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Articles de revues sur le sujet "Modern Health Care Facilities and Programmes"
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Kumar Kolay, Swapan, et Siddharth Chowdhary. « Obstacles to Acquire Modern Medical Institutional Facility with Special Reference to Maternal Health Care among Tribals of South Bastar in Chhattisgarh ». Indian Journal of Research in Anthropology 8, no 1 (15 juin 2022) : 9–17. http://dx.doi.org/10.21088/ijra.2454.9118.8122.1.
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Introduction: The Maternal Mortality Ratio of Chhattisgarh is 269 (SRS 2010-11) which are higher than the National average (178). If we analyze the state wise data of MMR we found that Chhattisgarh is fourth in position amongst all states of India. Maternal and child health care is an important aspect of health seeking behaviour which is largely neglected among the tribal groups (Basu et al., 1990). It has been seen that inspite of a lot of government incentive programmes for women health care and development, some obstacles create obstruction to acquire modern medical institutional facilities. It is a burning concern for the development because the problems of tribal women differ from a particular area to another area owing to their geographical location, historical background and the processes of social change (Chauhan, A., 1990). Objectives: The study concerned with the objective of understanding the gap between government modern health facilities and tribal women with special reference to maternal health care. Study Area: For the study purpose tribal dominating villages of south Bastar, Chhattisgarh was selected. Chhattisgarh is known as 10th largest state of India where Bastar is known as its rich and uniqueness of bio-cultural diversity in the whole world. Methodology: Random sampling technique was the key instrument for selecting sample as well as Snowball sampling is also used to identify a few households where maternal and infant related problems occurred through some key informants in the village and ask each of them to identify households where maternal problems have occurred. Questionnaire on different variables of knowledge, attitudes, belief and opinion about government health institution were organised by direct interview. Along with above semi participatory observation was strength for the data collection. Result: The findings stated that the acceptance of modern institutional health facilities is poor amongst tribal people. In addition, a lot of females suffered from ill health due to pregnancy and childbirth in the absence of a well defined concept of health consciousness. Conclusion: The health problems of mothers arise as a result of synergistic effects of malnutrition, poverty, illiteracy, unhygienic living conditions, infections and unregulated fertility. Apart from that superstitious beliefs play an essential obstruction to acquire modern medical facilities. At the same time, poor infrastructure and ineffective public health services is also responsible for low inadequate obstetric care. Keywords: Maternal mortality; Seeking behavior; Modern medical institutional; Tribal women; Superstitious beliefs.
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Beglyakova, Yuliya M., et Aleksander S. Shchirskii. « RURAL MEDICINE. CONDITION AND ISSUES ». RSUH/RGGU Bulletin. Series Philosophy. Social Studies. Art Studies, no 2 (2020) : 103–10. http://dx.doi.org/10.28995/2073-6401-2020-2-103-110.
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The article analyses the accessibility of medical facilities in rural areas of modern Russia and the specifics of their organization and development. The authors reveal causes why rural residents have much less opportunities to seek quality medical care than urban ones, what leads to a disparity between the inhabitants of the city and the village. The thesis is substantiated that state programmes that should make health services accessible to the rural population to a greater extent do not cope with the task at hand. An attempt is made to highlight the public’s response to the existing disparity in the health services of the villagers compared to urban dwellers. Such a reaction can be considered an outflow of people from rural areas, and an increase in self-medication among rural people as a result of the difficulty in obtaining health services. The decrease in the number of treatment facilities in rural areas leads to a deterioration in the medicine situation in rural areas. That, according to the authors of the article, justifies the need to study the issues associated with the provision of medical care to the rural population.
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Egbunu Abiodun Abosede, Makolo Daniel et Alkali Daniels Emmanuel. « A spatial analysis of health care accessibility and utilization among rural households in Kogi State, Nigeria ». International Journal of Life Science Research Archive 3, no 1 (30 septembre 2022) : 101–9. http://dx.doi.org/10.53771/ijlsra.2022.3.1.0085.
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This study was aimed at a Spatial Analysis of Health Care Accessibility and Utilization among Rural Households in Kogi State, Nigeria. Primary data employed in this study were obtained with the aid of well-structured questionnaires. A multi-stage sampling technique was employed in the selection of respondents. The analytical techniques used in this study included descriptive statistics and Healthcare Accessibility Index. Descriptive statistics such as frequencies and percentages were used to describe the sources and uses of healthcare facilities in relation to socio-economic characteristics as well as the level of utilization of health care services. Results obtained in this study revealed that 58% of the respondents had access to health care services while only 42.50% utilized these services. Findings in this study also revealed that 71% of the household heads were males while the remaining 29% were females. However, 41% of the male headed households have access to healthcare services compared to 17% of the female headed households. Furthermore, 71% of the respondents were in their economic active age (≤ 50 years). About 75.55% of the respondents within this age bracket accesses and utilizes healthcare service more than the elderly ones. Exactly 43.50% had no formal education while 6, 23.5, 11.5, and 15.5% had adult, primary, secondary and tertiary education respectively. Thirteen percent (13.0%) of those with primary education had access to health care services while 78.57% out of these utilized the healthcare services. Furthermore, 24.5% of those with no formal education had access to healthcare service while 69.23% of the respondents utilized healthcare services. Majority (40.5%) of the rural households lived 5 to 9 km to a public health center with 21% having access to healthcare facilities and 85.7% utilizing the facilities. Eleven percent of respondents living 4 km from the healthcare service provider have access to healthcare facilities while 90.09% of the respondents utilized it. About 13% of the respondent who lives 10 to 14 km from healthcare service had access while 61.11% utilized the services. Forty-three percent (43.75%) of respondents living more than 14 km to their healthcare providers makes use of the available healthcare facilities. The result, therefore, indicates that utilization of available health facilities increases with proximity to the health centers. Seven percent (7%) of respondents have family size of 1-4 members per household, whereas only 60% of the respondents within this group with access to healthcare facilities utilized it. Furthermore, those with household size above 14 members have the highest health service utilization with 85.71%. This study has shown that there is unequal distribution of health facilities as well as low level of accessibility of household to medical facilities in the study area. To this end, governments at all tiers should ensure equitable accessibility to health care delivery across the rural areas by deploying more medical and Para-medical staffs to the rural areas. Rural development policies should promote the creation of enabling environment to enhance participation in modern health care delivery in rural areas. There is also a serious need for sensitization programme to create awareness about the importance of using modern healthcare facilities among the rural dwellers.
