Bases and Horizons of Person-Centered Women’s Health 40 Years after Alma Ata

2019 ◽  
Author(s):  
C Ruth Wilson ◽  
Petra ten Hoope-Bender ◽  
Juan E. Mezzich ◽  
James Appleyard ◽  
Ann Karin Helgesen ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Human Right ◽  
Primary Health ◽  
Health Strategy ◽  
Centered Care ◽  
International College ◽  
The Life Course

Forty years after the Alma Ata Declaration, opportunities and challenges in achieving person-centered care for all people remain, particularly for women. This review describes the foundations and horizons of the Geneva Declaration Person-Centered Women’s Health 40 Years after Alma Ata, issued as a consensus statement of the International College of Person Centered Medicine (ICPCM) meeting in April 2018. Person-centered medicine has as its central precept the relationship between a health professional and a person seeking care. This principle is the link to primary health care, which is built on a lasting relationship with individuals and populations. Women have particular health needs, partly based on reproductive health, influenced by the social context of their lives. There is a need for recommitment to the principles of Alma Ata if health for all is to be achieved. Equitable access to person-centered integrated care for women and men throughout the life course is a human right. Universal health care, based on primary health care as a general health strategy, is the precursor for achieving this aim.

scholarly journals Práticas educativas com gestantes na atenção primária à saúde

2017 ◽  
Vol 11 (12) ◽  
pp. 5370 ◽  
Author(s):  
Líbna Laquis Capistrano Quental ◽  
Lília Candice Carlos da Costa Nascimento ◽  
Léa Costa Leal ◽  
Rejane Marie Barbosa Davim ◽  
Isabelle Cristina Braga Coutinho Cunha
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Education ◽  
Women’S Health ◽  
Women's Health ◽  
Theoretical Explanation ◽  
Active Listening ◽  
Educational Practices ◽  
Primary Health ◽  
Nursing Health

