Community Participation for Health Systems Strengthening” - A Decade of Experience in Sustaining Community Interventions in NHM, Odisha

GIS Business ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 149-157
Author(s):  
Susanta Kumar Nayak ◽  
Dr. Iswasr Chandra Naik
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Community Participation ◽  
National Health ◽  
Health Systems Strengthening ◽  
Health System Strengthening ◽  
Community Interventions ◽  
Primary Health ◽  
Care Approach

This paper presents a framework to explore the decadal experience of community participation for health system strengthening using Primary Health Care Approach in National Health Mission (NHM), Odisha. It traces the concept of community participation, its various facets, dimensions and application in the context of health system strengthening using Primary Health Care Approach. The paper tries to ascertain the scope of the community participation in National Health Mission (NHM), identify and highlight measures adopted for improving community participation leading to improvement in health system and health outcomes. Further it tries to critically understand how the decadal experience community participation efforts have been sustained in NHM, its challenges and way forward.

Community Participation in the National Development Plan Through Primary Health Care

2019 ◽  
pp. 160-178
Author(s):  
Johannes Ntshilagane Mampane
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Community Participation ◽  
National Development ◽  
Development Plan ◽  
National Development Plan ◽  
Primary Health ◽  
Lgbt Community ◽  
Care Approach

The chapter explores and describes community participation in the National Development Plan through Primary Health Care by using case studies of LGBT organizations in South Africa. Post-Apartheid and democratic South Africa has endorsed community participation as one of the fundamental pillars of the public Primary Health Care approach in its governance structures. This chapter focuses on the current major health issue in South Africa, the HIV epidemic, which is one of the leading causes of death in the country. Particular attention is paid to members of the LGBT community because of their discrimination in public healthcare facilities on grounds of their sexual orientation. The chapter relies on secondary sources of data collection from extant literature, textbooks, journal articles, and internet sources. Challenges to address LGBT community discrimination in HIV testing, prevention, treatment, care, and support were identified and solutions to uphold their human rights were proffered. These solutions are based on the principles of social justice, inclusion, diversity, and equality.

Community Participation in the National Development Plan Through Primary Health Care

2022 ◽  
pp. 657-671
Author(s):  
Johannes Ntshilagane Mampane
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Community Participation ◽  
National Development ◽  
Development Plan ◽  
National Development Plan ◽  
Primary Health ◽  
Lgbt Community ◽  
Care Approach

The chapter explores and describes community participation in the National Development Plan through Primary Health Care by using case studies of LGBT organizations in South Africa. Post-Apartheid and democratic South Africa has endorsed community participation as one of the fundamental pillars of the public Primary Health Care approach in its governance structures. This chapter focuses on the current major health issue in South Africa, the HIV epidemic, which is one of the leading causes of death in the country. Particular attention is paid to members of the LGBT community because of their discrimination in public healthcare facilities on grounds of their sexual orientation. The chapter relies on secondary sources of data collection from extant literature, textbooks, journal articles, and internet sources. Challenges to address LGBT community discrimination in HIV testing, prevention, treatment, care, and support were identified and solutions to uphold their human rights were proffered. These solutions are based on the principles of social justice, inclusion, diversity, and equality.

scholarly journals Advanced Practice Nursing in Primary Health Care in the Spanish National Health System

2020 ◽  
Vol 25 (1) ◽  
pp. 303-314 ◽  
Author(s):  
Kerstin Hämel ◽  
Beatriz Rosana Gonçalves de Oliveira Toso ◽  
Angela Casanova ◽  
Ligia Giovanella
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
National Health ◽  
National Health System ◽  
Shared Responsibility ◽  
Primary Health ◽  
Spanish National Health System ◽  
Health Centres ◽  
Doctors And Nurses

Abstract The primary health care in the Spanish National Health System is organised in health centres with multi-professional teams, composed of doctors and nurses specialised in family and community health, in addition to other professionals. This article analyses the role of primary health care nurses in the Spanish National Health System. In the last decade, new concepts of task sharing between doctors and nurses as well as advanced nursing roles have been evolved in the health centres that focus on improving care for chronically ill patients and access to primary care. With shared responsibility, nurses are responsible for chronic patients in stable conditions, health prevention and promotion. The scaling up of advanced nursing tasks is limited by uncertainties of roles, disparities between states, and legislations that do not cover the full extent of advanced nursing tasks. The case study of Spain indicates that a strong multi-professional model of primary health care teams is a crucial basis for the evolvement of advanced nursing practice and its acceptance in daily routines. However, advantageous education structures and legislations are needed to allow nurses to develop their contribution in the full potential.

