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Dissertations / Theses on the topic 'Community health services for children Australia'

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Published: 10 December 2022

Last updated: 28 January 2023

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1

Munns, Ailsa M. "Young families' utilisation, self-perceived requirements, and satisfaction with child health services in the City of Belmont, Western Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1998. https://ro.ecu.edu.au/theses/1426.

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The expectations of young families regarding care they would like to receive from community nurses working in the child health area is affected by the relationship between those expectations, utilisation and sociocultural factors such as family type, family composition and ethnicity. These factors influence family dynamics, needs, functioning and interactions with the wider community. A descriptive study with both quantitative and qualitative components was used to identify and analyse the self-identified requirements of young families utilising Child Health Services in the Belmont area, Western Australia, and their patterns of utilisation. Twenty five women who had a child or children under 5 years of age were interviewed. The study was guided by a conceptual framework provided by the Ottawa Charter (World Health Organisation-Health and Welfare Canada-Canadian Public Health Organisation, 1996). The three main themes that emerged from the data showed that the young families identified knowledge acquisition, reassurance of normal growth and development and accessibility as their key self-perceived requirements of Child Health Services. Family type, family composition and ethnicity were examined within the contexts of these themes, resulting in a greater understanding of the child health issues relating to all types of family groups. The challenge for the providers of Child Health Services is to provide culturally appropriate Child Health Services based on the principles of primary health care within an environment experiencing fiscal restraint The long term benefits to the families and the health care system are not easily evaluated but have important and wide ranging positive effects on the health and wellbeing of the community.

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2

Carman, Rebecca Anne. "The impact of immunisation service delivery in general practice on Aboriginal children living in the Perth metropolitan area: An opportunity to reduce the gap?" Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2019. https://ro.ecu.edu.au/theses/2176.

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3

Colver, Allan Froggatt. "Evaluation of the health surveillance of pre-school children." Thesis, University of Newcastle Upon Tyne, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.334834.

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4

Sherratt, Emma Ruth. "Dietary awareness and food preference in children." Thesis, University of Nottingham, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.321380.

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5

Alexander, Kathy. "Promoting health at the local level : a management and planning model for primary health care services /." Title page, contents and introduction only, 1994. http://web4.library.adelaide.edu.au/theses/09PH/09pha376.pdf.

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6

Moyer, Agnes Alwyn. "The specialist nursing care of children with diabetes." Thesis, King's College London (University of London), 1993. https://kclpure.kcl.ac.uk/portal/en/theses/the-specialist-nursing-care-of-children-with-diabetes(22929284-947a-4706-9cc2-a9128e7623d1).html.

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7

Carter, Yvonne Helen. "The aetiology and prevention of accidents to pre-school children : an evaluation of accidents to children under five years old in North Staffordshire." Thesis, Imperial College London, 1993. http://hdl.handle.net/10044/1/7464.

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8

Parkes, Jacqueline Louise. "Children with cerebral palsy in Northern Ireland : needs and services." Thesis, Queen's University Belfast, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268292.

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9

Al-Shehri, Sulieman Naser. "Nutritional variation and coronary risk factors among Saudi school children." Thesis, University College London (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.300007.

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10

Fentress, Shelley Greenwell. "A Needs Assessment of Communicare's Children Mental Health Services." TopSCHOLAR®, 2012. http://digitalcommons.wku.edu/theses/1207.

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This document is a review of literature on needs assessments and the benefits of conducting one. Communicare is a mental health agency that serves the Lincoln Trail Region. Currently, most of the revenue from their children programs comes from Medicaid, which is a fee-for-services payer source. The Kentucky Medicaid Program is in the process of contracting with managed care organizations to oversee services that have been paid directly from Kentucky Medicaid. With these changes, mental health organizations must identify specific community service needs as well as expanding revenue sources. Applying for grants is one way mental health agencies can expand revenue sources. Communicare has identified the KY SEED grant that focuses on prevention and providing services to early childhood programs as a potential funding source. A needs assessment was conducted to gather information on children services implemented by Communicare. It was conducted in order to assess current programs and seek out potential areas of future program growth. The needs assessment further sought to identify gaps in services for the early childhood programs and assist in the grant application process. A review of existing data on children’s services offered at Communicare, including a satisfaction survey and a System of Care Assessment Report, was conducted as part of the needs assessment. A Community Forum with community partners from the Lincoln Trail region was held to gather additional data for the needs assessment.

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11

Wong, Chee Piau. "Acute non traumatic encephalopathy in children : a prospective population based study." Thesis, University of Newcastle Upon Tyne, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.310130.

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12

Vance, Yvonne H. "Parental mental health, parenting behaviours and the quality of life of children with cancer." Thesis, University of Sheffield, 2002. http://etheses.whiterose.ac.uk/10192/.

