To see the other types of publications on this topic, follow the link: Rural health services Health education Rural Health. Health Education.
Journal articles on the topic 'Rural health services Health education Rural Health. Health Education'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Rural health services Health education Rural Health. Health Education.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Duncan, R. Paul. "Education for Rural Health Services Administration." Journal of Rural Health 6, no. 4 (October 1990): 533–37. http://dx.doi.org/10.1111/j.1748-0361.1990.tb00688.x.
Full text
2
Finlay, Sarah, Elizabeth Meggetto, Anske Robinson, and Claire Davis. "Health literacy education for rural health professionals: shifting perspectives." Australian Health Review 43, no. 4 (2019): 404. http://dx.doi.org/10.1071/ah18019.
Full textAbstract:
Health literacy is a major issue for improving health outcomes of clients. In rural Victoria, Australia, the Gippsland Health Literacy Project (GHLP) educated local health services staff about health literacy and provided tools and techniques for health literacy implementation in services. This paper reports the outcomes of this project. Participants’ change in knowledge was measured through pre- and post-project surveys and interviews. Descriptive analysis of survey data and analysis of interviews using qualitative description enabled exploration of individual and organisational shifts in health literacy perspectives. Healthcare professionals’ knowledge of health literacy has improved as a result of the health literacy education. Health service organisations are also taking greater responsibility for health literacy responsiveness in their services. Systematic changes to policy and procedures that support health literacy are required. Although health literacy education provides more accessible health care for consumers, where projects had executive-level support the changes implemented were more likely to be successful and sustainable. What is known about this topic? Low health literacy is a strong predictor of health status and it is important for health organisations to ensure they provide health care and information in a way that can be understood, interpreted and acted on by all clients, regardless of their health literacy levels. What does this paper add? This paper presents findings on staff training and resources that can effectively support staff to improve health literacy practices. What are the implications for practitioners? Addressing health literacy issues appears to result in more accessible health care for consumers. Executive support and health literacy champions are key requirements to successfully address health literacy issues.
3
Dai, Xianhua, and Wenchao Li. "Impact of Education, Medical Services, and Living Conditions on Health: Evidence from China Health and Nutrition Survey." Healthcare 9, no. 9 (August 30, 2021): 1122. http://dx.doi.org/10.3390/healthcare9091122.
Full textAbstract:
Education, medical services, and living conditions can influence individual health and health literacy. We used the 2015 China Health and Nutrition Survey data to analyze the impact of education, medical services, and living conditions on individual health by extending the Grossman model. As a result, using the instrumental variable (read, write, and draw) two-stage least square method, we found that education, medical services, and living conditions have a positive impact on individual health, both physical health and psychological health. Among them, medical services have the largest influence, followed by living conditions and education. In addition, the results are robust. However, individual characteristics, family income, and working status also affect individual health. Moreover, we observed heterogeneity in age, sex, and residence in the impact of education, medical services, and living conditions on individual health. In particular, the health of the rural elderly and elderly women is more sensitive to education, the medical services of middle-aged women and young men have a greater impact on their health, and the living conditions of the rural elderly and youth have a greater impact on their health. All the findings are helpful for optimizing the path of the Healthy China program.
4
Chavan, Girish Manohar, and Vishwajeet Manohar Chavan. "Knowledge, attitude and practices of secondary school teachers regarding school health services in children." International Journal Of Community Medicine And Public Health 5, no. 4 (March 23, 2018): 1541. http://dx.doi.org/10.18203/2394-6040.ijcmph20181232.
Full textAbstract:
Background: Being an essential member of school, it is the responsibility of teachers to inculcate healthy habits amongst children which thereby makes the future generation of a country healthy. Objective of the study was to assess knowledge, attitude and practices of school teachers and compare them between urban and rural school teachers with special reference to school health services.Methods: The present cross-sectional study was carried out in 520 rural teachers and 185 urban teachers with an aim of assessing teacher’s health related knowledge and skills.Results: Of the rural school teachers, 10.38% received school health training as compared to only 7.57% urban teachers. First aid training was received by 84 rural in contrast to only 24 urban school teachers. Mean percent knowledge score was similar for rural and urban school teachers. Mean percent attitude score amongst all schools, irrespective of their location, was 90%. Mean percent practice score among rural school teachers was 86.67% as compared to 76.67% among urban school teachers. Teacher performance score (sum of knowledge, attitude, and practices towards school health) in rural teachers was 79.64%, while that in urban school teachers was 72.21%.Conclusions: School teachers should be periodically assessed at various levels to get status of their knowledge and understanding regarding health education. It should be ensured that teachers should receive continued education and trainings related to health, especially importance of first aid and hygiene.
5
Acharya, Shashidhar, Harsimran Kaur, and Shobha Tandon. "Utilization of Mobile Dental Health Care Services to Answer the Oral Health Needs of Rural Population." Journal of Oral Health and Community Dentistry 6, no. 2 (2012): 56–63. http://dx.doi.org/10.5005/johcd-6-2-56.
Full textAbstract:
ABSTRACT Aim The activity was undertaken with the objective to assess the utility of a Mobile Dental Clinic to provide oral health services to the rural population. Material & Methods Baseline data collection of subjects was conducted according to the knowledge, attitude, practices and satisfaction proformas at Brahmavara and Byndoor community health centre catchment areas. Oral Health Education through models, video presentation and audio conversations were given to all subjects. Basic treatment was provided to all the subjects recruited for the study. The use and services of mobile dental clinics for oral health care services definitely showed lot of enthusiasm amongst the rural people. They were motivated to listen to oral health education lessons and avail the various oral treatments. Results There 3 month evaluation scores showed better satisfaction and also showed improved knowledge, attitude and practices. These differences were statistically supported by analysis. Conclusion To conclude, the mobile dental clinic proved to be an effective adjunct to the oral health service providers like dental colleges and private practitioners. They act as the first form of exposure to educate the rural people and alleviate their apprehensions towards oral health care.
6
Walker, Judi, Ros Hill, and Lorraine Green. "Tassie's Tele-rrific Telehealth Network: Linking Primary Health Care Services for Better Rural Health Outcomes." Australian Journal of Primary Health 6, no. 4 (2000): 108. http://dx.doi.org/10.1071/py00043.
Full textAbstract:
The Telehealth Tasmania Network is a statewide network covering a range of primary care services including Wound Management, Diabetes Education and Support, Specialist Clinics, Mental Health, Palliative Care, and health professional support and education. The Tasmanian Department of Health and Human Services instigated the Telehealth Network in conjunction with the Commonwealth Department of Communications, Information Technology and the Arts. The Network is built on a community development and primary care model. It is unique in that consultation with service providers and clients has determined the sites and services. Integration with other agencies is a key feature, with shared infrastructure ensuring viability and sustainability. Evaluation is an integral part of the design, development and implementation of the Network. It is a forward-looking process to guide program and policy development. Although the take-up rate has been relatively slow and uneven, the evaluation findings demonstrate how Information Technology and Advanced Telecommunications are being used effectively to link primary care services with each other and with acute care and institutional services. Key external factors for success and failure have been identified, showing that what works well in one place may well fail in another.
7
Heath, Olga J., Peter A. Cornish, Terrence Callanan, Kate Flynn, Elizabeth Church, Vernon Curran, and Cheri Bethune. "Building Interprofessional Primary Care Capacity in Mental Health Services in Rural Communities in Newfoundland and Labrador: An Innovative Training Model." Canadian Journal of Community Mental Health 27, no. 2 (September 1, 2008): 165–78. http://dx.doi.org/10.7870/cjcmh-2008-0026.
Full textAbstract:
The benefits of interprofessional care in providing mental health services have been recognized, particularly in rural communities where health services are limited. In addition, there is a need for more continuing professional education in mental health intervention in rural areas. Although interprofessional collaboration and continuing education have both been proposed to address the paucity of mental health services available in rural areas, there have been no programs developed in which the two components have been combined. This paper describes the development, implementation, and evaluation of an interprofessional continuing education program specifically designed to enhance rural mental health capacity.
