scholarly journals Male partners’ views of involvement in maternal healthcare services at Makhado Municipality clinics, Limpopo Province, South Africa

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Kenneth Nesane ◽  
Sonto M. Maputle ◽  
Hilda Shilubane
Keyword(s):  
Maternal Health ◽  
Health Care Services ◽  
Healthcare Services ◽  
Sampling Procedure ◽  
Limpopo Province ◽  
Major Theme ◽  
Male Partners ◽  
Maternal Healthcare ◽  
Individual Interviews ◽  
Care Services

Background: Male partners have a strong influence on pregnant partners’ health and their access to care. Their involvement is critical in the delivery and uptake of maternal healthcare services and improving maternal and child health outcomes.Aim: The study sought to determine male partners’ views on their involvement in maternal healthcare services.Setting: The Makhado Municipality’s Kutama, Madombidzha and Vleifontein clinics.Methods: A qualitative study design, which is exploratory, descriptive and contextual in nature, was used. The population comprised 15 men whose partners had been pregnant within the last 2 years. A non-probability, purposive sampling procedure was used. Data were collected via in-depth individual interviews using a voice recorder and an interview schedule guide. Tesch’s open coding method was used to analyse data.Results: The findings revealed one major theme, namely that maternal health issues are viewed as a woman’sdomain; and three sub-themes: culture and participation in childbirth, male partners’ employment status, and male partners’ unwillingness to participate in maternal health issues.Conclusions: The involvement of male partners in maternal healthcare services, and further research in promoting this activity, should be proposed to policymakers.Keywords: Views, partners, involvement, maternal health care services, antenatal care, labour and postnatal care.

scholarly journals Decomposing the urban–rural inequalities in the utilisation of maternal health care services: evidence from 27 selected countries in Sub-Saharan Africa

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Oduse Samuel ◽  
Temesgen Zewotir ◽  
Delia North
Keyword(s):  
Maternal Health ◽  
Rural Areas ◽  
Health Care Services ◽  
Healthcare Services ◽  
Sub Saharan Africa ◽  
Maternal Healthcare ◽  
Care Services ◽  
Urban Rural ◽  
Sub Saharan ◽  
Urban And Rural Areas

Abstract Background There has been a substantial improvement in reducing maternal mortality in the Sub-Saharan African region. The vast rural-urban gap in maternal health outcomes, however, is obscured by this average achievement. This study attempts to measure the contribution of identified risk factors to describe the average rural-urban difference in the use of antenatal care, health facilities for delivery, and health professional assistance at delivery. Method To achieve this objective, we used descriptive analysis and Fairlie non-linear decomposition method to quantify covariates’ contribution in explaining the urban–rural difference in maternal healthcare services utilisation. Result The study’s finding shows much difference between urban and rural areas in the use of maternal healthcare services. Socio-economic factors such as household wealth index, exposure to media, and educational level of women and their husbands/partners contributed the most in explaining the gap between urban and rural areas in healthcare services utilisation. Conclusions Interventions to bridge the gap between urban and rural areas in maternal healthcare services utilisation in Sub-Saharan Africa should be centred towards socio-economic empowerment. Government can enforce targeted awareness campaigns to encourage women in rural communities in Sub-Sharan Africa to take the opportunity and use the available maternal health care services to be at par with their counterparts in urban areas.

scholarly journals Study on Maternal Health Care Services in the Eastern Indian States

2021 ◽  
Vol 13 (1-2) ◽  
Author(s):  
S. Banerjee
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Wealth Index ◽  
Healthcare Services ◽  
Maternal Health Care ◽  
Indian States ◽  
Care Services ◽  
Significant Difference ◽  
Maternal Health Care Services