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Vuzhyns’ka, Halyna. « System of rehabilitation and recreation of children in Lviv region : modern status, spatial features and problems ». Visnyk of the Lviv University. Series Geography, no 49 (30 décembre 2015) : 47–57. http://dx.doi.org/10.30970/vgg.2015.49.8605.
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The state of child population health of Ukraine is deteriorating in the last years. This situation requires careful attitude to the health of children, perfecting health systems, in particular, enhance the functioning of health resorts and spas in the regions of Ukraine in order to ensure the health and recreation of children. Scientific researchesthe current state of health child population, preconditions and factors of its formation, the spatial features we must also intensify. The relevance of research of the modern system of rehabilitation and recreation the children of Lviv region was show in the article. Regulatory-legal acts associated with this issue at the national and regional levels was analysed. Established dynamics of the number of children’s health and recreation facilities in Ukraine. It was established dynamics of the number of children’s rehabilitation and the recreation facilities in Ukraine. The mоst important children’s rehabilitation facilities that operated in 2013 in Lviv region was characterized. The spatial characteristics and problems of rehabilitation and rest of the child population in region were analyzed. Found, that the situation with the rehabilitation of children in the region over the past decade generally worsened, despite the presence of some positive developments. Recreational potential of the region was characterized and elucidated the impact of natural resources on the placement of establishments of children’s rehabilitation and recreation in the region. Most improving institutions (non-urban and sanatorium) are concentrated in areas with the best natural resources, medicinal mineral waters, climate, forest and water resources. Establishments recreation with the day care focused primarily in areas of high level of urbanization. Based on statistical information, traced the increased number of children’s institutions of rehabilitation and recreation in Lviv region. But, found that the growth achieved mainly by the rapid increase in the number of daycare camps created on the basis of educational institutions. Thus, the number of children’s institutions of rehabilitation (non-urban and sanatorium) annually decreases. In 2013 on the territory of Lviv region functioned 18 children’s institutions of rehabilitation that on seven institutions (18 %) less than in 2005. The measures for the conservation and improvement of existing children's Institutions the health and recreation, and also rebuilding and providing financing the Programme for the development of Ukrainian children's health resort “Skhidnytsia” were offered, that will allow in the future to solve the problem of rest and improvement of children. Key words: child population, spatial features, children’s institutions rehabilitation and recreation, system health improvement, territorial organization.
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Skuse, David. « The benefits of digitisation of psychiatric care facilities ». BJPsych International 20, no 3 (27 juillet 2023) : 53. http://dx.doi.org/10.1192/bji.2023.16.
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The potential benefits of providing digital mental healthcare to isolated rural populations are emphasised in two articles from Pakistan. Novel programmes of support have been instituted by both private and publicly funded services.
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Auras, Silke, et Max Geraedts. « International comparison of nine accreditation programmes for ambulatory care facilities ». Journal of Public Health 19, no 5 (23 mars 2011) : 425–32. http://dx.doi.org/10.1007/s10389-011-0408-4.
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Domin, Michael A. « Highly Virulent Pathogens - a Post Antibiotic Era ? » British Journal of Theatre Nursing (United Kingdom) 8, no 2 (mai 1998) : 14–18. http://dx.doi.org/10.1177/175045899800800201.
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The spectrum of infectious diseases is changing rapidly. Emerging infectious agents present an intriguing constellation of nosocomial challenges. Antimicrobial resistance results in increased morbidity, mortality and costs of health care. Resistance to antimicrobial agents has been recorded since 1940 with penicillin resistant Escherichia coli (E coli) (Abraham and Chain 1940). A similar pencillin resistance was reported in 1944 in Staphylococus aureus (S. aureus) (Kirby 1944) Even before the widespread global use of penicillin, resistance had already been detected in both grampositive and gram-negative organisms. The 1990s herald the era of multiple drug resistance. To grasp further the enormity and complexity of our modern antimicrobial resistance problem, one only needs to think about how many - how fast -and in how many settings (hospitals, clinics, outpatients nursing and long term facilities, etc), these pathogens have developed antimicrobial resistance: Multiple drug-resistant Mycobacterium tuberculosis, penicillin-resistant Streptococcus pneumonia, fluconzole-resistant Candida, methicillin-resistant S. aureus (MRSA), vancomycin-resistant Enterococci (VRE) and now S. aureus with reduced susceptibility to vancomycin. Given the dramatic increase in the incidence of multiple drug-resistant organisms - and now - the mounting evidence of resistance transfer from one organism to another, we will certainly witness a combined growth of nosocomial pathogens, for which there are no antibiotic solutions. Appropriate infection control measures for such resistant strains depend, in part, on the mechanisms of genetic information exchanged among micro-organisms. Clearly we need to strengthen the basic tenets of infection prevention and control; hygiene, engineering and microbial barriers, to prevent transinfection. We need to control horizontal nosocomial transmission of organisms. Contaminated environmental surfaces are a reservoir for resistant organisms such as MRSA (Boyce et al 1997) and VRE (Karanfil et al 1992). Stringent infection control policies need to be developed and implemented. A comprehensively applied infection control programme will reduce the dissemination of resistant strains. Each patient care setting must examine its current practices and review the outcome efficacy. A consensus development conference to develop centres for disease control (CDC) formal guidelines against vancomycin intermediate-level resistant staphylococcus aureus (VISA) and vancomycin-resistant staphylococcus aureus (VRSA) may take a year or more to convene. This paper will examine the basic considerations currently offered by the CDC which may be valuable starting points for the enhancement of current infection control practices. Perspectives of the Society for Healthcare Epidemiology of America (SHEA) will also be included.
