Relevant bibliographies by topics / Rural clinical health

Academic literature on the topic 'Rural clinical health'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Rural clinical health"

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Playford, Denese E., and Edwina Cheong. "Rural Undergraduate Support and Coordination, Rural Clinical School, and Rural Australian Medical Undergraduate Scholarship: rural undergraduate initiatives and subsequent rural medical workforce." Australian Health Review 36, no. 3 (2012): 301. http://dx.doi.org/10.1071/ah11072.

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Background. This study examined postgraduate work after an undergraduate clinical year spent in the Rural Clinical School of Western Australia (RCSWA), compared with 6 weeks Rural Undergraduate Support and Coordination (RUSC)-funded rural experience in a 6-year undergraduate medical course. Rural background, sex and Rural Australian Medical Undergraduate Scholarship (RAMUS)-holding were taken into account. Methods. University of Western Australia undergraduate data were linked by hand with postgraduate placements to provide a comprehensive dataset on the rural exposure history of junior medical practitioners working in Western Australia between 2004 and 2007. Results. Participation in the RCSWA program was associated with significantly more postgraduate year one rural work than RUSC placement alone (OR = 1.5, CI 0.97–2.38). The RCSWA workforce effect increased at postgraduate year two (OR = 3.0, CI 1.6484 to 5.5935 relative to RUSC). Rural-origin practitioners who chose the RCSWA program were more likely than other rural-origin practitioners to take rural rotations in both postgraduate years. RAMUS holders’ choice in relation to the RCSWA program predicted later rural work. There were no effects of sex. Conclusions. Rural initiatives, in particular the Rural Clinical School program, are associated with postgraduate rural choices. The real impact of these data rely on the translation of early postgraduate choices into long-term work commitments. What is known about the topic? Specific training of rural graduates is strongly related to subsequent rural workforce. In addition, rural educational placements affect medical students’ intentions to practise rurally. Retrospective data from rural relative to urban general practitioners link rural background, rural undergraduate experience and rural postgraduate experience with rural work. What does this paper add? Much of the Australian prospective outcomes research has looked at workforce intentions of graduates, or the workforce outcomes of small graduate cohorts of Rural Clinical Schools. This paper followed nearly 500 graduates by name through to their PGY1 and PGY2 workforce decisions. As this cohort comprised 80% of three completely graduated MBBS years, these data validly represent the outcome of a medical school which is comparable to all Australian medical schools in its RUSC, Rural Clinical School and RAMUS recipients. The paper provides the first peer-reviewed outcomes data for the RAMUS scholarship program. What are the implications for practitioners? Rural supervision of medical students is an effective way to recruit new workforce. The longer students are supervised in rural settings, the better. But undergraduate programs need to be linked with postgraduate initiatives that take graduates of medical student initiatives into vocational programs able to deliver a trained rural workforce.
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Smock, Sara A., Lenore M. McWey, and David B. Ward. "Rural versus Urban Clinical Needs." Journal of Family Psychotherapy 17, no. 2 (May 18, 2006): 37–49. http://dx.doi.org/10.1300/j085v17n02_03.

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Hays, Richard B. "CLINICAL PRIVILEGES FOR RURAL GENERAL PRACTITIONERS." Australian Journal of Rural Health 5, no. 2 (May 1997): 94–96. http://dx.doi.org/10.1111/j.1440-1584.1997.tb00246.x.

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Kumar, Anil. "National Institute of Rural Health for India: Need of the Hour." Epidemiology International 05, no. 04 (November 20, 2020): 12–15. http://dx.doi.org/10.24321/2455.7048.202026.

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India being predominantly a rural country, striving hard to provide quality healthcare services to more than 890 million people who lives there. The importance given to rural health care by Govt. of India is visible through the implementation of dedicated submission under NHM, i.e., NRHM. However, there are still several rural health challenges, i.e., specific needs, belief/ superstition, scarcity of human resources in rural areas, lack of quality research/ coordination and collaboration between various sectors. The possible solutions to these challenges lie in strengthening research in rural health epidemiology, agricultural health, enhancing use of Information Technology & Telemedicine, designing specific clinical services, field practices, applying the biostatistics & mathematical modelling in decision making and mentoring the human resources in specific need of rural health. This article is an attempt to elucidate various rural health challenges and need for development of National Institute of Rural Health in India, to address the challenges of rural health and conduct before mentioned activities as an apex body.
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Harding, Catherine, and Louis Pilotto. "Rural student doctors top city colleagues: Representation of a rural clinical school in the rural press." Australian Journal of Rural Health 18, no. 4 (August 2, 2010): 143–47. http://dx.doi.org/10.1111/j.1440-1584.2010.01147.x.

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Alexander, Jeffrey A., Michael A. Morrisey, Lawton R. Burns, and Victoria Johnson. "Physician and Clinical Integration Among Rural Hospitals." Journal of Rural Health 14, no. 4 (September 1998): 312–26. http://dx.doi.org/10.1111/j.1748-0361.1998.tb00637.x.

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Lyle, David, and Jennene Greenhill. "Two decades of building capacity in rural health education, training and research in Australia: University Departments of Rural Health and Rural Clinical Schools." Australian Journal of Rural Health 26, no. 5 (October 2018): 314–22. http://dx.doi.org/10.1111/ajr.12470.

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Rosina, Robyn, Jean Starling, Kenneth Nunn, David Dossetor, and Kim Bridgland. "Telenursing: Clinical nurse consultancy for rural paediatric nurses." Journal of Telemedicine and Telecare 8, no. 3_suppl (December 2002): 48–49. http://dx.doi.org/10.1258/13576330260440844.

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summary Videoconferencing is increasingly being accepted as a medium for health-care. Telenursing is in its infancy in Australia but has enormous potential for nursing care in remote areas. The Child and Adolescent Psychological Telemedicine Outreach Service (CAPTOS) began in 1997 and in its first evaluation recommended more support for paediatric nurses. CAPTOS telenursing began as a new initiative in late 2001. The telenursing project aims to link ward nurses to CAPTOS and local community teams, and to provide both clinical consultancy on nursing and interdisciplinary issues and locally based professional development. Telenursing supports nurses via site visits, videoconferencing sessions, an interactive Website and sabbatical opportunities. Telehealth works with existing services to enhance the nursing care of young people with a complex mixture of psychological and physical health problems.
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Hale, Nathan L., Tamar Klaiman, Kate E. Beatty, and Michael B. Meit. "Local Health Departments as Clinical Safety Net in Rural Communities." American Journal of Preventive Medicine 51, no. 5 (November 2016): 706–13. http://dx.doi.org/10.1016/j.amepre.2016.05.012.

