scholarly journals Access to Health Services and Assistance Offered to the Afro-Descendant Communities in Northern Brazil: A Qualitative Study

2021 ◽  
Vol 18 (2) ◽  
pp. 368
Author(s):  
Marcela de Oliveira Feitosa ◽  
Maria Elidiana Araújo Gomes ◽  
Iolanda Graepp Fontoura ◽  
Catilena Silva Pereira ◽  
Ana Maria da Costa Teixeira Carneiro ◽  
...  
Keyword(s):  
Health Services ◽  
Field Research ◽  
Descriptive Study ◽  
Northern Region ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Access To Health ◽  
Northern Brazil ◽  
Health Demands ◽  
Descendant Communities

The remnants of quilombos, individuals of African descent, have faced several barriers throughout its history, either due to prejudice imposed by society, or the non-fulfillment of their rights guaranteed in the 1988 Constitution, such as access to health services. Thus, this study aims to evaluate the health care offered to quilombo communities in the northern region of Tocantins. This is an exploratory, descriptive study with a qualitative approach, including field research and focus group, carried out with 58 quilombo remnants people from communities in the northern region of Tocantins. Data collection was carried out between from October 2017 to July 2018, through semi-structured interviews. We found that these communities have limited access to health services, in addition to a negative perception of the assistance offered to the health of their population and the commitment of managers. Therefore, access to health and assistance received by the studied communities required to be prioritized since the care provided is not unique and has not met the health demands and needs of the remaining quilombos in northern Tocantins, Brazil.

scholarly journals Accessing community health services: challenges faced by poor people with disabilities in a rural community in South Africa

2012 ◽  
Vol 1 (1) ◽  
Author(s):  
Lisbet Grut ◽  
Gubela Mji ◽  
Stine H. Braathen ◽  
Benedicte Ingstad
Keyword(s):  
Health Services ◽  
Family Members ◽  
People With Disabilities ◽  
Community Health Services ◽  
Poor People ◽  
Social Forces ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Her Family ◽  
Access To Health

Poor people with disabilities who live in poor rural societies experience unique problems in accessing health services. Their situation is influenced by multiple factors which unfold and interplay throughout the person’s life course. The difficulties do not only affect the person with a disability and his or her family, but also impact on the relevant care unit. The barriers are rooted in a life in poverty, upheld and maintained by poverty-reinforcing social forces of the past and the present, and reinforced by the lack of the person’s perspective of the health services. This article explores how difficulties may interact and influence access to and utilisation of health services, and how this may render health services out of reach even when they are available. The study reveals that non-compliance is not necessarily about neglect but could as well be a matter of lived poverty. The study was based on in-depth interviews with people with disabilities and family members, and semi-structured interviews with health personnel. The data analysis is contextual and interpretive. When offering health services to people with disabilities living in resource-poor settings, services should take into consideration the person’s history, the needs, and the resources and abilities of the family group. Rethinking access to health services should transcend a narrow medical institutionalization of health professional’s training, and include a patient’s perspective and a social vision in understanding and practice. Such rethinking requires health service models that integrate the skills of health professionals with the skills of disabled people and their family members. Such skills lie dormant at community level, and need to be recognized and utilized.

scholarly journals Barriers and Facilitators to Accessing Health Services: A Qualitative Study Amongst People with Disabilities in Cameroon and India

2019 ◽  
Vol 16 (7) ◽  
pp. 1126 ◽  
Author(s):  
Maria Zuurmond ◽  
Islay Mactaggart ◽  
Nanda Kannuri ◽  
Gudlavalleti Murthy ◽  
Joseph Oye ◽  
...  
Keyword(s):  
Health Services ◽  
Access To Health Care ◽  
Social Inclusion ◽  
Service Providers ◽  
People With Disabilities ◽  
Personal Factors ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Access To Health

Background: Article 25 of the UNCRPD stipulates the right of people with disabilities to the highest attainable standard of health, and the timely uptake of appropriate health and rehabilitation services. This study seeks to explore the factors which influence access to health care among adults with disabilities in Cameroon and India. Methods: A total of 61 semi-structured interviews were conducted with a purposive sample of adults with vision, hearing or musculoskeletal impairments, using data from an earlier cross-sectional disability survey. In addition, 30 key informants were interviewed to provide contextual information about the local services and context. Results: Key themes included individual-level factors, understanding and beliefs about an impairment, and the nature of the impairment and interaction with environmental factors. At the community and household level, key themes were family dynamics and attitudes, economic factors, social inclusion and community participation. Intersectionality with gender and age were cross-cutting themes. Trust and acceptability of health service providers in India and poor understanding of referral processes in both countries were key service-level themes. Conclusions: The interaction of environmental and personal factors with the impairment and their levels of participation and inclusion in community structures, all contributed to the take up of services. This study illustrated the need for a multi-faceted response to improve access to health services for people with disabilities.