8
Islam, Md Ziaul, Farhana Zaman, Sharmin Farjana, and Sharmin Khanam. "Accessibility to Health Care Services of Upazila Health Complex: Experience of Rural People." Journal of Preventive and Social Medicine 38, no. 2 (June 28, 2020): 30–37. http://dx.doi.org/10.3329/jopsom.v38i2.47862.
Full textAbstract:
Background: Upazila health complex (UHC) is the first referral health facility at primary level of health care delivery system in the country. Rural people attend the UHCs to meet their health care needs and demands. But accessibility of the rural people to the UHCs is still not up to the mark.
Objective: This study was conducted to assess accessibility of rural people to health care services of UHC.
Methods: The study was a cross-sectional study, which was conducted at the Kaliakair UHC of Gazipur district in Bangladesh during the period from January to December 2016. The study included 300 rural adults, who were selected systemically. Data were collected by face-to-face interview with the help of a semi-structured questionnaire. Prior to data collection, informed written consent was taken from each participant.
Results: The study revealed that males (51.3%) and females (48.7%) were very close in proportion with mean age of 35.73(±11.74) years. More than three fourth (77.3%) were married and 31.3% had primary education while 28.7% were illiterate. One third was housewives; average family size was 5.43 (±2.54) and average monthly family income was Tk.13920 (±10290.75). Around half of the participants choose the UHC for effective treatment and due to close distance from their residence while one third for low cost treatment and free of cost treatment. Around half of them didn‟t find any display board at the UHC. More than three fourth (82.0%) regarded doctor‟s behavior as „Good‟ while behavior of supporting staff was regarded „Good‟ by 66.0% participants. About half of the participants went to the UHC by rickshaw and 32.0% on foot. Average waiting time was 23.99 (±15.07) minutes to get access to treatment. Off all, 62.0% got full course of prescribed drugs but majority (71.3%) didn‟t get access to advised laboratory facility. Most (82.7%) could not be admitted in the hospital due to insufficient bed (24.2%) and inadequate treatment facility (22.6%), manpower (62.8%) and drug supply. Overall accessibility to UHC was „good‟ (21.3%) followed by „average‟ (31.3%) and „poor‟ (47.3%). It was found that females (53.3%) had significantly (p<0.05) poor accessibility to the UHC services than their counterpart males (41.1%). On the contrary, young adults, elderly, illiterate and primary education groups had significantly (p<0.05) „poor‟ accessibility to UHC services. Higher education (42.9% Masters and 36.4% Graduates) group had significantly „good‟ accessibility. More than half (53.1%) of the service holders and majority (60.0%) of higher income (Tk.30001-50000) group had had „average‟ and „good‟ accessibility respectively, which is statistically significant (p<0.05). Barriers to accessibility included long waiting time (67.0%), inadequate drug supply (62.0%), limited laboratory facility (40.0%), inadequate manpower (37.9%) and poor cooperation of the staff (32.0%) and communication (18.4%).
Conclusion: To improve accessibility of the rural people to the health care services of the UHC, associated problems must be overcome by effective measures and program interventions.
JOPSOM 2019; 38(2): 30-37
9
Hamidzadeh, Yousef, Mina Hashemiparast, Hadi Hassankhani, and Hamid Allahverdipour. "Obstacles for Iranian rural population to participate in health education programmes: a qualitative study." Family Medicine and Community Health 7, no. 1 (January 2019): e000020. http://dx.doi.org/10.1136/fmch-2018-000020.
Full textAbstract:
ObjectiveTo explore the obstacles of community participation in rural health education programmes from the viewpoints of Iranian rural inhabitants.DesignThis was a qualitative study with conventional content analysis approach which was carried out March to October 2016.SettingData collected using semistructured interviews that were digitally recorded, transcribed and analysed until data saturation. MAXQDA 10 software was used to manage the textual data.ParticipantParticipants were twenty-two seven clients from a rural community in Ardabil, Iran who were receiving health services from health centres.ResultThe main obstacles to participate in health education programmes in rural settings were ‘Lack of trust to the rural health workers’, ‘Adherence to neighbourhood social networks in seeking health information’ and ‘Lack of understanding on the importance of health education’.ConclusionRural health education programmes in Iran are encountered with a variety of obstacles. We need to enhancing mutual trust between the rural health workers and villagers, and developing community-based education programmes to promote health information seeking behaviours among villagers. The finding of this study will be a referential evidence for the qualitative improvement of local health education programmes for rural inhabitants.
10
Voss, Steven L. "The Church as an Agent in Rural Mental Health." Journal of Psychology and Theology 24, no. 2 (June 1996): 114–23. http://dx.doi.org/10.1177/009164719602400204.
Full textAbstract:
Many rural communities lack adequate mental health services. Additionally, there are specific problems associated with the delivery of services to rural citizens. A recent surge of interest in addressing rural concerns is prompting much needed research. This article suggests that the church can be an active agent in the delivery of services to rural populations. Ideas presented include: (a) identification and referral, (b) counseling networks utilizing local churches, (c) Christian counseling centers, (d) education and enrichment activities, (e) support groups, (f) lay counseling, (g) volunteer workers with the chronically mentally ill, and (h) clergy collaboration with local mental health practitioners.
11
Gum, Lyn Frances, Linda Sweet, Jennene Greenhill, and David Prideaux. "Exploring interprofessional education and collaborative practice in Australian rural health services." Journal of Interprofessional Care 34, no. 2 (August 20, 2019): 173–83. http://dx.doi.org/10.1080/13561820.2019.1645648.
Full text
12
Regmi, Kiran, and Kapil Amgain. "Needs, Challenges, and Opportunities in Establishing and Maintaining Medical Education in Karnali Academy of Health Sciences (KAHS)." Journal of Karnali Academy of Health Sciences 2, no. 2 (August 6, 2019): 79–80. http://dx.doi.org/10.3126/jkahs.v2i2.25165.
Full textAbstract:
The constitution of Nepal (2015), article 35 (Right relating to health) stated that every citizen shall have the right to free basic health services from the State, and no one shall be deprived of emergency health services. According to the World Bank report (collection of development indicators compiled from various official sources, 2016), Nepal has 81% rural and remote populations. Health service delivery is a complex reality for the rural and remote populations and faces enormous challenges. One of them is insufficient and uneven distribution of health workforce. The World Health Report concluded that "the severity of the health workforce crisis is in some of the world's poorest countries, of which 6 are in South East Asia out of 57 countries having critical shortages of health workforce."1Even after 13 years situation has not much improved. Nepal faces a critical shortage of trained health workforce, especially in rural and remote areas. Health workforce recruitment and retention in rural and remote areas is a difficult task challenged by the preferences and migration of health workforce to urban areas in country, or even abroad for better life and professional development.2 One of the most effective strategies for health workforce recruitment and retention for rural and remote areas could be that of establishing and maintaining Medical Education in rural and remote areas decentralized from urban academic medical centers.
13
Terwilliger, Susan H. "Early Access to Health Care Services Through a Rural School-Based Health Center." Journal of School Health 64, no. 7 (September 1994): 284–89. http://dx.doi.org/10.1111/j.1746-1561.1994.tb03309.x.
Full text
14
Sanders, Gregory F., Margaret A. Fitzgerald, and Marlys Bratteli. "Mental Health Services for Older Adults in Rural Areas: An Ecological Systems Approach." Journal of Applied Gerontology 27, no. 3 (March 11, 2008): 252–66. http://dx.doi.org/10.1177/0733464807311646.
Full textAbstract:
Groups of North Dakota professionals from health and aging services participated in a focus group study of mental health needs and barriers to service among older adults. Data were collected from 13 focus groups that included human service providers, public health nurses, out-reach workers, and advisory groups who discuss mental health and aging issues in a number of ecological systems contexts. Lack of knowledgeable care providers, funding cutbacks, accessibility of services, and ageism were frequently cited barriers to mental health services for older adults in rural areas. Focus groups also discussed the needs of older adults including information on services, how to access services, the need for service providers in rural areas, and routine assessments by physicians. Participants suggested that the main needs of providers were education, more services, and changes or flexibility in the types of services.
