scholarly journals Development inequalities of Romanian physical public healthcare infrastructure: the case of hospital beds

2021 ◽  
Vol 15 (1) ◽  
pp. 37-52
Author(s):  
Giorgian Guțoiu ◽  
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Cost Reduction ◽  
Public Hospital ◽  
Public Healthcare ◽  
Hospital Services ◽  
Physical Infrastructure ◽  
Hospital Beds ◽  
Health Care Infrastructure

The main aim of this paper is to analyse the spatial dynamic of public hospital beds in Romania (1992-2018) in order to grasp the potentially uneven development of the health care infrastructure following state policies of austerity and cost reduction. The paper uses quantitative data and descriptive statistics to show the reduction of public hospital beds after 1990 in line with the state’s health care reform aiming to decrease the use of hospital services and strengthen the role of alternative types of care. The results show that public hospital beds significantly decreased (approx. by 40%), mostly in smaller towns and rural areas. The main conclusion of the paper is that the neoliberal healthcare policies generated patterns of uneven spatial development. Public hospital beds were used in the paper as an indicator of public healthcare physical infrastructure, and across time they follow a pattern of clustering in more prosperous and more competitive areas

scholarly journals Microfinance Institutions in Yemen “Hurdles and Remedies”

2017 ◽  
Vol 4 (1) ◽  
pp. 10 ◽  
Author(s):  
Ali Saleh Alshebami ◽  
V. Rengarajan
Keyword(s):  
Rural Areas ◽  
Primary Data ◽  
Poor People ◽  
Remedial Measures ◽  
Microfinance Institutions ◽  
Secondary Sources ◽  
The Poor ◽  
Physical Infrastructure ◽  
Banking Institutions

The objective of this paper is to investigate the different types of hurdles limiting the growth and development of microfinance institutions operating in Yemen, and to suggest relevant recommendations that be used as a backup in the process of taking remedial measures. The study is both descriptive and analytical in nature. The data collected is based on both primary and secondary sources. The primary data was collected during the field study of ongoing PhD research study on the role of microfinance in mitigating poverty and unemployment in Yemen conducted in October 2015 by Mr. Ali Alshebami. Only a sample of nine MFIs was selected from The MFIs operating in the market, as the remaining MFIs could not be easily reached due to the prevailing persistent internal war situation. A few of these hurdles include but not limited the existence of insufficient funds necessary for financial business and the availability of poor physical infrastructure in the rural areas. In addition, the shortage of qualified human resources, the poor diversification of products and services, the political instability of the country, the wrong perception about lending to the poor and many others. Among other remedial measures, investible funds and designing of integrated financial products with the inclusion of micro insurance are essential, these two vital ones along with including the financial linkages between MFIs and formal banking institutions should be adopted for more enhancement. The study confirms that there are several difficulties and challenges, which hinder the MFIs from progressing and achieving their mission in terms of outreach to the poor people.

scholarly journals The Role of Pharmacist in the Health Care System: Current Scenario in India

2020 ◽  
Vol 3 (2) ◽  
pp. 84-89
Author(s):  
Saurabh Nimesh
Keyword(s):  
Health Care ◽  
Community Pharmacy ◽  
Rural Areas ◽  
Health Care Services ◽  
Community Pharmacy Services ◽  
Pharmacy Services ◽  
Physician Services ◽  
Care Services ◽  
Current Scenario

Pharmacists are society's specialists on drugs. The Pharmacist of today is a drug-maker, drug-dispenser, drug-custodian, patient-counselor, drug-researcher, and drug-educator and above all an honest and patriotic citizen. The techno-proficient foundation of the drug expert gives him/her the certainty of providing services with a moral way to deal with the satisfaction of patients. The consecrated qualities are required to be cherished and professed by the pharmacist. Pharmacists assume a significant job in giving health care services, benefits by means of community pharmacy services in rural areas where physicians are not accessible or where physician services are unreasonably expensive for meeting the health care necessities. The paper at that point recognizes how pharmacists give expanded services, identifies key challenges and barriers, and suggests rules and regulations that could help secure open doors for pharmacists to play out an extended job.

scholarly journals Organizational activity of S.V. Kurashov in establishing and developing of national medicine and health care (to the 110th anniversary of the birth of S.V. Kurashov)

