Women's Health and Apartheid: The Health of Women and Children and the Future of Progressive Primary Health Care in Southern Africa

1990 ◽  
Vol 11 (1) ◽  
pp. 128
Author(s):  
Eva J. Salber ◽  
Marcia Wright ◽  
Zena Stein ◽  
Jean Scandlyn
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Southern Africa ◽  
Primary Health ◽  
The Future ◽  
Women And Children

Bases and Horizons of Person-Centered Women’s Health 40 Years after Alma Ata

2019 ◽  
Author(s):  
C Ruth Wilson ◽  
Petra ten Hoope-Bender ◽  
Juan E. Mezzich ◽  
James Appleyard ◽  
Ann Karin Helgesen ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Human Right ◽  
Primary Health ◽  
Health Strategy ◽  
Centered Care ◽  
International College ◽  
The Life Course

Forty years after the Alma Ata Declaration, opportunities and challenges in achieving person-centered care for all people remain, particularly for women. This review describes the foundations and horizons of the Geneva Declaration Person-Centered Women’s Health 40 Years after Alma Ata, issued as a consensus statement of the International College of Person Centered Medicine (ICPCM) meeting in April 2018. Person-centered medicine has as its central precept the relationship between a health professional and a person seeking care. This principle is the link to primary health care, which is built on a lasting relationship with individuals and populations. Women have particular health needs, partly based on reproductive health, influenced by the social context of their lives. There is a need for recommitment to the principles of Alma Ata if health for all is to be achieved. Equitable access to person-centered integrated care for women and men throughout the life course is a human right. Universal health care, based on primary health care as a general health strategy, is the precursor for achieving this aim.

scholarly journals Práticas educativas com gestantes na atenção primária à saúde

2017 ◽  
Vol 11 (12) ◽  
pp. 5370 ◽  
Author(s):  
Líbna Laquis Capistrano Quental ◽  
Lília Candice Carlos da Costa Nascimento ◽  
Léa Costa Leal ◽  
Rejane Marie Barbosa Davim ◽  
Isabelle Cristina Braga Coutinho Cunha
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Education ◽  
Women’S Health ◽  
Women's Health ◽  
Theoretical Explanation ◽  
Active Listening ◽  
Educational Practices ◽  
Primary Health ◽  
Nursing Health

RESUMOObjetivo: conhecer os principais aspectos relacionados às práticas educativas desenvolvidas por enfermeiros às gestantes na Atenção Primária à Saúde. Método: revisão integrativa, percorrendo seis etapas para sistematizar a pesquisa. Dados coletados nas bases de dados Lilacs, Medline, Biblioteca Virtual SciELO, nove artigos atenderam aos critérios de inclusão e os Descritores para nortear a pesquisa foram: Enfermagem; Educação em Saúde; Gravidez; Saúde da Mulher; Atenção Primária; Atividades Cotidianas. Resultados: o estudo identificou que as práticas educativas desenvolvidas por enfermeiros na Atenção Primária à Saúde estão relacionadas à educação em saúde com orientações à prevenção do autocuidado, cuidado adequado com o bebê, promoção da autonomia e empoderamento materno, comunicação interpessoal, capacitação da equipe e incentivo à participação de enfermeiros obstetras neste contexto. Conclusão: o estudo contribuiu para explicitação teórica dos elementos que compõem a relação enfermeiro/gestante a partir de práticas educativas. É relevante para desenvolvimento de estratégias que fortaleçam comunicação entre profissional e usuária por meio da escuta ativa, acolhimento humanizado, jogos e dinâmicas, incentivo à participação de familiares, acompanhantes e colaboração dos componentes da equipe multiprofissional. Descritores: Enfermagem; Educação em Saúde; Gravidez; Saúde da Mulher; Atenção Primária; Atividades Cotidianas.ABSTRACTObjective: to know the main aspects related to the educational practices developed by nurses to the pregnant women in Primary Health Care. Method: this is an integrative review, going through six stages to systematize the research. Data collected in the Lilacs, Medline, and SciELO Virtual Library databases. Nine articles met the inclusion criteria and the Descriptors to guide the research were: Nursing; Health education; Pregnancy; Women's Health; Primary care; Daily Activities. Results: the study identified that the educational practices developed by nurses in Primary Health Care are related to health education with guidelines to prevent self-care, adequate care with the baby, promotion of autonomy and maternal empowerment, interpersonal communication, the participation of obstetrical nurses in this context. Conclusion: the study contributed to the theoretical explanation of the elements that make up the nurses/pregnant relationship from educational practices. It is relevant for the development of strategies that strengthen communication between the professional and the patient through active listening, humanized acceptance, games, and dynamics, encouraging the participation of family members, partners and collaboration of the multi-professional team members. Descriptors: Nursing; Health Education; Pregnancy; Women's Health; Primary Health Care; Activities of Daily Living.RESUMENObjetivo: conocer los principales aspectos relacionados a las prácticas educativas desarrolladas por enfermeros a las gestantes en la Atención Primaria a la Salud. Método: revisión integradora, recurriendo seis etapas para sistematizar la investigación. Datos recogidos en las bases de datos Lilacs, Medline, Biblioteca Virtual SciELO, nueve artículos atendieron los criterios de inclusión y los Descriptores para guiar a la investigación fueron: Enfermería; Educación en Salud; Embarazo; Salud de la Mujer; Atención Primaria; Actividades Cotidianas. Resultados: el estudio identificó que las prácticas educativas desarrolladas por enfermeros en la Atención Primaria a la Salud están relacionadas a la educación en salud con orientaciones a la prevención del autocuidado, cuidado adecuado con el bebé, promoción de la autonomía y empoderamiento materno, comunicación interpersonal, capacitación del equipo e incentivo  a la participación de enfermeros obstetras en este contexto. Conclusion: el estudio contribuyó para explicación teórica de los elementos que componen la relación enfermero/gestante a partir de prácticas educativas. Es relevante para desarrollo de estrategias que fortalezcan comunicación entre profesional y usuaria por medio de la escucha activa, acogida humanizada, juegos y dinámicas, incentivo a la participación de familiares, acompañantes y colaboración de los componentes del equipo multi-profesional. Descriptores: Enfermería; Educación en Salud; Embarazo; Salud de la Mujer; Atención Primaria de Salud; Actividades Cotidianas.

