scholarly journals Evaluating the Impact of Community-Based Health Interventions: Evidence from Brazil's Family Health Program

2009 ◽  
Author(s):  
Romero Rocha ◽  
Rodrigo R. Soares
Keyword(s):  
Health Program ◽  
Family Health ◽  
Health Interventions ◽  
Community Based ◽  
Family Health Program ◽  
The Impact

scholarly journals Integrating priorities of disadvantaged parents and professionals for community family health

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
G Wink ◽  
G A J Fransen ◽  
M J Huisman ◽  
S N Boersma ◽  
W J J Assendelft ◽  
...  
Keyword(s):  
Action Research ◽  
Participatory Action Research ◽  
Health Program ◽  
Family Health ◽  
Participatory Action ◽  
Community Based ◽  
Family Health Program ◽  
Program Plan ◽  
Reducing Stress ◽  
Disadvantaged People

Abstract Background Health inequalities persist, and policymakers, researchers and practitioners seek for effective ways to positively impact the health of disadvantaged people. Researchers point to a multi-component program with an integral design including various perspectives and involving different stakeholders. Few studies address the perspectives on health of disadvantaged people themselves. This study describes what parents in a socially disadvantaged situation and professionals working in that community perceived as 1) priority aspects to improve family health 2) barriers and facilitators for health behaviour changes 3) important health program activities. Methods Design: Community-based participatory action research. 10 parents participated in 6 panel meetings. 46 professionals received 4 panel meetings summaries. 18 parents and 25 professionals responded to questions in (panel) meetings and consultation by phone and e-mail. Results (preliminary) 1) Parents’ top priorities for improving health were: less stress related to finances and communication with related organizations, followed by a safe place for kids to meet. Of the program financers’ aims (reducing tobacco, alcohol use and overweight) reducing overweight got relatively most support of parents. 2) Parents perceived their family financial situation as barrier to behaviours reducing stress and overweight. 3) Program activities related to reducing stress got more support from parents and professionals than activities related to reducing overweight. Conclusions Insight in the perspectives of disadvantaged parents and professionals resulted in a program plan supported by them, aiming to reduce stress and overweight. Most participating parents and professionals committed themselves to invest time in program activities execution. Key messages Disadvantaged parents perceived reducing stress related to finances as top priority to improve family health. They perceived family finances as barrier to behaviours reducing stress and overweight. Community-based participatory action research with disadvantaged parents and professionals can result in an integrated family health program plan with stakeholder support.

Going to scale with community-based primary care: An analysis of the family health program and infant mortality in Brazil, 1999–2004

2007 ◽  
Vol 65 (10) ◽  
pp. 2070-2080 ◽  
Author(s):  
James Macinko ◽  
Maria de Fátima Marinho de Souza ◽  
Frederico C. Guanais ◽  
Celso Cardoso da Silva Simões
Keyword(s):  
Primary Care ◽  
Infant Mortality ◽  
Health Program ◽  
Family Health ◽  
Community Based ◽  
Family Health Program ◽  
The Family

scholarly journals Human papillomavirus detection in cervical scrapes from women attended in the Family Health Program

2014 ◽  
Vol 22 (1) ◽  
pp. 100-107 ◽  
Author(s):  
Everton Faccini Augusto ◽  
Larissa Silva dos Santos ◽  
Ledy do Horto dos Santos Oliveira
Keyword(s):  
Cervical Cancer ◽  
Human Papillomavirus ◽  
High Risk ◽  
Health Program ◽  
Vaccine Coverage ◽  
Family Health ◽  
Polymorphism Analysis ◽  
Genotype Distribution ◽  
Cross Sectional Survey ◽  
Family Health Program

OBJECTIVES: to survey the prevalence of human papillomavirus, associated risk factors and genotype distribution in women who were referred to cervical cancer screening when attended in a Family Health Program. METHOD: we conducted a cross-sectional survey, investigating 351 women. Polymerase chain reaction for DNA amplification and restriction fragment length polymorphism analysis were used to detect and typify the papillomavirus. RESULTS: virus infection was detected in 8.8% of the samples. Among the 21 different genotypes identified in this study, 14 were high risk for cervical cancer, and the type 16 was the most prevalent type. The infection was associated with women who had non-stable sexual partners. Low risk types were associated with younger women, while the high risk group was linked to altered cytology. CONCLUSION: in this sample attended a Family Health Program, we found a low rate of papillomavirus infection. Virus frequency was associated to sexual behavior. However, the broad range of genotypes detected deserves attention regarding the vaccine coverage, which includes only HPV prevalent types.

scholarly journals Construction and Validation of an Instrument to Evaluate Knowledge on Healthy Eating in Schoolchildren

Aquichan ◽  
2019 ◽  
Vol 19 (2) ◽  
Author(s):  
Celia Maria Ribeiro de Vasconcelos ◽  
Eliane Maria Ribeiro de Vasconcelos ◽  
Maria Gorete Lucena de Vasconcelos ◽  
Viviane Cristina Fonseca Jardim ◽  
Maria Cristina Falcão Raposo ◽  
...  
Keyword(s):  
Content Validity ◽  
School Health ◽  
Health Program ◽  
Family Health ◽  
P Value ◽  
Validity Index ◽  
Significance Level ◽  
Content Validity Index ◽  
Family Health Program ◽  
School Health Program

