Academic literature on the topic 'Primary Health Care Centres (PHCCs)'
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Journal articles on the topic "Primary Health Care Centres (PHCCs)"
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Dahunsi, Florence Tope. "Information sharing and use by health care workers in primary health care workers in Oyo State, Nigeria." Library and Information Perspectives and Research 4, no. 1/2 (2022): 57–84. http://dx.doi.org/10.47524/lipr.v4i1.58.
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This study investigated information sharing and use by health care workers in primary health care centres in Oyo State, Nigeria. The descriptive survey research design of the correlational type was adopted for the study. The population of the study comprised 1787 health care workers spread across 33 primary health care centers (PHCCs) in the headquarters of the Local Government Areas (LGAs) in Oyo State, Nigeria. Sample size of 631 was used for the study and questionnaire was used for data collection. Findings from the study revealed work related issues, problem solving, provision of forum for discussion of ideas and exchange for a reward as major purposes for which primary health care workers in PHCCs Oyo State, Nigeria shared information among themselves just as a high level of information sharing was established amongst them. Also, findings from the study established major purposes of information use by the health care workers as including performance of difficult and technical tasks, helping to influence others to translate vision into action, to come up with unique ideas and to adapt, and work with colleagues and other stakeholders in the sector. On the frequency of use of information by the health care workers, the study revealed occasional use but a positive significant relationship was established between information sharing and use. The study recommended the provision of relevant information management facilities such as computers and related technologies by the management of primary healthcare centres in Oyo State, Nigeria for effective information sharing and use among the primary healthcare workers.
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Al-Sattam, Zahraa, Samia Hassan, Bushra Majeed, and Zaid Al-Attar. "Knowledge about Anemia in Pregnancy among Females Attending Primary Health Care Centers in Baghdad." Open Access Macedonian Journal of Medical Sciences 10, B (February 6, 2022): 785–92. http://dx.doi.org/10.3889/oamjms.2022.8506.
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BACKGROUND: In pregnancy, several physiological changes occur that lead to decrease in the level of hemoglobin. Anemia during pregnancy is a major public health concern in underdeveloped nations, with a high rate of morbidity and death among pregnant women. Inadequate prenatal care, a lack of information about the nutritional requirements of pregnant women, and general low socioeconomic circumstances all contribute to these high rates of morbidity and death. As pregnant women’s and husbands’ education levels increased, the frequency and severity of anemia decreased in the investigated community of pregnant women. AIM: This study aims to find out the level of knowledge about anemia in pregnancy among adult females attending primary health care centers (PHCCs) and to find out if there is any association between sociodemographic characteristics of adult females and knowledge about anemia in pregnancy. METHODS: A cross-sectional study with analytic component conducted in four PHCCs in Al-Adhamiya Health District during a period of 4 months from December 1, 2020, to April 1, 2021. It included 400 females aged between 18 and 45 years attending the selected PHCCs for any complaint. The data had been collected through the distribution of well-designed questionnaire including two parts: Participants’ sociodemographic characteristics and knowledge parts. RESULTS: In this study, overall knowledge score of the participants about anemia in pregnancy showed that 60% had fair knowledge. There were statistically significant associations between knowledge score and age of females, marital status, educational level, occupation, and parity. CONCLUSION: The majority of Iraqi adult females have fair and acceptable levels of knowledge about anemia in pregnancy. Younger age, being single, low educational level, unemployed, and low parity were associated with worst level of knowledge.
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KC, Ashish, Dipendra Raman Singh, Madan Kumar Upadhyaya, Shyam Sundar Budhathoki, Abhishek Gurung, and Mats Målqvist. "Quality of Care for Maternal and Newborn Health in Health Facilities in Nepal." Maternal and Child Health Journal 24, S1 (December 17, 2019): 31–38. http://dx.doi.org/10.1007/s10995-019-02846-w.
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Abstract Introduction Nepal has pledged to substantially reduce maternal and newborn death by 2030. Improving quality of intrapartum health services will be vital to reduce these deaths. This paper examines quality of delivery and newborn services in health facilities of Nepal. Methods Data were sourced from the Nepal Health Facility Survey 2015, which covered a national representative sample of health facilities. The datasets were analysed to assess service readiness, availability and quality of delivery and newborn care in a sample of 992 health facilities. Results Of the 992 facilities in the sample, 623 provided delivery and newborn care services. Of the 623 facilities offering delivery and newborn care services, 13.3% offered comprehensive emergency obstetric care (CEmONC), 19.6% provided basic emergency obstetric care (BEmONC) and 53.9% provided basic delivery and newborn service. The availability of essential equipment for delivery and newborn care was more than 80% in health facilities. Except for the coverage of vitamin K injection, the coverage of immediate newborn care was more than 85% in all health facilities. The coverage of use of chlorhexidine ointment to all newborns was more than 70% in government hospitals and primary health care centers (PHCCs) and only 32.3% in private hospitals. Conclusions These findings show gaps in equipment and drugs, especially in PHCCs and private health facilities. Improving readiness and availability of equipment and drugs in PHCCs and private health facility will help improve the quality of care to further reduce maternal and newborn mortality in Nepal.
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M. Alazmi, Alhanouf, Fathi Zouheir Mbarki, Abeer Ahmed Sharahili, Amal Ahmed Ghzwany, and Esra Ali Alhwsawi. "OBSTACLES ENCOUNTERED WHILE DEALING WITH EMERGENCY CASES BY PRIMARY HEALTH CARE PHYSICIANS IN CLUSTER 1 RIYADH CITY, KINGDOM OF SAUDI ARABIA." International Journal of Advanced Research 9, no. 5 (May 30, 2021): 60–69. http://dx.doi.org/10.21474/ijar01/12809.
