Academic literature on the topic 'Primary health care (PHC)'

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Journal articles on the topic "Primary health care (PHC)"

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Moyegbone, John. "Integration of eye care into primary healthcare tier in Nigeria health system: A case for Delta State." Clinical Medical Reviews and Reports 2, no. 6 (September 9, 2020): 01–06. http://dx.doi.org/10.31579/2690-8794/038.

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Primary Eye Care (PEC) provides the essential cares of the eyes and visual pathways at the Primary Health Care (PHC) level in order to prevent avoidable visual impairment and blindness. The aim of this study is to review the need for integration of PEC services into PHC in Nigeria healthcare system – with focus oF Delta State. A narrative review approach was used in evaluation of community needs, government and PHC facilities. Published literatures from around the world including in Sub-Saharan Africa and Nigeria was done through web search and Mendeley reference library. The evaluations show that there is ability and willingness to integrate PEC into PHC. Yet, there is observable mismatch in capacity vs. opportunity or a knowledge and attitude gap. In Delta State on Nigeria, there appears to be specialist Eye-care providers located in just 24% of the local government areas and absolutely none (zero %) at any PHC facility. In the rural communities, there is the barrier of affordances including problem of access, but the PHC staff can be equipped to provide basic services such as educational, preventive and referral services that non-governmental organisations have done. Therefore, integration of PEC into PHC at the community level is possible.
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MCELMURRY, BEVERLY J. "Primary Health Care." Annual Review of Nursing Research 17, no. 1 (January 1999): 241–68. http://dx.doi.org/10.1891/0739-6686.17.1.241.

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Primary Health Care (PHC) has been promulgated for over two decades as a global strategy for ensuring basic health care for all people. PHC is characterized by equity, accessibility, availability of resources, social participation, intersectoral community action, and cultural sensitivity. While PHC can be discussed as philosophy or a process, it is critical that PHC be understood as a community focus in health care that differs from a primary care focus on individuals. Capturing PHC components in community-based interventions in order to advance the development of a rigorous research base requires a shift in thinking about what constitutes acceptable methods and evidence for evaluating changes in health care. To this end, the authors of this review discuss perspectives and available research that inform practice within multidisciplinary teams, highlight the importance of social discourse, and review participatory evaluation issues for achieving a working relationship with communities. Particular attention is focused on education for nurses’ roles in PHC activities within implementation models fostering community mobilization and development. An action plan is suggested as a means for situating discrete research activity within a PHC framework.
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Aghaji, Ada, Helen Burchett, Shaffa Hameed, Jayne Webster, and Clare Gilbert. "The Technical Feasibility of Integrating Primary Eye Care Into Primary Health Care Systems in Nigeria: Protocol for a Mixed Methods Cross-Sectional Study." JMIR Research Protocols 9, no. 10 (October 27, 2020): e17263. http://dx.doi.org/10.2196/17263.

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Background Approximately 90% of the 253 million blind or visually impaired people worldwide live in low- and middle-income countries. Lack of access to eye care is why most people remain or become blind. The World Health Organization Regional Office for Africa (WHO-AFRO) recently launched a primary eye care (PEC) package for sub-Saharan Africa—the WHO-AFRO PEC package—for integration into the health system at the primary health care (PHC) level. This has the potential to increase access to eye care, but feasibility studies are needed to determine the extent to which the health system has the capacity to deliver the package in PHC facilities. Objective Our objective is to assess the technical feasibility of integrating the WHO-AFRO PEC package in PHC facilities in Nigeria. Methods This study has several components, which include (1) a literature review of PEC in sub-Saharan Africa, (2) a Delphi exercise to reach consensus among experts regarding the technical complexity of the WHO-AFRO PEC package and the capacities needed to deliver it in PHC facilities, (3) development of PEC technical capacity assessment tools, and (4) data collection, including facility surveys and semistructured interviews with PHC staff and their supervisors and village health workers to determine the capacities available to deliver PEC in PHC facilities. Analysis will identify opportunities and the capacity gaps that need to be addressed to deliver PEC. Results Consensus was reached among experts regarding the technical complexity of the WHO-AFRO PEC package and the capacities needed to deliver it as part of PHC. Quantitative tools (ie, structured questionnaires, in-depth interviews, and observation checklists) and topic guides based on agreed-upon technical capacities have been developed and relevant stakeholders have been identified. Surveys in 48 PHC facilities and interviews with health professionals and supervisors have been undertaken. Capacity gaps are being analyzed. Conclusions This study will determine the capacity of PHC centers to deliver the WHO-AFRO PEC package as an integral part of the health system in Nigeria, with identification of capacity gaps. Although capacity assessments have to be context specific, the tools and findings will assist policy makers and health planners in Nigeria and similar settings, who are considering implementing the package, in making informed choices. International Registered Report Identifier (IRRID) DERR1-10.2196/17263
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Muldoon, Laura K., William E. Hogg, and Miriam Levitt. "Primary Care (PC) and Primary Health Care (PHC)." Canadian Journal of Public Health 97, no. 5 (September 2006): 409–11. http://dx.doi.org/10.1007/bf03405354.

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Dube, Faith, and Leana N. Uys. "Integrating mental health care services in primary health care clinics: a survey of primary health care nurses’ knowledge, attitudes and beliefs." South African Family Practice 58, no. 3 (May 1, 2016): 1. http://dx.doi.org/10.4102/safp.v58i3.5670.

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Background: Nurses are the main providers of care at primary health care (PHC) clinics; the high incidence of mental health problems at these clinics means that PHC nurses are important providers of mental health care. The PHC nurses’ knowledge regarding provision and identification of mental health problems has been shown to be poor. Aim: The study aimed to investigate the knowledge, attitudes and beliefs concerning the care of psychiatric patients at PHC level amongst nurses.Setting: The study was conducted in uThungulu Health District in the Northern Area of KwaZulu-Natal Province. Six clinics were purposively selected based on their geographical location.Methods: The study used a quantitative survey using a structured questionnaire. Simple descriptive analysis and one-way ANOVA were used to analyse the data.Results: The study revealed that 39% of the nurses were between the ages of 41 and 50 years and 92% were females. The association between past experience in working with psychiatric patients and positive attitude of nurses was found to be significant.Conclusion: This study found that PHC nurses’ attitudes and beliefs towards people with mental illness were positive. PHC nurses were found to have inadequate knowledge to manage psychiatric patients.
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Rayner, Jennifer, Laura Muldoon, Imaan Bayoumi, Dale McMurchy, Kate Mulligan, and Wangari Tharao. "Delivering primary health care as envisioned." Journal of Integrated Care 26, no. 3 (July 2, 2018): 231–41. http://dx.doi.org/10.1108/jica-02-2018-0014.

