Relevant bibliographies by topics / Hunter Area Health Service

Academic literature on the topic 'Hunter Area Health Service'

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Published: 10 December 2022
Last updated: 19 February 2023

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Journal articles on the topic "Hunter Area Health Service"

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Rodley, Cassandra. "Changes in the Medical Record Service across the Hunter Area Health Service." Australian Medical Record Journal 22, no. 2 (June 1992): 67–69. http://dx.doi.org/10.1177/183335839202200208.

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Waring, Trevor, Trevor Hazell, Philip Hazell, and Jane Adams. "Youth Mental Health Promotion in the Hunter Region." Australian & New Zealand Journal of Psychiatry 34, no. 4 (August 2000): 579–85. http://dx.doi.org/10.1080/j.1440-1614.2000.00763.x.

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Objective: To describe the work of the Hunter Institute of Mental Health, with special emphasis on its role in mental health promotion and prevention with adolescents. Method and Results: The Ottawa Charter for Health Promotion is used as a framework to describe the varied functions of this organisation. Four youth mental health promotion programs are given as examples of the Institute's work. Results of preliminary evaluation of the Youth Suicide Prevention — National University Curriculum Project are provided. Conclusion: The Hunter Institute of Mental Health, a self-funding unit of the Hunter Area Health Service, provides innovative health promotion programs as part of its role as a provider of mental health education and training. The model may be particularly applicable to mental health services in regional Australia.
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Sankaranarayanan, Anoop, Kerry Allanson, and Dinesh K. Arya. "What do general practitioners consider support? Findings from a local pilot initiative." Australian Journal of Primary Health 16, no. 1 (2010): 87. http://dx.doi.org/10.1071/py09040.

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This paper reports the findings of a local pilot that was aimed to assess if making a local psychiatrist available would improve GP satisfaction with regard to responsiveness and access to specialist mental health services. A psychiatrist was made available via a telephone advice line for 1 h every day. Pre- and post-survey of all GPs was conducted to elicit GP satisfaction and suggestions. The pilot was conducted from Maitland, the base of Hunter Valley Mental Health Service. A total of 202 GPs in the area were contacted and surveyed; 17% responded to the pre-survey and 27% to the post-survey. Only 8% of the GPs used the telephone advice service. Despite low use, most responding GPs indicated that they would like to see the services continue. Most of the responding GPs (both users and non-users of this service) were not aware of or had not used the Royal Australian College of General Practitioners’ GP Psych Support initiative. Results from this pilot indicate that making a local psychiatrist available improves GP satisfaction with regard to responsiveness and access, despite low use. Further research is needed to establish if such a service can be made available at an area level and whether this would be cost effective.
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Warner, Alexandra, Anne Saxton, Kathleen Fahy, Devon Indig, and Leanne Horvat. "Women's experience of early pregnancy care in five emergency departments in Hunter New England Area Health Service." Australasian Emergency Nursing Journal 14 (January 2011): S16. http://dx.doi.org/10.1016/j.aenj.2011.09.042.

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Freckelton, Ian. "Liability of Psychiatrists for Failure to Certify: Presland v Hunter Area Health Service and Dr Nazarian [2003] NSWSC 754." Psychiatry, Psychology and Law 10, no. 2 (June 2003): 397–404. http://dx.doi.org/10.1375/pplt.2003.10.2.397.

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Wiggers, John, Robyn Considine, Trevor Hazell, Melanie Haile, Maria Rees, and Justine Daly. "Increasing the Practice of Health Promotion Initiatives by Licensed Premises." Health Education & Behavior 28, no. 3 (June 2001): 331–40. http://dx.doi.org/10.1177/109019810102800307.

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Licensees of all licensed premises in the Hunter Region of New South Wales, Australia, were offered free services to encourage adoption of health promotion initiatives relating to responsible service of alcohol, environmental tobacco smoke, healthy food choices, breast and cervical cancer prevention, and the prevention of HIV/AIDS. A total of 239 premises participated in the follow-up survey. Increases in prevalence ranged between 11% and 59% for alcohol-related initiatives. The prevalence of smoke-free areas and healthy food choices increased from 32% to 65% and 42% to 96%, respectively, and the provision of cancer prevention information increased from 3% to 59%. Licensed premises represent a particularly challenging sector for health promotion practitioners to work in. The results of this study suggest that the adoption of health promotion initiatives by licensed premises can be increased. A considerable opportunity therefore exists for health promotion practitioners to become more actively involved in facilitating the adoption of such initiatives in this setting.
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Griffin, Cassandra, Ricardo Vilain, Simon King, Sandy Nixon, Alisha Gooley, Samara Bray, James Lynam, Marjorie M. Walker, Rodney J. Scott, and Christine Paul. "Mind Over Matter: Confronting Challenges in Post-Mortem Brain Biobanking for Glioblastoma Multiforme." Biomarker Insights 16 (January 2021): 117727192110133. http://dx.doi.org/10.1177/11772719211013359.

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Over the past 10 years, there has been limited progress for the treatment of brain cancer and outcomes for patients are not much improved. For brain cancer researchers, a major obstacle to biomarker driven research is limited access to brain cancer tissue for research purposes. The Mark Hughes Foundation Brain Biobank is one of the first post-mortem adult brain banks in Australia to operate with protocols specifically developed for brain cancer. Located within the Hunter New England Local Health District and operated by Hunter Cancer Biobank, the boundaries of service provided by the Brain Bank extend well into the surrounding regional and rural areas of the Local Health District and beyond. Brain cancer biobanking is challenging. There are conflicting international guidelines for best practice and unanswered questions relating to scientific, psychosocial and operational practices. To address this challenge, a best practice model was developed, informed by a consensus of existing data but with consideration of the difficulties associated with operating in regional or resource poor settings. The regional application of this model was challenged following the presentation of a donor located in a remote area, 380km away from the biobank. This required biobank staff to overcome numerous obstacles including long distance patient transport, lack of palliative care staff, death in the home and limited rural outreach services. Through the establishment of shared goals, contingency planning and the development of an informal infrastructure, the donation was facilitated within the required timeframe. This experience demonstrates the importance of collaboration and networking to overcome resource insufficiency and geographical challenges in rural cancer research programmes.
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Hunter, Donna, Gerry McCartney, Susan Fleming, and Fiona Guy. "Improving the Health of Looked after Children in Scotland: 1. Using a Specialist Nursing Service to Improve the Health Care of Children in Residential Accommodation." Adoption & Fostering 32, no. 4 (December 2008): 51–56. http://dx.doi.org/10.1177/030857590803200407.

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The first of two studies reported here by Donna Hunter, Gerry McCartney, Susan Fleming and Fiona Guy investigated whether a specialist nursing service could improve the health care of 162 children in residential care in Renfrewshire, West Dunbartonshire and Argyll & Bute. It found that after the introduction of the service, the proportion of children with completed carer-held health records (BAAF health record booklets) increased from three per cent to 77 per cent; the proportion receiving a ‘pre-admission medical’ increased from 38 per cent to 48 per cent; the proportion adequately immunised increased from nine per cent to 56 per cent; the proportion with at least one outstanding medical referral decreased by at least four per cent; the number registered with a dentist increased from 14 per cent to 62 per cent and the proportion who received a ‘comprehensive health assessment’ increased from 17 per cent to 58 per cent. Thematic analysis of free text journals suggested that universal health services were much more accessible in Argyll & Bute due to well-developed interagency working, low numbers of children in residential care and low rates of staff turnover. In the more urban areas, the main advantage of the service was thought to be in the facilitation of interagency working. The service was received positively by residential care workers and children in residential establishments. This study suggests that the provision of a specialist nursing service can improve the health care of children in residential accommodation.
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Scott, Russ. "Hunter Area Health Services v Presland: Liability of Mental Health Services for Failing to Admit or Detain a Patient With Mental Illness." Psychiatry, Psychology and Law 13, no. 1 (July 2006): 49–59. http://dx.doi.org/10.1375/pplt.13.1.49.

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Dawood, Fatimah S., Craig B. Dalton, David N. Durrheim, and Kirsty G. Hope. "Rates of hospitalisation for acute respiratory illness and the emergence of pandemic (H1N1) 2009 virus in the Hunter New England Area Health Service." Medical Journal of Australia 191, no. 10 (November 2009): 573–74. http://dx.doi.org/10.5694/j.1326-5377.2009.tb03318.x.

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Dissertations / Theses on the topic "Hunter Area Health Service"

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Boyle, Patrick James. "An assessment of cultural competence of community public health nursing in Liffeyside Health Service Area, Dublin." Thesis, Middlesex University, 2014. http://eprints.mdx.ac.uk/13464/.