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Background: The frontline primary healthcare centers (PHCCs) are regularly visited for different medical problems, ranging from minor situation to emergency cases. The frontline primary healthcare centers (PHCCs) are regularly visited for different medical problems, ranging from minor situation to emergency cases. Therefore, analytical cross-sectional study was conducted to assess nature of encountered acute medical emergencies, self-perception and competencies of PCH physicians dealing with them, and, sufficiency of the required PHCCs equipment in hospitals of Riyadh. Methodology: This cross-sectional study enrolled all the physicians in governmental PHCCs, Ministry of Health (cluster 1) Riyadh city during the study period. The study was conducted using modified previously validated online accessible questionnaire. Online questionnaire was distributed across the selected Primary health care centers in Riyadh by submitting it to PHC manager to distribute to all PHC physicians during study period Results: In this study, we were able to collect 206 responses for our questionnaire among primary healthcare physicians. Among these physicians 58.8 % were aged between 25-35 years old and 55.3 % were females. We found that the percentage of PHC physicians who will attempt to perform the assessed skills for all patients did not exceed 30%. The least cases seen by physicians were cardiac arrest, acute GIT bleeding, anaphylaxis and acute vaginal bleeding which never seen during the last year by 83.1 %, 72.8 %, 70.9 % and 68 % of participants respectively. Conclusion: The current study showed that emergency services at the PHC level in Riyadh, Saudi Arabia are not functioning reasonably in some terms. Therefore, the services need to be perfected, and defects revealed by the current study should be taken into consideration hand-in-hand with available resources to upgrade the quality of the emergency services provided at PHC centers in Riyadh.
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Sundvall, Pär-Daniel, Ingmarie Skoglund, Maria Hess-Wargbaner, and Christina Åhrén. "Rational antibiotic prescribing in primary care: qualitative study of opportunities and obstacles." BJGP Open 4, no. 4 (September 29, 2020): bjgpopen20X101079. http://dx.doi.org/10.3399/bjgpopen20x101079.
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BackgroundThe Swedish strategic programme against antibiotic resistance (Strama) has worked towards rational use of antibiotics, and Swedish antibiotic prescribing is low.AimTo explore how opportunities and obstacles for rational antibiotic prescribing were perceived by primary health care centres (PHCCs).Design & settingA qualitative study of 50 randomly selected reports from approximately 200 PHCCs in 2013 and 2016 in Region Västra Götaland, Sweden.MethodOne assigned GP at each PHCC reported yearly in an open-ended questionnaire on how the PHCC worked to improve antibiotic prescribing. The report included several antibiotic-related tasks and a summary of reflective meetings with the doctors, the head of the PHCC, and, preferably, also the nurses. The reports were qualitatively analysed using Malterud’s systematic text condensation (STC).Results'Everyone wants to do right, but sometimes you do not know what's right or wrong.' Knowledge about diagnosis and treatment of infectious diseases was highlighted. Knowledge and skills had to be internalised by the clinician in order to bring about behavioural change. This could be achieved through reflective, collegial dialogues where consensus often was found. Structural factors at the PHCC could provide good conditions for 'doing right', but could also constitute obstacles. Teamwork involving all personnel was important to achieve rational antibiotic prescribing.ConclusionEnablers for rational antibiotic prescribing were knowledge, reflective collegial dialogues, a well organised workplace, and a collaborating team. Obstacles were lack of knowledge, insufficient staffing, perceived lack of time, and overuse of laboratory tests. Patients’ attitudes and expectations could be both.
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Alzghaibi, Haitham, Ali H. Alharbi, Yasir H. Mughal, Mohammed H. Alwheeb, and Adel S. Alhlayl. "Assessing primary health care readiness for large-scale electronic health record system implementation: Project team perspective." Health Informatics Journal 29, no. 1 (January 2023): 146045822311527. http://dx.doi.org/10.1177/14604582231152790.
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Introduction: The introduction of information technology was one of the key priorities for policymakers in healthcare organisations over the last two decades, due to the potential benefits of this technology to improve healthcare services and quality. However, about 50% of those projects failed to achieve their intended aims. This was as a result of several factors and included the level of readiness to the new IT projects. Aim: The aim of the study was to assess the readiness of Saudi primary health care centres (PHCCs) readiness for the implementation of an electronic health record system (EHRS) from the project team perspective. Methods: Explanatory mixed methods design was used with both qualitative and quantitative methods. Thirty-one members of project team at the ministry of health (MOH) participated in the online-based questionnaire, while 13 participants from the same population took part in the semi-structure interviews. Eight different readiness scales were quantitatively examined. These scales include resources, Knowledge, process, management structure and administrative support, end user, technology and values and goals. Result: Although, very high level of readiness has been recorded at the process, management structure and administrative support levels, readiness was average at the end user, technology and values and goals levels. Moreover, the study findings revealed that primary health care centres readiness for an electronic health record system must be considered in the early stages of implementation (pre-implementation phase), particularly readiness at a technical level, such as preparedness of the infrastructure. A positive significant correlation has been recorded between all readiness scales with centralization of management system and financial resources. Conclusion: Overall, the level of primary health care centres readiness recorded to be high, which indicates that primary health care centres are ready for implementation of the electronic health record system, and in this context, management structure, organizational process, financial recourses and administrative support play significant roles to increase the project success rate.
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Bindawas, Saad M., Vishal Vennu, Saada M. Al-Orf, Sulaiman A. Alshammari, Maysoon M. Al-Amoud, Philip C. Calder, May N. Al-Muammar, and Adel A. Alhamdan. "Normative Data for Handgrip Strength in Saudi Older Adults Visiting Primary Health Care Centers." Medicina 55, no. 6 (June 6, 2019): 251. http://dx.doi.org/10.3390/medicina55060251.
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Background and objective: Handgrip strength (HGS) plays a vital role as a predictor of adverse health outcomes. Several studies have established HGS norms by age, sex, hand, occupation, culture or disability in different countries and for children in Saudi Arabia. However, standardized values for Saudi older adults have not yet been reported. Therefore, the current study was aimed to establish normative data for HGS in Saudi older adults visiting primary health care centers (PHCCs). Material and Method: In this descriptive cross-sectional study, HGS in kilograms was measured using a hydraulic hand dynamometer in Saudi older adults (n = 2045) aged ≥60 years visiting 15 PHCCs selected randomly from the five geographical regions of Riyadh, Saudi Arabia between January 2015 and April 2017. The average mean from three successive trials, standard deviations, and 95% confidence intervals presented for the left and right hands of men and women in six age groups (60–64, 65–69, 70–74, 75–79, 80–84, and 85+ years). The analyses were performed using the ANOVA test for all the age groups and to determine whether any differences exist between them. Results: The average mean HGS was significantly (p < 0.0001) differ by the left and right hands of men and women in six age groups. Conclusions: The current study presents specific norms for HGS in Saudi older adults by age, sex, and hand. Further studies are required to examine the utility of these norms for prediction of morbidity and mortality in this population.
