Dissertations / Theses on the topic 'Community health centres'
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Johnston, Corrine W. "Whither the community in community health centres?, the limits of primary care reform." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0005/NQ41181.pdf.
Full textRankin, David. "Sustainability processes in community-level health initiatives : the experiences of Scottish healthy living centres." Thesis, University of Edinburgh, 2010. http://hdl.handle.net/1842/4820.
Full textBresick, Graham. "A study of continuity in Cape Town community health centres." Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/9358.
Full textThis study sought to determine: i) the extent of continuity in Cape Town public sector clinics; ii) patients' views of continuity; iii) senior managers ideas of how continuity can be improved; iv) clinical managers' views of a proposed practice team model to improve continuity. Continuity, defined as present if patients saw the same doctor for at least 80% of visits in a 2 year period, was present for less than 9% of patients.
Gordon, Roberta June. "Pregnant women's perception and application of health promotion messages at community health centres." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
Full textHiguchi, Michiyo. "Improving the use of medicines in community health centres, Timor-Leste." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2008. http://researchonline.lshtm.ac.uk/1300445/.
Full textRhoda, Anthea. "The rehabilitation of stroke patients at community health centres in the Western Cape." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_5654_1318838292.
Full textYi, Sang-il. "Responsiveness, equity and decentralisation : the example of community health centres of Seoul, South Korea." Thesis, University College London (University of London), 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272123.
Full textGreathead, Erica. "Role competencies of first-line nurse managers in community health centres : a delphi study." Master's thesis, University of Cape Town, 2000. http://hdl.handle.net/11427/2951.
Full textThis study was conducted to determine the role competencies required of first-line nurse managers of Community Health Centres (CHC) in South Africa with the implementation of the district health system and the corresponding delegation of authority and responsibility to lower levels of management. A Delphi technique was utilised, which involved a panel of 24 senior nurse managers.
Biggs, Debbie Lynn. "Health promotion needs of stroke patients accessing community health centres in the metropole region of the Western Cape." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
Full textassessment have been developed. The aim of the present study is to determine the health promotion needs of stroke patients accessing selected Community Health Centres in the Metropole region of the Western Cape. A cross-sectional survey, utilizing a self-administered questionnaire and in depth interviews with a purposively selected sample was used to collect the data. The quantitative data was analysed using Microsoft Excel ®
. Means, standard deviations and percentages were calculated for descriptive purposes and the chi-square test was used to test for associations between socio-demographic and health-related variables. Audiotape interviews were transcribed verbatim, the emerging ideas were reduced to topics, categories and themes and finally interpreted. In order to qualify for between-method triangulation used in the study, complementary strengths were identified by comparing textual qualitative data with numerical quantitative results and vice versa. The quantitative analysis revealed that the participants were engaging in health risk behaviours such as physical inactivity, substance usage, non-compliance to medication use and inappropriate diet modification. Lack of financial resources, facilities and access to information predisposed them to involvement in risky health behaviours. In-depth interviews supported the quantitative findings and revealed that numerous participants&rsquo
suffered from depression and frustration as a result of having a stroke. The necessary ethical considerations were upheld. The outcome of the study could contribute to the need to develop, encourage and promote wellness-enhancing behaviours and activities to improve the participants&rsquo
health status and ultimate quality of life.
Sebeh, Alaa Galal. "Evaluation of community based rehabilitation for disabled children in urban slums in Egypt." Thesis, University College London (University of London), 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.362828.
Full textAbdulqadir, Ayiman Husayn Khalleefah. "Rehabilitation professionals' views on the experiences of patients with physical disabilities accessing community health centres." University of the Western Cape, 2018. http://hdl.handle.net/11394/6409.
Full textRehabilitation services have been described as being necessary to maximize patient independence in order to enable them to participate fully in their communities. The Aim of the study was based on the problem statement and the research question, this study aims at exploring rehabilitation professionals' views on the experiences of patients with physical disabilities accessing CHCs in the Western. The objectives of the study were to explore the views of rehabilitation professionals regarding experiences by patients accessing rehabilitation services at the Community Health Centres (CHCs) in the Western Cape and to reach health experts consensus on how rehabilitation services should be provided at the CHCs based on the outcomes of objective 1. Methodology: This study used an exploratory design that used qualitative methods for data collection (workshops and focus group discussions (FGDs) and a Delphi study. The study was conducted at purposively selected CHCs in the Western Cape. The population in this study included all rehabilitation professionals who provide rehabilitation services in the CHCs, who were invited to participate in the study. Data collection: In the qualitative and the Delphi study, data was collected through workshops, focus group discussions and emails respectively. Data analysis: The workshops and the FGDs were audio recorded and then transcribed verbatim for content analysis.
