scholarly journals SIG Tel@ Amazônia: promoting dialogue between specialists and primary care professionals in maternal and child health/ SIG Tel@ Amazônia: promovendo a interlocução entre especialistas e profissionais de Atenção Básica na saúde materno-infantil

2021 ◽  
Vol 4 (4) ◽  
pp. 15653-15671
Author(s):  
Angélica Baptista Silva ◽  
Vania Reis Girianelli ◽  
Aldo Pacheco Ferreira
Keyword(s):  
Primary Care ◽  
Indigenous Health ◽  
Indigenous Communities ◽  
Cross Sectional ◽  
Active Involvement ◽  
Rio Negro ◽  
Panel Type ◽  
Training Activities ◽  
Amazonas State ◽  
Primary Care Professionals

The Brazilian Indigenous Health Survey showed an increase in birth rates but also found an increase in deaths from malnutrition in early childhood. The study aimed to assess the effectiveness of an educational intervention involving primary care and childcare professionals' training on breastfeeding for indigenous infants. A cross-sectional panel-type descriptive study to assess breastfeeding interventions was conducted in two Special Indigenous Health Districts (SIHDs) of Amazonas State (Upper Rio Solimões and Upper Rio Negro) in 2018. The analysis compared the preintervention (January-June) and postintervention (September-December) periods in the two SIHDs and compared the intervention SIHDs with one SIHD that did not receive the intervention (Middle Rio Purus SIHD). As a result, there was a growth in lactation consultations after the intervention, with a 2,398% increase in Upper Rio Solimões and a 423% increase in Upper Rio Negro. Although the results show no evidence of early weaning, exclusive breastfeeding was ongoing for indigenous infants over six months of age. The participatory focus of the project's awareness-raising workshop guaranteed the health teams' active involvement. The Ministry of Health promotes training activities on the importance of counseling young indigenous women. However, the results show some uncertainty that this service is happening in the indigenous communities served by these SIHDs. Breastfeeding in indigenous peoples presents challenges that require specific public health interventions. Regarding the involvement of leaders and health professionals, there is an expectation of breastfeeding improvements in the region. 

scholarly journals Primary Health Care attributes in the context of indigenous health

2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Esron Soares Carvalho Rocha ◽  
Noeli das Neves Toledo ◽  
Rizioléia Marina Pinheiro Pina ◽  
Márcia Cristina Rodrigues Fausto ◽  
Ana Luiza D’Viana ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Assessment Tool ◽  
Indigenous Health ◽  
Health District ◽  
Cross Sectional ◽  
Primary Health ◽  
Rio Negro ◽  
Care Assessment

ABSTRACT Objectives: to assess the attributes of Primary Health Care from the perspective of health professionals, comparing services in the Special Indigenous Health District and the Municipal Health Offices. Methods: a cross-sectional study in the Upper Rio Negro region, State of Amazonas, with 116 professionals. The data were collected through the Primary Care Assessment Tool. Scores were categorized (≥ 6.6) - strong orientation and (<6.6) - low orientation. The chi-square and maximum likelihood test for crossover analysis. The comparison between professionals the Kruskal-Wallis Test. Results: a higher overall score was observed in the Indigenous Health District (7.2). The same trend was observed individually in the essential and derived attributes. Conclusions: this work may support strategies that positively impact the management model and work processes from the perspective of strengthening the primary care offered to the population from Rio Negro.

scholarly journals The second clinical survey of the population-based study on health and living conditions in regions with Sami and Norwegian populations – the SAMINOR 2 Clinical Survey: Performing indigenous health research in a multiethnic landscape

2019 ◽  
Vol 48 (6) ◽  
pp. 583-593 ◽  
Author(s):  
Ann Ragnhild Broderstad ◽  
Solrunn Hansen ◽  
Marita Melhus
Keyword(s):  
Ethnic Groups ◽  
Indigenous Health ◽  
Participation Rate ◽  
Indigenous Communities ◽  
Glycated Haemoglobin ◽  
Population Based ◽  
Living Conditions ◽  
Future Research ◽  
Cross Sectional ◽  
Clinical Survey

