scholarly journals OCCURRENCE OF HIV AND SYPHILIS IN THE PRENATAL CARE OF PRIMARY HEALTH CARE

2019 ◽  
Vol 5 ◽  
Author(s):  
Andréia Alves Sena ◽  
Maria das Graças Alves dos Santos Bezerra ◽  
Lucilene Araújo Almeida
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Pregnant Women ◽  
Latin American ◽  
Health Sciences ◽  
Electronic Library ◽  
Health Team ◽  
Primary Health ◽  
The Face ◽  
Latin American And Caribbean

Objective: To identify in the literature the factors related to the occurrence of HIV and syphilis cases in pregnant women in primary health care. Method: Integrative review, carried out in Latin American and Caribbean databases on Health Sciences (LILACS), Scientific Electronic Library Online (SCIELO), CAPES portal and MEDLINE were selected to search for primary studies. Results: From a thorough reading of the selected studies in full, the ordering and investigation of the themes was carried out, with the purpose of describing and classifying the results, demonstrating the knowledge acquired with the presented theme. Thus, 11 researches in full, established sampling for denote results of the convenient guiding question. Conclusion: several factors favor the increase of cases of these infections in pregnant women, from the inefficiency of the programs of capture of this woman, lack of professional action in the face of this problem until the lack of resources to subsidize the work of the health team.

scholarly journals Perceived appropriateness of alcohol screening and brief advice programmes in Colombia, Mexico and Peru and barriers to their implementation in primary health care – a cross-sectional survey

2021 ◽  
Vol 22 ◽  
Author(s):  
Daša Kokole ◽  
Liesbeth Mercken ◽  
Eva Jané-Llopis ◽  
Guillermina Natera Rey ◽  
Miriam Arroyo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Latin American ◽  
Contextual Factors ◽  
Alcohol Screening ◽  
Successful Implementation ◽  
Implementation Framework ◽  
Effective Measure ◽  
Primary Health ◽  
Brief Advice

Abstract Background: Providing alcohol screening and brief advice (SBA) in primary health care (PHC) can be an effective measure to reduce alcohol consumption. To aid successful implementation in an upper middle-income country context, this study investigates the perceived appropriateness of the programme and the perceived barriers to its implementation in PHC settings in three Latin American countries: Colombia, Mexico and Peru, as part of larger implementation study (SCALA). Methods: An online survey based on the Tailored Implementation for Chronic Diseases (TICD) implementation framework was disseminated in the three countries to key stakeholders with experience in the topic and/or setting (both health professionals and other roles, for example regional health administrators and national experts). In total, 55 respondents participated (66% response rate). For responses to both appropriateness and barriers questions, frequencies were computed, and country comparisons were made using Chi square and Kruskal–Wallis non-parametric tests. Results: Alcohol SBA was seen as an appropriate programme to reduce heavy alcohol use in PHC and a range of providers were considered suitable for its delivery, such as general practitioners, nurses, psychologists and social workers. Contextual factors such as patients’ normalised perception of their heavy drinking, lack of on-going support for providers, difficulty of accessing referral services and lenient alcohol control laws were the highest rated barriers. Country differences were found for two barriers: Peruvian respondents rated SBA guidelines as less clear than Mexican (Mann–Whitney U = −18.10, P = 0.001), and more strongly indicated lack of available screening instruments than Colombian (Mann–Whitney U = −12.82, P = 0.035) and Mexican respondents (Mann–Whitney U = −13.56, P = 0.018). Conclusions: The study shows the need to address contextual factors for successful implementation of SBA in practice. General congruence between the countries suggests that similar approaches can be used to encourage widespread implementation of SBA in all three studied countries, with minor tailoring based on the few country-specific barriers.

scholarly journals Pharmaceutical care in Brazil’s primary health care

2017 ◽  
Vol 51 (suppl.2) ◽  
Author(s):  
Patricia Sodré Araújo ◽  
Ediná Alves Costa ◽  
Augusto Afonso Guerra Junior ◽  
Francisco de Assis Acurcio ◽  
Ione Aquemi Guibu ◽  
...  
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Pharmaceutical Care ◽  
Health Care Services ◽  
Cross Sectional ◽  
Educational Activities ◽  
Health Team ◽  
Care Services ◽  
Primary Health

OBJECTIVE: To characterize the activities of clinical nature developed by pharmacists in basic health units and their participation in educational activities aiming at health promotion. METHODS: This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015), a cross-sectional and exploratory study, of evaluative nature, consisting of a survey of information in a representative sample of cities, stratified by the Brazilian regions that constitute domains of study, and a subsample of primary health care services. The interviewed pharmacists (n=285) were responsible for the delivery of medicines and were interviewed in person with the use of a script. The characterization of the activities of clinical nature was based on information from pharmacists who declared to perform them, and on participation in educational activities aiming at health promotion, according to information from all pharmacists. The results are presented in frequency and their 95% confidence intervals. RESULTS: From the interviewed subjects, 21.3% said they perform activities of clinical nature. Of these, more than 80% considered them very important; the majority does not dispose of specific places to perform them, which hinders privacy and confidentiality in these activities. The main denominations were “pharmaceutical guidance” and “pharmaceutical care.” The registration of activities is mainly made in the users’ medical records, computerized system, and in a specific document filed at the pharmacy, impairing the circulation of information among professionals. Most pharmacists performed these activities mainly along with physicians and nurses; 24.7% rarely participated in meetings with the health team, and 19.7% have never participated. CONCLUSIONS: Activities of clinical nature performed by pharmacists in Brazil are still incipient. The difficulties found point out to the professionals’ improvisation and effort. The small participation in educational activities of health promotion indicates little integration of pharmacists with the health team and of pharmaceutical services with other health actions

scholarly journals Attitudes of Pregnant Women Towards Antenatal Care Services Provided in Primary Health Care Facilities of Mbombela Municipality, Mpumalanga Province, South Africa

