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Journal articles on the topic 'Voluntary family services'
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1
Perlmutter, Felice Davidson, and Carolyn Teich Adams. "Family Service Executives in a Hostile Environment." Families in Society: The Journal of Contemporary Social Services 75, no. 7 (September 1994): 439–46. http://dx.doi.org/10.1177/104438949407500705.
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Dramatic changes in human services funding in the 1980s prompted a redefinition of leadership in family service agencies. In this study of family service executives, attention is focused on changes in the roles executives play within their agencies, the skills they need, and the problems they face in the current environment. Their involvement in advocacy activity is discussed. The authors conclude that the future viability of the voluntary social service sector is tied to the type of leadership provided by agency executives.
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Nwaogwugwu, Goodluck I., Lilian O. Itoje-Akpokiniovo, Uduma Ulu Eke, and Ngene Andrew Hyacinth. "Effectiveness of Voluntary Family Planning Services Among Young Married Couples in Isiala Ngwa North Local Government Area (LGA) of Abia State Nigeria." BOHR International Journal of Social Science and Humanities Research 1, no. 1 (2022): 87–92. http://dx.doi.org/10.54646/bijsshr.013.
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Unintended pregnancy is one of the major issues affecting reproductive health in Nigeria. In Isiala Ngwa North Local Government Area of Abia State, Nigeria, we noticed that one in every five pregnancies is unplanned. Many women who have mistimed pregnancies resort to abortions, which are essentially performed in dangerous conditions. Therefore, we sought to understand from 210 young married couples how effective voluntary family planning services are to curb the problem of unplanned pregnancies in Abia State’s Isiala Ngwa North Local Government Area. The framework provided by contraceptive decision theory was helpful in the thematic analysis of the data. Findings reveal voluntary family planning is effective at averting pregnancies, but there are limited contraceptive options available for individuals. Our findings indicated white-coria and osu-oji (forms of traditional contraceptives) as efficacious in preventing pregnancy. Recommendations on the effectiveness of family planning services were made.
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Alperin, Diane Elias. "Family Service Agencies: Responding to Change in a Conservative Decade." Families in Society: The Journal of Contemporary Social Services 73, no. 1 (January 1992): 32–39. http://dx.doi.org/10.1177/104438949207300104.
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During the 1980s much of the concern in social services has focused on the impact of external forces on agencies—namely the increase in the problems of the American family with a simultaneous decrease in commitment from the U.S. government for funding and services. A nationwide survey of Family Service America, Inc., member agencies was undertaken in an attempt to assess partially the impact of these environmental changes on voluntary social service agencies. The data indicate that the increased needs of the community took precedence over the decline in public sector support. Response to a conservative environment led to interorganizational changes, which allowed for program expansion in an attempt to meet the increased demand for human services.
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Munther, Al-Nimer. "Effect of Corporate Governance Rules on Voluntary Disclosure in Jordanian Corporations Listed with the Amman Stock Exchange (ASE): (An Empirical Study)." Studies in Business and Economics 14, no. 1 (April 1, 2019): 154–68. http://dx.doi.org/10.2478/sbe-2019-0012.
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AbstractThis paper aims to examine the impact of corporate governance (CG) rules using several variables—size of the board of directors, size of the audit committee, family ownership ratio, and their impact on the level of the voluntary disclosure of companies listed with Amman Stock Exchange (ASE). The study was conducted based on the annual reports of the first market that include 55 firms. Content analysis was applied to collect the required data from several sectors (financial, insurance, services, and industrial sectors) from 2016 to 2017.The results indicate a negative association among family ownership ratio, size of the audit committee, and voluntary disclosure level. However, the study shows that the size of the board of directors has a significant positive relationship with the level of voluntary disclosure. Furthermore, the results show that CG rules (size of the board of directors, size of the audit committee, and family ownership ratio) have a significant positive relationship with the voluntary disclosure level of the companies listed with ASE. In the borderline market environment, the study contributes to a theoretical understanding of the corporate governance of voluntary disclosure and the relationship between corporate governance mechanisms and voluntary disclosure. The outcomes provide empirical support for the theoretical notion that effective corporate governance plays an important role in increasing the extent of voluntary disclosure.
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Blackstock, Cindy. "Same Country; Same Lands; 78 Countries Away." First Peoples Child & Family Review 2, no. 1 (May 22, 2020): 130–58. http://dx.doi.org/10.7202/1069542ar.
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As the United Nations Committee on the Rights of the Child (2003) noted, Aboriginal children face more discrimination and increased risk factors than other Canadian children. Their lived experiences are shaped by the policies of assimilation and colonization that aimed to eliminate Aboriginal cultures through repression of fundamental freedoms, denial of ownership and the operation of residential schools (RCAP, 1996; Milloy, 1999). First Nations child and family service agencies have expressed concern about the lack of resources available to support families in redressing the significant impacts of colonization. The voluntary sector provides a myriad of important social supports to Canadians off reserve and this research project sought to determine how accessible voluntary sector resources were for First Nations children, youth and families resident on reserve in British Columbia. Results of a provincial survey of First Nations child and family service agencies and child, youth and family voluntary sector organizations indicate very limited access to voluntary sector services. Possible rationales for this social exclusion are examined and recommendations for improvement are discussed.
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E. Saied, Sarra, Nada G.O. Ahmed, Elmuez E.A, and Egbal A.B.A. Karaig. "DETERMINANTS OF UNMET NEED FOR FAMILY PLANNING METHODS AMONG MARRIED WOMEN OF REPRODUCTIVE AGE IN OMBADA LOCALITY, KHARTOUM STATE, SUDAN. 2019." International Journal of Advanced Research 9, no. 10 (October 31, 2021): 1159–66. http://dx.doi.org/10.21474/ijar01/13664.
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Introduction:The unmet need for family planning reflects the gap between womens reproductive intentions and their contraceptive behavior. Its a useful indicator for tracking progress towards the target of achieving universal access to reproductive health. Aim:This study aimsat measuringthe level of unmet need for family planning in Ombada locality to identify the determinants that affectutilization of FP methodsand to assessthe readiness of the public health facilities to the provision of FP services. Methods:The study was a descriptive cross-sectional health facility and community-based studyusinga multistage sampling technique.The study collected data from married women of reproductive age (15-49 years)and from the public health facilities providingfamily planning services in the study area using structured questionnaire and checklist respectively. The data were analyzed using the Statistical Package for Social Sciences version20. Results:Currently users for family planning methods were (21.55%). The total unmet need for family planning was high and measured as (39.26%), while the total demand for family planning was (60.8%). Factors such as age, age at marriage, living children, knowledge about family planning methods and discussion with husband were found to be significantly related to the high total unmet need. Major reasons for the non-use of family planning methods were husband/family objection, fear of side effects and a lack of knowledge about family planning methods. Assessment of health facilities revealed poor infrastructure readiness. Conclusion: Women in the surveyed locality are still not empowered regarding their reproductive health choices, as they are still under the control of husbands and families concerning the use of contraceptive methods. In addition, the lack of counsellingcomponent, which was the weakest link in the provision of family planning services, lead to voluntary or un-voluntary avoid of using FP methods, or adopting unprofessional sources or methods as alternatives. Thus, policymakers and directorates managers have to carefully consider such findings when planning for FP interventions.
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Fu, Rong, and Qi Xu. "MOTIVATIONAL FACTORS AFFECTING THE INTENTION TO VOLUNTEER IN ELDER CARE AGENCIES: A PILOT STUDY." Innovation in Aging 6, Supplement_1 (November 1, 2022): 571. http://dx.doi.org/10.1093/geroni/igac059.2150.
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Abstract The rapid rise of the aging population and the “4-2-1” family structure in China calls for speeding up the construction of the elderly care service system. To facilitate this process, it is desirable to encourage voluntary participation in elder care agencies. This study aims to identify motivational factors that may affect the intention to volunteer in elder care agencies in China. Data were collected in a sample of 199 residents of Beijing, China. Our results revealed gender differences in the demographic and socioeconomic factors that affect the volunteer intention. For men, earning more than 12,000 Yuan (about $1900) significantly increased the intention to participate in voluntary services (p = .043). For women, those younger than 60 years of age were more willing to participate in voluntary services than their older counterparts (p = .014). Participants identified three key motivational factors for providing volunteer services in elder care agencies: (1) to show love and kindness to older adults; (2) to fulfill oneself and take social responsibilities; and (3) to gain more life experience. We also found that most participants prefer to provide spiritual comfort services (e.g., chatting, shopping) and life care services (e.g., cooking, house cleaning) than other types of services. Our study suggested that effective interventions should be designed and implemented to match volunteering resources to the needs of elder care agencies in China.
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Rask, Kimberly J., Julie A. Gazmararian, Susan S. Kohler, Jonathan N. Hawley, Jenny Bogard, and Victoria A. Brown. "Designing Insurance to Promote Use of Childhood Obesity Prevention Services." Journal of Obesity 2013 (2013): 1–7. http://dx.doi.org/10.1155/2013/379513.
