scholarly journals ANTENATAL HEALTH CARE;

2017 ◽  
Vol 24 (04) ◽  
pp. 495-499
Author(s):  
Muhammad Asim ◽  
Saira Siddiqui ◽  
Nazia Malik ◽  
Waseem Nawaz ◽  
Farman Ali
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Health Care Services ◽  
Relevant Literature ◽  
Health Care Facilities ◽  
Easy Access ◽  
Care Utilization ◽  
Household Decision ◽  
Care Services ◽  
Maternal Morbidity And Mortality

Background: Prenatal and postnatal health care utilization services areimperative strategy to decrease maternal morbidity and mortality. One in 38 Pakistani womendies from pregnancy related causes as compared to 1 in 230 women in Sri Lanka. Objectives:The objective of the present study is to know about the pattern and trends of utilization ofantenatal and postnatal health care services by mothers in Pakistan. Study design: Descriptivesystematic literature review. Material and methods: The relevant literature was systematicallysearched through different key words related to antenatal and postnatal health care utilizationservices in Pakistan through different online research engines to accomplish this study.Results: Twenty five research articles were included in this review article. It was found thatlast two decades, we cannot achieve the optimum progress towards antenatal and postnatalhealth care utilization services. The problem is much severe in rural areas of across the country,where a number of socio-cultural and program factors hinders women to utilize the basic healthservices. Mother’s education, household income, autonomous at household decision makingand birth order are the significant factors that to utilize the antenatal and postnatal care inPakistan. Conclusion: There should be need to aware the mother about the importance ofprenatal and postnatal visits. In rural areas, government should give some economic incentivefor prenatal and postnatal visits. Furthermore, government should take necessary steps totackle the problem by providing the easy access to the health care facilities.

scholarly journals Experiences of homosexual patients’ access to primary health care services in Umlazi, KwaZulu-Natal

Curationis ◽  
2015 ◽  
Vol 38 (2) ◽  
Author(s):  
Nokulunga H. Cele ◽  
Maureen N. Sibiya ◽  
Dudu G. Sokhela
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nursing Education ◽  
Health Care Providers ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Easy Access ◽  
Care Providers ◽  
Care Services ◽  
Primary Health

Background: Homosexual patients are affected by social factors in their environment, and as a result may not have easy access to existing health care services. Prejudice against homosexuality and homosexual patients remains a barrier to them seeking appropriate healthcare. The concern is that lesbians and gays might delay or avoid seeking health care when they need it because of past discrimination or perceived homophobia within the health care thereby putting their health at risk.Aim of the study: The aim of the study was to explore and describe the experiences of homosexual patients utilising primary health care (PHC) services in Umlazi in the province ofKwaZulu-Natal (KZN).Method: A qualitative, exploratory, descriptive study was conducted which was contextual innature. Semi-structured interviews were conducted with 12 participants. The findings of this study were analysed using content analysis.Results: Two major themes emerged from the data analysis, namely, prejudice against homosexual patients by health care providers and other patients at the primary health care facilities, and, homophobic behaviour from primary health care personnel.Conclusion: Participants experienced prejudice and homophobic behaviour in the course of utilising PHC clinics in Umlazi, which created a barrier to their utilisation of health services located there. Nursing education institutions, in collaboration with the National Department of Health, should introduce homosexuality and anti-homophobia education programmes during the pre-service and in-service education period. Such programmes will help to familiarise health care providers with the health care needs of homosexual patients and may decrease homophobic attitudes.

scholarly journals Stakeholders’ Perspectives on the Barriers to Accessing Health Care Services in Rural Settings: A Human Capabilities Approach

2021 ◽  
Vol 14 (1) ◽  
pp. 336-344
Author(s):  
Rachel Chinyakata ◽  
Nicolette V. Roman ◽  
Fikile B. Msiza
Keyword(s):  
South Africa ◽  
Health Care ◽  
Rural Areas ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Care Services ◽  
Access To Health ◽  
Rural Settings ◽  
Care Facilities

