scholarly journals RESPONSE OF WOMEN ON HEALTH CARE SERVICES IN HIMALAYAN HILLS: A STUDY FROM ALMORA DISTRICT OF UTTARAKHAND, INDIA

2020 ◽  
pp. 61-73
Author(s):  
Deepak Paliwal ◽  
Harish Joshi ◽  
Saroj Paliwal
Keyword(s):  
Rural Women ◽  
Health Care Services ◽  
Wide Spectrum ◽  
Health Issues ◽  
Health Seeking ◽  
Women Health ◽  
Care Services ◽  
The Subject ◽  
The Common ◽  
Status Of Women

The mountain people, especially the rural women have been the subject of colossal neglect for centuries. In a family, they have different status and role to performed, i.e. mother, daughter, daughter-in-law etc. Their family works are distributed among themselves, according to their position, but the common concern is ‘Drudgery’and Health Status which is widely spread in their life. Frequent pregnancies, coupled with poor diet, result in anemia. Illiteracy among women has added to the problem as most of the rural women are subjected to the various traditional beliefs and health practices. Women share abundant responsibilities to perform a wide spectrum of duties both in the home and outside, but their participation is considered as normal by the society. This paper starts with the concept of status of women , health facilities, and moves on to examine the understanding of health seeking behaviorand social dogmas imposed on women and women perception towards various health issues.

Health seeking behaviour and health awareness among rural and urban adolescents in Dehradun District, Uttarakhand, India

2017 ◽  
Vol 29 (2) ◽  
Author(s):  
Tuhin Kumar ◽  
Piyalee Pal ◽  
Prabhdeep Kaur
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Health Care Providers ◽  
Rural Areas ◽  
Health Care Services ◽  
Health Issues ◽  
Care Providers ◽  
Health Seeking ◽  
Care Services ◽  
Public Sector Health

Abstract Background: Adolescents constituted 19% population of India in 2011. Adolescents have health seeking behaviour different from that of adults. We estimated the utilisation of available health care services by adolescents and awareness regarding various health issues in the urban and rural Dehradun District, Uttarakhand, India. We also described knowledge and practices of public sector health care providers. Methodology: We conducted a cross-sectional survey among adolescents 10–19 years in the urban Dehradun and rural Chakrata block of the Dehradun District. We used cluster sampling with sample size 680 each in urban and rural areas. We collected data from adolescents using semi structured questionnaire on health awareness and utilisation of health care services. Public sector health care providers were surveyed about their knowledge and practices regarding adolescents health. Results: We surveyed 1463 adolescents. The overall mean age was 14.4 (2.6) years, about half being females. Half of the adolescents who had any illness used the public sector. Awareness about anaemia was 48% in urban and 12% in rural areas. A higher proportion of females (Rural: 89%, Urban: 76%) were aware of condoms as contraceptives than males (Rural: 68%, Urban: 12%). Only 62% of doctors and 49% of paramedical staff had knowledge regarding services under Adolescents Reproductive and Sexual Health (ARSH). Conclusion: Awareness regarding various health issues was low among males as compared to females, especially in rural areas. School based health promotion programs should be carried out to increase awareness among adolescents. Health facilities should be strengthened to provide adolescent friendly health services to enhance utilisation.

CURRENT CHALLENGES AND FUTURE DIRECTIONS FOR SUSTAINABLE HEALTH DEVELOPMENT

2021 ◽  
Vol 3 (4) ◽  
pp. 354-363
Author(s):  
Reham Ershaid Sami NUSAIR ◽  
Omar Jamil Ahmad MUQEDI
Keyword(s):  
Health Care Services ◽  
Health Development ◽  
Future Directions ◽  
Healthy Development ◽  
Care Services ◽  
Social And Economic Development ◽  
The Subject ◽  
Descriptive Approach ◽  
Sustainable Health ◽  
Shed Light

Health has become one of the most important concerns in the field of development in various societies, as it is one of the most important factors contributing to achieving sustainable development, because healthy development represents an important element in the process of social and economic development, where real development cannot be achieved without improving health conditions. This study aims to identify the concept of sustainable health development, and the factors that contribute to achieving it, and its future directions, as well as an add value research related to health service facilities and the challenges that prevent achieving sustainability. The two researchers adopted the descriptive approach and deductive analysis of sustainability indicators, by reviewing many scientific sources related to the subject of the study in order to shed light on the sustainable design of health care services

scholarly journals Sex-specific differences in prevalence and in the factors associated to the search for health services in a population based epidemiological study

