scholarly journals Development of a hexagonal, mesh-based distribution method for community health centres

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Yinan Zhou ◽  
Ge Bai ◽  
Li Luo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Health Care Services ◽  
Local Population ◽  
Distribution Method ◽  
Community Health Centres ◽  
Care Services ◽  
Primary Health ◽  
Health Centres

Community health centres (CHCs) are the health gatekeepers of the local population. Location and numbers of the CHCs affect fairness and effectiveness with regard to access to primary health care. In the past, the distribution of the CHCs was solely empiric-based. The goal of this study was to devise a method for CHC distribution based on the principle of improving equity as well as ensuring efficiency. We tested the effectiveness and operability of the method through a process of revision and simulation using Guangdong Province, China as sample district. A methodology based on literature review and expert consultation was repeatedly applied until an ideal result had been reached. A hexagonal, mesh-based method was developed and used to find a solution where the CHCs could be distributed where their location would be the most needed and total number suitable. Testing the effectiveness of the proposed plan, we found the proportion of area covered to be 52.8% and the proportion of the population covered 80.7%, which is 15.4% and 14.7%, respectively, better than before. It was concluded that the hexagonal mesh-based, distribution method can effectively define the location as well as the number or required CHCs, not only improving the accessibility for residents to primary health care services but also maximizing cost-effectiveness. Management of the city by grid is a new idea in urban management, which improves rationality of planning and also may be applied for many different purposes in addition to CHC localization.

Community Health and General Practice: The Impact of Different Cultures on the Integration of Primary Care

2001 ◽  
Vol 7 (1) ◽  
pp. 65 ◽  
Author(s):  
Hal Swerissen ◽  
Jenny Macmillan ◽  
Catuscia Biuso ◽  
Linda Tilgner
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Practice ◽  
Primary Health Care ◽  
Community Health ◽  
Community Health Centres ◽  
Care Services ◽  
Primary Health ◽  
Health Centres ◽  
The Relationship

This study examined the existing relationship between community health centres and General Practice Divisions in the State of Victoria, including the nature of joint working arrangements and the identification of barriers to greater collaboration. Improved integration of primary health care services has been advocated to improve consumer and population health outcomes and to reduce inappropriate use of acute and extended care services. General practitioners (GPs) and community health centres are two key providers of primary health care with potential for greater integration. The current study conducted telephone interviews with 20 community health centre CEOs and 18 Executive Officers of divisions, which were matched according to catchment boundaries. Results suggest, while some joint planning is occurring, especially on committees, working parties and projects, there is an overall low level of satisfaction with the relationship between community health centres and GPs and GP divisions. Major barriers to greater integration are the financial or business interests of GPs and misunderstanding and differences in perceived roles and ideology between GPs and community health centres. Improved communication, greater contact and referral and follow-up procedures are identified as a means of improving the relationship between GPs, GP divisions and community health centres. Community health centres and general practitioners (GPs) are key providers of primary care (Australian Community Health Association, 1990).

scholarly journals Experiences of primary health care nurses regarding the provision of free health care services in the Northern region of the Limpopo Province

Curationis ◽  
2005 ◽  
Vol 28 (1) ◽  
Author(s):  
VO Netshandama ◽  
L Nemathaga ◽  
SN Shai-Mahoko
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Northern Region ◽  
Limpopo Province ◽  
Care Services ◽  
Primary Health ◽  
Health Centres ◽  
Free Health Care ◽  
Primary Health Care Nurses

The purpose of the study was to explore the experiences of primary health care nurses working in the clinics and health centres involved in the provision of free health care services. The research design followed was exploratory, descriptive and qualitative. The population of the study included all primary health care nurses working at the clinics and health centres in the Vhembe (northern) region of the Limpopo Province. The sampling method used was purposive for the samples of both the clinics and the nurses. The inclusion criteria for the nurses included experience of two or more years in providing primary health care. The inclusion criteria for the selection of clinics included being a busy clinic (a minimum of 2000 patients per month) with a staff establishment of four or more primary health care nurses. In conducting this research, ethical principles were taken into account. Data was collected from 23 participants in the Northern Region. The research question read as follows: What are your experiences regarding the provision of free health care services? An open coding method consisting of eight steps provided by Tesch's (1990:140-145) eight-step method of analysing data was used. The research findings revealed that the primary health care nurses working in the clinics experience feelings of failure to provide adequate primary health care services due to the increased workload, misuse of the service, and fear associated with lack of security in the clinics and health centres. The conclusions drawn from this research are that on the one hand a poor mechanism exists for the monitoring of the implementation of free health services, and on another hand, there has been misuse of the facilities by the community. The concept “free health care service” has been misinterpreted.