scholarly journals Role of primary health protection in the realization of the pronatalist population policy in Vojvodina

2010 ◽  
pp. 11-22
Author(s):  
Ilija Grujic ◽  
Ljubomir Milasinovic ◽  
Zorica Grujic
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Population Policy ◽  
Active Role ◽  
Postnatal Period ◽  
Health Centers ◽  
Contraceptive Devices ◽  
Primary Health

The study was assumed to answer the question how to improve the women's health care at the primary level during prenatal, perinatal and postnatal period with the resulting giving birth to a healthy child and preservation of general and genital health of the woman and the consequent ability of nursing her child and giving birth to one more or more than one child. The investigation encompassed 300 patients (100 patients from each center: health centers at Temerin, Mali Idjos and Zitiste) of the generative age. The patients answered the anonymous questionnaire containing 24 questions by underlying one of the offered answers or by addition of a text where necessary-concerning the primary health care and its influence on reproduction of the population of Vojvodina. One half of investigated patients did not use contraceptive devices. 32,66% of the patients visited the health centers for the control of their pregnancies, 26,33% for the treatment of diseases, 11,33% for contraception advising, 2,66% for the treatment of infertility and 27,33% for other reasons. More than half of the polled patients thought that there was a need of improvement of the work in the women's health centers. The suggestions of 74,66% of the patients comprised organized lectures on different type of health care and family planning associated with the purchase of modern equipment for diagnostics (13,33%). The primary health care has a significant place in the process of reproduction of the population and these results point to the necessity of its more active role in the improvement of the women's health as well as in the implementation of the measures of the population policy. .

scholarly journals The primary health care and its role in the reproduction of the population of Vojvodina

2007 ◽  
Vol 60 (3-4) ◽  
pp. 168-172
Author(s):  
Ilija Grujic ◽  
Zorica Grujic
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Active Role ◽  
Postnatal Period ◽  
Health Centers ◽  
Reproductive Age ◽  
Population Increase ◽  
Primary Health

Introduction. The problem of depopulation has been a serious threat to the province of Vojvodina leading to changes in the age structure, decrease in working and defensive population, increase in health and social service costs. The aim of this study was to examine how to improve women's health care at primary level during prenatal, perinatal and postnatal period in order to give birth to a healthy child, preserve general and genital health and promote the ability to take care of the child and give birth to another child or children. Material and methods. The investigation included 300 patients (100 patients from each center: health centers in Temerin, Mali Idjos and Zitiste) of reproductive age. All patients completed an anonymous questionnaire with 24 questions by choosing one of the offered answers or by writing an answer where necessary - concerning the primary health care and its role in the reproduction of the population of Vojvodina. Results. Half of the investigated patients did not use contraception. 32.66% of women visited their GP to control their pregnancies; 26.33% to treat their diseases, 11.33% for contraception advice, 2.66% for treatment of infertility and 27.33% for other reasons. More than half of the polled patients thought that there was a need for improvement of the work in women's health centers. 74.66% of patients suggested education on different types of health care and family planning associated with the use of modern equipment for diagnostics (13.33%). Conclusion. The primary health care has a significant role in the process of reproduction of the population and these results point to the necessity of a more active role in the improvement of women's health, as well as in the implementation of measures in the population planning policy. .