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Two central themes were assessed in this thesis involving children with cancer. First, the relationship between the child's medical functioning and their overall quality of life (QOL). Second, how the child's illness and subsequent QOL related to parental mental health and parenting behaviours. These themes were explored using the Risk and Resilience model developed by Wallander et al. (1989b). Study one involved children diagnosed with acute lymphoblastic leukaemia (ALL), the most common form of childhood cancer. Results showed that the child's medical functioning (e.g., time since diagnosis) did not relate to the child's QOL, but did relate to parental mental health. Furthermore, child QOL was significantly related to both parental mental health (depression) and parenting behaviours (endorsement of force). In an attempt to explore these themes in greater detail, Study two involved two groups of cancer survivors, those with ALL or tumours of the central nervous system (CNS). Medically, these groups have different prognoses, treatments, and long-term consequences. Results showed that those with poorer medical functioning, i.e., CNS tumours, had poorer QOL than both the ALL group and population norms, confirming the relationship between the child's medical and psychological adaptation. Furthermore, the child's adaptation was strongly related to both parental mental health and parenting behaviours, again providing evidence for the relationship between child and parent functioning. The results of both studies in this thesis go some way to demonstrate the wide-ranging effects that cancer can have on both the child and family. The child's QOL can be compromised by the illness. Moreover, cancer has a detrimental effect on the family life, from pervasive feelings of depression and worry, to longterm concerns about child-rearing. This thesis has shown that those children with CNS involvement, and their families, are particularly at-risk. To conclude, a section outlining clinical interventions which can help reduced the impact of childhood cancer on the family are discussed.

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13

De, Voe Jennifer. "New national approaches to community health : a comparative analysis of historical case studies from Australia and the United States." Thesis, University of Oxford, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367771.

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14

Hendron, Janet L. "Evaluation of family-based short-term care for families with disabled children." Thesis, University of Oxford, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.297362.

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15

Anglin, James P. "Staffed group homes for children and youth : constructing a theoretical framework for understanding." Thesis, University of Leicester, 2002. http://hdl.handle.net/2381/9296.

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This research study utilised the grounded theory method as developed by Glaser and Strauss (1967) in order to construct a theoretical framework for understanding the functioning of staffed group homes for children and youth. Ten residential settings in five governmental regions of British Columbia were studied over a period of fourteen months using the techniques of on-site participant observation, transcribed interviews and document analysis. The core theme that emerged from the constant comparative analysis was "congruence". The notions of the "struggle for congruence" and "the flow of congruence" in service of the children's best interests were seen to play a pivotal role in the functioning of group home life and work, and three properties of congruence were identified: consistency, reciprocity and coherence. Three major psychosocial processes also emerged as sub-categories, including: "creating an extrafamilial living environment", the overall task of a home; "responding to pain and pain-based behaviour", the major challenge for staff; and "developing a sense of normality", the primary goal for residents. Completing the framework matrix were eleven key interactional dynamics that were evident across all five levels of operation of the group homes, namely: extra-agency, management, supervision, carework/teamwork, and youth and families. Ten selected residential child and youth care studies published in Canada, the United Kingdom, and the United States are analysed through the lens of the framework. While seen to be complementary to the related texts, this study brings forward several previously neglected aspects of group home life and work together with more commonly explored notions into an integrated and accessible framework. Implications for residential child and youth care policy development, education, practice and research are proposed.

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16

Omar, Suleiman Mohammed. "A point-prevalence investigation of aspects of dental health in rural and urban Libyan children." Thesis, University of Dundee, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.357189.

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17

MacLeod, Kate. "The social, emotional and practical needs of children with juvenile chronic arthritis and their families." Thesis, University of Strathclyde, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.388182.

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18

Cameron, Robert J. "Parents, professionals and preschool children with special needs : towards a partnership model of problem solving." Thesis, University of Southampton, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.306178.

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19

Condon, Louise Jane. "Understanding preventive community health services for pre-school children : origins, policy and current practice." Thesis, University of Bristol, 2009. http://hdl.handle.net/1983/cf5dd7c3-8fef-492d-b8a4-192e4c6b98e2.

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Community health services for pre-school children have been the major universal health provision for well-children for over a hundred years. Traditionally these services have been largely delivered by health visitors, who are now community nurses with a specialist post-graduate qualification. Preventive health services for children in the UK have been increasingly criticised as insufficiently evidence-based. Criticism has led to reform of national policy and subsequent major changes to existing services, particularly in targeting services to those with the highest health and social needs. The effect of these policy changes upon the service provided for pre-school children by health visitors is not known. This thesis explores the origins and development of children's preventive health services and examines the effect of post-1989 policy changes in practice, in particular the move to a predominately targeted child health promotion programme. The empirical study used a mixed methods approach to investigate changes to local policy and practice. A national survey was made of health visitors' child health promotion practice (n=1043) which was followed by an in-depth interview study (n=25) of health visitors' views on service changes. Study findings illuminate the effect of post-1989 reforms on child health services, showing a diversity of practice across the country, and resistance to key aspects of policy and practice among health visitors. Despite a revised national child health promotion programme being published in April 2008, which addresses some of the areas of concern highlighted by this study, flaws remain which have implications for the successful implementation of this programme. These flaws reflect wider contentious issues in NHS policy-making, related to the distribution of power and resources between different professional groups within the NHS and service users. Failing to explore these issues in policy and practice reduces the ability of preventive health services to maintain and improve pre-school children's health.

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20

Rigley, Lynda Susan. "A longitudinal study of the dietary habits, heights and weights of 8-11 year old children." Thesis, University of Huddersfield, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.332818.

