scholarly journals Access to Health Care and Control of ABCs of Diabetes

Diabetes Care ◽  
2012 ◽  
Vol 35 (7) ◽  
pp. 1566-1571 ◽  
Author(s):  
X. Zhang ◽  
K. M. Bullard ◽  
E. W. Gregg ◽  
G. L. Beckles ◽  
D. E. Williams ◽  
...  
2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Pinto de Oliveira ◽  
F Kapasula ◽  
F Correia

Abstract Cyclone Idai have devastated and displaced an estimated 1.85 million individuals across Mozambique. Around 90,000 cyclone survivors have been relocated to 66 resettlement camps. Doctors of the World Portuguese Delegation team is supporting the Sanitary Post of a resettlement camp, located in a remote rural area with limited resources. The first intervention was to build an epidemiological surveillance system in order to prevent and control communicable and non-communicable diseases and to improve access to health care. The health status in the resettlement camp using conventional and geographic information system techniques were attempted as a community-based census-type cross-sectional study. Location of tents, water holes and latrines were mapped. There were 2,170 people living in the 402 households interviewed. The reported age range of population was 1 day to 99 years, with a mean 19.3 years and a median of 15 years. Among residents, 4% (n = 90) reported a non-communicable disease: hypertension (75.5%), respiratory disease (22.2%), and a range of conditions (2.3%). The prevalence of mental and physical disabilities was 1.8% (n = 39). Regarding individual behavioral risk factors, 6.7% and 5.6% of the residents over 15 years, were currently using tobacco and alcohol, respectively. The distance from any household to the nearest waterpoint is less than 500 meters and almost all households (98.5%) distance more than 50 meters from the nearest toilet, as the standard recommended. The average number of people in the camp are in the standard recommended of 20 people per toilet facility with a ratio 15.8 person per latrine. Geographic information system technology was helpful for the improvement of strategies on surveillance, prevention and control regarding communicable and non-communicable diseases, in the resettlement camp. Also made it possible to set up a home health care system, promoting access to health care for the disabled residents. Key messages Geographic information systems proved to be very useful in the implementation and organization of the epidemic surveillance system of resettlement camp. The epidemic surveillance system allowed us to implement a home care system for patients with disabilities, to respond to acute illnesses and chronic diseases agudizations, and to identify outbreaks.


Author(s):  
Pauline A. Mashima

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.


2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711005
Author(s):  
Raza Naqvi ◽  
Octavia Gale

BackgroundPreventative medicine has become a central focus in primary care provision, with greater emphasis on education and access to health care screening. The Department of Health reports existing health inequalities and inequalities in access within ethnic minority groups. Studies assessing the value of community engagement in primary care have reported variable outcomes in term of subsequent service utilisation.AimTo consider the benefit of community-based health screening checks to improve access and health outcomes in minority ethnic groups.MethodAn open community health screening event (n = 43), to allow targeted screening within an ethnic minority population. Screening included BP, BMI, BM and cholesterol. Results were interpreted by a healthcare professional and counselling was provided regarding relevant risk factors. Post-event feedback was gathered to collate participant opinion and views.ResultsSeventy-nine per cent of participants were from ethnic minority backgrounds: 64% were overweight or obese and 53% of participants were referred to primary care for urgent review following abnormal findings. All those referred would not have accessed healthcare without the event referral. All (100%) participants believed it improved health education and access to health care.ConclusionThis study clearly demonstrates the value of targeted community-led screening and education events in public health promotion. There was a significant benefit in providing community-based screening. There is a need for a longitudinal analysis to determine the impact on health outcomes and long-term access to healthcare provision.


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