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Khan, Zubeda, Ghulam Y. Soomro et Samina Soomro. « Mother's Education and Utilisation of Health Care Services in Pakistan ». Pakistan Development Review 33, no 4II (1 décembre 1994) : 1155–66. http://dx.doi.org/10.30541/v33i4iipp.1155-1166.
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Education is one of the crucial social development variables especially for mothers which enriches their mind about their social and reproductive experiences and broadens their understanding to make better choices for themselves and rearing and bearing of their children. In many developing countries there is evidence that mother's education plays an important role in determining child mortality even in situations where the medical facilities are scanty [Berrera (1990); Caldwell (1979, 1981)]. Education, it is argued influences women's beliefs about the good health, causes and cures of diseases that increases the demand of the utilisation of modern health care facilities. Therefore, educated mothers are more likely to seek medical treatment for themselves and for their children resulting in higher intensity of the use of a better quality modern care that grows with the advancement of education. Evidence from the research done elsewhere suggests that mother's education has individual positive effect on the use of health care facilities Abbas and Walker (1986); Berrera (1990) and Caldwell (1979) have pointed out that educated mothers are more likely to take advantage of the modern health facilities than their uneducated counterparts in compliance to the recommended treatments primarily due to the different attitudes in regard to the knowledge and perceptions of the importance of the modern medicine in the care of their children. Berrera (1990) in a study of child nutrition in the Philippines found that the children of educated mothers took more advantage of the public health care facilities than the children of uneducated mothers.
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Ayonrinde, Folasade Oluwatomi. « Prices, Quality, and Demand for Modern Health Care Facilities in Oyo State, Nigeria ». IBADAN JOURNAL OF THE SOCIAL SCIENCES 3, no 1 (15 juin 2005) : 29–40. http://dx.doi.org/10.36108/ijss/5002.30.0130.
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The study assessed the impact of user fees on demand for health care facilities, and examined the relationship between quality of service and utilization of modern health facilities in the country. The data were collected from 388 individuals ill 1999 from the five health zones ill Oyo State. To analyse the determinants of health facility utilization, information was elicited on individuals’ choice of health care Treatment. Using the Multinomial logit model and analysing with the revealed preference principle that permits the nature of consumers’ preferences to be deduced from observed choices, the results revealed user fees, gender, and distance as significant determinants of demand for health facilities and indicated the clear preference of respondents for private health care providers over public health providers. The policy implications emanating from the study suggest that the distance of public health facilities from patients and waiting Time need to be reduced to increase the rate of utilization. This call be done by government providing more health facilities in all local government areas and these should be within the reach of household members.
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O C, Odeyale, Abegunrin O O, Olayemi O O, Ogunsola J O, Adelusi F T et Ajanaku A O. « Utilization of modern animal processing facilities among butchers in amosun abattoir, akinyele local government area of oyo state. » Global Journal of Agricultural Sciences 21, no 2 (19 décembre 2022) : 111–18. http://dx.doi.org/10.4314/gjass.v21i2.2.
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To ensure good public health standard, the quality of management of abattoirs in the aspect of compliance to standard practice of meat inspection, sanitation and utilisation of modern facilities is fundamental. This study therefore examined utilization of modern animal processing facilities among butchers at Amosun abattoir in Akinyele Local Government Area of Oyo State. Simple random sampling was used to select 53% of the butchers out of 212 who use modern processing facilities to give total number of 112 respondents. Data were analysed using descriptive and inferential statistics such as frequency, percentage and Pearson Product Moment Correlation (PPMC). The result showed that all the respondents were male (100%) and married (90.1%). Also, 81.98% were below 50 years, 45% of them had primary school education and practiced Islamic religion (75.70%). The result further revealed that majority (70.3%) had low utilisation of modern processing facilities as well as unfavourable attitude (55.0%). Majority (64.0%) of the respondents identified some of the constraints to utilisation of modern processing facilities to be high. PPMC showed that there is significant relationship between utilisation of modern processing facilities and attitude (r= 0.221, p = 0.02). Also, constraints and respondents attitude toward utilisation of modern processing facilities was significantly related (r = -0.257, p= 0.007). It is therefore recommended that government should organize seminar and programmes to create awareness on the importance of utilizing modern animal processing facilities.
Thèses sur le sujet "Modern Health Care Facilities and Programmes"
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Kundu, Suvendu. « Health care practices among the hill kharia of district Purulia and Bankura West Bengal ». Thesis, University of North Bengal, 2018. http://ir.nbu.ac.in/handle/123456789/2822.
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Kundu, Suvendu. « Health care practices among the hill kharia of district Purulia and Bankura, West Bengal ». Thesis, University of North Bengal, 2018. http://ir.nbu.ac.in/handle/123456789/3609.
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Pijnenburg, Martien Pijnenburg M. A. M. « Sources of care : Catholic healthcare in modern culture : an ethical study / ». [S.l. : s.n.], 2010. http://dare.ubn.kun.nl/dspace/handle/2066/74928.
Texte intégralLivres sur le sujet "Modern Health Care Facilities and Programmes"
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Miles, Ziskind David, dir. Institutional architecture : The design of health care, educational, municipal, and justice facilities. Glen Cove, NY : Architecture & Interior Design Library, 1993.
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Aronson, Susan S., dir. Model Child Care Health Policies. American Academy of Pediatrics, 2013. http://dx.doi.org/10.1542/9781581108309.
