scholarly journals The impact of advocacy and community mobilization on the utilization of health services at the Comprehensive Health Centre, Gindiri.

2010 ◽  
Vol 4 (1) ◽  
Author(s):  
SO Adah ◽  
C Ogbonna ◽  
P Anga ◽  
MP Chingle ◽  
MA Ashikeni ◽  
...  
2020 ◽  
Vol 8 (2) ◽  
pp. 101-106
Author(s):  
Risky Amelia Rhamadani ◽  
Reny Noviasty ◽  
Ratno Adrianto

Background : Nutrition problems in toddlers become a public health problem when it exceeds WHO indicators in which the issue of malnutrition and undernutrition 17.8%, short toddlers 27.5% and thin toddlers 11.1%. The problem of undernutrition, short and thin toddlers are public health problem in the chronic category.Objective :  to determine the factor related to the nutritional status of toddlers in Loa Ipuh Health Centre. The design of this research is a cross-sectional study with total sample of 97 toddlers. Data collection uses anthropometric measurements, 24 hours of form food recall and questionnaires for mother's knowledge of breastfeeding complementary feeding and the utilization of health services.Method : Data analysis is using Pearson product-moment test with a significance level of 0.05. The results showed that there was a significant positive relationship between the food intake with the WAZ (P=0,000), HAZ (P=0,000) and  WHZ (P=0,021), mother's knowledge about complementary feeding with the WAZ (P=0,041), HAZ (P=0,010) and WHZ (P=0,010), utilization of health services with the WAZ (P=0,007), HAZ (P=0,009) and WHZ (P=0,006). Result : there is a significant positive relationship between intake of toddler feeding, mother's knowledge about complementary feeding and the utilization of health services with the nutritional status of toddlers WAZ, HAZ, and WHZ. Access to health services should be improved and evenly distributed throughout the health centre area.Conclusion : There is a significant positive relationship between food intake for children under five, maternal knowledge about complementary foods and health service utilization with the nutritional status 


2014 ◽  
Vol 1 (1) ◽  
pp. 96-103 ◽  
Author(s):  
S. Savitha

Background:Lack of sustainable and affordable health financing mechanisms in India has exposed the poor ininformal sector to iatrogenic poverty. Hardship financing of health services has negative financial consequences on thefuture income of these households. This can be mitigated through micro health insurance (MHI) because it aims to removefinancial barriers to access and utilize health services.Objectives:Recognizing the dearth of studies on impact of MHI schemes in India, we carried out an in-depth study onSampoorna Suraksha Programme (SSP) in Karnataka to assess the effect on access and utilization of healthcare services.Methods:We designed a descriptive cross sectional household survey that collected data from 1146 households toevaluate the impact using logistic regression analysis.Results:Insured individuals were more likely to access and utilize inpatient services compared to uninsured individuals.Moral hazard measured as length of stay in the hospital was absent. Horizontal equity in utilization based on gender andincome was observed. Insured used private providers than public hospitals or self-medicine. The results of the studysupport the positive impact of MHI on access and utilization of health services.Conclusion:The findings of the study enhance our understanding of the positive role of MHI in the promotion of betterhealth behavior of the poor people who usually forego treatment during illness. This would reinforce policymakers toadvocate MHI to mitigate iatrogenic poverty in India, the land of villages.


2018 ◽  
Vol 10 (6) ◽  
pp. 199
Author(s):  
Hilal Al Shamsi ◽  
Abdullah Ghthaith Almutairi ◽  
Sulaiman Salim Al Mashrafi

INTRODUCTION: Researchers and health specialists generally collect data and information about chronic diseases from self-reports. However, the accuracy of self-reports has been questioned as they depend on the respondents' ability to recall information and their understanding of pathological conditions. Therefore, an objective diagnosis is usually regarded as a more accurate indication of the presence of diseases.OBJECTIVE: A scoping review will examine the extent of the disagreement between self- reports and objective measures, focusing on the implications of this disagreement in terms of indicators of physical and emotional health as well provision and planning of health services.METHOD: There are few publications on the impact of disagreements between self-reporting and objective measures. In this case, a scoping review was chosen as an efficient tool to explore the issue, due to the limited amount of available evidence. This review was conducted in two major research databases: Scopus and Medline databases. The criteria of the study included all genders, age groups, and geographic areas. The source of information for the scoping review included existing literature such as guidelines, letters, meta-analyses, systematic reviews, and primary research studies.RESULT: In the 12 studies, the total participants were 155,939 and each study’s sample size ranged from 77 to 118,553. Four out of twelve studies showed a significant difference between self-reported ailments and objective diagnosis for (kappa=0.17 to 0.3), whereas the agreement was moderate for the utilization of health services and quality of ambulatory care (kappa=0.43 to 0.5), however, the agreement on whether counselling and referrals were needed was low (kappa= 0.3, 95% CI [0.3-0.3]). The disagreements between self-report and objective measures had implications regarding prevalence of diseases (20% less by self-reported) or risk factors (such as physical activity [PA]), costs of treatments (15 EUR high by reports), risk factors such as car accidents for elderly (useful field of view in elderly drivers was a risk over four times larger than obtained from self-reported [OR= 13.7 vs OR=3.4]), and utilization of health services (34.1% higher by reported).CONCLUSION: In most health domains, we found there was low to moderate disagreement between self-reporting and objective measures for diagnosing illnesses and utilization of health services.  The prevalence of disease was lower when self-reported, while the utilization of health services and cost of health services were higher when self-reported than when objectively measured. This disagreement has implications regarding the increasing the cost of health services and provides a misleading basis for health planning.