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Childhood obesity is a recognized public health crisis. This paper reviews the lessons learned from a voluntary initiative to expand insurance coverage for childhood obesity prevention and treatment services in the United States. In-depth telephone interviews were conducted with key informants from 16 participating health plans and employers in 2010-11. Key informants reported difficulty ensuring that both providers and families were aware of the available services. Participating health plans and employers are beginning new tactics including removing enrollment requirements, piloting enhanced outreach to selected physician practices, and educating providers on effective care coordination and use of obesity-specific billing codes through professional organizations. The voluntary initiative successfully increased private health insurance coverage for obesity services, but the interviews described variability in implementation with both best practices and barriers identified. Increasing utilization of obesity-related health services in the long term will require both family- and provider-focused interventions in partnership with improved health insurance coverage.
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Coles-Kemp, Lizzie, Nick Robinson, and Claude P. R. Heath. "Protecting The Vulnerable." Proceedings of the ACM on Human-Computer Interaction 6, CSCW2 (November 7, 2022): 1–26. http://dx.doi.org/10.1145/3555647.
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A successful digital society is, in part, predicated on people having secure access to digitally-delivered services when they need it. It has long been recognised that parts of society are not able to access digital services without assistance, often as a result of economic precarity. During the COVID-19 pandemic, the importance of third and voluntary sector organisations in providing assisted digital access has come to the fore. As access to essential everyday services moved to digital-only and family and friendship networks of support became disrupted by the pandemic, for many, voluntary and third sector organisations were the source of digital assistance to claim welfare, pay bills, take part in education and purchase food. Our study explores the types of assisted digital access that voluntary and third sector organisations have provided thus far during the COVID-19 pandemic. We capture the dimensions of this assistance and evaluate the steps such organisations take to ensure that this access is safe for both the assister and assisted. From these findings we set out a security strategy with supporting design principles that combines digital security with human security in a security approach we term 'positive-first'.
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Cassidy, Anne, Carmel Devaney, Caroline McGregor, and Fergal Landy. "Interfacing informal and formal help systems: Historical pathways to the Meitheal model." Administration 64, no. 2 (August 1, 2016): 137–55. http://dx.doi.org/10.1515/admin-2016-0019.
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Abstract Meitheal is a national practice model which aims to ensure that the needs and strengths of children and their families are effectively identified, understood and responded to in a timely manner. The aim of this article is to consider some of the notable learning from the historical background and context in the development of children and family services. The discussion draws together four interrelated themes: the interaction between the voluntary and statutory systems, the interface of family and child oriented services, balancing formal and informal responses to child welfare, and early intervention and prevention services. The complexity of this endeavour is emphasised through identifying the core considerations required at the levels of Bronfenbrenner’s ecological model. The article concludes with a commentary on how the future of child welfare in Ireland may be influenced through this attempt at a reorientation of children and family services towards early intervention, prevention, partnership and participation.
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Sarker, Profulla C. "Voluntarism To Social Work And Social Services In Bangladesh." Pakistan Journal of Applied Social Sciences 1, no. 1 (March 8, 2015): 33–43. http://dx.doi.org/10.46568/pjass.v1i1.278.
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Natural disasters like floods, droughts, cyclones, storms, burning of houses and river bank erosion along with famine and poverty are the frequent causes of damage to crops, lives and property. Every year millions of people directly and indirectly become the victims of these natural calamities. Many of them are displaced by river bank erosion, and migrate to urban areas in search of employment. Many children are involved in child labor; the young girls are victims of trafficking for prostitution, and many of them are victims of violence while working as domestic maid servants. Many of the elderly people become beggars to survive due to the decline of joint family system. Many of the children do not get a chance to go to school. Many of the people have no ability for treatment due to financial constraints. Often the parents are not able to arrange marriage for their young daughters because of high demand of dowry. In many times to solve these problems, voluntary services play vital role in different perspectives. Voluntarism is a process of voluntary action to serve the people in distress situations. The main focus of this paper is to examine to what extent the social work and social services are rooted in voluntarism by individual, community and organizational initiatives in Bangladesh.
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Wilda, Ifni. "Utilization of HIV Voluntary Counseling and Testing (VCT) Services for Pregnant Women in the Working Area of Langsat Health Center Pekanbaru in 2018." Photon: Jurnal Sain dan Kesehatan 9, no. 2 (July 6, 2019): 48–59. http://dx.doi.org/10.37859/jp.v9i2.869.
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For more than 20 years VCT services have been provided, global coverage of PLWHA who use VCT services is still low. UNAIDS reports that 80% of people living with HIV in the world do not know that they are infected with HIV because they have not used VCT services to check their health status related to HIV. VCT is voluntary HIV testing and counseling which is the entry point to help everyone get access to all HIV services. Langsat Health Center is a health center with the percentage of pregnant women utilizing the lowest VCT service, which is 21.6%. The purpose of this study was to determine the factors related to the use of HIV Voluntary Counseling and Testing Services in Pregnant Women in the Work Area of Langsat Pekanbaru Public Health Center in 2018. The research method was quantitative observational analytic with cross sectional studies. Study population numbered 571 pregnant women with a sample of 180 mothers. Data analysis was carried out by univariate, bivariate with chi square test, and multivariate by multiple logistic regression test. Based on the results of multivariate analysis, the variables most related to VCT Service Utilization in pregnant women in the Langsat Health Center Work Area in 2018 are variables of Husband / Family Support (POR: 2,002) and support from Health Workers (POR: 2,571). Conclusion The mother who received husband / family support 2 times using VCT services, the mother who received the support of health workers 2.5 times made use of VCT services. Expected to health workers to increase the socialization of VCT programs, especially to pregnant women who are at risk, husbands / families through mass media, print and electronic and improve screening by conducting VCT for all pregnant women who come to ANC to health facilities
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Heyman, Anna. "Partnership working between young carers project and social services." Social Work and Social Sciences Review 16, no. 3 (August 5, 2013): 50–64. http://dx.doi.org/10.1921/swssr.v16i3.534.
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This article draws on in-depth qualitative interviews with ten practitioners who specialise in working with young carers, to examine how members of the emerging profession of ‘young carers’ worker’ view their partnerships with social services. It focuses particularly on one case study area (Town Z), where partnerships between social services and the voluntary sector around young carers were relatively highly developed. It explores the practitioners’ comments about the impact of their organisations’ partnerships with social services on their work. This is done in the context of their conceptualisations of care and family relationships. In particular, the themes of identifying young carers and working with the family as a whole are discussed, and young carers’ workers views are compared to the conceptualisations that come across in literature from both disability studies and social work perspectives. It is concluded that young carers’ workers conceptualisations of care and disability do differ markedly from the perspectives that appear to dominate both social work theory and practice, and that this impacting on how the former view their partnerships with the latter.
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Oktaviani, Ni Putu Wiwik, Ni Luh Putu Devhy, I. Made Sudarma Adiputra, and Ni Wayan Trisnadewi. "The Utilization of Voluntary Counseling and Testing Through Support and Family Health Care Functions." Jurnal Berkala Epidemiologi 9, no. 3 (September 24, 2021): 275. http://dx.doi.org/10.20473/jbe.v9i32021.275-283.
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Background: The transmission of the Human Immunodeficiency Virus (HIV) from mother to baby is now increasing along with the growing number of HIV-infected women. Approximately 15% of pregnant women living with HIV have accessed antiretroviral (ARV) medicine to prevent transmission of the virus to their babies. Purpose: This study aimed to identify the support and healthcare functions available to pregnant women in using the voluntary counseling test (VCT). Methods: This research was conducted in the working area of Gianyar District health center. The independent variables in this study are family support and family healthcare functions. The dependent variable is the utilization of VCT health service facilities. This study employed a cross-sectional research design. The samples were 108 respondents recruited using a probability sampling technique, namely multi-stage sampling. Bivariate and multivariate analysis were conducted using the chi-square test and logistic regression test. Results: The research variable related to the use of VCT health services with family support showed an odds ratio (OR) = 122, while family healthcare function had an OR = 465. Conclusion: Pregnant women with good family support, good healthcare function, increased maternal age, and early gestational age were more likely to use VCT than when they were in opposite situations.
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Patel, Alisha. "How the Health and Social Care Act 2012 has affected commissioning of mental health in England." British Journal of General Practice 69, suppl 1 (June 2019): bjgp19X703373. http://dx.doi.org/10.3399/bjgp19x703373.