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Sokhi, Arveen, Priti Agarwal, Megha Maheshwari, and Anita Chakravarti. "Detection of Klebsiella pneumoniae Carbapenemase (KPC) Producing Enterobacteriaceae Isolates from Various Clinical Samples in a Rural Health Setup." Journal of Pure and Applied Microbiology 14, no. 1 (March 31, 2020): 397–401. http://dx.doi.org/10.22207/jpam.14.1.41.

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Dissertations / Theses on the topic "Rural clinical health"

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Hale, Nathan, Tamar Klaiman, Kate E. Beatty, and Michael Meit. "Rural Health Departments and Clinical Services: Transition to Whom?" Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/6845.

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Beatty, Kate E., Nathan Hale, Michael Meit, Paula Masters, and Amal Khoury. "Clinical Service Delivery along the Urban/Rural Continuum." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/6870.

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Background: Engagement in the core public health functions and ten essential services remains the standard for measuring local health department (LHD) performance; their role as providers of clinical services remains uncertain, particularly in rural and underserved communities. Purpose: To examine the role of LHDs as clinical service providers and how this role varies among rural and nonrural communities. Methods: The 2013 National Association of County and City Health Officials (NACCHO) Profile was used to examine the geographic distribution of clinical service provision among LHDs. LHDs were coded as urban, large rural, or small rural based on Rural/Urban Commuting Area codes. Bivariate analysis for clinical services was conducted by rural/urban status. For each service, the proportions of LHDs that directly performed the service, contracted with other organizations to provide the service, or reported provision of the service by independent organizations in the community was compared. Results: Analyses show significant differences in patterns of clinical services offered, contracted, or provided by others, based on rurality. LHDs serving rural communities, especially large rural LHDs, tend to provide more direct services than urban LHDs. Among rural LHDs, larger rural LHDs provided a broader array of services and reported more community capacity for delivery than small rural LHDs- particularly maternal and child health services. Implications: There are capacity differences between large and small rural LHDs. Limited capacity within small rural LHDs may result in providing less services, regardless of the availability of other providers within their communities. These findings provide valuable information on clinical service provision among LHDs, particularly in rural and underserved communities.
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Beatty, Kate, Michael Meit, Tyler Carpenter, Amal Khoury, and Paula Masters. "Clinical Service Delivery Disparities along the Urban/Rural Continuum." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6847.

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background: Rural communities face numerous health disparities related to health behaviors, health outcomes, and access to medical care. LHDs serving rural communities have fewer resources to meet their community needs. The number and types of community organizations (hospitals, health clinics, not-for-profits), available to partner with may be limited geographically. These factors may affect availability of clinical services in rural communities. This study will assess LHD clinical service delivery levels based on rurality. data sets and sources: Data were obtained from the NACCHO 2013 National Profile of Local Health Departments Study. LHDs were coded as “urban”, “micropolitan”, or “rural” based on Rural/Urban Commuting Area (RUCA) Both “micropolitan” and “rural” categories are considered rural by the Federal Office of Rural Health Policy. analysis: Bivariate analysis for 25 clinical services offered by rurality . For each service, we compared the proportions of LHDs that: 1) directly performed, 2) contracted with organizations, and 3) reported that the service was provided independently by organizations in the community. principal findings: Analyses show significant differences in patterns of clinical services offered, contracted or provided by third parties based on rurality. LHDs in micropolitan areas provided more services directly than urban and rural LHDs (p≤0.001). Urban LHDs were more likely to contract with other organizations (p≤0.001). conclusions: Rural LHDs are less likely to offer, contract, or have services provided by another organization in the community, whereas larger rural (i.e., micropolitan) jurisdictions are more likely to directly provide these services. implications for public health practice and policy: Lower levels of clinical service delivery by rural LHDs may contribute to the access issues facing rural communities. Health care reform brings threats and opportunities for LHD clinical service delivery. Further analyses to assess impacts on rural LHDs and identify strategies to ensure access to clinical services is encouraged.
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Hale, Nathan, Tamar Klaiman, Kate E. Beatty, and Michael B. Meit. "Local Health Departments as Clinical Safety Net in Rural Communities." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/6824.

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Introduction: The appropriate role of local health departments (LHDs) as a clinical service provider remains a salient issue. This study examines differences in clinical service provision among rural/urban LHDs for early periodic screening, diagnosis, and treatment (EPSDT) and prenatal care services. Methods: Data collected from the 2013 National Association of County and City Health Officials Profile of Local Health Departments Survey was used to conduct a cross-sectional analysis of rural/urban differences in clinical service provision by LHDs. Profile data were linked with the 2013 Area Health Resource File to derive other county-level measures. Data analysis was conducted in 2015. Results: Approximately 35% of LHDs in the analysis provided EPSDT services directly and 26% provided prenatal care. LHDs reporting no others providing these services in the community were four times more likely to report providing EPSDT services directly and six times more likely to provide prenatal care services directly. Rural LHDs were more likely to provide EPSDT (OR=1.46, 95% CI=1.07, 2.00) and prenatal care (OR=2.43, 95% CI=1.70, 3.47) services than urban LHDs. The presence of a Federally Qualified Health Center in the county was associated with reduced clinical service provision by LHDs for EPSDT and prenatal care. Conclusions: Findings suggest that many LHDs in rural communities remain a clinical service provider and a critical component of the healthcare safety net. The unique position of rural LHDs should be considered in national policy discussions around the organization and delivery of public health services, particularly as they relate to clinical services.
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Beatty, Kate. "Clinical Service Delivery Disparities along the Urban/Rural Continuum." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6853.

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Basley, Anthony A. "Selection of medical laboratory and clinical locations in Ghana using decision modeling." Online version, 2009. http://www.uwstout.edu/lib/thesis/2009/2009basleya.pdf.