Best Practice in Women's Health: Outcomes, Processes and Pre-conditions

1998 ◽  
Vol 4 (3) ◽  
pp. 106
Author(s):  
Gai Wilson ◽  
David Legge ◽  
Paul Butler ◽  
Maria Wright
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Best Practice ◽  
Health Workers ◽  
Social Model ◽  
Care Practice ◽  
Women Health ◽  
Primary Health

The pre-conditions, processes, and outcomes associated with best practice in women's health at the primary health care level are discussed. The paper draws on a study which identified projects that exemplified best practice in relation to: collaboration with consumers and communities; the adoption of a social model of health; the collaboration between providers at different levels of the health system and government; and addressing immediate health needs in a way which recognises the underlying conditions which cause ill health. The methodology involved identifying 187 recently published and documented episodes of primary health care practice. Using ratings and reports from 90 experienced referees from around Australia, the 187 case studies were reduced to 25 which the referees agreed represented 'best practice'. A more detailed investigation of these 25 studies was undertaken to determine what structures contributed to the good processes and outcomes. Of these, eight were women's health projects, with six undertaken by women's health services in Victoria. The paper outlines the kinds of outcomes, processes and pre-conditions which are associated with best practice as illustrated by one of the Victorian women's health projects. The findings from this research project provided practical, informative and useful models of best practice which can be of assistance to women, health workers, policy makers and government.

scholarly journals The Future of Health Care: Protocol for Measuring the Potential of Task Automation Grounded in the National Health Service Primary Care System (Preprint)

2018 ◽  
Author(s):  
Matthew Willis ◽  
Paul Duckworth ◽  
Angela Coulter ◽  
Eric T Meyer ◽  
Michael Osborne
Keyword(s):  
Machine Learning ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Care Staff ◽  
Primary Health ◽  
The Future

BACKGROUND Recent advances in technology have reopened an old debate on which sectors will be most affected by automation. This debate is ill served by the current lack of detailed data on the exact capabilities of new machines and how they are influencing work. Although recent debates about the future of jobs have focused on whether they are at risk of automation, our research focuses on a more fine-grained and transparent method to model task automation and specifically focus on the domain of primary health care. OBJECTIVE This protocol describes a new wave of intelligent automation, focusing on the specific pressures faced by primary care within the National Health Service (NHS) in England. These pressures include staff shortages, increased service demand, and reduced budgets. A critical part of the problem we propose to address is a formal framework for measuring automation, which is lacking in the literature. The health care domain offers a further challenge in measuring automation because of a general lack of detailed, health care–specific occupation and task observational data to provide good insights on this misunderstood topic. METHODS This project utilizes a multimethod research design comprising two phases: a qualitative observational phase and a quantitative data analysis phase; each phase addresses one of the two project aims. Our first aim is to address the lack of task data by collecting high-quality, detailed task-specific data from UK primary health care practices. This phase employs ethnography, observation, interviews, document collection, and focus groups. The second aim is to propose a formal machine learning approach for probabilistic inference of task- and occupation-level automation to gain valuable insights. Sensitivity analysis is then used to present the occupational attributes that increase/decrease automatability most, which is vital for establishing effective training and staffing policy. RESULTS Our detailed fieldwork includes observing and documenting 16 unique occupations and performing over 130 tasks across six primary care centers. Preliminary results on the current state of automation and the potential for further automation in primary care are discussed. Our initial findings are that tasks are often shared amongst staff and can include convoluted workflows that often vary between practices. The single most used technology in primary health care is the desktop computer. In addition, we have conducted a large-scale survey of over 156 machine learning and robotics experts to assess what tasks are susceptible to automation, given the state-of-the-art technology available today. Further results and detailed analysis will be published toward the end of the project in early 2019. CONCLUSIONS We believe our analysis will identify many tasks currently performed manually within primary care that can be automated using currently available technology. Given the proper implementation of such automating technologies, we expect considerable staff resources to be saved, alleviating some pressures on the NHS primary care staff. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11232

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