RESUMOObjetivo: conhecer os principais aspectos relacionados às práticas educativas desenvolvidas por enfermeiros às gestantes na Atenção Primária à Saúde. Método: revisão integrativa, percorrendo seis etapas para sistematizar a pesquisa. Dados coletados nas bases de dados Lilacs, Medline, Biblioteca Virtual SciELO, nove artigos atenderam aos critérios de inclusão e os Descritores para nortear a pesquisa foram: Enfermagem; Educação em Saúde; Gravidez; Saúde da Mulher; Atenção Primária; Atividades Cotidianas. Resultados: o estudo identificou que as práticas educativas desenvolvidas por enfermeiros na Atenção Primária à Saúde estão relacionadas à educação em saúde com orientações à prevenção do autocuidado, cuidado adequado com o bebê, promoção da autonomia e empoderamento materno, comunicação interpessoal, capacitação da equipe e incentivo à participação de enfermeiros obstetras neste contexto. Conclusão: o estudo contribuiu para explicitação teórica dos elementos que compõem a relação enfermeiro/gestante a partir de práticas educativas. É relevante para desenvolvimento de estratégias que fortaleçam comunicação entre profissional e usuária por meio da escuta ativa, acolhimento humanizado, jogos e dinâmicas, incentivo à participação de familiares, acompanhantes e colaboração dos componentes da equipe multiprofissional. Descritores: Enfermagem; Educação em Saúde; Gravidez; Saúde da Mulher; Atenção Primária; Atividades Cotidianas.ABSTRACTObjective: to know the main aspects related to the educational practices developed by nurses to the pregnant women in Primary Health Care. Method: this is an integrative review, going through six stages to systematize the research. Data collected in the Lilacs, Medline, and SciELO Virtual Library databases. Nine articles met the inclusion criteria and the Descriptors to guide the research were: Nursing; Health education; Pregnancy; Women's Health; Primary care; Daily Activities. Results: the study identified that the educational practices developed by nurses in Primary Health Care are related to health education with guidelines to prevent self-care, adequate care with the baby, promotion of autonomy and maternal empowerment, interpersonal communication, the participation of obstetrical nurses in this context. Conclusion: the study contributed to the theoretical explanation of the elements that make up the nurses/pregnant relationship from educational practices. It is relevant for the development of strategies that strengthen communication between the professional and the patient through active listening, humanized acceptance, games, and dynamics, encouraging the participation of family members, partners and collaboration of the multi-professional team members. Descriptors: Nursing; Health Education; Pregnancy; Women's Health; Primary Health Care; Activities of Daily Living.RESUMENObjetivo: conocer los principales aspectos relacionados a las prácticas educativas desarrolladas por enfermeros a las gestantes en la Atención Primaria a la Salud. Método: revisión integradora, recurriendo seis etapas para sistematizar la investigación. Datos recogidos en las bases de datos Lilacs, Medline, Biblioteca Virtual SciELO, nueve artículos atendieron los criterios de inclusión y los Descriptores para guiar a la investigación fueron: Enfermería; Educación en Salud; Embarazo; Salud de la Mujer; Atención Primaria; Actividades Cotidianas. Resultados: el estudio identificó que las prácticas educativas desarrolladas por enfermeros en la Atención Primaria a la Salud están relacionadas a la educación en salud con orientaciones a la prevención del autocuidado, cuidado adecuado con el bebé, promoción de la autonomía y empoderamiento materno, comunicación interpersonal, capacitación del equipo e incentivo  a la participación de enfermeros obstetras en este contexto. Conclusion: el estudio contribuyó para explicación teórica de los elementos que componen la relación enfermero/gestante a partir de prácticas educativas. Es relevante para desarrollo de estrategias que fortalezcan comunicación entre profesional y usuaria por medio de la escucha activa, acogida humanizada, juegos y dinámicas, incentivo a la participación de familiares, acompañantes y colaboración de los componentes del equipo multi-profesional. Descriptores: Enfermería; Educación en Salud; Embarazo; Salud de la Mujer; Atención Primaria de Salud; Actividades Cotidianas.

scholarly journals Role of primary health protection in the realization of the pronatalist population policy in Vojvodina

2010 ◽  
pp. 11-22
Author(s):  
Ilija Grujic ◽  
Ljubomir Milasinovic ◽  
Zorica Grujic
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Population Policy ◽  
Active Role ◽  
Postnatal Period ◽  
Health Centers ◽  
Contraceptive Devices ◽  
Primary Health

The study was assumed to answer the question how to improve the women's health care at the primary level during prenatal, perinatal and postnatal period with the resulting giving birth to a healthy child and preservation of general and genital health of the woman and the consequent ability of nursing her child and giving birth to one more or more than one child. The investigation encompassed 300 patients (100 patients from each center: health centers at Temerin, Mali Idjos and Zitiste) of the generative age. The patients answered the anonymous questionnaire containing 24 questions by underlying one of the offered answers or by addition of a text where necessary-concerning the primary health care and its influence on reproduction of the population of Vojvodina. One half of investigated patients did not use contraceptive devices. 32,66% of the patients visited the health centers for the control of their pregnancies, 26,33% for the treatment of diseases, 11,33% for contraception advising, 2,66% for the treatment of infertility and 27,33% for other reasons. More than half of the polled patients thought that there was a need of improvement of the work in the women's health centers. The suggestions of 74,66% of the patients comprised organized lectures on different type of health care and family planning associated with the purchase of modern equipment for diagnostics (13,33%). The primary health care has a significant place in the process of reproduction of the population and these results point to the necessity of its more active role in the improvement of the women's health as well as in the implementation of the measures of the population policy. .

scholarly journals The primary health care and its role in the reproduction of the population of Vojvodina

2007 ◽  
Vol 60 (3-4) ◽  
pp. 168-172
Author(s):  
Ilija Grujic ◽  
Zorica Grujic
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Active Role ◽  
Postnatal Period ◽  
Health Centers ◽  
Reproductive Age ◽  
Population Increase ◽  
Primary Health

