scholarly journals ASSESSMENT OF THE STATE OF THE ORGANIZATION OF CIRCULATION AND THE AVAILABILITY OF MEDICINES FOR DIFFERENT CATEGORIES OF PATIENTS AT THE LEVEL OF OBSTETRIC UNITS

2021 ◽  
pp. 62-69
Author(s):  
С. И. Зброжек
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Primary Health Care ◽  
Discrete Series ◽  
The State ◽  
Primary Health ◽  
Primary Network ◽  
Health Care Unit ◽  
Medium Level ◽  
Coronavirus Infection

Introduction. In the context of the coronavirus infection pandemic, the relevance of increasing the level of availability of medicines for various categories of patients in primary care is becoming crucial. The aim of the work was to process the state of the organization of circulation and the availability of medicines for various clinical and pharmacological groups of patients at the level of obstetric points. Materials and methods. To assess the organization of circulation and the availability of medicines of various clinical-pharmacological, nomenclature-legal and classification-legal groups, a conditional indicator was used – the conditional availability of medicines, calculated using content analysis. To conduct a content analysis, the organization of the regional primary network of medical care was studied; a list of obstetric points was compiled according to a quantitative indicator by grouping using the Sturges formula, followed by the construction of discrete series of variations and a distribution polygon. Results and discussion. Noted that obstetric centers perform socially oriented tasks to increase the level of organization of circulation and the availability of medicines for all contingents of the population on the principles of medical and pharmaceutical law, as the basis of state policy to minimize risks in the organization of pharmaceutical business. According to our own developed methods using content analysis, the structuring of the primary health care with a network of obstetric points at the regional level was carried out and it was established for the overwhelming majority of districts a low, above low and medium level of conditional availability of drugs for patients. Conclusions. The organization of circulation and the availability of drugs for various contingents of the population in the studied regional primary health care network is at the following level: unsatisfactory (for three districts); low (for five districts); higher than low (twelve districts); medium (for five districts); above average (for one district) satisfactory (for one district). Based on the results obtained, it can be concluded that the insufficient number of obstetric points in the regional primary health care unit is an obstacle to the timely provision of the population with high quality, effective and affordable drugs.

scholarly journals Improving maternal and child health: a situational analysis of primary health care centres of Sokoto state, Nigeria

2018 ◽  
Vol 5 (12) ◽  
pp. 5052
Author(s):  
Aminu U. Kaoje ◽  
Sani Labaran ◽  
Aminu G. Magashi ◽  
Jessica T. Ango
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Child Health ◽  
Maternal And Child Health ◽  
The State ◽  
Current Form ◽  
Primary Health ◽  
Nurse Midwife ◽  
Care Facilities ◽  
And Child Health

Background: Primary health care facilities constitute the first point of contacts of public with healthcare and form integral part of the country’s health system.Methods: A descriptive cross sectional study was conducted among 88 primary care facilities in the State. A simple random sampling technique was used to select the facilities. Federal Ministry of Health integrated supportive supervision tool was adapted for data collection and analysis done using SPSS Version 20.0. The variables were summarised with frequency and percentage and results presented in tables.Results: Almost two-thirds (65%) of the facilities provide 24 hours service coverage for both maternal and child care services. Only 16% of the facilities had medical officers, 12.5% had required number of nurse/midwife while 27% had no single nurse/midwife. With respect to trainings, one third of the facilities had personnel trained on medium and extended lifesaving skills, 20% had a trained staff on emergency obstetrics and newborn care while 61% had no single trained personnel on integrated management of childhood illnesses. A large proportion of the facilities provide maternal services such as focused ANC and delivery but none use partograph to monitor labour. A good number of facilities were lacking basic equipment and medicine supply with about two third of facilities lacking misoprostol and magnesium sulphate, and only 15% had functional DRF.Conclusions: Health resources and the level of service provision in its current form may not lead to a significant improvement in maternal and child health in the state to guarantee universal coverage.

scholarly journals Kendala Organisasi Berbasis Komunitas dalam Program Pencegahan dan Penanggulangan HIV/AIDS: Studi Kasus pada Dua LSM Peduli AIDS di Jakarta

2019 ◽  
pp. 163-174
Author(s):  
Ranti Suciati ◽  
Mujiati Mujiati ◽  
Novianti Novianti
Keyword(s):  
Social Support ◽  
Health Care ◽  
Content Analysis ◽  
Primary Health Care ◽  
Community Based ◽  
Purposive Sampling ◽  
Community Based Organizations ◽  
Primary Health ◽  
The Government ◽  
Hiv Aids

