scholarly journals Xukuru do Ororubá: desafios na integração aos serviços de saúde

2019 ◽  
Vol 13 (4) ◽  
pp. 915
Author(s):  
Ryanne Carolynne Maques Gomes ◽  
Keyla Cristina Vieira Marques Ferreira
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Indigenous People ◽  
Indigenous Population ◽  
Indigenous Health ◽  
National Policy ◽  
Descriptive Study ◽  
Emergency Assistance ◽  
Investigación Cualitativa

RESUMOObjetivo: buscou-se verificar os desafios que os Xukuru do Ororubá enfrentam na integração aos serviços de saúde indígena. Método: trata-se de estudo qualitativo, exploratório e descritivo, realizado com seis indígenas da etnia Xukuru do Ororubá. Coletaram-se os dados por meio de um roteiro preestabelecido, sendo as entrevistas gravadas e transcritas. Realizou-se a análise dos dados por meio da Análise de Conteúdo. Resultados: verificou-se que as principais dificuldades encontradas foram: longa espera na marcação e resultados dos exames; ausência de assistência emergencial; medicamentos insuficientes para atender à demanda; indícios de preconceito na zona urbana de Pesqueira e assistência insuficiente no hospital municipal. Conclusão: nota-se que mesmo com a assistência à saúde fortalecida pelo Subsistema de Atenção à Saúde Indígena e pela Política Nacional de Atenção à Saúde dos Povos Indígenas, muitas dificuldades ainda são enfrentadas. Descritores: Pesquisa Qualitativa; Políticas Públicas de Saúde; População Indígena; Saúde de Populações Indígenas; Saúde Pública; Serviços de Saúde do Indígena. ABSTRACT Objective: to verify the challenges that the Orukuba Xukuru face in integrating with indigenous health services. Method: this is a qualitative, exploratory and descriptive study, carried out with six indigenous people of the Orukuburu Xukuru ethnicity. The data were collected by a pre-established script, and the interviews were recorded and transcribed. Data analysis was performed through Content Analysis. Results: the main difficulties were: long wait in the exams appointment and results; absence of emergency assistance; insufficient medicines to meet demand; signs of prejudice in the urban area of Pesqueira and insufficient assistance in the municipal hospital. Conclusion: many difficulties are still faced, even with health care strengthened by the Indigenous Health Care Subsystem and the National Policy on Health Care for Indigenous People. Descriptors: Qualitative Research; Public Health Policy; Indigenous Population; Health of Indigenous People; Public Health; Health Services, Indigenous.RESUMEN Objetivo: verificar los desafíos que los Xukuru do Ororubá enfrentan en la integración a los servicios de salud indígena. Método: se trata de un estudio cualitativo, exploratorio y descriptivo, realizado con seis indígenas de la etnia Xukuru do Ororubá. Se recogieron los datos por medio de uma guía preestablecida, con las entrevistas grabadas y transcritas. Se realizó el análisis de los datos por medio del Análisis de Contenido. Resultados: se verificó que las principales dificultades encontradas fueron: larga espera en la marcación y resultados de los exámenes; ausencia de asistencia emergencial; medicamentos insuficientes para atender la demanda; indícios de perjucicio en la zona urbana de Pesqueira y asistencia insuficiente en el hospital municipal. Conclusión: se observa que mismo con la asistencia a la salud fortalecida por el Subsistema de Atención a la Salud Indígena y por la Política Nacional de Atención a la Salud de los Publos Indígenas, muchas dificultades aún son enfrentadas. Descriptores: Investigación Cualitativa; Políticas Públicas de Salud; Población Indígena; Salud de Poblaciones Indígenas; Salud pública; Servicios de Salud del Indígena.

scholarly journals Colonial Legacies and Collaborative Action: Improving Indigenous Peoples’ Health Care in Canada

2020 ◽  
Vol 10 (5) ◽  
Author(s):  
Lloy Wylie ◽  
Stephanie McConkey ◽  
Ann Marie Corrado
Keyword(s):  
Health Care ◽  
Health Services ◽  
Indigenous People ◽  
Health Care System ◽  
Health Care Services ◽  
Indigenous Health ◽  
Care Practice ◽  
Attitudes And Practices ◽  
Care Services ◽  
Care System