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This study aimed to investigate the cultural competence and transcultural nursing experiences of community nurses in a local health service area in response to increasing demographic change and cultural diversity. In response to a dearth of evidence-based transcultural nursing research in the Irish context, this work-based project primarily explored practice, service delivery and professional development within an individual and localised service context. The study was informed by my own professional role as a Clinical Nurse Specialist working with asylum seekers in the Health Service Executive organisation. A flexible research design was employed, using a mixed methodology of quantitative and qualitative methods. To determine levels of cultural competence, quantitative data was collected and analysed using a specialised cultural competence assessment tool (CCAT Survey Questionnaire) and software. A total population of 44 nurses (N=44) were surveyed in Liffeyside health service area. 54.4% (n=24) completed and returned the CCAT survey. It revealed that nurses in this study were ‘culturally aware’ in accordance with the specific assessment criteria used. The main findings from the study stem predominantly from the qualitative research and the interpretative analysis, in which a number of themes and sub-themes emerged. Qualitative methods consisted of semi-structured individual interviews using a purposive sample from the community nursing population of the area. This allowed for more in-depth exploration of nurses’ transcultural experiences. Nurses tended to be unfamiliar with the professional discipline and practice of transcultural healthcare. Community nurses mostly acquired their transcultural knowledge from their work but tended to undervalue this type of knowledge. Overall, community nurses appeared interested in offering culturally competent care and were aware of the importance of developing and maintaining therapeutic relationships with ethnic minority service users. Although keen to offer an equality of service, the data demonstrated personal, professional and organisational barriers that led to tensions and ambiguity that impacted on nurses’ capacity to further develop their cultural competence. When working with ethnic minority clients, nurses appeared conflicted and complacent at times. In the main, nurses were content to ‘just get by’. Nurses were uneasy with some aspects of working with cultural diversity, for example, in the area of the use of language and terminology and this appeared to affect their confidence in addressing issues. A reluctance by nurses to name, acknowledge and challenge racism as a specific form of discrimination within the community nursing service was evident. Opportunities to improve and build on the development of cultural competence within this environment were identified. A number of practical suggestions for nurses and management are recommended, including practical guidelines, structured formal transcultural placements, education and interdisciplinary collaborative work and research.
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Nelson, Candice Afonso. "Neonatal Mortality in the Cape Town Metro West Geographical Service Area 2014-2017." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/32948.

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Background Each neonatal death counts, as recognised by the Every Newborn Action Plan (ENAP). This is an important aspect in attaining the third Sustainable Development Goal by 2030. Accurate neonatal mortality data as well as an understanding of the causality and context is essential to plan interventions to reduce neonatal deaths and attain the third Sustainable Development Goals (SDG) of a neonatal mortality rate of less than 12 per 1000 livebirths by 2035. Objectives The objectives of this study were: (i) to determine neonatal mortality occurring in and out of health facilities in the Metro West GSA using the three audit programmes; Perinatal Problem Identification Programme (PPIP), Child Healthcare Problem Identification Programme (Child PIP) and Forensic Pathology Services (ii) to ascertain the cause of death specific neonatal mortality (iii) to describe the avoidable factors in each death as coded by the three audit programmes (iv) to make recommendations for the alignment of existing audit databases to obtain accurate neonatal statistics for the Metro West GSA. Methods This was a retrospective descriptive study of neonatal deaths undertaken in the public healthcare setting in the Cape Town Metro West GSA from January 2014 till December 2017. Existing data from PPIP, Child PIP and the CDR/FPS was used. Neonatal deaths were defined as in the first 28 days of life where there had been signs of life at delivery and a birthweight greater than 500g. Neonatal deaths were excluded where birth had occurred outside of the GSA or in the private health care setting. The audit data with regards to cause of death and avoidable or modifiable factors was obtained for each death. Results From a total of 134843 live deliveries, 1243 neonatal deaths were identified: 976(78%) from PPIP, 58(5%) from Child PIP and 209 (17%) from CDR/FPS. Sixteen per cent of the deaths occurred outside of healthcare facilities. The neonatal mortality rate (NMR) for PPIP was 7.2, Child PIP 0.43 and CDR 1,6 per 1000 livebirths. When the audit systems were combined, the annual NMR over the study period varied from 8.05 to 10.1 with a mean of 9.2 per 1000 livebirths over the entire period. Seventy-eight per cent of the deaths occurred in the early neonatal period with a mean early neonatal mortality rate of 7.2 per 1000 livebirths. The mean late NMR was 2 per 1000 livebirths. Where all neonatal deaths were considered for those more than 500g, the main cause of death was immaturity related, then infection related followed by congenital disorders and then hypoxia related. Seventy-four per cent of deaths occurred in those less than 2500g at birth and 41% were less than 1000g and defined as extremely low birthweight. In the group of neonates greater than 1000g, the main cause of death was infection related deaths, closely followed by congenital disorders and then hypoxia, followed by immaturity. Most of infection related deaths were collected by the CDR and Child PIP. A third of Child PIP and PPIP deaths and half of the CDR deaths were coded as avoidable. The prevalence of deaths due to abandonment either by passive or active neonaticide contributed towards the higher proportion of preventable deaths in the CDR group. Conclusions The burden of deaths due to immaturity is high and may be attributed to the finding that 41% of neonatal deaths were in the ELBW group. Current viability criteria that aim at optimum use of resources may improve survival amongst this group. Infection related deaths were shown by this study to have a greater burden than recorded from PPIP data; most of these deaths were derived from Child PIP and CDR data. Also, where 10% of neonatal deaths were sudden unexpected deaths (SUDIs), a better understanding and definition of this group is urgently required as many of these deaths were subsequently found to be secondary to lower respiratory infections. It is further relevant that where 20% of CDR deaths or 3% of all the study deaths were due to active and passive neonaticide, this entity should be monitored and investigated. The study showed that the GSA has achieved the SDG for NMR of less than 12 per 1000 livebirth. However, a mean NMR of 9.2 per 1000 livebirths is not comparable to other upper middle-income countries. As 38% of the deaths were coded as avoidable, appropriate programmes to address these factors could reduce the NMR to 5.7 per 1000 livebirths. A strong recommendation from this study would be to use all three audit systems to calculate the NMR, understand the causes of neonatal deaths and plan programmes to improve neonatal survival in this GSA.
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Chaiyakae, Sonngan, Nobuyuki Hamajima, Pajjuban Hemhongsa, Yoshitoku Yoshida, and Tawatchai Yingtaweesak. "ACCESSIBILITY OF HEALTH CARE SERVICE IN THASONGYANG, TAK PROVINCE, THAILAND." Nagoya University School of Medicine, 2013. http://hdl.handle.net/2237/18473.

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Vinod, Shalini Kavita Public Health &amp Community Medicine Faculty of Medicine UNSW. "A lung cancer patterns of care study in the South Western Sydney Area Health Service." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2004. http://handle.unsw.edu.au/1959.4/22463.

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Background: The South Western Sydney Area Health Service (SWSAHS) contains many areas of socio-economic disadvantage and ethnic diversity. It has a high incidence of lung cancer, which is the leading cause of cancer deaths. The aims of this study were to document lung cancer patterns of care (POC) for SWSAHS residents, compare POC before and after the opening of an oncology centre in SWSAHS and compare POC with other areas in NSW. Methods: The study population consisted of SWSAHS residents diagnosed with lung cancer in 1993 and 1996. A clinical audit of medical records was performed to extract details on patient demographics, management of lung cancer and outcomes. Collaborating investigators performed identical studies in the Northern Sydney Area Health Service (NSAHS) and the Hunter Area Health Service (HAHS) for lung cancers diagnosed in 1996. Results: The SWSAHS study population comprised 527 patients. Nine percent did not have a pathological diagnosis. Twelve percent did not see a lung cancer specialist. Twenty-eight percent did not receive any treatment throughout the course of their illness. The median survival was 6.7 months and five-year actuarial survival was 8% (95% CI 6%-10%). Increasing age and poorer performance status were associated with a lower likelihood of obtaining a pathological diagnosis, specialist referral and treatment. Socio-economic factors did not influence POC. The establishment of an oncology center resulted in more referrals to medical oncologists and palliative care services. Other aspects of POC and survival were similar. Variability in POC was noted between SWSAHS, NSAHS and HAHS. HAHS residents were almost twice as likely not to have pathological confirmation of diagnosis or treatment. Despite this survival was not significantly different. Conclusions: This study has identified deficiencies in the management of lung cancer. To improve outcomes, referral to specialists and utilisation of treatment, particularly radiotherapy and chemotherapy, needs to be increased. Ageist and nihilistic attitudes need to be overcome. Prospective data collection is necessary to ensure quality of patient care. The formation of national guidelines for the management of lung cancer will play an important role in achieving better outcomes.
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Wallace, Carolyn A. "An exploration of health and social care service integration in a deprived South Wales area." Thesis, Coventry University, 2009. http://curve.coventry.ac.uk/open/items/0dc2c9be-3b0d-714a-3717-8b04a7ed24f3/1.

