scholarly journals Dynamics surrounding the Implementation of the Primary Health Care Approach in Zimbabwe’s Rural Areas: The Case of Mt Darwin District

2021 ◽  
Vol 3 (1) ◽  
pp. 1-17
Author(s):  
Alouis Chilunjika ◽  
Sharon R.T. Muzvidziwa-Chilunjika
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Areas ◽  
Health Sector ◽  
Health Service Delivery ◽  
Face To Face ◽  
Primary Health ◽  
Care Approach ◽  
Health Related ◽  
Research Findings

This research studied the implementation of the Primary Health Care approach to health service delivery in Zimbabwe’s rural areas from 2009 to 2012. The approach was launched in response to the Alma-Alta Declaration in 1978 which sought to end the inequalities in health care provision around the globe and was first adopted and implemented in 1982 in Zimbabwe. The approach almost collapsed due to the economic meltdown in the past decade but the period 2009 to 2013 marked a new economic paradigm in Zimbabwe which saw the economy being dollarized which subsequently led to the revival and the resuscitation of the health sector. It is therefore to explore the progress and the dynamics surrounding the implementation of the PHC at Mt Darwin Hospital in light of the dollarized economy. The study explores the dynamics surrounding the implementation of PHC at Mt Darwin District Hospital by particular attention to the following key elements: promotion of nutrition, sanitation, maternal and child care, immunization, treatment of common diseases and provision of essential drugs. Qualitative techniques such as face to face interviews with key informants and documentary research were used to generate data. The research findings revealed that PHC is a powerful tool in delivering health services in Mt Darwin. However, lack of material, financial and human resources have hindered the proper implementation of the PHC approach in Mt Darwin district. The study recommends multi sectoral collaboration in solving health related issues.

scholarly journals Prevention and Control of COVID-19 by Primary Health Care Facilities in China: A Field- Survey-Based Qualitative Study in Three Typical Cities

2021 ◽  
Author(s):  
Yunyun Yan ◽  
Teng-yang Fan ◽  
Yan-ling Zheng ◽  
Hai-qin Yang ◽  
Tian-shu Li ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Areas ◽  
Prevention And Control ◽  
Field Survey ◽  
Risk Levels ◽  
Face To Face ◽  
Primary Health ◽  
Community Residents ◽  
And Control

Abstract Background In fulfilling the COVID-19 containment, primary health care (PHC) facilities in China played an important role. We sought to investigate the exact tasks performed at the PHC facilities and the processes of COVID-19 prevention and control.Methods Semi-structured face-to-face interviews for primary care physicians (PCPs) and a simple survey for residents were conducted in the field survey. Based-on purposive stratified sampling, 32 PCPs were selected from 22 PHC facilities in Wuhan as a high-risk city, in Shanghai as medium-risk city and in Zunyi as low-risk city. In the field survey, semi-structured face-to-face interviews were conducted with PCPs to summarize the tasks of COVID-19 prevention and control at the PHC facilities. A simple survey was used to investigate the local residents’ awareness about COVID-19 prevention and control.Results In pre-outbreak period, the PHC facilities mainly engaged in storing medical supplies; in out-break period, they were responsible for screening, transferring, quarantine and treatment; in regular prevention and control period, attention was given to the employees and items of cold-chain & fresh food markets, etc. In Wuhan, PHC facilities focused on graded diagnoses and treatments of patients; in Shanghai, they were mainly engaged in at-home/centralized quarantine; in Zunyi, they focused on the screening of high-risk individuals. In urban areas, COVID-19 were more likely to be transmitted; in urban-rural areas, it was difficult to perform screening on the migrant populations; in rural areas, the risk was much lower. The community residents had satisfactory compliance with the preventive measures.Conclusion We identified differences in the prevention and control tasks performed at the PHC facilities in China. During the different phases of the pandemic, the tasks were adjusted depending on the gradually comprehensive understanding of COVID-19. Among the cities at different risk levels, screening, quarantine, transferring or treatment was chosen to be a priority accordingly. Located in different intra-city geographic locations at different risk levels, the PHC facilities conducted their own tasks accordingly. Additionally, compliance on the part of the local community residents could not be overemphasized in COVID-19 prevention and control.

Donor Agencies' Involvement in Reproductive Health: Saying One Thing and Doing Another?

