scholarly journals A Pregnant Women’s Group: Its Effects on Maternal and Neonatal Health Care Services among Disadvantaged Community in Makawanpur, Nepal

2017 ◽  
Vol 3 (1) ◽  
pp. 22-36
Author(s):  
Bhagawan Das Shrestha
Keyword(s):  
Pregnant Women ◽  
Health Care Services ◽  
Teaching And Learning ◽  
Educational Status ◽  
Health Staff ◽  
Local Health ◽  
Access To Health Services ◽  
Disadvantaged Community ◽  
Care Services ◽  
Postnatal Mothers

In Nepal, the utilization of maternal, newborn and child health (MNCH) care services exhibit big gaps between rich and poor, for instance poorest quintile is at 10.7% skill births attendant services but richest at 81.5%, despite the services being free of cost. Pregnant women group (PWG) approach was initiated to address MNCH inequities prevailing in the disadvantaged community. The PWG is a socially cohesive peer support group of 8-15 pregnant women and postnatal mothers who meet monthly for participatory teaching and learning sessions on MNCH cares and semi-annual publicly group commitment meetings. At the meetings, husbands and mothers-in-law verbally commit to support their pregnant wives and daughters-in-law in present of pregnant women. Local health staff also commits to provide those services. Retrospective cohort study was undertaken in which 449 randomly selected recently delivered women who were members of PWG in last pregnancy and next 449 non-members to PWG from same villages of Makwanpur were introduced the structured questionnaires between March and April 2015. The results indicated that the increase in the utilization of MNCH care services was statistically significant (P<0.0001 for all indicators) among women who were PWG members than those who were not. Despite the fact that the average age, educational status, parity, ethnicity, location and access to health services were constant. Pregnant women’s group approach increases the utilization of MNCH care services for disadvantaged community in Makwanpur, Nepal. Thus, the PWG approach can be a strategy to reduce the inequity MNCH care services coverage in developing countries.

scholarly journals A Pregnant Women’s Group: an Innovative Approach to Reduce Maternal and Neonatal Deaths in Developing Countries

2017 ◽  
Vol 3 (2) ◽  
pp. 66-81 ◽  
Author(s):  
Bhagawan Das Shrestha
Keyword(s):  
Developing Countries ◽  
Pregnant Women ◽  
Academic Research ◽  
World Health ◽  
Maternal And Newborn Health ◽  
Health Staff ◽  
Local Health ◽  
Visual Methods ◽  
Disadvantaged Community ◽  
Maternal And Newborn

In Nepal, the utilization of maternal, newborn and child health (MNCH) care services exhibit big gaps between rich and poor, for instance poorest quintile is at 10.7% skill births attendant services while richest at 81.5%, despite the services being free of cost. Pregnant women’s group (PWG) approach was initiated to address MNCH inequities prevailing in the disadvantaged community. The PWG is a socially cohesive peer support group of 8-15 pregnant women and postnatal mothers who meet monthly for participatory teaching and learning sessions on MNCH cares and semi-annual publicly group commitment meeting. At the meetings, husbands, mothers- in-law and father-in-law verbally commit to support their pregnant wives and daughters-in-law in present of pregnant women. Local health staff also commits to provide those services. The literature review was done on women’s group and its impact of MNCH. The findings were compared with PWG approach of Nepal in line with "the World Health Organization’s recommendation on community mobilization through facilitated participatory learning and action cycles with women’s groups for maternal and newborn health". The PWG approach fulfill the WHO’s consideration of more than 30% of pregnant women participation, the role of men and other members of the community, visual methods and ethnic group mix. The PWG approach can be a strategy to reduce the high burdens of maternal and newborn morbidity and mortality in developing countries. The approach needs monthly participatory teaching learning sessions, use of a behavioural mapping mat for self-monitoring and biannually publicly group commitments by husbands and mother and father-in-laws.Journal of Advanced Academic Research Vol. 3, No. 2, 2016, page: 66-81

