scholarly journals Mid-Level Health Providers- their perceptions and background knowledge pertaining to Comprehensive Primary Health Care and Health and Wellness Center

Healthline ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 40-47
Author(s):  
Hitesh Shah ◽  
Priti Solanky ◽  
Rachana Kapadia ◽  
Sunil Nayak
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Coverage ◽  
Health And Wellness ◽  
Health Providers ◽  
Cross Sectional ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
Effective Manner ◽  
Wellness Center

Introduction: To achieve universal health coverage, concept of Health and Wellness Center (HWC) was given under Ayushman Bharat. For providing health care services through HWC, cadre of Mid-Level Health Provider (MLHP) is introduced who would be leading primary health care team at HWC. Objective: This study was undertaken with objective to assess the factors favoring to join this course and baseline knowledge of Comprehensive Primary Health Care (CPHC) and Health and Wellness Center (HWC) among course candidates Method: It was a cross sectional study conducted among candidates of certificate course in community health at PSC (Program Study Center) of Medical College at South Gujarat through self-administered semi-structured Performa. Results:Career changing opportunity was considered as a major factor to pursue CCCH course and obtaining MLHP position at HWC. Accessibility of HWC and role in advocacy generation were perceived major needs for it in community. Preventive, Promotive and Curative functions were mentioned as functions of HWC and geographical accessibility with delivery of functions in effective manner were perceived as chief characters of ideal HWC. Along with these, they mentionedcleanliness of center, community involvement and client satisfaction as its other characters. Conclusion and Recommendations:Baseline knowledge of the candidates pertaining to need, functions and ideal HWC was found almost satisfactory but it needed reinforcement and clarity. These results should be used for proper planning of curriculum and implementation of CCCH course to fulfill gaps in knowledge. We recommend that similar exercise should be carried out at all PSCs for effective implementation of course curriculum.

scholarly journals Steps towards Universal Health Coverage through Health and Wellness Center under Ayushman Bharat Programme Delivering Comprehensive Primary Health Care in Bhandara District

2021 ◽  
pp. 34-38
Author(s):  
Shrikant Madhukar Ambekar ◽  
S. Z. Quazi ◽  
Abhay Gaidhane ◽  
Manoj Patil
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Facility ◽  
Health Coverage ◽  
Health And Wellness ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
Different Types ◽  
Wellness Center ◽  
Universal Health

Background: In 2018-19 as recommended by National Health Policy an Ambitious health care scheme as Ayushman Bharat programme was started by Government of India steps toward the Universal health coverage. Ayushman Bharat is also known as Healthy India having two major component. Creation of Health and Wellness Centres and Pradhan Mantri Jan Arogya Yojana (PM-JAY). Comprehensive primary health care services will be delivered up gradation of existing health facility in various 10 core area and 13 different types of health services will be delivered at HWC health facility. Progress in Health and Wellness under Ayushman Bharat Programme: First HWC was inaugurated by GOI in state of Chhattisgarh within Bijapur district at jangla village of Bhairamgarh Taluka on On 18th April 2018. Till 06th Feb 2021 total 58961 Health and wellness cneters are operational in India and In Maharashtra total 8423 Health and wellness cneters are operational where in Bhandara district total 177 Health and wellness cneters are operational which include 143 SHC Health and wellness center, 33 PHC Health and wellness center and 1 UPHC Health and wellness center. Achievements in Health and Wellness Center: In Bhandara district 98% of Medical Officer, 90% of Staff Nurse, 93% of MPW Female, 88% of MPW Male and 99% of ASHA trained NPCDCS Programme. Where 10,69,219 screening test for Hypertension and 10,81,901 screening test for Diabetes conducted in HWC health facility. Total 4097 Yoga sessions conducted at HWC health facility. Conclusion: 13 different types of health services which are delivered at Health and Wellness Centres health facility under Ayushman Bharat is step towards the Unvarsal health coverage provision in rural area of bhandara district.

scholarly journals Awareness and Attitude of Primary Healthcare Patients towards Telehealth in Cairo, Egypt

2020 ◽  
Author(s):  
Sara Shoman ◽  
Tamer Emara ◽  
Heba Gamal Saber ◽  
Mohamed Allam
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Ethical Issues ◽  
Close Contact ◽  
Age Groups ◽  
Health Coverage ◽  
Cross Sectional ◽  
Virtual Technology ◽  
Primary Health

