scholarly journals Implementation of Primary Healthcare Services in Community Health Stations in Highly Urbanized City

2021 ◽  
Vol 4 (3) ◽  
pp. 123-132
Author(s):  
Hanna B. Gella ◽  
Merlita V. Caelian
Keyword(s):  
Community Health ◽  
Primary Healthcare ◽  
Healthcare Providers ◽  
Well Being ◽  
Healthcare Services ◽  
Health Improvement ◽  
Patient Centeredness ◽  
Sustainable Development Goal ◽  
The Sustainable Development ◽  
Child Healthcare

Primary healthcare is integral to the Sustainable Development Goal (SDG) of ensuring healthy lives and promoting well-being.  A descriptive study assessed the implementation of primary healthcare services in community health stations through a researcher-made questionnaire among healthcare providers and beneficiaries of 30 community health stations.  The results revealed that, as a whole, the implementation of primary healthcare services in community health stations is great, with maternal and child healthcare implemented to a very great extent while the treatment of non-communicable diseases to a great extent only.  The major challenges encountered are the lack of medical drugs, supplies and equipment, and medical professionals.  Primary healthcare has made contributions to the community's health improvement; however, challenges imply that the quality and efficiency of the services need improvement. The study contributed to new knowledge on implementing healthcare at the lowest level of government, emphasizing patient-centeredness.

scholarly journals Socio-Sexual Experiences and Access to Healthcare Among Informal PrEP Users in the Netherlands

2020 ◽  
Author(s):  
Mart van Dijk ◽  
John B. F. de Wit ◽  
Rebecca Kamps ◽  
Thomas E. Guadamuz ◽  
Joel E. Martinez ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
Qualitative Study ◽  
The Netherlands ◽  
Healthcare Providers ◽  
Well Being ◽  
Healthcare Services ◽  
Interpretive Description ◽  
Sex Partners ◽  
Sex With Men ◽  
Incorrect Information

AbstractThe aim of this qualitative study was to explore the experiences of informal PrEP users regarding access to PrEP and PrEP-related healthcare, community responses, sexual behavior and well-being. We interviewed 30 men who have sex with men (MSM) in semi-structured online interviews between March and August 2018. Interviews were analyzed using interpretive description. Informal PrEP users were well informed about the use of PrEP, but sometimes did not make use of renal testing. Participants reported a lack of PrEP knowledge among healthcare providers, which limited their access to PrEP and put them at risk, as they received incorrect information. Although some participants reported negative reactions from potential sex partners, most received positive reactions and were sometimes seen as more desirable sex partners. PrEP healthcare services should not only be accessible to formal PrEP users, but also to PrEP users who procure PrEP informally.

scholarly journals Exploring the impact of economic and sociopolitical development on people’s health and well-being: A case study of the Karanga people in Masvingo, Zimbabwe

2016 ◽  
Vol 72 (4) ◽  
Author(s):  
Sophia Chirongoma
Keyword(s):  
Health Care ◽  
Healthcare Providers ◽  
Well Being ◽  
Faith Healing ◽  
Sociopolitical Development ◽  
The Sustainable Development ◽  
Western Development ◽  
Development Goals ◽  
The Impact ◽  
Health And Well Being

Through an exploration of the collapse of the Zimbabwean health delivery systems during the period 2000–2010, this article examines the Karanga people’s indigenous responses to utano (health and well-being). The first section explores the impact of Zimbabwe’s economic and sociopolitical development on people’s health and well-being. The next section foregrounds the ‘agency’ of the Karanga community in accessing and facilitating health care, especially their utilisation of multiple healthcare providers as well as providing health care through indigenous remedies such as traditional medicine and faith-healing. In line with the Sustainable Development Goals (SDGs), particularly SDG 3 which aspires to ensure healthy lives and promote well-being for all at all ages, the concluding section offers insights for developing an indigenous Karanga theology of utano utilising communal resources and illustrating that the concept of ‘development’ should not be confined to rigid Western development perspectives.