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Frailty poses a complex challenge for some people through their experience of ageing. In Wales, devolution requires organisations to use a whole systems approach with a model of partnership to deliver public services. An integrated care approach is offered to meet the service user focus or ‗value demand‘ which impacts on clinical, professional, organisational and policy levels within the system. Therefore, the aim of this study was to explore whether there was a difference between integrated health and social care day services and non- integrated health and social care day services. In doing so, answering the questions, how were these services different, what were the differences as perceived by the participants, why were they different, what could be learned from this study and how could health and social care services integrate in practice? The study utilized Gadamer‘s interpretative hermeneutics with a single intrinsic case study design. Using this approach ensured that the unique voice of the individual lived experience was heard and interpreted within the whole system of the study. The participants were service users, carers and staff in a day hospital, an outpatient clinic, day centre, reablement team and a joint day care facility. The methods included a survey questionnaire (SF12v2 and London Handicap Scale), in-depth interviews, observations; and historical and service documents; and reflective diary. Data collection occurred January 2005 to December 2006. Quantitative and qualitative data were analysed separately. The qualitative data was analysed using Gadamer‘s five stage approach developed by Fleming et al (2003) and Nvivo 7.0. The embedded quantitative data was analysed using SPSS version 13.0. Triangulation was achieved through the use of a meta matrix which merged the qualitative and quantitative data. The difference between integrated and non integrated services is expressed through the four themes, ‗the study participants‘, ‗commissioning and decommissioning integrated services‘, ‗the journey within day services‘, ‗navigating services and orchestrating care‘. The four themes were developed through a strategy used for interpreting the findings, which was to follow the study questions, propositions and ‗emic‘ questions. The differences between the integrated and non integrated services were in the meaning of their purpose, culture, level of integration, team orientation of practice and the model of service user/carer relationship observed within the services. The thesis identified challenges in respect of integrated working such as concept confusion, negative experiences of care for frail or older people, a vertical gap in knowledge transfer between strategic organisation, the operational services and service users. Mapping each service level of integration and team orientation to the model of service user and carer relationship, found that the level of team orientation and integration does not appear to be proportionate to the service user and carer relationship. The thesis concludes that in order to attempt to answer the question as to whether these day services can integrate in the practice, all levels of the system should focus on the service user/carer relationship. We need to understand service user diagnosis, how its characteristics and effect are interpreted by the service user, carer, professional and wider society in relation to independence and autonomy. It argues that knowledge emerges at this micro level (service user and carer relationship) and how we engage with this relationship and manage the knowledge we gain from it (both vertically and horizontally), will lead us to understand how we can ensure that integration occurs and that services in the future are person focussed.
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Win, Tay Za Kyi. "Demographic characteristics, HIV service utilization and barriers among transgender and gender non-conforming people in the Houston area." Thesis, The University of Texas School of Public Health, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10127421.

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Background: CDC reports that the highest percentage of newly identified HIV positives are among transgender people. They are overburdened by HIV and relatively under-researched in studies and underserved by healthcare providers.

Methods: A secondary data analysis was performed using data from a special needs assessment survey of HIV positive transgender people conducted in 2012 by the Houston Area Ryan White HIV Planning Council. Pearson’s chi-squared (&khgr;²) or Fisher’s exact test was conducted to assess whether HIV service utilization and barriers vary statistically by demographic characteristics. Variables with statistically significant levels less than 0.25 (P < 0.25) were selected to enter into the multivariable logistic regression models. Multivariable logistic regression with backward elimination process was used to identify the significant demographic variables that are associated with HIV service utilization and barriers.

Results: HIV positive transgender people with unstable housing status were less likely to use health insurance assistance services (P=0.012); but more likely to use substance abuse treatment services (P=0.017) and nutrition services (P=0.001) than those who owned or rented housing. They were also more likely to have difficult accessing primary health care services than those who owned/rented housing (P=0.007).

HIV positive African American transgender people were more likely to use mental health services than their white counterparts (P=0.019) and the unemployed were more likely to use mental health services than the employed (P=0.002).

More educated HIV positive transgender people were more likely to use case management services (P=0.039) and less likely to have difficulty accessing them (P=0.019) than the less educated. They had lower odds of difficulty in accessing primary HIV care (P=0.018) than the less educated.

Older transgender people (age group between 25-44) were more likely to use legal services than the younger ones (age group 18-24) (P=0.021).

Conclusion: Socioeconomic status may influence the utilization and barriers of HIV services among transgender people in the Houston Area. Housing assistance program need to be tailored to reach HIV positive transgender people of low socioeconomic status. Culturally appropriate and comprehensive transgender HIV care is recommended to meet the needs of transgender minorities in the area.

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Boyes, Allison. "Women's selection and evaluation of obstetric hospitals a survey of the Northern Sydney area /." Connect to full text, 1998. http://hdl.handle.net/2123/393.

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Thesis (M.P.H.)--University of Sydney, 1999.
Title from title screen (viewed Apr. 16, 2008). Submitted in fulfilment of the requirements for the degree of Master of Public Health to the Dept. of Public Health and Community Medicine, Faculty of Medicine. Degree awarded 1999; thesis submitted 1998. Includes bibliography. Also available in print form.
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Remmelzwaal, Bastiaan Leendert. "A situational assessment of human resources planning in the Mnquma local service area of the Eastern Cape Province, South Africa." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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The aim of this thesis was to conduct a situational assessment of human resources planning at one local health authority, in order to determine how decentralisation has impacted the effectiveness of human resources planning.
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Makakole, L. "Evaluation of strategies instituted to improve the tuberculosis control program within Scott Hospital Health Service Area, Lesotho." Thesis, University of Limpopo (Medunsa Campus), 2010. http://hdl.handle.net/10386/544.

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Thesis (M Med(Family Medicine))--University of Limpopo (Medunsa Campus), 2010.
Background: In spite of the substantial progress made in the development and implementation of many strategies necessary for effective tuberculosis control, the disease continues to be the leading cause of death, and in Africa, because of the expanding HIV epidemic, there has been an increase of HIV associated TB. In 2005 African health ministers declared TB a regional emergency. Although TB treatment is free and Lesotho has 100% DOTS coverage, the country still reported an incidence of 485 per 100,000 population (2005) and a treatment success of 74%, which is still lower than 85% WHO target. Objective: This six-month study at Scott Hospital Health Service area in Lesotho was undertaken to assess the outcome measures of strategies instituted to improve the tuberculosis control programme and determine the effect on TB treatment outcome indicators and TB/HIV integration. xi Methodology: The study design was a quantitative, descriptive study. The principal researcher and a research assistant used a questionnaire to collect data from the outpatient, TB suspect and treatment registers. Study population and sample: The subjects of the study were all adult new sputum- smear positive TB patients enrolled and registered in the Scott Hospital Health Service area TB register from 1st January to 30 June 2006. Results and discussion: A total of 100 new sputum smear positive adult TB patients presenting at Scott Hospital during the research period formed the sample group of this study. This included 47 female and 53 male patients. Their ages ranged from 18 years to 84 years with the mean age of 42 years. Majority 52 (52%) were in the age group 20-39 years, followed by 27 (27%) in age group 40-59 years and 19 (19%) in the age group 60-79 years. There was a high TB/HIV co-infection of 40 (81.6%) among the 49 (49%) who accepted HIV counseling and testing. Active screening of patients for TB resulted in 378 (86.3%) of the 438 TB suspects having their sputa tested. Of these, 100 (26.5%) were new sputum smear positive. Good xii adherence and treatment supervision resulted in sputum conversion rate of 89 (89%). Rigorous implementation of the DOTS strategy showed increased treatment outcomes: cure rate of 76 (76%) and treatment success of 85 (85%). These results were similar to findings of other studies carried out in Cambodia, Tanzania and Rwanda to assess TB programme performance following introduction of improvements. Conclusion: This study demonstrates that implementation of activities consistent with new stop TB DOTS strategy to improve TB control is possible in a rural setting and leads to improvement in TB case detection and treatment success and a decrease in both defaulter and death rates.
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Kirigia, Doris Gatwiri Public Health &amp Community Medicine Faculty of Medicine UNSW. "Beyond needs-based health funding: resource allocation and equity at the state and area health service levels in New South Wales - Australia." Awarded By:University of New South Wales. Public Health & Community Medicine, 2009. http://handle.unsw.edu.au/1959.4/44733.