Background: Telehealth is delivering health care services remote from healthcare facilities using telecommunications and virtual technology. Egypt is aiming to reach Universal Health Coverage; this increases the demand of telehealth in routine health services. Telehealth benefits are increasing access to expertise in difficultly reached geographical areas with no available medical teams and may be used as fast first aid. It could also minimize costs of hospitals, as patients can be monitored remotely even from home. As for barriers, especially in developing countries, are the unavailable infrastructure and the resistance of patients. Objective: To measure the awareness of telehealth among attendees of primary health care units and their acceptance of application of telehealth. Methodology: This was a cross sectional study among attendees of primary health units. A sample size was calculated to be 162. A valid Arabic interview questionnaire was designed, and 170 questionnaires were filled by attendees. Ethical issues were considered. Results: Awareness percentage of telehealth among attendees was 64.7% while willingness to implement telehealth was 78%. Both awareness and willingness were significantly associated with age groups, residence, socioeconomic status and presence of computer with net access. Conclusion: It is concluded that a large percentage of attendees to primary health care centers are aware of telehealth and are willing to implement it. The major cause of refusal to implement telehealth was due ignorance of using telecommunication devices and the desire to be in close contact with the physicians.

scholarly journals Assessment of functioning of Health and Wellness Centers in a district of Western Gujarat

Healthline ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 34-39
Author(s):  
Hetal Rathod ◽  
Pradeep Pithadia ◽  
Disha Patel ◽  
Mukeshgiri Goswami ◽  
Dipesh Parmar ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Health And Wellness ◽  
Cross Sectional ◽  
Primary Health ◽  
Selective Approach ◽  
Comprehensive Primary Health Care ◽  
The Government

Introduction: Ayushman Bharat is an attempt to move from a selective approach to health care to deliver comprehensive range of services spanning preventive, promotive, curative, rehabilitative and palliative care. To ensure delivery of Comprehensive Primary Health Care services, existing Sub Health Centers and Primary Health Centers are converted to Health and Wellness Centers (HWC).Objective: The main objective of our study is to assess functionality of HWCs in various blocks of Jamnagar district and to determine prevalence of non-communicable diseases in the community. It is a cross sectional study conducted between August-December 2019. A semi-structured proforma containing questionnaires was used for data collection. Data were entered and analyzed in Microsoft Excel version 2007.There are 58 health and wellness centers in Jamnagar, of which, we randomly select 50% of centers from each taluka, so total of 29 HWCs selected, four among them could not be assessed, so our final sample size would be 25. Result: Our study observed satisfactory performance of health and wellness centres except barring a few indicators. Community health officers and multipurpose workers are available in about majority of centers. The study found that the prevalence of hypertension, diabetes mellitus, oral Cancer, breast cancer, and cervical Cancer was 20.44%, 11.03%, 0.73% 0.45% and 1.02% respectively. Staff at the centers was in need of vital training like Techo, refresher training etc. Conclusion: Majority of health and wellness centers are functioning as per the guidelines laid down by the Government barring a few services like laughing club, music therapy, meditation etc.

scholarly journals The Primary Health Care Performance Initiative (PHCPI): Issues and Challenges for Malaysia as a Trailblazer Country

2019 ◽  
Vol 4 (1) ◽  
pp. 4 ◽  
Author(s):  
Anis Safura Ramli ◽  
Sri Wahyu Taher ◽  
Zainal Fitri Zakaria ◽  
Norsiah Ali ◽  
NurAinul Hana Shamsuddin ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care System ◽  
Primary Health Care System ◽  
Health Coverage ◽  
Health Providers ◽  
Primary Health ◽  
Care System

A strong and robust Primary Health Care system is essential to achieving universal health coverage and to save lives. The Global Conference on Primary Health Care 2018: from Alma-Ata towards achieving Universal Health Coverage and the Sustainable Development Goals at Astana, Kazakhstan provided a platform for low‐ and middle‐ income countries to join the Primary Health Care Performance Initiative (PHCPI). At this Global Conference, Malaysia has declared to become a Trailblazer Country in the PHCPI and pledged to monitor her Vital Signs Profiles (VSP). However, the VSP project requires an honest and transparent data collection and monitoring of the Primary Health Care system, so as to identify gaps and guide policy in support of Primary Health Care reform. This is a huge commitment and can only be materialised if there is a collaborative partnership between Primary Care and Public Health providers. Fundamental to all of these, is the controversy concerning whether or not ‘Primary Care’ and ‘Primary Health Care’ represent the same entity. Confusion also occurs with regards to the role of ‘Primary Care’ and ‘Public Health’ providers in the Malaysian Primary Health Care system. This review aims to differentiate between Primary Care, Primary Health Care and Public Health, describe the relationships between the three entities and redefine the role of Primary Care and Public Health in the PHCPI-VSP in order to transform the Malaysian Primary Health Care system.

scholarly journals Reiterating The Importance of Publicly Funded and Provided Primary Health Care for Non-Communicable Diseases: The Case of India; Comment on "Universal Health Coverage for Non-Communicable Diseases and Health Equity: Lessons From Australian Primary Healthcare"

2021 ◽  
Author(s):  
Sulakshana Nandi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Healthcare Access ◽  
Communicable Diseases ◽  
Income Country ◽  
Health Coverage ◽  
Publicly Funded ◽  
Non Communicable Diseases ◽  
Primary Health ◽  
Comprehensive Primary Health Care

