scholarly journals Experiences of homosexual patients’ access to primary health care services in Umlazi, KwaZulu-Natal

Curationis ◽  
2015 ◽  
Vol 38 (2) ◽  
Author(s):  
Nokulunga H. Cele ◽  
Maureen N. Sibiya ◽  
Dudu G. Sokhela
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nursing Education ◽  
Health Care Providers ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Easy Access ◽  
Care Providers ◽  
Care Services ◽  
Primary Health

Background: Homosexual patients are affected by social factors in their environment, and as a result may not have easy access to existing health care services. Prejudice against homosexuality and homosexual patients remains a barrier to them seeking appropriate healthcare. The concern is that lesbians and gays might delay or avoid seeking health care when they need it because of past discrimination or perceived homophobia within the health care thereby putting their health at risk.Aim of the study: The aim of the study was to explore and describe the experiences of homosexual patients utilising primary health care (PHC) services in Umlazi in the province ofKwaZulu-Natal (KZN).Method: A qualitative, exploratory, descriptive study was conducted which was contextual innature. Semi-structured interviews were conducted with 12 participants. The findings of this study were analysed using content analysis.Results: Two major themes emerged from the data analysis, namely, prejudice against homosexual patients by health care providers and other patients at the primary health care facilities, and, homophobic behaviour from primary health care personnel.Conclusion: Participants experienced prejudice and homophobic behaviour in the course of utilising PHC clinics in Umlazi, which created a barrier to their utilisation of health services located there. Nursing education institutions, in collaboration with the National Department of Health, should introduce homosexuality and anti-homophobia education programmes during the pre-service and in-service education period. Such programmes will help to familiarise health care providers with the health care needs of homosexual patients and may decrease homophobic attitudes.

scholarly journals Access to Primary Health Care Services for Youth Experiencing Homelessness: “You shouldn’t need a health card to be healthy.”

2019 ◽  
Vol 1 (2) ◽  
pp. 73-92
Author(s):  
Claire Pitcher ◽  
Elizabeth Saewyc ◽  
Annette Browne ◽  
Paddy Rodney
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Homeless Youth ◽  
Care Providers ◽  
Urban Centre ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

On any given night, thousands of Canadian youth face homelessness in either absolute (living on the street) or relative (couch surfing, staying in emergency shelters) terms.  This study explores influences primary health care access among youth experiencing homelessness in a large Canadian urban centre.  Using a qualitative research design and convenience sampling, 8 youth participated in in-depth individual interviews and 4 clinicians with expertise in working with youth in primary care settings participated in a facilitated solutions-focused dialogue based on findings from the youth interviews.  Data collection occurred from January to November 2016.  Main findings included: (1) Youth experiencing homelessness feel powerless when interacting with health care providers, (2) Health care systems exist as rule-based bureaucracies and (3) Homeless youth are in survival mode when it comes to their health.  The authors offer recommendations to promote more equitable access to primary health care services for homeless youth.

scholarly journals Primary Health Care Services of Urban Villages

2020 ◽  
Author(s):  
Ramonita J. Sencio ◽  
Mauro Allan Padua Amparado
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Health Workers ◽  
Care Providers ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Significant Difference

Objectives: The study determined the awareness on Primary Health Care (PHC) services as perceived by the residents and the level of implementation of PHC services as perceived by the Volunteer Health Workers in Bulacao and Pardo, Cebu City, Cebu, Philippines. The findings served as basis for a series of re-orientation seminars on PHC programs. Specifically, the study answered the following questions:1.What is the level of awareness on PHC services as perceived by the residents in terms of:1.1.health education;1.2.locally endemic disease control;1.3.expanded program on immunization;1.4.maternal health, child health and family planning; 1.5.provision of essential drugs;1.6.adequate food and proper nutrition;1.7.control of communicable diseases;1.8.environmental sanitation; and1.9.provision of medical care and emergency treatment?2.What is the level of implementation on PHC services as perceived by Volunteer Health Workers in the same areas?3.Is there a significant difference in the level of awareness and the level of implementation of the PHC programs as perceived by the respondents?4.What problems were encountered by health care providers on the implementation of the PHC programs?5.Based on the findings of the study, what appropriate series of re-orientation seminars can be proposed?Methods:This study utilized the descriptive-evaluative design. The study was conducted in two villages in Cebu City, namely, Bulacao and Pardo. The study includes 379 community residents and 26 volunteer health workers. A researcher-made tool composed of 45 items on the nine components of PHC was used. An interview guide was prepared to gather more information and confirm responses from the tool. Findings and Conclusion:The study revealed that the residents were aware of the PHC services. It also showed that the level of implementation of the volunteer health workers on PHC services was high. There was a significant difference in the perceptions of the residents on the level of awareness and the volunteer health workers’ level of implementation of PHC services. The top three problems encountered by the health care providers were inadequate medicines, inadequate clinic space for consultation, and availability of medical doctors. In conclusion, when the targeted beneficiaries are aware of the primary health care services, the volunteer health workers will feel more determined to perform their roles to render improved primary health care services. Recommended citation:Sencio, Ramonita J. & Amparado, M. A. P. (2010, March). PrimaryHealth Care Services of Urban Villages. 2010 Southwestern University Research Congress, 2(1), 22-24.