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Addressing inequities in health both within and between countries has attracted considerable global attention in recent years. In theory, equity remains one of the key policy objectives of health systems and underpins the allocation of health sector resources in many countries. In practice, however, current evidence demonstrates that only limited progress has been made in terms of bridging the health inequity gap and improving the health of the least advantaged. The persistence of inequities in health and health outcomes raises concerns about how governments and health authorities distribute limited health resources to improve the health of the poor and most vulnerable and thereby promote equity. This thesis is about equity and allocation of financial resources in the health system of New South Wales, one of the eight states of Australia. It investigated the extent to which there has been a movement towards equity in resource allocation to Area Health Services under the NSW Health Resource Distribution Formula and whether this has been reflected in equitable resource allocation within Area Health Services. It considered only resources allocated through the NSW Department of Health. The study employed a combination of qualitative and quantitative methods to gather and analyse data. The qualitative component analysed data gathered through semi–structured interviews with policy makers, health executives, managers, and other stakeholders to establish the resource allocation processes and the factors upon which the allocation decisions were based. The quantitative component analysed health expenditure and health needs data to assess the extent to which allocation of resources from the State to Area Health Service levels has been equitable in terms of reflecting the level of health needs. Two indices were constructed and used as proxies for health needs. Principal component analysis was used in the construction of one of the indices, using demographic, socio–economic and health-related data. The other index was developed using a combination of premature mortality and morbidity data. The quantitative study spans the two decades 1989/90 to 2006/07, with a more detailed analysis of material for the years 2003/04 to 2006/07. The findings of the study show a considerable degree of inequity in resource allocation with several Area Health Services (AHSs) receiving less than a fair share of funding for the years analysed, although some movements towards equity were evident. This contradicts the general impression that the introduction of the resource distribution formula in NSW has significantly improved equity in resource allocation. In general, funding allocation at the State level correlated significantly with population size but not with health needs of the eight AHSs in NSW. Similarly, within the AHSs, allocation of funds was based on programs and services and not on health needs. Key issues that emerged from the qualitative data as affecting the equity with which health funds are allocated in the NSW health system include limited use of the resource distribution formula at the state level, lack of an effective resource allocation tool to guide the distribution of funds within AHSs, and insufficient emphasis on equity at the AHS level. It is crucial that these and several other issues identifies in the study are addressed if current inequities in funding and in health outcomes generally are to be effectively reduced.
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Books on the topic "Hunter Area Health Service"

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United States. Indian Health Service. Navajo Area. 2007 Navajo Area Indian Health Service profile. Window Rock, AZ: Distributed by Office of Program Planning and Evaluation, Navajo Area Indian Health Service, 2008.

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United States. Occupational Safety and Health Administration. OSHA's full service area offices. [Washington, D.C.?]: U.S. Dept. of Labor, Occupational Safety and Health Administration, 1987.

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Lerotholi, Kelello L. M. Seboche health service area: (strategic business plan) : 1999-2001. Maseru?: s.n., 1999.

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Phoenix Area Indian Health Service: Committed to caring for people. [Phoenix, Ariz: Phoenix Area Indian Health Service, 1989.

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N, Robins Lee, and Regier Darrel A, eds. Psychiatric disorders in America: The epidemiologic catchment area study. New York: Free Press, 1991.

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San Francisco (Calif.). AIDS Office. HIV Health Services: Centers of Excellence (CoE) for HIV-infected African American residents of the Bayview/Hunters Point area : RFP 7-2005. San Francisco: Dept. of Public Health, AIDS Office, 2005.

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Paulette, Guiougou, and Service Agency Inventory System, eds. The source book, 1989-90: Social and health services in the Greater New York area. Phoenix, AZ: Oryx Press, 1989.

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Great Britain. Commission for Healthcare Audit and Inspection. Coronary heart disease in the Bexley area: Progress in implementing the national service framework, June 2004. Norwich: TSO, 2004.

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Hecht, Ruth. I talk now: A report on the Health and Community Arts Project initiated by Bristol Area Specialist Health Promotion Service. Bristol: BASHPS, 1996.

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Great Britain. Commission for Healthcare Audit and Inspection. Coronary heart disease in the north west London area: Progress in implementing the national service framework, June 2004. Norwich: TSO, 2004.

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Book chapters on the topic "Hunter Area Health Service"

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Khandelwal, Shweta. "Malnutrition and COVID-19 in India." In Health Dimensions of COVID-19 in India and Beyond, 171–201. Singapore: Springer Singapore, 2022. http://dx.doi.org/10.1007/978-981-16-7385-6_9.

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AbstractWhile the world is battling the new coronavirus known as SARS-COV-2, public health and nutrition services in India are getting disrupted and derailed. It is pertinent not to overlook the existing gaps in our journey towards attaining the holistic sustainable development goals (SDGs). In fact, it is now well-established that comorbidities, especially malnutrition, diabetes, cardiovascular diseases, and other respiratory or kidney problems exacerbate the pathogenesis of COVID-19 because of an already compromised immune system. The whole world is off track in achieving SDG 2, known as Zero Hunger, by 2030. At the current pace, approximately 17 countries including India will fail to even reach low hunger by 2030. India ranks 104 out of 117 countries as per the used metric, the global hunger index. Furthermore, these projections do not account for the impact of the COVID-19 pandemic, which may worsen hunger and undernutrition in the near term and affect countries’ trajectories into the future.The author underscores the serious adverse impacts of COVID-19 on public health, nutrition, and food security in India and other low- and middle-income countries. Estimates show that 135 million persons were hungry before the pandemic. By the end of 2020, the number will likely increase to 265 million. India carries a heavy burden of multiple forms of malnutrition including undernutrition, hunger, micronutrient deficiencies as well as overweight, and obesity. India’s public health and nutritional policies must urgently address these problems. Measures taken by the government during the pandemic to counter its negative impact on the nutrition of women, children, migrant labor, and other vulnerable populations are enumerated. The response of the international community to tackle COVID-19 related nutritional challenges and India’s policy measures for ensuring nutrition and food security are discussed.
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DeClerck, Fabrice A. J., Izabella Koziell, Tim Benton, Lucas A. Garibaldi, Claire Kremen, Martine Maron, Cristina Rumbaitis Del Rio, et al. "A Whole Earth Approach to Nature-Positive Food: Biodiversity and Agriculture." In Science and Innovations for Food Systems Transformation, 469–96. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-15703-5_25.

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AbstractAgriculture is the largest single source of environmental degradation, responsible for over 30% of global greenhouse gas (GHG) emissions, 70% of freshwater use and 80% of land conversion: it is the single largest driver of biodiversity loss (Foley JA, Science 309:570–574, 2005, Nature 478:337–342, 2011; IPBES. Global assessment report on biodiversity and ecosystem services of the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services. IPBES Secretariat, Bonn, 2019; Willett W et al. The Lancet 393:447–492, 2019). Agriculture also underpins poor human health, contributing to 11 million premature deaths annually. While too many still struggle from acute hunger, a growing number of individuals, including in low to middle-income countries (LMICs), struggle to access healthy foods. Greater consideration for, and integration of, biodiversity in agriculture is a key solution space for improving health, eliminating hunger and achieving nature-positive development objectives.This rapid evidence review documents the best available evidence of agriculture’s relationships with biodiversity, drawing on the contributions of leading biodiversity experts, and recommends actions that can be taken to move towards more biodiversity/nature-positive production through the delivery of integrated agricultural solutions for climate, biodiversity, nutrition and livelihoods. The analysis, which takes a whole-of-food-system approach, brings together a large body of evidence. It accounts for aspects not typically captured in a stand-alone primary piece of research and indicates where there are critical gaps.
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Ortmann, Leonard W. "Defining Public Health Ethics for Practitioners." In Public Health Ethics Analysis, 3–22. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-92080-7_1.