Practices employed by South African healthcare providers to obtain consent for treatment from children

2016 ◽  
Vol 25 (5) ◽  
pp. 640-652
Author(s):  
Michelle Bester ◽  
Yolanda Havenga ◽  
Zea Ligthelm
Keyword(s):  
Health Services ◽  
South African ◽  
Research Design ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Mental Capacity ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Medical Practitioners ◽  
Access To Health

Background: The ability to consent promotes children’s access to health services. Healthcare providers should assess and arrive at a clinical judgement about the child’s maturity and mental capacity to obtain valid consent. Research objective: The objective of the study was to determine practices employed by South African healthcare providers to obtain consent for treatment from children. Research design: A qualitative, explorative, descriptive research design was used and the study was contextual. Participants and research context: In all, 24 healthcare providers (professional nurses and medical practitioners) were purposively sampled from a hospital and primary health clinics. Semi-structured interviews were used. Ethical consideration: Ethical approval was obtained from the Institutional Review Board and gatekeepers. Written informed consent was obtained from each participant. Findings: Healthcare providers’ current practices in obtaining consent from children revealed inconsistency in implementation as well as the yardstick used to determine children’s mental capacity. Building trust with children, sharing information and assessment were interlinked in obtaining consent. Discussion: The inconsistent practice has implications for children’s access to healthcare services. Conclusion: Inconsistent practices in the implementation of consent laws have the potential to violate children’s rights to bodily and psychological integrity, access to health services and having their opinions heard and be taken into consideration. Through uncovering the current perceptions and practices and a literature review, guidelines intended for use by the Department of Health could be developed.

Professionals’ knowledge of the family health program on the actions taken by the sector of control, evaluation, regulation and audit

2011 ◽  
Vol 5 (3) ◽  
pp. 741
Author(s):  
Adna De Araújo Silva ◽  
Lucilane Maria Sales da Silva ◽  
Maria Verônica Sales da Silva ◽  
Marcelo Costa Fernandes
Keyword(s):  
Health Services ◽  
Family Health ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Family Health Program ◽  
Health Strategy ◽  
Access To Health ◽  
The Family ◽  
Family Health Strategy ◽  
Control Evaluation

ABSTRACTObjective: to check the knowledge of professionals in the Family Health Strategy on activities undertaken by the sector of control, evaluation, regulation and audit. Methodology: this is about a descriptive study from qualitative approach. It was applied a semi-structured interviews with three doctors and 16 nurses who are part of the team from Family Health Strategy in the municipality of Morada Nova/CE, in October 2007. This study was approved by the ethics committee of the Federal University of Ceara with the protocol number COMEP No. 208/07. Results: according to the statements, the study subjects understand the actions performed in the industry as a set of control actions, evaluating and monitoring the work of health professionals, but also to regulate users' access to health services. Most professionals are unaware of the current team that makes up the CARA of the municipality, however agree that the team should be composed of a multidisciplinary team, preferably with specialization in the area. Conclusion: let us consider how the actions performed by CARA may contribute to the improvement of the SUS, aiming at improving the care provided by health services to its users. Descriptors: clinical audit, family health, single health system. RESUMOObjetivo: verificar o conhecimento dos profissionais da Estratégia Saúde da Família sobre as atividades realizadas pelo setor de controle, avaliação, regulação e auditoria. Metodologia: estudo descritivo com abordagem qualitativa. Foi aplicado uma entrevista semi-estruturada com três médicos e 16 enfermeiros que fazem parte da equipe da Estratégia Saúde da Família no município de Morada Nova/CE, em outubro de 2007. Estudo aprovado pelo Comitê de Ética da Universidade Federal do Ceará com o número de protocolo Comepe nº 208/07. Resultados: de acordo com as falas, os sujeitos do estudo entendem as ações realizadas no setor como sendo um conjunto de ações de controle, avaliação e fiscalização do trabalho dos profissionais de saúde, como também de regulação do acesso dos usuários aos serviços de saúde. A maioria dos profissionais não tem conhecimento da atual equipe que compõe a CARA do município, entretanto concordam que a equipe deveria ser composta de uma equipe multidisciplinar, preferencialmente com especialização na área. Conclusão: considere-se o quanto as ações desempenhadas pela CARA podem contribuir para o aperfeiçoamento do SUS, visando à melhoria da assistência prestada pelos serviços de saúde aos seus usuários. Descritores:  auditoria clínica; saúde da família; sistema único de saúde.RESUMENObjetivo: verificar los conocimientos de los profesionales de la Estrategia de Salud de la Familia sobre las actividades realizadas por el sector de control, evaluación, regulación y fiscalización. Metodología: estudio descriptivo con enfoque cualitativo. Se aplicó una entrevista semi-estructurada con 03 médicos y 16 enfermeras que forman parte del Estrategia Salud de la Familia en el municipio de Morada Nova - CE, en octubre de 2007. Este estudio fue aprobado por el comité de ética de la Universidade Federal de Ceará con el número de protocolo Comepe N º 208/07. Resultados: de acuerdo con las declaraciones, los sujetos del estudio entienden las acciones realizadas en la industria como un conjunto de medidas de control, evaluación y seguimiento de la labor de los profesionales de la salud, sino también para regular el acceso de los usuarios a los servicios de salud. La mayoría de profesionales no son conscientes de que el equipo actual que hace que el rostro del municipio, sin embargo de acuerdo en que el equipo debe estar compuesto por un equipo multidisciplinario, preferentemente con especialización en el área. Conclusión: vamos a considerar cómo las acciones realizadas por CARA puede contribuir a la mejora del SUS, con el objetivo de mejorar la atención recibida por los servicios de salud a sus usuarios. Descriptores: auditoría clínica; salud de la família; sistema único de salud.