Background: Despite efforts to achieve universal access to health care by various stakeholders globally, most developing countries continue to face serious health delivery challenges, especially in rural areas. Introduction: These inhibit individuals and communities’ ability to obtain health care services when needed and the freedom to use health care. Although issues of access to health care have been widely researched in South Africa, a detailed account on access to health care in particular communities is necessary for developing interventions that are tailored to the specific needs of that community. Understanding the accounts of stakeholders to the perceived barriers to access to health care services can help comprehend the issues that hinder people from accessing health care. Therefore, this study explored the stakeholders’ perspectives on the barriers to accessing health care services in rural settings in South Africa. Methods: A qualitative approach was used to guide the collection and analysis of the data. Data were collected from a sample of stakeholders selected from three rural areas in South Africa and analysed through thematic analysis. According to the stakeholders interviewed, there are some barriers that exist in the community that impede access to health. Reusults: These are limited or lack of health care facilities and personnel, shortages of medicine, distrust in the health care providers, opening hours of health care facilities and financial constraints, which resulted in the perceived poor health status of the people in those rural areas. Conclusion: This study calls for multifaceted health care reforms and strategies to address infrastructure deficiencies, human resources and medicine shortages to ensure equitable provision of high-quality public services. These strategies or measures must be tailored to the specific needs of rural communities.

Current situation and capacity to deliver healthcare services at grassroots level in Minh Hoa district, Quang Binh province

2021 ◽  
Vol 30 (4) ◽  
pp. 27-34
Author(s):  
Dang Thanh Nam ◽  
Nguyen Thi Thuy Duong ◽  
Phan Le Thu Hang ◽  
Tham Chi Dung
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Healthcare Services ◽  
Current Situation ◽  
Health Care Facilities ◽  
National Standard ◽  
Health Examination ◽  
Care Services ◽  
Disease Pattern ◽  
Grassroots Level

Strengthening the health care system at grassroots level is a top priority of the Vietnam Government agenda at the present. Recently, the overall system has been improved, however the capacity to deliver healthcare services, especially primary health care was still facing to many shortcomings. The study aimed to assess the current situation and capacity to deliver health care services at grassroots level. All health care facilities in the Minh Hoa district, Quang Binh province in 2018 were selected, included Minh Hoa District Hospital (DHs) and 16 Commune Health Center (CHCs). The results showed that the disease patterns tended to primarily concentrate on the illness which weres related to the human lifestyle and health behaviors such as living habits, eating unhealthy food, stress and also natural environment. Utilization of the curative services increased over the year, especially the laboratory testing and health examination services. However, the facility infrastructures did not meet the national standard. The function rooms in the facilities being degraded and damaged remained at high proportion which were required to renovate. The facilities lacked of large number of essential equipment and materials. In order to strengthen the capacity to deliver the health care services, the study recommended to invest to standardize infrastructure, provision of essential equipment, materials and drugs in correspondent to the disease pattern.

COMMON HEALTH PROBLEMS AND UTILIZATION OF PRIMARY HEALTH CARE SERVICES IN THE RURAL AREAS OF THUA THIEN HUE PROVINCE

2020 ◽  
pp. 62-71
Author(s):  
Tuan Duong Quang ◽  
Anh Le Ho Thi Quynh ◽  
Hung Nguyen Nam ◽  
Tam Nguyen Minh
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Status ◽  
Rural Areas ◽  
Health Problems ◽  
Care Utilization ◽  
Mountainous Area ◽  
Geography Information System ◽  
Care Services ◽  
Geography Information

Although health status in Vietnam has been much improved, people living in rural areas have faced several challenges, including a rapid increase of the aging population, inadequate capacity of health system, and problems of inequities in access to the healthcare system. Objectives: This study aimed to explore the common health problems and health care utilization of people living in the rural areas of Thua Thien Hue province. Methods: A cross-sectional study and geography information system application were carried out. A total of 2.631 individuals in 599 households of a lowland area and a mountainous area was interviewed with a structured questionnaire regarding to health status and health care utilization during the last 6 months. Geography information system software was used to visualize these data of household. Results: 32.8% of participants reported at least an episode of illness within 6 months prior to the interviews. Most of illness people lived in mountainous area. Fever, uncomplicated hypertension, cough, and headache were reported as the most common health problems among participants. Most of participants preferred to visit commune health centers and district hospitals. People in different areas have a significant difference trend from another in choosing health facilities. Conclusion: Residents in difficult-to-reach areas had high prevalence of health problems and experienced social and structural barriers of healthcare services access. It is necessary to improve the availability and quality of primary care services to improve the health status and accessibility of disadvantaged people. Keywords: primary care, utilization, rural areas, health care acessibility