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PurposeFor over 40 years, Canadian and international bodies have endorsed comprehensive primary health care (PHC), yet very little work has been done to describe how services and programs are delivered within these organizations. Because health equity is now of greater interest to policy makers and the public, it is important to describe an evidence-informed framework for the delivery of integrated and equitable PHC. The purpose of this paper is to describe the development of a “Model of Health and Well-being” (MHWB) that provides a roadmap to the delivery of PHC in a successful network of community-governed PHC organizations in Ontario, Canada.Design/methodology/approachThe MHWB was developed through an iterative process that involved members of community-governed PHC organizations in Ontario and key stakeholders. This included literature review and consultation to ensure that the model was evidence informed and reflected actual practice.FindingsThe MHWB has three guiding principles: highest quality health and well-being for people and communities; health equity and social justice; and community vitality and belonging. In addition, there are eight attributes that describe how services are provided. There is a reasonable evidence base underpinning the all principles and attributes.Originality/valueAs comprehensive, equitable PHC organizations become increasingly recognized as critical parts of the health care system, it is important to have a means to describe their approach to care and the values that drive their care. The MHWB provides a blueprint for comprehensive PHC as delivered by over 100 Community Governed Primary Health Care (CGPHC) organizations in Ontario. All CGPHC organizations have endorsed, adopted and operationalized this model as a guide for optimum care delivery.
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Day, Carolina Baltar, Regina Rigatto Witt, and Nelly D. Oelke. "Integrated care transitions: emergency to primary health care." Journal of Integrated Care 24, no. 4 (August 15, 2016): 225–32. http://dx.doi.org/10.1108/jica-06-2016-0022.

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Purpose – The purpose of this paper is to focus on the Integrated Care Transitions Project between the emergency department (ED) of a university hospital and primary health care (PHC) services in a large city in Southern Brazil was the focus of this study. Care transitions occurred through telephone contact for patients discharged from the ED to PHC. Design/methodology/approach – This descriptive, exploratory qualitative research collected data via semi-structured interviews (n=14) including interns of health disciplines, advisors for interns, nurses, and physicians from the ED and PHC Family Unit. A thematic analysis of the data were conducted. Findings – ED providers felt they gained increased knowledge of the care networks available for patients in the community. Connection between the providers in ED and PHC facilitated confidence in the services provided in the community and increased continuity of care for patients’ needs. The PHC providers recognized integration promoted communication and better care planning for patients discharged from ED. Integrated care made the work in the PHC easier and benefited the users. Research limitations/implications – The study evaluated a program available in one hospital. Generalizability may be limited as services in the ED were provided by professional residents and their advisors, not employees of the hospital. Practical implications – Shared information by different health services leads to better care for patients and greater job satisfaction for providers. Originality/value – Care transitions are not well-managed in health care; there is limited research focusing on care transitions from ED to community. For providers and patients, this program assisted in building capacity and networks for transitions in care.
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Patel, Rashmi G., and T. Stephen. "Health communication in primary health care." International Journal Of Community Medicine And Public Health 5, no. 3 (February 24, 2018): 1224. http://dx.doi.org/10.18203/2394-6040.ijcmph20180789.

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Developing Information and Communication Technology (ICT) supported health communication in PHC could contribute to increased health literacy and empowerment, which are foundations for enabling people to increase control over their health, as a way to reduce increasing lifestyle related ill health. However, to increase the likelihood of success of implementing ICT supported health communication, it is essential to conduct a detailed analysis of the setting and context prior to the intervention. The aim of this study was to gain a better understanding of health communication for health promotion in PHC with emphasis on the implications for a planned ICT supported interactive health channel.
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Salmela, Reijo K. "Is Primary Health Care Progressing in Europe?" Scandinavian Journal of Social Medicine 15, no. 3 (September 1987): 117–22. http://dx.doi.org/10.1177/140349488701500301.

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Primary health care (PHC) is the key to attaining the goal of health for all (HFA) by the year 2000. Also the European countries have accepted the declarations and WHO resolutions related to global and European HFA strategies. However, the implementation of regional and national strategies has met with many obstacles, caused by reluctant attitudes and poor planning and management systems. In this review the objective of PHC in industrialized countries, the evaluation process of HFA strategy, and progress in PHC in Europe in the 1980s are discussed. Lack of defined national objectives, and health information systems which are not adopted to purposes of monitoring progress in PHC are causing most of the problems in evaluation. There is a clear positive development in PHC resources and organization in the Nordic countries. Generally speaking PHC is progressing very slowly in Europe, if there is any progress at all. This can be said both about organization of health care, planning and management systems and about application of PHC principles like community participation and intersectoral collaboration. The national health information systems should be quickly revised to allow more exact monitoring of progress towards the 38 European targets and additional national targets.
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Pelaez, Martha, and Marilyn Rice. "Primary Health Care and Aging." Californian Journal of Health Promotion 2, no. 3 (September 1, 2004): 99–108. http://dx.doi.org/10.32398/cjhp.v2i3.884.

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From 21-25 February 2000, in San Jose, Costa Rica, a WHO Consultative Group was held on the topic of Primary Health Care for Older Persons, with representatives from 13 countries from around the world, as well as Headquarters and Regional offices of WHO and the private sector. In the policy statement that emerged from the meeting four basic principles were highlighted: universal accessibility and coverage on the basis of need, community and individual involvement, intersectoral action for health, and appropriate use of cost effective technologies in relation to the available resources. Three complementary integration functions are mentioned: functional with an integrated approach to the health needs of individuals over their life course taking precedence over episodic management of disease; organizational, with a focus on how health centers should function with interdisciplinary teams; and educational which addresses the knowledge and skills and attitudes needed by health professionals that will facilitate communication, networking, advocacy and mediation of resources. The proceedings go on to outline the objectives to be included in national plans on health of older people, as well as the extended benefits and outcomes to be expected from PHC strategies for older people. In promoting quality of care for older persons, positive and negative factors are mentioned, as are strategies to: stimulate interest in geriatric care, motivate general practitioners to focus on the care of elders, encourage teamwork among PHC staff, and encourage multi-sectoral collaboration in promoting the health of older persons. An example is provided of healthy ageing from Canada. The recommendations include defining and measuring an ageing friendly health center (with specific indicators for the latter), defining the role of the PHC team in promoting healthy ageing, characteristics that programs should have to promote “age friendly” services in the primary care setting, and outcome indicators for quality of care of elders at the PHC level.
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Dissertations / Theses on the topic "Primary health care (PHC)"

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Selden, Suzanne M. "PHC : unravelling a maze." University of Sydney, 2009. http://hdl.handle.net/2123/5976.