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Gurung, Milan, and Arvind Saraswat. "Satisfaction of Patients from the Quality Service of Diagnosis of Health Problem in Public Health Institutions of Nepal." Nepal Journal of Multidisciplinary Research 2, no. 3 (December 31, 2019): 33–38. http://dx.doi.org/10.3126/njmr.v2i3.26973.
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Health should be the first priority of each people; people can do creative work if s/he is healthy. According to the annual report of the Department of Health Services (DoHS) for fiscal year 2072/73 (2015/2016), the main institutions that delivered basic health services were 104 public hospitals, 303 private hospitals, 202 primary health care centres (PHCCs) and 3,803 health posts. The primary health care services also provided 12,660 primary health care outreach clinic (PHCORC) sites. The health service was affected from the earthquake of April 2015 so the study aims to identify the satisfaction of patient from quality of diagnosis of health problem in public health institutions after earthquake. The study had covered 82 health institutions (45 from Kavre and 37 from Sindhupalchowak district). The statistical result of t-test shows that there was significant difference in approach of doctors (p = .012), and counselling of doctors (p=.043) but there was no difference in answering the queries promptly (p=.187), and explanation given for aliment (p = .180). The descriptive data show slight increase in level of satisfaction of patient after earthquake. Still health posts established in rural setting have inadequate human resource basically doctors are not adequate so Government should provide the trained Doctor in rural areas to increase the access of rural people in health services.
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Ejlertsson, Lina, Bodil Heijbel, Annika Brorsson, Margareta Troein, and Ingemar H. Andersson. "Customized interventions improved employees’ experience of recovery during the workday." Work 70, no. 2 (October 26, 2021): 509–19. http://dx.doi.org/10.3233/wor-213588.
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BACKGROUND: There is a lack of research regarding factors promoting recovery during the workday and effective interventions. OBJECTIVE: To evaluate how different intervention activities may impact employees’ experiences of recovery at the workplace. METHODS: Customized intervention activities based on qualitative results and a participatory approach were integrated among the employees at six primary health care centres (PHCCs; n = 166) during one year. Recovery and workplace factors were measured with a questionnaire at the start and end of intervention, and also in a control group (15 PHCCs; n = 328). Group differences were tested (Chi-2) and explanatory factors compared by logistic regression models. RESULTS: The proportion of employees reporting workday recovery increased in the intervention group (19.9%to 29.1%; p = 0.01), whereas the control group showed no significant change. Recovery was explained by self-reflection and reflection with co-workers. After intervention, having influence on work situation, energy-building experience, and opportunity for laughter also contributed significantly to recovery. CONCLUSIONS: The results contribute to work recovery research by confirming that a customized intervention may have an impact on employees’ recovery experiences. The study showed that considering the factors of reflection, influence, and companionship can positively impact workplace recovery.
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Garmendia, Maria Luisa, Camila Corvalan, Marcela Araya, Paola Casanello, Juan Pedro Kusanovic, and Ricardo Uauy. "Effectiveness of a normative nutrition intervention in Chilean pregnant women on maternal and neonatal outcomes: the CHiMINCs study." American Journal of Clinical Nutrition 112, no. 4 (July 21, 2020): 991–1001. http://dx.doi.org/10.1093/ajcn/nqaa185.
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ABSTRACT Background Some nutritional interventions have shown their efficacy in reducing gestational weight gain (GWG); however, their applicability in routine care is limited. Objective We assessed the effectiveness of a low-intensity and high-coverage nutritional intervention on maternal and offspring outcomes; the intervention enhanced existing nutritional health care standards and practices at the primary health care level in Chile. Methods This study was a cluster-randomized controlled trial of 12 primary health care centers (PHCCs) from Santiago, Chile. PHCCs were randomly allocated to either nutritional intervention [intervention group (IG), n = 5] or routine care [control group (CG), n = 7]. A total of 4631 pregnant women were recruited (IG, n = 2565; and CG, n = 2066). Primary outcomes were adequate GWG and glycemic control in mothers and birth weight, birth length, macrosomia, and large for gestational age in neonates. The intervention consisted of 4 key actions: training of health care professionals on nutritional recommendations, counseling of pregnant women on diet and physical activity recommendations, offering a physical activity program implemented in the participating PHCCs, and adequate referral to dietitians. Women randomly assigned to the CG received routine antenatal care. Results At baseline, the mean age was 26.1 y; 45% of women were primipara and 24% were obese. No differences were found in the percentage of women achieving adequate GWG (IG: 30.3%, compared with CG: 31.3%; OR: 0.94; 95% CI: 0.81, 1.09), but women in the IG had lower GWG than those in the CG (11.3 compared with 11.9 kg; mean difference: −0.63 kg; 95% CI: −1.19, −0.08). Effects of the intervention were significantly higher in women with obesity at the begining of pregnancy (mean difference: −1.24 kg; 95% CI: −2.18, −0.30; P for interaction < 0.05). No differences were found between groups regarding maternal glycemic control or neonatal outcomes. Conclusions Our findings demonstrate that a low-intensity, high-coverage intervention delivered through the Chilean public health care system under standard operating conditions reduces GWG and has the potential for successful scale-up. This trial was registered at clinicaltrials.gov as NCT01916603.
Dissertations / Theses on the topic "Primary Health Care Centres (PHCCs)"
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Johnston, Corrine W. "Whither the community in community health centres?, the limits of primary care reform." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0005/NQ41181.pdf.
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Anne, Ene Adah-Ogoh. "Assessment of job satisfaction among health care workers in primary health care centres in the Federal Capital Territory, Nigeria." University of the Western Cape, 2016. http://hdl.handle.net/11394/4888.