scholarly journals A Socio-ecological Framing of the Philippine Mental Health Act of 2017

Spectrum ◽  
2018 ◽  
Author(s):  
Josiah Michael Villareal De Los Santos ◽  
Sonya Jakubec
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Rural Areas ◽  
Health Care Services ◽  
Population Level ◽  
Case Review ◽  
Care Services ◽  
Barriers To Implementation ◽  
Sphere Of Influence

Filipinos experience numerous barriers to mental health care in their country, such as stigmatization ofillness and behaviours, lack of mental health care services, and resource deficits. The Philippine MentalHealth Act of 2017 was formed to resolve these issues and is in its early stages of implementation.Legislation and policy interventions of this nature are but one level of many interventions that can addresshealth care at a population level. The influence of this legislation for different levels of society is analyzed inorder to understand the different barriers and alternatives to its implementation. Solutions suggested in thelegislation, such as addressing lack of accessibility in rural areas, creating liaisons between different levelsof mental health care, and educating the population regarding mental health, are explored for their effects ondifferent spheres, or levels, of influence. The comprehensiveness of the legislation to address the needs ofmental health service users are highlighted, as are barriers to implementation that inhibit the realization ofpractical strategies. This policy case review and analysis informs program development by highlighting thestrengths and weaknesses aligned to the legislative articles’ target sphere of influence and the population.

What do malaysian think of the quality of healthcare delivered?: a qualitative analysis of written impression (Preprint)

2021 ◽  
Author(s):  
Nur Wahida Zulkifli
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Waiting Time ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Opinion Poll ◽  
Healthcare Facilities ◽  
The Public ◽  
Care Services

BACKGROUND The public opinion and experience on the health care services are crucial to provide valuable insight towards improving and strengthening the health care systems. OBJECTIVE This study aims to explore the public perspective regarding the quality of health care services rendered by the health care facilities in Malaysia. METHODS The snowballing strategy was used to reach the target through an online opinion poll with three open-ended questions on the strengths of the healthcare facilities, their expectation and suggestion for improvement along with the sociodemographic characteristic. Data were analysed using a thematic approach. RESULTS A total of 800 participants (68% of females and 32% of males) participated. Their responses were grouped into 5 main themes namely: (1) system; (2) input; (3) service delivery; (4) outputs; (5) outcomes. Public feel that they are respected and treated with care by the healthcare providers. However, most of the participants highlighted the issue of long waiting time when they visited healthcare facilities. In relation to this issue, they suggested the facilities to have more staff especially doctors to improve current service. CONCLUSIONS In conclusion, enhancing service delivery by reducing the waiting time, should be the main focus as viewed by the public. The quality of services provided would certainly be improved by having sufficient resources including healthcare workers.

scholarly journals Wealth Status, Health Insurance, and Maternal Health Care Utilization in Africa: Evidence from Gabon

2020 ◽  
Vol 2020 ◽  
pp. 1-12 ◽  
Author(s):  
N’doh Ashken Sanogo ◽  
Sanni Yaya
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Maternal Health ◽  
Health Care Services ◽  
Insurance Coverage ◽  
Maternal Health Care ◽  
Care Utilization ◽  
Services Utilization ◽  
Maternal Health Care Utilization ◽  
Care Services

