scholarly journals A Protocol on Using the RE-AIM Framework in the Process Evaluation of the Primary Health Integrated Care Project for Four Chronic Conditions in Kenya

2022 ◽  
Vol 9 ◽  
Author(s):  
Violet Naanyu ◽  
Hillary Koros ◽  
Beryl Maritim ◽  
Jemima Kamano ◽  
Kenneth Too ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Integrated Care ◽  
Process Evaluation ◽  
Secondary Data ◽  
Management Program ◽  
Primary Data ◽  
Breast Cancers ◽  
Structured Interviews ◽  
Primary Health

Background: There has been a rapid increase in morbidity and mortality arising from non-communicable diseases (NCDs). The Academic Model Providing Access to Healthcare (AMPATH) program has established a chronic disease management program in collaboration with the Ministry of Health (MoH) in Kenya at over 150 health facilities in western Kenya. The primary health integrated care for chronic (PIC4C) disease project seeks to deliver preventive, promotive, and curative care for diabetes, hypertension, cervical and breast cancers at the primary health care level. We apply the RE-AIM framework to conduct a process evaluation of the integrated PIC4C model. This paper describes the protocol we are using in the PIC4C process evaluation planning and activities.Methods and Analysis: This evaluation utilizes clinic reports as well as primary data collected in two waves. Using mixed methods (secondary data, observation, semi-structured interviews, and focus group discussions), the process evaluation assesses the reach, effectiveness, adoption, implementation and maintenance of the PIC4C model in Busia and Trans Nzoia Kenya. The evaluation captures the PIC4C process, experiences of implementers and users, and the wishes of those using the PIC4C services. We will analyse our data across the RE-AIM dimensions using descriptive statistics and two-sample t-test to compare the mean scores for baseline and end line. Qualitative data will be analyzed thematically.Discussion: The process evaluation of the PIC4C model in Kenya allows implementers and users to reflect and question its implementation, uptake and maintenance. Our experiences thus far suggest practicable strategies to facilitate primary health care can benefit extensively from deliberate process evaluation of the programs undertaken. Furthermore, integrating the RE-AIM framework in the process evaluation of health programs is valuable due to its pragmatic and reporting usefulness.

Information technology and knowledge sharing for better health care: an emerging economy context

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lejla Turulja ◽  
Merima Cinjarevic ◽  
Ljiljan Veselinovic
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Knowledge Sharing ◽  
Health Care Professionals ◽  
Primary Data ◽  
Future Research ◽  
Structured Interviews ◽  
Content Type ◽  
Primary Health ◽  
Information And Communication

Purpose The present study aims to explore “what” type of knowledge is shared, “how” it is shared and what information and communication tools are used to share knowledge among health-care professionals in the context of emerging “digital laggard” country in the South-Eastern European region (i.e. Bosnia and Herzegovina [B&H]). Design/methodology/approach This study applies the qualitative research methodology and thematic analysis for collecting, analysing and interpreting data. Primary data is collected using semi-structured interviews (n = 9). Key informants are employees of the main primary health-care institution in the capital of B&H. Findings The results indicate that knowledge sharing among primary health-care practitioners is the interplay of formal and informal exchange of knowledge, facilitated by both traditional communication media (face-to-face interaction) and ICT-based tools. In regards to ICT tools, our findings suggest that instant messing applications (predominantly Viber) are viewed as common media for sharing tacit knowledge within a community of practice. Research limitations/implications This study is limited to one emerging digital laggard country; thus, future research regarding ICT-based knowledge sharing in other emerging digital laggard countries is welcomed. Originality/value In the context of “digital laggard”, societies, informal, spontaneous and dynamic system of social interactions can be a successful substitute for ICT-based formalised and structured system of knowledge sharing.

Integrated care transitions: emergency to primary health care

2016 ◽  
Vol 24 (4) ◽  
pp. 225-232 ◽  
Author(s):  
Carolina Baltar Day ◽  
Regina Rigatto Witt ◽  
Nelly D Oelke
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Integrated Care ◽  
Care Transitions ◽  
Large City ◽  
University Hospital ◽  
Structured Interviews ◽  
Content Type ◽  
Primary Health ◽  
Shared Information