15
Asim, Muhammad, Saira Siddiqui, Nazia Malik, Waseem Nawaz, and Farman Ali. "ANTENATAL HEALTH CARE;." Professional Medical Journal 24, no. 04 (April 6, 2017): 495–99. http://dx.doi.org/10.29309/tpmj/2017.24.04.1531.
Full textAbstract:
Background: Prenatal and postnatal health care utilization services areimperative strategy to decrease maternal morbidity and mortality. One in 38 Pakistani womendies from pregnancy related causes as compared to 1 in 230 women in Sri Lanka. Objectives:The objective of the present study is to know about the pattern and trends of utilization ofantenatal and postnatal health care services by mothers in Pakistan. Study design: Descriptivesystematic literature review. Material and methods: The relevant literature was systematicallysearched through different key words related to antenatal and postnatal health care utilizationservices in Pakistan through different online research engines to accomplish this study.Results: Twenty five research articles were included in this review article. It was found thatlast two decades, we cannot achieve the optimum progress towards antenatal and postnatalhealth care utilization services. The problem is much severe in rural areas of across the country,where a number of socio-cultural and program factors hinders women to utilize the basic healthservices. Mother’s education, household income, autonomous at household decision makingand birth order are the significant factors that to utilize the antenatal and postnatal care inPakistan. Conclusion: There should be need to aware the mother about the importance ofprenatal and postnatal visits. In rural areas, government should give some economic incentivefor prenatal and postnatal visits. Furthermore, government should take necessary steps totackle the problem by providing the easy access to the health care facilities.
16
Farrell, Elizabeth, and Sara Knight. "Rural Women's Health Education: A Model of Best Practice." Australian Journal of Primary Health 4, no. 3 (1998): 135. http://dx.doi.org/10.1071/py98040.
Full textAbstract:
The Jean Hailes Foundation has a distinct approach to the health care of women. The integration of a team of clinicians, educators and researchers enables the Foundation to give women access to relevant, timely and clear information about their health and health care issues to assist them in making informed health choices. The Rural Women's Education Program has been developed to meet the increasing demand for more information by rural Australians. The isolation of rural women, their difficulties in service access and transport availability are some of the problems addressed in the planning process for each respective area. To date each program has consisted of large public seminars, interactive information sessions and professional training. The response to each program has been overwhelming. Local ownership of the event has been part of its success. The 'Regional Women's Health Plan, 1998 - 2000' for the Barwon-South Western Region outlined certain health needs in the area. The Foundation responded to this need and, in collaboration with local network leaders, devised a program to meet the specific needs of that community. The planning process, delivery and evaluation of this successful program are discussed.
17
Cheung, Alan C. K. "How Should Education in Rural Areas be Reformed?" Science Insights Education Frontiers 9, no. 1 (June 30, 2021): 1113–17. http://dx.doi.org/10.15354/sief.21.co015.
Full textAbstract:
Rural areas are the product of the development of productivity to a certain stage. Generally, rural areas are geographical areas located outside of cities and towns. The Health Resources and Services Administration of the U.S. Department of Health and Human Services defines the term “rural” as “...not including all population, housing, and territory in urban areas. Anything that is not in a city is regarded as a rural area” (HRSA, 2021). From the perspective of production methods, rural areas refer to “a place where people mainly engaged in agricultural production live together” (The Dictionary Editing Office of the Institute of Languages, Chinese Academy of Social Sciences, 2005). When productivity has not yet reached a high level of development, there are still essential differences between urban and rural areas. Affected by economic transformation and geographical location, rural economic growth has been restricted. According to United Nations statistics, in 2018, the rural population accounted for more than half of the global population, and the rural poor accounted for 79% of the worldwide poverty population; the poverty rate in rural areas was more than three times that of urban areas. Of the 2 billion people in the world who do not have basic health services, 70% live in rural areas; the ratio of energy access in rural areas is about 75%, while that in urban areas is 96% (United Nations General Assembly, 2018).
18
Pines, Eula W., Maureen Rauschhuber, and Sarah Williams. "Health Connections." Californian Journal of Health Promotion 4, no. 4 (December 1, 2006): 52–62. http://dx.doi.org/10.32398/cjhp.v4i4.1987.
Full textAbstract:
Nearly half of Zambia's population is under 15 years old, with an estimated 630,000 “AIDS orphans,” children who’s parents have died from HIV/AIDS, and are now left to survive without complete families. Zambian caregivers of these AIDS orphans have been overwhelmed with the task of providing grief counseling services to these children. Nursing professionals at the University of the Incarnate Word responded to the professional development needs of grief counselors in Zambia, and launched Health Connections in 2004-2006. Health Connections is a cross-cultural grief education program designed to educate caregivers in a rural Zambian village on how to help grieving children. The purpose of this paper is to discuss the process of assessment, planning, implementation, and evaluation of the Health Connections “train-the-trainers” program.
19
Owen, Cathy, Christopher Tennant, Deslee Jessie, Michael Jones, and Valerie Rutherford. "A Model for Clinical and Educational Psychiatric Service Delivery in Remote Communities." Australian & New Zealand Journal of Psychiatry 33, no. 3 (June 1999): 372–78. http://dx.doi.org/10.1046/j.1440-1614.1999.00578.x.
Full textAbstract:
Objective: A model of intermittent psychiatric service provision to rural and remote New South Wales communities by metropolitan psychiatrists and mental health professionals has been evaluated. The services provided included peer support to lone mental health and generic health workers, direct psychiatric care to clients in their own environment and skills development education sessions to general health staff and other professionals affiliated with health care (e.g. police and ambulance officers). Method: There were 10 visits of teams made up of a psychiatrist and another mental health professional to six rural and remote locations. Outcomes of the services delivered were examined including clinical services and teaching skills training sessions. Indirect outcome measures included changes to Pharmaceutical Benefits Scheme prescription patterns in areas serviced and data regarding transfer of clients for psychiatric care in regional centres. Difficulties in evaluation are discussed. Results: The feasibility of intermittent service provision was demonstrated. Education packages were well received and a positive change in workers' attitudes toward mental health practice was found. Conclusion: Intermittent psychiatric services in remote settings add value to health care delivery particularly when dovetailed with skills-based education sessions.
20
Sui, Wuyou, and Danica Facca. "Digital health in a broadband land." Health Science Inquiry 11, no. 1 (August 10, 2020): 140–43. http://dx.doi.org/10.29173/hsi294.
Full textAbstract:
The rapid rise and widespread integration of digital technologies (e.g., smartphones, personal computers) into the fabric of our society has birthed a modern means of delivering healthcare, known as digital health. Through leveraging the accessibility and ubiquity of digital technologies, digital health represents an unprecedented level of reach, impact, and scalability for healthcare interventions, known as digital behaviour change interventions (DBCIs). The potential benefits associated with employing DBCIs are of particular interest for populations that are disadvantaged to receiving traditional healthcare, such as rural populations. However, several factors should be considered before implementing a DBCI into a rural environment, notably, digital health literacy. Digital health literacy describes the skills necessary to successful navigate and utilize a digital health solution (e.g., DBCI). Given their limited access to high-speed internet, higher cost associated for similar services, and poorer development of information and communication technologies (ICTs), most rural populations likely report lower digital health literacy – specifically, computer literacy, the ability to utilize and leverage digital technologies to solve problems. Hence, DBCIs should address this ‘digital divide’ between urban and rural populations before implementation. Practical solutions could include evaluating rural communities’ access to ICTs, needs assessments with rural community members, as well as integrating rural community stakeholders into the design of digital literacy education and interventions.
21
Siegloff, L., L. Cusack, P. Arbon, A. Hutton, and L. Mayner. "(A109) Health Workforce and Disaster Preparedness of Rural Hospitals." Prehospital and Disaster Medicine 26, S1 (May 2011): s30—s31. http://dx.doi.org/10.1017/s1049023x11001117.