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Significantly revised and updated, the new Model Child Care Health Policies, 5th Edition is a must-have tool to foster adoption and implemenation of best practices for health and safety in group care settings for young children. These settings include early care and education as well as before and after school child care programs. These model policies are intended to ease the burden of writing site-specific health and safety policies from scratch. They cover a wide range of aspects of operation of early education and child care programs. Child care programs of any type can use Model Child Care Health Policies by selecting relevant issues for their operation and modifying the wording to make selected policies appropriate to the specific settings. These settings include early education and child care centers, small and large family child care homes, part day-programs for ill children, facilities that serve children with special needs, school-age child care facilities, and drop-in facilities. The model policies can be adapted for public, private, Head Start, and tuition-funded facilities. All of the most commonly covered health and safety topics the National Association of Child Care Resource and Referral Agencies found in state regulations are included in this guide.
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Ziskind, David Miles, et Paul Silver. Institutional Architecture : The Design of Health Care, Educational, Municipal and Justice Facilities (Architecture & Interior Design Library). Pbc Intl, 1994.
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Rebirth of the Clinic : Places and Agents in Contemporary Health Care. University of Minnesota Press, 2010.
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Rebirth of the Clinic : Places and Agents in Contemporary Health Care. University of Minnesota Press, 2010.
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Vickery, Christine Guzzo, Gary Nyberg et Douglas Whiteaker. Modern Clinic Design : Strategies for an Era of Change. Wiley & Sons, Limited, John, 2015.
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Anne Dickason Rassweiler (Editor, Translator), dir. The Life of a Russian Woman Doctor : A Siberian Memoir, 1869-1954. Indiana University Press, 2004.
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McBride, Julie, Kim Longfield, Dana Sievers et Dominic Montagu. Social franchising : strengthening health systems through private sector approaches. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198717690.003.0013.
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This chapter explores the nature of franchising and how it can be applied in the health sector. The concept of social franchising is introduced and explained, together with an account of how it has developed and expanded over recent years. The chapter also explores how social franchising can contribute to the rapid spread of high-quality prevention, care, and treatment programmes. The issues of review and evaluation of social franchise performance are also explored. The chapter examines how social marketing can be used to enhance the impact of social franchising and multiply its impact in countries with less well developed health systems and facilities.
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Nursing Civil Rights : Gender and Race in the Army Nurse Corps. University of Illinois Press, 2015.
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Threat, Charissa J. Nursing Civil Rights : Gender and Race in the Army Nurse Corps. University of Illinois Press, 2015.
Trouver le texte intégralChapitres de livres sur le sujet "Modern Health Care Facilities and Programmes"
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Irvine, Lucy C. « Selling Beautiful Births : The Use of Evidence by Brazil’s Humanised Birth Movement ». Dans Global Maternal and Child Health, 199–219. Cham : Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-84514-8_11.
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AbstractMaternal health care continues to be excessively medicalised in many national health systems. Global, national, and local level policy initiatives seek to normalise low-risk birth and optimise the use of clinical interventions, informed by strong evidence supporting care that is centred on women’s preferences and needs. Challenges remain in translating evidence into practice in settings where care is primarily clinician-led and hospital-based, such as in Brazil.I conducted an ethnography of the movement for humanised care in childbirth in São Paulo between 2015 and 2018. I draw on interviews and focus groups with movement members (including mothers, doulas, midwives, obstetricians, politicians, programme leads, and researchers), and observations in health facilities implementing humanised protocols, state health council meetings, and key policy fora (including conferences, campaigning events, and social media). Key actors in this movement have been involved in the development and implementation of evidence-based policy programmes to “humanise” childbirth. Scientific evidence is used strategically alongside rights-based language, such as “obstetric violence”, to legitimise moral and ideological aims. When faced with resistance from pro-c-section doctors, movement members make use of other strategies to improve access to quality care, such as stimulating demand for humanised birth in the private health sector. In Brazil, this has led to a greater public awareness of the risks of the excessive medicalisation of birth but can reinforce existing inequalities in access to high-quality maternity care. Lessons might be drawn that have wider relevance in settings where policymakers are trying to reduce iatrogenic harm from unnecessary interventions in childbirth and for supporters of normal birth working to reduce barriers to access to midwifery-led, woman-centred care.
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Cora, Zoltán. « Johan Béla és a modern magyar közegészségügy kiépítése ». Dans Fontes et Libri, 23–44. Szeged, Hungary : Szegedi Tudományegyetem, 2023. http://dx.doi.org/10.14232/btk.2023.sje.3.
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The relationship between the Horthy era (1920–1944) and the communist era shows continuities if it is examined from a social historical perspective. The paper contributes to the reinterpretation of these relations by looking at Hungarian health care in the 1930s and 1940s with a focus on the relationship between international transfers and path dependency in forging health care reforms. I argue that the achievements communists regarded as inventions of socialism in health care and the welfare state had already been developed thoroughly in the 1930s and 1940s. It was only because of the strict wartime budget of the early 1940s that these welfare reforms had not been realised. With the help of internal affairs documents, essays on health care, and official statistics records in the National Archives of Hungary and the Semmelweis Library and Archives of Medical History in Budapest as well as press material, I demonstrate that, even if communists depicted the interwar period as “fascist and imperialist”, the health care system of the so-called “productive social policy” showed continuities. Moreover, social policy makers of the 1930s and early 1940s, such as Béla Johan, Ferenc Keresztes-Fischer and Béla Kovrig, also designed welfare and health care reforms for the post-war period by both developing already existing Hungarian programmes and selectively adapting foreign welfare models (American management principles, the Alsace scheme, and the Beveridge Plan). The study investigates Hungarian health care in view of the theory of path dependency and the macrohistorical convergence thesis developed by Béla Tomka (on the question of East-West convergence). It is within this framework that the paper addresses the issue of health care transfers to better understand the development of 20th -century European health care systems by identifying similarities and differences in their development as well as to speculate on the trajectory of various political solutions to social challenges, including health care.