2020 ◽  
Vol 101 (6) ◽  
pp. 930-936
Author(s):  
A N Galiullin ◽  
A V Shulaev ◽  
I M Burykin
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Rural Areas ◽  
Medical Personnel ◽  
World Health ◽  
Specialty Hospitals ◽  
Organizational Activity ◽  
Health Organization ◽  
National Programs

The article provides information about the organizational activities and role of S.V. Kurashov in establishing and developing of national medicine and health care in the USSR and his contribution to the organization of health resorts, medical industry, pharmacy. The data on the improvement of outpatient specialized medical care for the population, the dynamics of health care in the USSR in 19501965, and the implementation of national programs to eliminate especially dangerous infections in the country are detailed. The paper shows the role of S.V. Kurashov in the training of medical personnel, the construction of multi-specialty hospitals in rural areas, allowing to provide specialized outpatient and inpatient medical care, in the country's accession to the World Health Organization in Geneva, which increased the importance of the USSR health care in the international arena.

scholarly journals Somebodies or nobody’s patient: The importance of social positioning and informal relations during childbirth in Serbia

2021 ◽  
Vol 69 (1) ◽  
pp. 205-225
Author(s):  
Ljiljana Pantovic
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Economic Status ◽  
Health Care Systems ◽  
Ethnic Origin ◽  
Negative Consequences ◽  
Social Positioning ◽  
Maternity Hospitals ◽  
Informal Relations

Anthropological research on post-socialism points to the need for informal relations when navigating social and health care systems, while feminist research on childbirth points out the negative consequences of the dominant medicalized model of childbirth on women?s experience. This paper combines these two types of research and points to the role of informal relations in negotiating childbirth in Serbia and the role of peoples social positioning influencing the possibilities of using these relations. Based on eighteen months of ethnographic fieldwork on the practices of providing maternal health care in Serbia, the aim of this paper is to show how a woman's social position affects her ability to establish a relationship within the state health care system, and to reconsider the claim that informal relationships can protect women from interventionism during childbirth in Serbia. Using informal relations (veze) in order to have your doctor during childbirth is a key concern for women in Serbia. Informal relations transform women from (no)bodies into somebodies, someone?s patient. Women of poorer economic status, women from rural areas, and often women of Roma ethnic origin have limited opportunities to establish informal relations in state maternity hospitals. Informal relations do not fully protect women from interventions but affect the type and timing of interventions.

scholarly journals The role of Astana primary health care declaration for development of primary health care at postsoviet countryes

2019 ◽  
Vol 23 (3) ◽  
pp. 13-18
Author(s):  
Nurlan N. Brimkulov ◽  
Damilya S. Nugmanova
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Areas ◽  
World Health ◽  
Negative Consequences ◽  
Health Care Reforms ◽  
System A ◽  
Primary Health ◽  
Health Organization

The article presents the goals, principles and results of the implementation of the Almaty Declaration of the World Health Organization (WHO) on primary health care (PHC) of 1978; the background and main provisions of the Astana Declaration of WHO on PHC 2018. The article presents the stages of PHC development in the USSR, which was characterized by the widespread introduction of narrow specialists at the primary level of health care, which subsequently had certain negative consequences. In a number of post-Soviet countries, the principles of General medical practice (family medicine) were implemented in health care reform, but some provisions of the Alma-Ata Declaration were introduced with distortions. This has led to a lack of effective functioning of the PHC system, a shortage of General practitioners, especially in rural areas. The implementation of the main principles of the new Astana Declaration will be important for the effective implementation of health care reforms in all post-Soviet countries.

scholarly journals A Study on Management of Health Care Infrastructure Development in Rural India: Critical analysis of current status and future challenges

2018 ◽  
Vol 13 (3) ◽  
pp. i35 ◽  
Author(s):  
Nenavath Sreenu
Keyword(s):  
Health Care ◽  
Rural Health ◽  
Access To Health Care ◽  
Health Care Facilities ◽  
Current Status ◽  
Infrastructure Development ◽  
Health Infrastructure ◽  
Future Challenges ◽  
Health Care Infrastructure

The study has focused on the role of rural health infrastructure development in India. Currently the health infrastructure development of India is poor and it needs fundamental reforms to deal with new emerging challenges. The role of private providers is increasing but simultaneously healthcare facilities are becoming costly. The study surveys the present position of rural health care infrastructure growth, the development of infrastructure, health care facilities, position of human resource, and quality of service delivery. The paper suggests future challenges of Indian healthcare infrastructure development in rural area, as the burden of disease, financial deficiency in a large section of the population, vaccination policy and poor access to health care. Longevity, literacy and per capita income are further considerations.

