scholarly journals A PHENOMENOLOGICAL ANALYSIS OF RURAL WOMEN'S CHILDBIRTH PREFERENCES

2020 ◽  
Author(s):  
Aneela Sultana ◽  
Mahwish Zeeshan ◽  
Sohima Anzak
Keyword(s):  
Rural Women ◽  
Health Care Services ◽  
Childbearing Age ◽  
Natural Childbirth ◽  
Cultural Discourses ◽  
Face To Face ◽  
Childbirth Experience ◽  
Care Services ◽  
Familial Context ◽  
Childbirth Preferences

Women’s agency and reproductive control have direct bearing on the outcome of their pregnancy as well as their future childbearing experiences. The present study is mainly concerned with the process of knowledge construction with regards to decision-making, in the context of childbirth planning. The study drew on cultural discourses to understand the societal and familial context which reinforces traditional home birthing. The study used anthropological approach and mainly relied on in-depth and narrative interviews that were conducted with 60 married women of childbearing age who went through the process of childbirth. Phenomenological ethnography is the methodology that used in-depth face to face interviews to collect narratives of experiential knowledge of the pregnancies and agency. Field findings indicate that significant determinants for these childbearing women included the desire for a natural childbirth experience, apprehensions regarding obstetric interventions by medical doctors, provision of emotional support, comfort and assistance provided by female relatives and traditional birth attendants and also the influence of their husbands who prefer their partners giving birth at home. In addition, another prominent finding of this study is the role of authoritative knowledge and shared experiences of older women that may deprive many young women from accessing maternal care survives at hospitals. The study concludes to enable rural women to make well informed decisions about their babies and bodies to improve the utilization of reproductive health care services in Pakistan.

scholarly journals A PHENOMENOLOGICAL ANALYSIS OF RURAL WOMEN'S CHILDBIRTH PREFERENCES

2020 ◽  
Author(s):  
Aneela Sultana ◽  
Mahwish Zeeshan ◽  
Sohima Anzak
Keyword(s):  
Rural Women ◽  
Health Care Services ◽  
Childbearing Age ◽  
Natural Childbirth ◽  
Cultural Discourses ◽  
Face To Face ◽  
Childbirth Experience ◽  
Care Services ◽  
Familial Context ◽  
Childbirth Preferences

Women’s agency and reproductive control have direct bearing on the outcome of their pregnancy as well as their future childbearing experiences. The present study is mainly concerned with the process of knowledge construction with regards to decision-making, in the context of childbirth planning. The study drew on cultural discourses to understand the societal and familial context which reinforces traditional home birthing. The study used anthropological approach and mainly relied on in-depth and narrative interviews that were conducted with 60 married women of childbearing age who went through the process of childbirth. Phenomenological ethnography is the methodology that used in-depth face to face interviews to collect narratives of experiential knowledge of the pregnancies and agency. Field findings indicate that significant determinants for these childbearing women included the desire for a natural childbirth experience, apprehensions regarding obstetric interventions by medical doctors, provision of emotional support, comfort and assistance provided by female relatives and traditional birth attendants and also the influence of their husbands who prefer their partners giving birth at home. In addition, another prominent finding of this study is the role of authoritative knowledge and shared experiences of older women that may deprive many young women from accessing maternal care survives at hospitals. The study concludes to enable rural women to make well informed decisions about their babies and bodies to improve the utilization of reproductive health care services in Pakistan.