scholarly journals Mapping services at two Nairobi County primary health facilities: identifying challenges and opportunities in integrated mental health care as a Universal Health Coverage (UHC) priority

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Manasi Kumar ◽  
Vincent Nyongesa ◽  
Martha Kagoya ◽  
Byamah B. Mutamba ◽  
Beatrice Amugune ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Health Care Providers ◽  
Health Care Services ◽  
Care Providers ◽  
Care Services ◽  
Primary Health

Abstract Introduction There is a need to scale-up mental health service provision in primary health care. The current extent of integration of mental health in primary care is pertinent to promoting and augmenting mental health at this level. We describe a facility mapping exercise conducted in two low-income/primary health facilities in Kenya to identify existing barriers and facilitators in the delivery of mental health services in general and specifically for peripartum adolescents in primary health care as well as available service resources, cadres, and developmental partners on the ground. Method and measures This study utilized a qualitative evidence synthesis through mapping facility-level services and key-stakeholder interviews. Services-related data were collected from two facility in-charges using the Nairobi City County Human Resource Health Strategy record forms. Additionally, we conducted 10 key informant interviews (KIIs) with clinical officers (Clinicians at diploma level), Nurses, Community Health Assistants (CHAs), Prevention of Mother-to-child Transmission of HIV Mentor Mothers (PMTCTMs), around both general and adolescent mental health as well as psychosocial services they offered. Using the World Health Organization Assessments Instrument for Mental Health Systems (WHO-AIMS) as a guideline for the interview, all KII questions were structured to identify the extent of mental health integration in primary health care services. Interview transcripts were then systematically analyzed for common themes and discussed by the first three authors to eliminate discrepancies. Results Our findings show that health care services centered around physical health were offered daily while the mental health services were still vertical, offered weekly through specialist services by the Ministry of Health directly or non-governmental partners. Despite health care workers being aware of the urgent need to integrate mental health services into routine care, they expressed limited knowledge about mental disorders and reported paucity of trained mental health personnel in these sites. Significantly, more funding and resources are needed to provide mental health services, as well as the need for training of general health care providers in the identification and treatment of mental disorders. Our stakeholders underscored the urgency of integrating mental health treatment, prevention, and well-being promotive activities targeting adolescents especially peripartum adolescent girls. Conclusion There is a need for further refining of the integrated care model in mental health services and targeted capacity-building for health care providers to deliver quality services.

scholarly journals Satisfaction of clients with disabilities with services offered at primary health care centres in Ndola, Zambia

2012 ◽  
Vol 68 (2) ◽  
Author(s):  
N. Mlenzana ◽  
R. Mwansa
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Professionals ◽  
Health Care Services ◽  
Waiting Times ◽  
Care Providers ◽  
Persons With Disabilities ◽  
Care Services ◽  
Primary Health