scholarly journals Public satisfaction with the healthcare system in China during 2013–2015: a cross-sectional survey of the associated factors

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e034414
Author(s):  
Jing Hua Zhang ◽  
Xinxin Peng ◽  
Chengkun Liu ◽  
Yijun Chen ◽  
Hongmin Zhang ◽  
...  
Keyword(s):  
Healthcare System ◽  
Rural Areas ◽  
Weighted Average ◽  
Positive Association ◽  
Satisfaction Score ◽  
Public Healthcare ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Northeast Region ◽  
Hospital Beds

ObjectiveWe explore how public satisfaction with the healthcare system in China varies with social and economic factors, especially regional variations and changes during 2013–2015.DesignPopulation-based, cross-sectional survey performed between July 2013 and July 2015.SettingGeneral population of China during 2013–2015.ParticipantsA total of 15 969 participants (women=49.4%, sample-weighted average age=51.9).Primary outcome measurePublic satisfaction with the healthcare system, defined as ‘being satisfied’ if a respondent’s satisfaction score is ≥70 points.ResultsThe 2-year mean of the satisfaction score of the sample is 68.5 out of 100 points and the score in 2015 is higher than 2013 by 3.5 points. Senior respondents (OR=1.19, p<0.001), rural respondents (OR=1.23, p=0.009) and those with higher socioeconomic status are more likely to report being satisfied. Internal migrants (OR=0.75, p<0.001) and those with a higher level of education are less likely to report being satisfied. Total health expenditure as percentage of gross domestic product and density of hospital beds have a significantly positive association with satisfaction (OR=1.13, p<0.001). Meanwhile, the government’s share in total healthcare expenditures has a moderately negative association with satisfaction (OR=0.97, p<0.001). In rural areas, the density of hospital beds has a positive association with satisfaction (OR=1.26, p=0.002). The Northeast region and Shanghai (OR=0.49, p<0.001; OR=0.71, p=0.034) are less likely to report being satisfied and this remained unchanged in 2015.ConclusionThere are considerable disparities in public satisfaction with the healthcare system in China, associated with demographic and socioeconomic characteristics, regional locations, urban–rural environment, and regional health resource abundance. Actions are recommended to improve satisfaction with the public healthcare system, especially in the Northeast region of China.

scholarly journals Perspective of Traditional Birth Attendants on Their Experiences and Roles in Maternal Health Care in Rural Areas of Northern Ghana

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Peter Adatara ◽  
Agani Afaya ◽  
Elizabeth A. Baku ◽  
Solomon Mohammed Salia ◽  
Anthony Asempah
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Maternal Health ◽  
Rural Areas ◽  
Critical Role ◽  
Maternal Health Care ◽  
Traditional Birth Attendants ◽  
Northern Ghana ◽  
Birth Attendants

Background. Traditional birth attendants play significant roles in maternal health care in the rural communities in developing countries such as Ghana. Despite their important role in maternal health care, there is paucity of information from the perspective of traditional birth attendants regarding their role on maternal health care in rural areas in Ghana. Objective. The aim of this study was to explore and describe the role of traditional birth attendants in maternal health care in the rural areas in Ghana. Methods. A qualitative explorative approach was adopted to explore the role of traditional birth attendants in maternal health care in the rural areas of Ghana. Ten (10) out of a total of twenty-seven (27) practising traditional birth attendants in the study area were purposefully selected from five (5) rural communities in the Bongo District of Ghana for the study. Data were collected through in-depth, unstructured, individual interviews using a guide. Data collected from the interviews were transcribed verbatim and analysed to identify themes. Results. Six main roles of traditional birth attendants on maternal health care in rural areas were identified in this study: traditional birth attendants conduct deliveries at home, they provide health education to women on nutrition during pregnancy and lactation, they arrange means of transport and accompany women in labour to health facilities, they provide psychological support and counselling to women during pregnancy and childbirth, and traditional birth attendants are not paid in cash for the services they render to women in the rural areas. Conclusion. Our study brought to light the critical role traditional birth attendants play in maternity in rural and remote areas in Ghana. There is a need for skilled birth attendants to collaborate with traditional birth attendants in rural and deprived communities to provide quality and culturally accepted care in the rural communities.

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