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AbstractThis chapter stresses the collective nature of public health, defines public health ethics, and relates the latter to narrative ethics. The chapter offers four ways to define public health ethics; namely, through its problems, practice, procedure, and principles. Every area of Public Health Service poses ethics problems that involves either training issues, compliance with ethical rules and standards, or a utilitarian weighing of courses of action. The practice of public health ethics not only analyzes and addresses emergent ethical problems but also integrates ethics upstream into the design of public health programs. A public health ethics procedure provides a systematic framework for analyzing ethical problems, for designing and evaluating interventions, and for justifying one’s decisions. The chapter explores the core principles found in the American Public Health Association’s 2019 Public Health Code of Ethics. This Code reflects public health’s emphasis on health equity, inclusiveness, and engagement with marginalized communities. Accordingly, the subsequent discussion calls attention to an approach that advocates empathic listening to community members, namely, Human-centered design. The chapter closes by suggesting that narrative ethics can improve the capacity of practitioners to empathically hear the voices and stories of community members and thereby improve public health practice.
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Bramwell, Donna, Kath Checkland, Jolanta Shields, and Pauline Allen. "1974–1982: A Unified Geographically Based Health System." In Community Nursing Services in England, 17–31. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-17084-3_3.

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AbstractIn this chapter, we detail the first major re-organisation of the NHS since its inception and the consequences for community nursing. The 1974 wholesale re-organisation was born out of frustrations with the management and fragmentation of services resulting from the tripartite system. Services were bought together in a unitary model, centrally controlled but geographically organised. Local Authorities (LAs) were divested of many of their healthcare responsibilities including community nursing, which was transferred under the responsibility of newly created Area Health Authorities (AHAs). There was optimism that bringing community nursing under the NHS umbrella would foster a new era of co-ordinated working between all disciplines in the system, such as hospital nursing. Unfortunately, many of these intended aspirations were not realised despite the importance of the service to policy agendas emphasising integration, out-of-hospital care and prevention of ill health. In terms of managing and financing the district nursing service, this was not simplified by the re-organisation and population coverage continued as a mix of geographical and attachment to GP services. We conclude this chapter by emphasising the increasing demand for community and district nursing services. It became apparent in this era that the re-organisation did not bring any significant improvements and thus the attention shifted again towards organisational and management solutions to the NHS’ problems.
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Petelos, Elena, Dimitra Lingri, Dimitris Patestos, and Christos Lionis. "The COVID-19 Pandemic and Refugees in Greece: A New Challenge for Healthcare Service Provision, Public Health Programmes and Policymaking." In IMISCOE Research Series, 299–319. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-11574-5_15.

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AbstractThe COVID-19 pandemic has disrupted everyone’s life globally, nevertheless, its impact on refugees and migrants has been particularly profound. This chapter analyses key parameters on the living and healthcare provision conditions for these groups, the obstacles to access and to service provision, and the institutional context in Greece – a country with a large number of refugees and one of the main ports of entry to Europe. The impact of COVID-19 is examined in relation to containment, care provision and preparedness measures, with special reference to the conditions in the refugee settlements and to capturing the measures implemented over the first two years of the pandemic. Comprehensive contextualisation is achieved by examining EU legislation and policies, the Greek care provision system and obstacles to its access; an overview of key characteristics for optimal care delivery is also provided. The existing body of evidence on health and hygiene is reviewed along with key regulatory and legislative aspects, to inform the current debate, research and policy. The role of health information, mediation, public health messaging and risk communication is also briefly examined, together with key considerations in terms of social cohesion and societal resilience. Brief recommendations in terms of health and social policy, with relevance to national and local authorities, and all relevant stakeholders, are made, aiming to reduce the harm, as well as collateral damage, and to inform future policies for public health programmes and care provision for these groups. Given the changing refugee landscape due to the current war in Ukraine, which has resulted in a new wave of displaced persons within the European area, particular attention is needed on the potential disparities that may be created amongst different refugee groups that ought to be protected to the same degree.
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Gustriandha, Ryan Dwi, Nazaruddin, and Isfenti Sadalia. "Effect of Occupational Health Safety and Rewards on Employee Performance and Work Motivation as Intervening Variables at PT Pertamina Geothermal Energy Area Sibayak." In Proceedings of the 19th International Symposium on Management (INSYMA 2022), 580–89. Dordrecht: Atlantis Press International BV, 2022. http://dx.doi.org/10.2991/978-94-6463-008-4_74.

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AbstractThese days, human resources are a vital role needed as a company asset to survive in the current business competition. Human resources as employees cannot be separated from problems related to occupational health and safety in the company as by ensuring occupational health safety, companies can foster morale and comfort of their employees. This study aims to determine whether the elements of occupational health and safety and rewards have an influence on employee performance and whether motivation is able to mediate occupational health safety and rewards for employee performance to be better. The population of this research was all employees of supporting service workers who work in a geothermal management business company. The data obtained were primary data through questionnaires distributed to employees in the company using the Likert scale method. This type of research was causal associative research with data analysis techniques used descriptive analysis and path analysis. The sampling technique was saturated sampling, which was collected from all 32 workers as samples. The results of the effect of occupational health safety and appreciation on employee performance through work motivation show a direct influence value of 0.782 and an indirect effect of 0.672. Based on the results of the study, it can be said that the direct effect is greater than the indirect effect (0.782 > 0.672). So that there is no significant effect of the Occupational Health Safety and Rewards variables on employee performance through work motivation. Based on these results, increasing the company’s commitment to occupational health and safety to carry out K3 procedures in order to comply with company regulations on an ongoing basis is needed.
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Gerth, Sebastian, and Lars Heim. "Blockchain as an Approach for Secure Data Storage on Digital Consulting Platforms." In Digital Entrepreneurship, 103–20. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-53914-6_6.

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AbstractThis chapter examines the concept of data security in a society increasingly shaped by digital technologies. We show how secure data storage can be optimised regarding digital documentation in the implementation of health-related service offers based on established procedures. Security and privacy of data are therefore particularly important in this subject area since highly sensitive data is stored and processed during health-related online consultations. The advent of blockchain technology provides a valuable opportunity to create trust in digital platforms. After relevant concepts and terms have been clarified, the functionality of the blockchain in general, as well as the different types, will be discussed. From this, options for the use of online consulting are developed and illustrated on the basis of three use cases.
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Henze, Dominic. "Dynamically Scalable Fog Architectures." In Ernst Denert Award for Software Engineering 2020, 91–114. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-83128-8_6.

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AbstractRecent advances in mobile connectivity as well as increased computational power and storage in sensor devices have given rise to a new family of software architectures with challenges for data and communication paths as well as architectural reconfigurability at runtime. Established in 2012, Fog Computing describes one of these software architectures. It lacks a commonly accepted definition, which manifests itself in the missing support for mobile applications as well as dynamically changing runtime configurations. The dissertation “Dynamically Scalable Fog Architectures” provides a framework that formalizes Fog Computing and adds support for dynamic and scalable Fog Architectures.The framework called xFog (Extension for Fog Computing) models Fog Architectures based on set theory and graphs. It consists of three parts: xFogCore, xFogPlus, and xFogStar. xFogCore establishes the set theoretical foundations. xFogPlus enables dynamic and scalable Fog Architectures to dynamically add new components or layers. Additionally, xFogPlus provides a View concept which allows stakeholders to focus on different levels of abstraction.These formalizations establish the foundation for new concepts in the area of Fog Computing. One such concept, xFogStar, provides a workflow to find the best service configuration based on quality of service parameters.The xFog framework has been applied in eight case studies to investigate the applicability of dynamic Fog Components, scalable Fog Architectures, and the service provider selection at runtime. The case studies, covering different application domains—ranging from smart environments, health, and metrology to gaming—successfully demonstrated the feasibility of the formalizations provided by xFog, the dynamic change of Fog Architectures by adding new components and layers at runtime, as well as the applicability of a workflow to establish the best service configuration.
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Bramwell, Donna, Kath Checkland, Jolanta Shields, and Pauline Allen. "1983–1990: The Era of General Management." In Community Nursing Services in England, 33–42. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-17084-3_4.

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AbstractThis was another period of churn for the NHS. First, the service endured another restructuring exercise, reducing hierarchical layers to a less rigid bureaucratic structure. Area Health Authorities (AHAs) were abolished in 1982 and replaced by 192 District Health Authorities (DHAs). Second, there was a move away from ‘consensus’ style management towards ‘general management’ following the publication of the influential Griffiths Report in 1983. This marked an important phase in the NHS in which a clearly defined management function was implemented to improve efficiency, planning and accountability but bought shifting sands to the way community nursing services were managed. A review of community nursing services in a similar vein, The Cumberlege Report (1986), also proved significant. We focus on the recommendations of this report for improving the role and function of district nursing services and their geographical deployment to strengthen the concept of a localised, neighbourhood nursing structure. Whilst this was a period of change in terms of the organisation and management of Community Health Services and indeed the NHS as a whole, the core role of community or district nurses remained as one of care in the community but with an emphasis on greater multi-disciplinary team working.
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Thompson, Helen. "Building Local Capacity via Scaleable Web-Based Services." In Electronic Services, 1310–18. IGI Global, 2010. http://dx.doi.org/10.4018/978-1-61520-967-5.ch080.