India has established Health and Wellness Centres (HWCs) and appointed Mid-level Healthcare Providers (Community Health Officers) to provide free and comprehensive primary health care, through screening, prevention, control, management and treatment for non-communicable diseases (NCDs), in addition to existing services for communicable diseases, and reproductive and child health. The range of services being provided and the number of people accessing ambulatory care in these government centres have increased, leading to more equitable healthcare access and financial protection. In policy debates, contestations exist prioritising between primary health care or hospital services, and between publicly-provided healthcare or privatised and "purchased" services. Nationally and globally the influence of industries and corporations in health governance has weakened the response against NCDs. Primary health care initiatives for NCDs must be publicly funded and provided, located within communities, and necessitate action on the determinants of health. The experiences from Australia (a High-Income Country) and India (a Low-and Middle-Income Country) amply illustrate this.

scholarly journals Convergent and discriminative validity of the Frail-VIG index with the EQ-5D-3L in people cared for in primary health care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan-José Zamora-Sánchez ◽  
Edurne Zabaleta-del-Olmo ◽  
Vicente Gea-Caballero ◽  
Iván Julián-Rochina ◽  
Gemma Pérez-Tortajada ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Convergent Validity ◽  
Frailty Index ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Programme ◽  
Discriminative Validity ◽  
Primary Health ◽  
Related Quality

Abstract Background The Frail-VIG frailty index has been developed recently. It is an instrument with a multidimensional approach and a pragmatic purpose that allows rapid and efficient assessment of the degree of frailty in the context of clinical practice. Our aim was to investigate the convergent and discriminative validity of the Frail-VIG frailty index with regard to EQ-5D-3L value. Methods We carried out a cross-sectional study in two Primary Health Care (PHC) centres of the Catalan Institute of Health (Institut Català de la Salut), Barcelona (Spain) from February 2017 to January 2019. Participants in the study were all people included under a home care programme during the study period. No exclusion criteria were applied. We used the EQ-5D-3L to measure Health-Related Quality of Life (HRQoL) and the Frail-VIG index to measure frailty. Trained PHC nurses administered both instruments during face-to-face assessments in a participant’s home during usual care. The relationships between both instruments were examined using Pearson’s correlation coefficient and multiple linear regression analyses. Results Four hundred and twelve participants were included in this study. Frail-VIG score and EQ-5D-3L value were negatively correlated (r = − 0.510; P < 0.001). Non-frail people reported a substantially better HRQoL than people with moderate and severe frailty. EQ-5D-3L value declined significantly as the Frail-VIG index score increased. Conclusions Frail-VIG index demonstrated a convergent validity with the EQ-5D-3L value. Its discriminative validity was optimal, as their scores showed an excellent capacity to differentiate between people with better and worse HRQoL. These findings provide additional pieces of evidence for construct validity of the Frail-VIG index.

scholarly journals Factors Related to Primary Health Care Provision: A Cross-Sectional Study in an Elderly Rural Population

2015 ◽  
Vol 38 (5) ◽  
pp. 343-356
Author(s):  
Ana Maseda ◽  
José Carlos Millán-Calenti ◽  
Julia Carpente ◽  
José Luis Rodríguez-Villamil ◽  
Carmen de Labra
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Population ◽  
Cross Sectional Study ◽  
Health Care Provision ◽  
Care Provision ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health

scholarly journals The situation of nursing education in Latin America and the Caribbean towards universal health

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Silvia Helena De Bortoli Cassiani ◽  
Lynda Law Wilson ◽  
Sabrina de Souza Elias Mikael ◽  
Laura Morán Peña ◽  
Rosa Amarilis Zarate Grajales ◽  
...  
Keyword(s):  
Health Care ◽  
Latin America ◽  
Primary Health Care ◽  
Nursing Education ◽  
Clinical Decision Making ◽  
Clinical Experiences ◽  
Cross Sectional ◽  
Primary Health ◽  
The Caribbean ◽  
Universal Health

Objective: to assess the situation of nursing education and to analyze the extent to which baccalaureate level nursing education programs in Latin America and the Caribbean are preparing graduates to contribute to the achievement of Universal Health. Method: quantitative, descriptive/exploratory, cross-sectional study carried out in 25 countries. Results: a total of 246 nursing schools participated in the study. Faculty with doctoral level degrees totaled 31.3%, without Brazil this is reduced to 8.3%. The ratio of clinical experiences in primary health care services to hospital-based services was 0.63, indicating that students receive more clinical experiences in hospital settings. The results suggested a need for improvement in internet access; information technology; accessibility for the disabled; program, faculty and student evaluation; and teaching/learning methods. Conclusion: there is heterogeneity in nursing education in Latin America and the Caribbean. The nursing curricula generally includes the principles and values of Universal Health and primary health care, as well as those principles underpinning transformative education modalities such as critical and complex thinking development, problem-solving, evidence-based clinical decision-making, and lifelong learning. However, there is a need to promote a paradigm shift in nursing education to include more training in primary health care.

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