scholarly journals Building health system resilience in the context of primary health care revitalization for attainment of UHC: proceedings from the Fifth Health Sector Directors’ Policy and Planning Meeting for the WHO African Region

2020 ◽  
Vol 14 (S19) ◽  
Author(s):  
Prosper Tumusiime ◽  
Humphrey Karamagi ◽  
Regina Titi-Ofei ◽  
Michelle Amri ◽  
Aminata Binetou Wahebine Seydi ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Health Systems ◽  
Health Sector ◽  
Health Systems Strengthening ◽  
Health Coverage ◽  
African Region ◽  
Health Service Provision ◽  
Primary Health

Abstract Background The recent 2018 Declaration of Astana recognized primary health care (PHC) as a means to achieve universal health coverage (UHC) and the health-related Sustainable Development Goals (SDGs). Following this declaration, country progress on operationalization of the PHC agenda and attainment of UHC has been stalled by the new challenges posed by the COVID-19 pandemic. The pandemic has also disrupted the continuity of essential health service provision and tested the resilience of the region’s health systems. Methods In accordance with this, the WHO Regional Office for Africa convened the Fifth Health Sector Directors’ Planning and Policy Meeting across the 47 Member States of the Region. The two-day forum focused on building health system resilience to facilitate service continuity during health threats, PHC revitalization, and health systems strengthening towards UHC. Results The Regional Forum provided evidence on building resilient health systems in the WHO African Region and engaged participants in meaningful and critical discussion. It is from these discussions that four key themes emerged: (1) working multisectorally/intersectorally, (2) moving from fragmentation to integration, (3) ensuring implementation and knowledge exchange, and (4) rethinking resilience and embracing antifragility. These discussions and associated groupings by thematic areas lend themselves to recommendations for the WHO. Conclusions This paper details the proceedings and key findings on building resilient health systems, the four themes that emerged from participant deliberation, and the recommendations that have emerged from the meeting. Deliberations from the Regional Forum are critical, as they have the potential to directly inform policy and program design, given that the meeting convenes health sector technocrats, who are at the helm of policy design, action, and implementation.

Solidarity Clinics and social work in the era of crisis in Greece

2016 ◽  
Vol 61 (6) ◽  
pp. 794-808 ◽  
Author(s):  
Dimitra-Dora Teloni ◽  
Sofia Adam
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Social Work ◽  
Health System ◽  
Social Workers ◽  
National Health ◽  
National Health System ◽  
Research Project ◽  
Primary Health

After the eruption of the crisis and the imposition of strict austerity measures, a number of grassroots solidarity initiatives emerged in Greece. The growth of Solidarity Clinics (SCs) emerged as an answer to the lack of primary health care for around 2.5 million people who were excluded from the national health system. This article presents and discusses the findings of a research project conducted from May 2014 to September 2014 in Greece. The aim and profile of SCs as well as the involvement of social workers in the initiatives are presented and discussed within the framework of the role of social work.

scholarly journals Assessing the Quality of Care at Primary Health Care Level in Two Pilot Regions of Albania

2021 ◽  
Vol 9 ◽  
Author(s):  
Jasmina Saric ◽  
Sabine Kiefer ◽  
Altina Peshkatari ◽  
Kaspar Wyss
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Health System ◽  
Clinical Observation ◽  
Urban Setting ◽  
Health System Strengthening ◽  
Primary Health

The quality of care (QoC) of primary health care (PHC) services in Albania faces challenges on multiple levels including governance, access, infrastructure and health care workers. In addition, there is a lack of trust in the latter. The Health for All Project (HAP) funded by the Swiss Agency for Development and Cooperation therefore aimed at enhancing the population's health by improving PHC services and implementing health promotion activities following a multi-strategic health system strengthening approach. The objective of this article is to compare QoC before and after the 4 years of project implementation. A cross-sectional study was implemented at 38 PHC facilities in urban and rural locations in the Diber and Fier regions of Albania in 2015 and in 2018. A survey measured the infrastructure of the different facilities, provider–patient interactions through clinical observation and patient satisfaction. During clinical observations, special attention was given to diabetes and hypertensive patients. Infrastructure scores improved from base- to endline with significant changes seen on national level and for rural facilities (p < 0.01). Facility infrastructure and overall cleanliness, hygiene and basic/essential medical equipment and supplies improved at endline, while for public accountability/transparency and guidelines and materials no significant change was observed. The overall clinical observation score increased at endline overall, in both areas and in rural and urban setting. However, infection prevention and control procedures and diabetes treatment still experienced relatively low levels of performance at endline. Patient satisfaction on PHC services is generally high and higher yet at endline. The changes observed in the 38 PHC facilities in two regions in Albania between 2015 and 2018 were overall positive with improvements seen at all three levels assessed, e.g., infrastructure, service provision and patient satisfaction. However, to gain overall improvements in the QoC and move toward a more efficient and sustainable health system requires continuous investments in infrastructure alongside interventions at the provider and user level.

