scholarly journals The “Pasteurization Process” of Local-Grounded Strategies in the Primary Health Care in two Experiences of the Global South (Brazil and Chile)

2020 ◽  
Author(s):  
Eliezer Magno Araújo ◽  
Sebastian Medina ◽  
Esteban Figueroa ◽  
Marília de Castro
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Systems ◽  
Local Health ◽  
Collective Case Study ◽  
Post Colonial ◽  
Primary Health ◽  
The Social ◽  
Asymmetric Power

This article explores the process of two emerging local-grounded strategies born in the context of Primary Health Care, in rural locations in Brazil and Chile, using a post-colonial framework. Initially rooted in local health needs and socio-cultural characteristics, both experiences undergo a process of modelling and subsequent replication by the governance of health systems, with an asymmetric power / knowledge structure. We used a Collective Case Study as a methodological strategy and used field records, in-depth interviews and a critical literature review. As a result, we saw that the social participation experienced in community-based health systems has the potential to generate high-impact initiatives, considering local realities. At the same time, through the metaphor of "pasteurization", we emphasize that hegemonic governance can remove the "living components" of these types of local strategies, causing them to lose their emancipatory capacities.

Primary Health Care and Donor Dependency: A Case Study of Nongovernment Assistance in Burkina Faso

1995 ◽  
Vol 25 (3) ◽  
pp. 539-558 ◽  
Author(s):  
Richard Maclure
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Systems ◽  
Health Workers ◽  
Indigenous Health ◽  
Sub Saharan Africa ◽  
Professional Status ◽  
Primary Health ◽  
Nongovernment Organizations

Primary health care assistance has become prominent in the rural development programs of many nongovernment organizations throughout sub-Saharan Africa. By emphasizing education and the promotion of new participatory health systems, most such programs aim to enhance the conditions of women as principal community care givers. Yet village-level health assistance in Africa is not without shortcomings. This is exemplified in a case study of two nongovernment programs in Burkina Faso's Namentenga Province. Although both programs have contributed to maternal health and infant survival, they have also induced new ties of donor dependency. This appears to present a conundrum for the sponsoring agencies which espouse self-reliance as a development assistance goal. In fact, however, where the intervention of nongovernment organizations helps to improve rural health, new dimensions of dependency may prove to be a positive first stage in the mobilization of women and the development of locally managed health systems. For this to be so, much is contingent on the capacity of these organizations to integrate local participation in their own planning and management processes, and to augment the professional status of indigenous health workers.

Getting lower leg ulcer evidence into primary health care nursing practice: a case study

2019 ◽  
Vol 27 (2) ◽  
pp. 78-85
Author(s):  
Sue Randall ◽  
Panagiota Avramidis ◽  
Naomi James ◽  
Alanda Vincent ◽  
Michelle Barakat-Johnson
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Lower Leg ◽  
Leg Ulcer ◽  
Venous Disease ◽  
High Morbidity ◽  
Evidence Based ◽  
Local Health ◽  
Primary Health

Venous leg ulcers (VLUs) are open lesions on the lower leg caused by venous disease, which are associated with high morbidity and pose a challenge to manage effectively (Scottish Intercollegiate Guidelines Network, 2010). Gold standard treatment for VLUs is graduated compression therapy to aid venous return. This paper presents an approach to the challenging management of VLUs that is based on a problem, and subsequent local audit. We use a case study that illustrates a collaborative approach to determine gaps in evidence-based practice (EBP), and a nurse-led initiative in consultation with executive managers and doctors. In our sample, 40% of patients had not consulted a vascular specialist. They did not have a formal diagnosis of leg ulcer aetiology and therefore had not received optimum treatment. Access and cost were main factors impacting on leg ulcer care. Nurses providing evidence-based management of VLUs should ensure collaboration with key stakeholders. This assists in implementing diagnosis of ulcer aetiology for best practice measures. At this local health district, a change in policy to reflect EBP for VLU management in primary health care has been achieved.

scholarly journals Developing primary health care in Thailand

2018 ◽  
Vol 21 (1) ◽  
pp. 36-49 ◽  
Author(s):  
Phudit Tejativaddhana ◽  
David Briggs ◽  
Orapin Singhadej ◽  
Reggie Hinoguin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Systems ◽  
Health Management ◽  
Systems Management ◽  
Ageing Society ◽  
Content Type ◽  
Primary Health ◽  
Health Systems Management

Purpose The purpose of this paper is to describe progress in an across sectorial approach to primary health care at the district health service (DHS) level in Thailand in response to recent innovative national public policy directions which have been enshrined in constitutional doctrine and publicly endorsed by the Prime Minister. This paper describes one response to the Prime Minister’s challenge for Thailand to become the centre of learning in the sub-region in health management. Design/methodology/approach The authors utilised a descriptive case study approach utilising an analysis of the Naresuan University initiative of establishing the College of Health Systems Management (NUCHSM). Within that case study, there is a focus on challenges relevant to the socio-economic determinants of health (SOED) and an emphasis on utilising Sustainable Development Goals (SDGs) within the DHS structure. Findings The findings describe the establishment of the NUCHSM. A Master of Science (Health Systems Management) by research and a PhD degree have been created and supported by an international faculty. The Thailand International Cooperation Agency recognised NUCHSM by providing scholarships. International students are from Bangladesh, Bhutan, Kenya, Malawi and Timor Leste. Research consultancy projects include two in Lao People’s Democratic Republic; plus, a prototype DHS management system responsive to SDG attainment; and a project to establish a sustainable Ageing Society philosophy for a Thai municipality. Originality/value The case study on NUCHSM and its antecedents in its development have demonstrated originality in a long-standing international collaboration, and it has been recognised by the national government to provide scholarships to citizens of the countries in the sub-region to undertake postgraduate studies in health management. The concept of learning from each other and together, simultaneously as a group, through action research projects funded to enhance the evolution of DHSs is innovative.

The Social Audit Agenda - Primary Health Care in a Stakeholder Society

2000 ◽  
Vol 4 (1) ◽  
pp. 3-28 ◽  
Author(s):  
Philip Cotton ◽  
Ian A.M. Fraser ◽  
Wan Ying Hill
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Social Audit ◽  
Primary Health ◽  
The Social
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