Matsika, Callista Kanganwiro. "Persons with physical disabilities' experiences of rehabilitation services at community health centres in Cape Town." University of the Western Cape, 2009. http://hdl.handle.net/11394/2932.
Full textAccording to the United Nations, more than half a billion people (about 650 million) worldwide are disabled. Disability can have a vast impact on both the individual and the family. Rehabilitation is therefore a fundamental need for the persons with disability to achieve functional independence and have an improved quality of life. To enhance the effectiveness of rehabilitation, it is important to seek clients perspectives of the rehabilitation services and to incorporate these perspectives into the planning and delivery of rehabilitation services. In areas where rehabilitation services are available in South Africa, minimal research has been done to explore the clients experiences regarding provision of these services. The aim of this study therefore was to explore the persons with physical disabilities experiences of the rehabilitation services they received at community health centres (CHCs) in the Cape Town Metro Health District. Data was collected using a mixed methods design in the form of a sequential exploratory strategy. Qualitative data collection was done using in-depth interviews and this was followed by administration of an interview questionnaire. The questionnaire was developed using results from the in-depth interviews together with information from literature. Ten persons with physical isabilities, who had received rehabilitation services at participated in the in-depth interviews and 95 responded to the interview questionnaire. The interviews were tape-recorded and transcribed verbatim and they were analysed using predetermined themes. The SPSS version 16.0 was used to analyse the quantitative data which was presented in frequencies, medians, quartiles and percentages. The results of the study revealed that the participants experienced problems with getting transport to travel to the community health centres and getting adequate information from the service providers particularly information regarding disability and support services available for them. Experiences regarding participants involvement in their rehabilitation were generally positive. Generally, the participants reported positive experiences regarding their interaction with service providers and family support and involvement and this study recommends the staff to maintain their standards regarding these two dimensions of rehabilitation. However most of the participants were not concerned about whether the service providers gave them an opportunity to express their preferences or not. The results indicate the need to improve transport services for persons with physical disabilities and to give them more information regarding support services. The service providers should also give the clients more opportunities to get involved in their rehabilitation and educate them about the benefits of them getting involved.
South Africa
Arowoiya, Ayorinde Ibukun. "Participation restrictions of stroke patients living in the community at selected community health centres in the Metropole Districts in the Western Cape, South Africa." University of the Western Cape, 2014. http://hdl.handle.net/11394/4680.
Full textStroke is the second leading cause of death globally and the consequences on human and economic health are of major concern. The aim of this study was to determine and explore the participation restrictions experienced by stroke patients. The study populations were stroke patients living within the community in Western Cape, South Africa. A mixed methods approach was used to collect data in this study which consisted of two phases. For the first phase, the descriptive, observational cross sectional design was used to determine the participation restrictions of stroke patients living within the community and the factors associated with community with respect to integration. In this phase, an interviewer- administered questionnaire was used to collect data; the instrument for this study is the standard World Health Disability Assessment Schedule 2.0 (WHODAS 2.0) for disability assessment which includes the International Classification of Functioning Health and Disability (ICF) concept in disability assessment which has been tested and found to be reliable and valid, to determine various participation restrictions among stroke patients living in the society. While in the second phase of this study, two focus group discussions were conducted at the selected community health centre; these participants were conveniently selected from those who participated in the first phase of the study. This was conducted to retrieve in-depth information on difficulties encountered in participating in daily life situations. The Statistical Package for Social Sciences (SPSS) was used for descriptive and inferential statistics. Chi square and Anova t-test was used to determine the association between the demographics statistic and participation restrictions. Alpha level was set at 0.05. For qualitative findings, audiotaped interviews and note taken were transcribed and translated into English; the expressed ideas were coded and reduced into subthemes, themes and categories. Ethical clearance and permission to conduct study was sought, consents from participants were sought, clearly stating the right to participate and withdraw from the study was respected and anonymity and confidentiality has been ensured. The result of the study showed that participants encountered difficulty with cognition, (23.3% of participants reported severe difficulty in learning a new task; 20% reported severe difficulty analyzing and finding solution to day to day activities), mobility (34% acknowledged difficulty walking a long distance like one kilometer after stroke), self-care ( 44% indicated difficulty staying alone for few days after stroke, while the majority, 61% complaints of difficulty with getting dressed by self), getting along with people with the majority of the difficulties (36%) are sexual activities, household activities with major complaints (46.6% and 31.4%, for severity and exemption respectively) in getting needed household work done, severe difficulty (51.7%) reported in relaxation and pleasure after stroke, 50.8% been financially restrained after stroke, 40% with difficulty in joining in the community activities, 39.2% severely affected by people perception towards them and 25.8% of the participants indicated extreme time spent on health; all difficulties investigated within the society 30 days after the incidence of stroke. However, the result of the qualitative phase reported the participation restrictions experienced by the participants. Difficulty in cognition was reported, which promotes indiscipline among family members. Limitation in activity level such as in mobility (walking for a long distance, standing from a sitting position), in self-care (washing the whole body, eating, staying alone after stroke), in getting along (maintaining friendship, sexual activities), in household activities and work activities was reported. Participants experienced difficulty in joining in community activities, emotional fluctuations, poor perception of attitudes of others after stroke, excessive use of time on health conditions, increased financial impact of health condition and burden impact on family was reported. Environmental barriers such as transportation and toilet facilities were reported. The current study findings suggest appropriate and specific programmes should be aimed at improving participation among stroke survivors in the community.