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21

Cota, Luis Quihui. "Prevalence of intestinal parasites in school children from two Mexican states after 7 years of albendazole administration." Thesis, University of Glasgow, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268339.

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22

Bose, Ruchira. "Innovations in care for children with mental handicaps : an evaluation of the Canterbury and Thanet family link scheme." Thesis, University of Kent, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.305077.

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23

Honey-Arcement, Rochelle Renee. "Immigrant parents of children with disabilities and their perceptions of their access to services and the quality of services received." Thesis, University of Iowa, 2016. https://ir.uiowa.edu/etd/3103.

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An analysis of experiences of immigrant parents, in a Midwestern college community, accessing services for their child with a disability. A qualitative study using phenomenological theory was used wherein access to services was explored from the parents lived experience. Four immigrant parents were chosen using purposive sampling. Grand tour questions were asked leading to follow-up questions based on respondent answers. Interviews were audio recorded in a location chosen by respondents, and transcribed. Home environment and interactions with child were noted. Grounded theory emerged from analysis using the constant comparative method. Transcripts were read multiple times and categories began to emerge. Based on emergent categories transcripts were cut into segments and categorized accordingly. Comparisons of categories led to reanalysis and emergence of three primary themes; experience of accessing services, feelings about services, and factors affecting experience of accessing services. To enhance credibility, negative case analysis was used to incorporate differential experiences. Thick description was used to increase transferability. Dependability and Confirmability were addressed using an audit process. Two parallel theories emerged from the analysis; one regarding factors leading to positive experiences of accessing services, one regarding factors leading to negative experiences. The theories are supported by original data from the interviews and show how providers, the Department of Human Services, school systems and advocates can improve the situation. This study adds knowledge by exploring a previously unexplored type of community in this research area, but is limited by researcher requirement of English speaking respondents.

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24

Ketley, Clare Elizabeth. "Urinary fluoride excretion as a marker for fluoride exposure in children participating in the UK School Milk Fluoridation Programme." Thesis, University of Liverpool, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367865.

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25

Maude, Phillip M. "The development of community mental health nursing services in Western Australia : A history (1950-1995) and population profile." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1996. https://ro.ecu.edu.au/theses/935.

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This descriptive• study discusses the development of community mental health (CMH) in Western Australia (WA) and describes the current practising population of CMH nurses. The study explores literature pertaining to the emergence of the CMH movement and the deinstitutionalisation of the mentally ill. A conceptual framework was developed by adapting Lewin's change theory. CMH nurses practising in WA (n= 130), were invited to participate in the study and were asked to complete a survey questionnaire. This resulted in a 66% response rate (n = 86). Quantitative data was analysed using the Statistical Package for the Social Sciences (SPSS). Open ended questions were analysed using Colaizzis steps. The study found that mental illness has been treated according to contemporary beliefs. In the 1950s multiple forces within society led to the movement away from institutionalisation of the mentally Ill toward deinstitutionalisation. The first community clinic was established in 1956 to manage the deficit between the ever expanding population needing mental health care and the paucity of available hospital beds. The need for follow up of clients in the community resulted in the development of CMH nursing. The study also provides a profile of the current practicing population of CMH Nurses in WA, demographic details, qualifications, the work environment, educational needs, work role and job satisfaction have been described. Recommendations have been developed from the findings and are directed towards, the dissemination of information, the need for role identification/development, staff development needs, future education needs, industrial issues, clinical practice issues and areas for further nursing research

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26

Phung, Quang Vinh. "Health services utilization among mothers of children under 5 years old in Muang district of Sakaeo province, Thailand /." Abstract, 2006. http://mulinet3.li.mahidol.ac.th/thesis/2549/cd387/4837999.pdf.

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27

Adamson, Ashley Jayne. "Nutrient intakes (1990 compared with 1980) and place of purchase of foods (1990) by 11 to 12-year old Northumbrian children." Thesis, University of Newcastle Upon Tyne, 1993. http://hdl.handle.net/10443/401.

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There are few data from repeated cross-sectional studies to indicate the changes in dietary intake in the UK, yet this information is valuable in assessing the impact of dietary-related health education. One of the least investigated aspects of food habits in Britain, particularly for children, is food consumption outside the home. This project investigated the change in dietary intake of 11 to 12-year old children 1980 to 1990, and the place of purchase of food in 1990. In 1990, three-hundred and seventy-nine 11 to 12-year old children completed two 3-day dietary records. Each child was interviewed by one dietitian to verify and enlarge upon the information recorded. These children attended the same seven middle schools in south Northumberland as 405 children, of the same age, who had recorded their food intake using the same method in 1980. In addition, the children in 1990 were questioned on the place of purchase of the foods recorded. It was found that: • Energy intake by boys (but not girls) had fallen. The per cent of energy derived from fat and total sugars was unchanged at about 40 and 22 per cent, respectively. In 1990, 17 per cent of energy was derived from non-milk extrinsic sugars. • Calcium intake by girls was unchanged but had fallen in boys. Iron, vitamin C and unavailable carbohydrate intakes had increased for both boys and girls and the nutrient density of the diet improved for these nutrients in all sex and social groups. In 1990, 90 per cent of girls and 56 per cent of boys had iron intakes below the Reference Nutrient Intake (RNI) and 66 per cent of girls and 83 per cent of boys had calcium intakes below the RNI. • A social trend, evident in 1980, persisted in 1990 with children from low social class groups consuming the poorest quality of diet. • Food 'purchased' outside the home contributed approximately 31 per cent of the total energy intake, although there was significant variation in the nutrient quality of the food obtained at each place of purchase. It is concluded that whilst there had been improvements in some aspects of the diet, the mean dietary intake of the children in 1990 fell short of current dietary recommendations, and that social inequalities persisted.