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Information communications technology (ICT) has been identified as a key enabler in the achievement of regional and rural success, particularly in terms of economic and business development. The potential of achieving equity of service through improved communications infrastructure and enhanced access to government, health, education, and other services has been identified. ICT has also been linked to the aspiration of community empowerment, where dimensions include revitalizing a sense of community, building regional capacity, enhancing democracy, and increasing social capital. In Australia, there has been a vision for online services to be used to open up regional communities to the rest of the world. Government support has been seen “as enhancing the competence levels of local economies and communities so they become strong enough to deal equitably in an increasingly open marketplace” (McGrath & More, 2002, p. 40). In a regional and rural context, the availability of practical assistance is often limited. Identification of the most appropriate online services for a particular community is sometimes difficult (Ashford, 1999; Papandrea & Wade, 2000; Pattulock & Albury Wodonga Area Consultative Committee, 2000). Calls, however, continue for regional communities to join the globalized, online world. These are supported by the view that success today is based less and less on natural resource wealth, labor costs, and relative exchange rates, and more and more on individual knowledge, skills, and innovation. But how can regional communities “grab their share of this wealth” and use it to strengthen local communities (Simpson 1999, p. 6)? Should communities be moving, as Porter (2001, p. 18) recommends (for business), away from the rhetoric about “Internet industries,” “e-business strategies,” and the “new economy,” to see the Internet as “an enabling technology—a powerful set of tools that can be used, wisely or unwisely, in almost any industry and as part of almost any strategy?” Recent Australian literature (particularly government literature) does indeed demonstrate somewhat of a shift in terms of the expectations of ICT and e-commerce (National Office for the Information Economy, 2001; Multimedia Victoria, 2002; National Office for the Information Economy, 2002). Consistent with reflections on international industry experience, there is now a greater emphasis on identifying locally appropriate initiatives, exploring opportunities for improving existing communication and service quality, and for using the Internet and ICT to support more efficient community processes and relationships (Hunter, 1999; Municipal Association of Victoria and ETC Electronic Trading Concepts Pty Ltd., 2000; National Office for the Information Economy, 2002). The objective of this article is to explore whether welldeveloped and well-implemented online services can make a positive contribution to the future of regional and rural communities. This will be achieved by disseminating some of the learning from the implementation of the MainStreet Regional Portal project (www.mainstreet.net.au). To provide a context for this case study, the next section introduces some theory relevant to virtual communities and portals. The concept of online communities is introduced and then literature is reviewed to identify factors that have been acknowledged as important in the success of online community and portal initiatives.
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Conference papers on the topic "Hunter Area Health Service"

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Akbar, Fuad Husain, Rini Pratiwi, Rasmidar Samad, and Fanissa Fanissa. "Patient Satisfaction on Health Service Center In Urban and Rural Area." In Health Science International Conference (HSIC 2017). Paris, France: Atlantis Press, 2017. http://dx.doi.org/10.2991/hsic-17.2017.14.

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Monsef, Ehsan, Thomas Gonnot, Won-Jae Yi, and Jafar Saniie. "An application-agnostic Quality of service framework for Wireless Body Area Networks." In 2014 Health Innovations and POCT. IEEE, 2014. http://dx.doi.org/10.1109/hic.2014.7038867.

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Wang, Hui, Hyeok-soo Choi, Nazim Agoulmine, M. Jamal Deen, and James Won-Ki Hong. "Information-based sensor tasking wireless body area networks in U-health systems." In 2010 International Conference on Network and Service Management (CNSM). IEEE, 2010. http://dx.doi.org/10.1109/cnsm.2010.5691350.

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Ito, Marcia, Leandro Ramos da Silva, Eduardo Rodrigues de Camargo, and Tarcio Roberto Carvalho de Lima. "Communication between agents for interoperability in area health service platform using JADE." In 26th IEEE International Symposium on Computer-Based Medical Systems (CBMS). IEEE, 2013. http://dx.doi.org/10.1109/cbms.2013.6627880.

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Lee, Byung Woo, Se Dong Min, Wanjin Jeong, Youngmin Choo, and Myoungho Lee. "Construction of APEC e-Health Portal Site for e-Health Service Providers and Demanders in APEC area." In 2007 9th International Conference on e-Health Networking, Application and Services. IEEE, 2007. http://dx.doi.org/10.1109/health.2007.381657.

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Jiang, Steven, Kehinde Odubela, and Lauren Davis. "Evidence-based decision making using visual analytics for a local food bank." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002587.

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Food insecurity is defined as an individual or household’s inability or limited access to safe and nutritious food that every person in the household need for an active, healthy life. In this research, we apply visual analytics, the integration of data analytics and interactive visualization, to provide evidence-based decision-making for a local food bank to better understand the people and communities in its service area and improve the reach and impact of the food bank. We have identified the indicators of the need, rates of usage, and other factors related to the general accessibility of the food bank and its programs. Interactive dashboards were developed to allow decision-makers of the food bank to combine their field knowledge with the computing power to make evidence-based informed decisions in complex hunger relief operations.
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Olugbara, O. O., M. O. Adigun, S. O. Ojo, and P. Mudali. "Utility Grid Computing and Body Area Network as Enabler for Ubiquitous Rural e-Healthcare Service Provisioning." In 2007 9th International Conference on e-Health Networking, Application and Services. IEEE, 2007. http://dx.doi.org/10.1109/health.2007.381630.

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Anshari, Luthfil Hadi, Nizwardi Azkha, and Rahmayuda. "Optimization of Puskesmas Officers in Medical Waste Management in the Health Service Work Area, Padang City, in 2019." In 4th International Symposium on Health Research (ISHR 2019). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/ahsr.k.200215.023.

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Habibah, Hani, and Yunita Dyah Fitriani. "Post Natal Care (PNC) Service With The Level of Postpartum Mother’s Satisfaction in The Working Area of Sukomulyo Puskesmas in Gresik." In The 2nd International Symposium of Public Health. SCITEPRESS - Science and Technology Publications, 2017. http://dx.doi.org/10.5220/0007516705020506.

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Lestari, Yayuk Puji, and Farida Kartini. "Antenatal Service Quality: A Scoping Review." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.31.

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ABSTRACT Background: Maternal mortality rate (MMR) is an indicator of the success of health development in a country. The World Health Organization (WHO) has issued a series of new recommendations to improve the quality of antenatal care to reduce the risk of birth and pregnancy complications and provide a positive pregnancy experience. This study aimed to review the antenatal service quality. Subjects and Method: This was a scoping review using an electronic bibliographic database method. Articles were collected from 5 databases, namely Science Direct, PubMed, EBSCO, Wiley, and ProQuest. This study was carried out systematically from 2009 to 2019. The articles used in this scoping review were described in the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) flowchart. Results: Based on 10 articles out of 190 articles according to inclusion criteria, the review results showed that the quality of antenatal care was divided into physical examinations and supporting examinations carried out in antenatal care services, suggestions and infrastructure in antenatal care services, and availability of health personnel in antenatal care services. Conclusion: The quality of antenatal care services is strongly influenced by the standard of the equipment used, the standard of examination, facilities and infrastructure and the availability of health personnel. Keywords: quality, antenatal care, scoping review Correspondence: Yayuk Puji Lestari. Universitas ‘Aisyiyah Yogyakarta. Jl. Ringroad Barat No.63, Mlangi Nogotirto, Gamping, Rice Field Area, Nogotirto, Kec. Gamping, Sleman Regency 55592, Yogyakarta Special Region. Email: yayuk.pujilestari1892@gmail.com. Mobile : 085349033588. DOI: https://doi.org/10.26911/the7thicph.03.31
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Reports on the topic "Hunter Area Health Service"

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Washbum, Brian E. Hawks and Owls. U.S. Department of Agriculture, Animal and Plant Health Inspection Service, December 2016. http://dx.doi.org/10.32747/2016.7208741.ws.

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Hawks and owls can negatively impact a variety of human interests, including important natural resources, livestock and game bird production, human health and safety, and companion animals. Conflicts between raptors and people generally are localized and often site-specific. However, the economic and social impacts to the individuals involved can be severe. Despite the problems they may cause, hawks and owls provide important benefits and environmental services. Raptors are popular with birdwatchers and much of the general public. They also hunt and kill large numbers of rodents, reducing crop damage and other problems. Hawks and owls are classified into four main groups, namely accipiters, buteos, falcons, and owls. All hawks and owls in the United States are federally pro-tected under the Migratory Bird Treaty Act (16 USC, 703−711). Hawks and owls typically are protected under state wildlife laws or local ordinances, as well. These laws strictly prohibit the capture, killing, or possession of hawks or owls (or their parts) without a special permit (e.g., Feder-al Depredation Permit), issued by the USFWS. State-issued wildlife damage or depredation permits also may be required.
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Sripad, Pooja. Exploring barriers and enablers of service provision for survivors of human trafficking in the Bay Area: An action research study. Population Council, 2021. http://dx.doi.org/10.31899/sbsr2021.1067.