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Magri, Mara, et Raquel Espada Martín. « The Accreditation Process ». Dans Quality Management and Accreditation in Hematopoietic Stem Cell Transplantation and Cellular Therapy, 123–36. Cham : Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-64492-5_14.
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AbstractAchieving accredited status for hematopoietic cell transplantation (HCT) programme shows an ongoing commitment to the quality and safety of the services offered and of the activities performed. Accreditation is considered a standard through which a healthcare facility or service is shown to offer quality and healthcare that meet minimum standards and guidelines offered by different quality boards (at national and international levels). Among the most well-known accreditation agencies in the world are the Joint Commission and the Joint Commission on Accreditation of Healthcare Organizations (JC and JCAHO), the International Society for Quality in Health Care (ISQua), the Accreditation Commission for Health Care, Inc. (ACHC), the Healthcare Quality Association on Accreditation (HQAA) and, specifically for HCT programmes, the FACT and the JACIE.Any patient entering a healthcare facility wants and deserves to know that staff is trained and facilities are clean and well maintained and that procedures follow standards that reduce chances of error, infection or negligence.
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Attia, Adel, Ismail Siala et Fathi Azribi. « General Oncology Care in Libya ». Dans Cancer in the Arab World, 133–48. Singapore : Springer Singapore, 2022. http://dx.doi.org/10.1007/978-981-16-7945-2_9.
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AbstractLibya is a large country, ranking at fourth in terms of area both in the Arab world and the African continent (https://www.worldatlas.com/articles/which-are-the-10-largest-countries-of-africa-by-size.html). It is part of the World Health Organization–Eastern Mediterranean Regional Office (WHO–EMRO) region. Oil production is the main source of income which has transformed the country massively over the past 50 years and the healthcare system is one of the sectors that have improved significantly. The Health Act No (106), issued in 1973, guarantees free health services to all Libyans, with inevitable challenges regarding the delivery of adequate and sustainable services. The health system in Libya is a mix between the public sector and the private sector. The private sector is basically depending on funding through insurance companies and self-pay. It is not yet adequately developed but is striving and rapidly growing in the last two decades.The oncology services are accessible and available for all Libyans, most of the diagnostic and therapeutic facilities are of good standards and the modern treatments like immunotherapy and targeted therapies are also available. However, there were periods when the health care system—in general—was struggling to meet the increasing demand on health services and has seen considerable challenges, especially over the past few years due to the conflict, political, and economic instability of the country. This chapter covers the oncology care in Libya, describing the current state, challenges, and future directions.
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Saccardi, Riccardo, et Fermin Sanchez-Guijo. « How Can Accreditation Bodies, Such as JACIE or FACT, Support Centres in Getting Qualified ? » Dans The EBMT/EHA CAR-T Cell Handbook, 199–201. Cham : Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-94353-0_38.
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AbstractThe FACT-JACIE accreditation system is based on a standard-driven process covering all the steps of HSC transplant activity, from donor selection to clinical care. Since the first approval of the First Edition of the Standards in 1998, over 360 HSCT programmes or facilities have been accredited at least once, most of them achieving subsequent re-accreditations (Snowden et al. 2017). The positive impact of the accreditation process in the EBMT Registry has been well established (Gratwohl et al. 2014). Starting with version 6.1, the standards include new items specifically developed for other cellular therapy products, with special reference to immune effector cells (IECs). This reflects the rapid evolution of the field of cellular therapy, primarily (but not exclusively) through the use of genetically modified cells, such as CAR-T cells. FACT-JACIE standards cover a wide range of important aspects that can be of use for centres that aim to be accredited in their countries to provide IEC therapy. Notably, FACT-JACIE accreditation itself is a key (or even a prerequisite) condition in some countries for approval by health authorities to provide commercial CAR-T cell therapy and is also valued by pharmaceutical companies (both those developing clinical trials and those manufacturing commercial products), which also inspect the cell therapy programmes and facilities established at each centre (Yakoub-Agha et al. 2020). Interest in applying for FACT-JACIE accreditation that includes IEC therapeutic programmes is clearly increasing, from four applications in 2017 to 36 applications approved in 2019. The standards do not cover the manufacturing of such cells but include the chain of responsibilities when the product is provided by a third party (Maus and Nikiforow 2017). In any case, all the steps in the process in which the centre is involved (e.g., patient or donor evaluations, cell collection, cell reception, and storage) are covered by the standards, including the appropriate agreements with the internal partners, including the pharmacy department. In addition, from a clinical perspective, IECs may require special safety monitoring systems due to the high frequency of acute adverse events related to the massive immunological reaction against the tumour. Although examples and explanations are found in the standard manual, here, the special importance of identifying and managing cytokine release syndrome (CRS) should be emphasized, and the standards focus not on specific therapeutic algorithms but on ensuring that medical and nursing teams are sufficiently trained in the early detection of this and other potential complications (e.g., neurological complications). They also pay attention to the full-time availability within the institution and its pharmacy of the necessary medication to address complications and the capacitation and involvement of Intensive Care and Neurology Department professionals to provide urgent care if needed. Forthcoming cellular therapy products, currently under investigation, will show a wider range of risk profiles, therefore requiring product-specific risk assessment and consequent adaptation of the clinical procedures for different classes of products. The FACT-JACIE standards will continue to adapt to these future needs to assist centres in their achievement of optimal clinical outcomes.
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Dadlani, Malavika, Anuja Gupta, S. N. Sinha et Raghavendra Kavali. « Seed Storage and Packaging ». Dans Seed Science and Technology, 239–66. Singapore : Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-19-5888-5_11.