Home Visiting of Varying Frequency and Child Development

PEDIATRICS ◽  
1989 ◽  
Vol 84 (1) ◽  
pp. 157-164
Author(s):  
Christine Powell ◽  
Sally Grantham-McGregor
Keyword(s):  
Health Care Services ◽  
Home Visiting ◽  
Relative Effectiveness ◽  
Local Health ◽  
Control Groups ◽  
Developmental Quotient ◽  
Care Services ◽  
And Performance ◽  
Local Health Center ◽  
And Control

Two studies were made of home visiting and psychosocial stimulation with deprived urban children in Jamaica. The aim was to determine the relative effectiveness of different frequencies of visiting on the children's developmental levels and the feasibility of integrating the model into government primary health care services. Health paraprofessionals supervised by a nurse from a local health center conducted the intervention. In the first study, 152 children aged 6 to 30 months were assigned to groups visited biweekly, monthly, or not at all by area of residence. The biweekly group showed small but significant increases in scores on the Griffiths Mental Development Scales (developmental quotient) and performance subscale compared with the monthly and control groups, whereas no benefit was shown in the Griffiths scores of the monthly group. In the second study, 58 children aged 16 to 30 months from the same neighborhoods were randomly assigned to weekly visited and control groups. The group visited weekly showed marked improvements in the performance and hearing and speech subscales as well as the developmental quotient scores. The results indicate that as the frequency of visiting increases from none through monthly and biweekly to weekly, the benefits increase as well.

scholarly journals Equitable access to health services for children aged 5 to 9 in a medium city of northeasth of Brazil: a result of Family Health Strategy

2014 ◽  
Vol 17 (suppl 2) ◽  
pp. 39-52 ◽  
Author(s):  
Adriana Xavier de Santiago ◽  
Ivana Cristina de Holanda Cunha Barreto ◽  
Ana Cecília Silveira Lins Sucupira ◽  
José Wellington de Oliveira Lima ◽  
Luiz Odorico Monteiro de Andrade
Keyword(s):  
Health Services ◽  
Health System ◽  
Family Health ◽  
Northeastern Brazil ◽  
Local Health ◽  
Access To Health Services ◽  
Care Services ◽  
Health Strategy ◽  
Access To Health ◽  
Family Health Strategy

INTRODUCTION: The Brazilian National Health System may reduce inequalities in access to health services through strategies that can reach those most in need with no access to care services. OBJECTIVE: To identify factors associated with the use of health service by children aged 5 to 9 years in the city of Sobral, Ceará, northeastern Brazil. RESULTS: Only 558 (17.0%) children used health care services in the 30 days preceding this survey. Children with any health condition (OR = 3.90) who were frequent attenders of primary care strategy of organization (the Family Health Strategy, FHS) (OR = 1.81) and living in the city's urban area (OR = 1.51) were more likely to use health services. Almost 80% of children used FHS as their referral care service. Children from poorer families and with easier access to services were more likely to be FHS users. CONCLUSION: The study showed that access to health services has been relatively equitable through the FHS, a point of entry to the local health system.

scholarly journals Helsepersonells erfaringer med pasientforløp i kommuner i Vest-Norge

2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Torill Aarskog Skorpen ◽  
Marit Kvangarsnes ◽  
Torstein Hole
Keyword(s):  
Health Services ◽  
Health Personnel ◽  
Health Care Services ◽  
User Participation ◽  
Local Health ◽  
Care Services ◽  
Western Norway ◽  
Patient Pathways ◽  
Specialist Health Care ◽  
Group Interviews

Health services in Norway have been described as fragmented with weak coordination between different care levels with respect to patient pathways. The Coordination Reform’s aim was to improve patient pathways and strengthen user participation. The aim of this study was to investigate health personnel ́s experiences with patient pathways in municipalities in Western Norway. A qualitative design was chosen. Six focus group interviews with health personnel working in municipalities in Western Norway were conducted in 2013 and 2014. The interviews revealed that health personnel experienced that local health services gave cohesive patient pathways and strengthened user participation. Cohesive patient pathways and locally adapted pathways were considered important. Coordination and electronic communication between primary and specialist health care services were seen as inadequate. Trust, teamwork, competence and necessary resources were considered vital. Health personnel ́s experiences indicated that the intended aim of cohesive patient pathways near the patient was met. 