Introduction. The problem of depopulation has been a serious threat to the province of Vojvodina leading to changes in the age structure, decrease in working and defensive population, increase in health and social service costs. The aim of this study was to examine how to improve women's health care at primary level during prenatal, perinatal and postnatal period in order to give birth to a healthy child, preserve general and genital health and promote the ability to take care of the child and give birth to another child or children. Material and methods. The investigation included 300 patients (100 patients from each center: health centers in Temerin, Mali Idjos and Zitiste) of reproductive age. All patients completed an anonymous questionnaire with 24 questions by choosing one of the offered answers or by writing an answer where necessary - concerning the primary health care and its role in the reproduction of the population of Vojvodina. Results. Half of the investigated patients did not use contraception. 32.66% of women visited their GP to control their pregnancies; 26.33% to treat their diseases, 11.33% for contraception advice, 2.66% for treatment of infertility and 27.33% for other reasons. More than half of the polled patients thought that there was a need for improvement of the work in women's health centers. 74.66% of patients suggested education on different types of health care and family planning associated with the use of modern equipment for diagnostics (13.33%). Conclusion. The primary health care has a significant role in the process of reproduction of the population and these results point to the necessity of a more active role in the improvement of women's health, as well as in the implementation of measures in the population planning policy. .

Best Practice in Women's Health: Outcomes, Processes and Pre-conditions

1998 ◽  
Vol 4 (3) ◽  
pp. 106
Author(s):  
Gai Wilson ◽  
David Legge ◽  
Paul Butler ◽  
Maria Wright
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Best Practice ◽  
Health Workers ◽  
Social Model ◽  
Care Practice ◽  
Women Health ◽  
Primary Health

The pre-conditions, processes, and outcomes associated with best practice in women's health at the primary health care level are discussed. The paper draws on a study which identified projects that exemplified best practice in relation to: collaboration with consumers and communities; the adoption of a social model of health; the collaboration between providers at different levels of the health system and government; and addressing immediate health needs in a way which recognises the underlying conditions which cause ill health. The methodology involved identifying 187 recently published and documented episodes of primary health care practice. Using ratings and reports from 90 experienced referees from around Australia, the 187 case studies were reduced to 25 which the referees agreed represented 'best practice'. A more detailed investigation of these 25 studies was undertaken to determine what structures contributed to the good processes and outcomes. Of these, eight were women's health projects, with six undertaken by women's health services in Victoria. The paper outlines the kinds of outcomes, processes and pre-conditions which are associated with best practice as illustrated by one of the Victorian women's health projects. The findings from this research project provided practical, informative and useful models of best practice which can be of assistance to women, health workers, policy makers and government.

scholarly journals The National Mental Health Strategy: Redefining Promotion and Prevention in Mental Health?

2007 ◽  
Vol 13 (3) ◽  
pp. 77 ◽  
Author(s):  
Julie Henderson
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Mental Health Promotion ◽  
Health Prevention ◽  
Policy Documents ◽  
Primary Health ◽  
Health Strategy ◽  
National Mental Health

This paper explores policy documents published as part of the National Mental Health Strategy for ideas about mental health promotion and prevention, to determine the extent to which these documents adopt a primary health care approach. Discourse analysis was undertaken of key policy documents to discover the manner in which they discuss mental health promotion and prevention. Three points of departure are identified. The first of these is a focus on social and biological risk factors that manifest at an individual rather than at a social level, effectively drawing attention away from social inequalities. These documents also primarily target a population that is viewed as being "at risk" due to exposure to risk factors, shifting attention from strategies aimed at improving the health of the population as a whole. A final difference is found in the understanding of primary health care. Recent policy documents equate primary health care with the first level of service delivery in the community, primarily by general practitioners, shifting the focus of care from mental health promotion with the community to early intervention with those experiencing mental health problems. This is supported by the incorporation of a biomedical understanding into mental health prevention. While recent mental health policy documents re-assert the need for early intervention and health prevention, the form of mental health prevention espoused in these documents differs from that which informed the Declaration of Alma Alta, Ottawa Charter for Health Promotion and World Health Organization's Health for All strategy.

