scholarly journals Epidemiological health assessment in primary healthcare in the State of Qatar- 2019

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Mohamed Ghaith Al-Kuwari ◽  
Samya Ahmad Al-Abdulla ◽  
Maha Yousef Abdulla ◽  
Ahmad Haj Bakri ◽  
Azza Mustafa Mohammed ◽  
...  
Keyword(s):  
Central Region ◽  
Primary Healthcare ◽  
Local Population ◽  
Health Assessment ◽  
Healthcare Services ◽  
Tobacco Consumption ◽  
Northern Region ◽  
Health Needs ◽  
Residence Permit ◽  
Cross Sectional

Background: In the public sector in Qatar, the Primary Health Care Corporation (PHCC) is the major provider of primary healthcare services to families. Therefore, the PHCC conducted the first epidemiological health assessment to understand the burden of diseases and their subsequent risk factors impacting its registered population, to design better services, implement it and allocate resources to respond to the population health needs. Methods: A cross-sectional study design was adopted among all PHCC registered populations between September 1, 2018, and August 31, 2019. The study target population was all persons residing in Qatar aged 0+ years and registered at the 27 health centers affiliated with the PHCC; excluding patients with an expired residence permit on August 31, 2019, and craft male workers were provided their primary healthcare services at the Qatar Red Crescent health facilities. The data were extracted from patients’ electronic medical records (EMR). Results: The burden of type 2 diabetes, hypertension, and dyslipidemia were the highest among the population of the central region at 13.9%, 15.7%, and 11.1%, respectively. Tobacco consumption among males was higher than females and ranged from 25.4% to 27.8%, with the highest rate in the northern region. Obesity rates ranged between 34.7% and 37.0% among the total population registered with the lowest rate in the central region, while 39.9% of females in the northern region had a body mass index above 30 kg/m2. Exclusive breastfeeding at 6 months was significantly lower than that at 4 months across all regions. Children in the northern region had the highest rate of overweight/obesity based on Z-scores. The western region population had the highest number of communicable diseases notifications. Conclusion: Understanding the patterns of disease in the local population will enable the PHCC to plan a clear set of services that meet the population's health needs, which include tailored health education and promotion components.

scholarly journals Epidemiological health assessment in primary health care in the State of Qatar-2019

2021 ◽  
Author(s):  
Mohamed Ghaith Al-Kuwari ◽  
Samya Ahmad Al – Abdulla ◽  
Maha Yousef Abdulla ◽  
Ahmad Haj Bakri ◽  
Azza Mustafa Mohammed ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Central Region ◽  
Local Population ◽  
Health Assessment ◽  
Tobacco Consumption ◽  
Northern Region ◽  
Residence Permit ◽  
Cross Sectional ◽  
Primary Health

AbstractObjectivesThe Primary Health Care Corporation (PHCC) in Qatar conducted epidemiological health assessment to understand the burden of diseases impacting the PHCC registered populationDesignThis is a cross-sectional study design among all PHCC registered population between the 1st of September 2018 and the 31st of August 2019SettingPrimary Health Care Corporation health centersParticipantsThe target population is all persons residing in Qatar aged (0-80) years and registered at the PHCC. Excluding patients with expired Qatar residence permit by the 31st of AugustResultsObesity rates ranged between 37% and 35% among the total population registered with the lowest rate in the central region at 34.7%. Burden of type 2 diabetes, hypertension, and dyslipidemia was the highest among population of the Central region at 13.9%, 15.7% and 11.1%, respectively. Tobacco consumption among males ranged from 25.4 % to 27.8%, with the highest rate in the Northern region. 39.9% of females in the Northern region had BMI above 30 kg/m2. Exclusive breastfeeding at 6 months was significantly lower than that at 4 months across all regions. Children in the Northern region had the highest rate of overweight/obesity based on Z-scores. Western region population had the highest number of communicable diseases notifications especially Chicken pox at 94.6 per 10,000 childrenConclusionUnderstanding the patterns of disease in the local population will enable PHCC to provide a clear set of objectives to work towards meeting population health needs