scholarly journals Professional support during the postpartum period: Primiparous mothers' views on professional services, their expectations, and barriers to mobilizing professional help

2020 ◽  
Author(s):  
Yiping Nan ◽  
Jingjun Zhang ◽  
Anum Nisar ◽  
Lanting Huo ◽  
Lei Yang ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Services ◽  
Phenomenological Study ◽  
Professional Services ◽  
Professional Support ◽  
Professional Help ◽  
Community Health Centres ◽  
Care Services ◽  
Health Centres

Abstract Background: Primiparous mothers who lack experience and knowledge of child caring, are usually overwhelmed with multifarious stressors and challenges. Although support from professionals is needed for new mothers, there is indeed a gap between the necessary high-quality service and the currently provided poor services. This study aimed to explore Chinese primiparous mothers' views on professional services, identify barriers to mobilizing professional support, and further understand mothers' expectations of and preferences for the delivery of professional services. Method: A descriptive phenomenological study design was utilized in this study, and semi-structured interviews were conducted with 28 primiparous mothers selected from two community health centres in Xi' an city, Shannxi province, northwest part of China and who had given birth within one year before the interview. Each conversation lasted between 20-86 minutes. Colaizzi' s seven-step phenomenological approach was used for data analysis. Results: Three major themes were identified: (a) dissatisfying with current professional services for postpartum mothers, (b) likelihood of health care professional help- seeking behaviour, (c) highlighting demands for new health care services. Seven related subthemes including disappointment with hospital services, distrusting services provided by community health centres, private institutes and online platforms; seeking help from professional was not the first choice, hesitating to express their inner discourse to professionals, and considering practical factors prohibited mothers from seeking professional help; urgent needs for new baby-care-related services, and importance of mothers' self-needs. The necessity of professional support in the first month of confinement was highly emphasized by participants. Online professional guidance and support were perceived to be the best way to receive services in this study. Conclusion: The results of this descriptive phenomenological study suggested that the current maternal and child health care services were insufficient and could not meet the needs of primiparous mothers. The identified barriers should be analysed and highlighted by enhancing education and eliminating stigma. The results also indicated that providing service focused on mothers' needs may be an effective strategy to enhance primiparous mothers' well-being, and also suggested that feasibility, convenience, and the cultural adaptability of health care service should be considered during the delivery of postpartum interventions.

scholarly journals Cost of Delivering Health Care Services in Public Sector Primary and Community Health Centres in North India

PLoS ONE ◽  
2016 ◽  
Vol 11 (8) ◽  
pp. e0160986 ◽  
Author(s):  
Shankar Prinja ◽  
Aditi Gupta ◽  
Ramesh Verma ◽  
Pankaj Bahuguna ◽  
Dinesh Kumar ◽  
...  
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Community Health ◽  
Health Care Services ◽  
North India ◽  
Community Health Centres ◽  
Care Services ◽  
Health Centres

scholarly journals Economic Analysis of Delivering Primary Health Care Services through Community Health Workers in 3 North Indian States

PLoS ONE ◽  
2014 ◽  
Vol 9 (3) ◽  
pp. e91781 ◽  
Author(s):  
Shankar Prinja ◽  
Gursimer Jeet ◽  
Ramesh Verma ◽  
Dinesh Kumar ◽  
Pankaj Bahuguna ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Economic Analysis ◽  
Community Health ◽  
Health Care Services ◽  
Health Workers ◽  
Indian States ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

scholarly journals Professional support during the postpartum period: Primiparous mothers’ views on professional services and their expectations, and barriers to utilizing professional help.

2020 ◽  
Author(s):  
Yiping Nan ◽  
Jingjun Zhang ◽  
Anum Nisar ◽  
Lanting Huo ◽  
Lei Yang ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Services ◽  
Phenomenological Study ◽  
Professional Services ◽  
Professional Support ◽  
Professional Help ◽  
Community Health Centres ◽  
Care Services ◽  
Health Centres

