scholarly journals Antenatal and Postnatal Care Practices among Indigenous People in Bangladesh: A Case Study in Dinajpur

2020 ◽  
pp. 38-56
Author(s):  
Sumaia Aktar ◽  
U. K. Majumder ◽  
Md. Salauddin Khan
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Health Center ◽  
Indigenous People ◽  
Postnatal Care ◽  
Access To Health Care ◽  
Care Service ◽  
Indigenous Communities ◽  
Access To Health ◽  
Antenatal And Postnatal Care

Antenatal (ANC) and postnatal care (PNC) contact have long been considered a critical component of the continuum of care for a pregnant mother along with the newborn child. The study aims to determine the influential factors related to the practice of antenatal and postnatal care amongst indigenous mothers of newborns and identifier associated with the ANC and PNC contacts for women in indigenous communities. This study was carried out purposefully selected six upazilas of Dinajpur district where most of the indigenous people live and respondents were 223 married women having at least one under-five children. Results found that the respondents had very poor knowledge about their maternal status and literacy. During the pregnancy period, 39.5% and 6.7% mothers had one and two-time miscarriage respectively. Only 43.9% indigenous pregnant mothers appointed to the health center during pregnancy, 27.8% appointed within three months, 13% went at the last stages of pregnancy and 10.3% felt no need to go there. In 69.1% cases delivery occurred at home by inexpert birth attendance. About 10.3% of deliveries, the placenta was removed manually during delivery. About 33% mothers and their husbands (34%) were found illiterate. The likelihood of mothers who received either antenatal care or postnatal care depended on husband’s education level. It was significantly lower for illiterate (OR=0. 247, 95% CI = 0.063-0.969) husband’s compared to a secondary and above level of educated husbands. Distant health service center (More than 2 km from home) was the lower chances (OR=0. 384, 95% CI = 0.152-0.970) for mothers being access to health care service centers compared to low distant centers (≤ 2 km from home). Also, the age of the mother (30+) was another factor that influenced the mothers for taking the service from hospitals or health centers during pregnancy. This study concludes that about one-third of the respondents of the community has access to health care services, which can be one of the most important factors in their poor health. Counseling and proper education can influence people to take antenatal care and visits to the health center to take postnatal care service further.

scholarly journals The Cedar Project - Mobile Phone Use and Acceptability of Mobile Health Among Young Indigenous People Who Have Used Drugs in British Columbia, Canada: Mixed Methods Exploratory Study

10.2196/16783 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e16783
Author(s):  
Kate Jongbloed ◽  
Margo E Pearce ◽  
Vicky Thomas ◽  
Richa Sharma ◽  
Sherri Pooyak ◽  
...  
Keyword(s):  
Health Care ◽  
British Columbia ◽  
Mobile Phone ◽  
Indigenous People ◽  
Mobile Phones ◽  
Exploratory Study ◽  
Access To Health Care ◽  
Mobile Phone Use ◽  
Access To Health ◽  
Prevention And Treatment