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Master of Public Health - MPHNigeria is experiencing shortages of health care workers within its national health services, especially with respect to doctors, nurses and pharmacists. These shortages are traceable to, among other factors, low job satisfaction, which leads to health care workers exiting the national health services, as well as reduced entry of health care workers into the health care system. Understanding the nature of job satisfaction and its causes is critical to informing strategies to halt attrition of the health workforce. The current study surveyed job satisfaction among 180 health care workers, employed in 20randomly selected primary health care centres in the Bwari Area Council of Abuja in the Federal Capital Territory, Nigeria. An observational, descriptive cross-sectional survey was conducted using the abbreviated form of the Minnesota Satisfaction Questionnaire. Descriptive and inferential statistics were calculated using Epi Info v3.1 statistical software. The results from the study revealed that more than half of the respondents (53.2%), were dissatisfied to varying degrees with their current employment. Out of the respondents that said they were dissatisfied, 33.3% stated that they were likely to leave their current employment. The most salient causes for job dissatisfaction were: (1) Institutional factors such as management support (69%); (2) Implementation of policies and procedures (66%); (3) Employee benefits including salaries and wages (33%) and other benefits (56%). It is pertinent to note that issues related to poor implementation of policies and procedures in the work place, and poor conditions of employment need to be addressed urgently to prevent the imminent loss of a third of the workforce to either private health institutions in the country or international migration.
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Mwansa, Rabecca Marjorie. "The satisfaction of clients with disabilities regarding services provided at primary health centres in Ndola, Zambia." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4890_1318502789.
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Client satisfaction is an outcome measure of quality care. Therefore, health care providers (HCP) have a responsibility to provide quality care services in order to satisfy clientsâ health needs. The aim of this study was to establish the satisfaction level of persons with disabilities regarding health services provided at primary health care centres (PHCC) in Ndola, Zambia. The study employed a crosssectional descriptive design and quantitative research method. The sample comprised 200 male and female persons with disabilities aged between 18-65 years old, selected using a convenience sampling technique. The clients were health care service beneficiaries from four PHCCs and four community based rehabilitation centres (CBR). The self-administered General Practice Assessment Questionnaire (GPAQ) was used to collect data on client satisfaction.The results showed that majority of clients were dissatisfied with availability of health services. There was a significant association between care providersâ skills and clientsâ satisfaction level at p<0.0001. There is need to increase and assign specifically trained health professionals to health centres. Besides this, a multi-disciplinary approach that incorporates other professionals might help to deliver quality care services to persons with disabilities.
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Mpotulo, Nombuto Gloria. "Factors affecting antenatal point of care testing for syphilis, anaemia and HIV in primary health care centres in Sedibeng district, South Africa." University of the Western Cape, 2014. http://hdl.handle.net/11394/4686.
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Magister Public Health - MPHBackground: Point of Care Testing (POCT) refers to qualitative or quantitative tests done in health facilities where the patient is being attended to (on-site), and not in the conventional hospital laboratory setting. As a consequence of many developing countries not having access to conventional laboratory services (with trained laboratory personnel), diagnostic testing often relies on the availability of valid POC tests. All pregnant women attending antenatal care clinics in the Sedibeng District Primary Health Care (PHC) centres should be screened for syphilis, anaemia and HIV. This can be done by means of POC testing, which is easy to perform. These POC tests provide results promptly allowing treatment to be commenced immediately, if required. Despite this highly desirable benefit of POCT, there is circumstantial evidence which suggests that staff is choosing to send specimens to the laboratory for testing, instead of doing POCT themselves. The extent to which this happens and the factors contributing to this practice are not clear. Aim: The aim of this study was to assess the prevalence of screening for syphilis, anaemia, and HIV amongst pregnant women during their first antenatal care visit to PHC facilities in the Sedibeng District, and to establish the factors affecting the prevalence of appropriately using POCT for screening tests. Methodology: Study design: A quantitative, analytical, cross-sectional study was conducted. Study Population and Sample: Patient registers, staff expected to perform POCT and facility managers. 33 District’s health care workers expected to perform POCT on pregnant women during the first ANC visit and 30 facility managers from these facilities; 360 patient records (these were collected from a total of 7 200 patients’ records). The data was collected over a six month period (from 1st July 2012 to 31st December 2012). Data collection: Data was collected from 360 patient records to determine the rate, appropriateness and mechanism of screening for syphilis, anaemia and, HIV in pregnant women on their first antenatal visit. Interviewer-administered closed-ended questions was asked from 30 antenatal care clinic staff tasked with performing POC tests and from 30 PHC facility managers to determine the factors affecting the rate of conducting POCT. Data analysis: Data was analysed using univariate, bivariate and multivariate analyses. Ethical considerations: No harm was anticipated to anyone participating in the study or from the findings of the study. A major benefit of the study was that clarity on the factors affecting the rate of screening and the use of POCT was gained. This will hopefully facilitate the implementation of evidence–based interventions to improve POCT uptake if required.
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Cakata, Zethu. "Epidemiology of sexually transmitted infections in selected primary health care centres in the Eastern Cape Province." Thesis, University of the Western Cape, 2004. http://hdl.handle.net/11394/4599.
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Magister Psychologiae - MPsychAn epidemiological study was conducted with the main goal of describing the occurrences of the various STIs in the Eastern Cape province as well as biographical factors such as age, gender, and geographical location influencing them. Ten primary health care (PHC) centres located throughout the province served as sentinel sites for surveillance data collection for a period of 3 months using Daily and Monthly Report Forms. The surveillance data was analysed using relative frequencies to determine STIs prevalence. The main findings from the present study suggest that the most frequently encountered female syndromes were vaginal discharge and lower abdominal pains and most frequent male syndrome was Urethral discharge. Other syndromes accounted for less than 10% of the STI cases observed at the PHC centres during the study. The study also indicate that more STI patients were seen at urban PHC centres compared to rural ones and that most of the STI patients seen at PHC centres were women. These findings are helpful for the Health Department in the Eastern Cape Province to effectively plan for the control and prevention of all STIs including HIV I AIDS.
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Odufuwa, Oluwatoyin Aliu. "Referral of patients between Primary and Secondary levels of health care in the Port Elizabeth Metropole." Thesis, Stellenbosch : Stellenbosch University, 2010. http://hdl.handle.net/10019.1/20454.