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Doctor of Philosophy(PhD)
The thesis explores the complexities of primary health care in a setting characterised as being both isolated and remote, and in the process identifies factors critical for developing successful PHC programs in such settings and more broadly. The four questions underpinning the study are 1) is a PHC approach relevant to the chosen small remote Australian community; 2) to what extent was a PHC approach being implemented; 3) what are the barriers and enablers to developing and implementing a PHC approach; and 4) what are the crucial factors for PHC programs in similar communities. The first chapter provides the background to the study, beginning with the range of descriptions of primary health care and the many themes needed to understand how it plays out in a small community. The Menindee community and some of the local health service players are introduced. Chapter Two explores complexity theory and complex adaptive systems and its relevance to organisations and managing change, particularly in complex environments. Chapter Three examines the evolution of primary health care, its philosophy, principles and elements as both a model of health care and of development. Chapter Four addresses social determinants, the life course and the long-term effects of inequity, before considering current factors that impact on health and health services. These include the beginning and end of the life course and those in the ‘middle’ where the effects of the obesity and diabetes epidemics are being played out at a younger age. The chapter concludes by noting common themes across the three chapters. Chapter Five describes the research design and methods. A case study using mixed methods was chosen and the theoretical framework provides an exploration of complexity and transdisciplinarity. What changed during the course of the study, questions of scope and its limitations are stated. Chapter Six is a quantitative analysis of the study community, which examines community demographics, the life course, a summary of adult and child health, and service use. These enable an understanding of the community profile, its uniqueness and its similarity to other communities that might benefit from a comprehensive PHC approach. The questions to be explored in the qualitative phase are identified. Chapter Seven is a qualitative study of the community in the midst of change. An individual interview guide approach was used and representatives from the community, local and regional health service providers were interviewed. Chapter Eight provides a synthesis of the two studies as they address themes from the complexity, PHC and social inequity literature. Five themes had particular significance to the study community: social determinants and Indigenous health; community size, resilience and change; chronic disease programs and prevention; vulnerable groups; and a complex adaptive systems perspective. The second section answers the four study questions. The thesis concludes with a discussion of PHC rhetoric and reality, the relevance of the study and its limitations, and issues requiring further research when considering primary health care in smaller communities.
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Matsheke, Thembakazi. "A cost analysis of rural primary health care (PHC) services in KwaZulu-Natal." Master's thesis, University of Cape Town, 2004. http://hdl.handle.net/11427/9322.

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It has been found that South Africa has very limited costing information of health services at both primary and higher levels of care. Therefore, a study was conducted in Ingwavuma health district, a rural setting in KZN, evaluating costs of primary health care (PHC) services. The primary objective of the study was to evaluate the costs of providing PHC services in a rural setting and to compare costs of providing PHC services at different levels of care. Costs data were collected through interview and record reviews from Manguzi hospital, a district hospital, and nine clinics operating within the hospital's catchment area. Cost comparisons between Manguzi clinics and between the clinic and hospital levels were undertaken. Variations in terms of costs between similar facilities (clinics) were discovered, with some clinics being more costly compared to others. Such variations can be explained by some input costs, e.g. personnel which varied considerably between facilities. Variations in the personnel costs between similar facilities were found to be linked with staff distribution patterns and facility utilisation. In addition, variations in terms of costs were also discovered between services provided within one facility. For instance, expenditure figures revealed that the largest proportion of resources was spent on curative services. Tuberculosis and mental health services consumed a minimum amount of resources, namely about 1%. Further comparison of Manguzi results with those of the Centre for Health Policy (CHP) was undertaken. Costs analyses of PHC services provided at Manguzi clinics with similar facilities compared to other sites. namely Agincourt (a rural setting), and Alexandra Health Centre (AHC) (an urban setting), were undertaken. Manguzi and Agincourt have similar costs of PHC services. However, AHC has relatively higher costs compared to the other two sites. This is probably because Manguzi and Agincourt are both rural. Finally, analysis on scaling-up PHC services in Manguzi to the essential package target of 3.5 utilisations per person per year shows that there would be no additional staff costs required. The current staffing levels in Manguzi seem to be sufficient to provide a comprehensive PHC package of 3.5 visits per person per year.
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Obioha, EE, and MG Molale. "Functioning and Challenges of Primary Health Care (PHC) Program in Roma Valley, Lesotho." Ethno Med, 2011. http://encore.tut.ac.za/iii/cpro/DigitalItemViewPage.external?sp=1000710.

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Primary Health Care (PHC) plays a vital role in decentralization of health care services. PHC is designed to ensure health care coverage at the community level through the involvement of the community in improving their healthy living. PHC offers treatment and care in continuum that is supported by a facility-linked home- based care system and a referral system. While PHC is global, its operation and functioning in the area of community health provisioning varies across communities. The main objective of this study is to find out whether PHC is effective or not in Roma Valley, Lesotho. The study was carried out in Roma Valley, in the Maseru district of Lesotho. The population for this study includes the nurses under the department of PHC, village health workers, Chiefs and out-patients from four different villages. Out of this, a sample of thirty individuals was selected. The data for this study was collected through qualitative research technique, particularly oral interviews and written records or secondary data sources. The analysis revealed that nurses and village health workers respond to the social needs and health problems of the community and community members are also involved in improving their health status. Village health workers face many challenges in their engagement in this system such as not being given incentives for what they do and often uncooperative disposition of some community members including their leaders. It was also found that they operate under a lot of stress due to lack of resources.
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Sahito, Hadi Bakhsh Wirat Kamsrichan. "Participation of village health volunteers in PHC in Phuttamonthon Distric, Nakhonpathom Province, Thailand /." Abstract, 2005. http://mulinet3.li.mahidol.ac.th/thesis/2548/cd375/4737960.pdf.

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Belanger, Marc Andrew. "Determinants of health care seeking behaviour in the Pahou PHC project in the People's Republic of Benin : an exploratory study." Thesis, McGill University, 1993. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=68072.

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The goal of this study is to identify factors which may be preventing use of an experimental health care program in the People's Republic of Benin. While previous surveys have focused more specifically on the impact of fees on use and demand, our aim to identify a wider range of factors.
There are two principle methods by which this can be done. One is to extract possible factors from a review of the relevant literature. The other is to carry out an exploratory, qualitative study in the field. We have used both these methods.
A qualitative study is a necessary prelude to a survey, since we initially have no specific idea about which factors to measure and investigate. The aim is to identify factors which may be relevant so that a subsequent survey, with a larger number of cases, could quantify and measure their influence and statistical significance.
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Coovadia, Mohamed Yusuf. "Identification and evaluation of patient satisfaction determinants in medical service delivery systems within the South African private healthcare industry." Diss., University of Pretoria, 2008. http://hdl.handle.net/2263/23094.

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The aim of the study was to identify, evaluate and compare the determinants of patient satisfaction in fee-for-service, and health maintenance organisation (HMO), medical service delivery centres. Staff at both centres, who were also patients, were surveyed to determine the congruence with patients’ quality improvement priorities. The survey was conducted using a questionnaire consisting of closed questions given to patients as they departed from the medical centres. The questionnaire was tested for convergent and divergent validity, content analysis and reliability. A rating scale was then applied to yield the scores for each determinant. The unique Patient Satisfaction Priority Index was determined using determinants that were rated low on satisfaction but high on importance. The results revealed that patients at the fee- for- service medical centre were significantly more satisfied than patients at the HMO. The priority index for patients were found to be different to that of the staff at both medical centres, proving that staff and patient priorities were incongruent. Accordingly, the recommendations were that patient satisfaction be continuously evaluated at medical service delivery centres, in order to achieve a competitive advantage, sustainability and growth in South Africa’s highly competitive private healthcare industry. Copyright
Dissertation (MBA)--University of Pretoria, 2010.
Gordon Institute of Business Science (GIBS)
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Cakata, Zethu. "Epidemiology of sexually transmitted infections in selected primary health care centres in the Eastern Cape Province." Thesis, University of the Western Cape, 2004. http://hdl.handle.net/11394/4599.

