scholarly journals Hypertension and treatment outcomes in Palestine refugees in United Nations Relief and Works Agency primary health care clinics in Jordan

2014 ◽  
Vol 19 (10) ◽  
pp. 1276-1283 ◽  
Author(s):  
A. Khader ◽  
L. Farajallah ◽  
Y. Shahin ◽  
M. Hababeh ◽  
I. Abu-Zayed ◽  
...  
2013 ◽  
Vol 3 (4) ◽  
pp. 259-264 ◽  
Author(s):  
A. Khader ◽  
G. Ballout ◽  
Y. Shahin ◽  
M. Hababeh ◽  
L. Farajallah ◽  
...  

2007 ◽  
Vol 12 (1) ◽  
Author(s):  
Norah L Katende-Kyenda ◽  
Martie S Lubbe ◽  
Jan HP Serfontein ◽  
Ilse Truter

The aim of this study was to investigate the prescribing of antimicrobials in private primary health care in South Africa. ABSTRAK Die doel met hierdie studie was om die voorskryfpatrone van antimikrobiese middels in private primêre gesondheidsorginrigtings in Suid-Afrika te ondersoek.


2016 ◽  
Vol 28 (7) ◽  
pp. 651-659 ◽  
Author(s):  
Diana Huis in ‘t Veld ◽  
Supa Pengpid ◽  
Robert Colebunders ◽  
Linda Skaal ◽  
Karl Peltzer

Alcohol use may have a negative impact on the course of HIV disease and the effectiveness of its treatment. We studied patients with HIV who use alcohol and associated socio-demographic, health and psychosocial factors. Outcomes from this study may help in selecting patients from clinical practice with high-risk alcohol use and who are likely to benefit most from alcohol reduction interventions. In a cross sectional study in three primary health care clinics in Pretoria, South Africa, from January 2012 to June 2012, patients with HIV infection were interviewed and patients’ medical files were reviewed to obtain data on levels of alcohol use (Alcohol Use Disorder Identification Test), patients’ socio-demographic characteristics, HIV-related information, health related quality of life (WHOQoL-HIVBref), internalized AIDS stigma, symptoms of depression and adherence to antiretroviral therapy. Analyses consisted of descriptive statistics, bi- and multivariate logistic regression models. A total of 2230 patients (1483 [66.5%] female) were included. The median age was 37 years (interquartile range 31–43), 99.5% were black Africans, 1975 (88.6%) had started ART and the median time on ART was 22 months (interquartile range 9–40). No alcohol was used by 64% of patients, 8.9% were low risk drinkers, 25.1% of patients were hazardous or harmful drinkers and 2.0% had possible alcohol dependence. In multivariate analysis high-risk drinking was positively associated with male gender, never being married, tobacco use, a higher score for the ‘level of independence’-domain measured with the WHOQoL-HIVBref questionnaire, and with more depressive symptoms compared to low-risk drinking. This study shows a high prevalence of hazardous or harmful drinking in patients with HIV infection (especially men) attending primary health care clinics in South Africa. Routine screening for alcohol use should be introduced in these clinics and harm reduction interventions should be evaluated, taking into account associated factors.


Author(s):  
Susan B. Rifkin

In 1978, at an international conference in Kazakhstan, the World Health Organization (WHO) and the United Nations Children’s Fund put forward a policy proposal entitled “Primary Health Care” (PHC). Adopted by all the World Health Organization member states, the proposal catalyzed ideas and experiences by which governments and people began to change their views about how good health was obtained and sustained. The Declaration of Alma-Ata (as it is known, after the city in which the conference was held) committed member states to take action to achieve the WHO definition of health as “state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” Arguing that good health was not merely the result of biomedical advances, health-services provision, and professional care, the declaration stated that health was a human right, that the inequality of health status among the world’s populations was unacceptable, and that people had a right and duty to become involved in the planning and implementation of their own healthcare. It proposed that this policy be supported through collaboration with other government sectors to ensure that health was recognized as a key to development planning. Under the banner call “Health for All by the Year 2000,” WHO and the United Nations Children’s Fund set out to turn their vision for improving health into practice. They confronted a number of critical challenges. These included defining PHC and translating PHC into practice, developing frameworks to translate equity into action, experiencing both the potential and the limitations of community participation in helping to achieve the WHO definition of health, and seeking the necessary financing to support the transformation of health systems. These challenges were taken up by global, national, and nongovernmental organization programs in efforts to balance the PHC vision with the realities of health-service delivery. The implementation of these programs had varying degrees of success and failure. In the future, PHC will need to address to critical concerns, the first of which is how to address the pressing health issues of the early 21st century, including climate change, control of noncommunicable diseases, global health emergencies, and the cost and effectiveness of humanitarian aid in the light of increasing violent disturbances and issues around global governance. The second is how PHC will influence policies emerging from the increasing understanding that health interventions should be implemented in the context of complexity rather than as linear, predictable solutions.


Author(s):  
Danae Koetaan ◽  
Andrea Smith ◽  
Anke Liebenberg ◽  
Marietjie Brits ◽  
Christos Halkas ◽  
...  

Background: The Constitution of South Africa stipulates that all children have the right to basic nutrition; however, a great number of South African children are underweight for age. It is important to address malnutrition as it is associated with more than 50% of all child deathsin developing countries and also increases the risk for infective diseases.Aim: To determine the prevalence of underweight in children aged 5 years and younger attending primary health care clinics in the Mangaung area, Free State, and determine the possible underlying causes thereof.Setting: Six preselected primary health care clinics in the Mangaung area.Methods: This was a cross-sectional study. Demographic and clinical information and anthropometric measurements were collected from the children’s Road-to-Health clinic cards,obtained from the children’s caregivers.Results: In total, 240 children were included, of which 51.7% were girls. The median age was 7.5 months. The weight-for-age graph revealed that 7.7% (95% confidence interval: 4.8%;11.9%) of children were underweight or severely underweight for age. Length-for-age and weight-for-height graphs were mostly incomplete. Underweight children differed from normal weight children regarding birth weight (low birth weight 70.6% vs. 12.4%) and history of malnutrition (60.0% vs. 7.1%).Conclusion: The prevalence of underweight in children aged 0–5 years attending primary health care clinics in Mangaung is 7.7% based on information available from Road-to-Healthcards. This figure could be higher if these cards were filled in more accurately. A low birth weight and history of malnutrition are associated with underweight.


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