Full textAbstract:
Following the devastating March 2009 Victorian bushfire disaster in rural areas of Australia, authorities reviewed strategies designed to protect communities during periods of extreme fire risk. New policy and regulation were introduced and designed to ensure that small rural communities were protected and prepared to confront a wildfire emergency during days of extreme heat or bushfire risk weather. As a result on days of declared ‘catastrophic’ bushfire weather conditions government agencies in South Australia have implemented a policy for schools (including pre-schools) to be temporarily closed. On these days community members are advised to evacuate early to safe regional centres, and to limit travel on country roads. The WADEM Guidelines for Disaster Evaluation and Research demonstrate that Basic Societal Functions (BSFs), such as education, health, transport and others, are interconnected and interdependent. For example in small rural communities in South Australia people may have a number of important roles including being parents, volunteers of emergency services while also being employed as staff of local hospitals. This project reviewed the impact of school closures and other protective measures on the availability of the rural nursing workforce and on rural hospitals. Rural hospitals in Australia are staffed, on average, by 2–8 nurses, service very small communities and are separated by great distances. As a result, small changes in the absentee rate for nurses can have a significant impact on the operation of these hospitals. This paper will argue that policy changes in other sectors, such as education, can impact on societal activities such as childcare, volunteer emergency service work, and hospital staffing, in ways that may not be anticipated unless the impact on all Basic Societal Functions are considered by policymakers.
22
Ebenezer, Johann A., and Robert E. Drake. "Community mental health in rural India: the Shifa project in Padhar Hospital, Madhya Pradesh." BJPsych International 15, no. 2 (March 12, 2018): 38–40. http://dx.doi.org/10.1192/bji.2017.8.
Full textAbstract:
People with severe mental disorders in rural India have minimal access to mental health services. Project Shifa entails outreach to patients and families in 75 villages in rural central India. A team of local health workers led by one psychiatrist provide assessment, medications, education and follow-up services.
23
Egwu, I. N. "Community Health Intervention Program (Chip): Re-Educating Health Professionals for Primary Health Care." International Quarterly of Community Health Education 8, no. 1 (April 1987): 81–90. http://dx.doi.org/10.2190/5djn-v22j-farb-6wn4.
Full textAbstract:
Primary health care (PHC) in most developing countries remains largely inaccessible to a vast proportion of urban and rural populations. It is neither influenced by, nor integrated with, preventive care/community development. This may be attributed partly to lack of community participation by communities. Professional health care is isolated and impervious to the influence of health care users. In Nigeria all functional correlates are available in the existing health systems; yet, the impact is not felt. What is needed, and urgently, is an intervention to extend meaningful health care delivery into the urban poor and rural communities. The Nigerian Youth Service Corps (NYSC) scheme, through a rational and systematic mobilization and utilization of its health manpower, offers an excellent opportunity to demonstrate that PHC can work. A two-step intervention process is proposed: a reorientation during NYSC “orientation,” and a community-based practice module, during the NYSC “Primary Assignment” phase. Health professionals working as a “team,” and led by NYSC doctor(s), undertake their medical care responsibilities as well as community development projects as integrated aspects of PHC. It is envisaged that experiences accruing from such a deliberate intervention with a pilot project, will form a basis for operational adoption of the proposed CHIP as a national model.
24
Logan, Ryan I., and Heide Castañeda. "Addressing Health Disparities in the Rural United States: Advocacy as Caregiving among Community Health Workers and Promotores de Salud." International Journal of Environmental Research and Public Health 17, no. 24 (December 10, 2020): 9223. http://dx.doi.org/10.3390/ijerph17249223.
Full textAbstract:
Rural populations in the United States are faced with a variety of health disparities that complicate access to care. Community health workers (CHWs) and their Spanish-speaking counterparts, promotores de salud, are well-equipped to address rural health access issues, provide education, and ultimately assuage these disparities. In this article, we compare community health workers in the states of Indiana and Texas, based on the results of two separate research studies, in order to (1) investigate the unique role of CHWs in rural communities and (2) understand how their advocacy efforts represent a central form of caregiving. Drawing on ethnographic, qualitative data—including interviews, photovoice, and participant observation—we analyze how CHWs connect structurally vulnerable clients in rural areas to resources, health education, and health and social services. Our primary contribution to existing scholarship on CHWs is the elaboration of advocacy as a form of caregiving to improve individual health outcomes as well as provoke structural change in the form of policy development. Finally, we describe how CHWs became especially critical in addressing disparities among rural populations in the wake of COVID-19, using their advocacy-as-caregiving role that was developed and well-established before the pandemic. These frontline workers are more vital than ever to address disparities and are a critical force in overcoming structural vulnerability and inequities in health in the United States.
25
Kim, Glen, Suzanne Griffin, Hedeyat Nadem, Jawad Aria, and Lynn Lawry. "Evaluation of an Interactive Electronic Health Education Tool in Rural Afghanistan." Prehospital and Disaster Medicine 23, no. 3 (June 2008): 218–26. http://dx.doi.org/10.1017/s1049023x00064918.
Full textAbstract:
AbstractIntroduction: Low education levels may limit community-based health worker (CHW) efforts in rural Afghanistan. In 2004, LeapFrog Enterprises and the United States Department of Health and Human Services developed the Afghan Family Health Book (AFHB), an interactive, electronic picture book, to communicate public health messages in rural Afghanistan. Changes in health knowledge among households exposed to the AFHB vs. CHWs were compared.Methods: From January–June 2005, baseline and follow-up panel surveys were administered in Pashto-speaking Laghman and Dari-speaking Kabul provinces. Within each province, an AFHB and a CHW district were randomly sampled using a stratified, 2-staged cluster sample design (total 98 clusters and 3,372 households). Surveys tested knowledge of 17 health domains at baseline and on follow-up at three months. For each domain, multivariate logistic regression was used to assess the effect of the AFHB on follow-up pass rates, controlling for demographics and differences in baseline knowledge.Results: Both AFHB and CHW resulted in statistically significant changes in pass rates on follow-up, although there were greater gains among AFHB users for five domains among Pashto-speakers (micronutrients, malaria, sexually transmitted diseases, postpartum care, and breast-feeding) and seven domains among Dari-speakers (diet, malaria, mental health, birth-spacing, and prenatal/neonatal/postpartum care). Community-based health workers effected greater knowledge gains only for the Dari breast-feeding module. Participants favored CHW over the AFHB, which they found poorly translated and difficult to use.Conclusions: The AFHB has potential to improve public health knowledge among rural Afghans. Future efforts may benefit from involvement of local health agencies and the integration of interactive technology with traditional CHW approaches.
26
Moorhouse, Christopher, Maria George, and Beth Smith. "Palliative Care in Rural Australia: Involving the Community in Multidisciplinary Coordinated Care." Australian Journal of Primary Health 6, no. 4 (2000): 141. http://dx.doi.org/10.1071/py00047.
Full textAbstract:
This paper describes the process and outcomes of a project aimed at promoting community based multidisciplinary coordinated palliative care services in rural Australia. In preliminary health service needs assessment in rural Tasmania, key health workers appealed for additional information, support and education in palliative care. They expressed a preference for this education to be delivered locally to strengthen existing knowledge in communities and to take into account contextual factors. The project aimed to enhance skills available in rural communities by involving key stakeholders including formal and informal carers, volunteers, clergy, pharmacists, community nurses and general practitioners. The project objective was to strengthen existing expertise and commitment in rural communities, enabling service providers to respond to community needs in a sustainable way. This was achieved by facilitating options for sustainable linkages and ongoing support and through outreach programs from urban Palliative Care Units. An important element in this was the Tasmanian Telehealth network, which harnesses videoconferencing, digital diagnostic equipment and image transmission technologies to offer access to healthcare services to Tasmania's rural and isolated communities. The process centred on workshops facilitated by a multidisciplinary team, which provided information about the core components of palliative care. The paper reports on the responses of health professionals and community participants to the workshops.
27
Wang, Xiaofei, and Jiehua Lu. "Health and health care disparities among women in mainland China." Asian Education and Development Studies 6, no. 2 (April 10, 2017): 166–78. http://dx.doi.org/10.1108/aeds-01-2016-0003.