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Stidworthy, Jennifer Jane. "The implementation of a portfolio assessment system for a rural clinical school in South Africa : what can be learned from the implementation of portfolios as an assessment system in a rural clinical school." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80389.

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Thesis (MPhil)--Stellenbosch University, 2013.
ENGLISH ABSTRACT: A portfolio assessment system was designed to meet the needs of a Rural Clinical School education platform, hosting final year MB ChB students for the duration of their final year. A study entitled “What can be learned from the implementation of a portfolio assessment system, to be used in the assessment of clinical reasoning of final MB ChB students placed in a Rural Clinical School in South Africa? “ was conducted. The experience of educators and students during this process was explored. The findings are in keeping with the literature. Van Tartwijk & Driessen 2009, Eley et Al 2002, Lake & Ryan 2004, Burch & Seggie 2008 claim that portfolios drive deep student learning and develop clinical reasoning. Burch & Seggie (2008) offer an assessment tool which has proved feasible within the South African setting on which this portfolio assessment system was modelled. The assessment tool design faced a number of challenges within the RCS setting which were addressed during a review process. The portfolio assessment system is viewed as a work in progress requiring further development. Despite the constraints and challenges, both staff and students unanimously supported the development of patient case studies within the design as a valuable learning tool.
AFRIKAANSE OPSOMMING: ‘n Portefeulje assesserings sisteem is ontwerp om die behoeftes van ‘n UKWANDA Landelike Kliniese Skool opvoedings program wat die gasheer van die MB ChB student tydens hul finale jaar is, na te kom. ‘n Studie genaamd “ Wat kan geleer word uit die implementering van ‘n portefeulje assesserings sisteem, wat gebruik gaan word om die kliniese redenering te bepaal van finale jaar MB ChB student wat geplaas is in ‘n Landelike Klinieke Skool in Suid Afrika? ” is uitgeoefen. Die ervaring van die dosent, so wel as die studente, is ondersoek. Die bevinding is in lyn met die literatuur. Van Tartwijk & Driessen 2009, Eley et Al 2002, Lake & Ryan 2004, Burch & Seggie 2008 beweer dat portfeuljes dryf student tot diep studie en ontwikkel kliniese redenasie. Burch & Seggie (2008) bied ‘n assesserings (hulp)middel aan wat toepaslik en uitvoerbaar is in die SA konteks , waarop die portfeulje assessering sisteem gebaseer is. Die ontwerp van die assesserings (hulp)middel het vele uitdagings binne die RCS opset in die oog gestaar. Dit is aangespreek tydens ‘n proses van hersiening. (Lather, 2006).Die portefeulje assesserings sisteem word gesien as ‘n werk onder hande en vereis verdere ontwikkeling. Ten spyte van die beperkinge en uitdagings het beide die staf en die student onomwonde die ontwikkeling van pasiente gevalle studies, binne die ontwerp, as ‘n waardevolle leermiddel gesien.
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Avey, Jaedon P. "Discharge planning from urban psychiatric facilities to rural communities using telehealth." Thesis, University of Alaska Anchorage, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3619191.

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Coordinating care is of particular concern in Alaska due to expansive geography, difficulty of travel, and often limited behavioral health care resources. This study explored how individual, organizational, and systemic factors influence clinicians' use of video teleconferencing to conduct "live" discharge plans from urban psychiatric facilities to rural communities.

Semi-structured key informant interviews were conducted, in person and by telephone, with urban clinical staff (n = 10), urban administrative staff (n = 6), and rural outpatient staff (n = 14). Two researchers analyzed the transcribed interviews in a recursive manner using a grounded theory methodology.

Participants described infrequent, but generally positive experiences with live discharge planning: connecting patients to providers, temporarily joining treatment teams, evaluating patients for appropriate placement, engaging patients in their own care, addressing medication issues, and coordinating with family and village resources. Providers recommended hiring interns or dedicated staff, installing equipment "on unit," or using wireless tablets. Rural participants ascribed a greater value to emergency psychiatric consultations at admissions than coordination at discharge.

Continued selective use of live discharge plans is indicated with patient length of stay being an important consideration in determining feasibility. Future implementation should involve dedicated resources and use video teleconferencing to formally enhance other transitional services. Once issues of organizational readiness are addressed, a Knowledge-Attitudes-Behavior framework may be useful for managing providers' underuse. Future research could evaluate rural, village-based intensive case management supported by consultation with the psychiatric hospital via video teleconferencing.

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Weierbach, Florence M., and Marietta P. Stanton. "Interface of Prelicensure Clinical Education, Case Management and Rural Nurse Theory in Appalachian Primary Care Clinics." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7380.

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Cockrell, Deborah Jane. "Rural clinical placements for dental students : an action research study." University of Sydney, 2005. http://hdl.handle.net/2123/4662.

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Doctor of Philosophy
This work was digitised and made available on open access by the University of Sydney, Faculty of Dentistry and Sydney eScholarship . It may only be used for the purposes of research and study. Where possible, the Faculty will try to notify the author of this work. If you have any inquiries or issues regarding this work being made available please contact the Sydney eScholarship Repository Coordinator - ses@library.usyd.edu.au
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Books on the topic "Rural clinical health"

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Sobhan, Farzana, and Md Shamsul Islam Khan. Clinical contraceptives: Situation in rural Bangladesh. Dhaka: ICDDR,B, Centre for Health and Population Research, 1999.

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El-Katsha, Samiha. Gender, behavior, and health: Schistosomiasis transmission and control in Rural Egypt. Cairo: The American University in Cairo Press, 2002.

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A, Morris Jerry, ed. Practicing psychology in rural settings: Hospital privileges and collaborative care. Washington, DC: American Psychological Association, 1997.

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D, Weitz Robert, ed. Psychological practice in small towns and rural areas. New York: Haworth Press, 1992.

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Erica, Bell. Rural medical education: Practical strategies. Hauppauge, N.Y: Nova Science, 2011.

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Talley, Ronda C. Rural Caregiving in the United States: Research, Practice, Policy. New York, NY: Springer Science+Business Media, LLC, 2011.