2014 ◽  
Vol 17 (2) ◽  
pp. 323-340 ◽  
Author(s):  
Suzana Alves de Moraes ◽  
Daniele Almeida Lopes ◽  
Isabel Cristina Martins de Freitas
Keyword(s):  
Epidemiological Study ◽  
Associated Factors ◽  
Access To Health Care ◽  
Health Care Services ◽  
Economic Indicator ◽  
Population Based ◽  
Cross Sectional ◽  
Women Health ◽  
Care Services ◽  
Health Related

Objectives: To identify the access to health care services and associated factors in adults living in the city of Ribeirão Preto, São Paulo, Brazil, in 2007. Methods: A cross-sectional population-based epidemiological study with a sample developed in three stages. The variability introduced in the third sampling fraction was corrected by the attribution of weights, resulting in a sample of 2,471 participants. The outcome prevalence was estimated according to socio-demographic, behavioral and health-related variables. In order to identify associated factors, the regression of Poisson was used, obtaining crude and adjusted prevalence ratios. All estimates were calculated taking into account the effect of the sampling design. Results: The outcome prevalence increased according to the age, being higher in female individuals. A different set of variables remained in the final models, considering each gender separately. Among men, the monthly income > R$ 1,400.00; scores > 823.6 to the Economic Indicator of Ribeirão Preto (IERP) and daily average of sitting down time (154.4 - 240 min/day) constituted themselves into protective factors, whereas the increase of age and scholarship, hospitalization, diabetes and hypertension constituted risk factors for the use of the services. Among women, health self-reported as regular, hospitalization, diabetes and hypertension characterized factors positively associated to the outcome at matter. Conclusions: The results indicate the need for planning actions aimed at capturing male individuals, as well as the revaluation of detection and control of diabetes and hypertension programs, aimed at the primary prevention of terminal cardiovascular events.

scholarly journals Perceived Physical Barriers to Maternal Health Seeking Behavior among Rural Women: The Case of Raya-Alamata District, Southern Tigray, Ethiopia

2018 ◽  
pp. 47-52
Author(s):  
Hayelom Abadi Mesele
Keyword(s):  
Maternal Health ◽  
Rural Women ◽  
Postnatal Care ◽  
Maternal Health Services ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Care Services ◽  
Maternal Morbidity And Mortality ◽  
Seeking Behavior ◽  
Physical Barriers

Introduction: Maternal health is a state of complete physical, mental and social well-being of the mother; it is a resource for everyday life of the mother. It encompasses the health care dimensions of family planning, preconception, prenatal, and postnatal care in order to reduce maternal morbidity and mortality. The use of antenatal, delivery and postnatal care services can be accessed through the number and timing of ANC visits, proportion of births delivered in health centers, attendants during delivery and antenatal care and number of postnatal visits. Health care services during pregnancy and after delivery are important for the survival and wellbeing of both the mother and the infant. Objective: The overall objective of this study is to investigate the perceived physical barriers to maternal health seeking behavior of rural women in Raya Alamata district. Methods: The researcher employed mixed research methods (both qualitative and quantitative). The study populations were reproductive women in the age category of 15-49. In doing so, a sample of 359 reproductive women was selected from three ‘Tabias’ by using simple random sampling techniques. The qualitative data analyzed using thematic analysis whereas the quantitative data analyzed using descriptive statistics. Result: Based on the finding this study, the majority of the respondents 31% were found between the age category of 25- 34 years, 87.5% were married, 93.6% belongs to Tigrian ethnic groups, 71.6% are followers of orthodox Christian, 60.7% were illiterate; and the majority 44.7% of the respondents earned an average monthly income of 501-1000 birr. Rural women also travelled 3.87 km, 5 km, 10 km and 6.4 km in average to get maternal health services from health posts, health centers, hospitals and private clinics respectively. Moreover, long distance and lack of transportation, inequitable distribution of health facilities, inconvenient topography and weather related problems were the major barriers for rural women to get maternal health services. These perceived physical barriers have affected the treatment seeking behavior of rural women especially throughout pregnancy, delivery and postnatal stages. Conclusion: The findings of this study give much emphasis into the perceived physical barriers to maternal health seeking behavior among rural women. The physical barriers restrained rural women from getting antenatal, delivery and postnatal care services which led to pregnancy complications, home delivery, and post-delivery problems which resulted in maternal morbidity and mortality.

scholarly journals Issue and Challenges of Reproductive Health Status of Rural Women in Kanchipuram District, Tamil Nadu