Abstrak Semakin meningkatnya jumlah kasus HIV/AIDS di Indonesia, berdampak tidak hanya pada masalah kesehatan, memacu pemerintah untuk melibatkan masyarakat sipil dalam Organisasi Berbasis Komunitas (OBK) untuk ikut berperan dalam upaya pencegahan dan penanggulangan HIV/AIDS. Pentingnya identifikasi kendala atau hambatan yang dihadapi oleh OBK memunculkan strategi atau alternatif solusi untuk mengatasi kendala, serta memberikan gambaran model intervensi yang lebih sinkron antara pemerintah dan masyarakat. Desain penelitian adalah kualitatif dengan melakukan studi kasus di dua LSM Peduli AIDS di Jakarta. Informan dipilih secara purposive sampling yaitu pengurus, anggota/petugas, dan dampingan dari dua OBK. Pengumpulan informasi dengan wawancara mendalam berdasarkan pedoman wawancara dan diolah menggunakan metode content analysis. Kendala yang dihadapi OBK yaitu alur rujukan BPJS yang mengikuti domisili sehingga memberatkan pasien, kurang optimalnya koordinasi dan kerjasama antara OBK dengan Puskesmas, belum meratanya kualitas dan kapasitas SDM anggota OBK, persoalan administratif organisasi, sumber dana yang tidak selalu kontinu, adanya perbedaan kepentingan antara OBK dengan pihak kepolisian, serta masih tingginya stigma masyarakat terhadap penderita HIV/AIDS. Solusi mengatasi kendala OBK dilakukan dengan peningkatan efektifitas pelaksanaan program pemerintah melalui OBK, antara lain dengan penerapan fleksibilitas pengelolaan dana berdasarkan kinerja OBK, peningkatan kapasitas SDM, pemantapan sistem manajerial, pemahaman alur layanan kesehatan di Puskesmas, serta social support bagi penderita HIV/AIDS. Kata kunci: organisasi berbasis komunitas, LSM, HIV/AIDS Abstract The increasing number of HIV/AIDS cases in Indonesia that impact not only on health issues, spur the Government to involve civil society in community-based organizations (OBK) to play a role in HIV/AIDS prevention program. Identification of constraints or obstacles faced by OBK do as they can generate alternative strategies or solutions to overcome these constraints, and provide a more synchronous model of intervention between the government and the community. This type of research is a case study at two AIDS Awareness NGOs in Jakarta. The informants were chosen by purposive sampling ie the board, members/officers, and assistants from the two NGOs. Information collection with by in-depth interview based on interview guideline and processed using content analysis method. Constraints faced by the OBK is the issue of referral flow pathways that follow the domicile so burdensome patients, less optimal coordination and cooperation between OBK with primary health care, uneven quality and capacity of human resources of NGO members, organizational administrative issues, sources of funds that are not always continuous, different interests between the OBK with the police department, and the stigma. Reduction of obstacles faced by OBK can be done by increasing the effectiveness of government program implementation through OBK, among others by applying flexibility of fund management based on OBK performance, human resource capacity building, managerial system strengthening, understanding of health service flow in primary health care, and social support for patient HIV/AIDS. Keywords: community-based organizations, NGOs, HIV/AIDS

scholarly journals Patients’ experiences of the caring encounter in health promotion practice: a qualitative study in Swedish primary health care

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Kristina Lundberg ◽  
Mats Jong ◽  
Miek C. Jong ◽  
Lisbeth Porskrog Kristiansen
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Content Analysis ◽  
Primary Health Care ◽  
Organizational Structures ◽  
Main Theme ◽  
Primary Health ◽  
Essential Components ◽  
District Nurses ◽  
Health Promotion Practice

Abstract Background Previous studies have reported that organizational structures and cultures in primary health care are obstacles to district nurses doing successful work in health promotion practice (HPP). Because organizational structures are not easily changed, Jean Watson’s Attending Nurse Caring Model (ANCM) was introduced and piloted at a primary health care center in Sweden, aiming to transform HPP so as to empower district nurses and increase their work satisfaction. Aim To investigate patients’ experiences of the caring encounter in HPP after introduction of the ANCM in Swedish primary health care, the aim being to explore the essential components of the caring encounter between patients and district nurses. Methods A descriptive and qualitative research design was used. Data collection was performed using individual face-to-face interviews with twelve patients at risk for developing CVD. Data analysis consisted of both deductive content analysis, using a categorization matrix based on the ANCM and, subsequently, inductive latent content analysis. Results The findings were abstracted into three themes: 1.‘Feeling the deepest essence of being cared for’: to be respected and being put at the center of the encounter; 2. ‘Feeling acceptance and worth’: being treated with openness and permissive attitudes, 3. ‘Being in a supportive atmosphere that promotes hope’: to feel trust and being trusted in the encounter, and being empowered by hope. The unifying main theme of the caring encounter was abstracted as ‘Experiencing human dignity’. Conclusion The present study revealed that the essence of the caring encounter between patients and district nurses in HPP is to be unconditionally accepted in an environment that inspires hope and encouragement. The ANCM seems to be a promising model to use for strengthening the caring encounter and supporting CVD patients in making healthy lifestyle choices. However, further studies of qualitative and quantitative designs are needed to investigate what the ANCM can contribute to HPP in Swedish primary health care.

scholarly journals Terapia Comunitária Integrativa como estratégia de apoio à atenção primária à saúde

2020 ◽  
Vol 16 (esp. 1) ◽  
pp. 446-461
Author(s):  
Maria da Graça Araújo Garcia
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Professional Practice ◽  
Community Based ◽  
Universal System ◽  
Levels Of Care ◽  
Primary Health ◽  
Primary Mental Health Care ◽  
Health Care Unit

This article reports on the process of implementing Integrative Community Therapy (ICT) in the Primary Health Care (PHC) of the Health Care Unit XXXXX. The relevance of this work takes place in the sphere of welcoming people in psychic distress who seek support in the Single Health System (SUS). PHC is the gateway to the SUS, a public, universal system, hierarchized in attention levels and that proposes care in an equitable and integral manner. PHC is responsible for coordinating care at all levels of care. From this perspective, TCI, as a community-based and systemic care strategy, will be considered Primary Mental Health Care. The project considers the ICD as a scenario for changing professional practice in the area of mental health and a field of in-service teaching for doctors and resident doctors of Family and Community Medicine and Psychiatry.

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