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BackgroundNHS mental health services are under pressure due to chronic underfunding and constrained resources. The Health & Social Care Act implemented an extensive restructure of the NHS and introduced three new legal duties: duty to arrange, promote competition, and integrate services.AimTo establish how the Health and Social Care Act 2012 affected commissioning of mental health services in England and how the duties are being fulfilled.MethodFreedom of Information (FOI) requests were sent to all 211 clinical commissioning groups in England. The number, value, and length of all contracts for mental health services were requested from 2013 to 2016 by type and name of provider; as well as a range of quality and performance data.ResultsThe FOI received a 93% response rate. CCGs commissioned between 1–127 contracts each: 65.3% of all contracts were awarded to the third sector (private for profit, not for profit, and voluntary organisations), amounting to 6% of the total value of contracts commissioned. NHS foundation trusts were awarded 25% of contracts, worth 70% of the total value of contracts. 71% of contracts had no evidence of quality monitoring.ConclusionThe high volume and low value of contracts commissioned to third sector organisations fulfils the new duty to arrange but not to integrate; showing considerable fragmentation of mental health provision. The emerging external market is a result of the Health & Social Care Act promoting diversification of the provider market. Finally, the lack of quality and performance data raises concerns over the transparency and accountability of an NHS that is increasingly being provided by companies.
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Maseko, Bertha, Agatha Bula, Simone Sasse, Annie Thom, Mercy Tsidya, Jennifer Tang, and Mina C. Hosseinipour. "Opinions on integrating couple counselling and female sexual reproductive health services into Voluntary Medical Male Circumcision services in Lilongwe, Malawi." PLOS ONE 17, no. 9 (September 9, 2022): e0273627. http://dx.doi.org/10.1371/journal.pone.0273627.
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Background Couples HIV Counselling and Testing (CHCT) has been found to be potentially beneficial than individual HIV Counselling and Testing for prevention and treatment of HIV. However, there are few health care opportunities for men and women to access health services together, leading to underutilization of CHCT service. Integrating female Sexual and Reproductive Health (SRH) services into male-dominated service could be more effective than trying to integrate men’s health services into female-dominated health services. A potential site for male-female service integration could be Voluntary Medical Male Circumcision (VMMC) centers. Methodology We conducted a qualitative study in Lilongwe, Malawi between June to August 2018. Twenty VMMC clients, 20 peers and 20 VMMC providers completed individual in-depth interviews to share their opinions on what they thought about integrating CHCT and other SRH Services into VMMC services. These proposed SRH services include family planning, cervical cancer screening, sexually transmitted infection management and pre-exposure prophylaxis (PrEP). Content analysis was used to analyze the results. Results All participants were receptive to integration of CHCT, and most accepted the integration of SRH services into VMMC Services. Most VMMC clients, peers and care providers said that CHCT integration would help couples to know their HIV status, prevent HIV transmission, encourage healthy relationships, and provide a chance for women to participate in VMMC counselling and wound care. However, integration of other services, such as family planning and cervical cancer screening, drew mixed opinions among participants. Most VMMC clients, peers and providers felt that integration of services would promote male involvement and increase men’s knowledge in feminine sexual reproductive health services. A few providers expressed concerns over service integration, citing reasons such as overcrowding, work overload, gender mixing, and lack of provider capacity and space. Most participants supported integrating PrEP with VMMC Services and felt that PrEP would complement VMMC in HIV prevention. Few providers, peers and VMMC clients felt the addition of PrEP to VMMC services would lead to high-risk sexual activity that would then increase the risk for HIV acquisition. A few participants recommended community sensitization when integrating some of sexual reproductive health services into VMMC Services to mitigate negative perceptions about VMMC services and encourage service uptake among couples Conclusion Most participants service providers, VMMC clients and Peers were receptive to integrating SRH services, particularly HIV prevention services such as CHCT and PrEP, into male dominated VMMC services. Adequate community sensitization is required when introducing other SRH services into VMMC services.
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Glucksmann, Miriam, and Dawn Lyon. "Configurations of Care Work: Paid and Unpaid Elder Care in Italy and the Netherlands." Sociological Research Online 11, no. 2 (July 2006): 25–39. http://dx.doi.org/10.5153/sro.1398.
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Most current sociological approaches to work recognise that the same activity may be undertaken within a variety of socio-economic forms - formal or informal, linked with the private market, public state or not-for-profit sectors. This article takes care of the elderly as an exemplary case for probing some of the linkages between paid and unpaid work. We attempt to unravel the interconnections between forms of care work undertaken in different socio-economic conditions in two settings, the Netherlands and Italy. The research is part of a broader programme concerned with differing interconnections and overlaps between work activities. In this article, we are concerned with: 1) how paid and unpaid care work map on to four ‘institutional’ modes of provision - by the state, family, market, and voluntary sector; and 2) with the configurations that emerge from the combination of different forms of paid and unpaid work undertaken through the different institutions. Despite the centrality of family-based informal care by women in both countries, we argue that the overall configurations of care are in fact quite distinct. In the Netherlands, state-funded care services operate to shape and anchor the centrality of family as the main provider. In this configuration, unpaid familial labour is sustained by voluntary sector state-funded provision. In Italy, by contrast, there is significant recourse to informal market-based services in the form of individual migrant carers, in a context of limited public provision. In this configuration, the state indirectly supports market solutions, sustaining the continuity of family care as an ideal and as a practice.
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Noerjoedianto, Dwi, and Andi Subandi. "Kajian Status Sosial Ekonomi Keluarga dalam Pemilihan Asuransi Kesehatan." Journal of Education, Humaniora and Social Sciences (JEHSS) 5, no. 1 (August 13, 2022): 732–39. http://dx.doi.org/10.34007/jehss.v5i1.1145.
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Health insurance is a health financing guarantee that needs to be chosen to face health risks and increasingly expensive medical costs. Socio-economic status is related to the level of ability that a person has in buying health services. Currently, 68.25% of the population who have compulsory health insurance (BPJS Kesehatan, Jamkesda and Company Insurance) have voluntary insurance and 1% have voluntary insurance. The purpose of this study was to determine the relationship between family socioeconomic status and the choice of health insurance in Jambi City. The research design was a cross sectional survey method with a population of 183,448 households focusing on a sample of 164 households, the sampling technique was probability sampling. Analysis with Chi-Square test, shows that there is a relationship between education (pv= 0.021) on the choice of health insurance and there is no relationship between income (pv=0.324), occupation (pv=0.644), number of family members (pv=0.377), and asset ownership (pv=0.063) on the selection of health insurance.
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Menotti, Elaine P., and Marguerite Farrell. "Vouchers: A Hot Ticket for Reaching the Poor and Other Special Groups With Voluntary Family Planning Services." Global Health: Science and Practice 4, no. 3 (September 26, 2016): 384–93. http://dx.doi.org/10.9745/ghsp-d-16-00084.
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Burke, Eva, Judy Gold, Lalaina Razafinirinasoa, and Anna Mackay. "Youth Voucher Program in Madagascar Increases Access to Voluntary Family Planning and STI Services for Young People." Global Health: Science and Practice 5, no. 1 (February 23, 2017): 33–43. http://dx.doi.org/10.9745/ghsp-d-16-00321.
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Thornicroft, Graham. "Targeting mental health services to severe mental illness." Epidemiologia e Psichiatria Sociale 4, no. 3 (1995): 181–86. http://dx.doi.org/10.1017/s1121189x00010381.
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SummaryThis paper argues within the mental health services that people who are most disabled by mental illness, the severely mentally ill (SMI), should be afforded the highest priority, and that services should be provided in relation to need. For this to occur the priority groups need first to be defined. Second, if a service wishes to provide for all prevalent cases of people suffering from severe mental illness, then a systematic method of recording local information about these people is required, and this may draw upon information about patients who are in contact with health services, social services, family health services and who contact voluntary sector and other agencies. One approach to estimating the need for services for people with SMI is by using indicative norms for service requirements. Finally, managerial methods are proposed to monitor how far targeting services to the SMI occurs in clinical practice.
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Kang, Cara, Louise Tomkow, and Rebecca Farrington. "Access to primary health care for asylum seekers and refugees: a qualitative study of service user experiences in the UK." British Journal of General Practice 69, no. 685 (February 11, 2019): e537-e545. http://dx.doi.org/10.3399/bjgp19x701309.
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BackgroundAsylum seekers and refugees (ASR) face difficulty accessing health care in host countries. In 2017, NHS charges for overseas visitors were extended to include some community care for refused asylum seekers. There is growing concern that this will increase access difficulties, but no recent research has documented the lived experiences of ASR accessing UK primary health care.AimTo examine ASR experiences accessing primary health care in the UK in 2018.Design and settingThis was a qualitative community-based study. ASR were recruited by criterion-based sampling through voluntary community organisations.MethodA total of 18 ASR completed face-to-face semi-structured recorded interviews discussing primary care access. Transcripts underwent thematic analysis by three researchers using Penchansky and Thomas’s modified theory of access.ResultsThe qualitative data show that participants found primary care services difficult to navigate and negotiate. Dominant themes included language barriers and inadequate interpretation services; lack of awareness of the structure and function of the NHS; difficulty meeting the costs of dental care, prescription fees, and transport to appointments; and the perception of discrimination relating to race, religion, and immigration status.ConclusionBy centralising the voices of ASR and illustrating the negative consequences of poor healthcare access, this article urges consideration of how access to primary care in the UK can be enhanced for often marginalised individuals with complex needs.