2018 ◽  
Vol 7 (2) ◽  
pp. 66-68
Author(s):  
P. Sujatha ◽  
M. Rajeswari
Keyword(s):  
Health Status ◽  
Reproductive Health ◽  
Rural Women ◽  
Tamil Nadu ◽  
Health Care Services ◽  
Reproductive Organs ◽  
Statistical Tool ◽  
Holistic View ◽  
Women Health ◽  
Broad Concept

The present research aimed to study the issue and challenges of reproductive health status of rural women in Kanchipuram district. Reproductive morbidity is a broad concept that encompasses health problems related to reproductive organs and functions, including and outside of childbearing 360 samples were selected based on stratified random sampling method. In order to examine the economic factors related to health care services on reproductive health among selected respondents. Well-structured questionnaire were used for data collection. To test the hypotheses statistical tool such as F- test and t-test were used. There is need a wide scope for research to bring a holistic view of rural women health status. Since women faces various unique health issues as compared to male, there is a need for more specific and combined research on women health status. To analysis of issues and challenges of reproductive health status of rural women. Result found that respondents significantly differ in their issues and challenges on reproductive health status.

scholarly journals Mother’s / care giver’s health seeking behaviour during childhood illness in an urban slum of Dhaka city

Pulse ◽  
2015 ◽  
Vol 7 (1) ◽  
pp. 5-15 ◽  
Author(s):  
F Mahejabin ◽  
S Parveen ◽  
M Ibrahim
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Urban Slum ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
College Hospital ◽  
Medical College ◽  
Care Services ◽  
Care Givers ◽  
Receive Treatment

Objectives: To determine the health seeking behaviour of mothers / care givers of children under 5 years of age during their illnesses.Materials and methods: A descriptive cross-sectional study was conducted among 439 mothers/ care givers of under 5 year old children in an urban slum area of Dhaka city from September 2013 to February 2014. Data were collected through face-to-face interview by using a structured pre-tested questionnaire. The collected data were analyzed using SPSS version 20.0. All analyzed data were presented in the form of percentages. Chi-square test was applied wherever applicable.Results: Out of 439 mothers / care givers, most (90%) of them sought health care services during their children’s illness. [A statistically significant association was found between mother’s /care giver’s education and sought health care services during illness of children (p=0.055). In the study, 200 (50%) of the respondents consulted drug sellers of medicine shops during their children’s illness. Others went to medical college hospital (34.6%), Government hospitals (13.5%), consulted a private practitioners (11%) and NGO facilities (6.3%). Forty (9.1%) respondents did not seek any health care with multiple reasons or responses. Majority (27, 67.5%) waited for self recovery, 21 (52.5%) had lack of money, 5 (12.5%) did not receive any advice to receive treatment. Four (10%) respondents said that the health care facility was too far to receive treatment and 3 (7.5%) respondents did not feel that treatment was necessary. [Health seeking behaviour of the mothers / care givers was statistically highly significant in educated person. They took the child to Govt. hospital (p=0.001) during illness. The relationship between health seeking behaviour and monthly family income of the respondents was statistically significant. The respondents took their child to medical college hospital (p=0.040) and also consulted drug sellers (p=0.038) during illness of the child.]Conclusion: Health education and behaviour change communication activities can be undertaken in the slum for mothers / care givers about early recognition of childhood illness and on the importance of seeking early treatment.Pulse Vol.7 January-December 2014 p.5-15

The Wider Considerations in Translating Heart Failure Guidelines

2021 ◽  
Vol 16 ◽  
Author(s):  
Pupalan Iyngkaran ◽  
Andrew Wilson ◽  
James Wong ◽  
David Prior ◽  
David Kaye ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Care Services ◽  
Models Of Care ◽  
Time Span ◽  
Medical Community ◽  
Evidence Based ◽  
Medicine Development ◽  
Care Services ◽  
The Common ◽  
Based Medicine

: Congestive Heart Failure (CHF) is as an emerging epidemic. Within one generation the medical community has learnt much of the CHF syndrome. It has two distinct mechanisms, systolic and diastolic abnormalities, to account for the common CHF presentation. It is complex as it challenges the available health care services, resource, and funding models in providing an equitable service across the health continuum. Despite improvement in many cardiovascular diseases, some CHF outcomes like readmissions and costs have increased. The reinvigoration of evidence-based medicine, development of health services models of care, standardisation of disease processes with taxonomies have also occurred within the same time span. These processes however need to be linked with health policy as presented in white papers. In this paper we explore achieving optimal CHF guideline recommended outcomes as the science approaches real world translation.

scholarly journals Health Seeking Behavior and Utilization of Health Care Services in Eastern Hilly Region of Nepal