Rural and regional community health service boards: perceptions of community health – a Delphi study

2017 ◽  
Vol 23 (6) ◽  
pp. 543 ◽  
Author(s):  
Diana Guzys ◽  
Guinever Threlkeld ◽  
Virginia Dickson-Swift ◽  
Amanda Kenny
Keyword(s):  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Delphi Study ◽  
Healthcare Services ◽  
Community Health Services ◽  
Health Improvement ◽  
Strategic Direction ◽  
Rural Community Health ◽  
Governance Training

Much has been written about the composition of health service boards and the importance of recruiting people with skills appropriate for effective and accountable governance of health services. Governance training aims to educate directors on their governance responsibilities; however, the way in which these responsibilities are discharged is informed by board members’ understanding of health within their communities. The aim of this study was to identify how those engaged in determining the strategic direction of local regional or rural community health services in Victoria, Australia, perceived the health and health improvement needs of their community. The Delphi technique was employed to facilitate communication between participants from difference geographic locations. The findings of the study highlight the different ways that participants view the health of their community. Participants prioritised indicators of community health that do not align with standard measures used by government to plan for, fund or report on health. Devolved governance of healthcare services aims to improve local healthcare responsiveness. Yet, if not accompanied with the redistribution of resources and power, policy claimed to promote localised decision-making is simply tokenistic.

scholarly journals The effects of Enhanced Primary Healthcare interventions on primary care providers job satisfaction

2019 ◽  
Author(s):  
Wen Jun Wong ◽  
Aisyah Mohd Norzi ◽  
Swee Hung Ang ◽  
Chee Lee Chan ◽  
Faeiz Syezri Adzmin Jaafar ◽  
...  
Keyword(s):  
Primary Care ◽  
Job Satisfaction ◽  
Primary Healthcare ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Intervention Group ◽  
Well Being ◽  
Primary Care Providers ◽  
Care Providers ◽  
Post Intervention

Abstract Background In response to address the rising burden of cardiovascular risk factors, Malaysian government has implemented Enhanced Primary Healthcare (EnPHC) interventions in July 2017 at public clinics level. Healthcare providers (HCPs) play crucial roles in healthcare service delivery and health system reform can influence HCPs’ job satisfaction. However, studies evaluating HCPs’ job satisfaction following primary care transformation remain scarce in low- and middle-income countries. This study aims to evaluate the effects of EnPHC interventions on HCPs. Methods This is a quasi-experimental study conducted in 20 intervention and 20 matched control clinics. We surveyed all healthcare providers who were directly involved in patient management. A self-administered questionnaire which included six questions on job satisfaction were distributed at baseline (April and May 2017) and post-intervention (March and April 2019). Difference-in-differences analysis was used in the multivariable linear regression model in which we adjusted for providers and clinics characteristics to detect the changes in job satisfaction following EnPHC interventions. Results A total of 1042 and 1215 HCPs responded at baseline and post-intervention respectively. At post-intervention, the intervention group reported higher level of stress and change in score between two groups was -0.14 (β= -0.139; 95% CI -0.266,-0.012; p =0.032). In subgroup analysis, nurses from intervention group experienced increase in work stress following EnPHC interventions (β= -0.223; 95% CI -0.419,-0.026; p =0.026). Additionally, the same group also responded that they were less likely to perceive their profession as well-respected at post-intervention (β= -0.175; 95% CI -0.331,-0.019; p =0.027). Conversely, allied health professionals from intervention group were more likely to report a good balance between work and effort (β= 0.386; 95% CI 0.033,0.738; p =0.032) after implementing EnPHC interventions. Conclusions Our findings suggest that EnPHC interventions had resulted in some untoward effect on HCPs’ job satisfaction. Job dissatisfaction can have detrimental effects on the organisation and healthcare system. Therefore, provider experience and well-being should be considered before introducing healthcare delivery reforms to avoid overburdening of HCPs.

scholarly journals Patient-Reported Experiences in Accessing Primary Healthcare among Immigrant Population in Canada: A Rapid Literature Review

2020 ◽  
Vol 17 (23) ◽  
pp. 8724
Author(s):  
Bishnu Bahadur Bajgain ◽  
Kalpana Thapa Bajgain ◽  
Sujan Badal ◽  
Fariba Aghajafari ◽  
Jeanette Jackson ◽  
...  
Keyword(s):  
Literature Review ◽  
Primary Healthcare ◽  
English Language ◽  
Quality Care ◽  
Healthcare Providers ◽  
Strong Support ◽  
Active Role ◽  
Healthcare Services ◽  
Patient Experiences ◽  
Patient Reported

(1) Background: Immigrants represent around 21.9% of the total population in Canada and encounter multifaceted obstacles in accessing and receiving primary healthcare. This literature review explores patient experiences in primary care from the perspective of immigrants and identifies areas for further research and improvement. (2) Methods: A comprehensive search was performed on PubMed, MEDLINE, Embase, SCOPUS, and Google scholar to identify studies published from 2010 to July 2020. Relevant articles were peer-reviewed, in English language, and reported patient experiences in primary healthcare in Canada. (3) Results: Of the 1566 searched articles, 19 articles were included in this review. Overall, the finding from articles were summarized into four major themes: cultural and linguistic differences; socioeconomic challenges; health system factors; patient–provider relationship. (4) Conclusion: Understanding the gaps to accessing and receiving appropriate healthcare is important to shape policies, enhance the quality of services, and deliver more equitable healthcare services. It is therefore pertinent that primary healthcare providers play an active role in bridging these gaps with strong support from policymakers. Understanding and respecting diversity in culture, language, experiences, and systems is crucial in reducing health inequalities and improving access to quality care in a respectful and responsive manner.