scholarly journals Health and Demographic Characteristics of Patients Attending a Newly-Opened Medical Facility in a Remote Amazonian Community: A Descriptive Study

2018 ◽  
Vol 6 (4) ◽  
pp. 106 ◽  
Author(s):  
Lucy Guile ◽  
Devon Graham ◽  
Anne Jachmann
Keyword(s):  
Health Services ◽  
Care Facility ◽  
Cross Sectional Study ◽  
Demographic Characteristics ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Poor Access ◽  
Access To Health ◽  
High Prevalence

Peru is a country with wide regional disparities in health. Remote Amazonian communities have high rates of poverty and poor access to health services. There is a lack of data on morbidity and use of health services in the region. We describe a descriptive, cross-sectional study of the demographic characteristics and presenting complaints of attendees to a newly-opened primary care facility in a remote community. This was supplemented by structured interviews of adult attendees to build a picture of sociocultural determinants of health locally, including engagement with traditional forms of medicine. Our study provides novel insights into an under-studied and under-resourced area. We found a young population with a high prevalence of infectious illnesses, particularly dermatological infections - a previously under-recognised source of morbidity in these communities. Poor literacy rates and widespread use of traditional forms of medicine have important implications for the provision of healthcare in this region.

scholarly journals Understanding Fall-Risk Factors for Inuvialuit Elders in Inuvik, Northwest Territories, Canada

ARCTIC ◽  
2019 ◽  
Vol 72 (1) ◽  
pp. 13-27
Author(s):  
Julia S. Frigault ◽  
Audrey R. Giles
Keyword(s):  
Health Services ◽  
Fall Prevention ◽  
Fall Risk ◽  
Cultural Practices ◽  
Coping Skills ◽  
Personal Health ◽  
Health Practices ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Access To Health

Older Indigenous adults in Canada experience disproportionately poorer health outcomes than older non-Indigenous adults. Current fall-prevention literature suggests that older Indigenous adults have higher rates of falls and fall-related injuries; however, no information exists on older Inuit adults’ experience with falls. Using the social determinants of Inuit health (SDoIH) as a conceptual framework, this research sought to understand which of the SDoIH are believed by stakeholders (i.e., local fall prevention programmers [LFPPs] and Inuvialuit Elders) to affect most the likelihood of older Inuvialuit adults’ falls. The findings from the 12 semi-structured interviews and participant observations show that factors related to personal health status and conditions, personal health practices and coping skills, physical environments, social support networks, and access to health services increase older Inuvialuit adults’ likelihood of experiencing a fall. Some determinants, however, decrease their likelihood of experiencing falls (health practices, coping skills, and access to health services), and others, such as culture, were perceived as having little influence on falls. Specific cultural practices were identified as factors that influence the likelihood of older Inuvialuit adults experiencing a fall; however, the overall Inuvialuit culture was not. In light of these findings, we offer recommendations for LFPPs in Inuvik to implement fall-prevention programs that adequately address the SDoIH influencing older Inuvialuit adults’ fall risk and rates.