ABSTRACT The aim of the present study was to investigate the maternal healthcare services in Eastern Indian States (West Bengal, Odisha, Jharkhand, Bihar). The present study also tried to understand the effect of socio-economic and demographic factors in the utilization of maternal health care services in the above mentioned states of India, using NFHS-4 data. The present study considered only those women who conceived baby within last five years. All the study women were married and the age range was 15-49 years. Total sample size consisted of 170995 of ever married women. For statistical analysis, Pearson Chi-squre test and Binary logistic regression were performed. The present study revealed that statistically significant difference in utilization of maternal health care services were present among women of different Eastern Indian states.The present study also depicted that residential pattern, caste, religion, respondent’s occupation, respondent’s age, respondent’s educational attainments, Wealth Index had significant association with maternal health care services

Toward establishing telepsychology guideline: Turning the challenges of COVID-19 into opportunity (Preprint)

2020 ◽  
Author(s):  
Mohammed M. J. Alqahtani
Keyword(s):  
Mental Health ◽  
Health Care Services ◽  
Task Force ◽  
Healthcare Services ◽  
Psychological Services ◽  
Face To Face ◽  
Care Services ◽  
Governance Model ◽  
Provision Of Services ◽  
Temporary Response

BACKGROUND The COVID-19 pandemic has obstructed the classical practices of psychological assessment and intervention via face-to-face interaction. Patients and all health professionals have been forced to isolate and become innovative to continue receiving and providing exceptional healthcare services while minimizing the risk of exposure to, or transmission of, COVID-19. OBJECTIVE This document is proposed initially as a guide to the extraordinary implementation of telepsychology in the context of the COVID-19 pandemic and to extend its implementation to use fundamentally as the main guideline for telepsychology services in Saudi Arabia and other Arabic communities. METHODS A professional task force representing different areas of professional psychology reviewed, summarized, and documented methods, policies, procedures, and other resources to ensure that the recommendations and evidence reviews were valid and consistent with best practices. RESULTS The practice of telepsychology involves the consideration of legal and professional requirements. This paper provides a guideline and recommendations for procedural changes that are necessary to address psychological services as we transition to telepsychology, as well as elucidates and demonstrates practical telepsychology frameworks, procedures, and proper recommendations for the provision of services during COVID-19. It adds a focused examination and discussion related to factors that could influence the telemedicine guideline, such as culture, religion, legal matters, and how clinical psychologists could expand their telepsychology practice during COVID-19 and after, seeking to produce broadly applicable guidelines for the practice of telepsychology. Professional steps in practical telemedicine were illustrated in tables and examples. CONCLUSIONS Telepsychology is not a luxury or a temporary response. Rather, it should be considered part of a proactive governance model to secure a continuity of mental health care services. Arabic communities could benefit from this guideline to telepsychology as an essential protocol for providing mental health services during and after the COVID-19 pandemic.

Health Care Services and EU Competition Law

2020 ◽  
Author(s):  
Okeoghene Odudu
Keyword(s):  
Market Power ◽  
Healthcare Service ◽  
Health Care Services ◽  
Service Providers ◽  
Competition Law ◽  
Healthcare Services ◽  
System Matrix ◽  
Member States ◽  
Eu Member States ◽  
Care Services

This chapter investigates how, within a number of European Union (EU) Member States, competition law has been used to address problems of market power in the healthcare services sector. It summarizes the relevant EU and national competition laws and considers the experience of applying those laws to providers of healthcare services. The chapter is chiefly concerned with healthcare services in England, although examples are drawn for other EU Member States. Examination of the English experience provides a view of the use of competition law to address market power problems in most elements of the health system matrix. The chapter then considers three challenges that emerge from that experience of using competition law to address problems of market power in healthcare service markets. The first challenges the applicability of competition law to healthcare service providers operating in each or every element of the healthcare system matrix. The second, accepting applicability, questions the appropriateness of the substantive rules to healthcare services. The third, a battle of authority and autonomy, considers whether decisions made by healthcare service providers should be subject to external review and the type of review that competition law offers.

scholarly journals Access and participation: What factors influence the provision and utilisation of health care services by children with learning disabilities?