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28

Taylor, Jayne. "An investigation into factors associated with the provision of community children's nursing services to children with chronic illness and their families." Thesis, University of East Anglia, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.247116.

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29

Ranson, Sonya L. "A study of the dental health status of children participating in the Child Health Investment Partnership." Thesis, This resource online, 1993. http://scholar.lib.vt.edu/theses/available/etd-07292009-090354/.

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30

Thielking, Monica, and n/a. "An investigation of attitudes towardss the practice of school-based psychological services." Swinburne University of Technology, 2006. http://adt.lib.swin.edu.au./public/adt-VSWT20060814.091430.

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The provision of school based psychological services in Victorian primary and secondary schools dates back to well before the Second World War. Since then, however, the activities that make up the role of school psychologists have changed substantially. School psychologists' roles have become more varied than the original psychometric focus and reflect a more systemic approach to the conceptualization of student problems. Within Australia, school psychologists can be found servicing single or multiple schools in the government, independent and Catholic school sectors, fulfilling a range of functions and dealing with a diversity of student issues. However, Australian academic research into the professional practice issues associated with the provision of school-based psychological services is rare. Therefore, this thesis sought to investigate a range of professional issues associated with the provision of school-based psychological services for Victorian school psychologists working in single and multiple schools in the government and non-government primary and secondary school sectors. In addition to surveying Victorian school psychologists, principals and teachers were also surveyed in order to ascertain their attitudes towards school-based psychological services. The sample consisted of 81 school psychologists, 21 principals and 86 teachers. The results revealed that school psychologists participate in a variety of activities, including a number of activities that reflect a systemic model of service delivery. They also deal with a broad range of student issues, some of which are quite serious in nature. However, the study also revealed a number of professional issues that were in need of improvement. Some of these included a lack of participation in regular supervision for school psychologists, school psychologists' dissatisfaction with some industrial and professional conditions associated with their role and differences in attitudes between psychologists, principals and teachers regarding the activities and responsibilities of school psychologists. Results from the study provide plausible evidence for the need to support school psychologists in the valuable work that they do within schools through improved industrial conditions, appropriate professional development, and regular supervision. Furthermore the results also reveal a need to educate and participate in dialogue with the educational community in order to increase understanding of school psychologists' roles and professional responsibilities.

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31

Brindle, Jillian. "A study of family perceived needs and interventions provided by the Comprehensive Health Investment Project." Thesis, Virginia Tech, 1992. http://hdl.handle.net/10919/45000.

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The demographics and perceived needs of the Comprehensive Health Investment Project participants were studied along with the interventions provided by the CHIP staff. Demographic information and perceived needs were calculated on 397 household heads. These families were followed for a year and the interventions provided to them during that year were recorded. Intervention records were collected quarterly and analyzed for comparisons with the family profile grid.Results show a unique demographic makeup of CHIP participants. Sixty percent of household heads had one or more years of college; 66 percent were employed at the time of the study; 73 percent were receiving federal financial assistance of some kind. Health and nutrition of the family were the main concerns of the clients. Other needs included financial assistance, employment, and housing. Eleven percent of interventions provided by CHIP throughout the study year were directed towards financial assistance. Ten percent of services were employment oriented. CHIP participants were also shown to use physicians during well times - not just during emergencies. Results and conclusions are discussed in detail.
Master of Science

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32

O'Grady, Kerry-Ann. "Pneumonia in Indigenous children in the Northern Territory, Australia, and the effectiveness of pneumococcal conjugate vaccine : 1997 - 2005." Thesis, University of Melbourne, 2008. http://purl.org/au-research/grants/nhmrc/359341.

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33

Byrne, Elaine. "A participatory approach to the design of a child-health community-based information system for the care of vulnerable children." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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The existing District Health Information System in South Africa can be described as a facility based Information System, focusing on the clinics and hospitals and not on the community. Consequently, only those who access health services through these facilities are included in the system. Many children do not have access to basic health and social services and consequently, are denied their right to good health. Additionally, they are excluded from the routine Health Information System. Policy and resource decisions made by the District Managers, based on the current health facility information, reinforces the exclusion of these already marginalised children. The premise behind this research is that vulnerability of children can be tackled using two interconnected strategies. The first is through the creation of awareness of the situation of children and the second through mobilising the commitment and action of government and society to address this situation. These strategies can be supported by designing an Information System for action
an Information System that can be used to advocate and influence decisions and policies for the rights of these children
an Information System that includes all children. An interpretive participatory action research approach, using a case study in a rural municipality in South Africa, was adopted for the study of a child-health Community-Based Information System. The context in which the community is placed, as well as the structures which are embedded in it, was examined using Structuration Theory. This theory also influenced the design of the Information System. As the aim of the research is to change the Information System to include vulnerable children, a Critical Social Theoretical and longitudinal perspective was adopted. In particular, concepts from Habermas, such as the creation of a public sphere and the &rsquo
Ideal Speech Situation&rsquo
, informed the methodology chosen and were used to analyse the research undertaken.