Indigenous people experience significant health disparities compared to non-Indigenous people, which are exacerbated by less accessible and poorer quality health care services. This research aimed to understand the specific barriers to health care that Indigenous patients and their families face, as well as to explore promising practices and strategies for improving the responsiveness of health services to the needs of Indigenous people. Through qualitative interviews with Indigenous and non-Indigenous health care and social services providers, we identified a range of challenges and successful approaches, and developed recommendations for improving policy and practice to address the gaps in culturally safe health care services. Our study shows that many of the barriers Indigenous people face when accessing health care are rooted in the broader social determinants of health, such as poverty, racism, housing, and education. These are complex problems that are outside of the traditional scope of health care practice. However, this study has also demonstrated that many barriers to equitable care actually stem from within the health care system itself. We found that health care gaps were often attributable to poorly funded on-reserve health care services and culturally unsafe off-reserve services.  Attitudes and practices among those working in health care and gaps in coordination between mainstream and Indigenous services are challenges related to the way the health care system operates. Solutions are needed that address these issues. Given the multifaceted nature of access barriers, strategies to improve health services for Indigenous people and communities require a comprehensive and systemic approach.  

scholarly journals Indigenous nurses: participation of nursing technicians and auxiliary in indigenous health care services

2014 ◽  
Vol 23 (2) ◽  
pp. 451-459 ◽  
Author(s):  
Eliana Elisabeth Diehl ◽  
Helga Bruxel Carvalho Follmann
Keyword(s):  
Health Care ◽  
Indigenous People ◽  
Local Knowledge ◽  
Health Care Services ◽  
Indigenous Health ◽  
Participant Observation ◽  
National Policy ◽  
Health Practices ◽  
Care Services ◽  
Training Courses

The aim of this study was to analyze the participation of Indigenous nursing technicians and aides in Indigenous health care services offered in the Xapecó Reserve, Santa Catarina, Brazil, focusing on the training and activities executed. Data collection (participant observation and interviews) and analysis were based on the ethnographic method. Sixteen key informants were interviewed, including nursing technicians and aides, training instructors, staff nurses and health service users. The training courses contained little or no emphasis on local knowledge and health practices. Other than the role of facilitator and mediator between the health team and community, the activities performed by the Indigenous nursing technicians and aides differed little from those of non-Indigenous people in the same categories. In this context, both the training of these workers and the activities executed by them reinforce the clinical curative model, which hinders articulation with local knowledge and Indigenous health practices, a principle of the National Policy of Health Care for Indigenous People.

scholarly journals An Economic Evaluation of Disallowing Body Checking in 11- to 12-Year-Old Ice Hockey Leagues

2021 ◽  
pp. 194173812110215
Author(s):  
Gillian R. Currie ◽  
Raymond Lee ◽  
Amanda M. Black ◽  
Luz Palacios-Derflingher ◽  
Brent E. Hagel ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care System ◽  
Policy Change ◽  
National Policy ◽  
Ice Hockey ◽  
Public Health Care ◽  
Public Health Care System ◽  
Body Checking ◽  
Care System

Background: After a national policy change in 2013 disallowing body checking in Pee Wee ice hockey games, the rate of injury was reduced by 50% in Alberta. However, the effect on associated health care costs has not been examined previously. Hypothesis: A national policy removing body checking in Pee Wee (ages 11-12 years) ice hockey games will reduce injury rates, as well as costs. Study Design: Cost-effectiveness analysis alongside cohort study. Level of Evidence: Level 3. Methods: A cost-effectiveness analysis was conducted alongside a cohort study comparing rates of game injuries in Pee Wee hockey games in Alberta in a season when body checking was allowed (2011-2012) with a season when it was disallowed after a national policy change (2013-2014). The effectiveness measure was the rate of game injuries per 1000 player-hours. Costs were estimated based on associated health care use from both the publicly funded health care system and privately paid health care cost perspectives. Probabilistic sensitivity analysis was conducted using bootstrapping. Results: Disallowing body checking significantly reduced the rate of game injuries (−2.21; 95% CI [−3.12, −1.31] injuries per 1000 player-hours). We found no statistically significant difference in public health care system (−$83; 95% CI [−$386, $220]) or private health care costs (−$70; 95% CI [−$198, $57]) per 1000 player-hours. The probability that the policy of disallowing body checking was dominant (with both fewer injuries and lower costs) from the perspective of the public health care system and privately paid health care was 78% and 92%, respectively. Conclusion: Given the significant reduction in injuries, combined with lower public health care system and private costs in the large majority of iterations in the probabilistic sensitivity analysis, our findings support the policy change disallowing body checking in ice hockey in 11- and 12-year-old ice hockey leagues.