2005 ◽  
Vol 35 (3) ◽  
pp. 579-601 ◽  
Author(s):  
Susannah H. Mayhew ◽  
Gill Walt ◽  
Louisiana Lush ◽  
John Cleland
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Reproductive Health ◽  
Health Sector ◽  
Health Service Delivery ◽  
Sub Saharan Africa ◽  
Reproductive Health Services ◽  
Primary Health ◽  
Donor Agencies

The debates about what services constitute reproductive health, how these services should be organized, managed, and delivered, and what the role of donor agencies' support should be mirror the long-standing debates on how best to implement primary health care. After briefly reviewing the development of the discourse on primary health care and reproductive health, the authors present results of qualitative research in Ghana, Kenya, and Zambia that indicate a range of factors influencing and explaining the way donors operate in these countries and consider the implications of these results for the delivery of comprehensive reproductive health services. These findings are compared with South Africa, a country with limited donor activity. In the light of the complex interplay of factors, the authors suggest that donors' words and actions frequently do not correlate. Conclusions are drawn as to the potential for donor support for integrated reproductive health service delivery in sub-Saharan Africa, drawing on the research to provide lessons and a reappraisal of the role of donors in health sector aid.

scholarly journals The impact of COVID-19 on primary health care and antibiotic prescribing in rural China: qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tingting Zhang ◽  
Xingrong Shen ◽  
Rong Liu ◽  
Linhai Zhao ◽  
Debin Wang ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Rural Areas ◽  
Rural China ◽  
Antibiotic Prescribing ◽  
Epidemic Control ◽  
Primary Health ◽  
Tract Infections ◽  
The Impact

Abstract Background In China, the primary health care (PHC) system has been designated responsible for control and prevention of COVID-19, but not treatment. Suspected COVID-19 cases presenting to PHC facilities must be transferred to specialist fever clinics. This study aims to understand the impact of COVID-19 on PHC delivery and on antibiotic prescribing at a community level in rural areas of central China. Methods Qualitative semi-structured interviews were conducted with 18 PHC practitioners and seven patients recruited from two township health centres and nine village clinics in two rural residential areas of Anhui province. Interviews were transcribed verbatim and analysed thematically. Results PHC practitioners reported a major shift in their work away from seeing and treating patients (due to government-mandated referral to specialist Covid clinics) to focus on the key public health roles of tracing, screening and educating in rural areas. The additional work, risk, and financial pressure that PHC practitioners faced, placed considerable strain on them, particularly those working in village clinics. Face to face PHC provision was reduced and there was no substitution with consultations by phone or app, which practitioners attributed to the fact that most of their patients were elderly and not willing or able to switch. Practitioners saw COVID-19 as outside of their area of expertise and very different to the non-COVID-19 respiratory tract infections that they frequently treated pre-pandemic. They reported that antibiotic prescribing was reduced overall because far fewer patients were attending rural PHC facilities, but otherwise their antibiotic prescribing practices remained unchanged. Conclusions The COVID-19 pandemic had considerable impact on PHC in rural China. Practitioners took on substantial additional workload as part of epidemic control and fewer patients were seen in PHC. The reduction in patients seen and treated in PHC led to a reduction in antibiotic prescribing, although clinical practice remains unchanged. Since COVID-19 epidemic control work has been designated as a long-term task in China, rural PHC clinics now face the challenge of how to balance their principal clinical and increased public health roles and, in the case of the village clinics, remain financially viable.

scholarly journals Benefits and Risks of Aquaculture Foods in Primary Health Care: A Mini-Review

2021 ◽  
Author(s):  
A.M. Tiamiyu ◽  
I.A. Adesina
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Sector ◽  
Developed Countries ◽  
Economic Prosperity ◽  
Primary Health ◽  
Primary Responsibility ◽  
Aquaculture Industry ◽  
Important Health ◽  
The Right

Primary Health Care (PHC) is expected to serve as a basis for the country's health sector, of which it is the primary responsibility and priority, as well as the community's overall collective and economic prosperity. Promotion of food supply and proper nutrition are among eight elements of PHC. Protein deficiency is one of the most important health concerns in some parts of the world. A huge numbers of malnourished or hungry people have been reported particularly in the less developed countries. Advantages of aquaculture in nutrition are varied. However, there are some zoonotic microbial illnesses occurred due to consumption of infected seafood. Some of these challenges will be cor- rected by good aquaculture practices. With the right reforms in the aquaculture industry, progress can be made toward solving some of the challenges facing PHC delivery. In this mini-review, the benefits and risks of aquaculture foods in PHC are briefly discussed.