Rabie, Tinda. "Positive practice environments in community health centres of the North West Province: a case study / Tinda Rabie." Thesis, North-West University, 2012. http://hdl.handle.net/10394/9196.
Full textThesis (PhD (Nursing))--North-West University, Potchefstroom Campus, 2013.
Adamson, Kaashiefah. "Are we ready for an emergency." Thesis, Stellenbosch : University of Stellenbosch, 2015. http://hdl.handle.net/10019.1/97212.
Full textMajor-Helsloot, Mel. "Low back pain and associated factors among users of community health centres in South Africa : a prevalence study." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/5439.
Full textBackground: Low back pain (LBP) has a high prevalence worldwide. LBP is significantly associated with a range of poor socio-demographic circumstances which should be addressed in preventive programs. Despite this there is a dearth of information about the prevalence and associated factors among low-income communities in South Africa. It is speculated that the burden of LBP may be most significant in these underprivileged communities. Objective: The objective of this study was to assess the prevalence of LBP among the lowincome communities in the Cape Town Metropole and to establish associated factors in order to make recommendations for management. Study design: A cross-sectional study was conducted among the visitors of eight community health centres (CHCs) in the Cape Town Metropole. Methodology: A new measurement tool was developed based on existing validated outcome measures and initial testing of the psychometric properties of the questionnaire was conducted. The questionnaire was administered to 489 eligible subjects. Descriptive analysis was used to describe the sample and logistic regression analytical techniques were applied to determine associated factors. Main findings: Lifetime prevalence for LBP was 76.49% (n=358). About 37% (n=133) suffered from chronic LBP. LBP was significantly associated with belonging to the black ethnic group, any co-morbidity, poor perceived general health, and any type of pain medication. Lifting weights > 20 kg and kneeling and squatting were physical factors significantly associated with LBP. Severe psychological distress was significantly associated with acute and chronic LBP. Having a better or same perceived general health compared to a year ago, was protective for LBP. Conclusion: LBP has a high prevalence among the low income communities, visiting the CHCs, in the Cape Town Metropole. Multiple factors were associated with LBP, which imply that a tailormade multidisciplinary program addressing lifestyle issues, self management strategies, medication use, chronic diseases and psychosocial factors may be required for this population to combat LBP.
Majikela-Dlangamandla, Buyelwa. "An evaluation of health promoters' adherence to a planned diabetes educational intervention that includes motivational interviewing at community health centres in Cape Town." Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/6059.
Full textJantjies, Monalisa Ayabulela. "A discursive exploration of managers’ competencies at community health centres in low socio-economic status communities in Cape Town." University of Western Cape, 2019. http://hdl.handle.net/11394/7427.
Full textSouth African health professionals’ competencies, especially those of managers have been placed under the spotlight. In the community health centres (CHCs) situated in low socio-economic status areas in Cape Town, a shortage of human resources has been an area of importance, as it exacerbates the impact of competence and service delivery by the healthcare managers.
Zainy, Zainy M. Ali. "Primary care health centres : exploring the interface between patients' overall satisfaction with the primary health care environment, environmental factors, and non-environmental factors: case study Arriyadah City, Saudi Arabia." Thesis, University of Strathclyde, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.287913.
Full textYu, Chuan. "Breastfeeding and health outcomes in infants who receive continuing care from hospitals or community health centres in Chengdu Sichuan Province, People’s Republic of China." Thesis, Curtin University, 2013. http://hdl.handle.net/20.500.11937/544.
Full textTembon, Chi Andy. "The demand for outpatient care in a health district in the North West Province of Cameroon : an empirical investigation into the potential effects of introducing community financing in public health centres." Thesis, London School of Hygiene and Tropical Medicine (University of London), 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.286412.