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United States. Congress. Senate. A bill to amend title XVIII of the Social Security Act and the Budget and Emergency Deficit Control Act of 1985 with respect to essential access community hospitals, the rural transition grant program, durable medical equipment, adjustments to discretionary spending limits, standards for Medicare supplemental insurance policies, expansion and revision of Medicare Select policies, psychology services in hospitals, payment for anesthesia services funished directly or concurrently in providers, improve reimbursement for clinical social worker services, and for other purposes. [Washington, D.C.?]: [United States Government Printing Office], 1993.

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Cheh, Valerie. Rural health clinics: Improved access at a cost. Princeton, NJ: Mathematica Policy Research, 2002.

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Hope in the face of challenge: Innovations in rural health care. Kansas City, MO: National Rural Health Association, 2004.

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Korn, Kristine. The Rural Health Clinic Services Act: A guidebook. Austin, TX (P.O. Box 1708, Austin 78767-1708): Center for Rural Health Initiatives, 1992.

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Book chapters on the topic "Rural clinical health"

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Morton, Sarah, and Sara Bradley. "Non-clinical wellbeing interventions in rural regions." In Mental Health and Wellbeing in Rural Regions, 75–93. Abingdon, Oxon; New York, NY: Routledge, 2021. | Series: Routledge advances in regional economics, science and policy: Routledge, 2020. http://dx.doi.org/10.4324/9780429439131-6.

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Hilty, Donald M., Matthew C. Mishkind, Tania S. Malik, and Allison Crawford. "Introduction to Rural Telebehavioral Health: Key Clinical and Administrative Issues." In Virtual Mental Health Care for Rural and Underserved Settings, 3–18. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-11984-2_1.

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Rodríguez Monteagudo, José Luis. "Medical Imaging Needs in a Rural Health Center from a Clinical Point of View." In Defining the Medical Imaging Requirements for a Rural Health Center, 7–39. Singapore: Springer Singapore, 2016. http://dx.doi.org/10.1007/978-981-10-1613-4_2.

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Little, James Alexander, Elizabeth Harwood, Roma Pradhan, and Suki Omere. "A Digital Tool to Improve Patient Recruitment and Retention in Clinical Trials in Rural Colombia—A Preliminary Investigation for Cutaneous Leishmaniasis Research at Programa de Estudio y Control de Enfermedades Tropicales (PECET)." In Leveraging Data Science for Global Health, 385–95. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-47994-7_24.

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Shah, Md Faruk. "The Public Health Care Bureaucracy: Narratives from Rural Clinics." In Biomedicine, Healing and Modernity in Rural Bangladesh, 51–80. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-32-9143-0_2.

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Sampson, Dawn, and Mindy Mueller. "Integrating Behavioral Health into Rural Primary Care Clinics Utilizing a TeleMental Health Model." In Career Paths in Telemental Health, 277–83. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-23736-7_29.

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Musisi, Seggane, Julius Muron, and Juliet Nakku. "Using Mobile Mental Health Clinics to Increase Access to Mental Health Care in Rural Africa." In Innovations in Global Mental Health, 417–36. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-57296-9_131.

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Musisi, Seggane, Julius Muron, and Juliet Nakku. "Using Mobile Mental Health Clinics to Increase Access to Mental Health Care in Rural Africa." In Innovations in Global Mental Health, 1–20. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-319-70134-9_131-1.

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Funnell, Sarah, Timothy A. Carey, Sara J. Tai, and Debra Lampshire. "Improving Access to Psychological Services in Remote Australia with a Patient-Led Clinic." In Handbook of Rural, Remote, and very Remote Mental Health, 253–72. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-6631-8_38.

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Funnell, Sarah, Timothy A. Carey, Sara J. Tai, and Debra Lampshire. "Improving Access to Psychological Services in Remote Australia with a Patient-Led Clinic." In Handbook of Rural, Remote, and very Remote Mental Health, 1–20. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-10-5012-1_38-1.

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Conference papers on the topic "Rural clinical health"

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Hosseini, Mohammad, Richard R. Berlin, Yu Jiang, and Lui Sha. "Adaptive Clinical Data Communication for Remote Monitoring in Rural Ambulance Transport." In 2017 IEEE/ACM International Conference on Connected Health: Applications, Systems and Engineering Technologies (CHASE). IEEE, 2017. http://dx.doi.org/10.1109/chase.2017.85.

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Petersone, Mara, Karlis Ketners, and Dainis Krievins. "Integrate health care system performance assessment for value-based health care implementation in Latvia." In Research for Rural Development 2021 : annual 27th International scientific conference proceedings. Latvia University of Life Sciences and Technologies, 2021. http://dx.doi.org/10.22616/rrd.27.2021.018.

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Every year, efforts are applied worldwide, particularly in the European Union, to improve health care systems by increasing the added value of resources already available for health care financing by increasing the performance of health care systems. According to experts of the World Health Organisation (WHO) and the Organisation for Economic Cooperation and Development (OECD), 20–40% of the resources are used for complications that could be avoided, for unnecessary treatment or administrative inefficiency. Therefore, a new initiative to improve health performance – the value-based health care concept (VBHC) is becoming increasingly popular in the world, and particularly in Europe. This scientific article aims to explore the possibilities of applying VBHC in Latvia and the interaction between various management tools in the field of health care. Application of the VBHC concept in Latvia is offered for discussion, where the outcome of the corresponding measure would be identified for each health service provider as part of a one-patient (care) pathway involving several independent health service providers. Based on the Health Care System Performance Assessment (HSPA), clinical (patient) pathways and indicators, to initiate an integrated VBHC model in four priority areas: circulatory system diseases, oncology, mental health, maternal and child health. Meta-analysis of the research is based on the use of qualitative data sources – the existing data sources from policies implemented by the Ministry of Health in Latvia and examples of the introduction of VBHC initiatives worldwide summarised by the VBHC Center Europe. The deductive research is based on the Value-Based Healthcare concept introduced by Porter and Teisberg (2007)
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Mandal, Anusree Krishna, and Jadab Kumar Jana. "184 Clinical profile, laboratory profile and complications of paediatric scrub typhus in rural Eastern India." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference, Liverpool, 28–30 June 2022. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2022. http://dx.doi.org/10.1136/archdischild-2022-rcpch.165.