Full textAbstract:
Purpose Women’s health is considered a big public health issue, impacting personal well-being, family reproduction, and society’s development. Since the foundation of the People’s Republic of China, major improvements in women’s social status and health have been made. However, far less has been achieved with respect to gender equality and women still face health disparities. The purpose of this paper is to provide a better understanding of health and health care disparities among women and their determinants in China today. Design/methodology/approach This paper used the Statistical Yearbook of Health and Family Planning 2014, the 2010 Women’s Social Status Survey and 2010 census data from the National Bureau of Statistics to give an overall description of disparity in health care and health outcome facing women. Findings Progress in health is not equally shared by the female population, and the differences in women’s health by region and in urban and rural areas are considerable. The existing health disparities are still faced by women in terms of life expectancy, hazardous working environment, and health care services. As to gender differences among the elderly aged 60+, men have better health status compared to women. In addition, women are more financially dependent on other family members for the main source of daily living, reflecting their economic disadvantages. Originality/value This study gives a comprehensive and the latest overview of trends of women’s health progress, disparities in health care, and health outcomes both in female population and between genders by using three data sources.
28
Smith, Lisa D., Patrick L. Peck, and Rene J. McGovern. "Factors Contributing to the Utilization of Mental Health Services in a Rural Setting." Psychological Reports 95, no. 2 (October 2004): 435–42. http://dx.doi.org/10.2466/pr0.95.2.435-442.
Full textAbstract:
The purpose of this study was to examine if age, attitudes toward help-seeking, education, and sex were related to previous or intended future mental health utilization in a rural population. Data were collected via a mail survey from 438 adults. Regression analyses suggested that positive attitudes toward help-seeking, being female, and being younger were significantly related to both previous and intended future mental health service utilization. In addition, prior mental health use was significantly related to whether one would seek out mental health services in the future. Implications for mental health practitioners in rural settings are addressed, and limitations of the study discussed.
29
Liu, Jinlin, and Ying Mao. "Rural Resident Experience on National Basic Public Health Services: A Cross-Sectional Survey in 10 Western Provinces of China." Healthcare 7, no. 4 (December 7, 2019): 160. http://dx.doi.org/10.3390/healthcare7040160.
Full textAbstract:
National basic public health services (BPHSs) are important for promoting the health of rural populations. A better understanding of rural BPHSs from the viewpoint of residents utilizing the services can help health-related departments and primary health care (PHC) centers further improve rural BPHSs. By conducting a large-scale cross-sectional survey in 10 western provinces of China, the study depicts rural resident experiences with rural BPHSs. Of the 9019 participants, 59.33% and 66.48% did not receive services related to health examinations or health education in the six months prior to the survey, respectively. A total of 56.90% were satisfied with the rural BPHSs, and the mean overall satisfaction score was 3.61 ± 0.908 (out of a maximum of 5). The most satisfying domain for rural residents with BPHSs was the attitude of PHC workers, whereas rural residents with chronic diseases were the least satisfied with the health management. Satisfaction with the attitude of PHC workers was identified as the strongest determinant of rural residents’ overall satisfaction with BPHSs. This study could enlighten rural BPHSs management in China.
30
van Vulpen, Kimberly Searcey, Amy Habegar, and Teresa Simmons. "Rural School-Based Mental Health Services: Parent Perceptions of Needs and Barriers." Children & Schools 40, no. 2 (February 16, 2018): 104–11. http://dx.doi.org/10.1093/cs/cdy002.
Full textAbstract:
Abstract The benefits of school-based mental health services have been supported in prior research and literature. Studies have shown that approximately one in five youths in schools today have diagnosable mental health disorders. However, research has identified that close to 70 percent of those youths do not receive the services they need. This gap in care has a significant impact on the academic, social, and emotional well-being of youths. Parent involvement is essential in bridging services. However, parents often face barriers in accessing mental health care for their child. The aim of this study was to explore parent perceptions of needs and barriers to school-based mental health services. This exploratory study included 607 parent and guardian respondents. Findings showed that parents were overwhelmingly in support of schools being involved in addressing the mental health needs of students. Anxiety, depression, and bullying were the top emotional and behavioral issues that parents recognized as the main challenge for their child. Lack of parent support, understanding that mental health issues even exist in youths, and lack of supportive school programs were identified as key factors that place youths at risk of not receiving the services they need.
31
Lessing, Kate, and Ilse Blignault. "Mental health telemedicine programmes in Australia." Journal of Telemedicine and Telecare 7, no. 6 (December 1, 2001): 317–23. http://dx.doi.org/10.1258/1357633011936949.
Full textAbstract:
A national survey of mental health telemedicine programmes was conducted and data collected on their catchment areas, organizational structure, equipment, clinical and non-clinical activity, and use by populations who traditionally have been poorly served by mental health services in Australia. Of 25 programmes surveyed, information was obtained for 23. Sixteen programmes had dealt with a total of 526 clients during the preceding three months. Of these, 397 (75%) were resident in rural or remote locations at the time of consultation. Thirty-seven (7%) were Aboriginals or Torres Strait Islanders. Only 19 (4%) were migrants from non-English-speaking backgrounds. The programmes provided both direct clinical and secondary support services. Overall, the number of videoconferencing sessions devoted to clinical activity was low, the average being 123 sessions of direct clinical care per programme per year. Videoconferencing was also used for professional education, peer support, professional supervision, administration and linking families. The results of the study suggest that telehealth can increase access to mental health services for people in rural and remote areas, particularly those who have hitherto been poorly served by mental health services in Australia.
32
Al Nahedh, Nosa N. A. "Factors affecting the choice of maternal and child health services in a rural area of Saudi Arabia." Eastern Mediterranean Health Journal 1, no. 2 (August 30, 2021): 261–69. http://dx.doi.org/10.26719/1995.1.2.261.
Full textAbstract:
Thistudy examines factors affecting the choice of maternal and child health services in a rural area in Saudi Arabia. A house-to-house survey of 329 women in Al-Oyaynah village, north-west of Riyadh city, was carried out to determine the maternal factors associated with this choice. The variables examined included age, duration of marriage, education, occupation, income, parity and husband’s education. The analysis showed that distance from the health service, education of the mother and her age were the strongest determinants of the choice of maternal child health service used
33
Ward, William B., Alfred K. Neumann, and Matilda E. Pappoe. "Community Health Education in Rural Ghana: The Danfa Project—An Assessment of Accomplishments." International Quarterly of Community Health Education 25, no. 1 (April 2005): 37–48. http://dx.doi.org/10.2190/v152-4248-2384-8440.
Full textAbstract:
The Danfa Comprehensive Rural Health and Family Planning Project was a joint effort of the Ghana Medical School, the Ministry of Health, UCLA, and USAID. A health education component was developed as an integral part of program inputs during the initial conceptual phase of the project. As a result non-equivalent experimental and control areas were designated permitting an assessment of program impact during a five-year period (1972–1977) for which baseline and follow-up study data were available. A new cadre of community-based workers (Health Education Assistants) was developed from existing health personnel in the country, and trained in health education and multipurpose health work. Although the HEAs were found to have difficulty in bringing about changes in health practices when other support services were not available, they did have measurable impact on villagers' adoption of family planning methods and a number of specific health practices.
34
Nair, Kesavan Sreekantan. "Health workforce in India: opportunities and challenges." International Journal Of Community Medicine And Public Health 6, no. 10 (September 26, 2019): 4596. http://dx.doi.org/10.18203/2394-6040.ijcmph20194534.
Full textAbstract:
Health system reforms in India during the past decade yielded an impressive growth of medical, dental and nursing education opportunities, but health workforce density remains low in comparison to the World Health Organization (WHO) norms. Apart from shortage, retaining qualified health workforce in the rural and underserved areas remains a huge challenge. This crisis is likely to persist until and unless health system addresses the fundamental requirements of health workers as envisaged in health policies. Concerted attention and long term political commitments are required to overcome health system barriers to achieve rural recruitment and retention across various cadres in states. As the major share of health workforce belongs to the private sector, their resources need to be harnessed to meet health system goals through partnerships and collaborations. There is an urgent need for better regulation and enforcement of standards in medical education and delivery of health services across the public and private sectors.
