scholarly journals Primary Health Care Follow-Up Visits: Investigation Of Care Continuity Of Preterm Newborns From A Kangaroo-Mother Care Unit

10.3823/2302 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Marielle Ribeiro Feitosa ◽  
Fabiane Do Amaral Gubert ◽  
Marcela Ariadne Braga Gomes Tomé ◽  
Maria Talyta Mota Pinheiro ◽  
Clarice Da Silva Neves ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Kangaroo Mother Care ◽  
Health Care Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Preterm Newborns ◽  
Primary Health Care Facilities

INTRODUCTION: The kangaroo-mother care method is an approach adopted in Brazil as a public police, which has helped in the reduction of neonatal mortality rate. Premature birth and its vulnerabilities can trigger, especially in mothers, feelings of fear and insecurity related to taking care of newborns. OBJECTIVE: Investigate care continuity of preterm newborns from a kangaroo-mother care method unit in primary health care facilities. METHODS: It was a transversal study performed with 43 mothers of preterm newborns who were hospitalized in the rooming-in care unit of a kangaroo-mother care method unit of a Brazilian public maternity school. Data collection was carried out through a questionnaire, which was used to interview mothers between September 2015 and February 2016. RESULTS: It was found a relationship between sociodemographic status and risk of premature birth, and the following variables: age, education, marital status, and family income. Regarding findings from the follow-up home visits in primary health care, most of the participants were still breastfeeding and using the kangaroo position. However, 60.5% of the interviewed mothers reported not receiving home visits from health professionals of primary health care facilities. CONCLUSION: It is essential the support of health professionals and the participation of mothers and families to improve, through health education, quality of life promotion for newborns from kangaroo care approach.

scholarly journals Health Professionals’ Conflict Management in Primary Healthcare Facilities of Thessaloniki Prefecture

2020 ◽  
Vol 13 (2) ◽  
pp. 20-30
Author(s):  
Loukia Keramida ◽  
Agoritsa Koulouri ◽  
Sevasti Ioannidou ◽  
Zoi Roupa
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Conflict Management ◽  
Sex Education ◽  
Health Professionals ◽  
Health Care Facilities ◽  
Self Report ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Introduction: The successful organization and operation of a medical structure requires interdisciplinary cooperation, which increases the degree to which health professionals interact with one another. As the interaction degree increases, the probability of conflicts rises in proportion. Conflict management is a systematic procedure aiming to detect mutually satisfying results for the conflicting parties and differentiates depending on the characteristics that constitute the parties involved. Aim: Investigation of ways to resolve and manage conflicts between health professionals working in primary health care facilities. Methods: Α cross-sectional study was performed in Health Centers within the Prefecture of Thessaloniki, during the first trimester of 2016, with 220 health professionals participating, among which doctors, nurses, midwives, health visitors and nurse assistants. Data was collected via structured anonymous self-report questionnaires. Data processing was performed with SPSS 22.0 statistics package and the x2 statistical test was used for qualitative variables (trend control) and t-test for quantitative variables. Results: The 77.4% of the participants worked for more than 10 years, the 10.9% were postgraduate graduates and 81% of the participants were female. Assessment of results revealed that the most common conflict management practice chosen by health professionals was “to avoid conflict” (67.3%), followed by “compromise” (43.6%) by means of securing mutual benefits for both parties. The manner of conflict management was found to be related to sex, education level, profession, as well as work experience. The vast majority of participants (74.7%) stated that they had not undertaken any previous education on conflict management issues. Conclusions: Frequency of conflicts was found to be high between health professionals working in Primary Health Care Facilities and especially between doctors and nurses. Findings of the present investigation underline the necessity to establish new ways of communication and collaboration. Provision of suitable education to health facility members would be deemed a positive step.

scholarly journals A retrospective audit of antibiotic prescriptions in primary health-care facilities in Eastern Region, Ghana

2015 ◽  
Vol 31 (2) ◽  
pp. 250-258 ◽  
Author(s):  
Mary-Anne Ahiabu ◽  
Britt P Tersbøl ◽  
Richard Biritwum ◽  
Ib C Bygbjerg ◽  
Pascal Magnussen
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Facilities ◽  
Eastern Region ◽  
Primary Health ◽  
Retrospective Audit ◽  
Care Facilities ◽  
Primary Health Care Facilities

scholarly journals A National Accessibility Audit of Primary Health Care Facilities in Brazil—Are People with Disabilities Being Denied Their Right to Health?

2021 ◽  
Vol 18 (6) ◽  
pp. 2953
Author(s):  
Alexandro Pinto ◽  
Luciana Sepúlveda Köpcke ◽  
Renata David ◽  
Hannah Kuper
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
People With Disabilities ◽  
Health Care Facilities ◽  
Internal Space ◽  
Major Barrier ◽  
Healthcare Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Poor accessibility of healthcare facilities is a major barrier for people with disabilities when seeking care. Yet, accessibility is rarely routinely audited. This study reports findings from the first national assessment of the accessibility of primary health care facilities, undertaken in Brazil. A national accessibility audit was conducted by trained staff of all 38,812 primary healthcare facilities in Brazil in 2012, using a 22-item structured questionnaire. An overall accessibility score was created (22 items), and three sub-scales: external accessibility (eight items), internal accessibility (eight items), information accessibility (six items). The main finding is that the overall accessibility score of primary care facilities in Brazil was low (mean of 22, standard deviation (SD) of 0.21, on a 0–100 scale). Accessibility of different aspects of the healthcare facilities was also low, including external space (mean = 31.0, SD = 2.0), internal space (18.9, 1.9) and accessibility features for people with other visual or hearing impairments (6.3, SD = 1.0). Scores were consistently better in the least poor regions of Brazil and in facilities in larger municipality size (indicating more urban areas). In conclusion, large-scale accessibility audits are feasible to undertake. Poor accessibility means that people with disabilities will experience difficulties in accessing healthcare, and this is a violation of their rights according to international and Brazilian laws.

Childhood Mental Disorders in Primary Health Care: Results of Observations in Four Developing Countries

PEDIATRICS ◽  
1981 ◽  
Vol 68 (5) ◽  
pp. 677-683
Author(s):  
R. Giel ◽  
M. V. de Arango ◽  
C. E. Climent ◽  
T. W. Harding ◽  
H. H. A. Ibrahim ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Health Workers ◽  
Health Care Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Research Procedure ◽  
Primary Health Care Facilities

To ascertain the frequency of mental disorders in Sudan, Philippines, India, and Colombia, 925 children attending primary health care facilities were studied. Rates of between 12% and 29% were found in the four study areas. The range of mental disorders diagnosed was similar to that encountered in industrialized countries. The research procedure involved a two-stage screening in which a ten-item "reporting questionnaire" constituted the first stage. The study has shown that mental disorders are common among children attending primary health care facilities in four developing countries and that accompanying adults (usually the mothers) readily recognize and report common psychologic and behavioral symptoms when these are solicited by means of a simple set of questions. Despite this, the primary health workers themselves recognized only between 10% and 22% of the cases of mental disorder. The results have been used to design appropriate brief training courses in childhood mental disorders for primary health workers in the countries participating in the study.

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