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Ginn, Jay, and Jane Sandell. "Balancing Home and Employment: Stress Reported by Social Services Staff." Work, Employment and Society 11, no. 3 (September 1997): 413–34. http://dx.doi.org/10.1177/0950017097113002.
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The paper aims to contribute to an understanding of how stress from the combined responsibilities of home and employment varies according to the family circumstances and employment characteristics of women and men. For women, family responsibilities are associated with shorter hours of employment and lower occupational achievement, whereas for men, marriage is a career asset. Yet the reason for women's underachievement is disputed: some researchers claim that women's part-time work in low-paid, low-status jobs represent women's voluntary choice. Others argue that women's employment options are constrained by their domestic responsibilities; and that reducing hours of work and modifying career aspirations may represent one way of balancing home and employment so as to minimise stress. Data are used from the National Institute of Social Work (NISW) Workforce Survey of over 1000 women and men in four broad types of work in the social service departments of five English local authorities. Information is available on staff's perception of stress from combining paid and unpaid roles. We examine whether there are gender differences in reported stress among those who have structurally similar domestic circumstances; whether gender differences in stress can be explained in terms of occupational segregation and hours of employment; and whether the lower stress reported by part-time employees is independent of family responsibilities and type of occupation. A key concern is to assess whether part-time employment enables women with family responsibilities to avoid high levels of stress. There was increased stress on those staff with dependent children or with informal caring commitments. Men reported higher stress than women, irrespective of family circumstances, but the difference disappeared once account was taken of type of work and hours. Family responsibilities and employment characteristics had independent effects on stress levels. Type of work, in terms of level of responsibility, had more influence on stress than hours worked. Among full-time non-manual staff, women with family responsibilities experienced more stress than equivalent men, suggesting that women's occupational advancement is achieved at greater cost in terms of stress than men's.
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Otokiti, O. E. "Sero-Epidemiology And Pattern Of Transfusion-Transmissible Infectious Diseases Among Family Replacement And Voluntary Blood Donors In Lagos University Teaching Hospital (2018-2019), South-West Nigeria." American Journal of Clinical Pathology 154, Supplement_1 (October 2020): S168. http://dx.doi.org/10.1093/ajcp/aqaa161.366.
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Abstract Introduction/Objective Despite innovations and giant strides achieved in medicine, blood transfusion has continually remained an integral aspect of patient care and management. Currently, blood and blood products are part of the World Health Organisation (WHO) model list of Essential Medicine (EML). However, despite being a ‘life saver’, potential risks of transfusion of fatal infections (TTI) are associated with its use, hence this study to evaluate the trend of TTI in blood donors. Methods In this study, 21,464 donors were screened for HIV, HBV, HCV and Syphilis between 2018 and 2019 via 4 th generation ELISA. Retrospective data was gotten from records. The results were read using a spectrophotometer. Optical Density was calculated for positive and negative controls and only results from runs in which controls had passed were used and released. Results Of the 21,464donors tested, 3818 (17%) were voluntary blood donors (VBD) and 17,646 (83%) were family replacement donors (FRP). Total number of TTI was 1928 (0.1%) of units donated. Of the screened units positive for TTI, HBV accounted for the highest prevalence 1031 (54%), HCV 498 (26%), HIV 246 (13%) and Syphilis 147 (8%). A much higher incidence of TTI sero-positivity was observed in FRP (85%) as compared with voluntary blood donors (15%). Cumulative discard rate from TTI was approximately 0.1%. Conclusion Our results in this study showed that FRP are more likely to transmit TTI than VBD. Blood transfusion services should work more on replacing family replacement donors with voluntary donors. This can be achieved by reinforcing the culture of voluntary blood donation through the media, secondary and higher institutions as well as through advocacy. Indeed the WHO recommends 100% voluntary blood donations for all nations.
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Romeo, Renee, Martin Knapp, and Stephen Scott. "Economic cost of severe antisocial behaviour in children - and who pays it." British Journal of Psychiatry 188, no. 6 (June 2006): 547–53. http://dx.doi.org/10.1192/bjp.bp.104.007625.
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BackgroundPersistent antisocial behaviour is the most common mental health problem in childhood and has widespread effects, yet little is known about what it costs.AimsTo identify the costs incurred by children with antisocial behaviour in the UK, and who pays these costs.MethodEighty children aged 3–8 years referred to mental health services were studied using the Client Service Receipt Inventory for Childhood.ResultsThe mean annual total cost was $ 5960 (median 4597, range 48–19 940). The services used were mainly the National Health Service, education and voluntary agencies, but the greatest cost burden, $4637, was borne by the family Higher cost was predicted by more severe behaviour and being male.ConclusionsThe annual cost of severe antisocial behaviour in childhood in the UK is substantial and widespread, involving several agencies, but the burden falls most heavily on the family Wider uptake of evidence-based interventions is likely to lead to considerable economic benefits in the short term, and probably even more in the long term.
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Norvoll, Reidun, Marit Helene Hem, and Hilde Lindemann. "Family Members’ Existential and Moral Dilemmas With Coercion in Mental Healthcare." Qualitative Health Research 28, no. 6 (January 8, 2018): 900–915. http://dx.doi.org/10.1177/1049732317750120.
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Coercion in mental healthcare does not only affect the patient, but also the patient’s families. Using data from interviews with 36 family members of adult and adolescent people with mental health problems and coercion experiences, the present narrative study explores family members’ existential and moral dilemmas regarding coercion and the factors influencing these dilemmas. Four major themes are identified: the ambiguity of coercion; struggling to stay connected and establishing collaboration; worries and distress regarding compulsory care; and dilemmas regarding initiating coercion. Subsequently, coercion can reduce, but also add burden for the family by creating strains on family relations, dilemmas, (moral) distress, and retrospective regrets; this is reinforced by the lack of information or involvement and low-quality care. Subsequently, it is a moral obligation to develop more responsive health services and professionals who provide more guidance and balanced information to increase the possibilities for voluntary alternatives and informed decision making.
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Innes, J. Michael, and Jennifer K. Slack. "Some Considerations on Personal Reactions to Emergency Stress in Employed and Volunteer Disaster Organization Personnel." International Journal of Mass Emergencies & Disasters 8, no. 3 (November 1990): 379–400. http://dx.doi.org/10.1177/028072709000800309.
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This paper reviews research on occupational stress as it is relevant to the demands made upon members of the emergency services, in particular fire service and ambulance personnel. Personal characteristics which may enhance or alleviate reactions to job stress are considered in concert with the effects, both positive and negative, of the support provided by other people, whether co-workers or family members. Particular attention is paid to the impact of stress upon volunteer personnel, as the characteristics which motivate people to take voluntary positions may in some cases heighten their reaction to job stressors.
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Moriarty, Jo, Jill Manthorpe, and Michelle Cornes. "Skills social care workers need to support personalisation." Social Care and Neurodisability 5, no. 2 (May 6, 2014): 83–90. http://dx.doi.org/10.1108/scn-12-2013-0042.
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Purpose – The purpose of this paper is to consider what implications the government's policy of personalisation has for social care workers in terms of the skills that they need to achieve more personalised support for people using services and family carers. Design/methodology/approach – A total of 86 semi-structured interviews were undertaken with a purposeful sample of social care commissioners, family carers, representatives of voluntary organisations and carers’ workers based in four contrasting localities in England. Findings – Participants highlighted the need for social care workers to have more specialist knowledge both about different complex health conditions and about services in their locality. The need to offer tailored support to carers that took account of the time they had been caring and the particular issues that they faced in terms of the health problems that the person for whom they cared was emphasised. The relational aspects of care are important. Research limitations/implications – This was an exploratory study and may need to be replicated before generalisations could be made. Originality/value – Existing published research on personalisation rarely discusses its implications for the social care workforce in terms of their skills. There is also still only a limited literature looking at personalisation from the perspective of family carers and those working with family carers.
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Samsi, Kritika, Jill Manthorpe, and Karishma Chandaria. "Risks of financial abuse of older people with dementia: findings from a survey of UK voluntary sector dementia community services staff." Journal of Adult Protection 16, no. 3 (June 3, 2014): 180–92. http://dx.doi.org/10.1108/jap-04-2013-0018.
