scholarly journals Critical Education for Participatory Research

1997 ◽  
Vol 2 (2) ◽  
pp. 1-9 ◽  
Author(s):  
M. Martin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Health Workers ◽  
Critical Education ◽  
Research Activity ◽  
Primary Health ◽  
Health Strategy ◽  
Development Professionals ◽  
Health And Development

This article takes the form of a case study of a master's course for health and development professionals working in the field of primary health care. It argues the need for health professionals to critically examine research paradigms and the assumptions that inform them, considering their appropriateness to primary health care, a health strategy based on a recognition of the relationship between inequalities and health status. Conventional training of health professionals does not encourage health workers to reflect critically on their research practice. This can be facilitated through an educational strategy that emphasises issues of inequality as central to health and addresses issues of power and purpose in research activity.

Authors’ Commentary: Domestic Violence Against Women, Public Policies and Community Health Workers in Brazilian Primary Health Care

2019 ◽  
Vol 40 (3) ◽  
pp. 237-239
Author(s):  
Marcos Signorelli ◽  
Angela Taft ◽  
Pedro Paulo Gomes Pereira
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Primary Health Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Professionals ◽  
Health Workers ◽  
Family Health ◽  
Further Education ◽  
Primary Health

In this commentary paper, we highlight the key role that community health workers and family health professionals can perform for the identification and care for women experiencing domestic violence in communities. These workers are part of the primary health-care strategy in the Brazilian public health system, who are available in every municipalities and neighborhoods of the country. Based on our ethnographic research, we argue that identification and care of abused women by these workers and professionals follow a pattern which we described and named “the Chinese whispers model.” We also point gaps in training these workers to deal with complex issues, such as domestic violence, arguing for the need of formal qualification for both community health workers and family health professionals by, for example, incorporating such themes into curricula, further education, and continuing professional development.

scholarly journals Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health Strategy

2017 ◽  
Vol 20 (4) ◽  
pp. 714-726 ◽  
Author(s):  
Cristina Rabelo Flôr ◽  
Cláudia Di Lorenzo Oliveira ◽  
Clareci Silva Cardoso ◽  
Cleonice Ferreira Rabelo ◽  
Bernardo Luis Gontijo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Family Health ◽  
Traditional Model ◽  
Care Model ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT: Introduction: The Family Health Strategy (FHS) should be first-contact care in the Brazilian Health System. However, Primary Health Care (PHC) still encompasses two models: the FHS and the traditional health care facilities. The expansion of the FHS has been slow and heterogeneous in many cities, rendering a comparative evaluation of key quality-related elements of PHC models crucial. Objective: To compare the performance of PHC models as perceived by health professionals. Methods: A cross-sectional study involving managers and health professionals from PHC of a medium-size city in South-eastern Brazil. Data were collected by applying the Primary Care Assessment Tool. The performance was estimated through primary health care indexes (general and partial PHCI by attributes). Univariate polytomous logistic regression was performed to compare care model performances according to their attributes. Strength of association was estimated by odds ratio with 95% confidence interval. Results: Three managers and 81 health professionals participated in the study. The FHS had a better index rating than the traditional care model for general PHCI and for the attributes longitudinality, comprehensiveness, family focus and professional level. Conclusion: Although the FHS attained higher scores compared to the traditional model, it has not yet achieved the performance expected. This scenario points to the need for increased FHS cover and quality improvements at the existing units.

scholarly journals Community participation in primary health care projects of the Muldersdrift Health and Development Programme

Curationis ◽  
2007 ◽  
Vol 30 (2) ◽  
Author(s):  
M. Barker ◽  
H. Klopper
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nursing Education ◽  
Community Participation ◽  
Health Workers ◽  
Development Programme ◽  
Validity And Reliability ◽  
Primary Health ◽  
Health And Development ◽  
Organization Leadership