Background Globally, there is a huge lack of relevant research about widespread lifestyle diseases and living conditions in indigenous communities. Northern and Middle Norway have a history of multiple ethnic groups and the Sami has been acknowledged as the indigenous people of Norway by the Norwegian State. The SAMINOR 2 Clinical Survey, a part of the SAMINOR Study, was carried out to provide health information about the Sami population in Norway. Methods The cross-sectional population-based SAMINOR 2 Clinical Survey consists of both questionnaires and a clinical examination performed in 10 municipalities during 2012–2014. Results In total, 6004 men and women (participation rate 48%) aged 40–79 years took part in this study. In inland Finnmark, the Sami are in the majority (80–90%) as opposed to the coastline of Troms and Nordland, where the Sami population form a minority (20%). More women than men participated (54% versus 43%, respectively). Obesity was prevalent in this sample and a high mean glycated haemoglobin was observed. Conclusions: This article describes the methods and data collection of the SAMINOR 2 Clinical Survey and presents some characteristics of the sample. The definition of ethnic groups is a core question in the survey and includes several criteria. To ensure that indigenous values and priorities are reflected in the research themes, we recommend that future research projects be directed in close collaboration with the Sami Parliament and the local communities.

scholarly journals Computerization of primary health care: the manager as a change agent

2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Tarcísio Laerte Gontijo ◽  
Paola Karol Martins Lima ◽  
Eliete Albano de Azevedo Guimarães ◽  
Valéria Conceição de Oliveira ◽  
Humberto Ferreira de Oliveira Quites ◽  
...  
Keyword(s):  
Primary Care ◽  
Implementation Process ◽  
Cross Sectional Study ◽  
Minas Gerais ◽  
Software Systems ◽  
Cross Sectional ◽  
Technological Infrastructure ◽  
Factors Associated ◽  
Care Systems ◽  
Primary Care Professionals

ABSTRACT Objective: To analyze factors associated with the implementation of software systems of the e-SUS Primary Care strategy in municipalities of Minas Gerais. Methods: This is a cross-sectional study conducted with municipal managers of the e-SUS Primary Care strategy. A sample of cities stratified according to population size was selected. Descriptive, bivariate, and multivariate analyzes were performed to identify factors associated with the implementation of the systems. Results: In 49.1% (95%CI: 39.5-58.8) of the municipalities investigated, some of the e-SUS Primary Care systems were implemented. Time working as a strategy manager (OR: 3.03) and training for Primary Care professionals in the municipality (OR: 2.28) were associated with the implementation of the systems. Conclusion: The presence of a trained manager leading the implementation process impacted the implementation of the e-SUS AB strategy software systems in the municipalities of Minas Gerais. It is also essential to highlight the need to improve the technological infrastructure for the computerization of Primary Care.

scholarly journals Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective

2021 ◽  
Vol 11 (4) ◽  
pp. 942-954
Author(s):  
Mauricio Viana Gomes Oliveira ◽  
Ângela Maria Mendes Abreu ◽  
James R. Welch ◽  
Carlos E. A. Coimbra
Keyword(s):  
Primary Care ◽  
Nursing Education ◽  
Indigenous Peoples ◽  
Keyword Search ◽  
Indigenous Health ◽  
Indigenous Communities ◽  
National Standards ◽  
Clinical Communication ◽  
Manual Search

Our objective is to critically review the literature addressing the strategic role of nurses in the daily primary care of arterial hypertension in Indigenous communities in Brazil. We selected studies based on an initial keyword search of major bibliographic indexing databases for the years 2000 to 2020 and manual search. Further selection was based on topical, methodological, and thematic relevance, as well as evaluation of scholarship quality and pertinence to our chosen narrative. The literature demonstrates Indigenous peoples do not receive health services that measure up to national standards in large part due to a marked lack of academic and employer preparation for nurses operating in transcultural settings. Inequities were apparent in recurrent reports of victim-blaming, deficient clinical communication with patients, clinical malpractice, devaluation of hypertension as a problem for Indigenous peoples, insufficient intercultural training for nurses, and discrimination against Indigenous students in nursing education programs. This systemic problem needs to be addressed by universities and the Indigenous Health Care Subsystem in Brazil.