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Purpose – Financial abuse of people with dementia is of rising concern to family carers, the voluntary sector and professionals. Little is known about preventative and early response practice among community services staff. The purpose of this paper is to investigate voluntary sector staff's views of the risks of managing money when a person has a dementia and explore ways that individuals may be protected from the risks of financial abuse. Design/methodology/approach – An online survey of staff of local Alzheimer's Society groups across England was conducted in 2011 and was completed by 86 respondents. Open-ended responses supplemented survey questions. Statistical analysis and content analysis identified emergent findings. Findings – Most respondents said their people with dementia experienced problems with money management, with almost half the respondents reporting encountering cases of financial abuse over the past year. Most were alert to warning signs and vulnerabilities and offered suggestions relevant to practice and policy about prevention and risk minimization. Research limitations/implications – Adult safeguarding practitioners are likely to encounter money management uncertainties and concerns about exploitation of people with dementia. They may be contacted by community-based support staff from the voluntary sector about individual queries but could ensure that such practitioners are engaged in local training and networking activities to promote their skills and confidence. Practical implications – As with other forms of elder abuse, professionals need to be aware of risks of financial abuse and be able to suggest effective yet acceptable preventive measures and ways to reduce risks of harm and loss. Further publicity about adult safeguarding services may be needed among local community support services. Originality/value – There have been few studies investigating the views of people working with people with dementia in the community about adult safeguarding.
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Cundy, Jessica. "Supporting Young Dads’ Journeys through Fatherhood." Social Policy and Society 15, no. 1 (October 26, 2015): 141–53. http://dx.doi.org/10.1017/s1474746415000524.
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While the recent Coalition government committed to some initiatives supporting the role of parents, relationships and the early years, there remains a lack of focus on fathers as a distinct policy area. This is reflected at local government level, as lead professionals for young fathers are rare and data on the number of young fathers in each local area are not routinely collected. Barnardo's was funded by the Department for Education in 2012, as part of the Family Strategic Partnership, to highlight the needs and experiences of young fathers in England, and the joint role of statutory and voluntary services in supporting them (fully reported by Barnardo's in Cundy, 2012). Based on selected case studies drawn from research and a range of practice organisations, this article presents the journeys of five young fathers and their experience of maternity services, children's centres, schools, housing services and the secure estate.
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Zadoroznyj, Maria, Cecilia Benoit, and Sarah Berry. "Motherhood, Medicine & Markets: The Changing Cultural Politics of Postnatal Care Provision." Sociological Research Online 17, no. 3 (August 2012): 134–44. http://dx.doi.org/10.5153/sro.2701.
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In high-income countries welfare states play a crucial role in defining - and re-defining - what is offered as publicly provided care, and as a result shape the role of families, markets and the voluntary sector in care provision. Fiscal policies of cost containment, coupled with neoliberal policies stressing individual responsibility and reliance on market forces in recent decades, have resulted in the contraction of state provided care services in a range of sectors and states. There has also been widespread retrenchment in public health sectors across many countries resulting in policies of deinstitionalisation and early discharge from hospital that are predicated on the assumption that the family or voluntary sector will pick up the slack in the care chain. At the same time that this loosening of medicalized control has occurred, services to families with young children have become increasingly targeted on ‘at risk’ mothers through widespread population surveillance. To date, analyses of the implications of these important changes in care provision have primarily focused on health services and outcomes for birthing women and their newborns. In this paper, we make the case that post-birth care is a form of social care shaped not only by welfare state policies but also by cultural norms, and we suggest an analytic framework for examining some of the recent changes in the provision of postpartum care. We use examples from three developed welfare states - the Netherlands, Australia and Canada - to illustrate how variations in welfare state policy and cultural norms and ideals shape the provision of home and community based postnatal services.
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Testoni, Ines, Giulia Salvalaio, Sara Pompele, and Adriano Zamperini. "The Management of Voluntary Abortion in Family Counselling Services. A Qualitative Study on the Role of Social Workers in Italy." Alternativas. Cuadernos de Trabajo Social 30, no. 1 (January 23, 2023): 130. http://dx.doi.org/10.14198/altern.21262.
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Introduction. Elective abortion has always been considered taboo. The event can sometimes be experienced as traumatic, as the woman finds herself struggling against a range of emotions: fear, shame, ambivalence, and a sense of guilt. Multidisciplinary support is therefore fundamental to guide women during this complex phase, and social workers usually play a key role in the process. The present study aimed therefore to explore the experiences and perspectives of social workers who worked with women who decided to have abortions, focusing on the strongest and weakest aspects of their support process. Methodology. The study involved 10 social workers working in family counselling services in Italy. All of them were female, with a mean age of 47 years, and a mean of 16.7 years of experience in the field. The study followed a qualitative approach, based on semi-structured interviews that were studied following the principles of thematic analysis. Results. Three fundamental themes emerged from the data analysis: «Limits of the family counselling procedures and organization»; «The emotional dimension of elective abortion»; and «The issue of conscientious objectors». Discussion. The study highlighted how family counselling services are facing a crisis due to the lack of resources, personnel, and projects allowing for women’s proper sexual education and support. It also showed how the social worker’s role, which is fundamental, has instead been reduced, especially regarding elective abortions. Moreover, there was a lack of social and sanitary contexts integration and professional training that would provide the operators with specific skills and make them feel prepared to address such delicate situations. Conclusions. The need has emerged for a new, multidisciplinary perspective on the issue of voluntary interruption of pregnancy and social workers play a major role. However, the support system still presents many shortcomings for the women in need of assistance. The present study offers innovative and practical suggestions to properly fill these gaps.
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Ting, C. H., and W. P. Lim. "Weathering the Silver Tsunami: Dementia Community Services in Singapore." European Psychiatry 33, S1 (March 2016): S474. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1730.
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IntroductionThe prevalence of dementia rises with the rapidly increasing elderly population in developed world. In Singapore, 10% of the elderly population is estimated to have dementia. Other than physical and psychological needs, social welfare should also be addressed with the support of specialised geriatric care sources to improve their quality of life.ObjectiveTo study a case of an elderly with dementia, who was identified and managed through a multi-agency approach and to describe different services involved for dementia care.AimTo highlight the various elderly care organizations available in Singapore to address healthcare and social needs in dementia.MethodThrough a case report of an elderly who presented to hospital for medical issues with dementia, the social needs were identified and multiple agencies were involved to provide holistic care in dementia.ResultA 77-year-old gentleman was brought by a community social worker to hospital as he was found ill during home visit. During admission, the concern for poor self-care and cognition decline was raised by his family. Mini-mental state examination was 16/30. He was diagnosed with vascular dementia with clinical and MRI Brain finding. With active multidisciplinary intervention, his medical issues were addressed, and family and social needs were attended by several voluntary welfare organizations. Access to memory clinic service was also arranged for. This intervention also provided opportunity for his long-term care and welfare.ConclusionMulti-agency approach is crucial in dementia care to identify their unmet needs and plan for long-term care in Singapore.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Massaquoi, Mariama A., Tyler R. Reese, John Barrett, and Dana Nguyen. "Perceptions of Gender and Race Equality in Leadership and Advancement Among Military Family Physicians." Military Medicine 186, Supplement_1 (January 1, 2021): 762–66. http://dx.doi.org/10.1093/milmed/usaa387.
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ABSTRACTIntroductionThere is increasing interest in assessing gender and race-based disparities in academic medicine and healthcare leadership in civilian medicine and the U.S. Military Health System. Approximately 15% of U.S. active duty service members are women, and racial minorities are 30% of the total active duty force. This study evaluates the following factors among uniformed services family physicians: gender and race representation in attaining early career leadership positions during training and 2 years postresidency; perceptions regarding leadership opportunities and career advancement.MethodsRegistered attendees (n = 300) of the 2016 Uniformed Services Academy of Family Physicians Annual Meeting were given a voluntary and anonymous online questionnaire. The main outcomes measured were early leadership assignments and perceptions about command/leadership support, gender roles in leadership assignment, confidence to achieve leadership goals, and being passed over for leadership positions.ResultsSixty-eight percent of registered attendees completed the study questionnaire. Statistically significant results, adjusting for service, grade, race, and gender, were that non-Caucasian family physicians were less likely to be chief residents (odds ratio 0.23, 95% CI 0.01-1.00) and less likely to have leadership positions within 2 years postresidency (odds ratio 0.30, 95% CI 0.10-0.91). Female family physicians were more likely to agree that gender has a role in assigning leadership positions (odds ratio 2.33, 95% CI 1.01-5.39). There were no differences in perceptions of command support for leadership; confidence in achieving desired leadership level; or in being passed over for leadership positions.ConclusionsThis study provides important information about perceived gender and race equality among uniformed services family physicians. Key findings included that non-Caucasian military family physicians were less likely to attain junior leadership positions or be assigned to academic settings; and female respondents were more likely to agree that gender has a role in assignment of leadership positions. Evaluating composite personnel records of services’ family physicians would provide invaluable information to complement this study.
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De Clercq, Dirk. "“I Can’t Help at Work! My Family Is Driving Me Crazy!” How Family-to-Work Conflict Diminishes Change-Oriented Citizenship Behaviors and How Key Resources Disrupt This Link." Journal of Applied Behavioral Science 56, no. 2 (March 6, 2020): 166–94. http://dx.doi.org/10.1177/0021886320910558.