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Research report (MMed) -- Interdisciplinary Health Sciences, Stellenbosch, 2010.ENGLISH ABSTRACT: Background The referral system is an important component of the health care system. In public health facilities, a high number of patients’ attendance has lead to a huge burden on the secondary and tertiary level of the care system in terms of manpower, equipments and resources. Public health in South Africa consumes around 11% of the government's total budget. The state contributes about 40% of all expenditure on health; the public health sector is under pressure to deliver services to about 80% of the population. Despite the huge spending on health care in most developing countries, health outcomes and services remain poor. Few studies are available to give insights into reasons for this disparity. Therefore the findings of this may help to explain some of the reasons for this overburden of public health facilities and further to make recommendations on how health service delivery may be improve on. The results of this study can be useful in future planning; this may lead to a reduction in huge health expenditure incurred by most developing countries. Methods A cross sectional survey of three different groups of people which comprises of 273 patients, 28 referral centre participants and 19 referring centre participants was carried out. All patients referred from Motherwell community health centre to Dora Nginza hospital were eligible for the study. Questionnaires were interview administered to patients after they had finished consultations in Dora Nginza Hospital. Health professionals from both facilities were also interviewed with the use of self administered questionnaires. Results Three out of every four patients interviewed were of the opinion that their referral to hospital was appropriate which is consistent with the results from referring health professionals, eighteen of nineteen respondents. However, only one-quarter (7) of the referral centre health professionals felt the referrals from referring centre to hospital were appropriate p<0.01.The majority of the patients were satisfied with the level of service received at the referral centre. 77% (210) reported that the staff at the referral centre was friendly and 84% (230) were happy with the explanation given for their illness. However, a source of concern is that, in most of the referred patients 58% (215), there was no formal response back to their primary care. In the referring centre, participants identified transportation of patients to referral centre as the major problem encountered when referring patients 68 % (13), whereas 32 % (6) felt it is communication. In addition, 73 % (14) were of the opinion that transportation was inadequate and 89 % (17) reported the response rate of transport was unsatisfactory. In the referral centre, results showed participants were more concerned about the adequacy of information provided in the referral letters with 78% (22) reporting they were often not adequate information on the referral letters. However, half of the respondents agreed that they do not have clear referral guidelines. Conclusion Primary care health professionals and patients in this study view the referrals to higher levels of care as appropriate. However, the referral centres health professionals were of the opinion that most referrals were inappropriate. The opinion of the referral centre can be attributed to their negative attitudes towards referrals. The referral centres needs to provide more support to primary care for a more efficient referral system .They also need to improve on the continuity of care by providing feedback to referrals. On the other hand, the primary health care needs to be strengthened in terms of resource allocation in order to gain more confidence from both patients and referral centres.
AFRIKAANSE OPSOMMING: geen opsomming
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Zainy, Zainy M. Ali. "Primary care health centres : exploring the interface between patients' overall satisfaction with the primary health care environment, environmental factors, and non-environmental factors: case study Arriyadah City, Saudi Arabia." Thesis, University of Strathclyde, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.287913.
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Gbabe, Adedolapo Opeyemi. "Factors influencing the protection, promotion and support of exclusive breastfeeding among health workers in Lagos state primary health care centres." University of Western Cape, 2019. http://hdl.handle.net/11394/7654.
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Magister Scientiae (Nutrition Management) - MSc(NM)Globally, health workers play a critical role in the establishment and sustenance of breastfeeding due to their frequent contacts with mothers at the antenatal clinics, maternity/birthing units, Primary Health Care Centres (PHC) and postpartum clinics. Their knowledge and attitude regarding breastfeeding will affect the quality of information about infant and young child feeding practices passed along to mothers who visit their health facilities.
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Yousuf, Shadia Abdullah Hassan. "The nature of nutritional advice given by diploma nurses in primary health care centres in Jeddah, Saudi Arabia." Thesis, London South Bank University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.298379.
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The introduction of Primary Health Care (PHC) in Saudi Arabia has given nurses excellent opportunities and more responsibility to provide health education and advice in health promotion activities. Provision of appropriate and affordable dietary advice is an important role of the nurses in the Primary Health Care Centres (PHCC). Maternal nutrition is an essential element for the health status of the child, the family and the wider society. Many studies have suggested that there is a relationship between good nutritional intake during pregnancy and the successful outcome of the pregnancy. The present study was conducted to explore the knowledge and understanding of Saudi women and nurses in PHCC regarding nutritional intake during pregnancy. The study also looked at the effect of a short education programme on the nurses' nutritional knowledge and their subsequent practice. The aims of the study were to identify the understanding of Saudi women of pregnancy and nutritional intake during pregnancy, and to evaluate the effect of a short nutritional programme on diploma nurses. To achieve the aims, data collection was carried out in three phases. Phase one used semi-structured interview (tape recorded) on 10 pregnant women, selected randomly, to elicit the general understanding pregnant women had on pregnancy and pregnancy related areas. Phase two used a structured interview schedule on 100 pregnant women attending PHCC, selected systematically, to assess nutritional knowledge and their perception of nutritional advice given by the nurses in PHCC. Phase three was divided into two stages. The first stage used a self-administered questionnaire on 20 diploma nurses working in antenatal clinics in PHCC to assess their nutritional knowledge in relation to pregnancy. The questionnaire was used as both a pre-test and post-test instrument. Thereafter, based on the findings from phase one and two, a 20-hour continuing education (CE) programme was developed by the researcher on maternal nutrition for the diploma nurses. The second stage was to implement the programme to the nurses in five days. The effect of the programme was evaluated by an immediate post-test on nurses' knowledge and a follow-up post-test (after six months) to assess any lasting changes. Data analysis was carried out using content analysis for phase one. For the phase two and three, SPSS programme was used. Chi square was used to look for any association between knowledge scores and personal variables, paired Hest was used to assess the difference between pre-test and post-test. The results from the study showed that the majority of women attending the PHCC were illiterate or had little formal education, had a high pregnancy rate and had poor nutritional knowledge in relation to pregnancy. They preferred female health professional care and they preferred to have female doctors attending their antenatal care rather than the nurses. There was no significant difference between nurses' and women's nutritional knowledge. The results also showed a significant correlation between poor nutritional knowledge scores of the women and certain factors: the scores correlated positively with the level of education and negatively with the number of pregnancies. Regarding the programme, the results showed a significant increase in the nurses' nutritional knowledge scores from pre-test to post-test at p< 0.05, indicating that participants demonstrated increased nutritional knowledge as a result of participation in the programme. There was no significant difference between the initial post-test and the six-month follow-up. No significant relationships were identified between the nurses' scores and their age and years of experiences. The study also indicated that nurses in PHCC were not giving adequate nutritional advice to pregnant women in the views of these women and in my own observation. The findings suggest that frequent continuing education is essential for nurses in PHCC in Saudi Arabia to improve their skills and nutritional knowledge to be able to provide better care for women.