Background. To achieve the universal health coverage among other Sustainable Development Goals, African countries have shown the commitment by implementing strategies to improve access and coverage of health care services whose access is still very low. The achievement of universal health care requires the provision and availability of an adequate financing system. This study explored the wealth-related association of compulsory health insurance on maternal health care utilization in Gabon. Methods. The study used the 6th round of Gabon Demographic and Health Surveys (GDHSs)—2012 data to explore three outcome measures of maternal health care utilization extracted on number of antenatal care (ANC) visits during pregnancy, place of birth delivery, and postnatal health care. The dependent variable was women with health insurance coverage against those without. Logistic regression and propensity scoring matching analysed associations of health insurance coverage on women’s utilization of health care. Results. Mean (+/− SD) age of women respondents of reproductive age was 29 years (9.9). The proportion of at least 4 antenatal care visits was 69.2%, facility-based delivery was 84.7%, and postnatal care utilization was 67.9%. The analysis of data showed disparities in maternal health care services utilization. The GDHS showed maternal age, and geographical region was significantly associated with maternal health care service utilization. A high proportion of urban dwellers and Christian women used maternal health care services. According to the wealth index, maternal health services utilization was higher in women from wealthy households compared to lower households wealth index (ANC (Conc. Index = 0.117; p≤0.001), facility-based delivery (Conc. Index = 0.069; p≤0.001), and postnatal care (Conc. Index = 0.075; p≤0.001), respectively). With regard to health care insurance coverage, women with health insurance were more likely to use ANC and facility-based delivery services than those without (concentration indices for ANC and facility-based delivery were statistically significant; ANC: z-stat = 2.69; p=0.007; Conc. Index: 0.125 vs. 0.096 and facility-based delivery: z-stat = 3.38; p=0.001; Conc. Index: 0.076 vs. 0.053, respectively). Conclusion. Women enrollment in health insurance and improved household’s financial status can improve key maternal health services utilization.

Innovation in ICT-Based Health Care Provision

2011 ◽  
Vol 6 (2) ◽  
pp. 14-27 ◽  
Author(s):  
Synnøve Thomassen Andersen ◽  
Arild Jansen
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Health Care Services ◽  
Innovation Process ◽  
Care Provision ◽  
Power Structures ◽  
Mobile Phone Technology ◽  
Existing Structures ◽  
Care Services ◽  
Decentralized Model

This paper describes a project redesigning psychiatric services for children and adolescents, introducing a new decentralized model into the ordinary structures of health care services in rural areas in Norway by using mobile phone technology. The authors apply a multilayer and dialectic perspective in the analysis of the innovation process that created the ICT solution that supports this treatment model. The salient challenges of the project were related to the contradictions between the existing, dominant power structures and the emergent structures in the different layers of the design structures. As a result of the development process, a new model emerged with a larger potential for creating a new innovation path than if it had been linked to existing structures. This paper contributes to the understanding of how user-driven innovation can break with existing power structures through focusing on different layers in the change processes.

Factors Affecting the Utilization of Maternal and Child Health Care Services in Tribal Dominated Population States of India

2020 ◽  
pp. 0272684X2097285
Author(s):  
Bal Govind Chauhan ◽  
Suresh Jungari
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Maternal Health Services ◽  
Care Utilization ◽  
Factors Affecting ◽  
Safe Delivery ◽  
Care Services ◽  
Post Natal Care ◽  
And Child Health

The present study intended to examine that factors affecting the utilization of maternal health services in the Three tribal-dominated states of India namely Madhya Pradesh, Jharkhand and Chhattisgarh. The study used National Family Health Survey (NFHS-4) data. Both bivariate and multivariate techniques have been applied for data analysis. Logistic regression techniques and concentration curve and index have been used . Findings of the study indicate that there were wider socio-economic differential exits in the utilization of MCH services (full ANC, Safe delivery and post-natal care) in all the three states under study. The regression result shows that the tribal population is less likely to utilize maternal and child health care services than other Caste groups. The economic inequality in accessing the all three components of maternal health care utilization was higher in the Jharkhand than Madhya Pradesh and Chhattisgarh. Further, economic inequality was higher in accessing the full ANC than safe delivery and post-natal care across all the states under study. From policy point of view, the government schemes to provide maternal health services to tribal communities should consider the community-level factors affecting maternal health care utilization and should extend its operations in the small villages.

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