To establish satisfaction level of persons with disabilitiesregarding health services at primary health care centres in Ndola, Zambia.Key stakeholders views on satisfaction of services is an important componentof service rendering thus obtaining information is important in assistingwith the evaluation of health care service delivery. This will assist in improvingeffectiveness and availability of health care services to persons with physicaldisabilities.All persons with disabilities attending both rehabilitation centres andprimary health care centres in Ndola, Zambia, were targeted for this study. Willing participants were convenientlyselected to take part in the study.A cross sectional, descriptive study design using quantitative methods of data collection was used. The GeneralPractice Assessment Questionnaire was adjusted, piloted for Ndola population and used in this study to establishsatisfaction of participants. The study was ethically cleared at the University of the Western Cape and Zambia.Information and consent forms were signed by participants.Quantitative data was analysed descriptively and was reported in percentages.In the current study there were 191 participants of whom 56% were male and 44% were female with age rangefrom 18-65 years. Fifty-two percent of the participants presented with learning disabilities and 38% of persons withphysical disabilities. Majority of clients (54%) were dissatisfied with availability of services and health care servicesat the health care centres. Areas that clients were dissatisfied with were accessibility, consultation with health professionals,waiting times and opening hours of the health care centres.Clients with disabilities who accessed health care services from selected health centres in Ndola were dissatisfiedwith aspects of health services. Accessibility, consultation with health professionals, waiting times and opening hoursof the health care centres were the origin of client dissatisfaction. Other clients were satisfied with thoroughness ofhealth care providers regarding symptoms, feelings, reception and treatment received at the primary health care centre.Understanding the views of the clients is essential in improving health delivery services and could impact on thecompliance of people attending primary health care services.

scholarly journals Understanding the Puzzle of Primary Health-care Use: Evidence from India

2021 ◽  
Author(s):  
Pramod Kumar Sur
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Health Care Use ◽  
Public Health Care ◽  
Private Health Care ◽  
Care Providers ◽  
Care Services ◽  
Primary Health

In India, households' use of primary health-care services presents a puzzle. Even though most private health-care providers have no formal medical qualifications, a significant fraction of households use fee-charging private health-care services, which are not covered by insurance. Although the absence of public health-care providers could partially explain the high use of the private sector, this cannot be the only explanation. The private share of health-care use is even higher in markets where qualified doctors offer free care through public clinics; despite this free service, the majority of health-care visits are made to providers with no formal medical qualifications. This paper examines the reasons for the existence of this puzzle in India. Combining contemporary household-level data with archival records, I examine the aggressive family planning program implemented during the emergency rule in the 1970s and explore whether the coercion, disinformation, and carelessness involved in implementing the program could partly explain the puzzle. Exploiting the timing of the emergency rule, state-level variation in the number of sterilizations, and an instrumental variable approach, I show that the states heavily affected by the sterilization policy have a lower level of public health-care usage today. I demonstrate the mechanism for this practice by showing that the states heavily affected by forced sterilizations have a lower level of confidence in government hospitals and doctors and a higher level of confidence in private hospitals and doctors in providing good treatment.

scholarly journals Tolerance and acculturation

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Ursula Småland Goth
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Emergency Room ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Gp Services ◽  
Diverse Groups

Background: Since the 1970s, Norway has experienced a significant increase in population diversity. In 2001, a patient-list system, also referred to as the General Practitioner (GP) Scheme (Norwegian: Fastlegeordning), was introduced to ensure access to primary health care for the entire population. At the time of its introduction, the scheme, which was designed for a homogenous population, was intended to improve the quality of GP services. By facilitating stability and continuity in the doctor-patient relationship, the scheme aimed to ensure equitable access to, and use of, secondary health care. Despite the intention to facilitate stable doctor-patient relationships, employees in health care facilities report that many immigrants use the emergency room rather than GP services. Equity in health care is the absence of systematic disparities in health care. Since the provision of equitable health services is a priority in Norway, this study aimed to investigate the possible motives for immigrants’ choice of service provider and to propose measures to increase the uptake of GP services by this group.Purpose and approach: The aim of the article is to examine newly arrived immigrants' experiences with primary health care. The article attempts to shed light on why immigrants seek medical help at the emergency room and not from their assigned GPs in non-life-threatening situations.Methods and materials: We adopted an exploratory approach in order to investigate both the motives and experiences of diverse groups of immigrants. Semi-structured interviews were conducted with 12 Oslo GPs and 13 immigrant representatives, all living in Oslo. To illustrate patterns on a large scale, we adopted a quantitative approach based on data from health authorities’ registers of consultations. 1,935,000 primary health care consultations conducted in the Greater Oslo area over a two-year period were included in the regression analyses.Results and interpretation: The study shows a varied pattern of use of GP services among the diverse groups of foreign-born residents. Results suggest that immigrants are more likely to use emergency-room services during the first few years after arrival. Results also indicate that information about the patient-list system does not always reach newly arrived immigrants. Contrary to general understanding, non-visible immigrants (when considering factors such as skin color and clothing) diverge the most from the pattern of the majority. Immigrants originating from European countries, such as Sweden and Poland, use the emergency room most frequently. From the qualitative aspects of the study, we have also found that primary health care services are not perceived as equitable.Conclusion: Recently arrived immigrants’ utilization of primary health care services shows an unfavorable pattern. The choice of primary health care service providers is dependent on the individual’s preferences, expectations, experiences and/or actual obstacles. The observed utilization of services provided at emergency rooms is one more reason for monitoring and increasing tolerance and cultural sensitivity in primary health care.

