A Scoping Review of Men's Health Situation in Primary Health Care

Introduction: There has been an increasing number of studies that have evidenced the profile of male morbidity and mortality, their causes and related consequences, and their association with the low demand and men's permanence in the services offered in Primary Health Care (PHC). Objective: The objective of the study was to map the literature on men's health situation in Primary Health Care. Methods: A scoping review, according to the Joanna Briggs Institute protocol, with the PCC acronym (P – men, C – health situation, C – in primary care), was conducted in the Medline/Pubmed, COCHRANE, Web of Science, SCOPUS, Science Direct, LILACS, BDENF, MEDCARIBE, and SciELO databases, using the descriptors “Men”, “Men's Health”, “Health Services Needs and Demand”, “Primary Health Care” in three information sources (EBSCO, PubMed and SciELO). Results: Men's health situation in Primary Health Care is defined by the influence of the social construction of the masculinities and cultural aspects in the adoption of health care behaviors and practices, in the way in which men present their health complaints, demands, and needs, and establish bonds with the health professionals and the services. Conclusion: There is a number of sociocultural factors inherent to masculinities, institutional factors of the services' organization, and relational factors of men with the health professional that intervene together with the health situation.

A Study to Assess the Knowledge of Women regarding use of Zinc Supplementation with ORS in Managing Diarrhoea in a Selected Rural Community in Bhopal

Background:Diarrhoea is the third most common reason for youth mortality in India. More than 2 million kids die because of loose bowels and parchedness consistently. Diarrhoeal sickness causes hefty monetary pressure on the healthcare administration. Much consideration has been given to diarrhoeal sickness and its administration in the course of this decade. Oral rehydration strategy and zinc supplementation have proved to be extremely helpful in this aspect. Methods: A descriptive approach has been utilised to evaluate the knowledge of women in regards to the use of zinc supplementation with ORS in overseeing diarrhoea. Purposive sampling procedure was used to choose 100 mothers. The researcher assessed the knowledge of the study subjects regarding the advantages of zinc with ORS using a structured knowledge questionnaire. The gathered information was assessed by graphic and inferential measurements. Results: 63% of women got average score and 1% of women obtained very good score, 2% of women obtained poor score and not even a single woman got very poor score. The mean knowledge score of women regarding the benefits of zinc with ORS in managing diarrhoea was 17.24. Conclusion: Women are the greatest health workers who make all the possible efforts to provide their families with everything. If women possess the required knowledge, they themselves would leave no stone unturned to use the various preventive measures and get rid of diarrhoea for the health of their family members. So, the knowledge of women related to health services needs to be updated and improved.

Elements of Management and Leadership Strengthening in Health Systems: A Qualitative Study From Iran

Background: Achieving the health-related Millennium Development Goals (MDGs) and improved health services needs management and leadership capacity building. Hence, the aim of this study is to identify the elements of management and leadership capacity.Methods: Semi-structured individual interviews were conducted with 20 health managers. Sampling method was purposive. Data were collected using a researcher-made interview guide. The transcribed text was analyzed using framework analysis.Results: Five main themes emerged from the analysis: (1) competencies required for managers; (2) selection and appointment of managers; (3) establishment of managers' database; (4) deployment of functional support system; and (5) environmental sensitivity. Each of these themes contains sub-themes.Conclusions: Extracting elements of management and leadership capacity helps managers to assess management capacity and leadership comprehensively and effectively. Also, effective and useful operations can be done to strengthen the management and leadership capacity.

Evidências de cuidado do enfermeiro aos homens com câncer de próstata: revisão integrativa

Objetivo: Avaliar evidências das necessidades de suporte de cuidados aos homens com câncer de próstata em seguimento e tratamento atendidos por enfermeiros. Método: Revisão integrativa da literatura nas bases de dados: PubMed e CINAHL, em inglês, português e espanhol, publicados entre 2009 a 2019, com o cruzamento dos descritores “Prostatic Neoplasms”, “Masculinity”, “Health Services Needs and Demand”, “Needs assessment”, “Nursing Care”, “Comprehensive Health Care”, “Oncology Nursing”. Encontrados 2425 artigos e atenderam aos critérios de inclusão seis artigos. Para a extração e análise dos dados, utilizaram-se instrumentos validados. Resultados: As intervenções educativas, o planejamento individual coparticipativo e o acompanhamento longitudinal foram as principais ações desenvolvidas pelos enfermeiros, valorizados pelos cuidados oferecidos. Conclusão: A síntese do conhecimento direciona para a importância do enfermeiro no cuidado ao homem com câncer de próstata e para a elaboração de planos de cuidados inovadores e compartilhados, fundamentados nas necessidades e nas melhores evidências.