2015 ◽  
Vol 11 (2) ◽  
pp. 8-16 ◽  
Author(s):  
Sailesh Bhattarai ◽  
Surya Bahadur Parajuli ◽  
Rajan Bikram Rayamajhi ◽  
Ishwari Sharma Paudel ◽  
Nilambar Jha
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Health Care Services ◽  
Traditional Healers ◽  
Health Centers ◽  
Health Seeking ◽  
Government Health ◽  
Care Services ◽  
The People ◽  
Seeking Behavior

noBackground & Objectives: Preventive, promotive, curative, and rehabilitative health care services depend not only in availability & accessibility of it but also on awareness and attitude of the people and various inter-woven social structure that determines in making choice. The objective of this study was to explore health seeking behavior and utilization of health care services in the rural places in VDCs of Ilam district of Eastern Nepal.Materials & Methods: A cross sectional study was conducted in between period of March 25th 2013 to April 10th 2013 Fikkal and Pashupatinagar VDCs in Ilam district with sample of 300 people. Data was collected using a semi-structured questionnaire.Results: One fifth of the populations were found to be seeking traditional healers’ service and 80 percent among modern treatment system were relying on private treatment facility for treating sickness. People who had lived more than 20 years in that place and who felt modern health services were costly were likely to use service of traditional healers. Similarly people suffering from chronic illness, having health facility more than 30 minutes and using stretcher or walking as means of transportation were using government health centers more compared to private services.Conclusion: Significant people still use traditional healers’ service and the government health facility utilization was low as compared to private. The people living for longer period in that place and having the concept that modern health centers are costly were primary user of traditional healing system. Health facility nearby or people who could afford for automobile travel facilities were using costly private health centers.JCMS Nepal. 2015; 11(2):8-16

scholarly journals Exploring the drivers of ethnic and religious exclusion from public services in Nigeria: implications for sustainable development goal 10

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Benjamin Sunday Uzochukwu ◽  
Chinyere Cecilia Okeke ◽  
Joyce Ogwezi ◽  
Benedict Emunemu ◽  
Felicia Onibon ◽  
...  
Keyword(s):  
Social Exclusion ◽  
Health Care Services ◽  
Public Services ◽  
Economic Status ◽  
Federal State ◽  
Health Seeking ◽  
Content Type ◽  
Care Services ◽  
Key Drivers ◽  
Competition For Resources

PurposeThe importance of social exclusion and the disadvantage experienced by many minority ethnic and religious populations are rooted in SDG 10. To address this exclusion effectively it is important to understand their key drivers. This paper aimed to establish the key drivers of exclusion and their outcomes in Nigeria.Design/methodology/approachThe methods involved a scoping review of literature and stakeholder workshops that focused on drivers of social exclusion of religious and ethnic minorities in public institutions.FindingsAt the macro level, the drivers include ineffective centralized federal State, competition for resources and power among groups, geographic developmental divide and socio-cultural/religious issues. At the meso-level are institutional rules and competition for resources, stereotypes and misconceptions, barriers to access and service provision. At the micro-level are socio-economic status and health-seeking behaviour. The perceived impact of social exclusion included increasing illiteracy, lack of employment, deteriorating health care services, increased social vices, communal clashes and insurgencies and vulnerability to exploitation and humiliation. These drivers must be taken into consideration in the development of interventions for preventing or reducing social exclusion of ethnic and religious minorities from public services.Originality/valueThis is a case of co-production by all the stakeholders and a novel way for the identification of drivers of social exclusion in public services in Nigeria. It is the first step towards solving the problem of exclusion and has implications for the achievement of SDG 10 in Nigeria.

A Study of Young Offenders’ Perceptions of Health and Health Care Services in Custody and in the Community

2012 ◽  
pp. 107834581143611
Author(s):  
Nathan Whittle ◽  
Wendy Macdonald ◽  
Sue Bailey
Keyword(s):  
Health Care ◽  
Young People ◽  
Health Care Services ◽  
Health Needs ◽  
Young Offenders ◽  
Health Issues ◽  
Care Services ◽  
The United Kingdom ◽  
Unmet Health Needs ◽  
Community Based Services

The level of unmet health needs in young offenders has been raised as a concern in recent research with this population. There is a lack of research examining the views of young offenders on health issues and the services available to them. This article summarizes a qualitative study conducted in four young offender institutions in the United Kingdom with young people expressing their attitudes toward aspects of health and the provision of health care services. While there were gaps in their knowledge, the young people were well informed of the services they could access. They also identified barriers to accessing these services and the effect that being in custody could have on their health. Many of the young people thought that the services provided in custody addressed their health needs more successfully than community-based services. Implications for user-informed service delivery to meet their health needs are discussed.

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