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Despite increasing recognition of public health and rights issues associated with human trafficking globally and in the United States following the Trafficking Victims Protection Act of 2000, there has been limited research on how to systematically strengthen service access for survivors of sex and labor trafficking. The experience of service providers may provide insight into how trafficking survivor responses and service networks function in California’s Bay Area. This study explores provider perspectives on existing service networks and collaboration dynamics, including the barriers to and enablers of long-term service provision and survivor follow-up. A participatory research design included qualitative interviews with key informants working at nongovernmental organizations, organizational website reviews, and consultation with network service providers in the Greater San Francisco Bay Area. This study approach allowed for eliciting in-depth reflections of service provision, collective generation of stakeholder mapping, and consensus-driven recommendations arising from barriers and enablers to anti-trafficking service provision. This report enhances stakeholder awareness of existing organizational and policy resources and offers insights into research and programming on how anti-trafficking service response networks can be strengthened to provide survivor-centric support in the long-term.
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DeSaix, Matthew. Bird community monitoring at New River Gorge National River, Gauley River National Recreation Area, and Bluestone National Scenic River, 1997 - 2018. National Park Service, January 2022. http://dx.doi.org/10.36967/nrr-2289846.

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Birds are prominent features of National Park Service lands and are effective indicators for monitoring ecosystem health. Assessing the temporal change of avian species abundance depends on long-term monitoring of bird communities and trends, however long-term monitoring programs are generally uncommon. In this report, we summarize 22 years (1997-2018) of point count data across five sites on West Virginia National Park Service lands (three in New River Gorge National River, one in Gauley River National Recreation Area, and one in Bluestone National Scenic River) and compare these results to our analysis of Breeding Bird Survey data for the same time period across all of West Virginia. The objectives of this analysis are two-fold: 1) describe the biotic integrity of the National Park Service lands in West Virginia and 2) Quantify trends in guilds and species abundance. During the 20-year period of this survey, 85 breeding resident species were detected. The West Virginia National Park Service lands are home to stable populations of Wood Thrush and Yellow-billed Cuckoo, both species of continental concern by Partners in Flight. Seven species have declined precipitously on NPS lands during this time period. Three of these species are also experiencing declines across the rest of West Virginia (Blue-gray Gnatcatcher, Carolina Chickadee, Kentucky Warbler), but the other 4 species are stable across West Virginia (Acadian Flycatcher, Black-throated Green Warbler, Northern Parula, Swainson’s Warbler). Four species that are declining across West Virginia (Great Crested Flycatcher, Indigo Bunting, Red-eyed Vireo, and Worm-eating Warbler) are stable on southern West Virginia NPS lands. Additionally, the upper-canopy foraging guild of species has decreased significantly on NPS lands in southern West Virginia. An analysis of community biotic integrity revealed that the southern West Virginia NPS lands have been stable at a rating of high biotic integrity every year for the duration of this survey. Future research should delve into the underlying factors that may be driving the trends in abundance at different scales.
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Casper, Gary, Stfani Madau, and Thomas Parr. Acoustic amphibian monitoring, 2019 data summary: Mississippi National River and Recreation Area. National Park Service, December 2022. http://dx.doi.org/10.36967/2295507.

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Amphibians are a Vital Sign indicator for monitoring long-term ecosystem health in seven national park units that comprise the Great Lakes Network. We present here the results for 2019 amphibian monitoring at Mississippi National River and Recreation Area (MISS). Appendices contain tabular summaries for six years of cumulative results. The National Park Service Great Lakes Inventory and Monitoring Network established 10 permanent acoustic amphibian monitoring sites at MISS in 2015. Acoustic samples are collected by placing automated recorders with omnidirectional stereo microphones at each of the 10 sampling sites. Temperature loggers co-located with the recorders also collect air temperature during the sampling period. Eight of the nine species of frog and toad known to occur at MISS were found in 2019. The most well distributed species were Eastern American Toad, Gray Treefrog, Green Frog, and Northern Leopard Frog. Rarer are Blanchard’s Cricket Frog, Cope’s Gray Treefrog, Wood Frog, and Boreal Chorus Frog. American Bullfrog has not yet been detected on GLKN monitored sites but has been recently confirmed nearby (Pigs Eye Lake). Two of the ten sites—MISS02, MISS04—were not sampled in 2019 due to flooding, and occupancy of early calling species at MISS06 was determined inconclusive due to a late sampling start. MISS07 was also deployed late and results may contain some false absences due to late sampling. We expanded analyses and reporting in 2018 to address calling phenology and to provide a second metric for tracking changes in abundance (as opposed to occupancy) across years. Occupancy analyses track whether or not a site was occupied by a species. Abundance is tracked by assessing how the maximum call intensity changes on sites across years, and by how many automated detections are reported from sites across years. Using two independent survey methods, manual and automated, with large sample sizes continues to return reliable results, providing a confident record of site occupancy for most species. There were some data collection issues in 2019, with two ARS units not deployed and two others with late start dates. This did reduce our ability to assess some sites and species. Summaries of 2019 data are shown in Appendices A, B and C, and cumulative data collection result summaries are provided in Appendix E. Since temperature logs show that the threshold of ≥40°F was already exceeded by 1 April in 2019, we recommend a 15 March start date for future data collection.
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5

Lamarque, Hugh, and Hannah Brown. Key Considerations: Cross-Border Dynamics Between Uganda and Kenya in the Context of the Outbreak of Ebola, 2022. Institute of Development Studies, December 2022. http://dx.doi.org/10.19088/sshap.2022.043.

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This brief summarises key considerations concerning cross-border dynamics between Uganda and Kenya in the context of the outbreak of Ebola (Sudan Virus Disease, SVD) in Uganda. It is part of a series focusing on at-risk border areas between Uganda and four high priority neighbouring countries: Kenya; Rwanda; Tanzania, and South Sudan. The outbreak began in Mubende District, Uganda on 19 September 2022, approximately 340km from the Kenyan border. At the time of writing (December 2022), the outbreak had spread to eight Ugandan districts, including two in the Kampala metropolitan area. Kampala is a transport hub, with a population over 3.6 million. While the global risk from SVD remains low according to the World Health Organization (WHO), its presence in the Ugandan capital has significantly heightened the risk to regional neighbours. Kenya is categorised as a priority level 1 country, following a case in Jinja on the road between Kampala and the Kenyan border, on 13 November 2022. A total of 23 suspected cases were tested in Kenya up to 1 December 2022, all with negative results. To date, no case of SVD has been imported into the country from Uganda. This brief provides details about cross-border relations between the two states, the political and economic dynamics likely to influence these, and the specific areas and actors most at risk. The brief is based on a rapid review of existing published and grey literature, news reports, previous ethnographic research in Kenya and Uganda, and informal discussions with colleagues from the International Organisation for Migration, UNICEF, UNDP, Save the Children, the Kenyan Red Cross Society, the Kenyan Ministry of Health (MoH) and Ministry of Livestock, Agriculture and Fisheries in Kenya, and the Safe Water and AIDS project in Kisumu. It was requested by the Collective Service, written by Hugh Lamarque (University of Edinburgh) and Hannah Brown (Durham University) and supported by Olivia Tulloch (Anthrologica). It was further reviewed by colleagues from Anthrologica, the Institute of Development Studies, and the Collective Service. This brief is the responsibility of SSHAP.
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6

Lamarque, Hugh. Key Considerations: Cross-Border Dynamics between Uganda and Rwanda in the Context of the Outbreak of Ebola, 2022. SSHAP, November 2022. http://dx.doi.org/10.19088/sshap.2022.044.

