scholarly journals Sub-district Costs and Efficiency of the Re Mmogo Pholong (“Together in Wellness”) Combination HIV/AIDS Prevention Intervention in the North West Province of South Africa

2019 ◽  
Author(s):  
Sebastian Kevany
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Hiv Prevention ◽  
Prevention Program ◽  
Community Based ◽  
North West ◽  
The North ◽  
Primary Health ◽  
Hiv Aids

AbstractBackgroundRe Mmogo Pholong (RMP) or “Together in Wellness”), was a combination prevention program to strengthen HIV prevention programming, community support mechanisms, community-based HIV testing, referral systems, and HIV prevention integration at the primary care level, thereby sustainably reducing HIV/AIDS transmission in the North West Province of South Africa. RMP included four overlapping components: situational analysis, community engagement and mobilization, community-based biomedical and behavioral prevention, and primary health care systems strengthening. In support of the PEPFAR country-ownership paradigm, we conducted costing analysis of the RMP combination HIV prevention program to determine data needed for potential transition of to local ownership.MethodsWe used standard costing methodology for this research.ResultsWe found that cost per unit of output ranged from $63.93 (cost per person reached with individual or small group prevention interventions) to $4,344.88 (cost per health facility strengthened). The RMP intervention was primarily dependent on personnel costs. This was true regardless of the time period (Year 1 vs. Year 2) or activity (i.e. wellness days or events, primary health care strengthening, community engagement, and wellness clubs).ConclusionsThe development of labor-intensive rather than capital intensive interventions for low-income settings such as RMP was identified as being particularly important in treating and preventing HIV/AIDS and other health conditions in a sustainable manner. Costs were also observed to transition from international cost centers to in-country headquarters offices over time, in keeping with the transition of international to local responsibility required for sustainable PEPFAR initiatives. Such costing center evolution was also reflected by changes in the composition of the intervention, including (1) the redesign and re-deployment of service delivery sites according to local needs, uptake and implementation success and (2) the flexible and adaptable restructuring of intervention components in response to community needs.

scholarly journals Kendala Organisasi Berbasis Komunitas dalam Program Pencegahan dan Penanggulangan HIV/AIDS: Studi Kasus pada Dua LSM Peduli AIDS di Jakarta

2019 ◽  
pp. 163-174
Author(s):  
Ranti Suciati ◽  
Mujiati Mujiati ◽  
Novianti Novianti
Keyword(s):  
Social Support ◽  
Health Care ◽  
Content Analysis ◽  
Primary Health Care ◽  
Community Based ◽  
Purposive Sampling ◽  
Community Based Organizations ◽  
Primary Health ◽  
The Government ◽  
Hiv Aids

