"On Your Feet, On Your Back" Development of an Allied Health Outreach Service for Sex Workers

2003 ◽  
Vol 9 (1) ◽  
pp. 105
Author(s):  
Penny Hopkins ◽  
Colleen Slater ◽  
Damien Clark

The Inner South Community Health Service is a multi-sited community health agency situated in inner Melbourne. As part of its commitment to community development, in january 2000 it extended its role to offer a health and education program to the sex industry. In keeping with this philosophy, in October 2001 a pilot project "On Your Feet, On Your Back" was initiated. This project involved allied health workers providing assertive outreach to sex workers on the streets and at a drop-in clinic. This paper discusses the challenges of taking allied health workers out of their traditional clinical setting and placing them in the workplace environment of sex workers in order to provide a meaningful service to this client group. A case presentation will illustrate the importance of utilising a variety of innovative strategies in order to achieve a positive outcome for both the allied health staff and the sex workers. As a conclusion, this study will demonstrate the importance of the availability of adequate support and resourcing at all levels of an organization, and how this enables successful innovation in the provision of primary health services.

2008 ◽  
Vol 14 (1) ◽  
pp. 43 ◽  
Author(s):  
Jo Howard

This article examines a pilot project that introduces screening for domestic violence into an allied health team at a community health service. The screening was delivered over a three-month period from May 2005, with 44 clients screened. It explores the context in which the project was initiated, the experience of allied health staff in undertaking the screening, and project findings. It concludes that although the screening did not result in significant numbers of women disclosing domestic violence, it enhanced the capacity of allied health staff to respond to women who have experienced domestic violence, and strengthened the linkages between allied health and counselling staff.


1997 ◽  
Vol 3 (4) ◽  
pp. 18
Author(s):  
Rae Walker ◽  
Sally Mitchell ◽  
Maria Wright

It is often argued that community based health organisations ought to have substantial links with other organisations in their local environment in order to provide integrated, accountable clinical and preventive services. This paper reports results from a study of the links forged by staff working in four community health centres in Victoria, Australia. The pattern of links between organisations is described and their functions explored. The perceptions of community health workers and their network partners in the other organisations are compared and the strategies used by the workers to establish and build their links identified. It can be argued that links with external organisations are important in community health practice and are valued by the organisations with which the centres establish links. They have, however, received very little attention within or without the field of community health. They are taken for granted, rarely discussed, and as often inhibited as facilitated by the structures within which community health centres operate. Consequently, a great deal of valuable community health work remains unacknowledged, potentially underdeveloped and undervalued. It has not been made clear how education can best support community health staff in this aspect of their work.


1998 ◽  
Vol 4 (4) ◽  
pp. 68
Author(s):  
Yelena Fridgant ◽  
Gawaine P. Powell Davies ◽  
Brian I. O'Toole ◽  
Luc Betbeder-Matibet ◽  
Mark F. Harris

A series of focus groups was conducted with general practitioners (GPs), community health workers, hospital staff and consumers to examine the issue of integration of general practice within the wider Australian health system. Groups were held in various urban and rural locations to provide coverage of urban and rural conditions. The groups had representation from managerial as well as service provider staff and included GPs, hospital discharge planners, and emergency department staff, and from community health staff, nurses, physiotherapists, mental health workers, occupational therapists, and educators. Agreement was widespread that enhanced integration would confer benefits to patients, GPs, other health professionals, and to the health system generally. However, the health system was seen to be limited in its ability to integrate services. General practice, as small business working within the public health system, had different procedures and methods of remuneration than other health system components. Barriers to integration included structural, procedural and organisational factors, and included communication difficulties, variability in the roles and expectations of various service providers, and resource allocation and methods of funding. It is necessary to examine the barriers to integration more closely within the context of each type of service, to investigate effective ways of overcoming these barriers, and to describe and quantify the benefits that might arise from increased integration.


Author(s):  
Ashish Baghel ◽  
Kamlesh K. Jain ◽  
Sachin Pandey ◽  
Gopal Prasad Soni ◽  
Anubha Patel

Background: The Mitanin programme is a community health volunteer programme which was initiated by the Government of Chhattisgarh, India in 2002. The Mitanin programme further progressed to lay foundation for the Accredited Social Health Activists (ASHA) programme by the National Rural Health Mission. There is robust indication that the Community health workers could significantly contribute towards the betterment of health outcomes. The objective of the study was to study the factors influencing the work performance of Mitanins in Bilaspur district, Chhattisgarh, India.Methods: A community based cross sectional study was carried out among 180 Mitanins selected through multistage random sampling in Bilaspur district, Chhattisgarh, India during March to August 2015. A predesigned, pretested questionnaire was used for data collection.Results: Regarding counselling to pregnant mother on maternal and child health about (65.6%) Mitanins were having knowledge and out of these prevalence of its practice was found to be (75.4%). Their less knowledge for content of responsibility significantly affected their practices in community. Other major factors influencing their work performance are better training sessions (37.8%), support from health staff (65.6%), drug kit refilling (80%), and fewer hurdles in receiving incentives (85.6%.Conclusions: Less knowledge of the work component, less cooperation from health staff, delay refilling of drug kit, incentive oriented practices, delayed and inadequate payment of incentives for Mitanins influences the work performance.


2015 ◽  
Vol 5 (2) ◽  
Author(s):  
Mary Pittman ◽  
Anne Sunderland ◽  
Andrew Broderick ◽  
Kevin Barnett

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