scholarly journals Somebodies or nobody’s patient: The importance of social positioning and informal relations during childbirth in Serbia

2021 ◽  
Vol 69 (1) ◽  
pp. 205-225
Author(s):  
Ljiljana Pantovic
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Economic Status ◽  
Health Care Systems ◽  
Ethnic Origin ◽  
Negative Consequences ◽  
Social Positioning ◽  
Maternity Hospitals ◽  
Informal Relations

Anthropological research on post-socialism points to the need for informal relations when navigating social and health care systems, while feminist research on childbirth points out the negative consequences of the dominant medicalized model of childbirth on women?s experience. This paper combines these two types of research and points to the role of informal relations in negotiating childbirth in Serbia and the role of peoples social positioning influencing the possibilities of using these relations. Based on eighteen months of ethnographic fieldwork on the practices of providing maternal health care in Serbia, the aim of this paper is to show how a woman's social position affects her ability to establish a relationship within the state health care system, and to reconsider the claim that informal relationships can protect women from interventionism during childbirth in Serbia. Using informal relations (veze) in order to have your doctor during childbirth is a key concern for women in Serbia. Informal relations transform women from (no)bodies into somebodies, someone?s patient. Women of poorer economic status, women from rural areas, and often women of Roma ethnic origin have limited opportunities to establish informal relations in state maternity hospitals. Informal relations do not fully protect women from interventions but affect the type and timing of interventions.

scholarly journals The role of Astana primary health care declaration for development of primary health care at postsoviet countryes

2019 ◽  
Vol 23 (3) ◽  
pp. 13-18
Author(s):  
Nurlan N. Brimkulov ◽  
Damilya S. Nugmanova
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Areas ◽  
World Health ◽  
Negative Consequences ◽  
Health Care Reforms ◽  
System A ◽  
Primary Health ◽  
Health Organization

The article presents the goals, principles and results of the implementation of the Almaty Declaration of the World Health Organization (WHO) on primary health care (PHC) of 1978; the background and main provisions of the Astana Declaration of WHO on PHC 2018. The article presents the stages of PHC development in the USSR, which was characterized by the widespread introduction of narrow specialists at the primary level of health care, which subsequently had certain negative consequences. In a number of post-Soviet countries, the principles of General medical practice (family medicine) were implemented in health care reform, but some provisions of the Alma-Ata Declaration were introduced with distortions. This has led to a lack of effective functioning of the PHC system, a shortage of General practitioners, especially in rural areas. The implementation of the main principles of the new Astana Declaration will be important for the effective implementation of health care reforms in all post-Soviet countries.

scholarly journals FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU IBU BERSALIN DALAM PEMANFAATAN BPJS DI PUSKESMAS TENAYAN RAYA

2018 ◽  
Vol 3 (1) ◽  
pp. 25
Author(s):  
Sonta Imelda
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Social Insurance ◽  
Economic Status ◽  
Health Sector ◽  
Sampling Technique ◽  
Cross Sectional ◽  
Mutual Cooperation ◽  
Quota Sampling

<p><em>Reducing maternal mortality and infant create a government health and welfare programs for the public health sector so that health care can be more affordable by the poor. BPJS health programs is a social insurance program that guarantees health care and the fulfillment of  basic health held in mutual cooperation with periodic charges. The purpose of  the research to determine the factors associated with maternal behavior to use BPJS. Quantitative research with the analytical method, using cross sectional approach maternal subject of the research, by sample size of 90 respondents sampling quota sampling technique. The results showed there is a correlation between economic status pvalue = 0.002, knowledge pvalue = 0.013, the role of the officer pvalue = 0.000 while for education factor pvalue = 0.155 and motivation pvalue = 0.36 there aren’t relationship. Based on the research of the results, it can be concluded that many people can’t take BPJS because of  low economic status, low of  knowledge and the role of the officer is not active. the Suggestions for improved dissemination of  BPJS in the city and rural areas.</em></p><p><em><br /></em></p><p>Pemerintah membuat pragram untuk menurunkan angka kematian ibu dan bayi untuk kesehatan dan kesejahtraan masyarakat dibidang kesehatan agar pelayanan kesehatan dapat lebih terjangkau oleh masyarakat miskin. Program BPJS kesehatan adalah program jaminan sosial yang menjamin pemeliharaan kesehatan serta pemenuhan dasar kesehatan yang diselenggarakan secara gotong royong dengan iuran berkala,  tujuan dari penelitian untuk mengetahui  faktor-faktor yang berhubungan dengan perilaku ibu bersalin dalam pemanfaatan BPJS. Jenis penelitian kuantitatif dengan metode analitik, menggunakan  pendekatan cross sectional  subjek yang diteliti ibu bersalin, besarnya sampel 90 responden tehnik pengambilan sampel quota sampling, uji statistik menggunakan uji <em>chi square</em>. Hasil penelitian menunjukkan terdapat hubungan antara pendidikan p<em>value</em> = 0,028,  status ekonomi  p<em>value</em> = 0,002, pengetahuan p<em>value</em> = 0,013, peran petugas  p<em>value</em> = 0,006 dengan perilaku ibu dan dimana tidak ada hubungan motivasi p<em>value</em>= 0,356 . Disimpulkan didapat hubungan pendidikan, status ekonomi, Pengetahuan dan peran petugas. Maka disarankan agar petugas BPJS/ tenaga kesehatan ditingkatkan sosialisasi tentang BPJS baik dikota maupun dipedesaan.</p><p><em><br /></em></p>

Health Care

2018 ◽  
Author(s):  
Pierre Pestieau ◽  
Mathieu Lefebvre
Keyword(s):  
Health Care ◽  
Technological Progress ◽  
Health Care Systems ◽  
Third Party ◽  
Medical Expenditure ◽  
Public Health Care ◽  
The Public ◽  
Common Features ◽  
Care Systems

This chapter reviews the public health care systems as well as their challenges. It first shows how expenditure on health care has evolved in previous decades and deals with the reasons for the growth observed in almost every European country. It emphasizes the role of technological progress as a main explanatory factor of the increase in medical expenditure but also points to the challenges facing cost-containment policies. Especially, the main common features of health care systems in Europe, such as third-party payment, single provider approach and cost-based reimbursement are discussed. Finally the chapter shows that although inequalities in health exist in the population, health care systems are redistributive. Reforms are thus needed but the trade-off between budgetary efficiency and equity is difficult.

Sign in / Sign up

Export Citation Format

Share Document