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This study investigates how employees’ experience of family-to-work conflict might turn them away from change-oriented citizenship behaviors, as well as how this negative link might be buffered by two relational resources (social interaction and goodwill trust) and two organizational resources (distributive and procedural justice). Data collected among employees in the Canadian banking and financial services sector reveal that negative interferences of family with work reduce the likelihood that employees undertake voluntary behaviors that alter and improve the organizational status quo; this effect is weaker though when employees maintain informal relationships with their peers, believe that peers do not take advantage of them, and regard organizational decision-making procedures as fair. The results do not support a buffering effect of distributive justice. This study thus pinpoints different ways organizational change professionals can reduce the risk of diminished change-oriented voluntarism, as might arise due to the spillover of family-related strain into the workplace.
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Liang, Li-Lin. "Impact of integrated healthcare: Taiwan’s Family Doctor Plan." Health Policy and Planning 34, Supplement_2 (November 1, 2019): ii56—ii66. http://dx.doi.org/10.1093/heapol/czz111.
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Abstract Integration of health services has been pursued worldwide. Diversity in integration approaches and in the contexts in which integrated programmes operate, however, hinders comparative analysis of care integration in both high-income countries (HICs) and low- and middle-income countries (LMICs). This study evaluates an HIC programme implemented in a delivery system resembling those of LMICs, especially its weak primary care system. The programme, Taiwan’s Family Doctor Plan (FDP), targets high-cost and chronic patients, incorporating key elements of integrated care, viz., case management, multidisciplinary teams and care pathways. This study estimates the effects of shifting from usual to integrated care and locates contextual factors that may distort programme implementation. To estimate programme effects, difference-in-differences analysis is applied to a balanced panel comprising >160 000 patients over 2009–13. Because physician participation is voluntary, a propensity score matching method is used to match providers. The research findings reveal that introduction of the FDP has not reoriented the model of care from fragmented towards integrated health services. It reduces continuity of care and has no effect on co-ordination of care. Regarding quality of care, the FDP is shown to have no effect on avoidable admissions and increases drug injections and emergency department visits. Several contextual factors may serve as barriers that impede elements of FDP from generating desirable outcomes. These include absence of registration and gatekeeping systems; limited capacities of clinics; and preponderance of fee-for-service remuneration. These findings suggest that HIC design elements may not be directly transferrable to settings with weak primary care systems, as is typical of LMIC healthcare. Changes at the system level, such as establishing regular sources of care, may be necessary before elements of integrated care are introduced to a weaker primary care system.
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Rohan, Hasdianah H., Sasi Widuri, and Yustisia Amalia. "Program Pemberdayaan Masyarakat non Produktif tentang pentingnya Manfaat mengenal dan menjadi Donor Darah di Unit Tranfusi Darah PMI Kota Surabaya." JOURNAL OF COMMUNITY ENGAGEMENT IN HEALTH 2, no. 2 (August 28, 2019): 27–32. http://dx.doi.org/10.30994/jceh.v2i2.22.
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Blood transfusion service is a health care effort that utilizes human blood as a basic ingredient with humanitarian purposes and not for commercial purposes. Blood transfusion services as one of the health efforts in order to cure disease and health recovery desperately require the availability of blood or adequate blood components, safe, accessible and affordable by the community. Each blood transfusion unit has a responsibility to meet the availability of blood in its working area. Blood availability is highly dependent on the willingness and awareness of people to donate their blood voluntarily and regularly. To achieve this, blood transfusion units need to conduct donor recruitment activities which include socialization efforts and campaign of voluntary blood donor, donor deployment and donor preservation. The need for blood is increasing in this world where 1 patient from 7 patients who are hospitalized requires a blood transfusion. Imbalance between blood supply and blood needs is increasing in the world. Currently only in 62 countries, blood supplies of 100% are derived from voluntary blood donors and 40 other countries still depend on family darai donors and paid blood donors. From the results of location analysis and info from blood transfusion Unit RS, Dr. Setomo, Surabaya PMI about the problems of lack of blood stocks at a certain moment, then make us perform a lack of public awareness about the blood Donor This, thereby giving our infiration to give intervention, counseling, convey that being a blood Donor can increase the stamina and occurrence of new erythrocytes, which can facilitate blood circulation and make the body healthier. Plan, create a community Web Site that is interested in becoming a voluntary blood Donor, so that the community is moved to become a voluntary blood Donor, of course not be separated must fulfill the requirements that the blood donation is worthy as Blood and healthy Donor, appropriate Perturan. Install Bener on a specific place, make a bag, T-shirt, key toy, a zipper box, and other knacks that can be used as the community Logo voluntary blood donor, in hopes of increasing the necessary blood stocks society. From the new results we perform to attract voluntary blood donors. Through the appeal to come to the counseling and to share Leaflet only at this early stage, there have been obtained result of increased blood stock from the results of voluntary blood donation after Community service. Obtained significant results, where there is an increase in the amount of blood in PMI, after the implementation of blood donation. There is an increase in blood stocks at that time as much as 40-50%, from the results of community devotion.
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CALZADA, INÉS. "Social Protection without Borders? The Use of Social Services by Retirement Migrants living in Spain." Journal of Social Policy 47, no. 1 (February 21, 2017): 21–37. http://dx.doi.org/10.1017/s0047279417000101.
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AbstractThis article seeks to assess the extent to which international retirement migrants (IRMs) living in Spain make use of public elder-care services, as well as how public officials deal with their demands. The data stems from qualitative interviews with 19 social workers in ten communities characterised by a sizable population of retirement migrants. We found that substantial numbers of retirement migrants remain in Spain well after dependency sets in. This necessitates the development of complex strategies to obtain care by means of social networks, voluntary associations, and private care providers. A certain reluctance to engage with Spanish social services may explain the fact that these services are accessed only as a last resort when all other options have failed. However, the entire process of evaluating the needs of, and granting public care services to, retirement migrants is plagued by difficulties. Social workers cite the lack of a common language as a significant obstacle, together with insufficient information on claimants’ health, economic and family situations (many IRMs are not registered as residents in Spain). The familistic rules governing Spanish social services and the recent reductions in public budgets due to the economic crisis constitute additional barriers to the adequate protection of IRMs.
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Wachamo, Demelash, Yadessa Tegene, Abdisa Tibeso, and Assefa Washo. "Sexual and Reproductive Health Services Utilization and Associated Factors among College Students at West Arsi Zone in Oromia Region, Ethiopia." Scientific World Journal 2020 (August 25, 2020): 1–7. http://dx.doi.org/10.1155/2020/3408789.
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Background. Young people are challenged with sexual and reproductive health (SRH) problems due to limited access to services and information. It contributes a high burden of sexually transmitted disease, unsafe abortion, and premature mortality, especially in low-income countries like Ethiopia. Hence, this study aimed at assessing the SRH service utilization and associated factors among college students at West Arsi Zone in Oromia region, Ethiopia. Methods. Institutional-based cross-sectional study was conducted among 519 randomly selected college students from January 01, 2019, up to April 30, 2019. Data were collected through self-administered pretested questionnaires. Data entry and analysis for descriptive and logistic regression models were performed by using SPSS (version 23). The result was declared as statistically significant at p < 0.05. Results. The utilization of at least one SRH service in the last twelve months was seen in 304 (58.6%) students. Mainly information and counseling (81.3%), voluntary testing and counseling for HIV (80.6%), condom service (37.2%), pregnancy test (35.5%), family planning services (33.2%), and abortion care services (26.0%) were most frequently utilized. The students’ aged between 20 and 24 years [AOR = 2.05, 95% CI: 1.38–3.06], female students [AOR = 1.92, 95% CI: 1.30–2.82], those not living with family [AOR = 1.54, 95% CI: 1.05–2.26], those who discussed about SRH with family/friends [AOR = 1.92, 95% CI: 1.31–2.82], and those who participated in school clubs [AOR = 1.75, 95% CI: 1.19, 2.58] more frequently used SRH service compared with their counterparts. Conclusions. The utilization of SRH services was low when compared with other studies and needs improvements to tackle RH-related problems. It requires pertinent health education and the SRH club at higher educational institutions is crucial.
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ADAIR, TIMOTHY. "UNMET NEED FOR CONTRACEPTION AMONG HIV-POSITIVE WOMEN IN LESOTHO AND IMPLICATIONS FOR MOTHER-TO-CHILD TRANSMISSION." Journal of Biosocial Science 41, no. 2 (March 2009): 269–78. http://dx.doi.org/10.1017/s0021932008003076.
