scholarly journals An Interview Study of Consequences of Early-Career Unemployment in Bulgaria

2019 ◽  
Vol 10 (2) ◽  
Author(s):  
Veneta Krasteva
Keyword(s):  
Personal Development ◽  
Age Groups ◽  
Early Career ◽  
Point Of View ◽  
Negative Consequences ◽  
Access To Health Services ◽  
Family Ties ◽  
Access To Health ◽  
In The Beginning ◽  
Depth Interviews

The article examines the consequences of prolonged unemployment experienced in the beginning of the career in Bulgaria from a subjective point of view. The analysis is based on information obtained from in-depth interviews with people from three age groups who have entered the labor market in periods with high levels of unemployment. The negative consequences pointed out by the interviewed people include material deprivation, limited access to health services, low self-esteem, interruption of social contacts, postponement of creating a family and living in a home of one’s own, loss of hope for a better future. Along with the negative consequences, some positive ones were also identified, such as strengthening family ties, people’s enhanced motivation to deal with the arising difficulties and their striving for personal development.

The Post-Amputation Rehabilitation Experience of People Living in Rural Settings

2001 ◽  
Vol 7 (1) ◽  
pp. 23-37
Author(s):  
Amanda Young ◽  
Gregory Murphy ◽  
Sandra Kippen ◽  
Peter Foreman
Keyword(s):  
Surgical Intervention ◽  
Health Planning ◽  
Rural Setting ◽  
Access To Health Services ◽  
Counselling Services ◽  
Access To Health ◽  
Rural Settings ◽  
Social Support Services ◽  
Depth Interviews ◽  
Initial Focus

This paper reports the results from a qualitative study aimed at identifying the factors influencing the rehabilitation experience of people living with an amputation in a rural setting. Following the conduct of an initial focus group, 24 rural-based individuals responded to an invitation to participate in the study's in-depth interviews. Fourteen of those interviewed lived in a ‘regional’ setting (the regional group) and the other ten lived in more remote locations (the ‘distant’ group). Consistent with this population's demography, the sample was comprised mainly of older people (mean age of 66.8 years) who had suffered their amputation as a result of vascular disease. While the groups differed with respect to two aspects of their rehabilitation experience (with the distant group reporting more problems with accommodation and access to health services), many common themes emerged from the interviews, including an overall positive acceptance of the surgical intervention, the call for increased post-operative counselling services, and an endorsement of the usefulness of peer-support (and more generally of social support) services. Results are discussed in terms of their implications for service delivery and endorsement is made of the suggestion that rural health planning be more community-focussed.

scholarly journals Analysis of Hospital Lethality of COVID-19 in Mexico

2021 ◽  
Vol 14 (4) ◽  
pp. 2157-2164
Author(s):  
Carolina Muñoz- Corona ◽  
Elia Lara-Lona ◽  
Christian Andrés Díaz- Chávez ◽  
Gilberto Flores- Vargas ◽  
Daniel Alberto Díaz- Martínez ◽  
...  
Keyword(s):  
Social Dynamics ◽  
Age Groups ◽  
Hospitalized Patients ◽  
Social Changes ◽  
Access To Health Services ◽  
Ministry Of Health ◽  
Cross Sectional ◽  
Access To Health ◽  
Quantitative Descriptive ◽  
General Mortality

Background. COVID-19 has caused 244,830 deaths in Mexico. Evaluating the severity of this contingency is possible if the hospital fatality rate of COVID-19 is described because hospitalized patients present more severe conditions. Objective. To analyze the fatality of COVID-19 in hospitalized patients. Methods. A quantitative, descriptive, analytical, cross-sectional, and retrospective study was conducted using open database from Ministry of Health in Mexico. Results. The analysis included 71,189 discharges from patients diagnosed with COVID-19 in the Mexican Ministry of Health Hospitals during 2020. Of them, 27,403 were due to death, predominantly in men and age groups from 50 to 69 years. The general hospital fatality due to COVID-19 was 38.49%, a hospital fatality of 40.75% in men and 35.03% in women. The 55-to-99-year-old age groups, Baja California, Puebla, and Coahuila had a higher hospital fatality than the general fatality. Conclusion. Besides the deaths caused directly by COVID-19 (those that occurred due to respiratory failures), many deaths were indirect in persons with comorbidities exacerbated by this disease. Access to health services, social changes derived from job loss, home protection, and changes in social dynamics, facts expressed in the general mortality excess, cannot be quantified in our study. There are similar patterns with other persons infected worldwide: this disease is more severe for males and older age subjects.