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Haque, Monirul. "Barriers to initiating insulin therapy for patients with poorly controlled type 2 diabetes mellitus on maximum dose of oral agents in public sector primary health care centres in Cape Town, South Africa." Master's thesis, University of Cape Town, 2002. http://hdl.handle.net/11427/9374.
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Includes bibliographical references.Most patients with type 2 diabetes in Cape Town are attending at primary care community health centers (CHCS) and have unsatisfactory glycaemic control. Insulin therapy is indicated in patients with type 2 diabetes, with inadequate metabolic control on maximum oral therapy. Insulin can be initiated in these CHCs.
Books on the topic "Primary Health Care Centres (PHCCs)"
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Raman, Parvathy Sankara. Basic emergency obstetric care for mothers and newborns through 24X7 primary health centres: A case study of three 24/7 PHCs from a high focus district in India. Ahmedabad: Indian Institute of Management, Ahmedabad, 2014.
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Primary health centres in rural health. Delhi: B.R. Publishing Corporation, 2013.
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Pat, Gordon, and Hadley Janet, eds. Extending primary care: Polyclinics, resource centres, hospital-at-home. Oxford: Radcliffe Medical Press, 1996.
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Primary health care centres: A review ofcurrent trends and the future demands for community-based health care facilities. Harlow: Longman, 1993.
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Valins, Martin S. Primary health care centres: A review of current trends and the future demands for community-based health care facilities. Harlow, Essex, England: Longman, 1993.
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Valins, Martin. Primary health care centres: A review of current trends and the future demands for community-based health care facilities. Harlow, Essex, England: Longman, 1993.
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Johnstone, Paul. Management support for primary health care: A practical guide to management for health centres and local projects. Reach: FSG Communications, 1994.
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World Health Organization (WHO). Primary health care: Report on a meeting of representatives of WHO collaborating centres, Utrecht, Netherlands 11-14 December 1988. Copenhagen: WHO Regional Office for Europe, 1989.
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The role of health centres in the development of urban health systems: Report of a WHO Study Group on Primary Health Care in Urban Areas. Geneva: World Health Organization, 1992.
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Purves, Geoffrey. Primary Care Centres. Taylor & Francis Group, 2009.
Find full textBook chapters on the topic "Primary Health Care Centres (PHCCs)"
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Kelkar, Sanjeev. "Structure and Function I: The Primary Health Centres." In India's Public Health Care Delivery, 217–58. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-33-4180-7_7.
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Bramwell, Donna, Kath Checkland, Jolanta Shields, and Pauline Allen. "2015–Date: Focus on Integration." In Community Nursing Services in England, 83–91. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-17084-3_8.
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AbstractThis chapter centres on the publishing of the NHS Long Term Plan in 2019 and subsequent revised Health and Social Care Act (2022), both of which focus on integrated, out-of-hospital approaches to health service delivery. The creation of a layered system across geographical levels is advocated, with nested levels of ‘place’ and ‘neighbourhood’ intended to be the building blocks of Integrated Care Systems (ICS), which replaced CCGs in July 2022. We introduce the concept of newly created, ‘neighbourhood level’, Primary Care Networks (PCNs) of general practices and how district nurses fit into them, especially with regard to their organisation around geographical versus GP registered lists. Whilst not explicitly mentioned in the H&SC Act, it is clear that the Act situates community-based services as essential in the context of the desire to reduce the amount of hospital care, which has implications for district nursing services in particular. This mode of care delivery will require multi-disciplinary team working across all levels of the new system whereby community nurses will be required to liaise and co-ordinate with primary and social care to deliver services. Continuance of case management approaches for patients with complex needs and lack of funding in the social care system, means that we discuss in this chapter, the further strain on already pressured community nursing teams.
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"Art in health." In Primary Care Centres, 91–94. Routledge, 2009. http://dx.doi.org/10.4324/9780080940663-15.
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"An outline review of the main issues (including a summary of the approach to designing health buildings)." In Primary Care Centres, 17–28. Routledge, 2009. http://dx.doi.org/10.4324/9780080940663-9.
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Khader, Yousef, Mohamad Alyahya, and Rami Saadeh. "Water, Sanitation, and Hygiene (WASH) and Infection Prevention and Control (IPC) in Primary Healthcare Facilities in Jordan in the Context of COVID-19." In Primary Health Care. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.99523.
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Water, Sanitation, and Hygiene (WASH) and Infection prevention and control (IPC) are essential for preventing and containing outbreaks of disease. Nowadays, infection prevention is getting more attention due to the COVID-19 pandemic. The assessment of WASH/IPC indicators in the health sector is a major step in the preparation and management of such a pandemic. A facility-wide WASH and IPC assessment is the cornerstone for designing, developing, and implementing specific WASH and IPC activities at healthcare facilities. This type of assessment helps to identify and prioritize surveillance and prevention activities at the facility and provide healthcare policy makers at all levels with the evidence to strengthen WASH services and infection control policies, practices, and resources in health facilities. Moreover, this helps to motivate facilities to intensify efforts where needed to prevent, respond to, and control the spread of COVID-19. An assessment was conducted in primary healthcare facilities in Jordan to identify the strengths and gaps in the WASH and IPC practices, activities, and resources and to identify areas for quality improvement. This report demonstrates the results of a nationwide assessment of 33 healthcare centres. The assessment included eight domains (areas) pertaining to WASH/IPC with more than 150 indicators. The assessment tools were developed and adapted from the Water and Sanitation for Health Facility Improvement Tool (WASH FIT), the Infection Prevention and Control (IPC) Assessment Framework (IPCAF), Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care, the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) tool, and COVID-19 Technical Guidance by WHO. The assessment revealed some deficiencies in basic WASH/IPC indicators such as lack of clear guidelines that support the management of health centres in planning and leadership, shortfalls in the budget needed to strengthen the infrastructure of WASH/IPC, inconsistent or under-provisioned training and education programmes for the development of staff skills to lead, plan, manage, and improve WASH/IPC at their facilities. Moreover, the report identified the unmet WASH/IPC needs at centres that should be addressed by policy makers and stakeholders as soon as possible for further steps of consideration in policy development. The report ends with specific recommendations to improve WASH/IPC services and practices.
