Suchergebnisse

Background: Community Clinics (CC) has been established to provide basic healthcare services at the doorstep of the community people in Bangladesh. Besides health care, government has taken a development program through CC to improve maternal health care with an aim to reduce the maternal mortality. This study was an attempt to find out the role of community women in the utilization and participation of CC management. Methods: This cross-sectional study was carried out in 32 randomly selected CCs from 16 randomly selected districts. A total of 63 service providers, 2238 service users (patients) and 3285 community members were included as the respondents of this study. For data collection respondents were interviewed face to face by using a pretested questionnaire. Results: The majority of the service providers of the CC were from the local community, and a higher proportion of them were female (52.4%). The providers provided healthcare services both in CC and at community level. A total of 2238 patients visited the 32 studied CCs per day for getting treatment and significantly a higher proportion of them were female (71.2%). Most of the patients (83.0%) expressed satisfaction with the services provided in the CCs and most of them were female (83.8%). Of the total 3285 respondents, 60.3% were the women from the catchment communities. The activities of the CC were known by all of them (98.3%) and they participated in the management of CC. Conclusions: The study revealed that because of utilization and participation in the management of CC, the women became an imperative person in the community, thus empowering them in healthcare development.

Throughout the "New South," relationships based on race, class, social status, gender, and citizenship are being upended by the recent influx of Latina/o residents. Doing Good examines these issues as they play out in the microcosm of a community health center in North Carolina that previously had served mostly African American clients but now serves predominantly Latina/o clients. Drawing on eighteen months of experience as a participant-observer in the clinic and in-depth interviews with clinic staff at all levels, Natalia Deeb-Sossa provides an informative and fascinating view of how changing demographics are profoundly affecting the new social order. She argues persuasively that "moral identities" have been constructed by clinic staff. The high-status staff -- nearly all of whom are white -- see themselves as heroic workers. Mid- and lower-status Latina staff feel like they are guardians of people who are especially needy and deserving of protection. In contrast, the moral identity of African American staffers had previously been established in response to serving "their people." Their response to the evolving clientele has been to create a self-image of superiority by characterizing Latina/o clients as "immoral," "lazy," "working the system," having no regard for rules or discipline, and being irresponsible parents. All of the health-care workers want to be seen as "doing good." But they fail to see how, in constructing and maintaining their own moral identity in response to their personal views and stereotypes, they have come to treat each other and their clients in ways that contradict their ideals

Print media campaign material strongly influences people's perceptions of illness and health and the role and purpose of medication (NSMC, 2010: np). Because adherence is critical to the successful management of the Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS), the introduction of antiretroviral treatment (ART) into the South African health sector presented a major communications challenge, namely how best to communicate awareness and administration of the drugs and how they should be taken. Over the past ten years, the government Department of Health (DoH), the Treatment Action Campaign (TAC), and other prominent nongovernmental HIV/AIDS organizations (NGOs) such as Love Life, Soul City and the Bishop Tutu Foundation have defined a number of different objectives aimed at the promotion of prescription generic antiretroviral drugs (Venter, 2014:3). This has led to an increase in the number of campaigns, each having singular visual representations of HIV/AIDS and users' relationships to antiretroviral drugs. Despite this, stigma and distrust around HIV/AIDS is prominent among the South African public (Rubincam, 2013:13). As a result, there remains a large amount of ambivalence toward the impact of ART on the body and its place within many communities. This has a direct bearing on issues of adherence. For this reason, it is important to study the nature and efficacy of the materials currently being used for social marketing in this context. This qualitative study therefore questions the nature of the current visual language of ART related leaflets and posters found in four Western Cape community clinics and asks whether the content effectively communicates an understanding of antiretroviral therapy, specifically around issues of adherence. In this study, I aim to identify ART adherence social marketing communication strategies used by leading NGOs and the DoH in South Africa. The nature of the visual and textual representations of antiretroviral print media campaign materials found in four Western Cape community clinic environments is established. The purpose of this research is to provide contemporary and useful information on the style, content, and design of social marketing materials in the hope that it will add significant value for further research on ART adherence. This study is a microanalysis focused on quality, not quantity. The investigation is modest. It does not consider a large sample and is intended as a starting point for further research. I hope to identify possible gaps between the combination of messages offered in leaflet and poster print media, and the needs of those infected with the virus, especially at a time when it necessitates they begin ART. The intended impact of this research is to encourage an increased understanding and awareness by government and NGO marketing departments of their campaign material so that it facilitates the transition onto treatment in a way that is empowering, informative, empathetic, and responsible.

Abstract Background Although Bangladesh has achieved tremendous success in health care over the last four decades, it still lagged behind in the areas of maternal and child malnutrition and primary health care (PHC). To increase access to PHC, the Bangladesh government established approximately 18,000 community clinics (CCs). The purpose of this study was to examine the associations of socioeconomic determinants of women aged 12–49 years with the CCs awareness and visitation. Methods We analyzed secondary data provided by Bangladesh Demographic and Health Survey-2011. A two-stage cluster sampling was used to collect the data. A total of 18,222 ever married women aged 12–49 years were identified from selected households and 17,842 were interviewed. The main outcome measures of our study were awareness and visitation of CCs. Bivariate logistic regression was used to calculate odds ratio (OR) and 95 % confidence interval (CI) to examine the associations between the awareness and visiting CCs with socioeconomic determinants. Results Low prevalence of awareness about CC (18 %) was observed among studied women and only 17 % of them visited CCs. Significant associations (P < 0.05) with CCs awareness and visitation were observed among aged 20–29 years (adjusted OR = 1.18; 95 % CI = 1.03–1.35 and adjusted OR = 1.49; 95 % CI = 1.05–2.11), primary education (adjusted OR = 1.20; 95 % CI = 1.08–1.34 and adjusted OR = 1.37; 95 % CI = 1.05–1.78), and poorest family (adjusted OR = 1.21; 95 % CI = 1.03–1.42 and adjusted OR = 2.36; 95 % CI = 1.56–3.55, respectively), after controlling potential confounders. Conclusions Awareness and visitation of CCs were found to be positively associated with lower economic conditions, young age, and primary education. Awareness and access to CCs might be increased through community activities that involve health care workers. The government should also lower barriers to PHC access through CCs by providing adequate logistics, such as human resources and equipment.

The number of UK children seen with complex behaviour difficulties where there is a history of exposure to alcohol and/or drugs prenatally appears to be increasing at an alarming rate. Community paediatricians work with vulnerable children and also act as medical advisers to adoption panels, so they have a unique overview of the unmet needs of looked after children affected by Foetal Alcohol Spectrum Disorders (FASD). This article reports on two simple audits of children seen in a community paediatric clinic setting. The first audit counted the number of children seen during a period of two-and-a-half years between April 2010 and August 2013, where there was a clear prenatal history of alcohol exposure. This audit also specifically looked at how many of these children might have Foetal Alcohol Syndrome (FAS) or FASD. Seventy-two children were given such a diagnosis within the time frame. The second audit reported on children looked after and children put forward for adoption during a 12-month period from January 2013 to December 2013. It reported a history of prenatal exposure in 55 out of 160 health assessments for looked after children (34%) and in 34 out of 45 medicals for adoption (75%).