Research on the Community-Based Mode of Providing for the Aged at Home—Taking Chongqing Tongliang as an Example

2020 ◽  
Vol 07 (02) ◽  
pp. 21-26
Author(s):  
利利 陈
Keyword(s):  
Community Based ◽  
At Home

scholarly journals Making the Decision to Stay at Home: Developing a Community-Based Care Process Model for Aging in Place

2021 ◽  
Vol 18 (11) ◽  
pp. 5987
Author(s):  
Katarina Galof ◽  
Zvone Balantič
Keyword(s):  
Older Adults ◽  
Human Resources ◽  
Policy Development ◽  
Process Model ◽  
Empirical Work ◽  
Care Process ◽  
Research Approach ◽  
Community Based ◽  
Decision To Stay ◽  
At Home

The care of older adults who wish to spend their old age at home should be regulated in every country. The purpose of this article is to illustrate the steps for developing a community-based care process model (CBCPM), applied to a real-world phenomenon, using an inductive, theory-generative research approach to enable aging at home. The contribution to practice is that the collaboration team experts facilitate the application of the process in their own work as non-professional human resources. This means that each older adult is his or her own case study. Different experts and non-experts can engage in the process of meeting needs as required. The empirical work examined the number of levels and steps required and the types of human resources needed. The proposed typology of the CBCPM for older adults can provide insight, offer a useful framework for future policy development, and evaluate pilots at a time when this area of legislation is being implemented.

scholarly journals Umbilical cord care through community-based distribution of chlorhexidine in rural Sindh, Pakistan

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Shah ◽  
Q Jamali ◽  
F Aisha
Keyword(s):  
Rural Communities ◽  
Data Collection ◽  
Umbilical Cord ◽  
Rural Areas ◽  
Health Workers ◽  
High Rate ◽  
Cord Care ◽  
Community Based ◽  
Sindh Province ◽  
At Home

Abstract Background Unsafe practices such as cutting umbilical cord with unsterilized instruments and application of harmful substances, are in practice in many rural areas of Pakistan, and associated with high risk of neonatal sepsis and mortality. Methods We conducted an implementation research in 2015 in Tharparkar district, in Sindh province of Pakistan to understand the feasibility and acceptability of community-based distribution of chlorhexidine (CHX) in rural Pakistan. For this cohort group-only study, 225 lady health workers (LHWs) enrolled 495 pregnant women. Enrolled women received 4% CHX gel and user’s instructions for newborn cord care. The LHWs also counseled women on the benefits and correct use of CHX. Study enumerators collected data from CHX receiving women 3 times: at around 2 weeks before delivery, within 24 hours after delivery, and on the 8th day after delivery. We implemented this study jointly in collaboration with Ministry of Health in Sindh province, Pakistan. Results Among enrolled participants, 399 women (81%) received only the first visit, 295 women (60%) received first two visits and 261 women (53%) received all three visits by enumerators. Among 399 women, who received CHX gel, counseling on its use and were respondent to the first round data collection, 78% remembered that the CHX gel to be applied to cord stump and surrounding areas immediately after birth; but less than a third (29%) forgot the need to keep the cord clean and dry. Among 295 respondents in the first two rounds of data collection, who delivered at home, 97% applied CHX to cord stump on the first day. Conclusions Community-based CHX distribution by LHWs, along with counseling to recipient women, resulted in a high rate of cord care with CHX among newborn delivered at home. Results from this study may help program implementers to consider expanding this intervention for improving newborn cord care on the first day of life in Pakistan. Key messages Community-based distribution of chlorhexidine for newborn cord care appears as highly acceptable and feasible in rural communities in Pakistan. Relevant program policy supporting community-based CHX distribution along with counseling by LHW may help expanding coverage of newborn cord care in rural communities in Pakistan.