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This brief summarises key considerations concerning cross-border dynamics between Uganda and Rwanda in the context of the 2022 outbreak of Ebola (Sudan Virus Disease, SVD) in Uganda. It is part of a series focusing on at-risk border areas between Uganda and four high priority neighbouring countries: Rwanda; Tanzania; Kenya; and South Sudan. The outbreak began in Mubende, Uganda on 19 September 2022, approximately 300 kilometres from the Uganda-Rwanda border. At the time of writing (November 2022) it has spread to nine Ugandan districts, including two in the Kampala metropolitan area. Kampala is a transport hub, with a population over 3.6 million. While the global risk from SVD remains low according to the World Health Organization, its presence in the Uganda capital has significantly heightened the risk to regional neighbours. Rwanda is categorised as Priority 1, with significant preparedness activities underway. As of November 2022, there had been no case of SVD imported from Uganda into Rwanda, although alerts have been triggered at border posts. This brief provides details about cross-border relations, the political and economic dynamics likely to influence these, and specific areas and actors most at risk. It is based on a rapid review of existing published and grey literature, news reports, previous ethnographic research in Rwanda and Uganda, and informal discussions with colleagues from Save the Children, UNICEF, UNECA, UNDP, IOM, TBI, and the World Bank. It was requested by the Collective Service, written by Hugh Lamarque (University of Edinburgh) and supported by Olivia Tulloch (Anthrologica. It was reviewed by colleagues from Save the Children, Anthrologica, the Institute of Development Studies and the Collective Service. This brief is the responsibility of SSHAP.
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7

Ndhlovu, Lewis, Catherine Searle, and Johannes van Dam. Strengthening STI treatment and HIV/AIDS prevention services in Carletonville, South Africa. Population Council, 2004. http://dx.doi.org/10.31899/hiv15.1001.

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Although knowledge about HIV/AIDS is widespread in South Africa, adult HIV prevalence is high, indicating high levels of risky sexual behavior. Understanding the gap between knowledge and behavior requires an examination of the social context in which the epidemic occurs. The Horizons Program conducted an intervention study in the Carletonville area to study the social determinants of the HIV epidemic and to assess the impact of a targeted program of HIV and STI prevention and service delivery. In 1998, the Mothusimpilo (“Working together for health”) Intervention Project (MIP) was launched to reduce community prevalence of HIV and other STIs and to sustain those reductions through enhanced prevention and STI treatment services. Carletonville includes many migrant mine workers and is characterized by significant poverty and unemployment, the presence of sex work, and high rates of STIs. MIP targets population groups where high-risk sexual behavior is thought to be common. This brief focuses on sex workers because of their vulnerability to STIs and HIV infection and their link to miners and men in the broader community.
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8

Robinson, Andy. Monitoring and Evaluation for Rural Sanitation and Hygiene: Framework. Institute of Development Studies (IDS), December 2021. http://dx.doi.org/10.19088/slh.2021.027.

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The monitoring and evaluation (M&E) Guidelines and Framework presented in this document (and in the accompanying M&E Indicator Framework) aim to encourage stakeholders in the rural sanitation and hygiene sector to take a more comprehensive, comparable and people focused approach to monitoring and evaluation. Many M&E frameworks currently reflect the interests and ambitions of particular implementing agencies – that is, community-led total sanitation (CLTS) interventions focused on open-defecation free (ODF) outcomes in triggered communities; market-based sanitation interventions focused on the number of products sold and whether sanitation businesses were profitable; and sanitation finance interventions reporting the number of facilities built using financial support. Few M&E frameworks have been designed to examine the overall sanitation and hygiene situation – to assess how interventions have affected sanitation and hygiene outcomes across an entire area (rather than just in specific target communities); to look at who (from the overall population) benefitted from the intervention, and who did not; to report on the level and quality of service used; or examine whether public health has improved. Since 2015, the Sustainable Development Goals (SDGs) have extended and deepened the international monitoring requirements for sanitation and hygiene. The 2030 SDG sanitation target 6.2 includes requirements to: • Achieve access to adequate sanitation and hygiene for all • Achieve access to equitable sanitation and hygiene for all • End open defecation • Pay special attention to the needs of women and girls • Pay special attention to those in vulnerable situations The 2030 SDG sanitation target calls for universal use of basic sanitation services, and for the elimination of open defecation, both of which require M&E systems that cover entire administration areas (i.e. every person and community within a district) and which are able to identify people and groups that lack services, or continue unsafe practices. Fortunately, the SDG requirements are well aligned with the sector trend towards system strengthening, in recognition that governments are responsible both for the provision of sustainable services and for monitoring the achievement of sustained outcomes. This document provides guidelines on the monitoring and evaluation of rural sanitation and hygiene, and presents an M&E framework that outlines core elements and features for reporting on progress towards the 2030 SDG sanitation target (and related national goals and targets for rural sanitation and hygiene), while also encouraging learning and accountability. Given wide variations in the ambition, capacity and resources available for monitoring and evaluation, it is apparent that not all of the M&E processes and indicators described will be appropriate for all stakeholders. The intention is to provide guidelines and details on useful and progressive approaches to monitoring rural sanitation and hygiene, from which a range of rural sanitation and hygiene duty bearers and practitioners – including governments, implementation agencies, development partners and service providers – can select and use those most appropriate to their needs. Eventually, it is hoped that all of the more progressive M&E elements and features will become standard, and be incorporated in all sector monitoring systems.
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9

Robinson, Andy. Monitoring and Evaluation for Rural Sanitation and Hygiene: Framework. Institute of Development Studies (IDS), December 2021. http://dx.doi.org/10.19088/slh.2021.025.

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The monitoring and evaluation (M&E) Guidelines and Framework presented in this document (and in the accompanying M&E Indicator Framework) aim to encourage stakeholders in the rural sanitation and hygiene sector to take a more comprehensive, comparable and people focused approach to monitoring and evaluation. Many M&E frameworks currently reflect the interests and ambitions of particular implementing agencies – that is, community-led total sanitation (CLTS) interventions focused on open-defecation free (ODF) outcomes in triggered communities; market-based sanitation interventions focused on the number of products sold and whether sanitation businesses were profitable; and sanitation finance interventions reporting the number of facilities built using financial support. Few M&E frameworks have been designed to examine the overall sanitation and hygiene situation – to assess how interventions have affected sanitation and hygiene outcomes across an entire area (rather than just in specific target communities); to look at who (from the overall population) benefitted from the intervention, and who did not; to report on the level and quality of service used; or examine whether public health has improved. Since 2015, the Sustainable Development Goals (SDGs) have extended and deepened the international monitoring requirements for sanitation and hygiene. The 2030 SDG sanitation target 6.2 includes requirements to: • Achieve access to adequate sanitation and hygiene for all • Achieve access to equitable sanitation and hygiene for all • End open defecation • Pay special attention to the needs of women and girls • Pay special attention to those in vulnerable situations The 2030 SDG sanitation target calls for universal use of basic sanitation services, and for the elimination of open defecation, both of which require M&E systems that cover entire administration areas (i.e. every person and community within a district) and which are able to identify people and groups that lack services, or continue unsafe practices. Fortunately, the SDG requirements are well aligned with the sector trend towards system strengthening, in recognition that governments are responsible both for the provision of sustainable services and for monitoring the achievement of sustained outcomes. This document provides guidelines on the monitoring and evaluation of rural sanitation and hygiene, and presents an M&E framework that outlines core elements and features for reporting on progress towards the 2030 SDG sanitation target (and related national goals and targets for rural sanitation and hygiene), while also encouraging learning and accountability. Given wide variations in the ambition, capacity and resources available for monitoring and evaluation, it is apparent that not all of the M&E processes and indicators described will be appropriate for all stakeholders. The intention is to provide guidelines and details on useful and progressive approaches to monitoring rural sanitation and hygiene, from which a range of rural sanitation and hygiene duty bearers and practitioners – including governments, implementation agencies, development partners and service providers – can select and use those most appropriate to their needs. Eventually, it is hoped that all of the more progressive M&E elements and features will become standard, and be incorporated in all sector monitoring systems.
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10

Community involvement in reproductive health: Findings from research in Karnataka, India. Population Council, 2004. http://dx.doi.org/10.31899/rh17.1007.

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In 1996, the government of India decided to provide a package of reproductive and child health services through the existing family welfare program, adopting a community needs assessment approach (CNAA). To implement this approach, the government abolished its practice of setting contraceptive targets centrally and introduced a decentralized planning strategy whereby health workers assessed the reproductive health needs of women in their respective areas and prepared local plans to meet those needs. They also involved community leaders to promote community participation in the reproductive and child health program. Since 1998, several evaluation studies have assessed the impact of CNAA on the program’s performance and community participation. These studies showed that the performance of the maternal health-care program improved, whereas the functioning of the family planning program initially declined but later recovered. The approach achieved little in boosting community involvement. This project tested a new model of health committee to help stimulate community participation in reproductive and child health activities at the village level. The experiment, described in this report, was conducted in the Hunsur block of the Mysore District in Karnataka for two years. Researchers evaluated the impact in terms of community involvement and utilization of reproductive and child health services.
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