scholarly journals Factors influencing successful implementation of the basic antenatal care approach in primary health care facilities in eThekwini district, KwaZulu-Natal

Curationis ◽  
2013 ◽  
Vol 36 (1) ◽  
Author(s):  
Thembelihle S.P. Ngxongo ◽  
Maureen N. Sibiya
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Antenatal Care ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Successful Implementation ◽  
Care Services ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Background: In a move to alleviate the burden of consistently high maternal and perinatal mortality rates, the South African National Department of Health (DoH) introduced Basic Antenatal Care (BANC) in all Primary Health Care facilities that were providing antenatal care services. However, not all facilities in the eThekwini district have successfully implemented the approach. The aim of the study was to identify the factors that influence successful implementation of the BANC approach.  Objectives: The objectives were to identify facilities that had successfully implemented the BANC approach and the factors that influenced successful implementation of the BANC approach, in order to make recommendations on these factors.Method: A descriptive quantitative design was used. Firstly, primary health care facilities that were successful in implementing the BANC approach were identified through a retrospective record auditing. A total of 27 facilities were identified, of which 18 facilities were included in the study. This was followed by data collection from 59 midwives in order to identify the factors that influenced successful implementation of the BANC approach. The data was analysed using version 19 of the Statistical Package for the Social Sciences.Results: The positive factors that influenced successful implementation of the BANC approach included: the availability and accessibility of BANC services, policies, guidelines and protocol; various means of communication; a comprehensive package of and the integration of primary health care services; training and in-service education; human and material resources; the support and supervision offered to the midwives by the primary health care supervisors; supervisors’ understanding of the approach and the levels of experience of midwives involved in implementation of the BANC approach.Conclusion: The success that the facilities had achieved in implementing BANC approach was attributed to these positive factors. 

scholarly journals Toleranse, kultursensitivitet og akkulturasjon: Interkulturelle utfordringer for primærhelsetjenesten og nyankomne innvandrere i Norge

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Ursula Småland Goth
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Emergency Room ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Gp Services ◽  
Diverse Groups

Background: Since the 1970s, Norway has experienced a significant increase in population diversity. In 2001, a patient-list system, also referred to as the General Practitioner (GP) Scheme (Norwegian: Fastlegeordning), was introduced to ensure access to primary health care for the entire population. At the time of its introduction, the scheme, which was designed for a homogenous population, was intended to improve the quality of GP services. By facilitating stability and continuity in the doctor-patient relationship, the scheme aimed to ensure equitable access to, and use of, secondary health care. Despite the intention to facilitate stable doctor-patient relationships, employees in health care facilities report that many immigrants use the emergency room rather than GP services. Equity in health care is the absence of systematic disparities in health care. Since the provision of equitable health services is a priority in Norway, this study aimed to investigate the possible motives for immigrants’ choice of service provider and to propose measures to increase the uptake of GP services by this group.Purpose and approach: The aim of the article is to examine newly arrived immigrants' experiences with primary health care. The article attempts to shed light on why immigrants seek medical help at the emergency room and not from their assigned GPs in non-life-threatening situations.Methods and materials: We adopted an exploratory approach in order to investigate both the motives and experiences of diverse groups of immigrants. Semi-structured interviews were conducted with 12 Oslo GPs and 13 immigrant representatives, all living in Oslo. To illustrate patterns on a large scale, we adopted a quantitative approach based on data from health authorities’ registers of consultations. 1,935,000 primary health care consultations conducted in the Greater Oslo area over a two-year period were included in the regression analyses.Results and interpretation: The study shows a varied pattern of use of GP services among the diverse groups of foreign-born residents. Results suggest that immigrants are more likely to use emergency-room services during the first few years after arrival. Results also indicate that information about the patient-list system does not always reach newly arrived immigrants. Contrary to general understanding, non-visible immigrants (when considering factors such as skin color and clothing) diverge the most from the pattern of the majority. Immigrants originating from European countries, such as Sweden and Poland, use the emergency room most frequently. From the qualitative aspects of the study, we have also found that primary health care services are not perceived as equitable.Conclusion: Recently arrived immigrants’ utilization of primary health care services shows an unfavorable pattern. The choice of primary health care service providers is dependent on the individual’s preferences, expectations, experiences and/or actual obstacles. The observed utilization of services provided at emergency rooms is one more reason for monitoring and increasing tolerance and cultural sensitivity in primary health care.