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Pâslaru, Ana-Maria, Ana Fulga, Elena Niculet, Laura Florentina Rebegea, Iuliu Fulga, and Anamaria Ciubara. "SUPRACLAVICULAR AND CERVICAL LYMPH NODE METASTASES HAVING CERVICAL CANCER AS STARTING POINT. CASE PRESENTATION." In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.10.

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Introduction: Cervical cancer is the fourth most frequently found cancer among women worldwide. Numerous studies have underlined that persistent infection with human papilloma virus is the most important risk factor, two strains of the same virus – 16 and 18 being responsible for approximately 70% of the cases. Cervical cancer rarely metastasizes in the cervical lymph nodes and this indicates a poor prognosis. Literature data reports an incidence for left supraclavicular M1LYm of 0.1-1.5%. Material and Method: We bring attention to the case of a 44-year-old patient from the rural area who was diagnosed in January 2019 with stage IIIB cervical cancer, represented morphologically by a poorly differentiated squamous cell carcinoma. When admitted, the patient presented clinically with vaginal hemorrhage, intense abdominal and pelvic pain, fatigue, a dynamic, significant weight loss. The physiological personal history revealed nine pregnancies, the first one when she was 16. After pretherapeutic evaluation, the multidisciplinary committee decides performing simultaneous radio-chemotherapy with platinum salts. During the second week of treatment clinical examination revealed left cervical and supraclavicular adenopathy, both documented through imaging evaluation. Lymph node biopsy is done and its histopathological aspect, correlated with the immunohistochemistry profile supports the diagnosis of poorly differentiated squamous cell carcinoma lymph node metastasis. The initial treatment scheme is maintained, the patient being discharged with clinical remission of cervical and supraclavicular lymph node metastasis. Conclusions: The peculiarity of the case is determined by the distant metastases in the left cervical and supraclavicular lymph nodes, a rare finding during treatment, which was associated with a poor prognosis; in this case treatment was done for palliative purposes. Rapid diagnosis is the main factor that conditions the therapeutic results and chances for healing.
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Baquet, Claudia R., and Jeanne L. Bromwell. "Abstract A03: Clinical trial participation and biospecimen donation for research: Barriers, historical, and ethical issues among rural and urban residents in Maryland." In Abstracts: Sixth AACR Conference: The Science of Cancer Health Disparities; December 6–9, 2013; Atlanta, GA. American Association for Cancer Research, 2014. http://dx.doi.org/10.1158/1538-7755.disp13-a03.

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Weaver, Kathryn E., Janet A. Tooze, Jimmy Ruiz, Carla Strom, Kelsey M. Shore, and Karen M. Winkfield. "Abstract A048: Clinical trials knowledge and participation in rural and urban cancer survivors at a Comprehensive Cancer Center in the Appalachian region." In Abstracts: Twelfth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; September 20-23, 2019; San Francisco, CA. American Association for Cancer Research, 2020. http://dx.doi.org/10.1158/1538-7755.disp19-a048.

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Samuel, Liji. "TRANSFORMING THE HEALTHCARE SYSTEM: THE PUBLIC-PRIVATE HEALTHCARE DICHOTOMY IN INDIA IN THE ERA OF DIGITAL HEALTH." In International Conference on Public Health. The International Institute of Knowledge Management, 2021. http://dx.doi.org/10.17501/24246735.2020.6103.

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Digital health initiatives have become popular in all jurisdictions across the globe. The digital health move, though it is envisioned as a cost-effective way to ensure the availability of health care services especially for the people who live in rural areas, its success depends on the response of the health care system and the state control and regulation. India lacks a comprehensive statesponsored or state-regulated health care system and more than 70 percent of people utilise the private sector medical services. In this backdrop, the implementation of the National Digital Health Mission (NDHM), announced by the Government of India very recently, will be critical. Thus, this research paper strives to bring out the public-private disjunction in the availability and utilisation of public and private health care facilities, issues of health care financing and legal regulation of clinical establishments in the public and private sector. This study uses the doctrinal method and analyses the Five-Year Plans, National Sample Survey Reports, National Health Profile, National Health Accounts Estimates for India and other Government Reports and independent studies to detail the public-private dichotomy. However, this study finds limitations in presenting the current position of private health care service providers due to the unavailability of updated authoritative government reports/ studies/ surveys. On reviewing the currents trends in the public and private health care sector, the study finds that the private sector has surpassed the public sector in all means, including health provisioning, utilisation, and financing. The NDHM is a laudable initiative to ensure affordable health care to millions of people in India. However, any move to implement it, leaving the fundamental issue of deep-rooted public-private dichotomy existing in the healthcare sector will be detrimental. It will result in a digital divide in the public and private healthcare sector and gross violation of patients’ rights and mismanagement of health information. Keywords: digital health, National Digital Health Mission, private healthcare sector, utilisation of healthcare service
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"Remaining Connected with our Graduates: A Pilot Study." In InSITE 2019: Informing Science + IT Education Conferences: Jerusalem. Informing Science Institute, 2019. http://dx.doi.org/10.28945/4162.