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SummaryIn Lesotho, the risk of mother-to-child-transmission (MTCT) of HIV is substantial; women of childbearing age have a high HIV prevalence rate (26·4%), low knowledge of HIV status and a total fertility rate of 3·5 births per woman. An effective means of preventing MTCT is to reduce unwanted fertility. This paper examines the unmet need for contraception to limit and space births among HIV-positive women in Lesotho aged 15–49 years, using the 2004 Lesotho Demographic and Health Survey. HIV-positive women have their need for contraception unmet in almost one-third of cases, and multivariate analysis reveals this unmet need is most likely amongst the poor and amongst those not approving of family planning. Urgent action is needed to lower the level of unmet need and reduce MTCT. A constructive strategy is to improve access to family planning for all women in Lesotho, irrespective of HIV status, and, more specifically, integrate family planning with MTCT prevention and voluntary counselling and testing services.
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Fauk, Nelsensius Klau, Anastasia Suci Sukmawati, Sri Sunaringsih Ika Wardojo, Margareta Teli, Yoh Kenedy Bere, and Lillian Mwanri. "The Intention of Men Who Have Sex With Men to Participate in Voluntary Counseling and HIV Testing and Access Free Condoms in Indonesia." American Journal of Men's Health 12, no. 5 (June 1, 2018): 1175–84. http://dx.doi.org/10.1177/1557988318779737.
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This study aimed to identify factors that influenced the intention of men who have sex with men (MSM) to participate in voluntary counseling and HIV testing (VCT) and in accessing free condoms. A qualitative inquiry using one-on-one in-depth interviews was conducted with MSM participants who were recruited using a purposive sampling technique. Data analysis was guided by a framework analysis for qualitative data by Ritchie and Spencer, and the Theory of Planned Behavior (TPB) framework was used to analyze the data. The findings were grouped into three themes—namely, (a) attitude encompassing knowledge about HIV/AIDS and HIV/AIDS services and the belief about the positive outcomes of the services; (b) subjective norms including support from MSM peers and family members and motivation to comply with the support; and (c) perceived behavioral control, which is associated with resource availability and having confidence and positive intention to participate in VCT and willingness to access free condoms. Findings indicated that personal, community, and structural factors were predictors to intention to accessing services. Interventions targeting large numbers of MSM population and further studies to understand what needs to be done by nongovernmental organizations and governmental institutions to halt the spread of HIV infections among MSM populations and increase their intention to use HIV/AIDS services are also recommended.
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Karhina, Kateryna, Mehdi Ghazinour, Nawi Ng, and Malin Eriksson. "Social Capital Transformation, Voluntarily Services and Mental Health During Times of Military Conflict in Ukraine." Global Journal of Health Science 9, no. 5 (March 13, 2017): 141. http://dx.doi.org/10.5539/gjhs.v9n5p141.
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BACKGROUND: The effects of war as well as military conflict include long-term physical and psychological harm to children and adults. Social relations and trust play a role in peace building and conflict resolution. Social capital is believed to facilitate institutional and interpersonal trust as well as safety and security, and thus may become an important resource in times of military conflict.OBJECTIVE: The aims of this study are to analyse how social capital may be transformed due to a military conflict in contemporary Ukraine and to explore the role of voluntarily services in this change. Further we aim to discuss the possible influence of social capital transformation on mental health in times of military conflict.METHODS: A qualitative case study design was chosen to explore it. In-depth interviews were chosen as a method for data collection. Informant’s selection criteria were: either to be involved in volunteering activities in the city of Khmelnitsky (which is the place of research) or to receive volunteering help. 18 interviews were conducted.Informants were reached by snowball sampling. Interviews are collected, transcribed, translated and analyzed using constructive Grounded Theory approach of Charmaz.RESULTS: Our results show that social capital transforms during military conflict experiences. The changes happen both in cognitive and structural components since they are connected. The most important changes occur in bonding social capital, where new formation such as brotherhood, emerges and replaces previous bonding ties with family and friends. In addition, voluntarily acting actors (those who normally belong to bridging social capital) transform into relations with bonding entities. New forms of social capital are thus generated through the existence of voluntary services, and these networks provide essential social support in times of military conflict. Perceived support softens negative emotional responses to traumatic events. In line with the stress-buffering model, our results support that the formation of new social capital in times of military conflict may protect against the negative mental health effects of these experiences.
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McGarry, Julie, Christine Simpson, and Kathryn Hinsliff-Smith. "An exploration of service responses to domestic abuse among older people: findings from one region of the UK." Journal of Adult Protection 16, no. 4 (August 5, 2014): 202–12. http://dx.doi.org/10.1108/jap-08-2013-0036.
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Purpose – Domestic abuse continues to be largely hidden phenomenon. For older survivors this invisibility is further compounded by conceptual confusion surrounding domestic abuse and other forms of family violence. The purpose of this paper is to explore service responses to abuse among older people from across a range of sectors. Where possible the perspectives of older people themselves were explored. Design/methodology/approach – A mixed methods approach incorporating postal questionnaires and semi-structured telephone interviews. Agencies and organizations from both the statutory and voluntary sector who provided specific domestic abuse support services or general services and support for older people (aged 59 years and over) and older people, either as survivors of abuse or with an interest in the development of services for older people within one region of the UK were invited to take part in the project. In total, 18 individuals from a range of agencies and three older women survivors agreed to take part in the study. Findings – The findings highlighted three main themes, first, lack of conceptual clarity between domestic abuse and elder abuse, second, complexity of family dynamics and abusive relationships, and third, deficit in dedicated service provision for older survivors. The findings are discussed within the context of the existing literature and key recommendations include wider recognition of the significance of inter-professional education, training and working practices. Originality/value – This paper identifies the complexities and challenges that continue to face organizations in terms of recognition and provision of services for older survivors of abuse.
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Oliveira, Deborah, Lidia Sousa, and Aimee Aubeeluck. "What would most help improve the quality of life of older family carers of people with dementia? A qualitative study of carers’ views." Dementia 19, no. 4 (August 4, 2018): 939–50. http://dx.doi.org/10.1177/1471301218791906.
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Older family carers of people with dementia provide a substantial amount of care for people with dementia in the UK. Caregiving can be stressful and burdensome for these individuals, who are also experiencing psychological and physical changes resulting from their own ageing process. However, little is known about what impacts their quality of life, how this can be improved and what we should prioritise. This brief report asks one simple question to older family carers of people living with dementia – “What would most help improve your quality of life as a carer?” Qualitative data were collected from 150 carers who completed an anonymous paper survey during the development and validation of a quality of life tool for use with this population (DQoL-OC). Participants were individuals aged 60 and over and were providing care for a family member with dementia at home in the UK. Carers were recruited from a variety of voluntary organizations, community-based carers’ groups, health services and via online forums. A thematic approach was used to analyse the carers’ comments and three main overarching themes were identified. The quality of life of older family carers can be enhanced by having more time away from caregiving, accessing health and social services that are dementia friendly and by having economic support. Future care, policies and research should aim to address these key areas in order to promote better quality of life for older carers of people with dementia. Further implications for practice, policy and research are discussed.
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Dadá, Mahomed Sidique Abdul Cadar, Abdul Habib Mahomed Dadá, and Zulaikhah Mahomed Sidique Dadá. "Unusual case of intentional ingestion of foreign body in patient with mental retardation." Brazilian Journal of Health Review 5, no. 4 (August 31, 2022): 17069–74. http://dx.doi.org/10.34119/bjhrv5n4-258.
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Introduction: In developing countries the problem of foreign bodies in Otorhinolaryngology Services (ENT) is poorly studied. The foreign body is common in children but may occur in adults with mental disorders or in prisoners. Objective: To describe the case of a patient with psychiatric problems who ingested a metallic object. Psychiatric observation was requested that diagnosed an "anxiety crisis" after family conflict. Results: Esophagoscopy was performed for uncomplicated extraction. Discussion: Voluntary (intentional) ingestion of objects occurs in patients with psychiatric disorders, especially schizophrenia, mental retardation or in the inmate population. However, the ingestion of a large foreign body is related to parasuicidal behaviour. Conclusions: Always suspect the presence of a foreign body in patients with psychiatric disorders with odynophagia in the absence of pharyngotonsillitis.
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Vanderpool, Chelsea, and Sean A. Way. "Investigating Work–Family Balance, Job Anxiety, and Turnover Intentions As Predictors of Health Care and Senior Services Customer-Contact Employee Voluntary Turnover." Cornell Hospitality Quarterly 54, no. 2 (March 20, 2013): 149–60. http://dx.doi.org/10.1177/1938965513478682.
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Burhanuddin, Nurfardiansyah, and Septiyanti Septiyanti. "Pemanfaatan Layanan Voluntary Conseling Testing (VCT) Di Puskesmas Jumpandang Baru Kota Makassar." Jurnal Penelitian Kesehatan "SUARA FORIKES" (Journal of Health Research "Forikes Voice") 11 (March 5, 2020): 69. http://dx.doi.org/10.33846/sf11nk213.