Based on the research conducted in this municipality, four main changes to the Health Information System were made. These were: &bull
determination of the community&rsquo
s own indicators
&bull
changes in data collection forms
&bull
creation of forums for analysis and reflection, and
&bull
changes in the information flows for improved feedback. Other practical contributions of the research are the development of local capacities in data collection and analysis, the development of practical guidelines on the design of a child-health Community-Based Information System, and the development of strategies for enabling participation and communication. In line with the action research approach adopted, and the desire to link theory and practice, the research also contributed on a theoretical level. These contributions include extending the use of Structuration Theory, in conjunction with Habermas&rsquo
Critical Social Theory, to the empirical context of South Africa
addressing the gap of Community-Based Information Systems in Information System design
extending the debate on participation and communication in Information Systems to &rsquo
developing&rsquo
countries, and developing generalisations from a qualitative case study.

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34

Barkhuizen, Cordelia. "Wes-Rand streekgesondheidsklinieke as konteks vir vroeë kommunikasie intervensie (VKI)." Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-10202009-123429.

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35

Attique, Amer Boonyong Keiwkarnka. "Utilization of immunization services among mothers with children under five years of age in abbottabad district, Pakistan /." Abstract, 1999. http://mulinet3.li.mahidol.ac.th/thesis/2542/42E-AmerAttique.pdf.

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36

Lane, Dymika Machelle. "Utilization of community-based services among families with children with a mental disorder." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3090.

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Families of children with a mental disorder typically have many stressors due to their children's behavioral functioning. These families do not always choose to receive community-based services that are intended to decrease the stressors within the families and prevent the children from being placed out of the families' homes. This study investigated the relationship between clients' functioning during their initial assessment provided by the Victor Community Support Services (VCSS), compared to their functioning when they were discharged from VCSS based on the families utilization of community-based services.

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37

Williams, Bryan L. "Physician utilization patterns and family characteristics of participants in the Comprehensive Health Investment Project." Master's thesis, This resource online, 1990. http://scholar.lib.vt.edu/theses/available/etd-01122010-020028/.

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Project (M.S.)--Virginia Polytechnic Institute and State University, 1990.
Questionnaires ([6] leaves) in pocket. Includes bibliographical references (leaves 70-72). Also available via the Internet.

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38

Jonker, Linda. "The experiences and perceptions of mothers utilizing child health services." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/20294.