scholarly journals Socioeconomic inequalities in the access to and quality of health care services

2014 ◽  
Vol 48 (6) ◽  
pp. 968-976 ◽  
Author(s):  
Bruno Pereira Nunes ◽  
Elaine Thumé ◽  
Elaine Tomasi ◽  
Suele Manjourany Silva Duro ◽  
Luiz Augusto Facchini
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Health Care Services ◽  
Access To Health Services ◽  
Socioeconomic Groups ◽  
Care Services ◽  
Access To Health ◽  
To Receive ◽  
Use Of Health Care

OBJECTIVE To assess the inequalities in access, utilization, and quality of health care services according to the socioeconomic status. METHODS This population-based cross-sectional study evaluated 2,927 individuals aged ≥ 20 years living in Pelotas, RS, Southern Brazil, in 2012. The associations between socioeconomic indicators and the following outcomes were evaluated: lack of access to health services, utilization of services, waiting period (in days) for assistance, and waiting time (in hours) in lines. We used Poisson regression for the crude and adjusted analyses. RESULTS The lack of access to health services was reported by 6.5% of the individuals who sought health care. The prevalence of use of health care services in the 30 days prior to the interview was 29.3%. Of these, 26.4% waited five days or more to receive care and 32.1% waited at least an hour in lines. Approximately 50.0% of the health care services were funded through the Unified Health System. The use of health care services was similar across socioeconomic groups. The lack of access to health care services and waiting time in lines were higher among individuals of lower economic status, even after adjusting for health care needs. The waiting period to receive care was higher among those with higher socioeconomic status. CONCLUSIONS Although no differences were observed in the use of health care services across socioeconomic groups, inequalities were evident in the access to and quality of these services.

scholarly journals ‘We are not blaming anyone, but if we don't know about amenities, we cannot seek them out’: black and minority older people's views on the quality of local health and personal social services in England

2008 ◽  
Vol 29 (1) ◽  
pp. 93-113 ◽  
Author(s):  
JILL MANTHORPE ◽  
STEVE ILIFFE ◽  
JO MORIARTY ◽  
MICHELLE CORNES ◽  
ROGER CLOUGH ◽  
...  
Keyword(s):  
Older People ◽  
Social Services ◽  
Health Care Services ◽  
The Body ◽  
Local Health ◽  
Individual Interviews ◽  
Care Services ◽  
National Service Framework ◽  
Nominal Groups ◽  
Minority Ethnic

ABSTRACTImproving access to culturally-appropriate services and enhancing responses to the needs of older people from black and minority ethnic backgrounds were among the aims of theNational Service Framework for Older People(NSFOP) that was introduced in England in 2001. Progress in meeting the aims of the NSFOP was evaluated by a mid-term independent review led by the Healthcare Commission, the body responsible for regulating health-care services in England. This paper reports the consultation with older people that underpinned the evaluation. It focuses on the views and experiences of older people from black and minority ethnic (BME) groups and of the staff that work in BME voluntary organisations. A rapid appraisal approach was used in 10 purposively selected local councils, and plural methods were used, including public listening events, nominal groups and individual interviews. In total 1,839 older people participated in the consultations and 1,280 (70%) completed a monitoring form. Some 30 per cent defined themselves as of a minority ethnic background. The concerns were more about the low recognition of culturally-specific and language needs than for the development of services exclusively for BME older people.