Full textDumisani-Ndlovu, Sidumisile Charity, Balandeli S. I. Sonti, and S. James. "Knowledge of midwives at Community Health Centres and Midwife Obstetrics Units in the Nelson Mandela Bay regarding the use of the Road-to-Health Chart." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/21692.
Full textMfundisi, Nokwamkela Pearl. "Client satisfaction with midwifery services rendered at Empilweni Gompo and Nontyuatyambo community health centres in the Eastern Cape, South Africa." Thesis, University of Fort Hare, 2013. http://hdl.handle.net/10353/d1006902.
Full textGovender, Indira. "An evaluation of the clinical audit of diabetes management at community health centres in the metro district of the Western Cape Province." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/10543.
Full textDuffy, Marina. "The impact of Ireland’s current Mental Health Policy on the profile of community mental Health Services." Master's thesis, Faculdade de Ciências Médicas, 2013. http://hdl.handle.net/10362/10861.
Full textEllsahli, Lutfia Ali. "The management of Bell’s palsy at selected community health centres in the Cape Metropolitan District of the Western Cape, South Africa." University of the Western Cape, 2015. http://hdl.handle.net/11394/4733.
Full textBell’s palsy (BP), a fairly common disorder predominantly prevalent in the adult age group, affects nerves and muscles in the face causing paralysis or dropping of one side of the face. Clients with Bell’s palsy face many challenges, including psychological, physical and emotional. A long recovery period and/or delayed complete healing could lead to a negative effect on many aspects of an individual's life. How society perceives the person could negatively influence the client’s self-confidence. The management of Bell’s palsy depends on the individual case and may include medication, physiotherapy and as a last option, surgery. The aim of the study was to investigate the management of Bell’s palsy at primary health care level in the Cape Metropolitan District of the Western Cape. The study specific objectives was to investigate the management or treatment protocol of clients with Bell’s palsy, to determine the tendency for referral for physiotherapy, to determine whether an association exists between the type of management or treatment received and the recovery of clients with Bell’s palsy and to explore the impact Bell's Palsy has on the clients. The over-arching design of the study was the sequential explanatory mixed methods design where qualitative data was used to assist in explaining and interpreting the findings of a primarily quantitative study. Stratified random sampling was done proportionately to ensure equal representation. A self-administered questionnaire, comprising of four sections, was used to collect quantitative data that was analysed using SPSS version 21. Descriptive statistics was employed to summarise the data on the socio-demographic information of the clients. Inferential statistics was used to determine the distributions of cases in the various groups. Significant differences tested for using the Chisquare test and effect size through Cramer’s V tests. A semi-structured interview guide was developed based on the results of the analysis of the quantitative data. Focus group discussions were employed to a sub-sample of the clients with Bell’s palsy. Permission an ethical clearance will be obtained from Senate Higher Degrees Committee at the University of the Western Cape (UWC), the Western Cape Department of Health and the facility managers of the participating CHCs.
Li, Zelin. "A socio-technical approach for mobile health informatics together with organisational change : case studies in community healthcare service centres in China." Thesis, Kingston University, 2011. http://eprints.kingston.ac.uk/22965/.
Full textNygaard, Bjørn. "WHO CC Affiliate Safe Community Support Centres og deres rolle i Safe-Community bevegelsen : En studie av organisering, utvikling og framtid." Thesis, Nordic School of Public Health NHV, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3225.
Full textThe international Safe-Community (SC) movement is steadily growing. This study highlights the so-called Affiliate Safe Community Support Centres (ASC) and their role in the movement. The concept of SC is treated as an innovation and an organisational model diffusing according to the theories of Rogers and Røvik. The ASCs are looked upon as ”change agencies” according to these theories. This is a case-study according to Yin of 9 out of 15 ASCs. Three of them have lost their status as ASC, six still have their status. The following five propositions are examined: 1.There are no differences in how the ASCs have executed their role that can explain why some have lost their status and some not. 2.The reason why some have lost their status can be explained by internal organisational, personal or economic conditions. 3.The ASCs and their tasks are not well known by the ”users”. 4.The ASCs have a weak or little conscious relations to the theoretical and scientific foundation of diffusion processes. 5.The SC-concept is to a very little degree considered as an organisational model. Data was collected from surveys and interviews with people at all ”levels” of the SC-movement as well as written material. All five propositions were strengthened by the material. The study leads to the following conclusions and recommendations which hopefully can improve the reputation and efficiency of the SC-movement and ease the work of the ASCs: The ASCs have an important role in the movement, but they are too few to serve an increasing number of SCs. The development of new ASCs should go on simultaneously with the increase of SCs. It is also necessary with a geographical distribution corresponding with the distribution of the SCs. The economy of the ASC-work has a very weak foundation, and this should be taken more seriously. There are conflicts between ASC-work and other tasks. There are no indications that certain models of internal organisation or company construction are more functional than others. Organisational matters are not considered sufficiently important. This is alarming, and may threaten the existence of the whole movement if not taken more seriously. It must be a responsibility of the WHO Collaborating Centre to bring these matters to discussion. There are few other arenas for these discussions than the regional and world-wide conferences. But in addition the institutions teaching SC-issues have a responsibility for taking up these topics in their education programmes. Women have a very strong position in the ASC. But it is not possible from this material to draw conclusions as to whether their position has influenced the priorities or choice of topics in the ASC-work.
