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Results for “Rural Health Centers”

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At least 19 recordsLinked to original sources
PubMed1977

[Rural health center in Bali].

The rural Health Centre of Mengwi, on the island of Bali, was built and equipped for US $ 15,000 by Project Concern, a non-sectarian, medical relief organization. It has been run so successfully by them since it opened in 1974, that not only has the Centre gained the trust of the local community into which it is now fully integrated, but it is also regarded by the Indonesian Government as a pilot project. Amongst the factors leading to this success, the author underlines the following points: a suitable location for the Centre, easily accessible by the villagers; a local staff recruited from the villages of Mengwi District, well trained and sympathetic to the population; constant retraining of the staff leading to better medical care; the availability of a doctor and nurse around the clock; an adequate supply of drugs. Evaluation of the operation is best done by the acceptance of special programmes such as the Under-Five Clinic, the Family Planning Scheme, Ante-Natal Clinic and vaccinations. The mere success of the general clinic would not mean that the Centre had been integrated into the community and become a factor in rural development. The success of these special clinics, as well as the out-reach programmes, demonstrates that through adequate delivery of medical care, the Health Centre of Mengwi can now fulfil its role of being an important factor in the development of a rural community in the tropics.

Delivery of Health Care↗
PubMed1988

Evaluation of governmental dental health services in rural health centers in Egypt.

The aim of the study was to identify and evaluate the existing utility of rural oral health services after 20 yr of implementing the compulsory law of rural health services in Egypt. Six out of 26 governorates present in Egypt were selected. Ten rural health centers from each governorate were visited. A review from each center was performed about the demographic features of the village, the dental manpower and type and condition of dental equipment. The existing records of the dental treatment performed per year from July 1980 to June 1981 were recorded. The general findings revealed that only 31% of rural health centers of the selected governorates had dental facilities. The demand for dental treatments in these centers varied between the six governorates and ranged between 12% in Alexandria to 1% in Dakahlia of the population. Most of the treatments performed were extractions (52.52%), while conservative treatments were minimal (0.85%). Prosthetic treatments were not available in these centers.

Adolescent↗
PubMed2004

Exposure of hepatitis B vaccine to freezing temperatures during transport to rural health centers in Mongolia.

BACKGROUND: A previous evaluation of the Mongolian hepatitis B virus (HBV) infant vaccination program showed that only 70% of rural subjects developed protective antibody levels compared to 94% of urban subjects. The difference is likely due to damaged vaccine being administered to rural infants. HBV vaccine is heat-stable, but freezing destroys immunogenicity. The current study was designed to ascertain if HBV is subject to freezing temperatures during transport to rural health centers. METHODS: During several time periods from 2001 to 2003, HBV vaccine transported from the national vaccine store to provincial stores and from two provincial stores to rural health centers was monitored for freezing using 3M Freeze Watch indicators. RESULTS: Of 181 provincial-to-rural transports, 19% (95% CI 13-25%) resulted in freezing. One of 59 or 1.6% (95% CI 0-5.6%) of national-to-provincial store transports indicated freezing. In the second half of each substudy, freezing events diminished. Duration of transport was associated with freezing. CONCLUSION: Identification of freezing temperatures during provincial-to-rural vaccine transport provides evidence that HBV vaccine is being damaged. This is the likely cause of the poor vaccine response in the Mongolian countryside. The authors speculate that packing vaccines for transport with ice taken directly from storage deep freezes at -20 degrees C is the cause of the freezing.

Freezing↗
PubMed1986

[Limits of conventional nutrition education: an example from a West African urban area].

The failure of conventional nutrition education, as practiced in Western Africa, is acknowledged by the author. This assessment follows the formative and summative evaluation of a nutrition education programme, directed towards the parents of hospitalized children, in a hospital, in the Ivory Coast. Often carried out within conventional health structures (maternal-child health centers, rural health centers, hospitals, etc...), the programme represents an addition to daily health care activities, with actions often too isolated and too limited to exert a decisive impact on public health. Most of the time, these programmes are conceived and implemented by health care workers who are inadequately motivated and trained in both nutrition and education. Poorly conceived messages that lack cultural, economic or social adaptation to the specified target population, authoritarian, unfeeling pedagogy, and inadequate educational tools lead to uncertain results. Results that are difficult to assess due to the absence of a clear definition of objectives and procedures for scientific evaluation. The author, in agreement with other recent studies, suggests that nutrition education should be viewed as the cumulative effect of all the various communication activities aimed at modifying those individual or community behaviours that affect the nutritional status of a given population. Multimedia nutrition education, however, can only be implemented once population needs and available communication channels have been identified. It is with the idea of promoting such multimedia activities that the network for nutrition education in Africa has been created (see p. 56).