scholarly journals Assessment of the Utilization of HIV Interventions by Sex Workers in Selected Brothels in Bangladesh: An Exploratory Study

2015 ◽  
Author(s):  
Nafisa Huq ◽  
Mahbub Chowdhury
Keyword(s):  
Sex Workers ◽  
Safe Sex ◽  
Mutual Support ◽  
Access To Health Services ◽  
Group Discussions ◽  
Hiv Interventions ◽  
Hiv Intervention ◽  
Access To Health ◽  
Depth Interviews ◽  
Sex Practices

In this qualitative study of brothel-based Female Sex Workers (FSWs), the authors explored factors that influence safe sex practices of FSWs within an integrated HIV intervention. Qualitative methods, including focus group discussions (FGDs), in-depth interviews and key informant interviews were applied in four brothels in Bangladesh. Young and elderly FSWs, Sordarnis (Madams who own young FSWs and who may be either active or inactive sex workers themselves), program managers and providers were the participants for this study. Findings showed that condom use was high but not consistent among bonded FSWs (those who are under the control of a Sordarni) who have regular clients. The bonded FSWs reported being maltreated by the Sordarnis for refusing to have sex without a condom, and access to health services was hindered by Sordarnis. Implications of the study are that integrated HIV intervention should provide more encouragement to relevant stakeholders to promote mutual support towards safe sex practices for the FSWs.

scholarly journals EXPLORING 35-44 YEAR OLD MEN’S HEALTH BEHAVIOUR: A QUALITATIVE PERSPECTIVE

2017 ◽  
Vol 1 ◽  
pp. 649
Author(s):  
Vineta Silkane ◽  
Ivars Austers
Keyword(s):  
Health Behaviour ◽  
Physical Inactivity ◽  
Age Groups ◽  
Negative Attitude ◽  
Negative Consequences ◽  
Way Of Life ◽  
Old Men ◽  
Depth Interviews ◽  
Inductive Thematic Analysis ◽  
Nutrition Habits

Upon reaching 35-44 year of age, men experience their first health problems, often because of an unhealthy way of life e.g., smoking, physical inactivity, unhealthy nutrition habits, etc. In comparison with other age groups, these men rarely look for medical help, thus, opening themselves up to a number of potentially negative consequences e.g. health risks in future. This study explores the health behaviour of 35-44 year old men by conducting semi-structured in-depth interviews with 48 participants. The data are further analysed using inductive thematic analysis. Results indicate the presence of three main types of men’s behaviour: 1) participants with positive attitude towards one’s health and practice of health behaviour, 2) well-informed participants with intentions to perform health behaviour as well as excuses not to follow these intentions, 3) men with negative attitude towards one’s health and lack of practice of health behaviour. 

scholarly journals Telemedicine: challenges to dissemination in Brazil

2016 ◽  
Vol 32 (suppl 2) ◽  
Author(s):  
Jose Manuel Santos de Varge Maldonado ◽  
Alexandre Barbosa Marques ◽  
Antonio Cruz
Keyword(s):  
Health Services ◽  
Point Of View ◽  
Access To Health Services ◽  
Economic Point ◽  
Access To Health ◽  
The Social ◽  
Interdisciplinary Nature ◽  
Scientific Papers ◽  
The Subject ◽  
Universal Health

Abstract: Telemedicine has been seen as an important tool for facing the challenges of universal health systems. The goal of this article is to discuss the main challenges to its full dissemination in Brazil. Being a somewhat new area, there are not many scientific papers that systematize it. This article is an exploratory paper, as it aims to provide an overall perspective on the subject. From an economic point of view, telemedicine is a strategic area due to its an intrinsic potential of being a source for generating innovation, for requiring and incorporating technological breakthroughs from other areas, and for its interdisciplinary nature and dynamic inter-relations that drive different industries. From the social perspective, it has the potential to make access to health services democratic, by connecting remote regions with health services located in hospitals and centers of reference for prevention, diagnosis and treatment.

scholarly journals Epidemiological profile of home deaths due to stroke during the COVID-19 pandemic