2017 ◽  
Vol 41 (S1) ◽  
pp. S452-S452
Author(s):  
A. Rebowska
Keyword(s):  
Health Care ◽  
Learning Disabilities ◽  
Young People ◽  
Intellectual Disabilities ◽  
Health Care Services ◽  
Healthcare Services ◽  
Children And Young People ◽  
Care Services ◽  
Healthcare Needs ◽  
Wide Range

AimsThe aim of this literature review is to explore the range of factors that influence the degree of access to health care services by children and young people with learning disabilities.BackgroundChildren with learning disabilities are at increased risk of a wide range of health conditions comparing with their peers. However, recent reports by UK government as well as independent charities working with children and young people with learning disabilities demonstrated that they are at risk of poor health outcomes as a result of barriers preventing them from accessing most appropriate services.MethodsComprehensive searches were conducted in six databases. Articles were also obtained through review of references, a search of the grey literature, and contacting experts in the field. The inclusion criteria were for studies evaluating access to healthcare services, identification and communication of health needs, organisational aspects impacting on access and utilisation, staff attitudes where they impacted on access, barriers, discrimination in patients with intellectual disabilities age 0–18. The literature search identified a sample of 36 papers. The marked heterogeneity of studies excluded conducting a meta-analysis.ResultsBarriers to access included problems with identification of healthcare needs by carers and healthcare professionals, communication difficulties, the inadequacy of facilities, geographical and physical barriers, organisational factors such as inflexible appointment times, attitudes and poor knowledge base of healthcare staff.ConclusionThe factors identified can serve as a guide for managers and clinicians aiming to improve access to their healthcare services for children and young people with intellectual disabilities.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Current situation and capacity to deliver healthcare services at grassroots level in Minh Hoa district, Quang Binh province

2021 ◽  
Vol 30 (4) ◽  
pp. 27-34
Author(s):  
Dang Thanh Nam ◽  
Nguyen Thi Thuy Duong ◽  
Phan Le Thu Hang ◽  
Tham Chi Dung
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Healthcare Services ◽  
Current Situation ◽  
Health Care Facilities ◽  
National Standard ◽  
Health Examination ◽  
Care Services ◽  
Disease Pattern ◽  
Grassroots Level

Strengthening the health care system at grassroots level is a top priority of the Vietnam Government agenda at the present. Recently, the overall system has been improved, however the capacity to deliver healthcare services, especially primary health care was still facing to many shortcomings. The study aimed to assess the current situation and capacity to deliver health care services at grassroots level. All health care facilities in the Minh Hoa district, Quang Binh province in 2018 were selected, included Minh Hoa District Hospital (DHs) and 16 Commune Health Center (CHCs). The results showed that the disease patterns tended to primarily concentrate on the illness which weres related to the human lifestyle and health behaviors such as living habits, eating unhealthy food, stress and also natural environment. Utilization of the curative services increased over the year, especially the laboratory testing and health examination services. However, the facility infrastructures did not meet the national standard. The function rooms in the facilities being degraded and damaged remained at high proportion which were required to renovate. The facilities lacked of large number of essential equipment and materials. In order to strengthen the capacity to deliver the health care services, the study recommended to invest to standardize infrastructure, provision of essential equipment, materials and drugs in correspondent to the disease pattern.

Umowy o udzielanie świadczeń opieki zdrowotnej zawierane przez Narodowy Fundusz Zdrowia (leczenie w ramach ubezpieczenia zdrowotnego) a leczenie na zasadach komercyjnych. Implikacje prawne i praktyczne

2021 ◽  
pp. 141-151
Author(s):  
Paweł Lipowski
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Providers ◽  
Health Care Services ◽  
Legal Status ◽  
Healthcare Services ◽  
Care Providers ◽  
Care Services ◽  
Public Payer ◽  
Universal Health

