Family health through injury and violence prevention at home.

Author(s):  
Michael C. Roberts ◽  
Ileana Arias ◽  
John R. Lutzker ◽  
Lenore E. A. Walker ◽  
David A. Wolfe
2021 ◽  
Author(s):  
Ratna Patel ◽  
Strong P Marbaniang ◽  
Shobhit Srivast ◽  
Pradeep Kumar ◽  
Shekhar Chauhan

Abstract Background: Most of childbirth complications usually arise during the time of delivery and are difficult to predict, but can be effectively managed through delivery at the health facility equipped with skilled birth attendants placed in an enabling environment. Despite many efforts put by the Government to reduce maternal and neonatal deaths through institutional birth deliveries, statistics suggest that these deaths are still very high in India. This study sought to determine the prevalence of home births and identifying the factors influencing women choice.Methods: Data from the National Family Health Survey (NFHS) conducted during 2005-06 and 2015-16 was used in the study. The respondents were women 15-49 years, a sample of 36,850 and 1, 90,898 women from two time period were included in the study. Multivariate logistic regression was used to determine the factors influencing home delivery. Results: Women’s who give birth at home has reduced by 39.6% from 58.5%. As compared to women below 18 years, those who were above 25 years were less likely to give birth at home [OR: 0.57; CI: 0.49-0.68] and [OR: 0.76; CI:0.70-0.82]. Women with full ANC visit were less likely to give birth at home as compare to women with no ANC visit [OR: 0.34; CI: 0.28-0.41] and [OR: 0.41; CI: 0.38-0.45]. In central India the odds of delivering babies at home was high in 2005-06 [OR: 1.15; CI: 1.01-1.32] whereas in 2015-16 the situation was opposite [OR: 0.92; CI: 0.87 -0.98] in reference to women from north India. Conclusion: There is a need to promote institutional deliveries, special focus to be given to poor women, women with higher parity, uneducated women, and rural women. Much work needs to be done in the rural parts of the country as rural women were more likely to opt for home delivery than their counterparts.


2015 ◽  
Vol 24 (2) ◽  
pp. 424-431 ◽  
Author(s):  
Adriane Maria Netto de Oliveira ◽  
Letícia Amico Marques ◽  
Priscila Arruda da Silva ◽  
Rodrigo Cavalli Prestes ◽  
Heitor Silva Biondi ◽  
...  

The purpose of the study was to learn about the perception of Family Health Team professionals from the Violence Prevention Program regarding primary interventions to prevent domestic violence. The study was linked to the research "Primary and secondary intervention in domestic violence from the perspective of primary healthcare professionals". The approach of this research was qualitative and exploratory. Data were collected from semi-structured interviews. The participants were four nurses and four physicians. Three categories emerged in the analysis of the theme: knowledge of primary interventions to prevent violence; execution of primary intervention actions to prevent violence - ease and difficulties; and acknowledgement of the importance of primary interventions and the care provided. The professionals were previously aware of the main primary interventions, and some were already taking place in the multidisciplinary work.


10.2196/19831 ◽  
2020 ◽  
Vol 6 (3) ◽  
pp. e19831 ◽  
Author(s):  
Chuka Emezue

Before the coronavirus disease (COVID-19), 1 in 3 women and girls, globally, were victimized by an abusive partner in intimate relationships. However, the current pandemic has amplified cases of domestic violence (DV) against women and girls, with up to thrice the prevalence in DV cases compared to the same time last year. Evidence of the adverse effects of the pandemic on DV is still emerging, even as violence prevention strategies are iteratively being refined by service providers, advocacy agencies, and survivors to meet stay-at-home mandates. Emotional and material support for survivors is a critical resource increasingly delivered using digital and technology-based modalities, which offer several advantages and challenges. This paper rapidly describes current DV mitigation approaches using digital solutions, signaling emerging best practices to support survivors, their children, and abusers during stay-at-home advisories. Some examples of technology-based strategies and solutions are presented. An immediate priority is mapping out current digital solutions in response to COVID-19–related DV and outlining issues with uptake, coverage, and meaningful use of digital solutions.


2019 ◽  
Vol 22 (1) ◽  
pp. 36-41
Author(s):  
Monica Aggarwal ◽  
Helen Cluett ◽  
Heather Campbell ◽  
Debbie Korzeniowski ◽  
Cindy Jones ◽  
...  

2021 ◽  
Vol 10 (3) ◽  
pp. 115-124
Author(s):  
Yeliz Mercan ◽  
Figen Digin ◽  
Seda Bulut

Aim: This study aims to determine common symptoms in COVID-19 confirmed patients who were followed up at home by primary health care services. Methods: This descriptive study was conducted in Kırklareli, Turkey between July 2020 and December 2020. The study was conducted with 315 patients aged 18 years and over who were confirmed positive by the Polymerase Chain Reaction test and followed up at home by a Family Health Center. Results: The mean age of the participants was 43.13±16.33 years. 53.7% were male, 87% lived in rural areas, 98.1% had health insurance and 54.9% were employed. Of the adults, 5.1% had the adult vaccine and 25.4% had a chronic disease. While at least one symptom was observed in 84.8% of the patients, 15.2% had no symptoms. The symptoms detected among the participants were cough (26.3%), headache (26.3%), and high fever (24.1%). The frequency of symptoms was higher in women than in men, and myalgia, arthralgia, nausea, and vomiting were also more frequent. The symptom of chills was more common in adults at 40 years and over compared to those under 40. Conclusion: In case of cough, headache, or high fever among adults, a healthcare provider should be consulted and screening for other symptoms. In terms of follow-up, symptom management, and treatment of the disease, women, and individuals 40 years and over should be prioritized, carefully followed up, and provided with the necessary isolation. There are also asymptomatic cases of COVID-19 disease. Isolation of asymptomatic patients is also important because of the high contagiousness of the disease. Keywords: COVID-19, symptoms, primary care, home care


