scholarly journals The role of the community-based rehabilitation worker within the primary health care service of the ODI district

1999 ◽  
Vol 55 (1) ◽  
pp. 19-22 ◽  
Author(s):  
N. P. Taukobong

Introduction: There has not been agreement within the Health Care Services regarding the role of Community Based Rehabilitation (CBR) workers. The training of CBR workers continues although the process was not widely supported and the CBR worker’s function has not been clarified yet CBR programmes are included in the training of students.Aim: The aim is to identify and describe the role of the CBR workers within the Odi District Health Service (DHS) and determine whether they are fulfilling the rehabilitation arid development functions envisaged by the WHO model of CBR programmes.Methodology: Qualitative and quantitative research methods were used. These included a questionnaire; observations of the daily tasks of the CBR workers and interviews with members of the District Health Service (DHS) of the Odi district, clients and CBR workers. Open and axial coding were used in data analyses. Data from the different sources were triangulated to ensure trustworthiness.Results: The skills performed by CBR workers have produced a change in the lifestyle of the disabled people and the initiated projects are benefiting the families of the disabled people within the CBR programme as well as their community. There seems to be a break down of communication between the District Health Manager (DHM) and the supervisor of the CBR workers. A lack of communication within the DHS affects the functions of the CBR workers.Conclusion: It is concluded that, although the tasks of the CBR workers within the Odi DHS are not supported, they produce a positive impact on the quality of life of the disabled within the CBR programme. The CBR workers’ contribution towards community development, although on a small scale, proves that they operate within the World Health Organization’s (WHO) guidelines for CBR.

1993 ◽  
Vol 17 (3) ◽  
pp. 164-165
Author(s):  
Peter Urwin

We are now well into the second year of the separation of purchaser and provider functions in the National Health Service. District health authorities as purchasers of services are required to assess the health care needs of their population (NHS Management Executive, 1991a) and seek professional advice regarding both the need for, and the provision of, services. The NHS Management Executive acknowledges that local clinicians in provider units will continue to make a major contribution to this advice (NHS Management Executive, 1991b).


Author(s):  
Robert B. Lloyd ◽  
Melissa Haussman ◽  
Patrick James

It is estimated that populations in Africa are afflicted with 24% of the global load of disease with only 13% of the population. This chapter provides theoretical suggestions for studying why this is so. Among these theories are area studies, Africa studies and the World Health Organization’s Social Determinants of Health Framework, which relates social inequality to the study of political and health-providing institutions. The chapter lays out the book’s three case studies and our look at the role of national and international health and secular ngo’s in helping to remedy gendered health inequalities. It lays out the MDG framework of 2000, to be discussed in succeeding chapters.


1995 ◽  
Vol 43 (1) ◽  
pp. 36-51 ◽  
Author(s):  
Isobel Bowler

This paper draws on data from a small-scale ethnographic study of the delivery of maternity care to South Asian descent women in a hospital in Southern England during 1988. Stereotyped views of these women which related to their customs and culture as well as their typification as patients were commonly expressed by staff, particularly midwives. The paper examines the role of medical records and record making in stereotyping Asian women: the ways in which stereotyped views of women may affect the record making process; and how that process itself may reinforce and create stereotypes. The utility of records for ‘rate production’ purposes is also discussed. The focus of the paper is the creation of a woman's maternity records which occurs in the antenatal clinic. The transformation of stigmatised views of a client into ‘facts’ about a client is common among bureaucrats, in this setting health service staff. This process affects the client's future encounters with the bureaucracy. In medical settings records (ie the case notes) help to create, transmit and reify negative stereotypes of health service users. These stereotypes can affect the kind of care given to individual patients.


The Lancet ◽  
1985 ◽  
Vol 325 (8427) ◽  
pp. 507-508 ◽  
Author(s):  
John Sturt ◽  
Helena Waters

2013 ◽  
Vol 24 (3) ◽  
pp. 131
Author(s):  
Haider Darain ◽  
Abdulhameed Alkitani ◽  
Muhammad Kashif ◽  
Najat Soboh El-ziq

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