ISBN 978-9185721-08-5
Mtwana, N. B. "The exploration of health seeking behaviour of clients presenting with minor ailments attending community health centres in Khayelitsha (Michael Mapongwana, Site B) and Phillipi (Inzame Zabantu, Mzamomhle)." Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/3436.
Full textCHCs in Khayelitsha and Phillipi are overcrowded and overburdened with clients who tend to present with minor ailments. The problem of overcrowding of the CHCs with such clients poses a problem to the health professional as they do not have sufficient time to manage clients with more serious ailments and to educate those with minor health ailments. This problem of overcrowding of CHCs in Khayelitsha and Phillipi with clients presenting with minor health ailments was brough to a community health forum meeting that constituted the management of CHCs, clinical facilitators from the University of Cape Town (UCT) and elderly persons from Khayelitsha and Phillipi in 2001. At this meeting questions were raised regarding the health seeking behaviour of the clients that are presenting with minor health ailments and overcrowding the CHCs.
Larkin, Christine M. A., and N/A. "Social work and racism : a case study in ACT Health." University of Canberra. Education, 1994. http://erl.canberra.edu.au./public/adt-AUC20060815.160708.
Full textMalise, Nthabeleng. "The role of a quality assurance programme in promoting patient satisfaction and safety in community health centres of Emfuleni Local Municipality / Nthabeleng Malise." Thesis, North-West University, 2013. http://hdl.handle.net/10394/10642.
Full textM Development and Management (Public Management and Governance), North-West University, Vaal Triangle Campus, 2014
Tana, Vuyiswa Veronica. "Experiences of chronic patients about long waiting time at a community health care centre in the Western Cape." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80332.
Full textENGLISH ABSTRACT: The objectives of this study were to explore patients’ experiences about long waiting time at the Vanguard Community Health Care Centre in the Western Cape and to explore possible solutions for this problem from the patients’ perspective. A qualitative research approach was applied. A sample size of (n=12) was drawn from a total population of 2829 (N=2829) using a non-random convenient sampling technique. A semi-structured interview guide was designed based on the objectives of the study and validated by experts in the field before data collection took place. Approval for the study was obtained from the Ethics Committee at the faculty of Health Sciences, Stellenbosch University and from the facility manager of health centre where the study was to be undertaken. The presentation of the results was categorised into themes and sub-themes that emerged from the data analysis. According to the findings in chapter 4 the themes that emerged were: Causes of long waiting time Areas of concern where waiting occurs most Emotions experienced when waiting long for service Possible solutions to waiting long for service The findings support the conceptual framework developed for the purpose of this study which includes the Patient’s Bill of Rights, the Principles of Batho Pele, Quality Care, Patients’ Representation and Patient satisfaction. The results of the study suggests that the conceptual framework needs to be implemented as a guideline to address the problems of long waiting time with the input from the participants’ opinions about possible solutions to be incorporated to the problem of long waiting time at the community health centre.