Abstract Background: Primiparous mothers who lack of experience and knowledge of child caring, are usually overwhelmed by multifarious stressors and challenges. Although professional support is needed for primiparas, there is a gap between the necessary high-quality services and the currently provided poor services. This study aimed to explore Chinese primiparous mothers’ views on professional services, identify barriers to utilizing professional support, and further understand mothers’ expectations of and preferences for the delivery of professional services.Method: A descriptive phenomenological study design was utilized in this study, and semi-structured interviews were conducted with 28 primiparous mothers who had given birth in the first year period before the interview and were selected from two community health centres in Xi’an city, Shaanxi Province, Northwest China. Each conversational interview lasted between 20 and 86 minutes. Colaizzi’s seven-step phenomenological approach was used to analyse the data.Results: Three major themes were identified: (a) dissatisfaction with current professional services for postpartum mothers, (b) likelihood of health care professional help-seeking behaviour, (c) highlighting the demands for new health care services. The related seven sub-themes included being disappointed with current hospital services; distrusting services provided by community health centres, private institutes and commercial online platforms; preferring not seeking help from professionals as their first choice; hesitating to express their inner discourse to professionals; following confinement requirement and family burden prevents mothers from seeking professional help; experiencing urgent needs for new baby-care-related services; and determining the importance of mothers’ needs. The necessity of professional support in the first month after childbirth was strongly emphasized by the participants. Online professional guidance and support were perceived as the best way to receive services in this study.Conclusion: The results of this descriptive phenomenological study suggested that the current maternal and child health care services were insufficient and could not meet primiparous mothers’ need. The results also indicated that identifying barriers and providing services focused on mothers’ needs may be an effective strategy to enhance primiparous mothers’ well-being, and further suggested that feasibility, convenience, and the cultural adaptability of health care services should be considered during the delivery of postpartum interventions.

scholarly journals Professional support during the postpartum period: Primiparous mothers' views on professional services, their expectations, and barriers to utilizing professional help

2020 ◽  
Author(s):  
Yiping Nan ◽  
Jingjun Zhang ◽  
Anum Nisar ◽  
Lanting Huo ◽  
Lei Yang ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Services ◽  
Phenomenological Study ◽  
Professional Services ◽  
Professional Support ◽  
Professional Help ◽  
Community Health Centres ◽  
Care Services ◽  
Health Centres

Abstract Background: Primiparous mothers who lack of experience and knowledge of child caring, are usually overwhelmed by multifarious stressors and challenges. Although professional support is needed for primiparas, there is a gap between the necessary high-quality services and the currently provided poor services. This study aimed to explore Chinese primiparous mothers’ views on professional services, identify barriers to utilizing professional support, and further understand mothers’ expectations of and preferences for the delivery of professional services.Method: A descriptive phenomenological study design was utilized in this study, and semi-structured interviews were conducted with 28 primiparous mothers who had given birth in the first year period before the interview and were selected from two community health centres in Xi’an city, Shaanxi Province, Northwest China. Each conversational interview lasted between 20 and 86 minutes. Colaizzi’s seven-step phenomenological approach was used to analyse the data.Results: Three major themes were identified: (a) dissatisfaction with current professional services for postpartum mothers, (b) likelihood of health care professional help-seeking behaviour, (c) highlighting the demands for new health care services. The related seven sub-themes included being disappointed with current hospital services; distrusting services provided by community health centres, private institutes and commercial online platforms; preferring not seeking help from professionals as their first choice; hesitating to express their inner discourse to professionals; following confinement requirement and family burden prevents mothers from seeking professional help; experiencing urgent needs for new baby-care-related services; and determining the importance of mothers’ needs. The necessity of professional support in the first month after childbirth was strongly emphasized by the participants. Online professional guidance and support were perceived as the best way to receive services in this study.Conclusion: The results of this descriptive phenomenological study suggested that the current maternal and child health care services were insufficient and could not meet primiparous mothers’ need. The results also indicated that identifying barriers and providing services focused on mothers’ needs may be an effective strategy to enhance primiparous mothers’ well-being, and further suggested that feasibility, convenience, and the cultural adaptability of health care services should be considered during the delivery of postpartum interventions.

scholarly journals A Primary Health Care Approach to Men's Health in Community Health Settings: It's Just Better Practice

2006 ◽  
Vol 12 (1) ◽  
pp. 21 ◽  
Author(s):  
Michael Bentley
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Case Studies ◽  
Health Care Services ◽  
Men’S Health ◽  
Men's Health ◽  
Care Services ◽  
Primary Health ◽  
Care Approach

Promoting men's health in primary care settings such as general practice is now common, but what might primary health care for men's health look like in community health settings? This paper reports on case studies of diverse community-based health and wellbeing services for men in South Australia. The programs selected as case studies include Aboriginal men, gay men and homosexually active men, men from culturally and linguistically diverse backgrounds, older men, middle-aged men, fathers, young men, as well as services that focus on childhood sexual abuse and violence intervention. The case studies share the following main features - they have a social view of health, use a primary health care approach with an emphasis on prevention, address issues of access and equity, use social justice principles, and work across a number of sectors. These features were integrated into a socially just primary health care framework for men's health in community health settings. Socially just primary health care can address health inequities within men's health that are related to, among other things, class, race, ethnicity and sexuality. Socially just primary health care services can work collaboratively with women's health on common concerns such as violence intervention and childhood sexual abuse. Moreover, socially just primary health care services reflect local concerns, where health professionals work with men rather than acting as outside experts.

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