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63 records · Page 4Linked to original sources

Mothers voice their opinion on immunization services.

A survey of the Expanded Programme on Immunization (EPI) in eastern Zimbabwe showed a low valid immunization coverage by one year of age. While health personnel originally thought traditional and religious beliefs were to blame, the survey indicated the problem lay in the poor quality of EPI services. Focus group discussions with mothers confirmed this. Mothers were well informed, highly motivated and had many suggestions on how services could be improved, but were rarely given the opportunity to discuss them with health workers.

Attitude to Health↗

The client's view of high-quality care in Santiago, Chile.

The meaning of quality of care for the women who receive reproductive health services at a family planning and maternal and infant care clinic in Santiago, Chile, was examined to describe the clinic's service from the women's point of view. A participatory research project with the staff of the clinic was conducted. The central part of that study, reported here, consisted of interviews with 60 of the 330 women who came to the clinic during two weeks in June 1991. The women defined high quality of care as "being treated like a human being." Among specific elements of care they identified were cleanliness, promptness and availability of service, time made available for consultation, learning opportunities for themselves and their partners, and cordial treatment. Clients' view of quality of care must be supplemented by professional judgments about how well services meet clients' needs. But the client's view is determinant if improvements are to result in greater acceptance and sustained use of the services offered. The issues identified by the clients involve only minor costs for the clinic.

Child Health Services↗

Observing staff-resident interactions: what staff do, what residents receive.

Observations of direct-care staff behavior were made for 20 consecutive days at various locations in a large state-operated residential facility serving clients with mental retardation. Results indicated that the clients' functioning level, the presence of professional staff, the location of the observation, and the resident-staff ratio significantly affected the activities of direct-care staff as well as the kind of care an individual client received. Recommendations were made for increasing the frequency of desirable client-staff interactions.

Activities of Daily Living↗

Outreach workers' experiences in a homeless outreach project: issues of boundaries, ethics and staff safety.

Mental health professionals and researchers have emphasized the importance of conducting outreach to locate homeless persons with mental illness, and of creatively engaging these persons into a therapeutic relationship. These outreach and engagement activities raise challenging issues in the areas of client-staff boundaries, professional ethics, and staff safety. While several issues in each of these three key areas have received attention in the growing literature on homelessness, certain issues within each area remain unexplored. The authors draw from the street experiences of outreach staff in a federally funded homeless outreach project to further explore each of these areas, and suggest that experiences of outreach workers are essential in shaping and redefining work activities in these, and other important areas.

Adult↗

Effects of structured social interaction with geriatric mentally retarded clients: an exploratory study.

In this study, using an observation-based inferred self-concept (social competency measure), I examined a structured program of client-staff interaction reinforcing self- and environmental awareness in institutionalized geriatric mentally retarded clients. Results indicate significant improvement over successive sessions. Subjects in structured interaction had a more positive self-concept in the post-treatment period when compared either to pretreatment baseline or to a control group that had not been in structured interaction with staff. Results support the use of structured interaction--which serves as a reinforcer for improved functioning--to increase staff contact with clients.

Humans↗