AFRIKAANSE OPSOMMING: Die doelwitte van die studie was om pasiente se gevoelens oor lang wagtye by Vanguard Gemeenskapsgesondheidsentrum in die Wes-Kaap te ondersoek en om moontlike oplossings vir hierdie probleem vanaf die pasient se perspektief te bepaal ‘n Kwalitatiewe navorsingsbenadering is gebruik. ‘n Steekproefgrootte van (n=12) is verkry vanaf ‘n totale bevolking van 2829 (N= 2829) deur die gebruik van ‘n nie-ewekansige gerieflike steekproefneming tegniek. ‘n Semi-gestruktureerde onderhoudgids is ontwerp gebaseer op die doelwitte van die studie. Die onderhoudgids is geldig bevind deur spesialiste in die gebied voor data insameling plaasgevind het. Goedkeuring vir die studie is verkry van die Etiese Komitee by die Fakulteit Gesondheidswetenskappe, Stellenbosch Universiteit en van die bestuurder van die gesondheidsentrum waar die studie uitgevoer sou word. Resultate is rangskik in temas en subtemas wat afgelei is van die data analise. Die volgende temas is bepaal vanuit Hoofstuk 4 se bevindinge: Redes vir lang wagtye Areas waar lang wagtye voorkom Emosies ondervind wanneer lank gewag moet word vir diens Moontlike oplossings vir lang wagtye Die bevindinge ondersteun die konseptuele raamwerk ontwikkel vir die doel van die studie wat die Handves van Regte vir pasiente, die beginsels van Batho Pele, Kwaliteitsorg, Pasient verteenwoordiging en Pasienttevredenheid insluit. Die bevindinge van die studie dui aan dat die konseptuele raamwerk geimplementeer moet word as riglyn om die probleme wat ervaar word met lang wagtye aan te spreek. Die deelnemers se menings oor moontlike oplossings moet deel moet wees van die aanspreek van die probleem van lang wagtye in die gemeenskapsgesondheidsentrum.
Leach, Sarah Elizabeth, and kimg@deakin edu au. "Nursing Work and Nursing Knowledge: Exploring the Work of Womens' Health Nurses Patterns of Power and Praxis." Deakin University. Nursing, 1998. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20031126.084144.
Full textWerfalli, Mahmoud. "Informing the development of a self-management care programme for older people with type 2 diabetes attending community health centres in Cape Town, South Africa." Doctoral thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/30420.
Full textMkhencele, Nontando Precious. "Evaluation of the role of support groups in the lives of HIV positive people at Nontyatyambo and Empilweni Gompo Community Health Centres in East London, Eastern Cape." Thesis, University of Fort Hare, 2011. http://hdl.handle.net/10353/d1001094.
Full textHolst, Martina, and Jenny Ankarstrand. "Ge egenvårdsråd till föräldrar : En intervjustudie om distriktssköterskors erfarenheter i telefonrådgivning." Thesis, Jönköping University, Hälsohögskolan, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-51619.
Full textBackground: Of all telephone calls to the health care centres, half come from parents’ who receive self-care advice for their children, which can promote health and prevent illness in children. If the parents’ ability to self-care fails, the district nurse has an important role in supporting and teaching. Aim: To describe district nurses’ experiences to provide self-care advice to parents in telephone counselling in health care centrals. Method: The study was implemented with a qualitative method with an inductive approach. The data collection consisted of 12 semi-structured interviews with district nurses at health care centres. The material was analysed with a qualitative content analysis that resulted in three categories and nine subcategories. Results: Three categories emerged in the result. Tools for the conversation with the subcategories communication, teaching, support and aids. The benefit of self-care advice with the subcategories strengthened parenting role, available as a conversational contact and fewer care visits. The challenge with self-care advice with the subcategories of the complexity of the telephone, parents are different and cultural differences and language difficulties. The district nurses experienced that the parents received support, advice and help with their concerns in the telephone conversations. There were difficulties in the phone call such as not being able to see the child and the stress when the call dragged on. Conclusion: District nurses worked person-centered and supported parents in self-care so they could work for good health and prevent illness in their children. Teaching in self-care advice strengthened the parental role and reduced their worries.
Marathe, Shriram. "BENCHMARKING COMMUNITY HEALTH CENTERS' EFFICIENCY:MULTIVARIATE ANALYSIS." Doctoral diss., University of Central Florida, 2006. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2671.
Full textPh.D.
Department of Public Administration
Health and Public Affairs
Public Affairs: Ph.D.
Wood, Judith E. (Judith Ellen) Carleton University Dissertation Sociology. "Hygeia vs. panakeia; the community health centre in Canada." Ottawa, 1986.
Find full textJohnson, Danielle. "Quantifying the Effects of Community Health Center Access on Health for Medically-Vulnerable Populations." Diss., Temple University Libraries, 2016. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/373453.
Full textPh.D.