35
Turner, Ruth, and Ross Hartley. "Status of total quality management in Australian public health organisations." Australian Health Review 21, no. 1 (1998): 77. http://dx.doi.org/10.1071/ah980077.
Full textAbstract:
Research suggests that there is some confusion among quality improvement managersabout the differences between quality management and traditional quality assurance.This lack of understanding would appear to be the same among rural and urbanhealth staff, although there is a higher percentage of staff engaged in multidisciplinaryactivities in the rural health services. Education of staff and commitment from topmanagement would seem to be the factors inhibiting the health industry fromincorporating quality management into their cultures.
36
ADDAI, ISAAC. "DETERMINANTS OF USE OF MATERNAL–CHILD HEALTH SERVICES IN RURAL GHANA." Journal of Biosocial Science 32, no. 1 (January 2000): 1–15. http://dx.doi.org/10.1017/s0021932000000018.
Full textAbstract:
This study uses data from the Ghana Demographic and Health Survey (GDHS) of 1993 to examine factors determining the use of maternal–child health (MCH) services in rural Ghana. The MCH services under study are: (1) use of a doctor for prenatal care; (2) soliciting four or more antenatal check-ups; (3) place of delivery; (4) participation in family planning. Bivariate and multivariate techniques are employed in the analyses. The analyses reveal that the use of MCH services tends to be shaped mostly by level of education, religious background and region of residence, and partially by ethnicity and occupation. The implications of these results are discussed.
37
Puskar, Kathryn, Kirsti M. H. Stark, Carl Fertman, Lisa Marie Bernardo, Richard Engberg, and Richard Barton. "School Based Mental Health Promotion." Californian Journal of Health Promotion 4, no. 4 (December 1, 2006): 13–20. http://dx.doi.org/10.32398/cjhp.v4i4.1982.
Full textAbstract:
Integrating health education and health promotion into practice is routinely done by nurses. According to a national survey, the need for mental health services has increased in over two thirds of school districts. This article describes the screening of 193 adolescents in Rural Western Pennsylvania’s 9th, 10th, and 11th graders for depressive symptoms. Ten percent (N=19) of students had depressive symptoms, the majority of which were female. These students were interviewed by the research team. The outcome themes and referrals are reported as well as the discussion of implications for nurses in screening for depression and health promotion.
38
Rajpal, Sunil, William Joe, Malavika A. Subramanyam, Rajan Sankar, Smriti Sharma, Alok Kumar, Rockli Kim, and S. V. Subramanian. "Utilization of Integrated Child Development Services in India: Programmatic Insights from National Family Health Survey, 2016." International Journal of Environmental Research and Public Health 17, no. 9 (May 4, 2020): 3197. http://dx.doi.org/10.3390/ijerph17093197.
Full textAbstract:
The Integrated Child Development Services (ICDS) program launched in India in 1975 is one of the world’s largest flagship programs that aims to improve early childhood care and development via a range of healthcare, nutrition and early education services. The key to success of ICDS is in finding solutions to the historical challenges of geographic and socioeconomic inequalities in access to various services under this umbrella scheme. Using birth history data from the National Family Health Survey (Demographic and Health Survey), 2015–2016, this study presents (a) socioeconomic patterning in service uptake across rural and urban India, and (b) continuum in service utilization at three points (i.e., by mothers during pregnancy, by mothers while breastfeeding and by children aged 0–72 months) in India. We used an intersectional approach and ran a series multilevel logistic regression (random effects) models to understand patterning in utilization among mothers across socioeconomic groups. We also computed the area under the receiver operating characteristic curve (ROC-AUC) based on a logistic regression model to examine concordance between service utilization across three different points. The service utilization (any service) by mothers during pregnancy was about 20 percentage points higher for rural areas (60.5 percent; 95% CI: 60.3; 30.7) than urban areas (38.8 percent; 95% CI: 38.4; 39.1). We also found a lower uptake of services related to health and nutrition education during pregnancy (41.9 percent in rural) and early childcare (preschool) (42.4 percent). One in every two mother–child pairs did not avail any benefits from ICDS in urban areas. Estimates from random effects model revealed higher odds of utilization among schedule caste mothers from middle-class households in rural households. AUC estimates suggested a high concordance between service utilization by mothers and their children (AUC: 0.79 in rural; 0.84 in urban) implying a higher likelihood of continuum if service utilization commences at pregnancy.
39
Chavan, Vishwajeet Manohar, and Girish Manohar Chavan. "School health performance score: a comparative study between rural and urban school performance." International Journal Of Community Medicine And Public Health 5, no. 6 (May 22, 2018): 2421. http://dx.doi.org/10.18203/2394-6040.ijcmph20182170.
Full textAbstract:
Background: Safe, secure and healthy environment for children to learn better and face the challenges of future life can be achieved by school sanitation and hygiene education. The objective of the study was to study School health performance score and compare between rural and urban school performance.Methods: A cross sectional study was carried out. It included randomly selected 46 rural schools and 11 urban schools. Both the school was compared in terms of school health services parameters.Results: In our study, 33854 students in total were enrolled from 46 rural schools as compared 9904 students from 11 urban schools. Mean number of students per school was noted to be 735.95±303.72 in rural schools and 900.36±172.83 students in urban schools. From the 46 rural school teachers, 7 teachers had semi-English as their mode of teaching as compared to 39 teachers whose mode of teaching was Marathi; while all the 11 urban school teachers taught their students only in Marathi.Conclusions: It was found that the school performance score overall as well as on individual item studies was significantly better in urban schools than the rural schools.
40
Nayan, Shafia Khatun, Nasreen Begum, Mumtaz Rahman Abid, Sanjida Rahman, Ahsanul Kabir Rajib, Nashid Farzana, and MST Laizuman Nahar. "Utilization of Postnatal Care Services among the Rural Women in Bangladesh." Northern International Medical College Journal 8, no. 2 (May 14, 2017): 208–12. http://dx.doi.org/10.3329/nimcj.v8i2.32551.
Full textAbstract:
Background : Low utilization of routine postnatal care (PNC) is an important determinant of high maternal and neonatal mortality in Bangladesh.Objective : To determine the utilization of post-natal care services among the rural women in a selected area in Bangladesh.Methodology : During October 2015 to March 2016 a descriptive, cross-sectional study was carried out among 200 married women of reproductive age who had a live baby below 5years of age. Sample was selected purposively from village Islampur in Dhamrai Upzilla under Dhaka district. After taking informed consent data were collected by face to face interview using structured questionnaire.Results : The study revealed that 73.50% of the respondents utilized PNC services among them 55.10% took PNC for less than 3 times and 28.57% took PNC for more than 3 times during postnatal period. Most of them 86% were house wife; age between 25-30 years. About 35% respondents were educated up to secondary level and 31.5% were from middle economic group. In this study 79.50% respondents received Antenatal care and advice for Post-Natal Care (PNC) Source of information for PNC was 32.5% from health workers. Fifty nine percent respondents took PNC on combined decision of husband and wife. A significant number of respondents 61.91% received postnatal care at Upazilla Health Complex. Most of the respondents 73.47% found health care provider available on duty and good behavior were found by 72.11% respondents. Among respondents 62.59% attended Health Centre by walking. Only 59.86% respondents got free PNC service. Regarding importance of PNC 67.5% believed for healthy mother and 12.5% for healthy baby.Conclusions : Post Natal Care service utilization was satisfactory (73.50%) in the study area which is higher than the national figure (36%). The findings of the study clearly showed that female education, monthly household income, antenatal care utilization, distance of health center turned out important factors in determining the postpartum care utilization among the mothers. Availability and interaction with health care providers also affected the postpartum care utilization in the study population.Northern International Medical College Journal Vol.8(2) January 2017: 208-212
41
Asad, Amir Zada, Sumera Farid, and Basharat Hussain. "Rural Women’s Health Problems In Khyber Pukhtun Khwa Of Pakistan." Pakistan Journal of Gender Studies 8, no. 1 (March 8, 2014): 1–15. http://dx.doi.org/10.46568/pjgs.v8i1.330.