How the Norwegian population was affected by non-pharmaceutical interventions during the first six weeks of the COVID-19 lockdown

Aims The aim of this study was to examine how the Norwegian general adult population was affected by non-pharmaceutical interventions during the first six weeks of the COVID-19 lockdown. We assessed quarantine, symptoms, social distancing, home office/school, work status, social contact and health-care contact through digital access and knowledge. Methods A cross-sectional survey was performed of 29,535 adults (aged 18–99) in Norway after six weeks of non-pharmaceutical interventions in March/April 2020. Results Most participants found the non-pharmaceutical interventions to be manageable, with 20% of all adults and 30% of those aged <30 regarding them as acceptable only to some or a limited degree. Sixteen per cent had been quarantined, 6% had experienced symptoms that could be linked to COVID-19 and 84% practiced social distancing. Eleven per cent reported changes in the use of health and social services. Three-quarters (75%) of those who had mental health or physiotherapy sessions at least monthly before the pandemic reported a reduction in their use of these services. A substantial reduction was also seen for home nursing, hospital services and dentists compared to usage before the non-pharmaceutical interventions. Immigrants were more likely to experience a reduction in follow-up from psychologists and physiotherapy. With regard to the use of general practitioners, the proportions reporting an increase and a reduction were relatively equal. Conclusions The non-pharmaceutical interventions were perceived as manageable by the majority of the adult general population in Norway at the beginning of the COVID-19 pandemic. A substantial proportion of adults <30 years old experienced difficulties with social distancing, and those >70 years old lacked the digital tools and knowledge. Further, immigrant access to health services needs monitoring and future attention.

Health and Health Service Needs: Comparison of Older and Younger Women with Criminal−Legal Involvement in Three Cities

Objectives: We profiled the health and health services needs of a sample of older adult women (age 50+) with criminal–legal system (CLS) involvement and compared them with younger women (age 18–49), also CLS-involved. Methods: Using survey data collected from January to June 2020 from adult women with CLS involvement in three US cities, we profiled and compared the older adult women with younger women on behavioral and structural risk factors, health conditions, and health services access and use. Results: One-third (157/510) were age 50+. We found significant differences ( p < .05) in health conditions and health services use: older women had more chronic conditions (e.g., hypertension and stroke) and more multimorbidity and reported more use of personalized care (e.g., private doctor, medical home, and health insurance). Discussion: Although older women with CLS involvement reported good access to health services compared with younger women, their chronic health conditions, multimorbidity, and functional declines merit attention.

Burden and determinants of multimorbidity among women in reproductive age group: a cross-sectional study based in India

Background: India's government is currently running several programs with a sole focus on women's health during their child-bearing years. However, none of these programs incorporate the management of chronic health conditions during the reproductive span. This issue is an emerging public health concern; therefore, the present study aims to identify the patterns and correlates of multimorbidity among women in reproductive age groups in India. Methods: The study utilizes nationally-representative cross-sectional data from the Demographic and Health Survey on 661,811 women in the reproductive age group of 15-49 years. The study uses information on seven chronic morbidities, namely asthma, cancers, heart disease, diabetes, tuberculosis, hypertension, and thyroid disorder. Descriptive, bivariate, and multivariable techniques were utilized to accomplish the study objective. Results: The findings show that 17.4 and 3.5 per 100 women of reproductive age suffered from any one morbidity and multimorbidity, respectively. Hypertension, diabetes, and thyroid disorders were commonly occurring morbidities. The prevalence of having any one morbidity or multimorbidity increased with age. Variables like religion, wealth, parity, menopause, consumption of tobacco and alcohol, body mass index, and type of diet were found to be significantly related to the burden of multimorbidity. The prevalence of multimorbidity was found to be higher for women who belong to the Southern, Eastern, and North-Eastern regions of India. Conclusions: Findings suggest the importance of multimorbidity in the context of women of reproductive age. Inclusion of chronic disease management strategies with maternal and child health services needs to be taken into consideration by the program and policymakers. The annexation of social marketing approaches at the primary level of healthcare would assist policy-makers in educating women about the importance of leading a healthy lifestyle. Practicing dietary diversity can help in maintaining optimal estrogen levels, which would further help in decreasing multimorbidity rates among women in India.

PENYULUHAN TENTANG PENCEGAHAN PENULARAN MALARIA DENGAN METODE ROLE PLAY DI KABUPATEN KULON PROGO DAERAH ISTIMEWA YOGYAKARTA TAHUN 2019