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AbstractStorage is an essential component of seed programmes, which primarily aims at maintaining the high-quality standards of the seed from harvest till the time of sowing the crop in the next or successive seasons. In addition to this, seeds are also stored for longer durations to maintain stocks for seed trade at national and international levels as per market demands and as a buffer against crop failures in times of natural calamities or other exigencies, to maintain seeds of the parental lines for hybrid seed production in one or more seasons, to conserve active genetic stocks for breeding purposes, and to maintain germplasm for long term use. Seeds of most of the agriculturally important species are categorised as orthodox or desiccation-tolerant. Their longevity increases with decrease in storage temperature and the relative humidity of the storage environment (or seed moisture content). However, notwithstanding the constitutional differences among plant species concerning seed longevity, being a living entity, every seed undergoes deteriorative changes during storage, even in dry stores, primarily in terms of germination and vigour due to physiological deterioration, and changes brought by the presence of the pests and pathogens. A good seed programme aims at maintaining the high planting value of the seed in terms of purity, germination, vigour, and seed health during storage by taking care in seed handling, controlling the temperature and relative humidity of the store (or seed moisture in case of hermetically sealed containers), and following good sanitation practices. Considering that the facilities for conditioned storage may not be accessible and affordable in many situations, alternative solutions may be considered, especially for on-farm seed storage.
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López-Ibor Jr., Juan J., et Costas Stefanis. « The psychiatrist as a manager ». Dans New Oxford Textbook of Psychiatry, 39–46. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199696758.003.0008.
Texte intégralRésumé :
It is clear that the modern role of both the physicians, in general, and psychiatrists, in particular, requires intensive decision-making which is helped by management principles. Psychiatrists, in addition to their clinical qualifications and skills are asked to occupy positions and undertake responsibilities as clinical executives, directors of health care facilities, administrators of Academic units and even Mental Health Commissioners, all of them requiring managerial knowledge and leadership qualities. Increased pressure by patients for improved quality of services and access to new and innovative treatments needs to be balanced against the expectation of the health care system of the physician to act ‘economically’, following cost containment guidelines and staying within expenditure ceilings. Such decisions require specialized knowledge and a deep understanding of the principles and the functions of management and health economics. Such knowledge is only gained through specialized training by introducing management teaching, either at the undergraduate level or preferably at the residency level, as part of the core curriculum or as an elective which may include items such as administration principles, quality assurance, budgeting, resource allocation, accreditation procedures and what is close to the psychiatrist's clinical background the personnel management. This may be extended to ongoing professional education programmes for psychiatrists who are already active in the field.
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Ulasi, Ifeoma, Chinwuba Ijoma, Ngozi Ifebunandu, Ejikeme Arodiwe, Uchenna Ijoma, Julius Okoye, Ugochi Onu, Chimezie Okwuonu, Sani Alhassan et Obinna Onodugo. « Organ Donation and Transplantation in Sub-Saharan Africa : Opportunities and Challenges ». Dans Organ Donation and Transplantation [Working Title]. IntechOpen, 2020. http://dx.doi.org/10.5772/intechopen.94986.
Texte intégralRésumé :
Sub-Saharan Africa (SSA), occupying about 80% of the African continent is a heterogeneous region with estimated population of 1.1 billion people in 47 countries. Most belong to the low resource countries (LRCs). The high prevalence of end-organ diseases of kidney, liver, lung and heart makes provision of organ donation and transplantation necessary. Although kidney and heart transplantations were performed in South Africa in the 1960s, transplant activity in SSA lags behind the developed world. Peculiar challenges militating against successful development of transplant programmes include high cost of treatment, low GDP of most countries, inadequate infrastructural and institutional support, absence of subsidy, poor knowledge of the disease condition, poor accessibility to health-care facilities, religious and trado-cultural practices. Many people in the region patronize alternative healthcare as first choice. Opportunities that if harnessed may alter the unfavorable landscape are: implementation of the 2007 WHO Regional Consultation recommendations for establishment of national legal framework and self-sufficient organ donation/transplantation in each country and adoption of their 2020 proposed actions for organ/transplantation for member states, national registries with sharing of data with GODT, prevention of transplant commercialization and tourism. Additionally, adapting some aspects of proven successful models in LRCs will improve transplantation programmes in SSA.
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Ulasi, Ifeoma, Chinwuba Ijoma, Ngozi Ifebunandu, Ejikeme Arodiwe, Uchenna Ijoma, Julius Okoye, Ugochi Onu, Chimezie Okwuonu, Sani Alhassan et Obinna Onodugo. « Organ Donation and Transplantation in Sub-Saharan Africa : Opportunities and Challenges ». Dans Organ Donation and Transplantation. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.94986.
Texte intégralRésumé :
Sub-Saharan Africa (SSA), occupying about 80% of the African continent is a heterogeneous region with estimated population of 1.1 billion people in 47 countries. Most belong to the low resource countries (LRCs). The high prevalence of end-organ diseases of kidney, liver, lung and heart makes provision of organ donation and transplantation necessary. Although kidney and heart transplantations were performed in South Africa in the 1960s, transplant activity in SSA lags behind the developed world. Peculiar challenges militating against successful development of transplant programmes include high cost of treatment, low GDP of most countries, inadequate infrastructural and institutional support, absence of subsidy, poor knowledge of the disease condition, poor accessibility to health-care facilities, religious and trado-cultural practices. Many people in the region patronize alternative healthcare as first choice. Opportunities that if harnessed may alter the unfavorable landscape are: implementation of the 2007 WHO Regional Consultation recommendations for establishment of national legal framework and self-sufficient organ donation/transplantation in each country and adoption of their 2020 proposed actions for organ/transplantation for member states, national registries with sharing of data with GODT, prevention of transplant commercialization and tourism. Additionally, adapting some aspects of proven successful models in LRCs will improve transplantation programmes in SSA.
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Das, Tulshi Kumar. « Survival Strategies of Older Adults in the Manipuri Community in Bangladesh ». Dans Social Aspects of Aging in Indigenous Communities, 250—C10P122. Oxford University PressNew York, 2023. http://dx.doi.org/10.1093/oso/9780197677216.003.0011.