Full textAbstract:
Pakistan is a third world country, with more than 60% rural population, confronted with a lot of social problems including poor health of the masses particularly women, illiteracy and low quality education, poverty, misgovernment and corruption at all levels, weak institutions and lack of good governance. Consequently, the public suffers due to all these problems. Women suffer more than men in all walks of life particularly education and health delivery services which are either not available to them or denied to them on state level. This article is based on an empirical study conducted in the North-West Pakistan known as Khyber Pukhtun Khwa (previously NWFP) to know about the rural women health problems of the poorest province of a poor country. Results shows that the province is not only poor, but also has the characteristic of large families, high fertility rate, a harsh culture towards women, non-availability of medical facilities making women in particular to resort to shrines and Mullahs for spiritual treatment and so on.
42
Ollerenshaw, Alison, and John McDonald. "Dimensions of Pastoral Care: Student Wellbeing in Rural Catholic Schools." Australian Journal of Primary Health 12, no. 2 (2006): 137. http://dx.doi.org/10.1071/py06033.
Full textAbstract:
This paper investigates the health and welfare needs of students (n = 15,806) and the current service model in Catholic schools in the Ballarat Diocese of Victoria, Australia. Catholic schools use a service model underpinned by an ethos of pastoral care; there is a strong tradition of self-reliance within the Catholic education system for meeting students' health and welfare needs. The central research questions are: What are the emerging health and welfare needs of students? How does pastoral care shape the service model to meet these needs? What model/s might better meet students? primary health care needs? The research methods involved analysis of (1) extant databases of expressed service needs including referrals (n = 1,248) to Student Services over the last 2.5 years, (2) trends in the additional funding support such as special needs funding for students and the Education Maintenance Allowance for families, and (3) semi-structured individual and group interviews with 98 Diocesan and school staff responsible for meeting students' health and welfare needs. Analysis of expressed service needs revealed a marked increase in service demand, and in the complexity and severity of students' needs. Thematic analysis of qualitative interview data revealed five pressing issues: the health and welfare needs of students; stressors in the school community; rural isolation; role boundaries and individualised interventions; and self-reliant networks of care. Explanations for many of these problems can be located in wider social and economic forces impacting upon the church and rural communities. It was concluded that the pastoral care model - as it is currently configured - is not equipped to meet the escalating primary health care needs of students in rural areas. This paper considers the implications for enhanced primary health care in both rural communities and in schools.
43
Hasan Howlader, M., M. Ashfikur Rahman, and M. Imtiaz Hasan Rahul. "Assessment of factors influencing health care service utilization in rural area of Bangladesh." International Journal Of Community Medicine And Public Health 6, no. 9 (August 27, 2019): 3710. http://dx.doi.org/10.18203/2394-6040.ijcmph20193641.
Full textAbstract:
Background: Access to health care services is one of the important preconditions for ensuring good health that is influenced by many socio-demographic characteristics of the individual population as well as policy interventions. The main objective of this study was to identify the factors that determine healthcare service utilization in rural area of Bangladesh.Methods: A cross-sectional descriptive study was carried out in the Rangpur union of Dumuria Upazila of Khulna division in Bangladesh. Data were collected from 195 household heads administering a structured questionnaire. The study applies principal component analysis (PCA) for determining the factors that affect health care services utilization.Results: Need factors (chronic diseases, disability, child sickness, and old aged parents) play the pivotal role to utilize the health care services. The second important factor that contributes to access to health care services is enabling factors consisting of income, distance to the nearest health care center, health cards/health insurance, land ownership, types of latrine use, and membership in a community group. The predisposing factors i.e. age, sex, religion, occupation and education have the least significant role in utilizing health care services.Conclusions: Utilization of health care services depends mostly on the perception and attitudes of people towards disease and disability. So, policy interventions should be taken to raise awareness among people along with regular monitoring of the activities of health care providers.
44
N., Neeta P., Sameena A. R. B., Suresh C. M., Gangadhar Goud, Bharat ., Saraswati Sajjan, and Chetana . "Assessment of utilization of maternal health care services in rural field practice areas of VIMS, Ballari." International Journal Of Community Medicine And Public Health 5, no. 1 (December 23, 2017): 170. http://dx.doi.org/10.18203/2394-6040.ijcmph20175777.
Full textAbstract:
Background: Maternal mortality and morbidity remains high even though national programs exist for improving maternal and child health in India. This could be related to several factors, an important one being non-utilization or delay in seeking care of maternal health-care services, especially amongst the rural poor and urban slum population due to either lack of awareness or access to health-care services. Our study was aimed to know the utilization of maternal health care services during antenatal and post natal period and factors affecting them.Methods: A Community based cross sectional study was carried in the rural field practice areas of VIMS, Ballari (three primary health centres (PHC) Kudithini, Koluru, Kurugodu) among all married women in the age group of 15-45 years who were in the post natal period (less than 2 months) at time of interview. A total 152 women were included in the study by door to door survey, among all the 3 PHC’s. The women absent during the survey were excluded.Results: Only 101 (66.44%) of women utilized antenatal care and 18 (11.8%) utilized post natal care (at least three postnatal visits) from the health care facility. Mothers who were of Muslim religion, <20 years of age, higher education of participant as well as husband, higher occupation status, high SES, less parity had higher odds of utilizing antenatal care. Health education by the health worker regarding post natal services to women ranged from 62.5-90.8%. Mothers of Muslim religion, higher education, higher occupation status, normal vaginal delivery and home delivery had higher odds of utilizing postnatal servicesConclusions: The study shows unacceptably low utilization of postnatal care services. It shows the coverage of postnatal care services is inadequate. This is an important message to health service providers and policy makers to strengthening not only antenatal health services and institutional deliveries but also postnatal care services to reduce maternal and neonatal morbidity and mortality.
45
Shamsaee, Beheshteh, Mehdi Bagheri, Nader Gholi Ghourchian, and Parivash Jafari. "Comparing the current status with desired situation of the quality ofeducation and improvement for rural health workers in Iran." Research and Development in Medical Education 10, no. 1 (February 15, 2021): 1. http://dx.doi.org/10.34172/rdme.2021.001.
Full textAbstract:
Background: Rural health workers (Behvarz) are considered health- care pioneers standing at the forefront of providing services for rural areas. Those health providers need to be optimally educated throughout the country. What can serve this purpose is an integrated high quality "education". Methods: The current descriptive research compared two situations of education quality. To this end 300, rural health workers completed researcher-made questionnaires, including 2 dimensions,7 components and, 80 questions obtained from the analysis of the qualitative process through the fuzzy Delphi method. Results: The results indicated a gap between the current status and desirable situations of qualitative improvement components of rural health workers’ education. The findings also showed that the highest standardized coefficient in the area of education was related to the variable of learning and transfer of education with a coefficient of 0.971. In the area of optimization, the highest standard coefficient for the desirable situation belonged to the interpersonal and functional relationship variable, with the value of 0.978, while the lowest standardized coefficient was related to the variable of information and communication technology (ICT) development as 0.956. Conclusion: In brief, optimal education for the health- care providers is considered an integral part of the health system; therefore, the impact of education on the general health of the people should be taken into consideration. Therefore, there is a need for theoretical and practical exploration of qualitative education towards health system improvement and promotion.
46
George, Lucy. "Review on Public Health Services among School-Going Adolescents in Kerala." Indian Journal of Youth & Adolescent Health 07, no. 02 (December 11, 2020): 23–27. http://dx.doi.org/10.24321/2349.2880.202010.