Toward establishing telepsychology guideline: Turning the challenges of COVID-19 into opportunity (Preprint)

2020 ◽  
Author(s):  
Mohammed M. J. Alqahtani
Keyword(s):  
Mental Health ◽  
Health Care Services ◽  
Task Force ◽  
Healthcare Services ◽  
Psychological Services ◽  
Face To Face ◽  
Care Services ◽  
Governance Model ◽  
Provision Of Services ◽  
Temporary Response

BACKGROUND The COVID-19 pandemic has obstructed the classical practices of psychological assessment and intervention via face-to-face interaction. Patients and all health professionals have been forced to isolate and become innovative to continue receiving and providing exceptional healthcare services while minimizing the risk of exposure to, or transmission of, COVID-19. OBJECTIVE This document is proposed initially as a guide to the extraordinary implementation of telepsychology in the context of the COVID-19 pandemic and to extend its implementation to use fundamentally as the main guideline for telepsychology services in Saudi Arabia and other Arabic communities. METHODS A professional task force representing different areas of professional psychology reviewed, summarized, and documented methods, policies, procedures, and other resources to ensure that the recommendations and evidence reviews were valid and consistent with best practices. RESULTS The practice of telepsychology involves the consideration of legal and professional requirements. This paper provides a guideline and recommendations for procedural changes that are necessary to address psychological services as we transition to telepsychology, as well as elucidates and demonstrates practical telepsychology frameworks, procedures, and proper recommendations for the provision of services during COVID-19. It adds a focused examination and discussion related to factors that could influence the telemedicine guideline, such as culture, religion, legal matters, and how clinical psychologists could expand their telepsychology practice during COVID-19 and after, seeking to produce broadly applicable guidelines for the practice of telepsychology. Professional steps in practical telemedicine were illustrated in tables and examples. CONCLUSIONS Telepsychology is not a luxury or a temporary response. Rather, it should be considered part of a proactive governance model to secure a continuity of mental health care services. Arabic communities could benefit from this guideline to telepsychology as an essential protocol for providing mental health services during and after the COVID-19 pandemic.

Understanding untreated hypertension from patients’ point of view: A qualitative study in rural Yogyakarta province, Indonesia

2017 ◽  
Vol 14 (3) ◽  
pp. 228-240 ◽  
Author(s):  
Riana Rahmawati ◽  
Beata Bajorek
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Health Care Services ◽  
Point Of View ◽  
Rural Villages ◽  
Face To Face ◽  
Care Services ◽  
Alternative Medicines ◽  
One Year ◽  
Untreated Hypertension

Objectives This study aimed to explore perspectives about hypertension from patients who do not take anti-hypertensive medications. Factors that shape their perspectives as well as patients’ expectations were also canvassed. Method Individual, face-to-face interviews were conducted with 30 people (≥45 years old) living in rural villages, diagnosed with hypertension, who had not taken any anti-hypertensive medications for at least one year. Interviews were audiotaped, transcribed verbatim and thematically analysed. Results Four themes emerged: (1) alternative medicines for managing high blood pressure; (2) accessing health care services; (3) the need for anti-hypertensive medications; and (4) existing support and patients’ expectations. Reluctance to take anti-hypertensive medications was influenced by patients’ beliefs in personal health threats and the effectiveness of anti-hypertensive medications, high self-efficacy for taking alternative medicines, the lack of recommendation regarding hypertension treatment, and barriers to accessing supplies of medicines. Conclusion Despite their awareness of being diagnosed with hypertension, patients undervalued visiting a health professional to control their high blood pressure. Health strategies need to consider patients’ beliefs, concerns and expectations. Providing an accessible, affordable and adequate supply of hypertension medication is also key to any programs designed to optimise hypertension management.

Justice, Respect, and Recognition in Mental Health Services

2016 ◽  
Author(s):  
Paul Brodwin
Keyword(s):  
Social Relations ◽  
Health Care Services ◽  
Formal Theory ◽  
Theoretical Models ◽  
Human Beings ◽  
Cultural Discourses ◽  
Care Services ◽  
Psychiatric Survivor ◽  
Interdisciplinary Study ◽  
Harmful Effects