The Health Status and Health Needs of Chinese Population in Glasgow

1995 ◽  
Vol 40 (3) ◽  
pp. 77-80 ◽  
Author(s):  
Xiao-Hui Liao ◽  
G. McIlwaine
Keyword(s):  
Health Status ◽  
Health Services ◽  
Chinese Population ◽  
Local Community ◽  
Local Population ◽  
Cross Sectional Study ◽  
Health Needs ◽  
Chinese Community ◽  
Structured Interviews ◽  
Cross Sectional

This cross sectional study explored the health problems and health needs in the local Chinese community in Glasgow. Several data collection methods have been used in this study, including face-to-face and telephone structured interviews, postal and hand delivered questionnaires. A total of 800 questionnaires were processed, and 493 were completed, giving an overall response rate 61.6%. The results from the present survey indicated that the health status of Chinese residents in Glasgow is poorer than that of the local population. The most important findings of the study is that the Chinese community in Glasgow underuse health services, and unmet health needs exist in the community. The main barrier to effective use of present health services and benefit from the health promotion and health education programmes is language difficulties. Following discussion with the local community, options for improving the health services for the Chinese community in Glasgow were obtained. The findings of the study have implications for health service purchaser/providers of health care to the Chinese population generally in Scotland.

scholarly journals Determinants of pregnant mothers to bypass primary health facilities and directly seek postnatal care in hospitals in Dar es Salaam region – A Community health needs assessment, Cross Sectional Study

2019 ◽  
Author(s):  
Joseph Christopher Hokororo ◽  
Eliudi S. Eliakimu ◽  
Ruth Ngowi ◽  
Mohammed A. Mohammed ◽  
Hamisi M. Malebo ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Dar Es Salaam ◽  
Sectional Study ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Healthcare Needs ◽  
Postnatal Women ◽  
Pregnant Mothers

Abstract Introduction Dar es Salaam is the region with a large number of Primary healthcare facilities (dispensaries and health centres) outnumber the available hospitals. Although policies on referral system are available, there is a gap in terms of compliance and adherence to the governance system. Hospitals are overwhelmed with patients as compared to primary healthcare facilities, leading to poor quality of the healthcare services. The aim was to assess the needs of community members for primary healthcare services, as well as, to identify the reasons and determinants that influence mothers to bypass primary healthcare facilities.Methodology A cross-sectional study that assessed the determinants associated with pregnant mothers to bypass primary healthcare facilities in their healthcare needs. The study was conducted in Kinondoni, Ilala, Kigamboni, Temeke and Ubungo healthcare facilities in Dar es Salaam region. It targeted all postnatal women. A consecutive sampling procedure was used and a total of 544 of respondents were involved in the study. A structured questionnaire was used to collect information on: social demographic; Clinical factors of the mother; Health services; and provider’s factors that might contribute to the observed bypass. Data were analysed in levels of univariate, bivariate and multivariate using SPSS statistical package number 20.Results A total of 544 respondents were interviewed. Mothers who bypassed the primary healthcare facilities were 94%. After adjustment it was found that, those with income more than 1USD a day were (OR=4.27, CI=1.8- 15.4, P=0.01) more likely to bypass the primary facilities and go straight to the upper levels of healthcare facilities.Conclusions This study has found postnatal women in Dar es Salaam region are at high chance of going straight to the secondary and tertiary Hospitals without passing at primary healthcare facilities. Nine in every ten postnatal women were found to have by passed the primary healthcare facilities. Findings from this study reveals a strong and urgent need to strengthen primary healthcare facilities and as well implement the referral guidelines on all clients who seek health care to reduce the bypass.