Full textAbstract:
Background: Global investment in adolescent health is crucial. Adolescents aged 10-19 years constitute around one sixth of the world’s population, account for 6% of the global burden of disease and injury, and suffer over 1.2 million deaths each year. India is home to 253 million adolescents, accounting for 20.9% of the country’s population. Methods: The study was cross sectional and implemented in government and government aided schools in central Kerala, Pathanamthitta district. Study assessed the public health services availed in the type of schools. Total 869 schools going adolescent selected from class 5th to 12th standard and the age group between 10-18 years across the 20 schools among government and government aided school in rural, urban and semi-urban areas. Selected random sample of 50 respondents in each classes and self-administrated questionnaire were distributed. Result: Public health services provided by schools to the adolescents were studied and it was revealed that 86.8 % of adolescents were provided with iron tablets, 91.7% de-worming completed. School authorities were not engaging students in anaemia education and less than half 44.6%. 27.9% had their blood test done last five years. Two-third of the students 59.1% said that there were timely health visits by the health professionals. On account of supplementary nutrition 48.2% agreed on proper supply of cooked food within the school, Moreover 70% girls said anthropometric measurements were taken during health visits. Conclusion: The study found the need to improve adolescent public health services periodic health check-up, strengthening the school monitoring system to ensure the health, nutrition and wellbeing in largely to the aided and governments schools. Priority has to be given for improving mental health, knowledge about contraception and school retention.
47
O’Malley, Meagan, Staci J. Wendt, and Christina Pate. "A View From the Top: Superintendents’ Perceptions of Mental Health Supports in Rural School Districts." Educational Administration Quarterly 54, no. 5 (June 27, 2018): 781–821. http://dx.doi.org/10.1177/0013161x18785871.
Full textAbstract:
Purpose: A chasm exists between the expanding mental health needs of school-aged youth and the school resources available to address them. Education agencies must efficiently allocate their limited resources by adopting innovative public health models. The need for these effective approaches is acute in rural regions, where resources tend to be scarce. This mixed-methods study of school superintendents illuminates key opportunities to optimize access to care for students struggling with mental health needs in rural communities. Method: Superintendents serving rural California school districts were targeted for a web-based, mixed response–type, 53-item survey designed to examine their perceptions across three school mental health–related categories: (a) strengths and gaps in community ethos and district infrastructure, (b) school personnel groups’ knowledge and skills, and (c) predominant barriers. Of the targeted respondents, 16.7% completed the survey ( N = 62). Quantitative data were analyzed using a series of descriptive analyses and paired-sample t tests. Qualitative data were analyzed using a constant comparative method with an open-coding approach. Findings and Implications: Budget constraints and access to trained school-based and community-based mental health personnel are the most frequently cited barriers to addressing mental health in schools. Knowledge and skills related to mental health are perceived to be more pronounced in district and school leadership than in other personnel groups, including staff typically responsible for providing mental health services, such as school psychologists. Our findings suggest a need to improve superintendent knowledge of innovative public health models for delivering mental health services within the constraints of rural school district settings.
48
Kennedy, Linda S., Suyapa A. Bejarano, Tracy L. Onega, Derek S. Stenquist, and Mary D. Chamberlin. "Opportunistic Breast Cancer Education and Screening in Rural Honduras." Journal of Global Oncology 2, no. 4 (August 2016): 174–80. http://dx.doi.org/10.1200/jgo.2015.001107.
Full textAbstract:
Purpose In Honduras, the breast cancer burden is high, and access to women’s health services is low. This project tested the connection of community-based breast cancer detection with clinical diagnosis and treatment in a tightly linked and quickly facilitated format. Methods The Norris Cotton Cancer Center at Dartmouth College partnered with the Honduran cancer hospital La Liga Contra el Cancer to expand a cervical cancer screening program, which included self-breast exam (SBE) education and clinical breast exams (CBEs), to assess patient attitudes about and uptake of breast cancer education and screening services. The cervical cancer screening event was held in Honduras in 2013; 476 women from 31 villages attended. Results Half of the women attending elected to receive a CBE; most had concerns about lactation. Clinicians referred 12 women with abnormal CBEs to La Liga Contra el Cancer for additional evaluation at no cost. All referred patients were compliant with the recommendation and received follow-up care. One abnormal follow-up mammogram/ultrasound result was negative on biopsy. One woman with an aggressive phyllodes tumor had a mastectomy within 60 days. Multimodal education about breast cancer screening maximized delivery of women’s health services in a low-tech rural setting. Conclusion The addition of opportunistic breast cancer education and screening to a cervical cancer screening event resulted in high uptake of services at low additional cost to program sponsors. Such novel strategies to maximize delivery of women’s health services in low-resource settings, where there is no access to mammography, may result in earlier detection of breast cancer. Close follow-up of positive results with referral to appropriate treatment is essential.
49
Gwynne, Kylie, and Michelle Lincoln. "Developing the rural health workforce to improve Australian Aboriginal and Torres Strait Islander health outcomes: a systematic review." Australian Health Review 41, no. 2 (2017): 234. http://dx.doi.org/10.1071/ah15241.
Full textAbstract:
Objective The aim of the present study was to identify evidence-based strategies in the literature for developing and maintaining a skilled and qualified rural and remote health workforce in Australia to better meet the health care needs of Australian Aboriginal and/or Torres Strait Islander (hereafter Aboriginal) people. Methods A systematic search strategy was implemented using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and checklist. Exclusion and inclusion criteria were applied, and 26 papers were included in the study. These 26 papers were critically evaluated and analysed for common findings about the rural health workforce providing services for Aboriginal people. Results There were four key findings of the study: (1) the experience of Aboriginal people in the health workforce affects their engagement with education, training and employment; (2) particular factors affect the effectiveness and longevity of the non-Aboriginal workforce working in Aboriginal health; (3) attitudes and behaviours of the workforce have a direct effect on service delivery design and models in Aboriginal health; and (4) student placements affect the likelihood of applying for rural and remote health jobs in Aboriginal communities after graduation. Each finding has associated evidence-based strategies including those to promote the engagement and retention of Aboriginal staff; training and support for non-Aboriginal health workers; effective service design; and support strategies for effective student placement. Conclusions Strategies are evidenced in the peer-reviewed literature to improve the rural and remote workforce for health delivery for Australian Aboriginal people and should be considered by policy makers, funders and program managers. What is known about the topic? There is a significant amount of peer-reviewed literature about the recruitment and retention of the rural and remote health workforce. What does this paper add? There is a gap in the literature about strategies to improve recruitment and retention of the rural and remote health workforce for health delivery for Australian Aboriginal people. This paper provides evidence-based strategies in four key areas. What are the implications for practitioners? The findings of the present study are relevant for policy makers, funders and program managers in rural and remote Aboriginal health.
50
Rojjananukulpong, Rattanakarun, Mokbul Morshed Ahmad, and Shahab E. Saqib. "Disparities in Physical Accessibility among Rural Thais Under Universal Health Coverage." American Journal of Tropical Medicine and Hygiene 105, no. 3 (September 15, 2021): 837–45. http://dx.doi.org/10.4269/ajtmh.20-1627.
Full textAbstract:
ABSTRACT. This study aims to explore various barriers in accessing outpatient care among the participants from different age groups and to identify determinants associated with physician visits. The study had adopted Andersen’s Behavioral Model (ABM) of Health Services Use. A cross-sectional study design was adopted to collect data from 417 participants through a questionnaire survey. Poisson regression models were used to explore determinants for explaining the differences in outpatient care use. The regression results revealed that divergent relationships existed among age groups. Children and elderly participants tended to decrease the probability of seeking care. Elderly participants confronted more difficulties in access and were dependent on family members. Despite free care provisions, participants visited and spent their out-of-pocket expenditure mostly at non-universal health coverage (non-UHC) facilities. Convenience and the availability of specialist physicians led the higher-income parents to seek care of their children at non-UHC facilities. Highly educated people of working age preferred more self-care or institutionalized care to save time. Children up to the primary level of education were more likely to visit a doctor. We concluded that investments in education or well-informed health services provision would improve health care utilization. Findings of Andersen’s Behavioral Model variables suggested that improvements in the quality of services, medical professional skills, and efficient resource allocation may induce seeking care at UHC facilities. Consequently, it will reduce the number of referred cases, caseloads at tertiary care units, and visits to non-UHC facilities at longer distances.