The success of the partnership program and community-based health services needs to be supported by information, education, and communication (IEC) to increase the community and stakeholder’s knowledge. The IEC has often carried out lectures and question answers (QA). It needs another method, one of them is role play. The aim of this study was to describe the knowledge enhancement about malaria using the role-play method. This research was a quasi-experimental study with the pretest-posttest method without a control design. The form of intervention was health education using role-play method with analysis using the Wilcoxon sign rank test. The total pretest and posttest scores were significantly different (p <0.05). The number of items of evaluation questions was 10 items. Knowledge of 6 items; symptoms, causes, consequences of malaria, risky activities, time for blood tests, and the person in charge of migration surveillance, had a significant increase, while 4 items; mode of transmission, a migration surveillance mechanism, and the suspect's investigator had an insignificant increase. The application of the role-play method was proven to significantly increase participants' knowledge of malaria. A suggestion is necessary to increase public knowledge in the field of health, especially malaria through non-monotonous methods so that people are more interested and have optimal results. Abstrak Keberhasilan program kemitraan dan layanan kesehatan berbasis masyarakat perlu didukung kegiatan komunikasi, informasi dan edukasi (KIE) sebagai upaya meningkatkan pengetahuan masyarakat dan pemangku kepentingan lainnya. Kegiatan KIE yang sering dilakukan adalah ceramah dan tanya jawab, sehingga perlu metode lain yang berbeda yaitu role play. Tujuan penelitian ini adalah mendeskripsikan peningkatan pengetahuan tentang malaria dengan metode role play. Penelitian ini merupakan penelitian eksperimental semu dengan metode pretest-postest without control design. Bentuk intervensi adalah penyuluhan menggunakan metode role play dengan analisis menggunakan Wilcoxon sign rank test. Total nilai pretest dan post test ada perbedaaan secara signifikan (p<0,05). Jumlah item pertanyaan evaluasi sebanyak 10 butir, 6 item ; gejala, penyebab, akibat sakit malaria, aktivitas berisiko, waktu pemeriksaan darah dan penanggung jawab surveilans migrasi, memiliki peningkatan yang signifikan, sedang 4 item yaitu cara penularan, alur surveilans migrasi dan petugas pemeriksa tersangka mengalami peningkatan yang tidak signifikan. Penerapan metode role play terbukti dapat meningkatkan pengetahuan peserta tentang malaria secara signifikan. Sebagai saran perlu upaya peningkatan pengetahuan masyarakat dalam bidang kesehatan, khususnya malaria melalui metode yang tidak monoton, agar masyarakat lebih tertarik dan hasil yang optimal.

Burden and determinants of multimorbidity among women in reproductive age group: a cross-sectional study based in India

Background: India's government is currently running several programs with a sole focus on women's health during their child-bearing years. However, none of these programs incorporate the management of chronic health conditions during the reproductive span. This issue is an emerging public health concern; therefore, the present study aims to identify the patterns and correlates of multimorbidity among women in reproductive age groups in India. Methods: The study utilizes nationally-representative cross-sectional data from the Demographic and Health Survey on 661,811 women in the reproductive age group of 15-49 years. The study uses information on seven chronic morbidities, namely asthma, cancers, heart disease, diabetes, tuberculosis, hypertension, and thyroid disorder. Descriptive, bivariate, and multivariable techniques were utilized to accomplish the study objective. Results: The findings show that 17.4 and 3.5 per 100 women of reproductive age suffered from any one morbidity and multimorbidity, respectively. Hypertension, diabetes, and thyroid disorders were commonly occurring morbidities. The prevalence of having any one morbidity or multimorbidity increased with age. Variables like religion, wealth, parity, menopause, consumption of tobacco and alcohol, body mass index, and type of diet were found to be significantly related to the burden of multimorbidity. The prevalence of multimorbidity was found to be higher for women who belong to the Southern, Eastern, and North-Eastern regions of India. Conclusions: Findings suggest the importance of multimorbidity in the context of women of reproductive age. Inclusion of chronic disease management strategies with maternal and child health services needs to be taken into consideration by the program and policymakers. The annexation of social marketing approaches at the primary level of healthcare would assist policy-makers in educating women about the importance of leading a healthy lifestyle. Practicing dietary diversity can help in maintaining optimal estrogen levels, which would further help in decreasing multimorbidity rates among women in India.

Health Research Priority Setting in Oman: Towards better utilization of the available resources

Objective: This concept paper aims to portray the steps and strategies followed in setting the health research priorities in Sultanate of Oman. Methods: This exercise was developed based on COHRED management process to priority setting for planning a high-quality health research priority setting exercise at national and sub national levels. Ranking for the diseases and risk factors in Oman was based on the estimates obtained from the Global Burden of Disease (GBD) 2016 study by the Institute for Health Metrics and Evaluation (IHME). The most important topics were generated from a panel of experts to tackle the above ranked problems, which was supported with a feasibility score to plan for conducting research. Results: A list of top 30 diseases and 10 risk factors based on DALYs estimates was ranked and listed. Sub-research topics were listed under each category. Feasibility scores were obtained from all the sub-national levels based on available human resources, infrastructure, financing, technology, legality, and ethical consideration. A plan for the next 15 years was developed for each sub national level based on the feasibility score. Conclusion: Prioritisation mechanisms are necessary to facilitate the current demand for increased harmonisation of health research to meet health services needs particularly in combination with translating the results into actions that improve overall population health. Due to the immense importance of health research in improving the health system and health services, the decision to prioritise health research was the first step in the direction to enhance health research and thereby enhance health service in Oman by the Centre of Studies & Research. This intervention will lead the health system to achieve better planning for effective utilization of available resources.