Established in 1965 as a part of President Johnson’s War on Poverty effort, the federal community health center (CHC) program is a primary source of federally-subsidized quality health care services for medically-vulnerable populations in the United States. Despite its current role as a medical safety-net for the nation’s health care system, the CHC program did not begin as a public health program, but rather as a social justice program. Since its formalization, the CHC program has enjoyed relatively consistent Congressional support as a cost-effective means of providing primary healthcare to indigent populations; however, the narrative of the program has shifted overtime from a focus of empowerment and lifting communities out of poverty, to the fortification of the national health care system as a cost-effective provider of quality healthcare care for all. In this manuscript, I argue that this transition from community empowerment and the mitigation of fundamental causes of disease to a more risk-based emphasis on the issue of access, has diminished the urgency around the engagement of the structural effects of poverty on health in favor of a “one size fits all” approach to the provision of basic health care. In an effort to objectively quantify the effects of geographic access on health as a means for evaluating the success of the contemporary program, this research project explores the extent to which proximal access to a CHC is significantly associated with various self-reported indicators of positive health outcomes. My primary research method is multivariable regression utilizing secondary data from the 2012 Southeastern Pennsylvania Household Health Survey, the 2008-2012 5-year American Community Survey Estimate, and the Health Resources and Services Administration Data Warehouse. Using statistical modeling, I test the effect of CHC access on three distinct measures of individual health: (1) self-reported health status, (2) the likelihood of having pain lasting 6 months or more, and (3) the likelihood of having a usual source of health care. Within each model, I also test a series of interaction terms through nested sub-models to uncover any conditional effects of access for selected social groups. This statistical design offers the opportunity to explore whether the main association between access to a CHC and health varies based on the social characteristics and/or social environment of the individual. The findings of my analysis suggest that the effect of CHC access varies for different social groups, with less disadvantaged groups, such as poor non-Hispanic whites with high social capital, and poor individuals living in areas of low disadvantage, receiving the greatest benefit from proximal CHC access. However, individuals at the extremes of social disadvantage benefit least from CHC access alone. I argue that while the provision of CHC access is a noble and necessary tactic for fighting the persistence of health disparities in our medically-vulnerable communities, focusing on access alone is insufficient to solve the problem. The pendulum must switch back to community empowerment and the eradication of structural threats to health to initiate real change for medically-vulnerable populations.
Temple University--Theses
Drevdahl, Denise J. "Constructing the meaning of community in a community-based clinic : a postmodern feminist analysis /." Thesis, Connect to this title online; UW restricted, 1996. http://hdl.handle.net/1773/7369.
Full textWernick, Shoshana. "Evaluating a community health centre's diabetes project: A strategy to reduce health disparities." Diss., Wichita State University, 2009. http://hdl.handle.net/10057/2375.
Full textThesis (Ph.D.)--Wichita State University, College of Liberal Arts and Sciences, Dept. of Psychology
Guzman-Lopez, Mayra. "Appropriateness and Use of Medications by Patients with Persistent Asthma in a Community Health Center." The University of Arizona, 2017. http://hdl.handle.net/10150/624180.
Full textObjectives: A chart will be used to assess the need for the asthma education program. The chart review aims to: analyze the refill history of asthma medications along with verifying adherence via electronic health record and assess if patients are getting appropriate asthma therapy per 2007 NHLBI asthma guidelines. Methods: The patient’s MHC Healthcare electronic record profile and pharmacy refill record will be accessed. The information that will be obtained from the electronic health record will be: ethnicity, age, sex, allergic rhinitis diagnosis, flu vaccine status, pneumonia vaccine status, GERD diagnosis, spirometry measure if available, use of prednisone for exacerbation, prescribed asthma therapy, and provider’s (MD, NP, PA, etc)’s notes that might indicate nonadherence. The information that will be obtained from the pharmacy record are controller and rescue medication refill history. The information will be recorded in paper data collection forms and electronic versions will be saved to the secure college of pharmacy workgroup. The raw physical information described above will be stored in a locked cabinet at MHC healthcare pharmacy inside the pharmacy director’s office and the de-identified information will be stored in the secure workgroup. Results: Conclusions:
West, Christopher E. "Technical limitations of electronic health records in community health centers: Implications on ambulatory care quality." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2010. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3398890.
Full textHanson, Brittany Minnick. "Growing Health: Community Gardens and their Effects on Diet, Physical and Mental Health and Community." Master's thesis, University of Central Florida, 2012. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/5237.
Full textID: 031001542; System requirements: World Wide Web browser and PDF reader.; Mode of access: World Wide Web.; Adviser: James Wright.; Title from PDF title page (viewed August 21, 2013).; Thesis (M.A.)--University of Central Florida, 2012.; Includes bibliographical references (p. 65-68).
M.A.
Masters
Sociology
Sciences
Applied Sociology
Gagnon, Kristy J. MPH, Mary Ann PhD Littleton, Amy M. MSc Poole, Cynthia J. BA Blair, Timir K. MD PhD Paul, Ginny MA Kidwell, Liang MD PhD Wang, et al. "Perceptions of Community-dwelling Patients and Caregivers of Patient-Centered Care in Central Appalachia: An Exploratory Study." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/88.