2021 ◽  
Author(s):  
Gyovanna Rodrigues Cardoso ◽  
Gabriel David Camargo ◽  
Nikolas Lisboa Coda Dias ◽  
Priscila Anice Fernandes ◽  
Stefan Vilges de Oliveira
Keyword(s):  
Age Groups ◽  
Signs And Symptoms ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Access To Health Services ◽  
Medical Support ◽  
Cross Sectional ◽  
Access To Health ◽  
Excessive Alcohol ◽  
Epidemiological Profile

Background: Stroke is one of the main causes of death, disability and hospitalization. Although more prevalent in adults and the elderly, it has increased in young people for stress, poor diet, excessive alcohol and sedentary lifestyle. This study is justified because the restrictions in the pandemic, such as social isolation, reduced access to health services, have changed people’s behavior in relation to health care. This can cause the delay in medical care, leading to negative outcomes. Objectives: Analysis of home deaths for stroke, in Brazil, in the pandemic by age intervals. Design and Setting: Cross-sectional study in Federal University of Uberlândia. Methods: Study of home deaths from stroke, based on the Portal de Transparência do Registro Civil (ARPEN). Analyzing a previous context and during the pandemic, the percentage variations by age group between 2019 and 2020 were compared. Results: In 2020, 15,777 home deaths were recorded, while 2019 there were 12,349, representing an increase of 27.76%. In 2020, all age groups analyzed, there were increases in relation to 2019, the most expressive were: 0-9 years (76%), 10-19 (32.14%), 60-69 (28.12%), 70-79 (36.35%) and 80-89 (29.97%). Conclusions: Medical support in the first hours of symptoms is essential. The delay in care can delay the diagnosis, make the use of medications unfeasible, due to the door-to-needle times, as well as increasing home deaths. Thus, it is important to guide the population in the identification of signs and symptoms, to knowledge about the need for immediate hospital care, even in the pandemic.

scholarly journals Move or perish? Sticky mobilities in the Swiss academic context

2021 ◽  
Author(s):  
Marie Sautier
Keyword(s):  
Personal Development ◽  
Research Area ◽  
Early Career ◽  
Structured Interviews ◽  
Academic Context ◽  
Family Ties ◽  
Early Career Researchers ◽  
Scientific Mobility ◽  
Personal Accounts ◽  
Local Family

AbstractThis article uses a context of increasing institutional demand to be geographically mobile to examine how early-career researchers move across borders. I explore the case of Swiss academia, a particularly competitive and attractive environment with the highest levels of inbound and outbound mobility in Europe. In line with the aims of the European Research Area, an EU programme created in 2000 to foster a pan-European academic labour market, Switzerland funds scientific mobility and promotes extended research trips abroad as tools to boost collaboration and research excellence. Therefore, Swiss institutions have valued mobility for professional and personal development. In the meantime, they have raised concerns about female academics not being mobile and the potential consequences of their local family ties on career inequalities. In this study, I explore how early-career researchers experience mobility and how their personal accounts challenge institutional definitions of being mobile or immobile. I draw on a qualitative analysis of 65 semi-structured interviews conducted for two EU research projects on early-career academics from various backgrounds. I show how empirical data question the traditional—and often gendered—mobile/immobile dichotomy. I also highlight how mobility practices are normalised by the interviewees. Moreover, using the concept of stickiness, I describe a subtle range of sticky-to-stretchy mobility experiences influenced by both structural and individual factors. Finally, through the figure of the geoccasional worker, I question romanticised visions of mobility and stress the need to reconsider mobility as a (gendered) precarity issue rather than as a female problem.

scholarly journals Studi Kualitatif Keberadaan Penyakit Kusta di Desa Dendun Kecamatan Mantang Kabupaten Bintan

2020 ◽  
Vol 11 (2) ◽  
pp. 84-93
Author(s):  
Harvensica Gunnara ◽  
Rian Yuliyana ◽  
Rinaldi Daswito ◽  
Ratna Juwita ◽  
Hendra Dhermawan Sitanggang
Keyword(s):  
Adherence To Treatment ◽  
Access To Health Services ◽  
Case Study Method ◽  
District Health ◽  
Analysis Process ◽  
Access To Health ◽  
History Of ◽  
Level Of Knowledge ◽  
Depth Interviews