scholarly journals Influenza Vaccination in Coronavirus Times: Intention to Be Vaccinated by Primary Care Professionals in Central Catalonia (VAGCOVID)

2021 ◽  
Author(s):  
Raquel Muñoz-Miralles ◽  
Anna Bonet-Esteve ◽  
Anna Rufas Cebollero ◽  
Xavier Pelegrin Cruz ◽  
Josep Vidal Alaball
Keyword(s):  
Primary Care ◽  
At Risk ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Health Professionals ◽  
Online Survey ◽  
Health Workers ◽  
Cross Sectional ◽  
History Of ◽  
Primary Care Professionals

Abstract BackgroundInfluenza vaccination is the main measure of prevention against the epidemic flu, which annually produces a significant increase in the pressure on healthcare systems, in addition to influencing the absenteeism of health workers. Although it is recommended that health professionals be vaccinated, their vaccination coverage is low. The lack of knowledge about the evolution of influenza in the context of the SARS-CoV-2 coronavirus pandemic led to the continued recommendation of influenza vaccination to people at risk and to professionals. The aim of the study is to determine the intention to vaccinate against seasonal flu of health professionals in the 2020-21 campaign in the context of the SARS-CoV-2 pandemic, and to analyse the factors that influence it.MethodsCross-sectional study through a structured online survey aimed at Primary Care professionals in the region of central Catalonia.ResultsA total of 610 participants responded to the survey, 65.7% of whom intended to be vaccinated against the flu in this campaign and 11.1% did not yet know or did not answer. The intention to be vaccinated against flu is associated with the professional category, the years of professional practice, the fact of making face-to-face guards, and the perception of the risk of suffering from flu. It is also related to a history of influenza vaccination in the previous year and to having been vaccinated on another occasion. The profile of professionals who intend to be vaccinated against flu includes professionals with a history of vaccination, who were on duty and perceived that their staff were at risk of becoming ill with flu.ConclusionsDuring the SARS-CoV-2 pandemic, many professionals show a clear intention to get vaccinated against the flu, but there are still some who doubt it. In order to improve influenza vaccination coverage among health professionals, it is necessary to design strategies aimed at professionals who are hesitant or reluctant to vaccination.

scholarly journals Longitudinality and community orientation in the context of indigenous health

2021 ◽  
Vol 74 (1) ◽  
Author(s):  
Esron Soares Carvalho Rocha ◽  
Rizioléia Marina Pinheiro Pina ◽  
Rosana Cristina Pereira Parente ◽  
Maria Luiza Pereira Garnelo ◽  
Rúbia Aparecida Lacerda
Keyword(s):  
Health Services ◽  
Assessment Tool ◽  
Indigenous Health ◽  
Cross Sectional Study ◽  
Municipal Services ◽  
Chi Square ◽  
Cross Sectional ◽  
Community Orientation ◽  
Rio Negro ◽  
Care Assessment

ABSTRACT Objectives: to analyze, from healthcare professionals’ perspectives, the longitudinality and community orientation in Primary Health Care, offered both in the Special Indigenous Health District and in the primary network that assists non-indigenous population in municipal health services in Upper Rio Negro region. Methods a cross-sectional study with 116 professionals, 87 (75%) of indigenous health, 29 (25%) of municipal services. Primary Care Assessment Tool, professional version, used by Upper Rio Negro for Social Sciences region. For association of variables, chi-square test and Kruskal-Wallis were used. Results longitudinality obtained an unsatisfactory score (6.4 and 6.5), as well as community orientation (6.1 and 5.6) for both services. Weaknesses refer to professional turnover, little knowledge about users’ living conditions, precarious employment relationship. In indigenous health, satisfaction was higher when compared to municipal services. Conclusions: it is necessary to improve work management in health services, seeking to guarantee the quality of performance of professionals.