Health Care for South Lebanon's Civilian Population Following the June 1982 War

1985 ◽  
Vol 1 (1) ◽  
pp. 50-54
Author(s):  
T.H. Tulchinsky ◽  
Yakov Adler
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Child Nutrition ◽  
Renal Dialysis ◽  
Nutrition Status ◽  
Local Health ◽  
Dialysis Unit ◽  
Medical Needs ◽  
South Lebanon

AbstractFollowing the June 1982 war in South Lebanon, the Israel Ministry of Health sent a medical team to assess health conditions in the area, to assist in the restoration of local health services, and to provide additional medical assistance as needed in public health and specialized medical services. For the approximately 600,000 population of the area, public health sanitary conditions were restored by local authorities, with some external assistance. Sanitation and housing for the refugee camp populations were difficult to solve because of extensive damage in the camps; but United Nations activities, supported by international and Israeli sources, were effective. Epidemic conditions did not occur. Monitoring for specific infectious diseases showed increases not exceeding usual summer conditions. Child nutrition status was satisfactory. Medical needs for specialty services, not available in South Lebanon, were arranged through screening and referral to Israeli hospitals. Renal dialysis needs were met by establishing a dialysis unit using local personnel in a damaged and non-functioning government hospital. Private medical and hospital services, the bulk of health care in the area, functioned except for minor dislocations throughout the war and post-war period. Israeli medical aid, managed by a small multidisciplinary team, was designed to assist and, where necessary, augment rather than replace local health services.

scholarly journals The therapeutic journey of families of children with respiratory diseases in the public health service

2012 ◽  
Vol 20 (3) ◽  
pp. 453-461 ◽  
Author(s):  
Beatriz Rosana Gonçalves de Oliveira ◽  
Neusa Collet ◽  
Débora Falleiros de Mello ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Respiratory Diseases ◽  
Health Issues ◽  
Public Health Services ◽  
The Public ◽  
Primary Health ◽  
Therapeutic Encounters ◽  
Access To Medical Care

This study's purpose was to identify the therapeutic journey of families seeking health care for their children with respiratory diseases. This qualitative study had the participation of parents of children younger than five years old who were hospitalized with respiratory diseases. Path mapping was used as an instrument to collect data, which was analyzed through thematic analysis. The findings indicate that families sought the health services as soon as they perceived symptoms and had access to medical care, however such care was not decisive in resolving their health issues. Even though the families returned to the service at least another three times, the children had to be hospitalized. The attributes of primary health care were not observed in the public health services, while therapeutic encounters had no practical success.

scholarly journals Descriptive Study of Physiotherapy Services Used in the South Kalimantan Region in 2020

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Maulida Wijaya Putri
Keyword(s):  
Health Care ◽  
Health Services ◽  
Descriptive Study ◽  
Health Care Facilities ◽  
Health Centers ◽  
The South ◽  
Care Facilities ◽  
Descriptive Approach ◽  
Almost All ◽  
Therapy Manual

Health services, including physiotherapy services, are carried out in almost all health care facilities such as clinics, health centers, and hospitals. Physiotherapy services are one form of health services needed by the community. In order to provide physiotherapy services, physiotherapists can provide various types of modalities or physiotherapy services in the form of electro therapy, actino therapy, hydro therapy, manual therapy or exercise therapy. Almost all health care facilities in South Kalimantan have physiotherapy services, but there is no data on the number and types of physiotherapy services used by health care facilities in the South Kalimantan region. This study aims to determine the types of physiotherapy services that are widely used by health care facilities in South Kalimantan. This study uses a descriptive approach. Based on the results of the study, it was found that 35 respondents (67.3%) used electrotherapy very often and 30 respondents (57.7%) used actino therapy very often. These two types of physiotherapy services are the most widely used by health care facilities in the South Kalimantan region in 2020

scholarly journals Perceived risks and barriers to care for international migrants in transit through Mexico

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Larrea ◽  
R Leyva-Flores ◽  
N Guarneros-Soto ◽  
C Infante-Xibille
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Health Personnel ◽  
Health Care Services ◽  
Barriers To Care ◽  
Human Security ◽  
Public Health Services ◽  
Care Services ◽  
In Transit