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Thesis (MCur)--Stellenbosch University, 2012.
ENGLISH ABSTRACT: Member states of the United Nations accepted eight Millennium Development Goals in 2000. Millennium Development Goal number four addresses the improvement of child health. The purpose of goal number four is to decrease the child mortality rate by 60% for the period 1990 to 2015. South Africa is one of twelve countries where the incidence of child mortality increased during this period. Guided by the research question “What are the experiences and perceptions of mothers utilizing child health services”, a study was done. A qualitative, descriptive phenomenological methodology was applied to explore the experiences and perceptions of mothers utilizing child health services for children younger than two years. The goal of this study was to determine the experiences and perceptions of mothers utilizing child health services. The objectives were to explore their experiences and perceptions, with specific reference to the service they receive regarding: - immunization - nutrition assessment - the growth of the child - the growth chart - other underlying illnesses Ethical approval was obtained from Stellenbosch University and various health authorities. Validity was assured by adhering to the principles of trustworthiness, namely credibility, transferability, dependability, and conformability. The population for this study was mothers who utilized ten clinics in a demarcated area of Cape Town for child health services. Purposive sampling was utilized to consciously select three clinics (N =10), and at each of the clinics four mothers were purposively selected to participate. A total of seventeen mothers participated in the study. An interview guide was used to conduct interviews with participants. The researcher conducted and recorded the interviews after obtaining written informed consent from each participant. A field diary was kept for notation of observations. Data analysis involved the transcribing of digitally recorded interviews, the coding of the data, the generating of themes and sub-themes, interpretation and organization of data and the drawing of conclusions. The Modeling Role-Modeling Nursing theory of Erickson, Tomlin and Swain were utilized as conceptual theoretical framework to facilitate application to the broad population. Findings of the study indicated varied experiences. All mothers did not receive information about the RtHB or RTHC. Not all mothers developed a relationship of trust with caregivers or were afforded the respect of becoming part of the child’s health care team. According to the mothers integrated child health care services were not practised. The consequences were missed opportunities in immunization, provision of Vitamin A, absence of growth monitoring, feeding assessment and provision of nutritional advice. Hospitals and private practitioners equally did not provide immunization services or offered holistic care. Simple interventions such as oral rehydration, early recognition and treatment of diseases, immunization, growth monitoring and appropriate nutrition are not diligently offered; that could reduce the incidence of child morbidity and mortality. The following recommendations are made: determine why hospitals do not immunize children. The root causes must be addressed to change practice. Rendering of child services must happen in an integrated approach. Staff must be empowered with skills regarding procurement, in particular regarding vaccines.
AFRIKAANSE OPSOMMING: In 2000 het die lidlande van die Verenigde Volke Organisasie die Millenium Ontwikkelingsdoelwitte aanvaar. Die Millenium Ontwikkelingsdoelwit nommer vier roer die kwessie van kindergesondheid aan. Die strategie om die voorkoms van kindersterftes met 60% te verminder vanaf 1990 tot 2015 is die vierde millenium doelwit. Suid Afrika is een van twaalf lande in die wêreld waar die kindersterftes vir hierdie tydperk toegeneem het. ‘n Studie is gedoen om te bepaal “Wat die ervaring en persepsies van moeders is wat van kindergesondheidsdienste gebruik maak. ‘n Kwalitatiewe, beskrywende, fenomenologiese studie is gedoen,om die ervaring en persepsies van moeders wat kinders jonger as twee jaar na klinieke geneem het, te bepaal. Die doel van die studie was om die ervaring en persepsies van moeders ten opsigte van kindergesondheidsdienste vas te stel. Spesifieke doelwitte was die bepaling van die ervaring en persepsies rondom: - immunisasiedienste - groeimonitering - voedingsvoorligting - die groeikaart - behandeling van siektes Etiese goedkeuring was verkry vanaf die Universiteit van Stellenbosch en die verskeie gesondheidsowerhede. Geldigheid van die studie is verseker deur die beginsels van geloofwaardigheid na te kom naamlik, aaneemlikheid, betroubaarheid, oordraagbaarheid en inskiklikheid. Die bevolking betreffende die studie was moeders wat kliniekdienste gebruik het vir hulle kinders in ‘n spesieke area van Kaapstad, bestaande uit tien klinieke. Drie klinieke (N=10) is doelgerig geselekter vir deelname. Vier moeders is doelgerig by elk van die drie klinieke geselekteer vir deelname. Onderhoude is met sewentien deelnemers gevoer. ‘n Onderhoudsgids is gebruik en die navorser het rekord gehou van waarnemings. Die navorser het onderhoude gevoer en opgeneem na skriftelike toestemming daarvoor van elke deelnemer verkry is. ’n Veldwerkdagboek is gehou van alle waarnemings. Data-analise het behels: digitale opnames wat woordeliks beskryf , tematies ontleed en geïnterpreteer is en volgens temas georganiseer is. Toepassing na die breër populasie is bevorder deur die gebruik van die verpleegteorie van Erickson, Tomlin en Swain. Bevindinge van die studie het getoon dat moeders verskillende ervaringe gehad het. Nie alle moeders het inligting ontvang omtrent die RtHB of RTHC nie. Nie alle moeders het vertroue in die kliniek nie en moeders word nie erken as bepalende faktore in die sorgspan nie. . Volgens die moeders is geïntegreerde gesondheidssorg nie beoefen nie. Die gevolge is dat geleenthede nie benut word om te immuniseer nie, vitamien A te verskaf, groei te kontroleer, voeding te bepaal en voedingsadvies te verskaf. Die voorraadvlakke van entstof word nie oral doeltreffend beheer nie. Hospitale en dokters beoefen nie altyd immunisering en holistiese kindergesondheidsdienste nie. Eenvoudige intervensies, wat die voorkoms van kindermorbiditeit en kindermortaliteit kan bestry, word nie verskaf nie. Voorbeelde van sulke intervensies is mondelinge rehidrasie, vroeë diagnose en behandeling van siektes, immunisering, groeimonitering en geskikte voedingsinligting. Daar word aanbeveel dat daar indringend bepaal word hoekom hospitale nie kinders immuniseer nie en dat die oorsake aangespreek word. Integrasie van dienste by klinieke moet as prioriteit gesien en geïmplimenteer word. Personeel se vaardighede betreffende beheer van voorraad moet verbeter word, veral t.o.v. entstof voorraad.

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39

Cavota, João Joaquim Gunza. "Primary health care facilities for street children : a study of the street children's requirements in designing community hospitals in Angola." Master's thesis, University of Cape Town, 1997. http://hdl.handle.net/11427/28254.

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Summary in English.
Bibliography: pages 122-126.
This dissertation studies the delivery of health care to street children. ft investigates the existing street children's facilities and the health system in Ang of a in order to determine an appropriate type of health facilities for the special health needs of these children. The study was based on a review of bibliographic material on street children and related subjects. The findings from this review were tested through a series of interviews with professionals working with street children in Angola and with ~treet children randomly selected from shelters and on the streets in Luanda. The questionnaires were designed for evaluation of the street children's facilities, the health system and to determine street children's preferences and attitudes towards formal institutions in a context where th'e main cause of family disintegration was war. The study concluded that street children's health needs in Angola would be better catered for through independent primary health centres provided with partial in-patient services (temporary sf eeping and eating facilities for children under medical care). These centres would serve mainly children with no access to shelters and those living in shelters without health centres. The study formulates guidelines and presents a design example of the type offacifity proposed.

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Willemsen, H. W. A. "The behaviour of children, seen by social services, who are referred to a community based mental health team." Thesis, University of Essex, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.398866.