scholarly journals Gestão do cuidado e matriciamento na atenção primária à saúde: um relato de experiência

2021 ◽  
Vol 3 (2) ◽  
pp. 95-101
Author(s):  
Minéia da Costa Figueiredo ◽  
Fabiana Lopes de Paula
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Management ◽  
Family Health ◽  
Patient Care Team ◽  
Unified Health System ◽  
Primary Health ◽  
Health Strategy ◽  
The Matrix ◽  
Family Health Strategy

Este artigo irá abordar a vivência em uma unidade de Estratégia Saúde da Família (ESF) no município de Canto do Buriti-PI sobre os aspectos relacionados ao processo de matriciamento e a gestão do cuidado. A descrição será feita a partir da análise da gestão do cuidado e articulações com o Núcleo de Apoio à Saúde da Família (NASF) e suas ações de apoio matricial desenvolvidas na unidade. O NASF tem fundamental importância na resolução de casos mais complexos e na efetivação de cuidado integral, bem como para a assistência humanizada aos usuários na Atenção Primária à Saúde. O relato traz como contribuição a análise do processo de trabalho entre eSF e NASF, com uma visão que traz subsídios para a reflexão; tendo a intenção de cooperar para o aperfeiçoamento, progresso das ações na APS e a concretização das políticas públicas. Palavras-chave: Atenção Primária à Saúde; Estratégia Saúde da Família; Equipe de Assistência ao Paciente; Integralidade em Saúde; Sistema Único de Saúde.   Abstract This article will address the experience in a Family Health Strategy (ESF) unit in the city of Canto do Buriti-PI on aspects related to the matrix support process and care management. The description will be made from the analysis of care management and articulations with the Family Health Support Center (NASF) and its matrix support actions developed in the unit. The NASF is of fundamental importance in solving more complex cases and in providing comprehensive care, as well as in providing humanized assistance to users in Primary Health Care. The report contributes to the analysis of the work process between eSF and NASF, with a a vision that supports reflection; with the intention of cooperating for the improvement, progress of actions in the PHC and the implementation of public policies. Keywords: Primary Health Care; Family Health Strategy; Patient Care Team; Integrality in Health; Unified Health System.

scholarly journals Evaluation of Primary Health Care attributes of Fortaleza city, Ceará State, Brazil

2019 ◽  
Vol 72 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Leonardo Barbosa Rolim ◽  
Janássia Gondim Monteiro ◽  
Anya Pimentel Gomes Fernandes Vieira Meyer ◽  
Sharmênia de Araújo Soares Nuto ◽  
Márcio Flávio Moura de Araújo ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Assessment Tool ◽  
Family Health ◽  
A Value ◽  
Primary Health ◽  
Health Strategy ◽  
Care Assessment ◽  
Family Health Strategy

ABSTRACT Objective: To evaluate the Primary Health Care attributes of Fortaleza city, Ceará State. Method: Evaluative study carried out at 97 Primary Health Care Units, from August 2015 to June 2016. 451 professionals from the Family Health Strategy participated in the study. We used the Primary Care Assessment Tool - Brazil, which evaluates the attributes, assigning scores on a scale of zero to ten. We adopted as a cut-off point, to consider high Primary Care score, attributes with a value of 6.60 or higher. Results: Among the eight attributes evaluated the First Contact Access and the Coordination - Information System were the ones that obtained the lowest and highest scores, (2.98) and (7.82), respectively. The Overall Score, calculated by means of a mean of the attributes, was 6.34. Conclusion: The Primary Care evaluated had a low score, showing the need to discuss mechanisms to boost the attributes that obtained low scores.

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