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Magister Psychologiae - MPsych
An epidemiological study was conducted with the main goal of describing the occurrences of the various STIs in the Eastern Cape province as well as biographical factors such as age, gender, and geographical location influencing them. Ten primary health care (PHC) centres located throughout the province served as sentinel sites for surveillance data collection for a period of 3 months using Daily and Monthly Report Forms. The surveillance data was analysed using relative frequencies to determine STIs prevalence. The main findings from the present study suggest that the most frequently encountered female syndromes were vaginal discharge and lower abdominal pains and most frequent male syndrome was Urethral discharge. Other syndromes accounted for less than 10% of the STI cases observed at the PHC centres during the study. The study also indicate that more STI patients were seen at urban PHC centres compared to rural ones and that most of the STI patients seen at PHC centres were women. These findings are helpful for the Health Department in the Eastern Cape Province to effectively plan for the control and prevention of all STIs including HIV I AIDS.
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Louskieter, Lance. "Centering Primary Health Care (PHC) Nurses' experiences in their practice of policy implementation - TB diagnostic policy reform in the Western Cape, South Africa." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29488.

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This project focused on the recent global reforms in TB diagnostic policy and the implementation of Xpert MTB/RIF (GeneXpert) diagnostic technology into the health system, as a case to assess the extent to which software issues - particularly the human qualities of the system – mediates policy implementation. It centres the experiences of frontline workers in local implementation contexts as imperative because of frontline workers’ have discretionary power and influence in their practice. The premise of this mini-dissertation is that researchers and policy makers should centre the lived experiences of service delivery level health workers when implementing policy or programmatic reforms. This may deepen people-centred approaches which is essential for health systems strengthening. This mini-dissertation is structured into three parts: Part A: This is the research protocol that was submitted for ethical review and approval to the Faculty of Health Science Ethical Review Committee (FHSERC). The protocol frames the study objectives and the initial intentions of the research study. The justifications for the research question, theoretical framework, the research design, methods for data collection and analysis and timelines are clearly presented and discussed. Part B: Using GeneXpert policy reform implementation as a pathfinder, this section presents an undertaking of a structured narrative review of the existing literature addressing the major barriers and enablers for health systems implementation reform. This review assesses the extent to which people issues and people-centred practices are considered in policy implementation research of GeneXpert. The aim of this section of the dissertation is to identify and map-out literature considering the human experiences and relationships of frontline health workers and how these may intersect with hardware, contextual and social systemic factors, that may potentially mediate the implementation of GeneXpert TB diagnostic policy. Part C: This section presents the background, methodology, findings and interpretations from the research, as a journal-ready manuscript. This paper seeks to contribute to the policy implementation literature in the field of HPSR from the perspective of centering nurses' lived experience – especially nurses who are overburdened and undervalued – as imperative in the field of inquiry. The main findings reflect that nurses are burdened by the pressure to meet policy targets, the encumbrance to enforce administrative and bureaucratic procedure, and the minimal platforms or pathways to input on challenges and innovations back to higher level management and decision makers. Within the context of top-down, target-driven and highly structured and standardized operational processes for diagnosing TB, nurses navigate multiple overlapping and contradictory modes of being in their interactions with patients as a response to these pressures. This paper seeks to offer voice to nurses’ experiences of implementing TB diagnostic policy in PHC settings in SA considering its relationship with broader systemic and contextual influences. It also raises particular issues about tensions between efforts to achieve efficiency and effectiveness through enforcing the system, and facilitating people-centered and responsive practices in implementation.
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Ameermia, Miriam Ginette. "The integration of psychological services into primary health care (PHC) in South Africa : tensions in theory, policy and practice." Thesis, Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/4878.

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Thesis (MA (Psychology))--University of Stellenbosch, 2009.
ENGLISH ABSTRACT: This literature review follows the early origins of the integration of psychological services into Primary Health Care (PHC) to its promulgation by law under the new dispensation in South Africa post-1994. With a recent re-commitment in 2008 by government to PHC for health service delivery, the biomedical orientation of PHC is inherently problematic as the location for psychological services and runs contrary to a comprehensive discourse of care as envisioned locally and by the World Health Organisation (WHO). With such shifts in policy at a macro level and in a context in which the relevance of psychological theorising and praxis is under scrutiny, this review has highlighted that a bottom-up approach is necessitated; specifically one that will facilitate a convergence between policy, theory and practice, with its foundations informed by research.
AFRIKAANSE OPSOMMING: Hierdie literatuuroorsig begin by die vroeë beginpunt waar sielkundige dienste by Primêre Gesondheidsorg (PHC) ingelyf is, en volg die gebeure tot waar nuwe wetgewing hieroor in die nuwe post-1994-dispensasie in Suid-Afrika uitgevaardig is. Met die regering wat homself in 2008 herverbind het tot PHC vir gesondheiddiensverskaffing is die biomediese fokus van PHC vir sielkundige dienste inherent problematies, omdat dit in teenstelling met omvattende diskoers oor versorging staan, soos dit plaaslik en deur die Wêreldgesondheidsorgorganisasie (WHO) in die vooruitsig gestel word. Met makrovlakverskuiwings in beleid en in konteks waarin die toepaslikheid van teoretisering en praktyk op die gebied van die sielkunde onder die loep is, beklemtoon hierdie verslag dit dat onder-na-bo-benadering nodig is; spesifiek een wat sameloping tussen beleid, teorie en praktyk sal fasiliteer, en wat gegrond is op navorsing.
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Ntayiya, Witness Sakumzi. "Evaluating the quality of care for sexually transmitted infections (STI) in 14 primary health care (PHC) facilities in Umjindi local municipality, Mpumalanga Province." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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The overall aim of this study was to evaluate quality of STI services in Umjindi local municipality. A concrete objective was to investigate the health system issues that may have a negative impact in the provision of quality STI service in the local municipality. These include accessibility of the STI services to the community, training of health workers in syndromic management, availability of necessary equipment and supplies for STI management, turn-around time for blood results and infrastructure of the facilities.
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Books on the topic "Primary health care (PHC)"

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PHC/CBHC Regional Awareness Workshop (1st 1991 Okakarara, Namibia). Report on PHC/CBHC Regional Awareness Workshop: Central region. [Windhoek?]: Republic of Namibia, Ministry of Health and Social Services, 1991.

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Fiji) National Workshops on Integrating Mental Health into the PHC in Fiji (1999 Suva. Management of mental disorders and promotion of mental health in primary health care settings in Fiji: Proceedings of National Workshop on Integrating Mental into the PHC in Fiji in 1999. Fiji: Mgt. of Mental Disorders, 1999.

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Bwahama, Rose Kalemera. A study on mental health: An essential component of PHC in Tanzania : research paper on diploma training course of African communicators on primary health care. Tampere: University of Tampere, Unit of Peace Research and Development Studies, 1988.

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Workshop for the Rift Valley Province on Maternal Child Health (MCH) and Primary Health Care (PHC) Programmes (1990 Baringo, Kenya). Workshop for the Rift Valley Province on Maternal Child Health (MCH) and Primary Health Care (PHC) Programmes: Held in Baringo town from 3rd to 5th April, 1990. Nairobi: The Ministry, 1990.

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Great Britain. Parliament. House of Commons. Social Services Committee. Primary health care. London: H.M.S.O., 1986.

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Social Democratic Party. Working Party on Health and Personal Social Services. Primary health care. London: SDP, 1986.

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Bergerhoff, Petra, Dieter Lehmann, and Peter Novak, eds. Primary Health Care. Berlin, Heidelberg: Springer Berlin Heidelberg, 1990. http://dx.doi.org/10.1007/978-3-642-83240-6.