Author(s):  
Dr. Minutha. V

The accessibility of healthcare centers is one of the most important indicators for measuring the efficiency of a healthcare system. Accessibility is a complex indicator that reflects the number of health care institutions, their geographical distribution and the impact of different types of barriers social, Economic and culture (1). Primary health centre which acts as the first level of contact between the population and health centers. It acts has a cornerstone of rural health services. Primary healthcare is affordable, accessible and appropriate care for the particular needs of a given population especially in rural areas. The main objectives of the study are to study the spatial distribution pattern and delineation of service area of primary health centers; to identify the gap between the availability and accessibility of health services. The base map of study area has been geo-referenced and digitized using ARC GIS software. The Global positioning system (GPS) was adopted to take the coordinate of all the existing primary health centers in the study area. Simple Euclidean buffers are mapped and analyzed to define the service area, Thiessen polygon and Nearest Neighbour Technique was used here to identify the availability of health services in Mysore district. The results reveal that, the spatial variation in the distribution of PHC’s, which were not evenly distributed across the study area and there is scarcity in the availability of workforce among the study area.


2014 ◽  
Vol 38 (2) ◽  
pp. 177 ◽  
Author(s):  
Virginia Schmied ◽  
Cathrine Fowler ◽  
Chris Rossiter ◽  
Caroline Homer ◽  
Sue Kruske ◽  
...  

Objective Australia has a system of universal child and family health (CFH) nursing services providing primary health services from birth to school entry. Herein, we report on the findings of the first national survey of CFH nurses, including the ages and circumstances of children and families seen by CFH nurses and the nature and frequency of the services provided by these nurses across Australia. Methods A national survey of CFH nurses was conducted. Results In all, 1098 CFH nurses responded to the survey. Over 60% were engaged in delivering primary prevention services from a universal platform. Overall, 82.8% reported that their service made first contact with families within 2 weeks of birth, usually in the home (80.7%). The proportion of respondents providing regular support to families decreased as the child aged. Services were primarily health centre based, although 25% reported providing services in other locations (parks, preschools).The timing and location of first contact, the frequency of ongoing services and the composition of families seen by nurses varied across Australian jurisdictions. Nurses identified time constraints as the key barrier to the delivery of comprehensive services. Conclusions CFH nurses play an important role in supporting families across Australia. The impact of differences in the CFH nursing provision across Australia requires further investigation. What is known about the topic? Countries that offer universal well child health services demonstrate better child health and developmental outcomes than countries that do not. Australian jurisdictions offer free, universal child and family health (CFH) nursing services from birth to school entry. What does this paper add? This paper provides nation-wide data on the nature of work undertaken by CFH nurses offering universal care. Across Australia, there are differences in the timing and location of first contact, the frequency of ongoing services and the range of families seen by nurses. What are the implications for practitioners? The impact for families of the variation in CFH nursing services offered across Australia is not known. Further research is required to investigate the outcomes of the service provision variations identified in the present study.


Patan Pragya ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 197-209
Author(s):  
Thuma Kumari Poudel

Access to reproductive health services saves women for safe sex, safe pregnancy and child birth. This paper intends to analyze the impact of pandemic on reproductive health services during one decade 1920-2020 B.S. To achieve the above mentioned objective, descriptive method is used. Data are collected from secondary sources and major biggest pandemic of one hundred years which have larger impact on public health including reproductive health and large scale of mortality. The history of pandemic shows that service delivery of reproductive health to women was seriously affected during pandemic period. There was difficult to achieve basic health facility to pregnant women during pandemic period, they also face problems to achieve reproductive health services. The influenza   affects to the pregnant women. They were severely ill during their pregnancy. There was a negative impression with health providers and pregnant women at health centre at the time of providing sexual and reproductive health services during the Ebola virus. The Zika virus effects on women's sexual and reproductive rights. The reproductive health services became at more serious cases at the time of HIV/AIDS pandemic. Pregnant women, infants and young children had serious impact of H1N1 virus. Women are facing problems to get reproductive health services like access of family planning, abortion care and other infectious diseases during Covid-19 periods. These problems also increased risk to unwanted pregnancy, risk of unsafe abortion and risk of STDs to the women. Women were facing lacking of sexual and reproductive health services due to the lockdown, physical distance, travel restrictions and economic slowdown during covid-19 pandemic.


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