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[This Proceedings paper was revised and published in the 2019 issue of the Interdisciplinary Journal of E-Skills and Lifelong Learning, Volume 15.] Aim/Purpose This study aims to determine where nursing students from a metropolitan university subsequently work following graduation, identify the factors that influence decisions to pursue careers in particular locations, ascertain educational plans in the immediate future; and explore the factors that might attract students to pursue postgraduate study. Background The global nursing shortage and high attrition of nursing students remain a challenge for the nursing profession. A recurrent pattern of maldistribution of nurses in clinical specialities and work locations has also occurred. It is imperative that institutions of learning examine their directions and priorities with the goal of meeting the mounting health needs of the wider community. Methodology Qualitative and quantitative data were obtained through an online 21-item questionnaire. The questionnaire gathered data such as year of graduation, employment status, the location of main and secondary jobs, the principal area of nursing activity, and plans for postgraduate study. It sought graduates’ reasons for seeking employment in particular workplaces and the factors encouraging them to pursue postgraduate study. Contribution This study is meaningful and relevant as it provided a window to see the gaps in higher education and nursing practice, and opportunities in research and collaboration. It conveys many insights that were informative, valuable and illuminating in the context of nurse shortage and nurse education. The partnership with hospitals and health services in providing education and support at the workplace is emphasized. Findings Twenty-three students completed the online questionnaire. All respondents were employed, 22 were working in Australia on a permanent basis (96%), 19 in urban areas (83%) with three in regional/rural areas (13%), and one was working internationally (4%). This pilot study revealed that there were varied reasons for workplace decisions, but the most common answer was the opportunity provided to students to undertake their graduate year and subsequent employment offered. Moreover, the prevailing culture of the organization and high-quality clinical experiences afforded to students were significant contributory factors. Data analysis revealed their plans for postgraduate studies in the next five years (61%), with critical care nursing as the most popular specialty option. The majority of the respondents (78%) signified their interest in taking further courses, being familiar with the educational system and expressing high satisfaction with the university’s program delivery. Recommendations for Practitioners The results of the pilot should be tested in a full study with validated instruments in the future. With a larger dataset, the conclusions about graduate destinations and postgraduate educational pursuits of graduates would be generalizable, valid and reliable. Recommendation for Researchers Further research to explore how graduates might be encouraged to work in rural and regional areas, determine courses that meet the demand of the market, and how to better engage with clinical partners are recommended. Impact on Society It is expected that the study will be extended in the future to benefit other academics, service managers, recruiters, and stakeholders to alert them of strategies that may be used to entice graduates to seek employment in various areas and plan for addressing the educational needs of postgraduate nursing students. The end goal is to help enhance the nursing workforce by focusing on leadership and retention. Future Research Future directions for research will include canvassing a bigger sample of alumni students and continuously monitoring graduate destinations and educational aspirations. How graduates might be encouraged to work in rural and regional areas will be further explored. Further research will also be undertaken involving graduates from other universities and other countries in order to compare the work practice of graduates over the same time frame.
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Masi, Massimiliano, Rosario Pugliese, and Francesco Tiezzi. "A standard-driven communication protocol for disconnected clinics in rural areas." In 2011 IEEE 13th International Conference on e-Health Networking, Applications and Services (Healthcom 2011). IEEE, 2011. http://dx.doi.org/10.1109/health.2011.6026770.

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Krishnan, Chandralekha, and Latha K. Vivek Subramani. "Psychological Status and Attitude of Breast Cancer Patients Post-COVID-19 Outbreak in Chennai: A Observational Survey Study." In Annual Conference of Indian Society of Medical and Paediatric Oncology (ISMPO). Thieme Medical and Scientific Publishers Pvt. Ltd., 2021. http://dx.doi.org/10.1055/s-0041-1735367.

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Abstract Introduction The global threat caused by COVID-19 pandemic and the unprecedented lockdown imposed had created emotional stress among the breast cancer patients with dilemma regarding risk of progression of cancer due to interruptions of standard medical care and panic about acquiring the COVID-infection during their frequent visits to the hospital. Objectives We conducted a questionnaire-based study to assess the psychological impact in this situation affecting their quality of life and their perspective in this current situation. Materials and Methods Breast cancer patients who had been recently diagnosed, those who were on chemotherapy and visited our OPD in the month of July during the COVID-19 pandemic were assessed for their treatment-related perspectives with a questionnaire. Psychological status was analyzed with GAD-7 (generalized anxiety disorder questionnaire) and PHQ-9 (patient health questionnaire). Results A total of 202 breast cancer patients were included when lockdown was relaxed after a period of 3 months and COVID-19 status was still up trending. The clinical profile and patient-related information were collected from the medical records. Of them, 55.4% (112 patients) were within the city, 35.1% (71 patients) were from suburban areas of the city, and 9.4% (19 patients) were from adjacent districts/rural areas. Also, 56% were educated. Of these, 87% wanted to continue treatment and did not bother about the spread of the infection, while remaining patients’ main concern was to avoid infection than to get oncological management. Also, 76% were aware about the COVID-19 infection and sequelae. A total of 80% patients were aware of the consequences due to delay in cancer treatment. Of these patients, 51%, 42% and 7% had mild, moderate, and severe anxiety respectively and 69%, 25% and 6% had mild, moderate, and severe depression respectively. The severe anxiety and depression correlated with metastatic breast cancer and educated patients. Conclusion This study reflected that the breast cancer patients were more bothered to continue the treatment in spite of the existing pandemic.
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Reports on the topic "Rural clinical health"

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Totten, Annette, Dana M. Womack, Marian S. McDonagh, Cynthia Davis-O’Reilly, Jessica C. Griffin, Ian Blazina, Sara Grusing, and Nancy Elder. Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication. Agency for Healthcare Research and Quality, December 2022. http://dx.doi.org/10.23970/ahrqepccer254.