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Greenhalgh, Trisha, ed. Primary Health Care. Oxford, UK: Blackwell Publishing Ltd, 2007. http://dx.doi.org/10.1002/9780470691779.

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Cohen, Alan. Primary care mental health. Edited by Hill Alison. London: Emap Public Sector Management, 2000.

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Tanzania. Primary health care strategy. [Dar es Salaam]: Govt. of the United Republic of Tanzania, Ministry of Health, 1992.

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Book chapters on the topic "Primary health care (PHC)"

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Wilson, T. D., L. M. Irwig, and L. D. Saunders. "Evaluation of Polyclinic Services Run by Primary Health Care (PHC) Nurses in Soweto." In Primary Health Care in the Making, 381–85. Berlin, Heidelberg: Springer Berlin Heidelberg, 1985. http://dx.doi.org/10.1007/978-3-642-69977-1_74.

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Levy, Raymond A., and Milton Kotelchuck. "Fatherhood and Reproductive Health in the Antenatal Period: From Men’s Voices to Clinical Practice." In Engaged Fatherhood for Men, Families and Gender Equality, 111–37. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-75645-1_6.

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AbstractThere is very limited literature on the experiences of fathers during Obstetric prenatal care (PNC), especially hearing from fathers’ voices directly. The MGH Fatherhood Project conducted two annual surveys—data combined for analysis—of all fathers who accompanied their partners to prenatal care visits over 2-week periods at a large, tertiary-care urban hospital in Boston, MA. The anonymous, voluntary close-ended survey was offered in multiple languages and self-administered on iPads.Results: Nine hundred fifty nine fathers participated, 86% of attending fathers, possibly making the study the largest research sample of fathers in PNC. Fathers are actively and deeply engaged with the impending birth; they have substantial physical health needs (obesity, family planning and lack of primary care), and mental health needs (stress, depressive symptoms, and personal isolation). Fathers perceived they were well treated during the PNC visit, but were desirous of more reproductive, relational, and infant health information and skills, which they preferred to receive from publications, social media, or health professionals; and they were very supportive of PNC fatherhood initiatives.Discussion: The results suggest five sets of practical recommendations to create a more father-friendly environment in Obstetric care-Staff Training; Father-Friendly Clinic Environment; Explicit Affirmation of Father Inclusion; Development of Educational Materials; and Specialized Father-Focused Health Initiatives, all with the goal of improving reproductive health outcomes for families.
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Ciotti, Emanuele, Daniele Irmici, and Marco Menchetti. "Primary Care." In Health and Gender, 269–75. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-15038-9_28.

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Baggott, Rob. "Primary Health Care." In Health and Health Care in Britain, 245–74. London: Macmillan Education UK, 2004. http://dx.doi.org/10.1007/978-1-137-11638-3_10.

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Baggott, Rob. "Primary Health Care." In Health and Health Care in Britain, 210–27. London: Macmillan Education UK, 1998. http://dx.doi.org/10.1007/978-1-349-14492-1_9.

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Rogers, Anne, and David Pilgrim. "Primary Care." In Mental Health Policy in Britain, 143–56. London: Macmillan Education UK, 2001. http://dx.doi.org/10.1007/978-1-137-03963-7_8.

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Knowles, Ann-Marie, Vaithehy Shanmugam, and Ross Lorimer. "Primary Health Care." In Social Psychology in Sport and Exercise, 169–90. London: Macmillan Education UK, 2015. http://dx.doi.org/10.1007/978-1-137-30629-6_9.

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Laverack, Glenn. "Primary Health Care." In A–Z of Health Promotion, 163–64. London: Macmillan Education UK, 2014. http://dx.doi.org/10.1007/978-1-137-35049-7_62.

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Jefferys, Margot. "Primary health care." In Interprofessional issues in community and primary health care, 185–201. London: Macmillan Education UK, 1995. http://dx.doi.org/10.1007/978-1-349-13236-2_10.

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Salter, Brian. "Primary Health Care." In The Politics of Change in the Health Service, 75–97. London: Macmillan Education UK, 1998. http://dx.doi.org/10.1007/978-1-349-26224-3_5.

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Conference papers on the topic "Primary health care (PHC)"

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Grangeiro, Adriano Filipe Barreto, Lucy de Oliveira Gomes, Cristina da Silva Cunha, and Otávio de Toledo Nóbrega. "Effectiveness of Expressive Therapies in Sleep Disorders in Elderly Hyperfrequent of Primary Health Care." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.358.

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Background: Sleep disorders have multifactorial causes affecting 25 to 30%of the adult population, which can consist of primary or secondary conditions, representing a serious risk to public health. They are risk factors for the elderly population, estimating that 50% of this age group have symptoms related to sleep. Objectives: to verify the efficacy of expressive therapies (ET) in sleep disorders in hyperfrequent elderly (HE) of Primary Health Care (PHC). Methods: Quasi-experimental study, with 69 elderly people assisted at PHC in a metropolitan region of the Midwest, divided into two groups: intervention (hyperfrequent elderly) and control (non-hyperfrequent). The sleep questionnaires were used: Pittsburgh sleep quality index (PSQI), Epworth sleepiness scale (ESE), Insomnia severity index (ISI) and STOP-Bang (SB), in addition to the investigation of sociodemographic and anthropometric variables. and related to health services. For data analysis, chi-square tests, multivariate analysis of variance and Wilks’ Lambda test were used, considering p ≤ 0.05. Results: The intervention group (IG) showed a decrease in the scores of PSQI (p = 0.003), ESE (p = 0.006), ISI (p <0.001), SB (p = 0.002) with significant differences between groups. Conclusions: Expressive therapies were effective in hyperfrequent elderly, mitigating sleep disorders. Thus, by reducing sleep disorders in the group of hyperfrequent elderly people using non-pharmacological intervention in PHC, it is possible to improve sleep quality and, consequently, decrease the use of health services, reducing financial costs for the public health system.
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Sousa, Marianna Ramalho de, Beatriz da Silva Ávila, Caique Nunes Moreira, Carla Resende Vaz Oliveira, Laura dos Santos de Souza, Carolina Monte Santo Burdman Pereira, Michelly Hellem Alves de Freitas Gonçalves, et al. "Analysis of hospitalizations for Parkinson’s disease and the role of primary health care in patient care." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.038.

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Introduction: Parkinson’s disease (PD) is a neurological disorder that affects the dopamine-producing neurons and affects the patient’s movements. According to the World Health Organization, about 1% of the world’s population aged 65 years or older has PD. The study aims to analyze the hospitalizations for Parkinson’s disease in Brazil and highlight the importance of primary health care (PHC) in the care of these patients. Methods: This is an integrative literature review, using articles from the Pubmed and Medline databases, as well as the DATASUS database from January 2017 to January 2021. The descriptors used were: “Parkinson’s Disease”; “Comprehensive Health Care”; “Patient-Centered Care”. Results: In the period analyzed there were 3.536 hospitalizations for PD in Brazil with spending of R$14,937,372.3 highlighting the Southeast region that represents 49% of the total of these. Regarding sex, age and self-reported color/race, the most affected are men with 60.6%, individuals between 60 and 69 years (26.3%) and whites (49.9%). A total of 218 deaths were registered, with a mortality rate of 6.1%. Discussion: The PHC is responsible for part of the diagnosis and monitoring of patients with PD, being a central part in the coordination of care. It acts through the levels of care and improves the quality of life of its users through health actions, thus improving their quality of life. Conclusion: Basic health units must improve themselves through the continuous training of the professionals involved, thus resulting in a decrease in the mortality rate.
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Abdulrhim, Sara Hamdi, Mohamed Izham Mohamed Ibrahim, Sowndramalingam Sankaralingam, Mohammed Issam Diab, Mohamed Abdelazim Mohamed Hussain, Hend Al Raey, Mohammed Thahir Ismai, and Ahmed Awaisu. "The Perspectives of Healthcare Professionals and Patients on the Value of Collaborative Care Model for Diabetes in Primary Healthcare settings in Qatar." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0178.