Abstrak Semakin meningkatnya jumlah kasus HIV/AIDS di Indonesia, berdampak tidak hanya pada masalah kesehatan, memacu pemerintah untuk melibatkan masyarakat sipil dalam Organisasi Berbasis Komunitas (OBK) untuk ikut berperan dalam upaya pencegahan dan penanggulangan HIV/AIDS. Pentingnya identifikasi kendala atau hambatan yang dihadapi oleh OBK memunculkan strategi atau alternatif solusi untuk mengatasi kendala, serta memberikan gambaran model intervensi yang lebih sinkron antara pemerintah dan masyarakat. Desain penelitian adalah kualitatif dengan melakukan studi kasus di dua LSM Peduli AIDS di Jakarta. Informan dipilih secara purposive sampling yaitu pengurus, anggota/petugas, dan dampingan dari dua OBK. Pengumpulan informasi dengan wawancara mendalam berdasarkan pedoman wawancara dan diolah menggunakan metode content analysis. Kendala yang dihadapi OBK yaitu alur rujukan BPJS yang mengikuti domisili sehingga memberatkan pasien, kurang optimalnya koordinasi dan kerjasama antara OBK dengan Puskesmas, belum meratanya kualitas dan kapasitas SDM anggota OBK, persoalan administratif organisasi, sumber dana yang tidak selalu kontinu, adanya perbedaan kepentingan antara OBK dengan pihak kepolisian, serta masih tingginya stigma masyarakat terhadap penderita HIV/AIDS. Solusi mengatasi kendala OBK dilakukan dengan peningkatan efektifitas pelaksanaan program pemerintah melalui OBK, antara lain dengan penerapan fleksibilitas pengelolaan dana berdasarkan kinerja OBK, peningkatan kapasitas SDM, pemantapan sistem manajerial, pemahaman alur layanan kesehatan di Puskesmas, serta social support bagi penderita HIV/AIDS. Kata kunci: organisasi berbasis komunitas, LSM, HIV/AIDS Abstract The increasing number of HIV/AIDS cases in Indonesia that impact not only on health issues, spur the Government to involve civil society in community-based organizations (OBK) to play a role in HIV/AIDS prevention program. Identification of constraints or obstacles faced by OBK do as they can generate alternative strategies or solutions to overcome these constraints, and provide a more synchronous model of intervention between the government and the community. This type of research is a case study at two AIDS Awareness NGOs in Jakarta. The informants were chosen by purposive sampling ie the board, members/officers, and assistants from the two NGOs. Information collection with by in-depth interview based on interview guideline and processed using content analysis method. Constraints faced by the OBK is the issue of referral flow pathways that follow the domicile so burdensome patients, less optimal coordination and cooperation between OBK with primary health care, uneven quality and capacity of human resources of NGO members, organizational administrative issues, sources of funds that are not always continuous, different interests between the OBK with the police department, and the stigma. Reduction of obstacles faced by OBK can be done by increasing the effectiveness of government program implementation through OBK, among others by applying flexibility of fund management based on OBK performance, human resource capacity building, managerial system strengthening, understanding of health service flow in primary health care, and social support for patient HIV/AIDS. Keywords: community-based organizations, NGOs, HIV/AIDS

Sharing Common Principles: Blending the Primary Health Care and Harm Reduction Paradigms to Meet Common Health Goals in HIV/AIDS Prevention

2006 ◽  
Vol 12 (3) ◽  
pp. 34 ◽  
Author(s):  
Christopher A Pankonin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Hiv Prevention ◽  
Disease Prevention ◽  
Harm Reduction ◽  
Care Delivery ◽  
Prevention Strategy ◽  
Primary Health ◽  
Increased Risk ◽  
Hiv Aids

HIV/AIDS continues to spread globally and deeply affecting resource-poor settings, with over 90% of cases occurring in developing countries. In these areas, primary health care remains the preferred model of health care delivery; advocating core principles including community involvement, equity, and an emphasis on disease prevention while providing basic medical treatment. The harm reduction paradigm shares key principles with primary health care, and as this paper will argue, a combined comprehensive HIV prevention strategy would provide a holistic and particularly effective approach to HIV prevention. The most important improvement achieved through a combined HIV prevention strategy is by providing the community with an increased number of social services including housing and employment services, financial counselling, mental health counselling, and referrals to additional medical services. In also addressing the social determinants of health, a combined primary health care and harm reduction approach act to provide a holistic disease prevention strategy that also seeks to address the conditions that lead to increased risk-taking behaviours. Additional evidence indicating a successful comprehensive prevention strategy remains closely tied to measures of effectiveness, including improvements in HIV prevalence and incidence rates, needle and syringe coverage, and treatment services for HIV/AIDS patients.