Background Indigenous leaders continue to be concerned about high rates of HIV and barriers to HIV treatment among young Indigenous people involved in substance use. Growing evidence suggests that using mobile phones for health (mHealth) may be a powerful way to support connection with health services, including HIV prevention and treatment. Objective This study examined the patterns of mobile phone ownership and use among young Indigenous people who have used drugs living with or vulnerable to HIV and explored the acceptability of mHealth to support access to health care in this population. Methods The Cedar Project is a cohort study involving young Indigenous people who have used drugs in Vancouver and Prince George, British Columbia. This mixed methods exploratory study involved 131 Cedar Project participants enrolled in our WelTel mHealth program. At enrollment, participants completed a questionnaire related to mobile phone use and interest in mHealth. Data were linked to Cedar Project questionnaires and serodata. We present comparative statistics (quantitative) and results of a rapid thematic analysis (qualitative) related to mobile phone patterns and interest in receiving mHealth. Results Less than half of the participants (59/130; 45.4%) reported owning a phone. Among those with a phone, the majority owned a smartphone (46/59; 78%). Most participants with a phone reported having an unlimited texting plan (39/55; 71%), using the internet on their phone (44/59; 75%), and texting daily (44/55; 80%). A majority reported that using a mobile phone for health would be invaluable (120/130; 92.3%). There were no differences in mHealth acceptance between participants who owned a phone and those who did not (P>.99). All but one participant living with HIV felt using a mobile phone would be helpful for their health, while a small proportion of HIV-negative participants remained unsure (1.9% vs 11.7%; P=.047). In response to open-ended questions asking why using a mobile phone may be helpful for health, participants identified a diverse set of anticipated benefits: (1) connection for emotional, mental, and spiritual support, (2) connection to family, (3) staying in touch and/or being reachable, (4) overcoming current barriers to phone use, (5) convenience, privacy, and safety, and (6) access to health care and emergency services. Conclusions We observed high acceptance and interest in using mobile phone technology for health despite low rates of personal mobile phone connectivity among young Indigenous people who have used drugs living with and vulnerable to HIV in British Columbia, Canada. Mobile phones were viewed as a way to support connections and relationships that are seen as critical to health and well-being among young Indigenous people in this study. Findings may be useful for health care providers preparing to scale up mHealth programs to support HIV prevention and treatment in this population.

Distance from the Primary Health Center: A GIS method to study geographical access to health care

1995 ◽  
Vol 19 (6) ◽  
pp. 425-436 ◽  
Author(s):  
S. Kohli ◽  
K. Sahlén ◽  
Å. Sivertun ◽  
O. Löfman ◽  
E. Trell ◽  
...  
Keyword(s):  
Health Care ◽  
Health Center ◽  
Access To Health Care ◽  
Primary Health Center ◽  
Primary Health ◽  
Geographical Access ◽  
Access To Health

scholarly journals Assessment of caregivers’ perspectives regarding speech-language services in Saudi Arabia during COVID-19

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253441
Author(s):  
Nisreen Naser Al Awaji ◽  
Alanoud A. Almudaiheem ◽  
Eman M. Mortada
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Service Delivery ◽  
Access To Health Care ◽  
Online Survey ◽  
Care Service ◽  
Health Care Service ◽  
Language Services ◽  
Access To Health ◽  
Therapy Sessions

Background As a consequence of stay-at-home and other lockdown measures, such as social distancing, all health care service provisions during the COVID-19 pandemic have been affected, including the provision of speech therapy. Telehealth services can play a major role in maintaining access to health care, help speech and language pathologists (SLPs) overcome physical barriers by providing patients and caregivers with access to health care, and limit the discontinuity of patient care. To have a better understanding of the changes that have occurred in these services during COVID-19, this research was conducted to explore the nature and current situation of speech-language services in Saudi Arabia based on caregivers’ perspectives. It also investigated whether changes have occurred in these services during the COVID-19 lockdown. The study also determined the perception of caregivers in delivering SLS sessions remotely. Method A cross-sectional study was conducted with 385 caregivers in Saudi Arabia. An online survey asked whether children were experiencing any SLS problems and if they had received any intervention. The survey also assessed the perception of changes in service during the COVID-19 lockdown and the perceptions, acceptance, and willingness of the caregivers to deliver telehealth speech services in Saudi Arabia. Results About 50% of the respondents had or were suspected to have a child with SLS problems, and just over half of them had accessed SLS services. Most of the respondents reported suspension of therapy sessions as a response to the COVID-19 pandemic. While the respondents had little experience using telehealth prior to the pandemic, they generally showed a willingness to use telehealth in therapy sessions, expressing a preference for video calls over other options. Conclusion The study revealed that SLS services in Saudi Arabia are limited and that accessing these services is challenging. Alternative service delivery using remote services could help caregivers overcome such challenges. When telehealth was introduced as an option for service delivery, the caregivers showed welcoming responses, particularly with video calls.

scholarly journals Health Care Reform and Household Welfare: Health Transformation Programme in Turkey