The community transformation map: A maturity tool for planning change in community health improvement for equity and well-being.

2021 ◽  
Vol 91 (3) ◽  
pp. 322-331
Author(s):  
Ariel M. Domlyn ◽  
Jonathan Scaccia ◽  
Niñon Lewis ◽  
Shemekka Ebony Coleman ◽  
Gareth Parry ◽  
...  
Keyword(s):  
Community Health ◽  
Well Being ◽  
Health Improvement ◽  
Community Transformation ◽  
Community Health Improvement

scholarly journals Healthcare Managers’ Perception About the Sustainable Development Goals (SDGs)

2021 ◽  
Vol 11 (2) ◽  
pp. 141
Author(s):  
Jonas A. S. Schwartzman ◽  
Paola Zucchi
Keyword(s):  
Sustainable Development ◽  
Sustainable Development Goals ◽  
Well Being ◽  
Good Health ◽  
Healthcare Services ◽  
Cross Sectional ◽  
The Sustainable Development ◽  
Development Goals ◽  
Online Forms ◽  
Health And Well Being

In 2015, about 190 United Nations Member States proposed an ambitious agenda, to be worked on by different actors in society, which was entitled 2030 Agenda. The document was divided into 17 Sustainable Development Goals (SDGs), which are broken down into 169 targets aiming to eradicate poverty and promote a decent life for all. This study aimed to evaluate the perception of healthcare managers about SDGs, especially SDG 3, which addresses Good Health and Well-Being. This cross-sectional observational study identified and analyzed the participants’ profilesthrough online forms with questions about the general perception of the SDGs, and questions related to SDG 3. The quantitative analysis of the results was performed, in percentage terms, and the qualitative analysis was performed using the five-point Likert scale. Twenty-one technical directors of healthcare services participated in the survey. According to the results, 14 (66.6)  of the participants presented medium to highknowledge regarding SDG. In addition, 18 (85.7%) of these professionals understand that the SDGs are of high/very high importance to guide public policies. In general, there is a low expectation for the achievement of the 17 SDGs in Brazil, but it was highlighted that it should be a priority, which SDG could contribute to the achievement of SDG 3: Good Health and well-being as well as the vision of policy recommendations to achieve the SDG 3 targets. This analysis allows contact with SDG and enables a deeper discussion on the topic in healthcare services.

scholarly journals Understanding and supporting the health literacy of young men in prison: a mixed-methods study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Anita Mehay ◽  
Rosie Meek ◽  
Jane Ogden
Keyword(s):  
Mixed Methods ◽  
Health Literacy ◽  
Young Adult ◽  
Prison Population ◽  
Young Men ◽  
Well Being ◽  
Healthcare Services ◽  
Health Improvement ◽  
Content Type ◽  
Prison Health

PurposePrisons offer a public health opportunity to access a group with multiple and complex needs and return them to the community with improved health. However, prisons are not conducive to optimal health and there are few frameworks to guide efforts. This study aims to generate insights into health literacy across a young adult prison population, specifically examining the level of limitations, barriers and characteristics associated with these limitations.Design/methodology/approachThe study took place in a single prison in England for young adult men aged 18–21 years old. A mixed-methods design was adopted with 104 young men completing a quantitative survey and qualitative semi-structured interviews with 37 young men.Findings72% (n = 75) of young men scored as limited in their health literacy. Barriers included structural restrictions, limited access to formal support and social and natural disruptions. No demographic characteristics or smoking intentions/behaviours predicted limited health literacy, but characteristics of the prison were predictive. Physical problems (sleep, nausea, tiredness and headaches), mental health and well-being (anxiety, depression and affect) and somatisation problems were also predictive of limitations.Practical implicationsPrison healthcare services and commissioners should undertake regular health literacy needs assessments to support developments in reducing barriers to healthcare and increasing health improvement efforts. Action also requires greater political will and investment to consider broader action on the wider determinants of (prison) health.Originality/valueThe study provides a framework to understand and guide prison health efforts and highlights attention needed at the level of governments, prison leaders and their health systems.

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