercial vs. non-commercial, (ii) assessment type and (iii) software vs. non-software. New medical devices legislation will be introduced within the UK in July 2023. It is anticipated regulating software as a medical device may become more challenging for healthcare providers and device manufacturers alike. It is therefore important for different stakeholders involved to work together to ensure this does not become a barrier to innovation.

scholarly journals Assessment of cervical cancer services and cervical cancer related knowledge of health service providers in public health facilities in Addis Ababa, Ethiopia

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Firdawek Getahun ◽  
Adamu Addissie ◽  
Shiferaw Negash ◽  
Gebrekiros Gebremichael
Keyword(s):  
Public Health ◽  
Cervical Cancer ◽  
Health Service ◽  
Service Providers ◽  
Addis Ababa ◽  
Health Facilities ◽  
Health Providers ◽  
Public Health Facilities ◽  
Health Service Providers ◽  
Cancer Services

Abstract Objective To assess cervical cancer services and knowledge of health service providers in public health facilities. Result Two of the three hospitals had cervical cancer screening services. One-third of the hospital had cervical cancer diagnosis service punch biopsy and cervical cancer treatment. Majority, 289 (93.5%) of study participants said cervical cancer was a preventable disease. Having multiple sexual partners 257 (83.2%) and post coital bleeding 251 (81.2%), were the most mentioned risk factor and clinical manifestation of cervical cancer respectively. Majority of the participants were aware of the correct time to start screening 291 (70.5%), and only 95 (25.9%) knew the screening intervals. Overall, 165 (53.4%) of health providers scored below the mean knowledge level score. Females had better knowledge about cervical cancer than males (X2 = 8.4, P = 0.003).

A Strategic Approach for Patient-Centric E-Healthcare Development

2019 ◽  
pp. 211-237
Author(s):  
Abdallah Qusef ◽  
Mohammad Daradkeh ◽  
Sharefa Murad
Keyword(s):  
Health Service ◽  
Service Providers ◽  
Cloud Model ◽  
Healthcare Providers ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Health Service Providers ◽  
Strategic Approach ◽  
Proposed Model ◽  
Healthcare It

Different types of industries, strategic thinking, planning, and management in healthcare have become cornerstones of providing high quality of healthcare services among the rapidly changing competitive environment and the emerging technologies, which is pushing health service providers to adopt the eHealth solutions to automate the treatment workflows during health service. This chapter introduces a new healthcare IT cloud model called HealthGate Cloud (HGC), which is specially designed as a central repository for patients' EHRs. The proposed model provides a technical and business framework for a centralized enterprise healthcare information system and data sharing between all participated healthcare providers in the country or region, which makes them all as if they are one big hospital having one single repository and database for all patients' medical records. It can be used by any HA in any country or region to provide this solution for HSPs through subscriptions business model.

scholarly journals More public health service providers are experiencing job burnout than clinical care providers in primary care facilities in China

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Shan Lu ◽  
Liang Zhang ◽  
Niek Klazinga ◽  
Dionne Kringos
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Service ◽  
Public Health Service ◽  
Service Providers ◽  
Clinical Care ◽  
Job Burnout ◽  
Care Providers ◽  
Health Service Providers ◽  
Care Facilities

Abstract Background Health workers are at high risk of job burnout. Primary care in China has recently expanded its scope of services to a broader range of public health services in addition to clinical care. This study aims to measure the prevalence of burnout and identify its associated factors among clinical care and public health service providers at primary care facilities. Methods A cross-sectional survey (2018) was conducted among 17,816 clinical care and public health service providers at 701 primary care facilities from six provinces. Burnout was measured by the Chinese version of the Maslach Burnout Inventory-General Scale, and multilevel linear regression analysis was conducted to identify burnout’s association with demographics, as well as occupational and organisational factors. Results Overall, half of the providers (50.09%) suffered from burnout. Both the presence of burnout and the proportion of severe burnout among public health service providers (58.06% and 5.25%) were higher than among clinical care providers (47.55% and 2.26%, respectively). Similar factors were associated with burnout between clinical care and public health service providers. Younger, male, lower-educated providers and providers with intermediate professional title, permanent contract or higher working hours were related to a higher level of burnout. Organisational environment, such as the presence of a performance-based salary system, affected job burnout. Conclusions Job burnout is prevalent among different types of primary care providers in China, indicating the need for actions that encompass the entirety of primary care. We recommend strengthening the synergy between clinical care and public health services and transforming the performance-based salary system into a more quality-based system that includes teamwork incentives.

Management of chronic hepatitis B in the Torres Strait Islands: an identified need for a comprehensive public health approach to chronic hepatitis B in remote Australian Indigenous communities

2014 ◽  
Vol 20 (3) ◽  
pp. 273 ◽  
Author(s):  
Jack Wallace ◽  
Marian Pitts ◽  
James Ward ◽  
Stephen McNally
Keyword(s):  
Public Health ◽  
Chronic Hepatitis ◽  
Health Service ◽  
Hepatitis B ◽  
Chronic Hepatitis B ◽  
Health Workforce ◽  
Service Providers ◽  
Indigenous Communities ◽  
Health Service Providers ◽  
Torres Strait

We aimed to document how health service providers in the Torres Strait Island region of northern Australia respond to chronic hepatitis B, and to identify priorities for the effective clinical management of the infection. Semi-structured qualitative interviews with 61 health service providers were conducted in 2011 in the Torres Strait and north Queensland region to explore issues affecting chronic hepatitis B management. Two critical issues were identified affecting the health service response to chronic hepatitis B: (i) the absence of a systems-based approach to clinically managing the infection; and (ii) variable knowledge about the infection by the health workforce. Other issues identified were competing and more urgent health priorities, the silent nature of chronic hepatitis B infection at an individual and systems level, inadequate resources and the transient health workforce. While people living in the Torres Strait region are screened, diagnosed and informed that they are infected with chronic hepatitis B, there is an ad hoc approach to its clinical management. An effective and coordinated public health response to this infection in remote and isolated Australian Indigenous communities needs to be developed and resourced. Critical elements of this response will include the development of clinical guidelines and workforce development.

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