scholarly journals Improving sexual and reproductive health care for poor and underserved girls : impact of a voucher program on access and quality of primary care in Nicaragua

2006 ◽  
Author(s):  
L.E.M.M. Meuwissen
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Reproductive Health Care ◽  
Voucher Program ◽  
Quality Of Primary Care ◽  
Access And Quality

scholarly journals Structural factors for public dental health services in Regional Health Care Network 13: an analysis of the Brazilian National Program for Improving Access and Quality of Primary Care

2018 ◽  
Vol 47 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Lucila Brandão HIROOKA ◽  
Guilherme Vinícius CATANANTE ◽  
Hélio Souza PORTO ◽  
Maria do Carmo Gullaci Guimarães CACCIA-BAVA
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Dental Health ◽  
Regional Health ◽  
Regional Health Care ◽  
Quality Of Primary Care ◽  
Access And Quality

Abstract Introduction The Brazilian National Program for Improving Access and Quality of Primary Care aims to induce the institution of processes that expand the capacity of federal, state and municipal administrations and Primary Care teams to offer services that ensure greater access and quality. Objective To identify the characteristics of infrastructure for the dental health care of the health units from the Regional Health Care Network 13, from the perspective of a health evaluation. Material and method This is a descriptive and cross-sectional study in which is used the Module V database of the External Evaluation instrument of 156 health units of this region that participated of the 2nd cycle of the referred program, which discuss the modality of the health teams, structure and environment of the dental office, the hours of operation, equipment, instruments and dental supplies. Result In general, the oral health units of this study have dental offices with good structural conditions and sufficient equipment and supplies to carry out clinical activities, except those for dental prostheses, possibly due to the permanence of this service in secondary care. However, they point out that advances in access and coverage by oral health services are still necessary. Conclusion Although the theme includes other studies and reflections, the present work may contribute to discussions about the present condition, and it is recommended the active participation of all the actors involved in the care, in the search for the qualification of oral health services in this region.

scholarly journals Mental health in primary care: an evaluation using the Item Response Theory

2018 ◽  
Vol 52 ◽  
pp. 17 ◽  
Author(s):  
Hugo André da Rocha ◽  
Alaneir de Fátima dos Santos ◽  
Ilka Afonso Reis ◽  
Marcos Antônio da Cunha Santos ◽  
Mariângela Leal Cherchiglia
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Risk Stratification ◽  
Mental Health Care ◽  
Item Response ◽  
Group Care ◽  
Quality Of Primary Care ◽  
Access And Quality

OBJECTIVE: To determine the items of the Brazilian National Program for Improving Access and Quality of Primary Care that better evaluate the capacity to provide mental health care. METHODS: This is a cross-sectional study carried out using the Graded Response Model of the Item Response Theory using secondary data from the second cycle of the National Program for Improving Access and Quality of Primary Care, which evaluates 30,523 primary care teams in the period from 2013 to 2014 in Brazil. The internal consistency, correlation between items, and correlation between items and the total score were tested using the Cronbach’s alpha, Spearman’s correlation, and point biserial coefficients, respectively. The assumptions of unidimensionality and local independence of the items were tested. Word clouds were used as one way to present the results. RESULTS: The items with the greatest ability to discriminate were scheduling of the agenda according to risk stratification, keeping of records of the most serious cases of users in psychological distress, and provision of group care. The items that required a higher level of mental health care in the parameter of location were the provision of any type of group care and the provision of educational and mental health promotion activities. Total Cronbach’s alpha coefficient was 0.87. The items that obtained the highest correlation with total score were the recording of the most serious cases of users in psychological distress and scheduling of the agenda according to risk stratification. The final scores obtained oscillated between -2.07 (minimum) and 1.95 (maximum). CONCLUSIONS: There are important aspects in the discrimination of the capacity to provide mental health care by primary health care teams: risk stratification for care management, follow-up of the most serious cases, group care, and preventive and health promotion actions.

Improving the quality of reproductive health care for young people

2003 ◽  
Keyword(s):  
Health Care ◽  
Young People ◽  
Reproductive Health ◽  
Cultural Values ◽  
Well Being ◽  
Reproductive Health Care ◽  
Sexually Transmitted ◽  
Pregnancy And Childbirth ◽  
Access And Quality

Nearly 1.7 billion people, about one-third of the world’s total population, are between the ages of 10 and 24, with the vast majority living in developing countries. As they mature, young people are increasingly exposed to reproductive health (RH) risks such as sexually transmitted infections (STIs), unintended or early pregnancies, and complications from pregnancy and childbirth. Improving young people’s RH care is key to improving the world’s future economic and social well-being, but young people’s RH needs are often overlooked or viewed through a lens of cultural values that limit care. During the past decade, in part as a result of the HIV/AIDS pandemic, young people and their health needs have been the subject of greater attention worldwide. More health policies and services are becoming “youth friendly.” Some clinics now provide services to young men or offer RH care to young women before they have had their first child. This policy brief focuses on facility-based services for young adults and uses the framework developed by the U.S. Agency for International Development’s Maximizing Access and Quality Initiative to illuminate key issues about the quality of reproductive health care.

scholarly journals What methods and challenges for taking account of context when transferring complex interventions?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Villadsen ◽  
S Dias
Keyword(s):  
Public Health ◽  
Health Care ◽  
Reproductive Health ◽  
Health Care Providers ◽  
Complex Interventions ◽  
Health Interventions ◽  
Care Providers ◽  
Public Health Interventions ◽  
Reproductive Health Care

Abstract For complex public health interventions to be effective their implementation needs to adapt to the situation of those implementing and those receiving the intervention. While context matter for intervention implementation and effect, we still insist on learning from cross-country comparison of implementation. Next methodological challenges include how to increase learning from implementation of complex public health interventions from various context. The interventions presented in this workshop all aims to improve quality of reproductive health care for immigrants, however with different focus: contraceptive care in Sweden, group based antenatal care in France, and management of pregnancy complications in Denmark. What does these interventions have in common and are there cross cutting themes that help us to identify the larger challenges of reproductive health care for immigrant women in Europe? Issues shared across the interventions relate to improved interactional dynamics between women and the health care system, and theory around a woman-centered approach and cultural competence of health care providers and systems might enlighten shared learnings across the different interventions and context. Could the mechanisms of change be understood using theoretical underpinnings that allow us to better generalize the finding across context? What adaption would for example be needed, if the Swedish contraceptive intervention should work in a different European setting? Should we distinguish between adaption of function and form, where the latter might be less important for intervention fidelity? These issues will shortly be introduced during this presentation using insights from the three intervention presentations and thereafter we will open up for discussion with the audience.

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