scholarly journals Primary Care Professionals’ Acceptance of Medical Record-Based, Store and Forward Provider-to-Provider Telemedicine in Catalonia: Results of a Web-Based Survey

2020 ◽  
Vol 17 (11) ◽  
pp. 4092
Author(s):  
Josep Vidal-Alaball ◽  
Francesc López Seguí ◽  
Josep Lluís Garcia Domingo ◽  
Gemma Flores Mateo ◽  
Gloria Sauch Valmaña ◽  
...  
Keyword(s):  
Primary Care ◽  
Technology Acceptance ◽  
Medical Record ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Key Factor ◽  
Store And Forward ◽  
Primary Care Professionals

While telemedicine services enjoy a high acceptance among the public, evidence regarding clinician’s acceptance, a key factor for sustainable telemedicine services, is mixed. However, telemedicine is generally better accepted by both patients and professionals who live in rural areas, as it can save them significant time. The objective of this study is to assess the acceptance of medical record-based, store and forward provider-to-provider telemedicine among primary care professionals and to describe the factors which may determine their future use. This is an observational cross-sectional study using the Catalan version of the Health Optimum questionnaire; a technology acceptance model-based validated survey comprised of eight short questions. The online, voluntary response poll was sent to all 661 primary care professionals in 17 primary care teams that had potentially used the telemedicine services of the main primary care provider in Catalonia, in the Central Catalan Region. The majority of respondents rated the quality of telemedicine consultations as “Excellent” or “Good” (83%). However, nearly 60% stated that they sometimes had technical, organizational or other difficulties, which might affect the quality of care delivered. These negatively predicted their declared future use (p = 0.001). The quality of telemedicine services is perceived as good overall for all the parameters studied, especially among nurses. It is important that policymakers examine and provide solutions for the technical and organizational difficulties detected (e.g., by providing training), in order to ensure the use of these services in the future.

scholarly journals Interventions to improve cancer survivorship among Indigenous Peoples and communities: a systematic review with a narrative synthesis

2021 ◽  
Author(s):  
Wendy Gifford ◽  
Margo Rowan ◽  
Peggy Dick ◽  
Shokoufeh Modanloo ◽  
Maggie Benoit ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cancer Survivorship ◽  
Indigenous Peoples ◽  
Psychosocial Support ◽  
Indigenous Health ◽  
Indigenous Communities ◽  
Narrative Synthesis ◽  
Holistic Wellness ◽  
Cross Sectional ◽  
Quasi Experimental

Abstract Purpose The purpose of this systematic review is to synthesize the evidence on the types of interventions that have been utilized by Indigenous Peoples living with cancer, and report on their relevance to Indigenous communities and how they align with holistic wellness. Methods A systematic review with narrative synthesis was conducted. Results The search yielded 7995 unique records; 27 studies evaluating 20 interventions were included. The majority of studies were conducted in USA, with five in Australia and one in Peru. Study designs were cross-sectional (n=13); qualitative (n=5); mixed methods (n=4); experimental (n=3); and quasi-experimental (n=2). Relevance to participating Indigenous communities was rated moderate to low. Interventions were diverse in aims, ingredients, and outcomes. Aims involved (1) supporting the healthcare journey, (2) increasing knowledge, (3) providing psychosocial support, and (4) promoting dialogue about cancer. The main ingredients of the interventions were community meetings, patient navigation, arts, and printed/online/audio materials. Participants were predominately female. Eighty-nine percent of studies showed positive influences on the outcomes evaluated. No studies addressed all four dimensions of holistic wellness (physical, mental, social, and spiritual) that are central to Indigenous health in many communities. Conclusion Studies we found represented a small number of Indigenous Nations and Peoples and did not meet relevance standards in their reporting of engagement with Indigenous communities. To improve the cancer survivorship journey, we need interventions that are relevant, culturally safe and effective, and honoring the diverse conceptualizations of health and wellness among Indigenous Peoples around the world.

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