scholarly journals The health response to the Rohingya refugee crisis post August 2017: Reflections from two years of health sector coordination in Cox’s Bazar, Bangladesh

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253013
Author(s):  
Rosanna Jeffries ◽  
Hassan Abdi ◽  
Mohammad Ali ◽  
Abu Toha Md Rezuanul Haque Bhuiyan ◽  
Mohamed El Shazly ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Health Sector ◽  
Advisory Group ◽  
Primary Health ◽  
Working Groups

On August 25 2017, an unprecedented influx of Rohingya refugees began from Rakhine State in Myanmar into Bangladesh’s district of Cox’s Bazar. The scale and acuteness of this humanitarian crisis was unprecedented and unique globally, requiring strong coordination of a multitude of actors. This paper reflects on the health sector coordination from August 2017 to October 2019, focusing on selected achievements and persisting challenges of the health sector strategic advisory group (HSSAG), and the health sector working groups including epidemiology and case management, sexual and reproductive health, community health, mental health and psychosocial support, and emergency preparedness. In the early days of the response, minimum service standards for primary health care were established, a fundamental initial step which enabled the standardization of services based on critical needs. Similarly, establishing standards for community health outreach was the backbone for capitalizing on this important health workforce. Novel approaches were adopted for infectious disease responses for acute watery diarrhoea and varicella, drawing on inter-sectoral collaborations. Sexual and reproductive health services were prioritized from the initial onset of the crisis and improvements in skilled delivery attendance, gender-based violence services, abortion care and family planning were recorded. Mental health service provision was strengthened through community-based approaches although integration of mental health programmes into primary health care has been limited by availability of specialist psychiatrists. Strong, collaborative and legitimate leadership by the health sector strategic advisory group, drawing on inter-sectoral collaborations and the technical expertise of the different technical working groups, were critical in the response and proved effective, despite the remaining challenges to be addressed. Anticipated reductions in funding as the crisis moves into protracted status threatens the achievements of the health sector in provision of health services to the Rohingya refugees.

Community Participation in the National Development Plan Through Primary Health Care

2019 ◽  
pp. 160-178
Author(s):  
Johannes Ntshilagane Mampane
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Community Participation ◽  
National Development ◽  
Development Plan ◽  
National Development Plan ◽  
Primary Health ◽  
Lgbt Community ◽  
Care Approach

The chapter explores and describes community participation in the National Development Plan through Primary Health Care by using case studies of LGBT organizations in South Africa. Post-Apartheid and democratic South Africa has endorsed community participation as one of the fundamental pillars of the public Primary Health Care approach in its governance structures. This chapter focuses on the current major health issue in South Africa, the HIV epidemic, which is one of the leading causes of death in the country. Particular attention is paid to members of the LGBT community because of their discrimination in public healthcare facilities on grounds of their sexual orientation. The chapter relies on secondary sources of data collection from extant literature, textbooks, journal articles, and internet sources. Challenges to address LGBT community discrimination in HIV testing, prevention, treatment, care, and support were identified and solutions to uphold their human rights were proffered. These solutions are based on the principles of social justice, inclusion, diversity, and equality.

Community Participation in the National Development Plan Through Primary Health Care

2022 ◽  
pp. 657-671
Author(s):  
Johannes Ntshilagane Mampane
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Community Participation ◽  
National Development ◽  
Development Plan ◽  
National Development Plan ◽  
Primary Health ◽  
Lgbt Community ◽  
Care Approach

The chapter explores and describes community participation in the National Development Plan through Primary Health Care by using case studies of LGBT organizations in South Africa. Post-Apartheid and democratic South Africa has endorsed community participation as one of the fundamental pillars of the public Primary Health Care approach in its governance structures. This chapter focuses on the current major health issue in South Africa, the HIV epidemic, which is one of the leading causes of death in the country. Particular attention is paid to members of the LGBT community because of their discrimination in public healthcare facilities on grounds of their sexual orientation. The chapter relies on secondary sources of data collection from extant literature, textbooks, journal articles, and internet sources. Challenges to address LGBT community discrimination in HIV testing, prevention, treatment, care, and support were identified and solutions to uphold their human rights were proffered. These solutions are based on the principles of social justice, inclusion, diversity, and equality.

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