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Background: Diabetes mellitus (DM) is one of the top health priorities in Qatar due to its high prevalence of 15.5%, which is projected to increase to 29.7% by 2035. DM management is still challenging despite healthcare advancement, warranting the need for a comprehensive Collaborative Care Model (CCM). Therefore, we aim to evaluate the value of CCM in DM care at a primary healthcare (PHC) setting in Qatar. Methodology: This study was a qualitative exploration of healthcare professionals’ (HCPs’) and patients’ perspectives on the value of CCM provided at the center. Twelve patients and twelve HCPs participated in semi-structured one-toone interviews. Qualitative data were analyzed and interpreted using a deductive coding thematic analysis process. Results: The interviews resulted in 14 different themes under the predefined domains: components of CCM (five themes), the impact of CCM (three themes), facilitators of CCM provision (three themes), and barriers of CCM provision (three themes). The majority of the participants indicated easy access to and communication with HCPs at QPDC. Participants appreciated the extra time spent with HCPs, frequent follow-up visits, and health education, which empowered them to self-manage DM. Generally, participants identified barriers and facilitators related to patients, HCPs, and healthcare system. Conclusion: The providers and users of CCM had an overall positive perception and appreciation of this model in PHC settings. Barriers to CCM such as unpleasant attitude and undesirable attributes of HCPs and patients, unsupportive hospital system, and high workload must be addressed before implementing the model in other PHC settings.
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Eltai, Nahla Omer, Lubna Abu Rub, Hana A. Mohamed, Asma A. Al Thani, Hamda Qotba, and Hadi M. Yassine. "Testing Air Quality of Primary Health Care Centers in Qatar." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0125.

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Background: Poor indoor air quality results in significant adverse effects on human health. In particular, the hospital atmospheric environment requires high air quality to protect patients and health care workers against airborne disease including nosocomial infections. Monitoring and surveillance programs of air pollutants and communicable diseases are essential as they provide information on the effectiveness of occupational hygiene and hazard control, and beneficial in assessing risks to community and environment. Objectives: This study aims to identify, monitor and report the level of air borne bacteria at four PHCC canters in Doha. Methodology: Four primary Health Centers (HC) were selected for testing air quality namely, Qatar University HC (North of Doha), AlRayan HC (West of Doha), Um Ghualina HC (Centre of Doha) and Old airport HC (South of Doha). Three sublocations were tested in each health center including a triage room, lobby and outdoor sample; each centre was visited once a month. Two sampling methods were used in this study: Anderson impactor (viable method) and filtration method (non-viable method). Anderson six stages impactor (TISCH Environmental, USA) was used to collect airborne bacteria on nutrient agar plates. Then the samples were incubated at 37 o C for 24 - 48 hours. The average colony- forming units (CFU) of bacteria was calculated per cubic meter of air (CFU/m3 ). On the other hand, the SKC Button Sampler (SKC Inc. PA, USA) was used to collect the airborne bacteria using cellulose ester filters. The collected isolates will be identified by sequencing 16srRNA (Miseq) later. Preliminary results: According to our preliminary results, the smallest average number of bacteria in the air was detected in QU HC, 3.2 (CFU/m3 ). While the highest average number was 44.7 CFU/m3 detected in Old Airport HC. Al-Rayyan HC and Om Ghuilina HC exhibited 30 and 20 CFU/m3 sequentially. Conclusions: Our preliminary results depicted that the occupancy pattern, size, and age of the building affect the number of bacteria in the air. However, more samples will be collected for better statistical sample size and analysis. .In addition, the captured airborne bacteria will be identified by 16s r RNA sequencing later.
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Fatani, Faris Nabil, and Kkaled Alsurimi. "4 Accelerating hemoglobin (HbA1C) test results in follow-up diabetic clinics at a primary healthcare (PHC) center using the point-of- care HbA1c testing device." In Patient Safety Forum 2019, Conference Proceedings, Kingdom of Saudi Arabia, Ministry of National Guard Health Affairs. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjoq-2019-psf.4.

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Khudadad, Hanan, and Lukman Thalib. "Antibiotics Prescription Patterns in Primary Health Care in Qatar – A Population based study from 2017 to 2018." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0169.

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Background: Antibiotics are antimicrobial drugs used in the treatment and prevention of bacterial infections. They played a pivotal role in achieving major advances in medicine and surgery (1). Yet, due to increased and inappropriate use of antibiotics, antibiotic resistance (AR) has become a growing public health problem. Information on antibiotic prescription patterns are vital in developing a constructive approach to deal with growing antibiotic resistance (2). The study aims to describe the population based antibiotic prescriptions among patients attending primary care centers in Qatar. Methodology: A population based observational study of all medications prescribed in the all Primary Health Care Centers during the period of 2017-2018 in Qatar. Records with all medication prescriptions were extracted and linked to medical diagnosis. Antibiotics prescriptions records were compared to non- antibiotics records using logistic regression model in identifying the potential predictors for antibiotic prescriptions. Results: A total of 11,069,439 medication prescriptions given over a period of two-years, we found about 12.1% (n= 726,667) antibiotics prescriptions were antibiotics, and 65% of antibiotics are prescribed and received by the patients at the first visits. Paracetamol (22.3%) was the first highest medication prescribed followed by antibiotics (12.1 %) and vitamin D2 (10.2 %). More than half of all antibiotics prescribed during the period of January 2017 to December 2018 were Penicillin (56.9%). We found that half of the antibiotics (49.3 %) have been prescribed for the respiratory system comparing to the other body system. We found that males were 29% more likely be given an antibiotic compared to females (OR=1.29, 95% CI= 1.24- 1.33). Implications: The study provides a baseline data to enable PHCC management to design effective intervention program to address the problem of antibiotics resistance. Furthermore, it will help the policymakers to comprehend the size of the issue and develop a system to manage the antibiotics therapy. Conclusion: Antibiotics was the second highest medication prescribed in the Primary Health Care Centers in Qatar after paracetamol and most of the patients received it at the first visit. Most of the prescriptions in Primary Health Care Centers in Qatar were for the respiratory system, and Penicillin was the highest class prescribed. Male visitors were prescribed antibiotics more than female visitors.
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Daniel, Sunitha, Mathews Numpeli, PG Balagopal, Paul George, Sisha Liz Abraham, PK Prem Ravi Varma, Chinnu Kurien, Jofin K. Johny, and Moni Abraham Kuriakose. "118 Planning and implementation of a cancer control program with integration of primary health care and palliative care services in a low middle income country." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 25 – 26 March 2021 | A virtual event, hosted by Make it Edinburgh Live, the Edinburgh International Conference Centre’s hybrid event platform. British Medical Journal Publishing Group, 2021. http://dx.doi.org/10.1136/spcare-2021-pcc.136.