2021 ◽  
Vol 10 (4) ◽  
pp. 163-170
Author(s):  
Ayse Didem Esen ◽  
Secil Arica ◽  
Mikail Ozdemir

Aim: The most valuable approach to prevent the spread of the novel COVID-19, which is a pandemic today, is to detect, isolate, and treat patients. The majority of patients are mild or asymptomatic cases. These cases are followed up and isolated at home in many countries. With a governmental decision issued in Turkey, it has been deemed appropriate to follow up the suspected, contact or definitive diagnosis patients who do not indicate inpatient treatment, have a mild clinical course, or do not have a risk factor that may lead to a severe course of COVID-19, at home by the family practice units. In this study, we aimed to investigate the characteristics of the patients with COVID-19 who were being monitored at home. Methods: The study was designed as a retrospective cross-sectional observational study. In this study, 321 people who were registered at the Education and Family Health Centers of our hospital and followed up as COVID-19 suspects, contacts, or definitive cases were identified. Home follow-up data of these patients between April 1-30 were obtained retrospectively from the records of family health centers. Data, such as the presence and course of symptoms of people followed at home, their isolation status, medicine usage status, and test results were recorded electronically for further analysis. Results: In this study, 321 patients, 163 (50.28%) males, and 158 (49.22%) females were included. Among 321 patients, 287 (89.41%) were contact patients, 54 (16.82%) were suspected patients, and 28 (8.72%) had a definitive diagnosis. The mean age of the patients was 40.00±20.68. Among the patients included in this study, 27 (8.41%) were hospitalized, symptoms worsened in 8 (2.49%), 5 (1.56%) were re-applied to the hospital, 5 (1.56%) were re-hospitalized, and 28 people (8.72%) were administered medication. Conclusion: The mean age of patients who complied with the measures of isolation was higher than patients who did not. The mean age of hospitalized patients was higher than in non-hospitalized patients. The frequency of observed symptoms was consistent with the previous studies in the literature. Keywords: cough, fever, pandemics, quarantine, SARS-CoV-2


2022 ◽  
Author(s):  
Nilu Nagdev ◽  
Felix Akpojene Ogbo ◽  
Mansi Dhami ◽  
Thierno Diallo ◽  
David Lim ◽  
...  

Abstract BackgroundFailure to use antenatal care (ANC) and inadequate receipt of components of ANC pose a significant risk for both the pregnant woman and baby. This study aimed to examine a regional analysis of factors associated with no or inadequate receipt of components of ANC services among Indian women.MethodInformation on 184,628 women of reproductive age 15-49 years from the 2015-16 India National Family Health Survey (NFSH-4) was used. Survey multinomial logistic regression analyses that adjust for cluster and survey weights were conducted to assess the socio-demographic and other factors associated with no or receipt of inadequate receipt of components of ANC in the six regions in India.ResultsAcross regions in India, 18% of women reported no ANC, and the prevalence of inadequate and adequate receipt of components of ANC in all six regions ranged from 16% to 43% and 34% to 81%, respectively. Our analyses revealed that in all six regions, poor households reported increased odds of receiving no or inadequate receipts of components of ANC. In all six regions, inadequate receipts of components of ANC was significantly higher among women who had limited knowledge about pregnancy complications and post-delivery complications. In all the six regions except the East region, women who delivered their babies at home reported higher odds of receiving no or inadequate receipts of components of ANC and women who had no postnatal checkup after delivery reported higher odds of receiving no or inadequate receipts of components of ANC in all regions except South, West and North East regions. Low levels of women's education and women who delivered their babies at home were associated with increased odds of receiving no or inadequate receipts of components of ANC in all six regions except North and East regions.ConclusionA better understanding of the factors associated and incorporating them into the short- and long-term intervention strategies, including free financial support from the Indian government to encourage pregnant women from lower socioeconomic groups to use health services across all regions.


2014 ◽  
Vol 23 (3) ◽  
pp. 600-608 ◽  
Author(s):  
Karla Ferraz dos Anjos ◽  
Rita Narriman Silva de Oliveira Boery ◽  
Rafael Pereira

The objective of this study was to analyze the relationship of sociodemographic characteristics and activity overload with the quality of life of relative caregivers of elderly dependents at home. This is an epidemiological, transversal study, conducted with 58 relative caregivers of elderly people registered in Family Health Programs in a municipality in the state of Bahia. Sociodemographic data were collected; in addition, the Katz Index of Independence, Zarit Burden Interview, and WHOQOL-bref were administered. The data were analyzed using correlation and multiple linear regression. The Zarit scale was negatively associated with all areas of the WHOQOL-bref domain, which was corroborated by the multiple regression model, which identified that the Zarit scale alone was able to predict the impact of care on quality of life of the studied caregivers. There is evidence of a need for expansion of social and health support to caregivers in an attempt to minimize overload, improving the quality of life of these individuals.


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