2013 ◽  
Author(s):  
Serdal Bahçe ◽  
Altuğ Murat Köktas ◽  
Deniz Abukan
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Health Care Access ◽  
Access To Health Care ◽  
Care Service ◽  
Financial Burden ◽  
Descriptive Analysis ◽  
Health Care Service ◽  
Care Access ◽  
Access To Health

We assessed the health care reform and its effects on household’s welfare such as access to health care and household economic burden. We used descriptive analysis on 2002-2011 Ministry of Health and OECD Health Statistics. The main result is about using health care. Access to health care increased after health care reform in Turkey. Number of applications to health care service server and its units rose. On the other hand, financial burden of health care on household’s budget decreased number of applications. The main result percentage of not consulting a specialist even needed to consult a specialist but did not during the past 12 months is %4.9 in 2003 and %19.9 in 2010. To improve health care access, policy makers should improve public sector provision of health care, increase social security benefit packages and protect poor and vulnerable.

scholarly journals The Cedar Project - Mobile Phone Use and Acceptability of Mobile Health Among Young Indigenous People Who Have Used Drugs in British Columbia, Canada: Mixed Methods Exploratory Study (Preprint)

2019 ◽  
Author(s):  
Kate Jongbloed ◽  
Margo E Pearce ◽  
Vicky Thomas ◽  
Richa Sharma ◽  
Sherri Pooyak ◽  
...  
Keyword(s):  
Health Care ◽  
British Columbia ◽  
Mobile Phone ◽  
Indigenous People ◽  
Mobile Phones ◽  
Exploratory Study ◽  
Access To Health Care ◽  
Mobile Phone Use ◽  
Access To Health ◽  
Prevention And Treatment

BACKGROUND Indigenous leaders continue to be concerned about high rates of HIV and barriers to HIV treatment among young Indigenous people involved in substance use. Growing evidence suggests that using mobile phones for health (mHealth) may be a powerful way to support connection with health services, including HIV prevention and treatment. OBJECTIVE This study examined the patterns of mobile phone ownership and use among young Indigenous people who have used drugs living with or vulnerable to HIV and explored the acceptability of mHealth to support access to health care in this population. METHODS The Cedar Project is a cohort study involving young Indigenous people who have used drugs in Vancouver and Prince George, British Columbia. This mixed methods exploratory study involved 131 Cedar Project participants enrolled in our WelTel mHealth program. At enrollment, participants completed a questionnaire related to mobile phone use and interest in mHealth. Data were linked to Cedar Project questionnaires and serodata. We present comparative statistics (quantitative) and results of a rapid thematic analysis (qualitative) related to mobile phone patterns and interest in receiving mHealth. RESULTS Less than half of the participants (59/130; 45.4%) reported owning a phone. Among those with a phone, the majority owned a smartphone (46/59; 78%). Most participants with a phone reported having an unlimited texting plan (39/55; 71%), using the internet on their phone (44/59; 75%), and texting daily (44/55; 80%). A majority reported that using a mobile phone for health would be invaluable (120/130; 92.3%). There were no differences in mHealth acceptance between participants who owned a phone and those who did not (<i>P</i>&gt;.99). All but one participant living with HIV felt using a mobile phone would be helpful for their health, while a small proportion of HIV-negative participants remained unsure (1.9% vs 11.7%; <i>P</i>=.047). In response to open-ended questions asking why using a mobile phone may be helpful for health, participants identified a diverse set of anticipated benefits: (1) connection for emotional, mental, and spiritual support, (2) connection to family, (3) staying in touch and/or being reachable, (4) overcoming current barriers to phone use, (5) convenience, privacy, and safety, and (6) access to health care and emergency services. CONCLUSIONS We observed high acceptance and interest in using mobile phone technology for health despite low rates of personal mobile phone connectivity among young Indigenous people who have used drugs living with and vulnerable to HIV in British Columbia, Canada. Mobile phones were viewed as a way to support connections and relationships that are seen as critical to health and well-being among young Indigenous people in this study. Findings may be useful for health care providers preparing to scale up mHealth programs to support HIV prevention and treatment in this population.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

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