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Kadhim, Dua Abdulrazak, Sarfraz Iqbal, and Päivi Jokela. "Electronic Health Records: Non-Swedish Speaking Refugee’s Perspective." In The 18th international symposium on health information management research. Linnaeus University Press, 2022. http://dx.doi.org/10.15626/ishimr.2020.16.

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Electronic health record (EHR) is a ubiquitous e-health tool that includes both Electronic Medical Record (EMR) and personal health record (PHR). EHR is aimed to be a versatile digital tool that can benefit both caregivers and patients through Quick and easy access to medical information at any time from hospitals or primary care. However, the fact that the bulk of core records, including self-service data for patients, is only available in Swedish may limit the scope, availability and feasibility of self service through EHRs access for refugee patients who are non-Swedish speakers. Research results suggest that the EHRs should be meaningful, modified, and improved based on patient’s needs, by actively involving patients in their healthcare. The issues such as EHRs an information sharing communication System, lack of Information about using EHR, language barrier a hinderance in using EHR, EHRs as medical recommendation system, better instructions about EHRs, presenting medical information in diagnosis part in EHRs in other languages and presenting medical information in diagnosis part in EHRs by sound are very important to address non-Swedish speaking refugee patients’ needs to use EHRs.
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Shinde, Sujit R., Ratnendra Shinde, Sunita Shanbhag, Mridula Solanki, Pavan Sable, and Sanjay Kimbahune. "mHEALTH-PHC - Application design for rural health care." In 2014 IEEE Canada International Humanitarian Technology Conference (IHTC). IEEE, 2014. http://dx.doi.org/10.1109/ihtc.2014.7147514.

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"The Prevalence of Depressive and Anxious Symptomatology and Use of Antidepressants Among Breast Cancer Patients :A Cross-Sectional Study ." In International Conference on Public Health and Humanitarian Action. International Federation of Medical Students' Associations - Jordan, 2022. http://dx.doi.org/10.56950/xsxm3127.

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Background: breast cancer is considered as one the most common type among women worldwide and for Jordanian citizens according to Jordan Ministry of health that there was around 1292 (38.4%) new cases of breast cancer reported in 2020, and The diagnosis of breast cancer is usually associated with psychological stress such as Anxiety and depression that is resulting from the diagnosis itself, where if it's was incurable diseases, fear of death, fear of loss, at the end previous studies show that there is a higher prevalence of depressive disorder which is up to two to three times more than the general population. Objective: Our goal in this cross-section study is to find out the prevalence of psychological and depressive disorders correlates to breast cancer (BC) in outpatient and inpatient setting as it was approved that depression is comorbid to cancer that should not be neglected. We also aim to identify risk factors of depression among study participants like cancer stage ( initial or later), income and marital status, and type of intervention chemotherapy or radiation therapy plus their treatment sessions Method: This study was conducted at king Abdullah university hospital in Irbid, King Hussein cancer center (KHCC), and queen Alia Military hospital in Amman, Jordan. More than 400 formed the study sample include inpatient and outpatient setting of breast cancer using in them Depression and anxiety assessment scale. In the inpatient setting The Hospital Anxiety and Depression Scale (HADS) instrument used, which is a 14-question instrument given to patients in a secondary care setting to screen for the presence and severity of depression and anxiety. Also, the beck depression Inventory (BDI) used, which is a self-report rating inventory that measures characteristics, attitudes, and symptoms of depression. In the outpatient setting The PHQ-9 instrument which includes nine questions given to the patient in primary care settings. The anxious symptomatology defined by using the GAD-7 instrument with a total score of 15 and above indicating a case with severe anxious symptomatology. Results: Our study findings demonstrated a higher prevalence of depressive and anxious symptomatology in the inpatient setting and advanced disease stages. In addition, the underutilization of antidepressant therapy was observed. there for we need to consider mental disorder as part of the treatment protocol for breast cancer patient. Keywords: anxiety , antidepressants medications, breast cancer, depression, inpatient, Jordan, outpatient
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Reports on the topic "Primary health care (PHC)"

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Jigjidsuren, Altantuya, Bayar Oyun, and Najibullah Habib. Supporting Primary Health Care in Mongolia: Experiences, Lessons Learned, and Future Directions. Asian Development Bank, January 2021. http://dx.doi.org/10.22617/wps210020-2.

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ince the early 1990s, the Asian Development Bank (ADB) has broadly supported health sector reforms in Mongolia. This paper describes primary health care (PHC) in Mongolia and ADB support in its reform. It highlights results achieved and the lessons drawn that could be useful for future programs in Mongolia and other countries. PHC reform in Mongolia aimed at facilitating a shift from hospital-based curative services toward preventive approaches. It included introducing new management models based on public–private partnerships, increasing the range of services, applying more effective financing methods, building human resources, and creating better infrastructure. The paper outlines remaining challenges and future directions for ADB support to PHC reform in the country.
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Howes, Lisa. Climate & environment assessment: Business case for advocacy for primary health care reform (PHC reform), DFID Nigeria. Evidence on Demand, August 2013. http://dx.doi.org/10.12774/eod_hd075.aug2013.howes.

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Toloo, Sam, Ruvini Hettiarachchi, David Lim, and Katie Wilson. Reducing Emergency Department demand through expanded primary healthcare practice: Full report of the research and findings. Queensland University of Technology, January 2022. http://dx.doi.org/10.5204/rep.eprints.227473.

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Demand for public hospital emergency departments’ services and care is increasing, placing considerable restraint on their performance and threatens patient safety. Many factors influence such demand including individual characteristics (e.g. perceptions, knowledge, values and norms), healthcare availability, affordability and accessibility, population aging, and internal health system factors (e.g patient flow, discharge process). To alleviate demand, many initiatives have been trialled or suggested, including early identification of at-risk patients, better management of chronic disease to reduce avoidable ED presentation, expanded capacity of front-line clinician to manage sub-acute and non-urgent care, improved hospital flow to reduce access block, and diversion to alternate site for care. However, none have had any major or sustained impact on the growth in ED demand. A major focus of the public discourse on ED demand has been the use and integration of primary healthcare and ED, based on the assumption that between 10%–25% of ED presentations are potentially avoidable if patients’ access to appropriate primary healthcare (PHC) services were enhanced. However, this requires not only improved access but also appropriateness in terms of the patients’ preference and PHC providers’ capacity to address the needs. What is not known at the moment is the extent of the potential for diversion of non-urgent ED patients to PHC and the cost-benefits of such policy and funding changes required, particularly in the Australian context. There is a need to better understand ED patients’ needs and capacity constraint so as to effect delivery of accessible, affordable, efficient and responsive services. Jennie Money Doug Morel
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Baker, Timothy. Oregon Primary Care Physicians' Support for Health Care Reform. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.6635.

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Baker, Robin. Primary Care and Mental Health Integration in Coordinated Care Organizations. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.5508.

