scholarly journals Zinc Supplementation and Recurrent Diarrhea in Children in Primary Health Care

2020 ◽  
Vol 8 (1) ◽  
pp. 74
Author(s):  
Masta Hutasoit
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Zinc Supplementation ◽  
Healing Process ◽  
Oral Rehydration Salt ◽  
The Body ◽  
High Rate ◽  
Oral Rehydration ◽  
Primary Health ◽  
The Relationship

<div class="WordSection1"><p align="center"><strong>ABSTRACT</strong></p><p><strong> </strong></p><p>The high rate of infant morbidity and mortality due to diarrhea is still a focus on children's health. In addition to Oral Rehydration Salt (ORS), zinc is a supplement needed to treat diarrhea. As long as the child has diarrhea, the body will lose zinc, so that additional zinc is needed to accelerate the healing process of diarrhea. Zinc is an important micronutrient in the growth of children and is able to prevent diarrhea 2-3 months after diarrhea. The previous study showed that most mothers do not give zinc to diarrhea children (59.3 %), thus there are still many recurrent diarrhea in children. Objective of study to determine the relationship between zinc supplementation in children with diarrhea and the incidence of recurrent diarrhea at Kasihan Primary Health Care, Bantul. We used descriptive correlational with a retrospective approach. The number of respondents was 47 children under five years (0-59 months) with diarrhea who were taken to primary health care and received zinc therapy. The sampling technique was carried out by purposive sampling. Data collection was performed by filling out the questionnaire by visiting the respondent's house (home visit). The result of the contingency coefficient showed p= 0.013 (p &lt; 0.05) which means that there was a statistically significant relationship between zinc supplementation and the incidence of recurrent diarrhea. The closeness of the relationship between the two variables was indicated by the correlation coefficient value of 0.342 which was in a moderate relationship. There is a correlation between giving zinc supplementation to children with recurrent diarrhea in Primary Health Care</p><p> </p><p><strong><br /></strong></p></div>

scholarly journals Depression in older adults: prevalence and risk factors in a primary health care sample

2017 ◽  
Vol 59 (2) ◽  
pp. 33
Author(s):  
Uschenka Padayachey ◽  
S Ramlall ◽  
J Chipps
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Depression Scale ◽  
Subjective Health ◽  
High Rate ◽  
Geriatric Depression ◽  
Care Clinic ◽  
Primary Health Care Clinic ◽  
Primary Health ◽  
Increased Risk

Background: Depression in the geriatric population has been identified as a significant problem in view of the associated negative outcomes regarding poor functioning, increased perception of poor health and increased utilisation of medical services. Significantly associated with increased morbidity and mortality, depression has been found to be an independent cause of disability as well as adding to disability due to primary physical illnesses. Early identification and treatment of depression reduces medical costs and lessens caregiver burden. Epidemiological data and prevalence rates of geriatric depression in Africa are limited, although such data are vital to mobilise and plan government mental health initiatives aimed at screening and early intervention. Objective: To determine the prevalence of depression and associated clinical and socio-demographic factors amongst older adult patients attending a primary health care clinic in the Ethekwini District in Kwa-Zulu Natal, South Africa. Methods: The 15-item Geriatric Depression Scale and a socio-demographic questionnaire were administered in English to 255 geriatric outpatients, randomly selected, at a local community clinic in Durban. Data analysis: Data were analysed using SPSS version 23®. Descriptive statistics were used to summarise the sample demographics and response rate and non-parametric statistics were used to test for associations and differences. Results: A Cronbach’s alpha for the GDS was calculated (p = 0.793). Some 40% of participants screened positive for depression. Female gender, widowhood and a negative subjective health status rating were significantly associated with depression and marriage appeared to be protective (p < 0.001). Participants with a poor subjective health rating were 21 times more likely to be depressed and widowhood conferred an almost fourfold increased risk of being depressed, with widows at greater risk than widowers. No association between depression and specific medical conditions was identified. Conclusion: There is a high rate of undetected depression among the elderly attending a local primary health care clinic with widowhood and poor subjective health being strong predictors of mood disorders. The findings warrant replication in bigger samples. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2017; DOI: 10.1080/20786190.2016.1272250

scholarly journals Psychological trauma and access to primary healthcare for people from refugee and asylum-seeker backgrounds: a mixed methods systematic review

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Clemence Due ◽  
Erin Green ◽  
Anna Ziersch
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Primary Health Care ◽  
General Population ◽  
Primary Healthcare ◽  
Asylum Seeker ◽  
Psychological Trauma ◽  
Service Access ◽  
Primary Health ◽  
The Relationship

Abstract Background Several reviews have found that psychological trauma affects access to health care services, including mental health care, in the general population. People from refugee and asylum seeker backgrounds are more likely to have a mental illness than the general population, and experience a broad range of barriers and facilitators to service access. However, to date there has been no comprehensive consideration of the potential effect of psychological trauma on access to primary health care within this population. Methods This paper provides a mixed-methods systematic review of literature which included any consideration of the relationship between psychological trauma and access to primary health care. A systematic search of Medline, PsychInfo, Scopus, Web of Science, Embase, CINAHL and Cochrane Library was conducted. Study eligibility criteria were empirical, peer-reviewed studies that considered the relationship between psychological trauma and access to, or use of, primary healthcare in resettlement countries for refugees (including asylum seekers). Papers were required to be written in English and published between 1998 and August 2019. Quality was assessed using the Multi-Methods Appraisal Tool. The search identified a total of 14 eligible studies (11 quantitative and 3 qualitative) which had explored this relationship in refugee and asylum seeker populations. Results Overall, synthesis of findings indicated variable results with respect to the impact of psychological trauma on service access. Specifically, the review found that while rates of psychological trauma were high. Key themes were that while general health care access was comparable or greater than the general population, rates of mental healthcare specifically were low. In addition, included papers identified a range of barriers to service access—particularly somatisation, stigma and healthcare provide knowledge about psychological trauma. Conclusions While there is a critical need for more research in this area, the study points to several key recommendations including training of general practitioners in relation to psychological trauma, ensuring culturally responsive services, and the use of interpreters. Finally, due to the levels of somatisation found in some studies, ensuring general practitioners understand the somatic element of psychological trauma—particularly within some groups of people from refugee backgrounds—is important.