Evaluating models of working at the interface between mental health services and primary care

1997 ◽  
Vol 170 (1) ◽  
pp. 6-11 ◽  
Author(s):  
Linda Gask ◽  
Bonnie Sibbald ◽  
Francis Creed
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Health Services ◽  
Health Care Services ◽  
Service Providers ◽  
Psychiatric Nurses ◽  
Local Health ◽  
Care Services ◽  
Secondary Health Care

BackgroundThis paper examines the feasibility of evaluating innovative models of working at the interface between primary care and secondary mental health services.MethodMethodological problems relevant to evaluation of innovative models of working at the interface are discussed.ResultsAlthough there is some evidence that neurotic disorders can be more cost-effectively treated in primary care, many general practitioners (GPs), and possibly some patients, prefer referral to community mental health teams and community psychiatric nurses, which are provided by the secondary health care services. Since the latter are provided with the intention of improving serious mental illness their involvement in the care of neurotic illness can lead to tensions between GPs, local health authorities and service providers. There is little evidence to suggest that psychiatrists working in health centres using the ‘shifted out-patient’ model have eased this problem. By contrast the ‘consultation-liaison’ (C-L) model has a number of theoretical advantages; referrals to secondary care should be limited to those most in need of this level of expertise and GP management skills should improve, so leading to better quality of care for patients who are not referred.ConclusionStudies comparing the different models of service delivery are required to address the tensions that have arisen following changes in government policy. Further work is also needed to develop the necessary research tools.

Confined to Obscurity: Health Challenges of Pregnant Women in Jail

2020 ◽  
Vol 45 (3) ◽  
pp. 177-185
Author(s):  
Susan J Rose ◽  
Thomas P LeBel
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Substance Use ◽  
Physical Health ◽  
Pregnant Women ◽  
Mental Health Treatment ◽  
Health Care Services ◽  
Background Characteristics ◽  
Policy And Practice ◽  
Care Services

Abstract Research about pregnant women in jail is scant. This exploratory study begins to fill this gap by examining the demographics; background characteristics; and self-reported physical health, mental health, and substance use challenges reported by 27 pregnant women incarcerated in a large midwestern county jail. It further reports on the prenatal care before and during their incarceration, plans of these pregnant women for delivery of their child, caring for their infant after their release from jail, and their expectations of paternal or family support post-release. Among the sample, 66.7 percent reported a physical health care problem, 48.2 percent had received mental health treatment, and 18.5 percent had substance use treatment in the previous year, but only 51.9 percent had seen a health care professional before their incarceration. All women expected the father of their child to provide financial support, but only 76.9 percent expected the father to be involved with the child. The authors also discuss implications of the findings for jail health care services and reintegration policy and practice for pregnant women.

scholarly journals Detection of Syphilis by Serologic Tests in Pregnant Iranian Women, Shiraz, Iran

2013 ◽  
Vol 2 (3) ◽  
pp. 126-130
Author(s):  
Mohammad Motamedifar ◽  
Parvin Hassanzadeh ◽  
Mohammad Amin Taghinia ◽  
Yashgin Hassanzadeh
Keyword(s):  
Pregnant Women ◽  
Health Care Services ◽  
Treponema Pallidum ◽  
Target Population ◽  
Unprotected Sex ◽  
Serologic Test ◽  
Care Services ◽  
South West ◽  
Study Population ◽  
Syphilis Screening

Background: Syphilis is an infectious disease caused by Treponema pallidum and transmitted via sexual contact, infected discharge and blood as well as vertical transmission. It causes various impacts on women during pregnancy and their newborns which results in various complications. Thus, screening of syphilis is routinely performed during pregnancy. Choosing to perform a specific screening test is based on the prevalence of the disease in the target population which needs adequate information in this regard. The aim of the present study was to determine the prevalence of syphilis among pregnant women in Shiraz, South-west of Iran.Methods: in this 15 month prospective study, 1100 pregnant women aged between 15 – 42 years, referred to University affiliated hospital in shiraz, Iran were included  Blood samples were obtained from all of our study population for performing RPR test. FTA-ABS serologic test was carried out on positive cases of RPR test.Results: 15 suspicious cases with weakly positive RPR test were detected but in all of them FTA-ABS tests were negative.Conclusions: The prevalence and incidence of syphilis was low in our area which may be due to variable reasons, such as reduction in the rate of unsafe and unprotected sex, improving knowledge, and adequate health care services. More studies are still needed to decide whether syphilis screening is beneficial in our area and should be considered as a routine test in pregnancy.

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