Proposed Strategies for Promoting Breastfeeding in the Community

1997 ◽  
Vol 3 (3) ◽  
pp. 105
Author(s):  
Shilu Tong
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Program Implementation ◽  
Intervention Program ◽  
Integrated Approach ◽  
National Health Survey ◽  
Australian Health ◽  
Primary Health ◽  
Australian Bureau Of Statistics ◽  
Year 2000

To protect, promote and support breastfeeding in communities is an important primary health care task. One of the Australian health targets set for the year 2000 and beyond is that 80% of infants up to six months of age will be breastfed. However, both the 1989-90 National Health Survey (Lund-Adams & Heywood, 1994) and the 1993 national births' data (Australian Bureau of Statistics, 1994) indicate that breastfeeding rates at age six months are far below this target. Therefore, there is a clear need to develop strategies to promote breastfeeding in Australian communities. Breastfeeding promotion needs to address locally researched barriers and should be integrated with appropriate health care. Proposed strategies for promoting breastfeeding in the community include: monitoring of prevalence and maintenance of breastfeeding; assessment of possible barriers; design of an intervention program; implementation of the intervention program; evaluation; and communication with the community. The Australian breastfeeding target set for the year 2000 can only be achieved through an integrated approach that enhances concerted efforts to promote primary health care and breastfeeding in the community.

scholarly journals The National Health Survey 2001: usefulness to inform a discussion on access to and use of quality primary health care using type 2 diabetes mellitus as an example

2006 ◽  
Vol 30 (4) ◽  
pp. 496 ◽  
Author(s):  
Elizabeth J Comino ◽  
Mark F Harris ◽  
Elizabeth Harris ◽  
Gawaine Powell Davies ◽  
Tien Chey ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
National Health ◽  
Health Survey ◽  
Multidisciplinary Care ◽  
National Health Survey ◽  
Primary Health ◽  
Australian Bureau Of Statistics ◽  
Health Need ◽  
Data Collections

Introduction: This paper explores the usefulness of the 2001 Australian Bureau of Statistics National Health Survey (2001 NHS) for examining access to and use of quality primary health care (PHC) in Australia, using diabetes as an example. Methods: Potential indicators of access to and use of quality diabetes care were investigated (diagnosis, preventive pharmacotherapy, complication screening, multidisciplinary care and hospitalisation), and their association with various factors including socioeconomic and diabetesrelated health status was assessed. Results: Older Australian-born females were more likely to receive preventive pharmacotherapy, whereas complication screening was associated with duration of disease. Multidisciplinary care was associated with recent hospitalisation and not health need assessed by presence of comorbidity. Conclusions: This novel use of the 2001 NHS provided information on patterns of access to and use of diabetes-related PHC that were consistent with previous research. It suggests a new role for survey data in monitoring access to and use of PHC over time and complementing other population health data collections in this area.

scholarly journals The value of an integrated approach to assessing the availability of primary health care, taking into account public opinion and EMIAS data

2021 ◽  
Vol 65 (5) ◽  
pp. 411-417
Author(s):  
Sergei S. Budarin ◽  
Andrei V. Starshinin ◽  
Andrei A. Tyazhelnikov ◽  
Elena V. Kostenko ◽  
Yulia V. Elbek
Keyword(s):  
Health Care ◽  
Public Opinion ◽  
Primary Health Care ◽  
Medical Care ◽  
Medical Information ◽  
Integrated Approach ◽  
Sociological Study ◽  
Primary Health ◽  
Level 1 ◽  
Index Value