Community Health and General Practice: The Impact of Different Cultures on the Integration of Primary Care

2001 ◽  
Vol 7 (1) ◽  
pp. 65 ◽  
Author(s):  
Hal Swerissen ◽  
Jenny Macmillan ◽  
Catuscia Biuso ◽  
Linda Tilgner
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Practice ◽  
Primary Health Care ◽  
Community Health ◽  
Community Health Centres ◽  
Care Services ◽  
Primary Health ◽  
Health Centres ◽  
The Relationship

This study examined the existing relationship between community health centres and General Practice Divisions in the State of Victoria, including the nature of joint working arrangements and the identification of barriers to greater collaboration. Improved integration of primary health care services has been advocated to improve consumer and population health outcomes and to reduce inappropriate use of acute and extended care services. General practitioners (GPs) and community health centres are two key providers of primary health care with potential for greater integration. The current study conducted telephone interviews with 20 community health centre CEOs and 18 Executive Officers of divisions, which were matched according to catchment boundaries. Results suggest, while some joint planning is occurring, especially on committees, working parties and projects, there is an overall low level of satisfaction with the relationship between community health centres and GPs and GP divisions. Major barriers to greater integration are the financial or business interests of GPs and misunderstanding and differences in perceived roles and ideology between GPs and community health centres. Improved communication, greater contact and referral and follow-up procedures are identified as a means of improving the relationship between GPs, GP divisions and community health centres. Community health centres and general practitioners (GPs) are key providers of primary care (Australian Community Health Association, 1990).

The relationship between primary health care organization and quality of diabetes care

2009 ◽  
Vol 15 (4) ◽  
pp. 212-218 ◽  
Author(s):  
Mark Spigt ◽  
Caroline Stefens ◽  
Danique Passage ◽  
Ludovic Van Amelsvoort ◽  
Paul Zwietering
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Diabetes Care ◽  
Health Care Organization ◽  
Care Organization ◽  
Primary Health ◽  
Quality Of Diabetes Care ◽  
The Relationship

scholarly journals Primary Health Care by Vhembe women in the Limpopo province of South Africa: Knowledge and Practice

2014 ◽  
Vol 5 (2) ◽  
pp. 89-101
Author(s):  
Kyei KA ◽  
Spio K .
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Limpopo Province ◽  
Childhood Mortality ◽  
Sample Survey ◽  
Oral Rehydration ◽  
Risk Of Death ◽  
Primary Health ◽  
Women And Children

Child mortality has increased in South Africa since 1990, despite a national policy of free primary healthcare for pregnant women and children under the age of five years. A significant number of women and children die during childbirth and 40% of stillbirths happen during labour. Lack of sufficient knowledge about primary health care (PHC) is costing South Africa greatly because many of the deaths of mothers, babies and young children could be avoided. Teenagers conceal pregnancy and that adds to higher risk of death among themselves and their unborn babies. Almost a half of all new-born babies die during the first 24 hours of birth, and 75% die in their first week of life. This study looks at primary health care by women in Vhembe by identifying knowledge and skills they possess to deal with health care issues. A 3-stage sample survey was conducted covering all the municipalities in the district. About 2660 women aged between 13 and 50 years were interviewed using structured questionnaire. Applying various statistical methods including logistic and regression modelling, this study shows that majority of the respondents know about PHC and that age and education of women are important factors affecting child’s health and survival in the Vhembe district. If Limpopo wants to reduce childhood mortality, this study recommends that efforts be made to educate women, especially teenagers about primary health care, immunization, oral rehydration therapy and attendance at clinics for pre-natal medical check-ups during pregnancy.

scholarly journals Ethical problems experienced by nurses in primary health care: integrative literature review

2015 ◽  
Vol 36 (1) ◽  
pp. 112-121 ◽  
Author(s):  
Carlise Rigon Dalla Nora ◽  
Elma Lourdes Campos Pavone Zoboli ◽  
Margarida Vieira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Literature Review ◽  
Ethics Education ◽  
Ethical Problems ◽  
Team Members ◽  
Problem Resolution ◽  
Primary Health ◽  
The Relationship ◽  
Education Process

The aim of this study is to identify ethical problems experienced by nurses in primary health care and resources for coping based on publications on the subject. An integrative literature review was performed between the months of October and November 2013, using the databases: BDTD, CINAHL, LILACS, MEDLINE, Biblioteca Cochrane, PubMed, RCAAP and SciELO. Articles, dissertations and theses published in Portuguese, English and Spanish were included, totalling 31 studies published from 1992 to 2013. This analysis resulted in four categories: ethical problems in the relationship between team members, ethical problems in the relationship with the user, ethical problems in health services management and resources for coping with ethical problems. Results showed that nurses need to be prepared to face ethical problems, emphasizing the importance of ethics education during the education process before and during professional practice to enhance the development of ethical sensitivity and competence for problem resolution.

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