Cote d'Ivoire↗
PubMed2003

Performance of the OptiMAL test for malaria diagnosis among suspected malaria patients at the rural health centers.

The OptiMAL test detects both Plasmodium falciparum and P. vivax malaria infections. In this study, we evaluated the performance of the OptiMAL test at the Basic Health Units (BHUs) and the District Health Quarter (DHQ) Center in rural villages of Punjab, Pakistan that provide minimal health services. Two sets of blood specimens obtained from 930 suspected malaria patients attending these BHUs were tested at BHUs and the DHQ Center by microscopy and the OptiMAL test. At the BHUs, 231 (25%) of the patients were positive by microscopy and 278 (30%) patients tested positive by the OptiMAL test. At the DHQ Center, microscopic analysis of a second set of specimens from the same patients confirmed the malaria infection in 386 (42%) patients and the OptiMAL test result was positive in 300 (32%) patients. To determine the performance of OptiMAL test at the BHUs and the DHQ Center, all data were compared with microscopy results obtained at the DHQ Center. The OptiMAL test results for P. falciparum at the BHUs were comparable to those of the OptiMAL test at the DHQ Center. However, the sensitivity, positive predictive value (PPV), and negative predictive value (NPV) of the OptiMAL test were considerably lower for P. vivax infections than for P. falciparum infections, irrespective of whether the test was performed at the BHUs or at the DHQ Center (P. falciparum: sensitivity = 78-85%, PPV = 89-97%, NPV = 96-98%; P. vivax: sensitivity = 61-76%, PPV = 88-95%, NPV = 90-93%). The OptiMAL test also detected a number of false-positive and false-negative results at both the BHUs and the DHQ Center. The false-positive results ranged from 1% to 2%; however, the number of false-negative results was much higher (BHUs: P. falciparum = 22%, P. vivax = 39%; DHQ Center: P. falciparum = 15%, P. vivax = 24%). In conclusion, these results, when combined with other advantages of the OptiMAL test, suggest that this test can be used by relatively inexperienced persons to diagnose malaria infection in rural areas where facilities for microscopy are not available.

Adolescent↗
PubMed2006

Differences and similarities in poisoning admissions between urban and rural health centers in Zimbabwe.

BACKGROUND: Toxicoepidemiological data from rural areas of developing countries is scarce. Most studies examine admissions to urban referral hospitals and extrapolate to lower level health facilities. The validity of this approach was examined in this work. METHODS: A retrospective review of all poisoning admissions was conducted at the provincial hospital (PH) and six district hospitals (DH) in Mashonaland Central province, Zimbabwe for the period January 1998 to December 1999 (inclusive). Patient records were traced by hand from medical ward registers. Relevant information was collected using a standard data collection tool. RESULTS: There were 711 poisoning admissions to the DH and 341 to the PH. Case demographic details were similar at both the PH and DH, with a male to female ratio of 1:1 and most cases in the 0-5, 16-20 and 21-25 year age groups. Most admissions resulted from accidental poisoning (>60%) at both levels of care. However, the important causes of admission differed with animal envenomation (especially snakebite) predominating at DH (43.6% of admissions; 99% CI 38.9%-46.5%), whilst pesticide poisoning (26.1%; CI 20.0%-32.2%) predominated at the PH. Pharmaceutical exposures were common at the PH (15.2%; CI 10.2%-20.3%), but not at the DH (3.7%; CI 2.1%-5.1%). Despite this, patient demographics and reasons leading to poisoning were similar for animal, pesticide and pharmaceutical exposures. CONCLUSION: Important differences existed between provincial and district poisoning data in Zimbabwe. Caution must be used when using urban referral hospital data to describe prevalence of poisoning in rural areas.

Adolescent↗