scholarly journals Integrating a Suicide Prevention Program into the Primary Health Care Network: A Field Trial Study in Iran

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Seyed Kazem Malakouti ◽  
Marzieh Nojomi ◽  
Marjan Poshtmashadi ◽  
Mitra Hakim Shooshtari ◽  
Fariba Mansouri Moghadam ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Suicide Prevention ◽  
Rural Areas ◽  
Prevention Program ◽  
Suicide Attempts ◽  
Care Network ◽  
Primary Health ◽  
Intervention Protocol ◽  
Health Care Network

Objective. To describe and evaluate the feasibility of integrating a suicide prevention program with Primary Health Care services and evaluate if such system can improve screening and identification of depressive disorder, reduce number of suicide attempters, and lower rate of suicide completion.Methodology. This was a quasi-experimental trial in which one community was exposed to the intervention versus the control community with no such exposure. The study sites were two counties in Western Iran. The intervention protocol called for primary care and suicide prevention collaboration at different levels of care. The outcome variables were the number of suicides committed, the number of documented suicide attempts, and the number of identified depressed cases.Results. We identified a higher prevalence of depressive disorders in the intervention site versus the control site (χ2=14.8,P<0.001). We also found a reduction in the rate of suicide completion in the intervention region compared to the control, but a higher prevalence of suicide attempts in both the intervention and the control sites.Conclusion. Integrating a suicide prevention program with the Primary Health Care network enhanced depression and suicide surveillance capacity and subsequently reduced the number of suicides, especially in rural areas.

The Preparedness of Primary Health Care Network in terms of Emergency Risk Communication: A Study in Iran

2021 ◽  
pp. 1-10
Author(s):  
Zeinab Bagheri ◽  
Tahereh Dehdari ◽  
Masoud Lotfizadeh
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Risk Communication ◽  
Health Care Facilities ◽  
Effective Response ◽  
Care Network ◽  
Primary Health ◽  
Significant Difference ◽  
Health Care Network ◽  
Control And Prevention

Abstract Objective: Emergency Risk Communication (ERC) is known as 1 of the important components of an effective response to public health emergencies. In this study, we aimed to investigate the preparedness of the Primary Health Care Network (PHCN) of Iran in terms of the ERC. Methods: This study was conducted in 136 Primary Health Care Facilities (PHCFs) affilated to Shahrekord University of Medical Sciences, Chaharmahal and Bakhtiari Province, Iran. Data in terms of ERC were collected using a checklist developed by the Center of Disease Control and Prevention (CDC). Results: The findings of the study revealed that 65.9% of the PHCFs had low preparedness in terms of the ERC, 33.3% had a moderate level and 0.8% had high preparedness in this regard. There was a significant difference between the level of ERC and the history of crisis in the past year, PHCF type, and the education level of the responsible employees in the crisis unit in the PHCF. Conclusions: The results showed that the PHCFs studied need to increase their capacity and capability in the field of ERC. Further efforts to provide ERC components may increase the preparedness of PHCN in Iran in terms of the ERC.

scholarly journals Reporting of noise-induced hearing loss: perceptions of primary health care professionals

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Gonçalves ◽  
H Pedroso ◽  
J Areosa
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Hearing Loss ◽  
Primary Health Care ◽  
Health Care Professionals ◽  
Health Concern ◽  
Noise Induced Hearing Loss ◽  
Care Network ◽  
Primary Health ◽  
Health Care Network