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Yohannes, Aynalem G. "Differentials in child morbidity and utilization of health facilties [i.e. facilities] in rural Ethiopia." Thesis, Canberra, ACT : The Australian National University, 1988. http://hdl.handle.net/1885/142298.

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Rob, Marilyn Isobel Public Health &amp Community Medicine Faculty of Medicine UNSW. "Ear, nose and throat surgery among young Australian children." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2005. http://handle.unsw.edu.au/1959.4/20840.

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Tonsillectomy, adenoidectomy and myringotomy are the most common surgical procedures undergone by children. Medical opinion regarding the appropriateness of these procedures remains contentious, and considerable resources have been expended in the formulation and distribution of relevant practice guidelines. The impact of this surgery on the child, community and private and public health resources is considerable, yet there has been little examination of surgery rates and trends, or of the characteristics of children who undergo surgery. This thesis addressed five major questions regarding this surgery in New South Wales, Australia. The first three related to population rates: the level of surgery among NSW children, comparability with international rates, trends over time and the effect of guidelines. Comprehensive hospital data between 1981 and 1999 were analysed. Major findings were a higher myringotomy rate in NSW than reported internationally, the short-term effect of guidelines, and a major shift towards children having surgery at a younger age. The remaining questions asked whether children who had surgery differed from other children in their use of health services prior to surgery, and if so, whether their utilization reverted to the norm following surgery. Matched records of a population cohort of 6239 NSW children, born during January 1990, were extracted from Health Insurance Commission data, and their claims for medical services followed retrospectively from birth to 8 years. Children who had privately funded surgery were found to use more medical services than other children, and, most unexpectedly, this did not change following surgery. The results suggest potential non-clinical factors influencing this excess utilization. This is the first population study to examine health service utilisation by these children and it has identified an important new risk factor for surgery.

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Boxmeyer, Caroline Lewczyk. "Parent and family outcomes of community-based mental health treatment for adolescents /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2004. http://wwwlib.umi.com/cr/ucsd/fullcit?p3130212.

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Gurganus, Jill Renee. "An evaluation of educational literature distributed by the Child Health Investment Partnership." Thesis, Virginia Tech, 1993. http://hdl.handle.net/10919/46306.

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Educational literature distributed by the Child Health Investment Partnership (CHIP) staff to CHIP parents was identified and evaluated in terms of readability level and availability of information to assist with meeting the identified needs of CHIP parents. One-hundred percent (n=137) of the educational material available to CHIP staff through their library was analyzed. Readability levels were calculated by using the SMOG Readability Formula and the FRY Graph Reading Level Index. A previous study (Brindle, 1992) was used to determine whether CHIP had adequate material to meet the educational needs of CHIP families. Forty-eight percent of CHIP parents cited health as their primary concern. Almost one-half of an educational literature stocked in CHIP's library relates to health. Thus, results indicate that CHIP has a more than adequate amount of educational literature relating to topics CHIP parents believed they needed assistance with the most. It was found, however, that other areas such as financial and job assistance were underrepresented in CHIP's library. While 36 percent and 35 percent of CHIP parents believed they needed assistance with finances and jobs, respectively, only 6 percent of CHIP's library was devoted to financial assistance and two percent was devoted to job assistance. The apparent need for assistance in these areas greatly outweighs CHIP's educational resources. Results also indicate that the average CHIP parents (one who has completed high school) has the education equivalent to or more than was required for reading the majority of CHIP's educational literature. While the mean Reading Level of educational materials was at the tenth grade level sixty percent of CHIP families surveyed had completed high school. Results and conclusions are discussed in detail.
Master of Science

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Van, der Linde Jeannie. "The identification process in early communication intervention followed by primary health care personnel in Ditsobotla sub-district." Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-10212009-112246.

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Stewart, Steven. "An assessment of parent's beliefs about child development among families participating in the Comprehensive Health Investment Project." Thesis, Virginia Tech, 1992. http://hdl.handle.net/10919/45036.

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Extensive research suggests linkages among low income, erratic or ineffective parenting behaviors, and impaired health and development among children. Family support programs, offering a range of comprehensive services to low income families, have demonstrated positive health and life performance outcomes, both for children and parents. One such program, the Comprehensive Health Investment Project (CHIP) in Roanoke, Virginia, works to provide primary physician care to low income young children. One of CHIP's objectives is to enhance parenting skills so that parents can help maintain good health among their children. This study attempted to assess parents' beliefs about child development among a sample of CHIP parents and a sample of parents from a similar SES group (drawn from CHIP's waiting list) using a Likert-style opinionnaire. Results from both between-group tests and within-group (CHIP sample) tests indicate homogenous and favorable reported beliefs about child development. Very little association was found between demographic variables and responses. Suggestions regarding the practical use of these findings and recommendations for future research are made.
Master of Science

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Schulz, Robinson Shirley Public Health &amp Community Medicine Faculty of Medicine UNSW. "Contextualizing implementation of the community health program: a case study of the Hunter region, New South Wales 1974 -1989." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/26248.