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Objectives. To assess the use, effectiveness, and implementation of telehealth-supported provider-to-provider communication and collaboration for the provision of healthcare services to rural populations and to inform a scientific workshop convened by the National Institutes of Health Office of Disease Prevention on October 12–14, 2021. Data sources. We conducted a comprehensive literature search of Ovid MEDLINE®, CINAHL®, Embase®, and Cochrane CENTRAL. We searched for articles published from January 1, 2015, to October 12, 2021, to identify data on use of rural provider-to-provider telehealth (Key Question 1) and the same databases for articles published January 1, 2010, to October 12, 2021, for studies of effectiveness and implementation (Key Questions 2 and 3) and to identify methodological weaknesses in the research (Key Question 4). Additional sources were identified through reference lists, stakeholder suggestions, and responses to a Federal Register notice. Review methods. Our methods followed the Agency for Healthcare Research and Quality Methods Guide (available at https://effectivehealthcare.ahrq.gov/topics/cer-methods-guide/overview) and the PRISMA reporting guidelines. We used predefined criteria and dual review of abstracts and full-text articles to identify research results on (1) regional or national use, (2) effectiveness, (3) barriers and facilitators to implementation, and (4) methodological weakness in studies of provider-to-provider telehealth for rural populations. We assessed the risk of bias of the effectiveness studies using criteria specific to the different study designs and evaluated strength of evidence (SOE) for studies of similar telehealth interventions with similar outcomes. We categorized barriers and facilitators to implementation using the Consolidated Framework for Implementation Research (CFIR) and summarized methodological weaknesses of studies. Results. We included 166 studies reported in 179 publications. Studies on the degree of uptake of provider-to-provider telehealth were limited to specific clinical uses (pharmacy, psychiatry, emergency care, and stroke management) in seven studies using national or regional surveys and claims data. They reported variability across States and regions, but increasing uptake over time. Ninety-seven studies (20 trials and 77 observational studies) evaluated the effectiveness of provider-to-provider telehealth in rural settings, finding that there may be similar rates of transfers and lengths of stay with telehealth for inpatient consultations; similar mortality rates for remote intensive care unit care; similar clinical outcomes and transfer rates for neonates; improvements in medication adherence and treatment response in outpatient care for depression; improvements in some clinical monitoring measures for diabetes with endocrinology or pharmacy outpatient consultations; similar mortality or time to treatment when used to support emergency assessment and management of stroke, heart attack, or chest pain at rural hospitals; and similar rates of appropriate versus inappropriate transfers of critical care and trauma patients with specialist telehealth consultations for rural emergency departments (SOE: low). Studies of telehealth for education and mentoring of rural healthcare providers may result in intended changes in provider behavior and increases in provider knowledge, confidence, and self-efficacy (SOE: low). Patient outcomes were not frequently reported for telehealth provider education, but two studies reported improvement (SOE: low). Evidence for telehealth interventions for other clinical uses and outcomes was insufficient. We identified 67 program evaluations and qualitative studies that identified barriers and facilitators to rural provider-to-provider telehealth. Success was linked to well-functioning technology; sufficient resources, including time, staff, leadership, and equipment; and adequate payment or reimbursement. Some considerations may be unique to implementation of provider-to-provider telehealth in rural areas. These include the need for consultants to better understand the rural context; regional initiatives that pool resources among rural organizations that may not be able to support telehealth individually; and programs that can support care for infrequent as well as frequent clinical situations in rural practices. An assessment of methodological weaknesses found that studies were limited by less rigorous study designs, small sample sizes, and lack of analyses that address risks for bias. A key weakness was that studies did not assess or attempt to adjust for the risk that temporal changes may impact the results in studies that compared outcomes before and after telehealth implementation. Conclusions. While the evidence base is limited, what is available suggests that telehealth supporting provider-to-provider communications and collaboration may be beneficial. Telehealth studies report better patient outcomes in some clinical scenarios (e.g., outpatient care for depression or diabetes, education/mentoring) where telehealth interventions increase access to expertise and high-quality care. In other applications (e.g., inpatient care, emergency care), telehealth results in patient outcomes that are similar to usual care, which may be interpreted as a benefit when the purpose of telehealth is to make equivalent services available locally to rural residents. Most barriers to implementation are common to practice change efforts. Methodological weaknesses stem from weaker study designs, such as before-after studies, and small numbers of participants. The rapid increase in the use of telehealth in response to the Coronavirus disease 2019 (COVID-19) pandemic is likely to produce more data and offer opportunities for more rigorous studies.
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Jimenez, A. C., and K. Olson. Renewable Energy for Rural Health Clinics (Energia Removable para Centros de Salud Rurales). Office of Scientific and Technical Information (OSTI), September 1998. http://dx.doi.org/10.2172/786177.

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Svynarenko, Radion, Theresa L. Profant, and Lisa C. Lindley. Effectiveness of concurrent care to improve pediatric and family outcomes at the end of life: An analytic codebook. Pediatric End-of-Life (PedEOL) Care Research Group, College of Nursing, University of Tennessee, Knoxville, 2022. http://dx.doi.org/10.7290/m5fbbq.

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Implementation of the section 2302 of the 2010 Patient Protection and Affordable Care Act (ACA) enabled children enrolled in Medicaid/Children's Health Insurance Program with a prognosis of 6 months to live to use hospice care while continuing treatment for their terminal illness. Although concurrent hospice care became available more than a decade ago, little is known about the socio-demographic and health characteristics of children who received concurrent care; health care services they received while enrolled in concurrent care, their continuity, management, intensity, fragmentation; and the costs of care. The purpose of this study was to answer these questions using national data from the Centers of Medicare and Medicaid Services (CMS), which covered the first three years of ACA – from January 1, 2011, to December 31, 2013.The database included records of 18,152 children younger than the age of 20, who were enrolled in Medicaid hospice care in the sampling time frame. Children in the database also had a total number of 42,764 hospice episodes. Observations were excluded if the date of birth or death was missing or participants were older than 21 years. To create this database CMS data were merged with three other complementary databases: the National Death Index (NDI) that provided information on death certificates of children; the U.S. Census Bureau American Community Survey that provided information on characteristics of communities where children resided; CMS Hospice Provider of Services files and CMS Hospice Utilization and Payment files were used for data on hospice providers, and with a database of rural areas created by the Health Resources and Services Administration (HRSA). In total, 130 variables were created, measuring demographics and health characteristics of children, characteristics of health providers, community characteristics, clinical characteristics, costs of care, and other variables.
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Roth, Emmanuelle. Key Considerations: 2021 Outbreak of Ebola in Guinea, the Context of N’Zérékoré. SSHAP, March 2021. http://dx.doi.org/10.19088/sshap.2021.016.

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This brief summarises key considerations about the social, political and economic context shaping the outbreak of Ebola in the N’Zérékoré prefecture, Guinea, as of March 2021. The outbreak was declared on 14 February 2021, two weeks after the death of the first known case, a health agent (Agent Technique de Santé) from Gouécké. Gouécké is located 40km north of N’Zérékoré via the paved Route Nationale 2. The nurse sought care at a health centre in Gouécké, a clinic and then a traditional healer in N’Zérékoré. She died in N’Zérékoré on 28 January. When they became sick, the relatives of the first known case referred themselves to N’Zérékoré regional hospital, where the disease was transmitted to healthcare workers. Although the potential for transmission in rural areas of the Gouécké subprefecture was high, to date, most cases have been reported in the urban setting of N’Zérékoré, which is the focus of this brief. At the time of writing (22 March), the total number of cases was 18 (14 confirmed, four probable), with nine deaths and six recoveries. The last new case was reported on 4 March.
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Busso, Matías, Julian P. Cristia, and Sarah D. Humpage. Research Insights: Can Reminders Boost Vaccination Rates? Inter-American Development Bank, October 2019. http://dx.doi.org/10.18235/0001935.