Purpose – The purpose of this paper is to focus on the Integrated Care Transitions Project between the emergency department (ED) of a university hospital and primary health care (PHC) services in a large city in Southern Brazil was the focus of this study. Care transitions occurred through telephone contact for patients discharged from the ED to PHC. Design/methodology/approach – This descriptive, exploratory qualitative research collected data via semi-structured interviews (n=14) including interns of health disciplines, advisors for interns, nurses, and physicians from the ED and PHC Family Unit. A thematic analysis of the data were conducted. Findings – ED providers felt they gained increased knowledge of the care networks available for patients in the community. Connection between the providers in ED and PHC facilitated confidence in the services provided in the community and increased continuity of care for patients’ needs. The PHC providers recognized integration promoted communication and better care planning for patients discharged from ED. Integrated care made the work in the PHC easier and benefited the users. Research limitations/implications – The study evaluated a program available in one hospital. Generalizability may be limited as services in the ED were provided by professional residents and their advisors, not employees of the hospital. Practical implications – Shared information by different health services leads to better care for patients and greater job satisfaction for providers. Originality/value – Care transitions are not well-managed in health care; there is limited research focusing on care transitions from ED to community. For providers and patients, this program assisted in building capacity and networks for transitions in care.

scholarly journals Detection of tuberculosis: respiratory symptoms flow and results achieved

2018 ◽  
Vol 71 (5) ◽  
pp. 2543-2551 ◽  
Author(s):  
Lílian Moura de Lima Spagnolo ◽  
Jéssica Oliveira Tomberg ◽  
Dagoberta Alves Vieira ◽  
Roxana Isabel Cardozo Gonzales
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Respiratory Symptoms ◽  
Secondary Data ◽  
Health Care Teams ◽  
Structured Interviews ◽  
Primary Health ◽  
Municipal Management ◽  
Descriptive Statistical Analysis

ABSTRACT Objective: to analyze the flow of care to the person with symptoms of tuberculosis and the results achieved in the detection of cases in Primary Health Care units of two municipalities of Rio Grande do Sul. Method: descriptive of mixed methods, developed between 2013 and 2016. We used secondary data of 69 units and semi-structured interviews with 10 professionals. Descriptive statistical analysis and content analysis were used. Results: it was observed that the fragmented flow of attention to the respiratory symptoms in Pelotas resulted in low detection of cases by Primary Care, 8.8% of the diagnoses of the municipality. The Sapucaia do Sul flow presents continuity of care, and Primary Care performed 50% of the diagnoses of the municipality. Conclusion: the organization of flows by municipal management was instrumental in promoting or limiting the commitment of Primary Health Care teams in coordinating care and consequently in achieving the goals of disease control.

scholarly journals Effectivity of Indonesia Chronic Disease Management Program (PROLANIS) to Control Hypertension and its Comorbidities at Primary Health Care

2020 ◽  
Vol 8 (E) ◽  
pp. 224-227
Author(s):  
Firas Farisi Alkaff ◽  
William Putera Sukmajaya ◽  
Ryan Enast Intan ◽  
Sovia Salamah
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Chronic Disease ◽  
Secondary Data ◽  
Care Program ◽  
Management Program ◽  
Primary Health ◽  
Study Population ◽  
National Prevalence

BACKGROUND: National prevalence of hypertension in Indonesia is increasing in the past few years. One of the reasons is because of the weaknesses in health systems, particularly at the primary care level. To resolve this issue, Indonesian government launched a chronic disease care program (PROLANIS) designed to be done at primary health care with the aim to control hypertension. Wates primary health care routinely conducts the program from April 2018. AIM: This study aims to evaluate the effectivity of PROLANIS in controlling hypertension and its comorbidities at Wates primary health care. METHODS: This study was an observational retrospective cohort study using secondary data from PROLANIS report at Wates primary health care in Mojokerto city, Indonesia. The study population was hypertensive patients that voluntarily joined the program on April 2018 and routinely attend evaluation follow-up every 6 months. Follow-up evaluation including blood pressure (BP), body mass index (BMI), total cholesterol (TC), high-density lipid (HDL), low-density lipid (LDL), triglyceride, and estimated glomerular filtration rate (eGFR). RESULTS: There were 44 participants included for the analysis. Median systolic and diastolic BP were always within normal range. Triglyceride serum level showed an improvement in every follow-up evaluation. BMI and LDL showed an improvement in the first follow-up but deteriorated afterward. TC only showed a remarkable improvement in the last follow-up evaluation, while HDL and eGFR result were fluctuate. CONCLUSION: PROLANIS was effective to control BP at Wates primary health care, but not effective to control all comorbidities. Future study needs to be done to elucidate the effectivity of this program countrywide.

scholarly journals Pelaksanaan dan Faktor yang Mempengaruhi Kepemilikan Surat Izin Praktik Apoteker (SIPA) oleh Tenaga Apoteker di Rumah Sakit dan Puskesmas Kota Surabaya Tahun 2016

2018 ◽  
Vol 5 (2) ◽  
pp. 130
Author(s):  
Alvin Faizah
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Secondary Data ◽  
Primary Data ◽  
Health Minister ◽  
Cross Sectional ◽  
Primary Health ◽  
Public Health Office ◽  
Minimum Number