Accessibility and satisfaction of the elderly living in rural areas in relation to the health services.

2020 ◽  
Vol 42 ◽  
pp. e48896
Author(s):  
Pamela Kaezynski Maciel ◽  
Carla Weber Peters ◽  
Celmira Lange ◽  
Denise Somavila Przylynski Castro ◽  
Jessica Noema da Rosa Braga ◽  
...  
Keyword(s):  
Health Services ◽  
Rural Areas ◽  
Health Management ◽  
Family Health ◽  
The Elderly ◽  
Exploratory Research ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Unified Health System ◽  
Access To Health

 This study aimed to learn about the conditions of access to health services that seniors living in rural areas have, as well as their satisfaction. This is a qualitative, descriptive and exploratory research conducted in a municipality located in the southern region of Rio Grande do Sul, Brazil. It included 19 elderly individuals registered in three Basic Health Units organized in the form of Family Health Strategy. Data were collected between July and August 2018 through semi-structured interviews, which were analyzed based on Minayo's operational proposal. Afterwards, two categories were defined: "Access to health services used by elderly residents of rural areas" and "Satisfaction with health services used by elderly residents of rural areas". Concerning access, many are the difficulties faced, such as long distances to be traveled until arriving at a health service, poor road conditions, limitations related to public transport days, timetables and itineraries, lack of human and material resources, and long waiting time to make appointments with specialists and schedule exams through the Brazilian Unified Health System. As for satisfaction, the main complaint of the elderly participants refers to issues involving, above all, health management and work process, such as delay in making health care appointments, although most participants reported being satisfied with the care provided by health professionals. It is worth noting that learning about the conditions of access to health services used by elderly people living in rural areas and their satisfaction contributes to the planning, implementation, development and evaluation of public health actions, programs and policies.

Right to health, autonomy, and access to prenatal services

2021 ◽  
pp. 096973302199604
Author(s):  
Tatianne dos Santos Perez Both ◽  
Laís Alves de Souza ◽  
Elen Ferraz Teston ◽  
Antonio Rodrigues Ferreira Júnior ◽  
Maria Elizabeth Araújo Ajalla ◽  
...  
Keyword(s):  
Health Services ◽  
Health System ◽  
Right To Health ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Mato Grosso ◽  
Unified Health System ◽  
Informed Consent Form ◽  
Access To Health ◽  
The Right

Background: The concept of the right to health includes decent conditions of work, housing, and leisure. It can be assessed through the evaluation of access to health services and programs. The creation of the Brazilian Unified Health System expanded access to healthcare for the entire Brazilian population. Aim: This study aimed to understand the use of the Brazilian Unified Health System by pregnant women who live on the Brazil–Paraguay border, whose residents are known as Braziguayans. Methods: We conducted 16 semi-structured interviews with users of prenatal services at Unified Health System units located at the border of the municipalities of Ponta Porã and Pedro Juan Caballero. Ethical considerations: The Research Ethics Committee of the Federal University of Mato Grosso do Sul approved of this research. All participants were provided with project information and signed an informed consent form. Findings: Through content analysis of the interviews, “right to health” and “autonomy, pathways, and access” were two recurrent themes that have arisen. These suggested that Braziguayan women live in conditions of social vulnerability. They do not fully experience the right to healthcare, despite sufficient knowledge about the Brazilian and Paraguayan healthcare systems from which to choose prenatal care. The interviewees acknowledged that Unified Health System use is a right of Brazilian citizens and considered its units to be safe environments. These women also understand the structuring of Unified Health System and the mechanisms of accessing healthcare programs. Conclusion: We can conclude that, despite widely known difficulties, Unified Health System represents, for Braziguayan women, potential access to reliable health services for adequate prenatal and childbirth assistance.

Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study

The Lancet ◽  
2012 ◽  
Vol 379 (9818) ◽  
pp. 805-814 ◽  
Author(s):  
Qun Meng ◽  
Ling Xu ◽  
Yaoguang Zhang ◽  
Juncheng Qian ◽  
Min Cai ◽  
...  
Keyword(s):  
Health Services ◽  
Cross Sectional Study ◽  
Financial Protection ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Access To Health
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