2020 ◽  
Vol 13 (1) ◽  
pp. 569-575
Author(s):  
Lucia Drigo ◽  
Masane Luvhengo ◽  
Rachel T. Lebese ◽  
Lufuno Makhado
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Healthcare Providers ◽  
Health Care Facilities ◽  
Care Services ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Background: Pregnant woman’s personal experience of antenatal care services can either be positive or negative; however, knowledge and experience appear to be of paramount importance in shaping their attitudes towards any healthcare-related services. This implies that women's experience of antenatal care services may affect their decision for seeking antenatal care in their present pregnancy, which can lead them to delay seeking care. Purpose: This study sought to explore the attitudes of pregnant women towards antenatal care services provided in primary health care facilities of Mbombela Municipality, Mpumalanga Province, South Africa. Methods: A qualitative exploratory descriptive study design was used for this study. Purposive sampling technique was used to sample pregnant women who fail to attend antenatal services as expected. Data were collected through face to face unstructured in-depth interview. A total of eighteen pregnant women participated in the study until data saturation. Data were analysed using Tech’s method of analysis. Results: Results revealed the following theme and sub-themes: Attitudes of pregnant women related to individual perceptions, perceived barriers to utilizing antenatal care services,’ attitudes of healthcare providers, long waiting times in healthcare facilities, lack privacy and confidentiality in healthcare facilities and attitudes of pregnant women related to attendance of antenatal services. Conclusion: Attitudes of pregnant women about antenatal care are shaped by their knowledge and previous encounters with the health care services that they had previously received. It is therefore important to provide women-friendly services. It is recommended that health education regarding the importance of antenatal care services must be given to all women daily in the waiting areas of each primary health care facilities, thus, the healthcare providers should promote the active participation of pregnant women during the health education sessions and provide opportunities to ask questions.

scholarly journals Low Hemoglobin among Pregnant Women in Midwives Practice of Primary Health Care, Jatinangor, Indonesia: Iron Deficiency Anemia or β-Thalassemia Trait?

Anemia ◽  
2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Ari Indra Susanti ◽  
Edhyana Sahiratmadja ◽  
Gatot Winarno ◽  
Adhi Kristianto Sugianli ◽  
Herman Susanto ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Iron Deficiency ◽  
Pregnant Women ◽  
Care Facility ◽  
Deficiency Anemia ◽  
Prick Test ◽  
Primary Health ◽  
Finger Prick ◽  
Thalassemia Trait

Low hemoglobin (Hb) or anemia is common among pregnant women in developing countries which may cause adverse pregnancy outcomes and maternal deaths. Our study aimed to assess Hb level measured by midwives in primary health care facility at rural area of Jatinangor, Indonesia, and to explore whether the anemia was due to iron deficiency (IDA) or β-thalassemia trait (β-TT). Pregnant women (n=105) had finger prick test for Hb level during a regular antenatal care examination from October to November 2016. Hb level by finger prick test was compared with venous blood, measured by complete blood count (CBC). Indices including MCV and MCH and indices of Shine & Lal, Mentzer, Srivastava, Engels & Frase, Ehsani, and Sirdah were analyzed to differentiate anemia due to IDA and anemia due to suspect β-TT. HbA2 was measured to confirm β-TT. Anemic pregnant women were found in 86.7% by finger prick test compared to 21.9% (n=23) by CBC. The prevalence of β-TT in our study was 5.7%. Hb measurement among pregnant women in low resource area is highly important; however, finger prick test in this study showed a high frequency of anemia which may lead to iron oversupplementation. A standard CBC is encouraged; MCV and MCH would help midwives to identify β-TT.

scholarly journals Práticas integrativas e complementares e a interface com a promoção da saúde: revisão integrativa/Integrative and complementary practices and the interface with the health promotion: integrative review

2017 ◽  
Vol 16 (3) ◽  
Author(s):  
Indiara Sartori Dalmolin ◽  
Ivonete Teresinha Schülter Buss Heidemann
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Complementary Therapies ◽  
Integrative Review ◽  
Electronic Library ◽  
Primary Health

As práticas integrativas e complementares (PIC) possuem uma interface com a promoção da saúde, especialmente por estimular uma visão holística e empoderadora sobre o ser humano. Este estudo teve como objetivo identificar as produções sobre as PIC na Atenção Primária e sua interface com a promoção da saúde. Trata-se de uma revisão integrativa realizada nas bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde, Índice Bibliográfico Espanhol em Ciências da Saúde, Sistema Online de Busca e Análise de Literatura Médica, Biblioteca Cochrane e Scientific Electronic Library Online, com a utilização da combinação dos descritores: Complementary Therapies and Health Promotion and Primary Health Care, nos idiomas português, espanhol e inglês, de 2005 a 2014. A análise dos dados seguiu a modalidade temática. Da busca emergiram 25 artigos, sendo incluídos quatro para análise e discussão. Desses, chegou-se a três categorias: Saber popular versus saber científico: implicações na saúde; As PIC e a invisibilidade no campo da promoção da saúde; Formação em saúde: necessidade de pensar os modelos e prioridades de ensino. Concluiu-se que as PIC possuem pouca visibilidade pelos profissionais, no que tange à promoção da saúde, e constituem um modelo incipiente na formação em saúde.

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