Surabaya had more than 1.600 pharmacists in 2016. However, based on the data there were 144 pharmacists that did not have practice licenses in hospitals and primary health care in Surabaya. It meant that the implementation of The Regulation of Health Minister Number 889 Year 2011 was ineffective. The purpose of this research was describing the pratice lincesing of pharmacist in hospitals and primary health care in Surabaya and the factors that influenced the problem. This research was an observational descriptive study with cross sectional method. Primary data were collected through observation, interview and discussion with the staff in charged in Surabaya Public Health Office. While the secondary data could be achieved from official documents, reports, and archives. Comparing the number of pharmacists in the hospitals or primary health care with the minimum manpower standard of pharmacist based on The Regulation of Health Minister Number 56 Year 2014, the result showed that 33 hospitals had not fulfilled the standard minimum number of pharmacists which mean they had not made their practice licenses. Therefore, the given recommendation was strengthening Public Health Office’s role to direct warning and punishment toward hospitals and pharmacists.Keywords: pharmacist, practice license, hospital and primary health care

An Alternative Approach To User Fee Policy In The Primary Health Care Setting Of Bangladesh.

2020 ◽  
Author(s):  
Nazneen Akhter
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Complex Dynamics ◽  
Quality Care ◽  
Secondary Data ◽  
User Fees ◽  
Primary Health ◽  
Alternative Approach ◽  
Benefit Principle ◽  
User Fee

The concept of ascribing user fee in health care settings always remained a policy struggle and countries experienced different learning in this regards while implementing user fee at different tiers of health settings. The most exquisite learning among the many country specific evidences related to user fee are the match and mismatch between the equity principle and benefit principle while considering the client perspective. There is an added dimension of quality care which also add more complex dynamics into this concept since the quality care consideration has a double edged perspective both for clients and providers, where which one will get superiority over whom is a great question in health care, especially in the Primary Health care (PHC) of the country. In this reality the appropriate implementation guideline, followed by an appropriate practice of the administrative and management both service oriented and financial are of great importance in this user fee implementation consideration which always remained a challenge in the health care specially in remote care of PHC. This paper attempted a secondary data searching and scoping the available documents of Bangladesh and across the world to find an alternative approach to user fees policy where equity and benefit principle and quality - these three have to be placed in a well-constructed triad in PHC implementation which has been recommended as an alternative policy imperative in approaching user fees for Bangladesh PHC settings.

scholarly journals Modeling of Food and Nutrition Surveillance in Primary Health Care

2017 ◽  
Vol 30 (1) ◽  
pp. 109-126 ◽  
Author(s):  
Santuzza Arreguy Silva VITORINO ◽  
Marly Marques da CRUZ ◽  
Denise Cavalcante de BARROS
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care System ◽  
Document Analysis ◽  
Logic Model ◽  
Structured Interviews ◽  
Primary Health ◽  
Food And Nutrition ◽  
Definition Of ◽  
Care System

ABSTRACT Objective: To describe the modeling stages of food and nutrition surveillance in the Primary Health Care of the Unified Health Care System, considering its activities, objectives, and goals Methods: Document analysis and semi-structured interviews were used for identifying the components, describe the intervention, and identify potential assessment users. Results: The results include identification of the objectives and goals of the intervention, the required inputs, activities, and expected effects. The intervention was then modeled based on these data. The use of the theoretical logic model optimizes times, resources, definition of the indicators that require monitoring, and the aspects that require assessment, identifying more clearly the contribution of the intervention to the results Conclusion: Modeling enabled the description of food and nutrition surveillance based on its components and may guide the development of viable plans to monitor food and nutrition surveillance actions so that modeling can be established as a local intersectoral planning instrument.

scholarly journals Practices in primary health care oriented toward the harmful consumption of drugs

2014 ◽  
Vol 48 (spe) ◽  
pp. 111-119
Author(s):  
Heloisa da Veiga Coelho ◽  
Cássia Baldini Soares
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Drug Users ◽  
Structural Elements ◽  
Critical Approach ◽  
Structured Interviews ◽  
Primary Health ◽  
Health Care Practices ◽  
Care Practices ◽  
Functionalist Approach

Objective To analyze the practices of primary care focused on the harmful consumption of drugs. Method This is a qualitative study, developed with a dialectical-critical approach. Data collection was carried out through semi-structured interviews with 10 employees of a basic health unit (UBS). Results The demands are not accepted, and if they go beyond the barriers shaped by the historical absence of health care practices for drug users and moralistic and preconceived ideologies, they are not reinterpreted as health needs; practices that meet these demands and go beyond the barriers are poor; the functionalist approach, which explains drug use as a disease and considers drug users as deviants, supports the few existing practices. Conclusion primary health care is mistakenly focused on addiction; it lacks structural elements of the production process in health and internal dynamics of the working processes that would foster the development of collective practices.

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