Developing a Community-based Suicide Prevention Program in Primary Health Care

2021 ◽  
Author(s):  
Mostafa Farahbakhsh ◽  
Hosein Azizi ◽  
Ali Fakhari ◽  
Elham Davtalab Esmaeili ◽  
Habibeh Barzegar ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Suicide Prevention ◽  
Prevention Program ◽  
Community Based ◽  
Primary Health

scholarly journals Developing and implementing a community-based suicide prevention program in Iranian primary health care: study protocol

2020 ◽  
Author(s):  
Hosein azizi ◽  
Ali Fakhari ◽  
Elham Davtalab Esmaeili ◽  
Habibe Barzegar ◽  
Mostafa Farahbakhsh ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Suicide Prevention ◽  
Study Protocol ◽  
Prevention Program ◽  
Service Providers ◽  
Community Based ◽  
Primary Health ◽  
Regional Community

Abstract Background : Since 2013, WHO has had a global mental health action plan which includes reducing suicide rate by 10% in countries by 2020. However, only 18% of countries have a registry for suicide. The community-based Suicide Prevention Program (SPP) statistic is much lower than registry for suicide. Suicide is a growing concern in Iran. A health community assessment found that suicide and Suicidal Behaviors (SBs) are one of the most important public health problems in Malekan County, East Azerbaijan Province of Iran. This calls for a regional SPP effort in Primary Health Care (PHC). Methods: A regional community-based SPP was established during 2014-2017 in two phases including development and implementation. The development phase focuses on three pillars: 1) review of systematic reviews, 2) expert comments, and 3) report to the health care system. The implantation phase also carried out in five steps: 1) improving coverage of SBs registration, 2) identification of determinants of SBs, 3) follow up monitoring of SBs people, 4) treatment for depression and conducting research, and 5) developing public education campaigns. Primary outcome was reducing the rate of completed suicide. Secondary outcomes were considered Suicide Attempt (SA) and re-attempt. Our ultimate goal was considered to lower by 15%, 20% and 30% rates of suicide, SA, and re-attempt, respectively. Discussion : In this study protocol, we have been to outline and explain the steps of developing and implementing a regional community-based SPP by using the highly effective evidence and field expert's comments. Implementing SPP with low cost and easily adaptable in PHC is the most important site for the case management of SBs and materialization of interventions in the health system including various types of health service providers and coverage of a large number of people. This study is both research and action. It needs to involve and support of the health system and inter-sectoral collaborations to achieve the goal of such community-based Health System Research. This HSR was approved to number 60665 in an electronic system (Pajoohan) of Tabriz University of Medical Sciences.

scholarly journals The provision of speech, language and hearing services in a rural district of South Africa

1992 ◽  
Vol 39 (1) ◽  
Author(s):  
Judith A. McKenzie
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Service Delivery ◽  
Rural Area ◽  
Theoretical Background ◽  
Community Based ◽  
Primary Health ◽  
Community Based Rehabilitation ◽  
Hearing Therapy

In this paper the delivery of a speech, language and hearing therapy (SLHT) service in a rural area is discussed. In the light of the need to relate the delivery of this service to principles of primary health care (PHC) and community based rehabilitation (CBR), a brief theoretical background is given. Obstacles to service delivery are then presented, followed by a description of some attempts to implement principles of PHC and CBR. The author concludes that many challenges need to be faced in providing SLHT services that will benefit the majority of the population of South Africa.

scholarly journals National guidelines for the management of diabetes mellitus: a nursing perspective

2006 ◽  
Vol 11 (4) ◽  
Author(s):  
Coleen O’Brien ◽  
Dalena Van Rooyen ◽  
Sheree Carlson
Keyword(s):  
Diabetes Mellitus ◽  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Full Text ◽  
Primary Health Care System ◽  
National Guidelines ◽  
Community Based ◽  
Primary Health ◽  
Comprehensive Primary Health Care

Since 1994, the emphasis in the provision of health services in South Africa has shifted from hospital-based care to a community-based comprehensive primary health care system, especially important in the management of chronic diseases, such as Diabetes Mellitus (DM). Opsomming Vanaf 1994 het die klem ten opsigte van die voorsiening van gesondheidsdienste in Suid-Afrika verskuif van hospitaal- gebaseerde gesondheidsorg na ‘n gemeenskapsgebaseerde omvattende primêre gesondheidsorgsisteem, veral wat die hantering van chroniese siektes soos Diabetes Mellitus (DM) betref. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

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