[Activities of an industrial health preventive service].
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In the hospital of the International Centre for Diarrhoeal Disease Research, Bangladesh, the Child Health Programme (CHP) has been offering preventive health care services to about 60,000 patients per year. The patient populations are mostly children who stay with their mothers or other relatives. In this programme, health education, immunisation and nutrition rehabilitation services are offered. Health education is offered as group discussion and face-to-face interaction between the educator and the mother. Immunisation is offered daily from 0700h to 1900h to all children and women attending the hospital. Nutrition rehabilitation services, both inpatient and outpatient, are offered to severely undernourished children. These preventive services are implemented by health workers and health assistants. All attendants and adult patients participate in health education sessions. More than 80% of unimmunized children and 50% of unimmunized women receive immunisation. The experience of the CHP shows that it is possible to offer different preventive health care services to all attendants and patients attending a busy hospital.
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The perceptions of 25 white males (age range, 53-62) were studied in relation to use of multiphasic screening. Each of these men had been urged repeatedly to take advantage of this service but had failed to do so. The multiphasic examination itself was free, so cost was not an inhibiting feature. This report deals with the proffered reasons why these men did not take the screening examination. The factors could be classified as: 1) social influences, 2) health care setting, 3) beliefs about health, 4)use of alternative forms of care, 5) the time involved for testing, and 6) disinterest. A discussion of some individual responses is included. Recommendations are made for structuring more effective delivery of health care services for the elderly.
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