The aim of this study is to identify the legal characteristics of contracts for the health care services provided by a public payer, i.e. the National Health Fund (NFZ) as part of treatment covered by universal health insurance, as compared to those provided by the health care providers with public or private legal status. This issue is discussed in relation to the legal conditions for the treatment of patients on a commercial basis in those institutions (private or public) which have contracts for the provision of healthcare services under the general health insurance (so-called contracts). The discussion is presented based on author’s own observations, resulting both from his scientific studies in the field of medical law and his work in various entities operating in the health care system.

scholarly journals Adapted Physical Activity Professionals in Rehabilitation: An Explorative Study in the Norwegian Context

2018 ◽  
Vol 35 (4) ◽  
pp. 458-475 ◽  
Author(s):  
Øyvind F. Standal ◽  
Tor Erik H. Nyquist ◽  
Hanne H. Mong
Keyword(s):  
Physical Activity ◽  
Health Care Services ◽  
International Perspective ◽  
Professional Status ◽  
Adapted Physical Activity ◽  
Individual Interviews ◽  
Care Services ◽  
Work Tasks ◽  
The Status ◽  
Specialist Health Care

Adapted physical activity (APA) is characterized by a strong orientation to professional practice. Currently, there exists limited empirical research about the professional status of APA in the context of rehabilitation. Therefore, the purpose of this study was to describe and understand the professional status, role, and work tasks of APA specialists in Norway. For the purpose of the study, the authors conducted group interviews with APA specialists and individual interviews with unit leaders at six rehabilitation institutions in the national specialist health care services. The results highlight the content of the work tasks, the roles in the cross-professional teams, the status in the institutions, and what the participants perceive to be the knowledge base for their profession. Although these results may be specific to the Norwegian context, the authors also discuss possible implications of their findings for APA in an international perspective.

scholarly journals Knowledge and Patterns of Use of Emergency Oral Contraception among Portuguese Female Users of Healthcare Services

2021 ◽  
Vol 34 (13) ◽  
Author(s):  
Ângela Rodrigues ◽  
Bruno Valentim ◽  
Daniel Tavares ◽  
Maria João Augusto ◽  
Jorge Campelo ◽  
...  
Keyword(s):  
Emergency Contraception ◽  
Health Care Services ◽  
Healthcare Services ◽  
Sociodemographic Factors ◽  
Time Range ◽  
Cross Sectional ◽  
Unprotected Sexual Intercourse ◽  
Safety Issues ◽  
Care Services ◽  
Level Of Knowledge

Introduction: The lack of knowledge about the existence, effectiveness, and supply of emergency contraception as well as access to it, its effective duration and the lack of recognition of the need for its use can prevent women from using it. The aim of this study was to ascertain the attitudes, experience, level of knowledge and information sources about emergency contraception of Portuguese female users of healthcare services.Material and Methods: We conducted a multicentre, cross-sectional, observational study among 280 Portuguese women users of health care services through an original and anonymous questionnaire composed of 30 questions.Results: The mean age of the women who replied to the questionnaire was 33.83 ± 8.76 years. Of the observed sample, 27.7% used EC, 50% of whom with no counselling. Despite 92.1% of women claiming knowledge about emergency contraception, only 31.2% of these answered 8 - 10 questions correctly (14 in total). The media were the most frequent source of information (63.4%). Most participants (67.5%) considered that emergency contraception is associated with severe adverse reactions. Furthermore, 76% did not know the time range of effectiveness after unprotected sexual intercourse. Youngest age (p = 0.038), higher education level (p < 0.001), increasing parity (p = 0.051) and previous use of emergency contraception (p = 0.011) were identified as the determinant sociodemographic factors for a higher level of knowledge about emergency contraception.Discussion: The use of emergency contraception after counselling by healthcare professionals was lower than reported in the literature.Conclusion: This study showed that female users of healthcare services were aware of the existence of emergency contraception, but they demonstrated a low level of knowledge about it, especially regarding the correct period of use, place of acquisition and safety issues.

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