ÇOCUK İSTİSMARINDA AİLE DİNAMİKLERİNE YÖNELİK RİSK FAKTÖRLERİ VE KORUYUCU- ÖNLEYİCİ MÜDAHALELER

Author(s):  
Nurten Gülsüm BAYRAK ◽  
Dilek EKİCİ

The main purpose of the study is to discuss the risk factors associated with family dynamics, protective and preventive approaches in child abuse. In its simplest definition, child abuse, is physical, sexual, and/or psychological maltreatment or neglect of a child or children. Child abuse has been increasing in our country and in the world in recent years. Child abuse, which negatively affects the development of the child in all aspects, also constitutes an important obstacle to raising healthy societies. Many factors such as parents' attitudes and behaviors, personality traits, health conditions, levels of knowledge and skills in raising children, socio-economic status, and education level sare important components of the child'sex posure to abuse in terms of family dynamics. Primary health care services, schools, and Child Advocacy Centers are very important in determining family-based risk factors, evaluating them in a holistic manner and monitoring them, as well as protective and preventive studies of child abuse. Within the scope of the study, national and international studies on child abuse were scrutinized, protective and preventive interventions, family dynamics of children who were victims of abuse were evaluated. In this context, evaluation of family-based risk factors in primary health care services, assessment of parents by counseling teachers in schools, Child Advocacy Centers are the most important steps in determining the risks. It is thought that; categorizing at-risk groups and making the necessary interventions and guidance according to risk priority, increasing the awareness of parents, implementing protective and preventive interventions with a multidisciplinary team understanding within a comprehensive and standardized program and evaluating the effectiveness of interventions through academic studies will be a guide in determining familyrelated risk factors and combating the serisks in child abuse.




Author(s):  
Maria Joana Nunes de Azevedo ◽  
Suzana dos Santos Nunes ◽  
Fabyanne Guimarães de Oliveira ◽  
Danielle Albuquerque Pires Rocha


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Oliveira Miranda ◽  
P Santos Luis ◽  
M Sarmento

Abstract Background Primary health care services are the cornerstone of all health systems. Having clear data on allocated human resources is essential for planning. This work intended to map and compare the primary health care human resources of the five administrative regions (ARS) of the Portuguese public health system, so that better human resources management can be implemented. Methods The chosen design was a descriptive cross sectional study. Each of the five ARS were divided into primary health care clusters, which included several primary health care units. All of these units periodically sign a “commitment letter”, where they stand their service commitments to the covered population. This includes allocated health professionals (doctors, nurses), and the information is publicly accessible at www.bicsp.min-saude.pt. Data was collected for 2017, the year for which more commitment letters were available. Several ratios were calculated: patients/health professional; patients/doctor (family medicine specialists and residents); patients/nurse and patients/family medicine specialist. Mean, standard deviation, minimum and maximum values were calculated. Results National patients/health professional ratio was 702 with the mean of the 5 ARS calculated at 674+-7.15% (min 619, max 734) whilst the national patients/doctor ratio was 1247 with the mean of the 5 ARS calculated at 1217+-7.17% (min 1074, max 1290). National patients/nurse ratio was 1607 with the mean of the 5 ARS calculated at 1529+-13.08% (min 1199, max 1701). Finally, national patients/family medicine specialist ratio was 1711 with the mean of the 5 ARS calculated at 1650+-6,36% (min 1551, max 1795). Conclusions Human resources were differently spread across Portugal, with variations between the five ARS in all ratios. The largest differences occur between nursing staff, and may translate into inequities of access, with impact on health results. A more homogeneous human resources allocation should be implemented. Key messages Human resources in the Portuguese primary health care services are not homogeneously allocated. A better and more homogeneous allocation of human resources should be implemented to reduce access health inequities.



1994 ◽  
Vol 9 (2) ◽  
pp. 155-160 ◽  
Author(s):  
W KIPP ◽  
AA KIELMANN ◽  
E KWERED ◽  
G MERK ◽  
T RUBAALE


Sign in / Sign up

Export Citation Format

Share Document