This chapter raises a key question for the interdisciplinary study of health and justice: is dialogue possible between theoretical models and first-person testimony about the harms caused by injustice? To consider this question, the chapter examines the claim that disrespect—the systematic devaluation of others in a way that excludes them from reciprocal social relations—is a form of injustice. The philosopher Stephen Darwall and social theorist Axel Honneth conceptually elucidate the links between justice, respect, and recognition. Their normative arguments offer a high-order conceptual framework for recognizing people’s equal worth as human beings (and the harmful effects of denying such recognition). This chapter compares their abstract frameworks with a landmark autobiography by a founder of the psychiatric survivor movement. The search for commensurability between these texts exposes the precise difference between experience-far and experience-near genres of ethical expression. This chapter adopts a similar approach as DeBruin et al. (this volume) in examining popular cultural discourses in light of formal theory. Both chapters take seriously the lay narratives and forms of ethical argumentation that circulate outside the academy. Both envision a plural ethics of justice and health that acknowledges how ordinary people interpret and respond to institutionalized oppression in health-care services.

scholarly journals Factors affecting the exit from farming of young farmers in Turkey: the case of Niğde province

2018 ◽  
Vol 48 (8) ◽  
Author(s):  
Ali Berk
Keyword(s):  
Health Care Services ◽  
Agricultural Activity ◽  
Factors Affecting ◽  
Face To Face ◽  
Learning Modules ◽  
Number Of Children ◽  
Interview Method ◽  
Care Services ◽  
Education And Health ◽  
The City

ABSTRACT: This study has focused on the factor affecting the exit from farming of young farmers, since it is an important issue in many provinces of Turkey. Data obtained through face-to-face interview method with 85 selected young farmers (aged 15-40 years) engaged in agricultural activity in the Niğde province in 2017. Logistic regression model based upon the dependent variable decision to exit from farming was used to determine relevant factors. According to results, number of children, the presence of house in the city center and the monthly income level has effects to exit from farming. Young farmers have priorities to reach a better life conditions for their children such as better education and health care services. Rural investment support should be increased; entrepreneurship and innovation trainings should be expanded by encouraging training on agriculture. It would be beneficial to develop different applications such as distance learning modules and digital agriculture.

scholarly journals The training of obstetric physicians and nurses to change the obstetric model in Brazil: A view of the preceptors in the training process

2020 ◽  
Vol 10 (11) ◽  
pp. 15
Author(s):  
Elisabete M.P. De Carvalho ◽  
Leila B.D. Göttems ◽  
Fábio F. Amorim ◽  
Dirce B. Guilhem
Keyword(s):  
Scientific Evidence ◽  
Study Data ◽  
Point Of View ◽  
Public Institution ◽  
Work Processes ◽  
Natural Childbirth ◽  
Face To Face ◽  
Care Services ◽  
Natural Birth ◽  
Childbirth Care

Background and objective: In obstetrics training, there are gaps in the scientific evidence on how to teach safe practices with respect. The objective of this study was to explore from the point of view of the preceptors how the process of training obstetricians (physicians and nurses) in residency leads to the development and inculcation of the practices recommended by the national and international guidelines for assistance with natural childbirth.Methods: Qualitative, exploratory-descriptive study. Thirty-five professionals, including 21 physicians and 14 nurses, from a public institution in the Midwest of Brazil participated in the study. Data were collected through face-to-face interviews conducted from March to June 2018. They were categorized into emerging themes, supported by NVivo to natural birth ® software. Two researchers reviewed the data, and by consensus, the identified issues were confirmed.Results: Of the participants’ comments, 4 themes were codified: approach of the good practices in natural childbirth care; unnecessary practices that remain in use; norms and routines in natural childbirth care; and work processes in the obstetric residency program.Conclusions: The results highlight the necessity of reorganization of the work processes in the residency program, with continuous action directed toward the strengthening of pedagogical processes and the qualification of the actors involved in the formation and organization of childbirth care services to expand the disruptive potential of new health professionals.

scholarly journals The impact of the COVID-19 pandemic on the delivery of primary health care services

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Samya Ahmad Al-Abdulla ◽  
Robin O’Dwyer
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Call Center ◽  
Health Care Services ◽  
Health Centers ◽  
Face To Face ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Alternative Means