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How health care is best provided remains topical, contentious, and political. Debates continue over funding allocation and the weighting placed on preventive, curative, institutional and community services. Such debates were evident in 1973 when a new Federal Labor Government began to reform Australia's health system by implementing a national Community Health Program policy. Implementation led to the establishment of community health centres and multi-disciplinary teams. Studies have generally concluded that community health centre teams have ???failed??? to achieve the goals of this policy. This study sought to answer one broad question. How was the community health program policy implemented, in what context did this event occur, what processes were used and why, and how did generalist community nurses participate? This case study of the Hunter Region, New South Wales, between 1974 and 1989, was based on data collected from four sources: over five hundred documents and archives, including relevant literature, epidemiological studies, centre records, official government and newspaper reports; 69 in-depth interviews with practitioners and administrators; and participant observation. The findings revealed that implementation was hindered by political, administrative and professional impediments. However, practitioners established and provided a broad range of relevant new services by changing the way they practised. Generalist community nurses worked with non-government, private and public organisations offering health, educational and social services. As boundary riders they filled structural holes and created social capital. Conclusions drawn were first, that context strongly influenced how public health policies were implemented and the services offered by different discipline groups. Second, teamwork would have been improved had pre-service health professional education fostered a common understanding of the aim of health care and the broader determinants of health. Third, a preventive orientation needed reinforcing via an organisational context, administrative processes, ongoing learning opportunities and leadership. Fourth, generalist community nurses??? commitment to a preventive approach was embedded in a growing understanding of people's circumstances and health problems. Finally, while policy implementation was constrained in the Hunter Region during the study period it achieved what its architects intended, that is, a broader mix of accessible services, and collaboration between organisations and groups as the boundaries that maintained their separation were bridged.

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Rajeus, Samuel E. "Institution versus Family home : A comparison of community establishment and utilization of mental health services among unaccompanied refugee adolescents placed in samll residential care and family homes." Thesis, Örebro universitet, Institutionen för juridik, psykologi och socialt arbete, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-23268.

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In this study I investigated the community establishment and utilization of mental health services among refugee adolescents who received resident permit in Sweden in 2010. I compared a group of 20 adolescents –boys and girls- mainly from Afghanistan and Somalia, living in small residential care by the Social service management in Stockholm – Socialförvaltningen (SF) - with a group of 10 adolescents from the same countries, living in family homes. The study showed clear differences in adolescents´ adaptation processes. Those who were living in small residential care by SF had a better chance to adapt quickly into their new society compared with the other group. The study showed that refugee adolescents from both groups underutilized mental health services.

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Penrose-Wall, Jonine Public Health &amp Community Medicine Faculty of Medicine UNSW. "Evaluating five models of dissemination of NHMRC 'Guideline depression in young people for GP's' through divisions of general practice." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2003. http://handle.unsw.edu.au/1959.4/20445.

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Background: Dissemination of evidence-based mental health clinical practice guidelines had not been studied in Australia prior to the National General Practice Guideline Implementation Program. This naturalistic research reports ten national interventions designed to disseminate the NHMRC 1997 Clinical Practice Guideline Depression in Young People for GPs (GDIYP-GP) through 123 Divisions of General Practice. The guideline covered depression and suicide in young people aged 13 to 20 years. Aim: To evaluate a 'coordinated link agent' and 'enhanced packaged approach' for disseminating a national guideline by engaging 20 Divisions in using 5 dissemination models and to measure Divisions' capacities in performing unfunded local dissemination to GPs. Method: An Implementation Kit was the main national intervention, housing the guidelines and 5 models: Education by the Division; Education by an external provider; 3) Clinical Audit; 4) Segmented Formats and 5) Appraisal. Five studies are reported: 1) an organisational census on guideline-related practices in all topics; 2) a Case Study Database of 3 consecutive interviews of 51 participating Divisions; 3) a Guideline Appraisal study of 9 cohorts of doctors; 4) a Clinical Audit study of 54 doctors involving 1200 patients; and 5) a 'Segmented Formats' documentary analysis of Division communications on GDIYP-GP. Results: Prior dissemination by most Divisions was administrative mail outs rather than planned programs. In all, 70 instead of the pilot 20 organisations participated (57% of the sector) using 10,000 guidelines: 45 participated by 7 weeks and 71 by 35 weeks and the majority used multiple active strategies showing fidelity to the Kit. Education by the Division, Segmented Formats and Appraisal were the most adopted models. GDIYP-GP was acceptable and relevant to the majority of Divisions and to 9 samples of doctors. Conclusion: Divisions are one appropriate system through which evidence-based mental health guidelines can be disseminated to general practitioners. Uptake can be rapid using a flexible enhanced package approach with link-agent support. 3-6 months is needed for organisations to begin effective interventions. Divisions reorient their approach with guidance toward evidence-based dissemination but Division and practice barriers

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Melis, Miriam J. "A formative study to develop and test a health promotion strategy for adolescents who experience grief." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2006. https://ro.ecu.edu.au/theses/354.

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The purpose of this research was to develop and test a health promotion intervention designed to minimise unhealthy adolescent grief reactions. A sample of Western Australian adolescents were consulted to identify their perceptions regarding the causes of grief for adolescents, the means by which they manage grief, their perceptions of what constitutes healthy and unhealthy grieving, and the risks associated with unhealthy grieving and the type of grief-management intervention they preferred.

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