After numerous teething problems (1974-1994), the Department of Nursing Education of WITS University took responsibility for the Muldersdrift Health and Development Programme (MHDP). The nursing science students explored and implemented an empowerment approach to community participation. The students worked with MHDP health workers to improve health through community participation, in combination with primary health care (PHC) activities and the involvement of a variety of community groups. As the PHC projects evolved overtime, the need arose to evaluate the level of community participation and how much community ownership was present over decision-making and resources. This led to the question “What was the level of community participation in PHC projects of the MHDP?” Based on the question the following objectives were set, i.e. i) to evaluate the community participation in PHC initiatives; ii) to provide the project partners with motivational affirmation on the level of community participation criteria thus far achieved; iii) to indicate to participants the mechanisms that should still be implemented if they wanted to advance to higher levels of community participation; iv) to evaluate the MHDP’s implementation of a people-centred approach to community participation in PHC; and v) the evaluation of the level of community participation in PHC projects in the MHDP. An evaluative, descriptive, contextual and quantitative research design was used. Ethical standards were adhered to throughout the study. The MHDP had a study population of twentythree (N=23) PHC projects. A purposive sample of seven PHC initiatives was chosen according to specific selection criteria and evaluated according to the “Criteria to evaluate community participation in PHC projects” instrument (a quantitative tool). Structured group interviews were done with PHC projects’ executive committee members. The Joint Management Committee’s data was collected through mailed self-administered questionnaires. Validity and reliability were ensured according to strict criteria. Thereafter results were analysed and plotted on a radiating arm continuum. The following factors had component scores: organization, leadership, resources, management; needs and skills. A spider graph was produced after each factor’s continuum was connected in a spoke figuration that brought them together at the base where participation was at its most narrow. The results are presented and a graph and discussion is provided on each of the PHC projects.

scholarly journals Intervenções com profissionais de saúde da atenção primária sobre aconselhamento à atividade física: revisão sistemática

2018 ◽  
Vol 30 (1) ◽  
pp. 3021
Author(s):  
Vítor Häfele ◽  
Fernando Vinholes Siqueira
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Health Professionals ◽  
Health Workers ◽  
Health Care Intervention ◽  
Primary Health ◽  
Care Intervention

O objetivo do estudo foi descrever as intervenções realizadas com profissionais de saúde na atenção primária com o foco no aumento do aconselhamento à prática de atividade física. Foi realizada uma revisão sistemática da literatura nas bases de dados PubMed, Lilacs, Scopus, SciELO e Bireme, com as seguintes palavras-chave: primary health care; intervention; physical activity; exercise; health promotion; counseling; advice; health professionals; health workers. Foram incluídos oito estudos, sendo a maioria de metodologia quantitativa e publicado na última década. As intervenções foram realizadas em três países, com amostras heterogêneas de profissionais de saúde e usuários da atenção primária. Quanto ao efeito da intervenção sobre o aumento do aconselhamento à atividade física, metade dos estudos mostrou ser positivo, enquanto a outra metade não apresentou diferença. Os resultados apresentam que ainda são poucas as intervenções com profissionais de saúde na atenção primária relacionadas ao aconselhamento à atividade física e metade delas mostraram efeito positivo. São necessárias novas intervenções abrangendo diferentes profissionais da saúde em um número maior de unidades de saúde.

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.

scholarly journals The National Mental Health Strategy: Redefining Promotion and Prevention in Mental Health?

2007 ◽  
Vol 13 (3) ◽  
pp. 77 ◽  
Author(s):  
Julie Henderson
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Mental Health Promotion ◽  
Health Prevention ◽  
Policy Documents ◽  
Primary Health ◽  
Health Strategy ◽  
National Mental Health

This paper explores policy documents published as part of the National Mental Health Strategy for ideas about mental health promotion and prevention, to determine the extent to which these documents adopt a primary health care approach. Discourse analysis was undertaken of key policy documents to discover the manner in which they discuss mental health promotion and prevention. Three points of departure are identified. The first of these is a focus on social and biological risk factors that manifest at an individual rather than at a social level, effectively drawing attention away from social inequalities. These documents also primarily target a population that is viewed as being "at risk" due to exposure to risk factors, shifting attention from strategies aimed at improving the health of the population as a whole. A final difference is found in the understanding of primary health care. Recent policy documents equate primary health care with the first level of service delivery in the community, primarily by general practitioners, shifting the focus of care from mental health promotion with the community to early intervention with those experiencing mental health problems. This is supported by the incorporation of a biomedical understanding into mental health prevention. While recent mental health policy documents re-assert the need for early intervention and health prevention, the form of mental health prevention espoused in these documents differs from that which informed the Declaration of Alma Alta, Ottawa Charter for Health Promotion and World Health Organization's Health for All strategy.

Village Health Workers and Primary Health Care

1983 ◽  
Vol 13 (3) ◽  
pp. 105-108 ◽  
Author(s):  
J Patrick Vaughan ◽  
Gill Walt
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Workers ◽  
Primary Health ◽  
Village Health Workers ◽  
Village Health
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