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Bediang, Georges, Chris Nadège Nganou-Gnindjio, Yannick Kamga, Jean Serge Ndongo, Fred-Cyrille Goethe Doualla, Cheick Oumar Bagayoko, and Samuel Nko’o. "Evaluation of the Efficiency of Telemedicine in the Management of Cardiovascular Diseases in Primary Healthcare in Sub-Saharan Africa: A Medico-Economic Study in Cameroon." In Studies in Health Technology and Informatics. IOS Press, 2022. http://dx.doi.org/10.3233/shti220623.
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Objective: To assess the efficiency of tele-expertise (tele-ECG) for patients and for health facilities in managing patients with cardiovascular diseases (CVDs) in primary health care in Cameroon. Method: This study was a medico-economic study combining two approaches: cost minimization and cost-effectiveness analysis. It was conducted alongside the previous published controlled multicenter study carried out in Cameroon’s two health facilities where tele-ECG has been implemented (intervention centres) and two other where telemedicine has been not implemented (control centres). Results: The average total cost for patients was 9 286 F CFA (US$: 16) in the intervention centres compared to 28 357 F CFA (US$: 49) in the control centres (p <0.01). The calculated ICER favouring tele-ECG was 25 459.6 F CFA (US$: 44). Discussion: Telemedicine is efficient for managing patients with CVDs in primary health care in Cameroon. It enables health facilities in remote areas to offer new healthcare services at a lower cost and improve patients’ financial access to healthcare.
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Veronica Sepeng, Nombulelo, Lufuno Makhado, and Leepile Alfred Sehularo. "Perspective Chapter: Integrating Follow-up Care Management for Assessment and Management of Rape Survivors Diagnosed with PTSD and Depression in Primary Health Care Settings." In Health and Educational Success - Recent Perspectives [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.107499.
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Rape is very high in South Africa. It predisposes rape survivors to many health care problems, including the risk of contracting human immunodeficiency virus, sexually transmitted infections, falling pregnant, and long mental health effects. PTSD and depression are regarded as the most common mental health effects diagnosed among rape survivors, and they require long term mental health care management. In the current era, follow-up care management for rape survivors is mostly done at Thuthuzela Care Centres. However, rape survivors do not often go for follow-up care, because these centres are mostly far from them. Thus, this problem can be addressed by integrating the management of these long-term disorders within the primary health care settings in South Africa, because most people have access to their nearby clinics. This chapter aims to describe ways of integrating follow-up care management for continuous assessment and management of rape survivors diagnosed with PTSD and depression through task-shifting these duties to nurses working within the primary health care settings in South Africa. The chapter focuses on the mental health care status of rape survivors diagnosed with PTSD and depression. Training of nurses is essential to manage rape survivors diagnosed with PTSD and depression in primary health care.
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Shin, Cheolmin, and Changsu Han. "South Korea." In Dementia Care: International Perspectives, 85–92. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198796046.003.0012.
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In 2008, the first Dementia Management Plan was launched to focus on prevention and early diagnosis, the development of infrastructures and management, and raising awareness. In 2012, the Dementia Management Act was enacted. In addition, in 2008, Korea launched the Long-Term Care Insurance (LTCI) scheme, a social insurance scheme for elderly care and whose beneficiaries also include patients with mild dementia but who still need care. The third Plan launched in 2016 for the next 5 years (i.e. 2016–2020) focuses on investing in dementia research, setting up a robust dementia delivery system, and standardizing a dementia care pathway. The Korean healthcare system for dementia patients has universal health insurance coverage through the national health insurance. The national dementia policy in South Korea was announced as ‘Dementia Comprehensive Management Measures’ in September 2008, of which one of the primary measures is to provide early diagnosis of dementia through the establishment of dementia counselling centres in public health-improving centres.
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Henrique das Neves Martins Pires, Paulo. "Reducing Disease Burden in Rural Populations: Case Studies in Europe and Africa." In Rural Health [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.96559.
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In 1984, Portugal was a middle-income country, developing the primary health care system, based on family doctors, health centres and health posts, reaching almost all population, with infectious diseases as one of the main health problems. In 2006, Mozambique was a low-income country, with a national health service attaining 60% of the population (40% in rural areas), with a double burden of disease (infectious and non-communicable diseases). Working in primary health care in Europe and Africa, we compare several experiences of family medicine practice in rural populations, different in context, time, and methods: Portugal 1984–2006 and Mozambique 2007–2020, all with a strong component of community health education. Our descriptive case studies, summarise strategies, interventions, and results, reviewing reports and articles. Population’ health indicators, and quality of life have improved, in different contexts with culturally tailored approaches. Participative societal diagnosis and multidisciplinary interventions are necessary to improve rural population health. Different rural populations and cultures are ready to learn and to participate in health promotion; empowering rural populations on health issues is an affordable strategy to better health indicators and services. Family Medicine is effective to extend primary health care to all rural populations, aiming universal health cover.
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Drake, William M., and Morris J. Brown. "Management of Primary Aldosteronism." In Oxford Textbook of Endocrinology and Diabetes 3e, edited by John A. H. Wass, Wiebke Arlt, and Robert K. Semple, 870–84. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198870197.003.0100.