Texte intégralRésumé :
Abstract The Indigenous Manipuri community is located in the northeastern area of Bangladesh. Older adults in the Manipuri community experience hardship for many reasons, including insufficient support from social safety net programs, lack of modern health care facilities, unemployment, and loneliness. This chapter is based on a study that investigated the kinds of difficulties older adults of the Manipuri community confront in their everyday lives and the coping strategies they adopt. The results show that to cope with difficulties, older adults adopt strategies such as launching small businesses, taking part-time jobs, engaging in agricultural activities, and seeking and receiving help from their relatives and neighbors during emergencies. The chapter also discusses how older adults fight all odds to stay with their married sons, buying medicine from the pharmacy without a doctor’s prescription, becoming religious, and mores.
Actes de conférences sur le sujet "Modern Health Care Facilities and Programmes"
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Pamungkasari, Eti Poncorini, et Bhisma Murti. « Factors Affecting the Use of Antenatal Care in Semarang, Central Java : Application of Health Belief Model ». Dans The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.117.
Texte intégralRésumé :
ABSTRACT Background: In the field of health-care education, theories and models help us to explain and predict behaviors to conduct effective health-care educational programs for changing behaviors. The Health Belief Model (HBM) contains several primary concepts by which individuals evaluate themselves to take action to change their behaviors, including antenatal care uptake in pregnant women. This study aimed to examine factors affecting the use of antenatal care. Subjects and Method: A cross sectional study was carried out in Semarang, Central Java, from June to August 2020. A sample of 250 pregnant women was selected by simple random sampling. The dependent variable was antenatal care. The independent variables were attitude, knowledge, information, self-efficacy, perceived seriousness, perceived susceptibility, perceived barrier, perceived benefit, cues to action, husband support, and facilities. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Complete antenatal care increased with strong support (OR= 38.97; 95% CI= 3.19 to 476.53; p= 0.004), high knowledge (OR= 16.44; 95% CI= 2.54 to 106.60; p= 0.003), positive attitude (OR= 29.88; 95% CI= 2.88 to 309.92; p= 0.004), high information toward antenatal care (OR= 31.42; 95% CI= 4.07 to 242.41; p= 0.001), strong self-efficacy (OR= 7.85; 95% CI= 1.50 40.99; p= 0.015), strong cues to action (OR= 11.97; 95% CI= 2.01 to 71.36; p= 0.006), high perceived seriousness (OR= 32.99; 95% CI= 3.93 to 276.98; p= 0.001), high perceived susceptibility (OR= 24.29; 95% CI= 2.50 to 235.78; p= 0.006), high perceived benefit (OR= 30.43; 95% CI= 2.99 to 308.80; p= 0.004), high perceived barrier (OR= 0.07; 95% CI= 0.01 to 0.57; p= 0.013) and complete facilities (OR= 63.52; 95% CI= 3.62 to 1115.08; p= 0.005). Conclusion: Complete antenatal care increases with strong support, high knowledge, positive attitude, high information toward antenatal care, strong self-efficacy, strong cues to action, high perceived seriousness, high perceived susceptibility, high perceived benefit, high perceived barrier and complete facilities. Keywords: antenatal care, health facility, Health Belief Model Correspondence: Widyawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: widyawatichin1412@gmail.com. Mobile: +6285742919076. DOI: https://doi.org/10.26911/the7thicph.03.117
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Hogben, Paul. « Financing Civic Improvement : The Community Amenities Funding Scheme of the Joint Coal Board ». Dans The 39th Annual Conference of the Society of Architectural Historians Australia and New Zealand. PLACE NAME : SAHANZ, 2023. http://dx.doi.org/10.55939/a5023p0950.
Texte intégralRésumé :
The book Community: Building Modern Australia (2010) is a key reference for understanding the programmes and initiatives aimed at enhancing community life within Australia across the twentieth century. It accounts for the relevant authorities and groups that were responsible for driving and supporting the creation of places for community use and enjoyment. One authority not mentioned in the book is the Joint Coal Board – a combined Federal and New South Wales State government-established body that was formed in February 1947 with powers to control the production and distribution of NSW coal. Tied to its powers was a directive to improve the health and welfare of mining communities in the Illawarra, Lithgow and Hunter regions. One branch of this was to financially support the construction of new community amenities in mining townships. This work began with a focus on the improvement of recreational grounds and facilities before moving onto housing and general community projects including baby health centres, ambulance stations, swimming pools and community halls. This paper describes the political background to the creation of the Board, its formation and membership, and the community amenities grant scheme it managed. It then focuses on the building projects the Board became involved with in the first ten years of its operation, including the £156,000 Cessnock Municipal Town Hall. The paper concludes by considering the reception of these buildings as symbols of civic achievement.
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Vlada, Marin, et Adrian Adascalitei. « COMPUTERS : AS DIGITAL FACILITIES FOR SCIENTIFIC RESEARCH AND AS TOOLS FOR ENHANCED LEARNING IN HIGHER EDUCATION ». Dans eLSE 2014. Editura Universitatii Nationale de Aparare "Carol I", 2014. http://dx.doi.org/10.12753/2066-026x-14-138.