scholarly journals Thoughts on barriers and enablers for incorporating ordinary theorising into the community participation in health debate

2001 ◽  
Vol 24 (4) ◽  
pp. 30 ◽  
Author(s):  
Colin MacDougall
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Community Participation ◽  
World Health Organisation ◽  
World Health ◽  
Environmental Model ◽  
Barriers And Enablers ◽  
Primary Health ◽  
Care Approach

The primary health care approach (World Health Organisation 1978) nominates community participation as one of its underpinning principles. Similarly, a socio-environmental model of health promotion encourages people to participate in health development and foster collective action for health (Labonte 1992). People can only participate fully in decisions about research, services and programs that influence their health if their voices are heard and taken into account.

scholarly journals PRIMARY HEALTH CARE IN NIGERIA: AN APPRAISAL OF THE EFFECT OF FOREIGN DONATIONS

2020 ◽  
Vol 1 (2) ◽  
pp. 86-100
Author(s):  
S. K. Alonge
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Health Care System ◽  
Primary Healthcare ◽  
Health System Strengthening ◽  
Primary Health Care System ◽  
Primary Health ◽  
Domestic Spending ◽  
Care System

Primary Health Care (PHC) provides the most viable route towards achieving health related sustainable development goals (SDGs) and is crucial to the achievement of other SDGs. Given the importance of primary health care, nations across the world devote considerable effort and resources towards establishing and maintaining effective PHC systems. In Nigeria, domestic spending on the health sector has been declining while foreign donations towards improving primary health care have been on the increase. However, recent global trends and the imminent expiry of deadlines for a number of foreign donations point toward a not too distant future without foreign donations for health care system improvements. This constitutes a development challenge. Even though foreign donations have yielded some positive health outcomes, the effect of foreign donations on the primary health care system is unclear. The study set out to examine the amount and effect of foreign donations on the primary health care system in Nigeria. The paper combined qualitative methodology and analysis of literature to investigate the present state of primary healthcare, identify the setbacks to full development of primary healthcare in Nigeria and examined the effects of foreign donations on the primary health care system in Nigeria. The paper found that foreign donations have been increasing but have also led to the perpetuation of a non-committal attitude towards increasing domestic spending on health and the neglect of health system strengthening. Therefore, the paper recommends timely and steady increase in domestic funding for health along with the strengthening of the health system towards creating an effective primary health care system with or without foreign donations.

scholarly journals Dental Procedures in Primary Health Care of the Brazilian National Health System

2017 ◽  
Vol 14 (12) ◽  
pp. 1480 ◽  
Author(s):  
Suellen Mendes ◽  
Renata Martins ◽  
Antônio Matta-Machado ◽  
Grazielle Mattos ◽  
Jennifer Gallagher ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
National Health ◽  
National Health System ◽  
Primary Health ◽  
Dental Procedures

scholarly journals The Trials and Tribulations of the National Health System (ESY) in Greece: A Chronicle of Unfulfilled Promises

2021 ◽  
Vol 17 ◽  
pp. 115
Author(s):  
Anastas Philalithis
Keyword(s):  
Health Care ◽  
World War Ii ◽  
Primary Health Care ◽  
Health System ◽  
National Health ◽  
National Health System ◽  
Public Hospitals ◽  
Primary Health ◽  
Vested Interests ◽  
The Creation

The creation of the National Health System (ESY) in the 1980s is a majorlandmark in the development of the welfare state in Greece during the metapolitefsi (regime change) period. An ambitious effort to reform the fragmented, ineffective health services of the post-World War II period, it achieved a major reorganisation of public hospitals and the establishment of rural health centres providing primary health care. Yet its promise of high-quality services for all was not fulfilled, since vested interests blocked its full implementation. While the fiscal crisis of the 2010s was the catalyst for theunification of the health insurance funds, the creation of integrated primary health care intowns failed once again. This article examines the achievements and failures of the reform in light of the political and social factors that shaped this era.

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