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Major advances have been made since Jerome Conn first described the meticulous assessment and surgical treatment of a patient with severe primary aldosteronism (PA) more than 60 years ago. Diagnostic criteria, although still imperfect, have been refined; high definition cross-sectional imaging is widely available; adrenal vein sampling (AVS) is practised to a high standard in selected centres; low-morbidity laparoscopic adrenalectomy (replacing open surgery involving rib resection) is now routine; preliminary data are emerging about the utility of radiofrequency ablation of adrenal nodules as an alternative to surgery; and the range of medical therapies, available or in development, is expanding. Despite this, based on current prevalence estimates, it remains the case that under 1% of patients with PA are fully evaluated and treated. Given the evidence that PA is associated with substantial excess cardiometabolic morbidity over and above that conferred by elevated blood pressure alone, this underprovision of clinical care represents a major public health issue. This chapter will describe the current approach to the management of PA (from its initial suspicion, diagnosis, differential diagnosis, treatment, and evaluation of the success of treatment) and highlight areas of particular uncertainty and controversy.
Conference papers on the topic "Primary Health Care Centres (PHCCs)"
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Eltai, Nahla Omer, Lubna Abu Rub, Hana A. Mohamed, Asma A. Al Thani, Hamda Qotba, and Hadi M. Yassine. "Testing Air Quality of Primary Health Care Centers in Qatar." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0125.
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Background: Poor indoor air quality results in significant adverse effects on human health. In particular, the hospital atmospheric environment requires high air quality to protect patients and health care workers against airborne disease including nosocomial infections. Monitoring and surveillance programs of air pollutants and communicable diseases are essential as they provide information on the effectiveness of occupational hygiene and hazard control, and beneficial in assessing risks to community and environment. Objectives: This study aims to identify, monitor and report the level of air borne bacteria at four PHCC canters in Doha. Methodology: Four primary Health Centers (HC) were selected for testing air quality namely, Qatar University HC (North of Doha), AlRayan HC (West of Doha), Um Ghualina HC (Centre of Doha) and Old airport HC (South of Doha). Three sublocations were tested in each health center including a triage room, lobby and outdoor sample; each centre was visited once a month. Two sampling methods were used in this study: Anderson impactor (viable method) and filtration method (non-viable method). Anderson six stages impactor (TISCH Environmental, USA) was used to collect airborne bacteria on nutrient agar plates. Then the samples were incubated at 37 o C for 24 - 48 hours. The average colony- forming units (CFU) of bacteria was calculated per cubic meter of air (CFU/m3 ). On the other hand, the SKC Button Sampler (SKC Inc. PA, USA) was used to collect the airborne bacteria using cellulose ester filters. The collected isolates will be identified by sequencing 16srRNA (Miseq) later. Preliminary results: According to our preliminary results, the smallest average number of bacteria in the air was detected in QU HC, 3.2 (CFU/m3 ). While the highest average number was 44.7 CFU/m3 detected in Old Airport HC. Al-Rayyan HC and Om Ghuilina HC exhibited 30 and 20 CFU/m3 sequentially. Conclusions: Our preliminary results depicted that the occupancy pattern, size, and age of the building affect the number of bacteria in the air. However, more samples will be collected for better statistical sample size and analysis. .In addition, the captured airborne bacteria will be identified by 16s r RNA sequencing later.
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Khudadad, Hanan, and Lukman Thalib. "Antibiotics Prescription Patterns in Primary Health Care in Qatar – A Population based study from 2017 to 2018." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0169.
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Background: Antibiotics are antimicrobial drugs used in the treatment and prevention of bacterial infections. They played a pivotal role in achieving major advances in medicine and surgery (1). Yet, due to increased and inappropriate use of antibiotics, antibiotic resistance (AR) has become a growing public health problem. Information on antibiotic prescription patterns are vital in developing a constructive approach to deal with growing antibiotic resistance (2). The study aims to describe the population based antibiotic prescriptions among patients attending primary care centers in Qatar. Methodology: A population based observational study of all medications prescribed in the all Primary Health Care Centers during the period of 2017-2018 in Qatar. Records with all medication prescriptions were extracted and linked to medical diagnosis. Antibiotics prescriptions records were compared to non- antibiotics records using logistic regression model in identifying the potential predictors for antibiotic prescriptions. Results: A total of 11,069,439 medication prescriptions given over a period of two-years, we found about 12.1% (n= 726,667) antibiotics prescriptions were antibiotics, and 65% of antibiotics are prescribed and received by the patients at the first visits. Paracetamol (22.3%) was the first highest medication prescribed followed by antibiotics (12.1 %) and vitamin D2 (10.2 %). More than half of all antibiotics prescribed during the period of January 2017 to December 2018 were Penicillin (56.9%). We found that half of the antibiotics (49.3 %) have been prescribed for the respiratory system comparing to the other body system. We found that males were 29% more likely be given an antibiotic compared to females (OR=1.29, 95% CI= 1.24- 1.33). Implications: The study provides a baseline data to enable PHCC management to design effective intervention program to address the problem of antibiotics resistance. Furthermore, it will help the policymakers to comprehend the size of the issue and develop a system to manage the antibiotics therapy. Conclusion: Antibiotics was the second highest medication prescribed in the Primary Health Care Centers in Qatar after paracetamol and most of the patients received it at the first visit. Most of the prescriptions in Primary Health Care Centers in Qatar were for the respiratory system, and Penicillin was the highest class prescribed. Male visitors were prescribed antibiotics more than female visitors.
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Buabbas, Ali, and Hamza Al-shawaf. "Pharmacists perspectives on the effectiveness of primary care information system on pharmacy practice in kuwait health care centres." In 2011 6th International Symposium on Health Informatics and Bioinformatics (HIBIT). IEEE, 2011. http://dx.doi.org/10.1109/hibit.2011.6450800.
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Adel Abd Aljaleel Mohammed Ahmed, Hiba, and Thanaa Alagraa. "1391 The magnitude of picky eating behaviour and its impact on child health in preschool children in four primary health care centres in Khartoum city 2020." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference–Online, 15 June 2021–17 June 2021. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2021. http://dx.doi.org/10.1136/archdischild-2021-rcpch.610.
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