Texte intégralRésumé :
Complexity of learning causes at all stages of development of human society, the search for new methods, new tools, new resources for relevant efficiency in education. Until now developed new theories and methods developed by educators and psychologists were reformed and modernized education systems of the countries have adapted curriculum learning goals were always set new directions in scientific research. Over time, changes in all scientific theories, methods and techniques of investigation of development of human knowledge that influence the overall development of human society. To achieve development and efficiency in life, one must continually adapt to the changes of knowledge. In education, particularly learning and improvement, the emergence of new information and communication technologies (ICT) to improve pedagogical theories and psychological forces pupils / students, teachers, parents and professionals to adapt to these changes. What do pupils and students? What do teachers and parents? What do experts? What are governments? An Example. INTIME Project (1999-2001). "The mission of INTIME is to help educators improve student learning at all levels (PK thru University work) and in all content areas. We work with PK thru 12th grade teachers and university faculty to accomplish this mission. We use contemporary technology, high quality conceptual models, online streaming videos, case studies and probing questions analysis to help educators learn the skills necessary for improving student learning". Technology as Facilitator of Quality Education Model: A Model (by William P. Callahan and Thomas J. Switzer, College of Education, University of Northern): o COMPUTER: means for forming a new vision of education, research and innovation. o TECHNOLOGY: mediator of quality education. o STUDENTS: active participants in their own learning process. Computer Aided Learning Many educational projects that use computer and software are the result of complex ideas and exploratory actions immediately after 2000. Already there were many changes in education by supporting it with systems, programs and applications, including the development of IDD shape (Open Distance Learning). At that time - the transition from Web 1.0 to Web 2.0 technology, the terms "e-Learning" and "Educational Software" appeared more often in various articles, studies, reports, etc.. Today, some experts in e-learning and educational software actually admit that at the time concepts were not clear and do not understand the context of their use in education and training. After 10 years, by following some step-difficult-sometimes even e-Learning products and educational software incorporates not only expertise in informatics and IT professionals, especially teachers and teaching scenarios for learning: IAC (Computer Aided Training). Systemic approach to learning and teaching strategy Computer assisted learning systems approach to training enables a new vision that psycho-pedagogy one theorized in recent years, but which becomes operative when teaching strategy is combined with multimedia technologies. While in training designed as a system can be determined: for the system (training objectives), the processes by which it is achieved for (type of activities, learning situations in which students must participate to achieve the targets) and the results that they want to reach (translated into effective procurement categories of students), educational software design allows even cover the main elements of the system, helping to optimize the learning process. News trends New trends in education highlights the need for a teaching tool that involves both players learning process: teachers and students.Changing the paradigm shift from learning and knowledge acquisition in the development of skills, values and attitudes necessary focus on training activities and voluntary dominant active participation of students to the needs, interests and their learning profiles. Differentiated Instruction and its contextualization is particularly useful support in using computers in the classroom. The Power of Learning "Teaching is more than imparting knowledge, it is inspiring change. Learning is more than absorbing facts, it is acquiring understanding." William Arthur Ward Knowledge and lifelong learning frees you from ignorance and superficiality. Today, technology and software resources help business efficiency and a better job in this regard. "Educational content it should encourage students to create their own knowledge by experiment, not by learning a text by heart." Radu Jugureanu The responsibility for education is nowadays shared: collaborative demarches and adequate commitment from all stakeholders is very much increasing the effects of education as a whole, oriented towards preparing competitive human resources equipped with competences for the 21st Century: cooperation, communication, critical thinking, creativity, innovation. In the United States and also in UNESCO strategies these are referred to as the 21st Century Skills. The European Union in the Lisbon framework outlines eight domains of Key Competences for Lifelong Learning. These 21st Century Skills are critically important to support the challenges of the modern workplace and its dynamic and the rapidly changing knowledge society. There is a growing and widely accepted understanding that a different set of skills need to be developed by our students in our school systems. Highly structured and disciplined schooling systems do not necessarily prepare students well for the dynamics and challenges of the 21st century workplace and society. For Dr. Howard Gardner (American Psychologist and Educator), intelligence is (Building the 21st-Century Mind: www.howardgardner.com, Gardner, 2009): o the ability to create an effective product or offer a service that is valued in a culture; o a set of skills that make it possible for a person to solve problems in life; o the potential for finding or creating solutions for problems, which involves gathering new knowledge. Skills are critically important to support the challenges of the modern workplace and its dynamic and the rapidly changing knowledge society. There is a growing and widely accepted understanding that a different set of skills need to be developed by our students in our school systems. Highly structured and disciplined schooling systems do not necessarily prepare students well for the dynamics and challenges of the 21st century workplace and society. More self-motivated, individualized, group and collaborative learning processes, supported by ICT will contribute significantly to the preparation of a more agile modern workforce (Hamilton, & O'Duffy 2009).
Rapports d'organisations sur le sujet "Modern Health Care Facilities and Programmes"
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Ciapponi, Agustín. Does decentralised HIV treatment improve health outcomes ? SUPPORT, 2017. http://dx.doi.org/10.30846/170513.
Texte intégralRésumé :
Many people living with HIV who need antiretroviral therapy are unable to access or remain in care. This is often because of the time and cost required to travel to health centres. One strategy to address this problem is to move antiretroviral delivery from hospitals to more peripheral health facilities or even beyond health facilities. This could increase the number of people with access to care, enhance retention in treatment programmes, improve health outcomes and reduce costs to people living with HIV and AIDS and health services. However, there are some concerns about the quality of decentralised care and whether health outcomes are equivalent to more centralised care.
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Inclusion of family planning within the National Health Insurance benefits package in Ghana : A health facility assessment. Population Council, 2021. http://dx.doi.org/10.31899/sbsr2021.1034.
Texte intégralRésumé :
In Ghana, National Health Insurance Act 852 of 2012 ensures that health-care benefits include family planning (FP) services, however people continue to pay for FP services because the policy is yet to be implemented in practice. Under the leadership of the Ministry of Health, the National Health Insurance Authority in collaboration with the Ghana Health Service, Marie Stopes International-Ghana and the Population Council implemented a pilot project to remove FP service out-of-pocket costs. All modern clinical FP methods were added to national health insurance and expensed by health facilities through the national health insurance claims process. The intervention significantly increased the number of new acceptors of FP services and increased uptake of specific methods. According to this report, the pilot also demonstrated that FP can be included in the national health insurance benefits package without setbacks as health facilities were able to process their claims. As stakeholders consider scaling up the intervention of including FP into the national health insurance benefits package, it is important to assess the availability of FP services and readiness of health facilities for the scale-up.