Spatial Analysis on Primary Healthcare Distance for Orang Asli in Batang Padang District

2019 ◽  
pp. 46
Author(s):  
Mohamad Fadli K ◽  
Rosliza AM ◽  
Muhamad Hanafiah J ◽  
Sharifah Norkhadijah SI
Keyword(s):  
Spatial Analysis ◽  
Primary Healthcare ◽  
Spatial Data ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Peninsular Malaysia ◽  
Geographical Information ◽  
Cross Sectional ◽  
Orang Asli ◽  
To Come

Introduction: A huge number of Orang Asli population live in isolated area within peninsular Malaysia. Their lack of proper road and remoteness made their access to healthcare services difficult. Batang Padang has the 22800 Orang Asli reside in the district. Primary healthcare services have been provided to this population through static clinic and mobile clinic.Objective: This study was done to determine distance of primary healthcare from Orang Asli village and their correlation with primary healthcare utilization.Methods: A cross sectional study using Geographical Information System was done using spatial data from various sources for mapping and spatial analysis. Network analysis using ArcGIS software was used to determine the distance while Spearman correlation was used to determine association between distance and primary healthcare utilization.Result: Most of Orang Asli villages located not far from main road. Mean distance from Orang Asli village to nearest primary healthcare clinic is 5.87 kilometers. Mean duration taken for Orang Asli to come to the primary healthcare clinic is either 4.71 minutes by land transportation or 70.42 minutes by walking. Orang Asli villages located in the center of the district around Bandar Tapah have short distance to primary healthcare and the distance increase as the villages located away from the center. There is significant correlation between network distance with Orang Asli attendance to clinic (r 0.203) and MMR vaccination (r 0.230). There is also significant correlation between walking duration with Orang Asli attendance to primary healthcare (r 0.178) and MMR vaccination (r 0.227).Conclusion: As the distance and duration increase for Orang Asli to get to primary healthcare, there is increase need of primary healthcare services. Planning of primary healthcare for Orang Asli should consider the distance from these villages to primary healthcare services.International Journal of Human and Health Sciences Supplementary Issue: 2019 Page: 46

scholarly journals Tobacco Habits, Oral Mucosal Lesions and Counselling Provided to Support Staff of Educational Institutions Situated in Greater Noida, Uttar Pradesh, India: A Cross-Sectional Study

2021 ◽  
Vol 5 (4) ◽  
pp. OR5-OR10
Author(s):  
Pankaj Nagar ◽  
Lily Abraham ◽  
Irina Bhati
Keyword(s):  
Health Assessment ◽  
Uttar Pradesh ◽  
Tobacco Consumption ◽  
Cross Sectional Study ◽  
Support Staff ◽  
Cross Sectional ◽  
Current Consumption ◽  
Oral Mucosal Lesions ◽  
Mucosal Lesions ◽  
Student’S T

INTRODUCTION: Tobacco has approximately one billion users and claims the life of one person every six seconds on an average. AIM: To assess the tobacco habits and related oral mucosal lesions and tobacco cessation counselling provided to the support staff of various educational schools situated in Greater Noida, Uttar Pradesh, India. MATERIALS AND METHOD: Data was collected in two steps. The first step included data collection using the Global Adult Tobacco Survey (GATS), 2011 which was modified according to the needs of the population. The second step included recording of Oral Mucosal Lesions through the “Oral Mucosa” component of the WHO Oral Health Assessment Form(1997) by a standardized investigator. Data was tabulated and the student’s t-test and Spearman’s correlation were applied to find out significant associations, if any. Data was analysed using SPSS version 21.0 and p was kept significant at ≤0.05. RESULTS: Tobacco consumption in any form was found in 47.1% subjects consisting of 37 males (90.2%)and 4 females (9.8%). Smoking was found in 16 subjects (18.4%) comprising of 13 males (14.9%) and 3 females(3.4%). Lesions were observed in 58.5% of the population, with the most common lesion being leucoplakia (27%), followed by any other lesion (24%) and malignant lesions (7%). A positive correlation was observed in three variables; the first being an increased willingness to quit with increased current consumption (r=0.67), followed by willingness to quit due to presence of a lesion (r=0.71) and willingness to quit due to provision of any type of counselling (r=0.70). CONCLUSION: It is important that efforts are directed towards reducing and subsequently eliminating tobacco consumption among support staff of various educational schools who have a high percentage of tobacco intake.