Introduction. The study of public opinion as the basis for strategic planning of the activities of medical institutions is more relevant than ever, as it allows finding ways to solve the problems of ensuring the availability and satisfaction of citizens with medical care. Purpose. Comparative assessment of the availability of primary health care based on the results of a sociological study of public opinion and data from the Unified Medical Information and Analytical System of the City of Moscow (UMIAS). Material and methods. To study public opinion, the practice of population survey was used, which was conducted through direct interviewing with filling out questionnaires of visitors to Moscow polyclinics and the method of questioning doctors based on a questionnaire developed by researchers. To analyze the data, the authors used general scientific methods of cognition, including the dialectical method, a systematic approach, logical correspondence and harmonization, detailing and generalization. As part of the study, the index value of the patient loyalty to the medical institution (MI) was calculated according to Net Promoter Score (NPS) method as the difference between the share of the “Promoters” group and the share of the “Critics” group in the total number of responses. Results and discussion. The established correlations indicate the opinions of doctors and citizens to coincide and the UMIAS data on the issue of assessing the accessibility of admission of level 1 doctors for citizens. Based on the results of a sociological survey, the number of dissatisfied patients is mainly affected by managing medical care and its availability. The study confirmed that the higher the availability of an appointment with a level 1 doctor, the lower the number of visits the doctor on duty. Conclusion. The conducted research has shown the practicality of an integrated approach to evaluating the activities of medical organizations based on the results of public opinion research and UMIAS data.

scholarly journals Legal limitations in the practice of the primary health care nurse

Curationis ◽  
1994 ◽  
Vol 17 (2) ◽  
Author(s):  
J. Bierman ◽  
M. Muller
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Empirical Investigation ◽  
Document Analysis ◽  
Care Nurse ◽  
Primary Health ◽  
The Republic ◽  
Year 2000

In this article the legal limitations in the practice of the primary health care nurse in the Republic of South Africa, having direct implications for the achievement of the goal: "Health for all by the year 2000", are explored and described The questions which had to be answered by means of the research are in relation to the nature and scope of the limitations obstructing the practice of the primary health care nurse. A legislative (document) analysis was performed and limitations in the legislation confirmed. It is recommended that an empirical investigation be done to verify the results after which amendments and clarification of the legislation may be requested.

An Approach to the Patient with Skin Disease

1992 ◽  
Vol 22 (1_suppl) ◽  
pp. 7-14 ◽  
Author(s):  
Yetunde Mercy Olumide
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Skin Disease ◽  
Skin Diseases ◽  
Health Workers ◽  
Family Health ◽  
Integrated Approach ◽  
Sexually Transmitted ◽  
Primary Health ◽  
Laboratory Investigations

We practise an integrated approach to the management of skin diseases, leprosy and sexually transmitted diseases because the latter diseases are still stigmatized and patients are unwilling to attend clinics so labelled. When approached by a patient with skin disease it is advisable to see the patient promptly, because any further delay encourages the use of assorted remedies which may lead to undesirable complications, physically, emotionally and financially. Since there is no health insurance scheme, it is also prudent to manage the patient as much as possible without admission to hospital and with minimal laboratory investigations, to save cost, so that the patient still has sufficient money to buy the required drugs. Family health workers treat patients at the primary health care (PHC) level. At this level, patients are managed by the use of specially prepared standing orders (SO), where checklists and flow charts are grouped by problems or complaints, to facilitate usage by an individual with minimal training in morphology. The SO presents, so far as is possible, the best treatment available for each condition, but which cannot be misused by the primary health care personnel. Before discussing the management of individual diseases, it is important for the reader to appreciate the milieu in which we practise which determines our approach to the patient with skin disease. Some of its features will be highlighted before the management of individual disorders is discussed.

Community Health Intervention Program (Chip): Re-Educating Health Professionals for Primary Health Care

1987 ◽  
Vol 8 (1) ◽  
pp. 81-90 ◽  
Author(s):  
I. N. Egwu
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Development ◽  
Health Professionals ◽  
Urban Poor ◽  
Intervention Program ◽  
Care Delivery ◽  
Care Community ◽  
Primary Health ◽  
The Impact