Choices and constraints

2017 ◽  
Author(s):  
Marjorie Mayo
Keyword(s):  
Violence Against Women ◽  
Sustainable Livelihoods ◽  
Popular Education ◽  
Maximum Effect ◽  
Structural Constraints ◽  
Community Based ◽  
Women In India ◽  
At Home

This chapter focuses upon the extent to which people – and communities - have agency. How far can people make choices freely and/ or how far are people affected by wider structural constraints, when it comes to deciding to move, whether to flee from unbearable situations at home and/ or in search of better, more sustainable livelihoods elsewhere. And how can people and communities respond to being ‘kept in their place’, by the fear of violence outside, for instance. Strategies to tackle violence against women in India provide illustrations, for example. The chapter concludes by focussing upon some of the ways in which people and communities can be supported to enable them to exercise their agency to maximum effect, including via community-based popular education.

scholarly journals CLIENTS’ AND CAREGIVERS’ EXPERIENCES OF A COMMUNITY-BASED SUPPORT SERVICE PROGRAM “BETTER AT HOME”

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 154-155
Author(s):  
M Wada ◽  
H Chaudhury ◽  
K McGrail ◽  
D Whitehurst ◽  
K Lalji
Keyword(s):  
Support Service ◽  
Service Program ◽  
Community Based ◽  
At Home

scholarly journals Comparison of preventive health service provision before and after reorganization of primary care in Turkey: a community-based study

2019 ◽  
Vol 20 ◽  
Author(s):  
Çiğdem Apaydın Kaya ◽  
Mehmet Akman ◽  
Pemra Cöbek Ünalan ◽  
Serap Çifçili ◽  
Arzu Uzuner ◽  
...  
Keyword(s):  
Primary Care ◽  
Vitamin D ◽  
Family Planning ◽  
Preventive Health ◽  
Planning Method ◽  
Family Planning Method ◽  
Healthy Children ◽  
Community Based ◽  
Care Services ◽  
At Home

Abstract Aim To investigate the changes in the provision of preventive health services in terms of woman and child health after reorganization of the primary health care services. Background The primary care system in Turkey has undergone fundamental changes as a part of Health Transformation Program during last decade. But there was no community-based study to evaluate these changes. Method This community-based and cross-sectional study was conducted in 2010, just before the reorganization of primary care services and in 2015, five year after the reforms. The 30×7 cluster sampling method was used in Zümrütevler quarter of Maltepe District. The socio-demographic characteristics of the participants, the presence of the physician who can be consulted for any health problem, the presence of smokers at home were questioned. The women aged 18 years or older and gave consent provided information about history of pregnancy and birth, the number of follow-ups during pregnancy, family planning method usage, cervical and breast cancer screening, breastfeeding duration, vaccinations, and prophylactic iron and vitamin D supplementation for their children. Findings After the reorganization of primary care, more people stated that they had physicians to whom they could consult for all kinds of health problems (27.8 versus 44.7%; P<0.001) and that physician was the primary care physician (30.2 versus 64.7%; P<0.001). The reported frequency of at least one smoker at home was decreased after reorganization of primary care (63.6 versus 53.1%; P=0.034). There were no significant differences in terms unplanned pregnancy, the use of family planning method, the number of pregnancy follow-ups and the frequency of Pap smears and mammography. There are no significant differences in terms of healthy children follow-ups, vaccination, vitamin D and iron supplementation (P>0.05). It was found that the duration of total breastfeeding increased after reorganization of primary care (P<0.001).

Aging at Home: Integrating Community-Based Care for Older Persons

2009 ◽  
Vol 10 (1) ◽  
pp. 8-21 ◽  
Author(s):  
A. Williams ◽  
Janet Lum ◽  
Raisa Deber ◽  
Robin Montgomery ◽  
Kerry Kuluski ◽  
...  
Keyword(s):  
Older Persons ◽  
Community Based ◽  
Aging At Home ◽  
At Home

Balancing Institutional and Community-Based Care: Why Some Older Persons Can Age Successfully at Home While Others Require Residential Long-Term Care

2009 ◽  
Vol 12 (2) ◽  
pp. 95-105 ◽  
Author(s):  
A. Williams ◽  
David Challis ◽  
Challis Deber ◽  
Jillian Watkins ◽  
Kerry Kuluski ◽  
...  
Keyword(s):  
Older Persons ◽  
Long Term Care ◽  
Community Based ◽  
Term Care ◽  
Residential Long Term Care ◽  
At Home
Sign in / Sign up

Export Citation Format

Share Document