Full textMcKague, Meredith. "Assessing individual determinants of health, the development of a health determinant instrument for use in a Community Health Centre." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0019/MQ55285.pdf.
Full textBanderker, Shahida. "The use of low dose tricyclic antidepressants at Heideveld Community Health Centre." Master's thesis, University of Cape Town, 2004. http://hdl.handle.net/11427/8630.
Full textAIM OF THIS STUDY: To describe how doctors are prescribing low dose antidepressants at Heideveld Community Health Centre. OBJECTIVES: 1. To determine how many patients are being prescribed low dose antidepressants at Heideveld Community Health Centre. 2. To see what sort of dosages are being prescribed as low dose most frequently. 3. To see if indications for the use of low dose tricyclic antidepressants are being recorded. 4. To identify the indications for the use of low dose tricyclic antidepressant. METHOD: A total of 500 patient folders were reviewed. 50 patient folders, (10 folders each from five medical officers), were systematically sampled, per day, for ten days over a two week period. Records were reviewed and data was captured on a data capture sheet. Demographic data: age and gender was recorded. The dose of the antidepressant per patient was recorded. The indication for its use was recorded. Where the indication of its use was not recorded, this was also documented. RESULTS: 1. Of the 500 folders reviewed, a total of 153 (30,6%) of the patients were prescribed low dose tricyclic antidepressants at the consultation, during the time that the study took place. 2. The minimum dose used was 10mg and the maximum dose used was 75mg of tricyclic antidepressant. The median dose used was 25mg. 3. 83% of the folders had reasons for the use of low dose tricyclic antidepressant recorded. 17% of the folders had no reason recorded. 4. The reasons for using low dose tricyclic antidepressants, were for chronic pain syndromes, insomnia, somatic symptoms and for psychological or psychiatric reasons (anxiety or depression related symptoms). CONCLUSION: Low dose tricyclic antidepressants were justifiably prescribed for the many non-psychiatric and psychiatric conditions that respond to it, at Heideveld Community Health Centre.
Ball, Roger. "Healthy marriage initiative| A community centered religious educational analysis." Thesis, Fordham University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10113659.
Full textThis research looks at HMI through the context of marriage and family life of Pentecostal faith communities and how a religious educative and ministerial lens can strengthen such programs in local churches. Through historical and secondary analyses, the researcher examines the history, evolution and examples of recent HMI evaluations. The study is informed by, recent sociological studies, feminist theology and religious education experts. The work proposes how Healthy Marriage Initiatives within congregational settings can be strengthened through religious educative, spiritual, and pastoral responses to marriage and family life within faith communities.
HAMAJIMA, NOBUYUKI, KOUTARO TOMITA, YUKAKO HINOHARA, and NOBUYUKI KATSUDA. "STRUCTURE AND ROLES OF PUBLIC HEALTH CENTERS (HOKENJO) IN JAPAN." Nagoya University School of Medicine, 2011. http://hdl.handle.net/2237/14916.
Full textHendricks, Michelle. "Assessing the attitude of nursing staff working at a community health centre towards the mental health care user." University of the Western Cape, 2018. http://hdl.handle.net/11394/6855.
Full textThe South African health care system shifted the focus of treating psychiatric disorders from institutional care level mental health services to facilitate this process of integration into the Primary Health Care (PHC) settings. All the provinces were thus engaged in improving mental health care services at community level by providing training for professional nurses in mental health at PHC settings. Consequently, mental health nursing has also changed considerably by shifting the focus of mental health care to the primary care level. It is however, suggested that the current revolving door syndrome experienced at psychiatric institutions was partly due to inadequate community-based psychiatric services. It was also suggested that the attitudes and knowledge of health professionals towards mental illness has a major impact on service delivery, treatment and outcome of mental illness. The aim of this research study was to assess the attitude of nursing staff working at a Community Health Centre (CHC) towards the mental health care user. A CHC was chosen that renders 24 hour services. The inclusive sample included all the different categories of nurses permanently employed at this CHC. The Attitude Scale for Mental Illness questionnaire was used to collect the data. Descriptive statistics: means, median and standard deviations were calculated for the following variables: separatism; stereotyping; restrictiveness; benevolence; pessimistic prediction and stigmatization. In conclusion it can be said that the nursing staff with more experience irrespective of category of nurse has less of a stereotyping attitude towards mental illness. The longer the nurse worked at the setting and irrespective of their nursing qualification the more positive their attitude towards the MHCU became.