Primary health care (PHC) in most developing countries remains largely inaccessible to a vast proportion of urban and rural populations. It is neither influenced by, nor integrated with, preventive care/community development. This may be attributed partly to lack of community participation by communities. Professional health care is isolated and impervious to the influence of health care users. In Nigeria all functional correlates are available in the existing health systems; yet, the impact is not felt. What is needed, and urgently, is an intervention to extend meaningful health care delivery into the urban poor and rural communities. The Nigerian Youth Service Corps (NYSC) scheme, through a rational and systematic mobilization and utilization of its health manpower, offers an excellent opportunity to demonstrate that PHC can work. A two-step intervention process is proposed: a reorientation during NYSC “orientation,” and a community-based practice module, during the NYSC “Primary Assignment” phase. Health professionals working as a “team,” and led by NYSC doctor(s), undertake their medical care responsibilities as well as community development projects as integrated aspects of PHC. It is envisaged that experiences accruing from such a deliberate intervention with a pilot project, will form a basis for operational adoption of the proposed CHIP as a national model.

scholarly journals Reorienting Primary Health Care Services for Non-Communicable Diseases: A Comparative Preparedness Assessment of Two Healthcare Networks in Malawi and Zambia

2021 ◽  
Vol 18 (9) ◽  
pp. 5044
Author(s):  
Veronica Shiroya ◽  
Naonga Shawa ◽  
Beatrice Matanje ◽  
John Haloka ◽  
Elvis Safary ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Service Delivery ◽  
Health Care Services ◽  
Integrated Approach ◽  
Health System Strengthening ◽  
Care Services ◽  
Primary Health ◽  
Sub Saharan ◽  
Facility Survey

Despite positive NCD policies in recent years, majority of Sub-Saharan African (SSA) health systems are inadequately prepared to deliver comprehensive first-line care for NCDs. Primary health care (PHC) settings in countries like Malawi and Zambia could be a doorway to effectively manage NCDs by moving away from delivering only episodic care to providing an integrated approach over time. As part of a collaborative health system strengthening project, we assessed and compared the preparedness and operational capacity of two target networks of public PHC settings in Lilongwe (Malawi) and Lusaka (Zambia) to integrate NCD services within routine service delivery. Data was collected and analyzed using validated health facility survey tools. These baseline assessments conducted between August 2018 and March 2019, also included interviews with 20 on-site health personnel and focal persons, who described existing barriers in delivering NCD services. In both countries, policy directives to decentralize disease-specific NCD services to the primary care level were initiated to meet increased demand but lacked operational guidance. In general, the assessed PHC sites were inadequately prepared to integrate NCDs into various service delivery domains, thus requiring further support. In spite of existing multi-faceted limitations, there was motivation among healthcare staff to provide NCD services.

scholarly journals Editorial

1995 ◽  
Vol 1 (1) ◽  
pp. 2
Author(s):  
Heather Gardner
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Continuity Of Care ◽  
Health Sector ◽  
Community Health Services ◽  
Continuing Care ◽  
Australian Health ◽  
Primary Health

The advent of the Australian Journal of Primary Health - Interchange reflects the changes which are taking place in the Australian health sector and the increased and increasing importance of primary health care and community health services. The significant role of primary care in maintaining health and enhancing wellbeing is at last being recognised, and the relationships between primary care, continuing care, and acute care are being redefined and the connections made, so that improvement in continuity of care can be achieved.

On the World Health Organization’s Neglect of the Role of Medical Doctors in Its Conception and Practice of Primary Health Care

2019 ◽  
Vol 49 (3) ◽  
pp. 642-657
Author(s):  
Socrates Litsios
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Soviet Union ◽  
World Health ◽  
Director General ◽  
Medical Doctors ◽  
Primary Health ◽  
The Soviet Union ◽  
Year 2000

Primary health care (PHC) emerged in the early 1970s as WHO’s response to the failure of its basic health services approach. The Soviet Union succeeded in getting WHO’s governing bodies to agree to hold an international conference on PHC, a conference that was held in Alma-Ata, the capital of the Soviet Republic of Kazakhstan, in September 1978. In 1975, Dr. Halfdan Mahler, WHO’s charismatic director-general, introduced the goal of “health for all” (HFA) by the year 2000. Alma-Ata declared PHC as the key for achieving HFA. Although WHO had promoted the involvement of medical schools in community health, Mahler’s antimedical establishment rhetoric contributed to WHO ignoring the potential role that medical doctors could play in PHC and HFA.

Sign in / Sign up

Export Citation Format

Share Document