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VCT (Volountary Counseling and Testing) is a combination of the HIV counseling and testing process. One of the features of this VCT service is not only in the counseling process, but also in the process of testing and test post. Besides aiming to help change behavior, also to prevent HIV transmission, improve the quality of life of PLWHA, which indeed affects the behavior of mothers to conduct or not VCT examination. This type of research was observational using the Cross Sectional approach. In this study, researchers will take data on both dependent and independent variables. The research design is by distributing questionnaires. The sample size was 61 respondents taken by accidental sampling. Data collection done by interview using a questionnaire. Data analyzed bivariate. The results showed that there was no relationship between knowledge (P = 0.113), Officer skills (p = 0.61), family support (p = 0.129), assurance of confidentiality (p = 0.61), facilities and infrastructure (p = 0.565 ) on the use of VCT services, but there is a relationship between attitudes (p = 0.01) on the use of VCT services.
Keywords: VCT; knowledge; skill; suport; assurance of confidentiality; facilities and infrastructure; attitude
ABSTRAK
VCT (Volountary Counseling and Testing) merupakan gabungan dari proses konseling dan tes HIV. Salah satu keistimewaan dari layanan VCT ini tidak hanya pada proses konseling, tapi sampai pada proses tes dan pos tes. Selain bertujuan untuk membantu perubahan perilaku, juga guna mencegah penularan HIV, meningkatkankualitas hidup ODHA, yang memang memepengaruhi perilaku ibu untuk melakukan atau tidak pemeriksaan VCT.penelitian ini bertujuan untuk mengetahui faktor-faktor yang memepengaruhi pemanfaatan layanan VCT di Puskesmas Jumpandang Baru Kota Makassar. Jenis penelitian ini adalah observasional dengan menggunakan metode pendekatan Cross Sectional.pada penelitian ini peneliti akan mengambil data variabel terikat maupun variabel bebas. Desain penelitian yaitu dengan membagikan kuisioner. Besar sampel sebanyak 61 responden yang diambil secara accidental sampling. Pengumpulan data dilakukan dengan wawancara menggunakan kuisioner. Data dianalisis secara bivariat. Hasil penelitian menunjukkan bahwa tidak ada hubungan antara pengetahuan (P=0,113),keterampilan Petugas (p=0,61), dukungan keluarga (p=0,129), jaminan kerahasiaan (p=0,61), sarana dan prasarana (p=0,565) terhadap pemanfaatan layanan VCT, namun terdapat hubungan antara sikap (p=0,01) terhdap pemanfaatan layaan VCT.
Kata kunci: VCT; pengetahuan; keterampilan; dukungan; jaminan kerahasiaan; sarana dan prasarana; sikap
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Pudrianisa, Sheila Lestari Giza. "KOMUNIKASI NEGOSIASI INDIVIDU GAY DALAM MEMUTUSKAN VCT SECARA SUKARELA." Jurnal Audience 1, no. 2 (July 23, 2019): 174–96. http://dx.doi.org/10.33633/ja.v1i2.2690.
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AbstrakPenelitian ini bertujuan untuk memahami proses komunikasi negosiasi individu gaymemutuskan VCT (Voluntary, Counseling and Tasting) serta pendampingan secara sukarela.Informan penelitian adalah LSL yang tergabung dalam Semarang GAY@ Community yang terdiriatas tiga orang LSL negatif dan tiga orang LSL positif. Keluarga, teman dan pacar sesama LSLberpengaruh pada pengambilan keputusan saat proses negosiasi berjalan. Proses komunikasinegosiasi menggunakan tiga pendekatan yaitu framing sebagai posisi tawar, penyusunan pesan sebagai elemen dalam membentuk pesan persuasi, dan mengelola hubungan antara LSL dengan Dinas Kesehatan yang menyediakan layanan tes gratis dan layanan konseling(VCT) rutin, yang ditandai dengan perjanjian tertulis atau penandatangan kontrak sebagaibentuk kesepakatan antara negosiator (petugas kesehatan) dengan narasumber. Penelitianini menghasilkan sikap sukarela karena terdorong rasa tanggung jawab terhadap diri sendiridengan konsep komunikasi negosiasi berulang (multilayer negotiation) menggunakan gayakomunikasi yang berbeda yaitu karena paksaan, imbalan serta rasa penasaran.Kata kunci: Negosiasi berulang, LSL, VCT, ODHAAbstractThis research has purpose to understand a process communication of negotiation guyindividuals decide on VCT (Voluntary, Counseling and Tasting) as well as voluntary colleague.The research information were MSM who joined in Semarang GAY@ community consists thatof three persons negative and three persons positive include family,friends, girl or boy friendof MSM has an effect decision when during negotiation process. The process negotation usesthree approachs such as framing become undisturbed position,composing massage becomeelement and then massage transform persuasi, and can make relationship between MSM andpublic health office that provide service free test and conseling services (VCT), as indicated bya agreement or sign contract as a form of agreement between the negotiator (health worker)and the resource persen. This research can produce a voluntary attitude inasmuch as it shoveda sense of responsibility towards oneself with concept repeatation negotiation communication(multilayer negotiation) can use different communication such as compulsion,wage,andcurious.Keywoards: Multilayer negotiation, MSM, VCT, ODHA.
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Ghaleb, Yasser Ahmed, Ali Abdullah Al- Somainy, Mohammed Abdullah Alamad, Abdulwahed Abduljabbar Al Serouri, and Yousef S. Khader. "Evaluation of Blood Transfusion Services in Public and Private Blood Bank Centers, Sana’a Capital, Yemen." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 56 (January 2019): 004695801987094. http://dx.doi.org/10.1177/0046958019870943.
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The aim of this study was to evaluate blood transfusion services (BTS) at the main blood banks (BBs) of the Sana’a Capital. The 4 main BBs at Sana’a Capital were evaluated according to the safe World Health Organization BTS standards. Qualitative and quantitative data were collected using semi-structured questionnaires covering 6 components: activities, quality assurance system (QAS) and training, donation, grouping and compatibility testing, components, and screening for transfusion-transmitted infections (TTIs). An overall mean percent score for BTS was calculated where <60% is considered unsatisfactory, 60% to 79.9% satisfactory, and ≥80% highly satisfactory. The 4 BBs screen for HIV, hepatitis B, and hepatitis C and perform all functions except therapeutic transfusion. While 75% of the staff in BBs had received training in biosafety and half of the staff had received training in Standard Operating Procedures (SOPs), no QAS in place at any of the 4 BBs. The 4 BBs depended on 71% of their transfusions on family donors. Two BBs do not perform reverse grouping and do not keep patient/donor samples for the required minimum 5 days. Only one BB achieved an overall high satisfactory score and one achieved a satisfactory score. Findings highlight the increasing challenges facing BTS in Sana’a Capital especially the lack of therapeutic transfusion, poor QAS, and predominant dependence on the family donors. Therefore, there is a need to develop and train staff on QAS and to increase awareness among public on importance of voluntary donation. A wider scale evaluation of BTS in Sana’a is recommended.
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Nnachi, Oluomachi Charity, Charles Uzor, Chukwuma David Umeokonkwo, Emeka Ogah Onwe, Augustine Ejike Okoye, Richard Lawrence Ewah, and Favour Ogonna Nwani. "Donor Blood Procurement, Safety, and Clinical Utilization: A Study of Blood Transfusion Services in a Tertiary Care Hospital in Nigeria." Anemia 2022 (March 17, 2022): 1–7. http://dx.doi.org/10.1155/2022/2622291.
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Background. Donated blood is an essential component of the management of many diseases, and hospital-based blood banks in Nigeria are saddled with the responsibility of provision of safe blood and coordination of its appropriate utilization for patient care. Objective. This study reviewed the extent to which the hospital blood transfusion service ensures adequate safe blood supply and utilization. Materials/Methods. This was a retrospective study of 2 years record of the blood bank service of Alex Ekwueme Federal University Teaching. Methods of donor blood procurement, transfusion transmissible infection status, the pattern of blood, and blood component usage across the hospital’s clinical departments were evaluated. Statistical analysis was conducted using IBM SPSS, and data were presented as percentages. Fisher’s tests were used to test significance, and p value <0.05 is significant. Results. The highest proportion of donors was male family replacement donors aged 26–35 years (3634 (39.68%)) while total voluntary donors were 315 (2.65%). Hepatitis B had the highest seroprevalence 267 (2.22%) among blood-borne diseases screened. National Blood Transfusion Service (NBTS) supplied only 3 (0.03%) of total blood units used. The accident and emergency department had the highest proportion of persons who utilized whole blood; 4568 (99.96%). Conclusion. The hospital blood bank relies heavily on family replacement donors with little or no assistance from the National Blood Transfusion Service. Family replacement donors have the highest risk of TTIs, and hepatitis B infection has the highest prevalence. The high cost of blood component therapy increases the need for whole blood.