Background: In response to the COVID-19 global pandemic the Primary Health Care Corporation (PHCC) in Qatar recognized the need to limit face-to-face consultations within health centers in order to prevent unnecessary spread of the virus by offering an alternative solution for patients to access primary health care. PHCC responded by establishing teleconsultation services (telephone and video) within health centers and establishing a community call center offering teleconsultations for family medicine, ophthalmology, and dentistry services, with a nursing tele-triage service operating 24 hours a day, 7 days a week. Methods: All previously booked appointments within health centers were converted to outbound telephone consultations. The community call center was widely advertised and received incoming patient inquiries. This led to an analysis of the teleconsultation service utilization on a daily, weekly, and monthly basis. Results: The 27 health centers successfully provided 703,845 teleconsultations (via video and telephone calls) between 1st April and 31st October 2020 compared to 964,285 in-person consultations. A significant percentage of patients continue to opt for a telephone consultation rather than a face-to-face visit. Between 29th March and 28th November 2020, the community call center received a total of 159,137 calls with 61% of calls managed and resolved by a nurse, without the need for a consultation by a physician. Conclusion: The rapid response by PHCC to find alternative means to offer primary health care services during a pandemic was activated early and the public responded positively. Teleconsultation services within Qatar have been widely accepted by patients who have more choices to access primary care services. Since April 2020, when teleconsultations were fully implemented in PHCC, to October 2020, 42% of all consultations have been via teleconsultation . Teleconsultation services both within health centers and the community call center, offer an alternative means of care delivery, empowering patients.

scholarly journals An Investigation of Somali Women’s Beliefs, Practices, and Attitudes about Health, Health Promoting Behaviours and Cancer Prevention

2014 ◽  
Vol 6 (1) ◽  
pp. 1-12 ◽  
Author(s):  
S. A. Francis ◽  
F. M. Griffith ◽  
K. A. Leser
Keyword(s):  
Health Care ◽  
Cancer Prevention ◽  
Health Care Services ◽  
Oral Traditions ◽  
Culturally Appropriate ◽  
Face To Face ◽  
Care Services ◽  
Health Promoting ◽  
Open Coding ◽  
Somali Women

This pilot study examined Somali women's perception of health/access to care, examined their knowledge and attitudes about cancer prevention, and discussed strategies to improve service provision and education. Using a multidisciplinary approach, twelve face-to-face interviews were conducted with Somali women ages 18 and older, residing in a mid-western city. Open coding was used to categorize and reflect the interview statements and to identify reoccurring themes. Somali women are concerned about a variety of health issues and cited the role of culture and religion in developing prevention strategies.   Participants emphasized the use of religious leaders, health care advocates, oral traditions, and translators in providing culturally appropriate health care services. Religion and culture play a prominent role in the Somali community and impact beliefs about health and wellness.  Health practitioners need to work closely with individuals and community leaders to tailor services that are culturally appropriate and accessible.       

scholarly journals Exploring the constraints regarding maternal health in reproductive age among the rural women in Bangladesh

Mediscope ◽  
2016 ◽  
Vol 3 (2) ◽  
pp. 1-10
Author(s):  
Akkur Chandra Das
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Health Care Services ◽  
Reproductive Age ◽  
Early Marriage ◽  
Care Services ◽  
Health Related

The study evaluated the constraints of maternal health in reproductive age in the rural Bangladesh. The study used qualitative approach to gather information where individual in-depth interviews adopted for data collection among women aged 15-49 years old. The overall study revealed that rural women faced many maternal health related complications and problems in their reproductive age such as hemorrhage, sepsis, hypertensive diseases of pregnancy, obstructed labour and complications of abortion, etc. Maternal health situation still in rural areas was not developed in comparison to the situation of urban areas of Bangladesh and there was not available women’s health care accesses for their emergency; low education level, low per capita income, many family members, early marriage and pregnancy, number of pregnancies, poor nutrition and lack of family support status resulted in low status of maternal and child health in the rural areas of Bangladesh. Adequate measures should be taken for providing proper health care services in rural areas of Bangladesh for better maternal health status.Mediscope Vol. 3, No. 2: July 2016, Pages 1-10

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