Objective: To validate the content and appearance of an instrument to evaluate knowledge on healthy feeding. Materials and Methods: Methodological study of validation of content, appeareance with 22 judges, and semantic validation with 12 schoolchildren from 4th and 5th grades in primary school education, ranging in age between nine and ten years. The Scale-Level Content Validity Index (S-CVI) ≥ 0.90 and the Item-Level Content Validity Index (I-CVI) ≥ 0.80 were considered approved in the validation. The Binomial test was used through the p value of the proportion (rejecting the H0 if p ≤ 0.80) to select items that should be revised or modified (items validated at significance level ≤ 0.05). Results: The instrument was validated with S-CVI = 0.93 and I-CVI ≥ 0.80 in the 12 items evaluated, with the mean proportion of “non-discordance” among judges = 0.93. The instrument with the suggested modifications was submitted to the target audience and completely approved by all the participating students. Conclusion: This instrument can be used during the health education activities of the School Health Program and the Family Health Program to promote healthy feeding with children between nine and ten years of age.

scholarly journals Potentials of Technologics dimensions of care in the set of family health program in Sao paulo city

2007 ◽  
Vol 1 (1) ◽  
pp. 47
Author(s):  
Anna Maria Chiesa
Keyword(s):  
Health Program ◽  
Family Health ◽  
Sao Paulo ◽  
São Paulo ◽  
Family Health Program

O artigo apresenta dois casos acerca da atenção aos indivíduos portadores de lesões de pele crônicas realizada em uma UBS integrante do PSF no município de São Paulo. Os casos evidenciam aspectos chave para o fortalecimento da implantação da Estratégia Saúde da Família em grandes cidades, tais como: a superação da polarização generalista versus especialista, o reconhecimento da complexidade tecnológica da atenção básica, a necessidade do vínculo e co-responsabilização dos profissionais com os projetos terapêuticos e a importância da educação permanente em parceria com a universidade.

scholarly journals Local implementation of the Family Health Program in Brazil

2006 ◽  
Vol 22 (12) ◽  
pp. 2549-2559 ◽  
Author(s):  
Rosana Magalhães ◽  
Mônica de Castro Maia Senna
Keyword(s):  
Health Program ◽  
Family Health ◽  
Federal District ◽  
Management Training ◽  
Health Department ◽  
Local Health ◽  
Levels Of Care ◽  
Family Health Program ◽  
The Family ◽  
Political Traditions

This article discusses the implementation of the Family Health Program in the municipalities of Camaragibe, Aracaju, São Gonçalo, and the Federal District of Brazil, aiming to identify possible interfaces between the program's shaping and different incentives structures, the local health system's case-resolving capacity, experiences with social participation, and accountability mechanisms. The article shows that aspects related to the constitution of local health systems in terms of the quantitative and qualitative supply of services, technical and management training within the Municipal Health Department, investment in other levels of care, and local political traditions are crucial variables for understanding the diversity of experiences in the implementation of the Family Health Program.

Knowledge of Heat-Related Illness First Aid and Self-Reported Hydration and Heat-Related Illness Symptoms in Migrant Farmworkers

2020 ◽  
Vol 69 (1) ◽  
pp. 15-21
Author(s):  
Daniel J. Smith ◽  
Erin P. Ferranti ◽  
Vicki S. Hertzberg ◽  
Valerie Mac
Keyword(s):  
Health Program ◽  
Family Health ◽  
High Heat ◽  
First Aid ◽  
Work Environments ◽  
Morbidity And Mortality ◽  
Heat Illness ◽  
Migrant Farmworkers ◽  
Muscle Cramps ◽  
Family Health Program

Background: Outdoor workers are exposed to hot work environments and are at risk of heat-related morbidity and mortality. The purpose of this study was to evaluate the knowledge of migrant farmworkers about first aid for heat-related illness (HRI) symptoms. Methods: The authors recruited 60 migrant farmworkers out of 66 who were approached from vegetable farms in Georgia. They were workers who participated in the 2018 Farmworker Family Health Program (FWFHP). The authors surveyed the workers to assess demographics, prevalence of HRI symptoms, hydration practices, and knowledge of HRI first aid. Descriptive statistics for worker demographics, HRI symptoms, and hydration data were calculated, as were the percentages of correctly answered pilot questions. Findings: Of the 60 workers who chose to participate in this study, more than 50% incorrectly answered pilot questions related to their knowledge of HRI first aid. The two most common HRI symptoms reported were heavy sweating and muscle cramps. More than two thirds reported experiencing at least one HRI symptom during the workday. Mean liquid consumption within this sample was 72.95 oz per day, which is much less than the recommended 32 oz per hour. Conclusion/Application to Practice: Until larger structural change can occur to protect farmworkers, farm owners can prevent morbidity and mortality from inadequate hydration practices and working in high-heat conditions by providing migrant farmworkers with training in heat-related first aid. Appropriate heat-illness interventions should focus on first aid measures to reduce morbidity and mortality related to heat illness in farmworkers.

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