scholarly journals Health service use and costs among migrants in an irregular situation: cross-sectional register-based study from a voluntary-based clinic

2020 ◽  
Author(s):  
Nina Tjukanov ◽  
Paula Tiittala ◽  
Heli Salmi
Keyword(s):  
Primary Healthcare ◽  
Cost Estimation ◽  
Service Use ◽  
Dental Health ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Cross Sectional ◽  
Healthcare Needs ◽  
The Cost ◽  
Reasons For Encounter

Abstract AimThe increase in immigration to Europe has led to an increasing demand for information about healthcare needs and costs of vulnerable migrant populations, but few data based on actual demand for healthcare services and related costs exist.MethodsIn this single-centre retrospective register study, we examined the reasons for encounter and diagnoses, service use and costs of healthcare among patients at a voluntary clinic for migrants in an irregular situation in Helsinki, Finland in 2016. ICPC-2 classification and unit costs for primary healthcare in Finland were used as a basis for the cost estimation.Results546 patient visits accounted for 620 ICPC-2 coded reasons for encounter, diagnoses and process codes. The most common health problems were teeth/gum disease (10%), acute upper respiratory infection (5%) and oesophageal disease (3%). Visits seldom led to complementary investigations (2%), follow-up visit to the clinic (5%) or referral to public healthcare (11%). The total cost of treatment, excluding dental health costs, was 39 547 euros, or 71 euros per visit. ConclusionsMigrants in an irregular situation present with a variety of health concerns, the majority of which can be treated in a basic primary healthcare facility. The cost of healthcare was relatively low, as most of the complaints could be treated with simple means. More research is needed to understand the health and cost benefits of extending public healthcare services for migrants in an irregular situation beyond emergency care.

scholarly journals Falls and associated factors among elderly users of Primary Healthcare Services

2019 ◽  
Vol 23 ◽  
pp. 1-9
Author(s):  
Scarlet Feitosa Santos ◽  
Miriane Lucindo Zucoloto ◽  
Natalia Akemi Yamada Terada ◽  
Edson Zangiacomi Martinez
Keyword(s):  
Physical Activity ◽  
Primary Healthcare ◽  
Associated Factors ◽  
The Elderly ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Health Condition ◽  
Cross Sectional ◽  
The Past ◽  
Elderly Users

The objective of this cross-sectional study was to estimate the self-reported prevalence of falls among elderly users (older than 60 years) of the Ribeirão Preto, São Paulo, Brazil, primary healthcare services in the past six months and to identify associated factors. Data were collected from five healthcare districts by means of personal interviews with the users while they waited for the appointment. Log-binomial regression models adjusted for confounding variables and prevalence ratios were used to measure the association between independent and dependent variables. The International Physical Activity Questionnaire (IPAQ), adapted to elderly, was used to assess their physical activity. A total of 357 adults were interviewed, with 62.7% being women and mean age of 69.9 years old. The prevalence rates of falls in the past six months were 19.6% (95%CI: 13.2–27.3) and 32.6% (95%CI: 26.4–39.2), respectively, for men and women. e prevalence of falls among users with lower level of physical activity was 2.3 times higher than that among those with higher level of physical activity (RP = 2.3; 95%CI: 1.4–3.8) after adjustment for gender, age group and socio-economical class. In conclusion, falls are frequent among the elderly and the practice of physical activities can improve their health condition, thus preventing the occurrence of falls.

scholarly journals Integration of mental healthcare into primary healthcare in Lagos, Nigeria: the way forward

2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Ayodele O. Coker ◽  
Olufemi B. Olugbile ◽  
Olufemi Oluwatayo
Keyword(s):  
Mental Health ◽  
Primary Healthcare ◽  
Mental Health Policy ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
The State ◽  
Health Needs ◽  
Treatment Gap ◽  
Mental Health Needs ◽  
Lagos State