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Basinga, Paulin, Paul Gertler, Agnes Binagwaho, Agnes Soucat, Jennifer Sturdy, and Christel Vermeersch. Paying Primary Health Care Centers for Performance in Rwanda. Unknown, 2010. http://dx.doi.org/10.35648/20.500.12413/11781/ii202.

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Thieschafer, Cheryl L. Definition of Roles and Responsibilities of Health Care Team Members in a Population-Based Model of Primary Health Care Delivery. Fort Belvoir, VA: Defense Technical Information Center, June 1997. http://dx.doi.org/10.21236/ada372084.

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Bradley, Cathy, David Neumark, and Lauryn Saxe Walker. The Effect of Primary Care Visits on Health Care Utilization: Findings from a Randomized Controlled Trial. Cambridge, MA: National Bureau of Economic Research, December 2017. http://dx.doi.org/10.3386/w24100.

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Abrams, Melinda Abrams, Mollyann Brodie Brodie, Jamie Ryan Ryan, Michelle Doty Doty, Liz Hamel Hamel, and Mira Norton Norton. Primary Care Providers' Views of Recent Trends in Health Care Delivery and Payment:Findings from the Commonwealth Fund/Kaiser Family Foundation 2015 National Survey of Primary Care Providers. New York, NY United States: Commonwealth Fund, August 2015. http://dx.doi.org/10.15868/socialsector.25044.

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Smit, Amelia, Kate Dunlop, Nehal Singh, Diona Damian, Kylie Vuong, and Anne Cust. Primary prevention of skin cancer in primary care settings. The Sax Institute, August 2022. http://dx.doi.org/10.57022/qpsm1481.

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Overview Skin cancer prevention is a component of the new Cancer Plan 2022–27, which guides the work of the Cancer Institute NSW. To lessen the impact of skin cancer on the community, the Cancer Institute NSW works closely with the NSW Skin Cancer Prevention Advisory Committee, comprising governmental and non-governmental organisation representatives, to develop and implement the NSW Skin Cancer Prevention Strategy. Primary Health Networks and primary care providers are seen as important stakeholders in this work. To guide improvements in skin cancer prevention and inform the development of the next NSW Skin Cancer Prevention Strategy, an up-to-date review of the evidence on the effectiveness and feasibility of skin cancer prevention activities in primary care is required. A research team led by the Daffodil Centre, a joint venture between the University of Sydney and Cancer Council NSW, was contracted to undertake an Evidence Check review to address the questions below. Evidence Check questions This Evidence Check aimed to address the following questions: Question 1: What skin cancer primary prevention activities can be effectively administered in primary care settings? As part of this, identify the key components of such messages, strategies, programs or initiatives that have been effectively implemented and their feasibility in the NSW/Australian context. Question 2: What are the main barriers and enablers for primary care providers in delivering skin cancer primary prevention activities within their setting? Summary of methods The research team conducted a detailed analysis of the published and grey literature, based on a comprehensive search. We developed the search strategy in consultation with a medical librarian at the University of Sydney and the Cancer Institute NSW team, and implemented it across the databases Embase, MEDLINE, PsycInfo, Scopus, Cochrane Central and CINAHL. Results were exported and uploaded to Covidence for screening and further selection. The search strategy was designed according to the SPIDER tool for Qualitative and Mixed-Methods Evidence Synthesis, which is a systematic strategy for searching qualitative and mixed-methods research studies. The SPIDER tool facilitates rigour in research by defining key elements of non-quantitative research questions. We included peer-reviewed and grey literature that included skin cancer primary prevention strategies/ interventions/ techniques/ programs within primary care settings, e.g. involving general practitioners and primary care nurses. The literature was limited to publications since 2014, and for studies or programs conducted in Australia, the UK, New Zealand, Canada, Ireland, Western Europe and Scandinavia. We also included relevant systematic reviews and evidence syntheses based on a range of international evidence where also relevant to the Australian context. To address Question 1, about the effectiveness of skin cancer prevention activities in primary care settings, we summarised findings from the Evidence Check according to different skin cancer prevention activities. To address Question 2, about the barriers and enablers of skin cancer prevention activities in primary care settings, we summarised findings according to the Consolidated Framework for Implementation Research (CFIR). The CFIR is a framework for identifying important implementation considerations for novel interventions in healthcare settings and provides a practical guide for systematically assessing potential barriers and facilitators in preparation for implementing a new activity or program. We assessed study quality using the National Health and Medical Research Council (NHMRC) levels of evidence. Key findings We identified 25 peer-reviewed journal articles that met the eligibility criteria and we included these in the Evidence Check. Eight of the studies were conducted in Australia, six in the UK, and the others elsewhere (mainly other European countries). In addition, the grey literature search identified four relevant guidelines, 12 education/training resources, two Cancer Care pathways, two position statements, three reports and five other resources that we included in the Evidence Check. Question 1 (related to effectiveness) We categorised the studies into different types of skin cancer prevention activities: behavioural counselling (n=3); risk assessment and delivering risk-tailored information (n=10); new technologies for early detection and accompanying prevention advice (n=4); and education and training programs for general practitioners (GPs) and primary care nurses regarding skin cancer prevention (n=3). There was good evidence that behavioural counselling interventions can result in a small improvement in sun protection behaviours among adults with fair skin types (defined as ivory or pale skin, light hair and eye colour, freckles, or those who sunburn easily), which would include the majority of Australians. It was found that clinicians play an important role in counselling patients about sun-protective behaviours, and recommended tailoring messages to the age and demographics of target groups (e.g. high-risk groups) to have maximal influence on behaviours. Several web-based melanoma risk prediction tools are now available in Australia, mainly designed for health professionals to identify patients’ risk of a new or subsequent primary melanoma and guide discussions with patients about primary prevention and early detection. Intervention studies have demonstrated that use of these melanoma risk prediction tools is feasible and acceptable to participants in primary care settings, and there is some evidence, including from Australian studies, that using these risk prediction tools to tailor primary prevention and early detection messages can improve sun-related behaviours. Some studies examined novel technologies, such as apps, to support early detection through skin examinations, including a very limited focus on the provision of preventive advice. These novel technologies are still largely in the research domain rather than recommended for routine use but provide a potential future opportunity to incorporate more primary prevention tailored advice. There are a number of online short courses available for primary healthcare professionals specifically focusing on skin cancer prevention. Most education and training programs for GPs and primary care nurses in the field of skin cancer focus on treatment and early detection, though some programs have specifically incorporated primary prevention education and training. A notable example is the Dermoscopy for Victorian General Practice Program, in which 93% of participating GPs reported that they had increased preventive information provided to high-risk patients and during skin examinations. Question 2 (related to barriers and enablers) Key enablers of performing skin cancer prevention activities in primary care settings included: • Easy access and availability of guidelines and point-of-care tools and resources • A fit with existing workflows and systems, so there is minimal disruption to flow of care • Easy-to-understand patient information • Using the waiting room for collection of risk assessment information on an electronic device such as an iPad/tablet where possible • Pairing with early detection activities • Sharing of successful programs across jurisdictions. Key barriers to performing skin cancer prevention activities in primary care settings included: • Unclear requirements and lack of confidence (self-efficacy) about prevention counselling • Limited availability of GP services especially in regional and remote areas • Competing demands, low priority, lack of time • Lack of incentives.
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