Abstract Background Worldwide, workers' health is still a Public Health concern, given the high number of hazardous occupational activities, as well as workers affected by work-related diseases. Among these diseases, occupational Noise-Induced Hearing Loss-NIHL is considered the second commonest occupational disease, and in Brazil, its reporting is compulsory. However, occupational diseases are usually underreported, hindering the knowledge of their actual magnitude, and the elaboration of prevention-oriented public policies. Objective To analyze the perception and knowledge of Primary Health Care professionals in Curitiba-Parana State, Brazil, on the compulsory NIHL reporting. Methods quantitative and qualitative approach conducted in three steps: analysis of a series of NIHL case histories reported in the official database between 2007 and 2018; application of a questionnaire to Primary Health Care Network professionals; collective interview with Primary Health Care Network nurses, speech therapists and doctors. Results NIHL reporting evidenced 82 cases, 67 (81.7%) among males, age ranging 50-64 years, 10 (12.2%) had complete high school level, 27 (32.9%) were formally employed, and 12 (14.6%) worked in the processing industry. Regarding the result of the applied questionnaire among the Primary Health Care professionals, 48 (68.7%) stated that they were prepared to identify workers' health problems, to 33 (68.7%) professionals, guidance to reassure users' comprehensive care is more important than the compulsory reporting, 21 (43.7%) claimed that they were qualified to identify NIHL cases, and 25 (52.1%) did not report the cases. Difficulties in reporting NIHL cases are: not understanding their flow, being afraid of the legal implications, which may generate difficulties in requesting audiometric testing, not having the management support, etc. Conclusions Most health care professionals are knowledgeable on NIHL, but they do not report the suspected cases due to lack of guidance. Key messages Primary care health professionals does not consider occupational health as part of the service to be provided. Primary care services are not prepared to establish the relationship between the injury and the job.

scholarly journals Challenges and lessons from a primary care intervention in a Brazilian municipality

2019 ◽  
Vol 53 ◽  
pp. 45
Author(s):  
Mônica V Andrade ◽  
Kenya Noronha ◽  
Clareci S Cardoso ◽  
Claudia D L Oliveira ◽  
Júlia A Calazans ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Chronic Conditions ◽  
Household Survey ◽  
Cross Sectional ◽  
Care Network ◽  
The Public ◽  
Primary Health ◽  
Health Care Network

OBJECTIVE: To address the implementation of the Lab for Innovation in Chronic Conditions in Santo Antonio do Monte, indicating the main challenges and lessons of a new chronic condition model. METHODS: This is an observational study based on two sources of data: 1) two cross-sectional household surveys, 2013 (2012 as reference year) and 2015 (2014 as reference year), representative for the entire population and four target groups (pregnant women; children under two years old; individuals with hypertension and diabetes); medical records of individuals who self-reported having hypertension or diabetes in the household survey of 2013. A descriptive statistics analysis was performed. RESULTS: The main findings showed that the public health system is the main provider of health services, mainly primary care, in Santo Antonio do Monte. Besides, the implementation of Lab for Innovation in Chronic Conditions showed the importance of building a Primary Health Care network in small municipalities. CONCLUSIONS: Community health agents and health managers played a fundamental role in the Primary Health Care network. The case study of Santo Antonio do Monte poses some challenges and lessons that clarify future interventions on building a Primary Health Care network that is essential to provide an adequate and longitudinal care to chronic conditions.

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 Accessibility of children with special health needs to the health care network

2019 ◽  
Vol 72 (suppl 3) ◽  
pp. 65-71
Author(s):  
Eliane Tatsch Neves ◽  
Aline Cristiane Cavicchioli Okido ◽  
Fernanda Luisa Buboltz ◽  
Raíssa Passos dos Santos ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Health Needs ◽  
Structured Interviews ◽  
Care Network ◽  
Her Family ◽  
Primary Health ◽  
Health Care Network ◽  
Special Health

ABSTRACT Objective: To know how children with special health needs access the health care network. Method: This is a qualitative research of descriptive-exploratory type, developed using semi-structured interviews mediated by the Talking Map design. Participants were 19 family caregivers of these children in two Brazilian municipalities. Data were submitted to inductive thematic analysis. Results: Difficulties were mentioned from the diagnosis moment to the specialized follow-up, something represented by the itinerary of the c hild and his/her family in the search for the definition of the medical diagnosis and the access to a specialized professional; a gap between the children’s needs and the care offered was observed in primary health care. Conclusion: The access of children with special health needs is filled with obstacles such as slowness in the process of defining the child’s diagnosis and referral to a specialist. Primary health care services were replaced by care in emergency care units.

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.

Oral health care offered to people with disabilities in the primary health care network: what do dentists say?

2016 ◽  
Vol 25 (1) ◽  
pp. 11-17
Author(s):  
Vanessa Feitosa Alves ◽  
Andreia Medeiros Rodrigues Cardoso ◽  
Yuri Wanderley Cavalcanti ◽  
Wilton Wilney Nascimento Padilha
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
People With Disabilities ◽  
Oral Health Care ◽  
Care Network ◽  
Primary Health ◽  
Health Care Network
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