The Lagos State Ministry of Health recently launched its Mental Health Policy aimed at addressing the mental health needs the residents of the State. The policy also aimed at reducing the mental disorders treatment gap in the state by integrating mental healthcare into the primary healthcare in order to make mental healthcare services closer and accessible for residents of the State. This paper therefore critically reviews the rationale for the integration, magnitude of problems in Lagos State with regards to mental healthcare services, available resources, challenges in providing mental healthcare services, recommendations for successful integration, the necessary advocacy needed to implement the integration and benefits of the integration.

scholarly journals The Knowledge and Behaviours of the Healthcare Staff Regarding Vaccine Rejection

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Gokce ◽  
A T Ozdemir ◽  
G Boz ◽  
M Aslan ◽  
A Ozer
Keyword(s):  
Primary Healthcare ◽  
Cost Effective ◽  
Healthcare Services ◽  
City Centre ◽  
The Internet ◽  
Healthcare Staff ◽  
Cross Sectional ◽  
Significance Level ◽  
Primary Body ◽  
Source Of Information

Abstract Background Vaccination is a cost-effective method to protect individuals from diseases and complications that might emerge due to diseases. The healthcare staff in primary healthcare services, as the primary body concerned with vaccines, are notably more likely to encounter families who reject vaccines in childhood. This study aimed to investigate the knowledge, attitudes and behaviours of the healthcare staff in primary healthcare services regarding vaccine rejection in childhood. Methods Conducted between July and August 2019, this study adopted a descriptive cross-sectional design. The population of the study comprised 392 healthcare staff working in primary healthcare services in Malatya City Centre. The sample size was calculated as 193, considering a 95% confidence interval and 80% power. The survey form used in the study included questions concerning sociodemographic characteristics of individuals, their views on vaccination and the views of parents regarding vaccine rejection according to the perspectives of the healthcare staff. Chi-square test was used in statistical analyses, and the significance level was set as p < 0.05. Results In the study group, 25.4% of the healthcare staff stated that they were hesitant about vaccines in childhood. Also, 18.2% of the individuals indicated that they were hesitant about vaccines due to the chemicals in vaccines, 14.4% were hesitant due to the pharmaceutical industry and the relationships based on self-interest and 10.5% were hesitant due to the side effects. The hesitancy level was significantly higher among those whose source of information regarding vaccines in childhood was the internet (37.0%) compared with those whose source was not the internet (21.6%) (p = 0.004). Conclusions One-fourth of the healthcare staff, who are supposed to be the most informed group about vaccines, were hesitant about them. Moreover, the inaccurate information acquired from the internet and social media could be increasing the hesitancy level. Key messages Vaccination hesitancy is high among the healthcare staff in primary healthcare services. The source of information regarding vaccination influences the hesitancy levels of individuals.

scholarly journals Patients’ satisfaction with the care provided by nurse practitioners in primary care settings of a remote region of Canada: A cross-sectional study

2019 ◽  
Vol 7 (3) ◽  
pp. 79
Author(s):  
Safa Regragui ◽  
Frances Gallagher ◽  
Manon Lacroix ◽  
Guylaine Leblond ◽  
Sylvie Cardinal ◽  
...  
Keyword(s):  
Nurse Practitioners ◽  
Primary Healthcare ◽  
Participation Rate ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Remote Region ◽  
Cross Sectional ◽  
Patients Satisfaction ◽  
Future Success ◽  
High Level

Objective: A cross-sectional correlational design was used to describe patients’ satisfaction with primary healthcare nurse practitioners and identify factors associated with their satisfaction regarding the services received in a remote region of Quebec, Canada.Methods: Patients who received care from eight primary healthcare nurse practitioners were asked to complete a self-administered questionnaire. STROBE checklist was adhered.Results: A total of 574 patients were recruited (participation rate: 76.6%). Patients were very satisfied with the healthcare services received, relationship with the practitioner, information received, duration of the consultation, and the overall consultation (89.6%-93.3%). The only variable associated with a higher likelihood of being very satisfied with the overall consultation was a longer duration of the consultation (adjusted OR: 1.029; CI: 1.005-1.054; p = .018).Conclusions: The high level of patients’ satisfaction and trust with healthcare nurse practitioners is a potential contributing factor to past and future success of their integration in primary healthcare services.

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