Indonesia is in the third position in the world with the most leprosy sufferers after India and Brazil. Leprosy is commonly found in developing countries, as a result of the country's limited ability to provide adequate services in the fields of health, education, and socioeconomic welfare for the community. Dendun Village in Mantang District had the most cases of leprosy, 5 (five) cases in the Bintan Regency area in 2018. The study was used as a qualitative approach with a case study method. Content analysis was used in the analysis process of this research. Testing the results of research used source triangulation by cross-checking data with facts from other sources (informants) and triangulation methods by collecting data through in-depth interviews with informants and reviewing documents. The level of knowledge, negative stigma, adherence to treatment, history of contact with leprosy sufferers, and access to health services were important factors for the existence of leprosy in Dendun Village, Mantang District, Bintan Regency. Patients are expected to comply with the treatment program seriously to prevent transmission, cure, and recovery due to diseases carried out by the Bintan District Health Office and Mantang Puskesmas.

scholarly journals ORGANIZATIONAL ASPECTS AND A SCHEDULE FOR ACCESS TO VACCINATION FROM USERS’ PERSPECTIVE

2021 ◽  
Vol 30 ◽  
Author(s):  
Deborah Correia Duarte ◽  
Selma Maria da Fonseca Viegas ◽  
Thais de Fátima Silvério Augusto ◽  
Valéria Conceição de Oliveira ◽  
Jéssica Rauane Teixeira Martins ◽  
...  
Keyword(s):  
Point Of View ◽  
Daily Routine ◽  
Individual Interview ◽  
Access To Health Services ◽  
Primary Health ◽  
Access To Health ◽  
Centered Care ◽  
Immunization Services ◽  
Multiple Case

ABSTRACT Objective to understand access to vaccination and its organizational aspects in the daily routine of Primary Health Care from users’s point of view. Method a holistic-qualitative multiple case study based on Comprehensive Sociology of Everyday Life, with 74 users from four sanitary microregions of the West Minas Gerais Extended Health Region, Brazil. As evidence data sources, we used the open and intensive individual interview, guided by a semi-structured script and technical visit to the vaccine rooms. Data were collected between June 2016 and April 2017. Data analysis was based on thematic content analysis. Results proved to be obstacles that compromise access to immunization services such as: the establishment of specific days for the performance of certain vaccines; the opening hours of vaccine rooms; lack of immunobiological; lack of guidance on the part of health professionals. It was evidenced that direct contact and insertion of users in other actions and services of the unit favor access to vaccination. A schedule for better access was suggested by users, who recommended: the reorganization of the days and times available for vaccination; vaccine card computerization; implementation of dissemination strategies to expand search for immunization; vaccination room structural adequacy; expansion of human resources in health units. Conclusion it is emphasized the importance of services identifying their weaknesses and adopting strategies that enable user-centered care, promoting access to health services and, consequently, immunization.

scholarly journals Socioeconomic characteristics and costs of rare and orphan diseases in Peru, 2019

2021 ◽  
Vol 21 (4) ◽  
pp. 710-718
Author(s):  
Grecia Claussen Portocarrero ◽  
Alfonso Gutierrez Aguado
Keyword(s):  
Age Groups ◽  
Orphan Diseases ◽  
Access To Health Services ◽  
Administrative Records ◽  
The Public ◽  
Socioeconomic Characteristics ◽  
Access To Health ◽  
Observational Design ◽  
Delay Of Diagnosis ◽  
A Current

Introduction: The rare and orphan diseases (ROD) constitute a current challenge due to the lack of investigation. Objective: Describe the socioeconomic characteristics of rare and orphan diseases (ROD) in Peru, 2019. Methods: Descriptive observational design. The information was obtained from FISSAL administrative records, and an intentional sample of 20 patients was taken to carry out the questionnaire on ROD. For the economic records, a review of the public budget of the MEF was made. The data analysis was descriptive and inferential. Results: There were 454 patients with a total of 49 ROD; of these, the most representative age groups were schoolchildren and young adults (18% each), and the most frequent diagnosis was Tetralogy of Fallot (22%). The questionnaire on ROD reports a median of 7 months in the delay of diagnosis and between 3 and 5 doctors were visited. Likewise, 30% considered that it generated a high to very high expense. It was calculated that the ROD budget constitutes 2.25% of the total budget for high-cost diseases. Likewise, the ROD budget was different between 2014 and 2019. Conclusions: The population with ROD in Peru is not large; however, it requires greater attention to access to health services and a greater budget allocation.

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