scholarly journals Barriers to Effective HIV Testing Services and Strategies for Its Promotion at the Primary Health Care Facilities in Ibadan, Nigeria

2020 ◽  
pp. 24-32
Author(s):  
Christiana A. Oluwamotemi ◽  
Funmilayo A. Okanlawon ◽  
Elizabeth R. Edoni ◽  
Ademola L. Adelekan
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Hiv Testing ◽  
Health Care Providers ◽  
Health Care Facilities ◽  
Care Providers ◽  
Primary Health ◽  
Care Facilities ◽  
Hiv Testing Services ◽  
Primary Health Care Facilities

Background: HIV testing services (HTS) act as a critical entry point to HIV care, treatment and prevention services, and offer the opportunity for specially-trained health care providers to encourage avoidance of high risk sexual behaviour among both HIV negative and HIV-positive individuals. However, there are some challenges that can hinder effective delivery of HIV Counseling and Testing services by health care providers. This study was therefore designed to investigate barriers to effective HIV testing services and strategies for its promotion at the primary health care facilities in Ibadan. Methods: This descriptive cross-sectional study was carried out among health care providers in primary health care facilities in five local government areas in Ibadan metropolis, Nigeria. A 4-stage sampling techniques was used to select 19 respondents and interviewed using key informant interview guide. Interviews were transcribed verbatim. Spot check of transcripts were conducted to ensure completeness of the transcription. The data were sorted, categorized, and analyzed using a qualitative data analysis computer software package (NVivo). Results: All the respondents interviewed reported that, there were pre and post-tests counseling including HIV testing services in their facilities. Some respondents added there were laboratory services and linkages to other care and support services for those tested positive to HIV. However, most of the respondents reported insufficient consumables, insufficient staff, no privacy, lack of infrastructures as barriers to effective HIV testing services. Many of the respondents recommended community sensitization, more provision for consumables, drugs and kits as strategies for promoting HIV testing services. Conclusion: This study revealed that the primary health centres have pre-test and post-test HIV counseling services but insufficient consumables and staff were the major barriers to HIV testing services in this study. It is therefore necessary for government to make provision for consumables and more personnel to boost the activities of the health facilities.

scholarly journals Patients' Satisfaction with Primary Health Care in Egypt: Exploring the Gap between Rural and Urban Governorates

2014 ◽  
Vol 5 (4) ◽  
pp. 221-230
Author(s):  
Dina Metwally
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Rural Areas ◽  
Health Care Services ◽  
Care Providers ◽  
Registration System ◽  
Patients Satisfaction ◽  
Primary Health ◽  
Rural And Urban

Patient satisfaction has been frequently used as an indication of the overall quality of health care providers. Understanding patients` needs and expectations is crucial to PHC providers to improve patients` health. This study aims to explore patients' satisfaction with primary health care services in urban and rural areas in Egypt. The study shows a gap in patient`s satisfaction across Alexandria and Sohag governorates. This implies a difference in reform implementation across urban and rural governorates. More attention should be given to different dimensions of health care provision at PHC level in rural governorates including clinical and nonclinical training of nurses, improvement in amenities and other facilities, improvement of registration system, and promoting the new system.

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