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While families in rural Guatemala recognize the value of vaccination and mostly vaccinate their children at early ages, they often fail to follow through with the course of treatment, drastically reducing the probability of immunization. To encourage members of underserved communities to complete the vaccination cycle, community health workers were given monthly lists of children due for vaccination at the clinic, enabling them to send timely reminders to families. Reminders increased the likelihood that children completed their vaccination treatment by 2.2 percentage points in the treatment communities. For children in treatment communities who were due to receive a vaccine, and whose parents were expected to be reminded of the due date, the probability of vaccination completion increased by 4.6 percentage points.
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Fatehifar, Mohsen, Josef Schlittenlacher, David Wong, and Kevin Munro. Applications Of Automatic Speech Recognition And Text-To-Speech Models To Detect Hearing Loss: A Scoping Review Protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2023. http://dx.doi.org/10.37766/inplasy2023.1.0029.

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Review question / Objective: This scoping review aims to identify published methods that have used automatic speech recognition or text-to-speech recognition technologies to detect hearing loss and report on their accuracy and limitations. Condition being studied: Hearing enables us to communicate with the surrounding world. According to reports by the World Health Organization, 1.5 billion suffer from some degree of hearing loss of which 430 million require medical attention. It is estimated that by 2050, 1 in every 4 people will experience some sort of hearing disability. Hearing loss can significantly impact people’s ability to communicate and makes social interactions a challenge. In addition, it can result in anxiety, isolation, depression, hindrance of learning, and a decrease in general quality of life. A hearing assessment is usually done in hospitals and clinics with special equipment and trained staff. However, these services are not always available in less developed countries. Even in developed countries, like the UK, access to these facilities can be a challenge in rural areas. Moreover, during a crisis like the Covid-19 pandemic, accessing the required healthcare can become dangerous and challenging even in large cities.
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Honduras: Marketing new reproductive health services is cost-effective. Population Council, 2001. http://dx.doi.org/10.31899/rh2001.1012.

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In 1999, the Honduran Ministry of Health (MOH) revised national guidelines on women’s health services delivery to allow nurse auxiliaries to insert IUDs, give DMPA injections, and take Pap smears. This policy change addresses low contraceptive use among rural women and reflects findings from a 1998 Population Council study that showed that nurse auxiliaries can safely and successfully provide these services. Under the previous guidelines, rural women had limited access to long-term family planning methods. In 2000, the Population Council and the MOH assessed the effectiveness and cost of using a simple leaflet, distributed by nurse auxiliaries, to market the new services. Nurse auxiliaries at the experimental centers received 500 leaflets to distribute. They gave daily ten-minute talks about the services and asked each woman at the clinic to distribute five leaflets to friends and neighbors. This brief notes that the use of ten-minute talks and leaflets to advertise availability of IUD insertions, DMPA injections, and Pap smears increased use of the services at an affordable cost. The marketing efforts will be expanded to clinics where nurse auxiliaries have been trained to provide these services.
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Integration of STI and HIV/AIDS with MCH-FP services: A case study of the Busoga Diocese Family Life Education Program, Uganda. Population Council, 1997. http://dx.doi.org/10.31899/rh1997.1005.

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The Family Life Education Project (FLEP) was started in 1986 by the Busoga Diocese of the Anglican Church of Uganda with assistance from Pathfinder International. The project provides integrated MCH, FP, STD, and HIV/AIDS services to more than 500,000 individuals through 48 clinics and 162 trained village health workers (VHWs). Each clinic serves an estimated 11,000 people living in a sub-Parish. Each sub-Parish has a health subcommittee selected by the community that is responsible for hiring clinic staff, identifying VHWs, and mobilizing resources for clinic staff salaries. Data suggest that the program is reaching a large number of clients through the clinic and community-based approaches. The methodology used for the case study involved review of available data and reports, in-depth interviews with management team, modified situation analysis, and guided group discussions. As noted in this report, using simple rural-based health facilities and volunteer community-based workers to provide family planning and STD/HIV services using the integrated approach is possible, however considerable work must be done before the project can provide high-quality MCH/FP and STD/HIV services to every client using this approach.
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Comparing quality of reproductive health services before and after clinic-strengthening activities: A case study in rural Burkina Faso. Population Council, 1998. http://dx.doi.org/10.31899/rh1998.1006.

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Much literature has been written about improving the quality of reproductive health (RH) care at service delivery points (SDPs) because women deserve quality services, and as a means of increasing use of family planning (FP) and other RH services. There are six fundamental dimensions of quality of care: choice of methods, information given to clients, technical competence, interpersonal relations, mechanisms to encourage continuity, and an appropriate constellation of services. Improving these elements is thought to increase client satisfaction, resulting in an increase in contraceptive use and eventually fertility decline. Existing research has not convincingly demonstrated this link between quality of care and client outcomes. Training service providers on FP and communication skills and improving clinic infrastructure/equipment are ways of possibly improving aspects of nearly all elements of quality. An intervention in a rural field research station in Burkina Faso was designed to supply RH training and basic medical equipment to 13 SDPs. This paper details an operations research project that tests the strength of community-based and clinic interventions on RH knowledge, attitudes, and practice, and assesses overall contraceptive prevalence in the area.
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Burkina Faso and Mali: Female genital cutting harms women's health. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1019.

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In collaboration with the Ministries of Health (MOH) of Burkina Faso and Mali, the Population Council conducted two studies in 1998 to describe the occurrence and severity of health problems related to female genital cutting (FGC). Study participants were consenting women who received a pelvic exam during prenatal, family planning (FP), obstetric, or gynecological consultations at MOH clinics. Providers were trained to observe the types and complications of FGC. To assess their potential role as change agents, providers in Mali also received training on the health effects of FGC and client counseling. In Burkina Faso, health providers recorded information on 1,920 women at 21 health centers in the rural provinces of Bazega and Zoundweogo. In Mali’s Bamako district and Segou region, providers recorded information on 5,390 women in 14 urban and rural health centers. As noted in this brief, women in Burkina Faso and Mali who have had their genitals cut are more likely to have gynecological and obstetrical problems, including bleeding, internal scarring, vaginal narrowing, and childbirth complications. More severe cutting increases a woman’s risk of other reproductive health problems.
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