Abstract Background Mexico has implemented policies seeking to reduce barriers to care for migrants in transit; however, it is estimated that only 3% of migrants use public health services when needed. The main purpose of this study was to identify the barriers to access public health services faced by migrants in transit through Mexico. Methods Under the human security perspective, in 2018, a qualitative study was carried out in Mexican communities with high migrant mobility. 34 semi-structured interviews were conducted with migrants in transit, and personnel from public health services and migrant shelters (NGOs). Values and meanings related to risks, health problems, barriers to care, experiences of health services utilization, and opinions on facilitating elements to diminish these barriers were identified. Results Migrants in transit through Mexico face risks that affect all dimensions of human security. Perceived anti-migratory and discriminative attitudes during the journey were constantly mentioned in the interviews. Barriers to care were found in the four stages of health care access, classified according to the Tanahashi framework, with the majority related to accessibility and acceptability. The following facilitating elements were also identified: political willingness of local government, knowledge and talent management of health personnel, and strategies implemented for adapting local health care services to migrants. Conclusions Social and political conditions in Mexico disrupt any effort to reduce social risks and barriers to care for migrants in transit. Non-governmental actors are key players for facilitating interactions between migrants and local governmental health care institutions. However, the general anti-migratory context negatively affects access to health care and influence the perspectives of migrants, NGOs, and health personnel. Key messages The predominant perceived barriers to care are in counterpoint to local governmental pro-migrant rights perspectives. NGOs are key actors to promote access to public health care services.

scholarly journals Cultural singularities: indigenous elderly access to Public Health Service

2015 ◽  
Vol 49 (4) ◽  
pp. 0589-0595 ◽  
Author(s):  
Ana Carla Borghi ◽  
Angela Maria Alvarez ◽  
Sonia Silva Marcon ◽  
Lígia Carreira
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Public Health Service ◽  
Primary Caregivers ◽  
The Elderly ◽  
Access To Health Services ◽  
Access To Health ◽  
Assistance Service ◽  
Routine Procedures

OBJECTIVEDescribing how Kaingang seniors and their primary caregivers experience access to public health services.METHODA qualitative study guided by ethnography, conducted with 28 elderly and 19 caregivers. Data were collected between November 2010 and February 2013 through interviews and participative observation analyzed by ethnography.RESULTSThe study revealed the benefits and difficulties of the elderly access to health services, the facility to obtain health care resources such as appointments, medications and routine procedures, and the difficulties such as special assistance service problems and delays in the dispatching process between reference services.CONCLUSIONThe importance of knowing and understanding the cultural specificities of the group in order to offer greater opportunities for the elderly access to health services was reinforced.

scholarly journals Mortality by suicide: a focus on municipalities with a high proportion of self-reported indigenous people in the state of Amazonas, Brazil

2013 ◽  
Vol 16 (3) ◽  
pp. 658-669 ◽  
Author(s):  
Jesem Douglas Yamall Orellana ◽  
Paulo Cesar Basta ◽  
Maximiliano Loiola Ponte de Souza
Keyword(s):  
Public Health ◽  
Indigenous People ◽  
Indigenous Population ◽  
National Health System ◽  
Mortality Rates ◽  
Population Based ◽  
The State ◽  
Public Health Issue ◽  
Rio Negro ◽  
Epidemiological Characteristics

Objective: To analyze mortality rates and to describe the demographic and epidemiological characteristics of suicides recorded in the state of Amazonas. Methods: A descriptive and retrospective study has been carried out with emphasis on municipalities, which have shown, simultaneously, a high mortality rates and a high proportion of self-reported indigenous population, based on 2005 - 2009 data as provided by the Informatics Department of the Unified National Health System. Results: Among the general population of the state of Amazonas, the mortality rate, by suicide, of 4.2/100.000 inhabitants has been reported, similar to that of Manaus (4.6/100.000 inhabitants). In contrast, at Tabatinga (25.2/100.000 inhabitants), at São Gabriel da Cachoeira (27.6/100.000 inhabitants) and at Santa Isabel do Rio Negro (36.4/100.000 inhabitants), municipalities, where the proportion of self-reported indigenous population is high, besides the taxes being notably higher, it was observed that most of the suicides has occurred among men; among young men aged between 15 - 24 years; at home; by hanging; during "weekend" and among the indigenous population. Discussion: Our findings have unveiled that suicide comes forth as a serious public health issue in some municipalities in the state of Amazonas, further indicating that the event occurs within very specific contexts, and that the dimension and the magnitude of the problem can be even more serious among populations or in territories exclusively inhabited by indigenous people.

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