Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 7.180
Filtrar
2.
Enferm. foco (Brasília) ; 11(1,n.esp): 252-256, ago. 2020.
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1116880

RESUMEN

Objetivo: Descrever a experiência vivenciada por enfermeiras em conexão com Agentes comunitários de saúde para enfrentamento local da pandemia COVID-19. Método: Relato de experiência desenvolvido a partir de ações de enfermeiras que atuam na Estratégia Saúde da Família do município de Icó, Estado do Ceará, destacando o importante papel que os Agentes comunitários de saúde desenvolvem junto à população nesse cenário. Resultados: A partir da experiência vivenciada, pode-se observar o importante papel que os Agentes Comunitários de Saúde têm apresentando frente à pandemia da COVD-19, mesmo apresentando medo e insegurança. Evidenciou-se ainda durante esse período que seu papel de educador em saúde é imprescindível nas ações desenvolvidas dentro dos territórios. Além disso, esses profissionais têm sido protagonistas importantes nas atividades realizadas dentro das Estratégias de Saúde da Família, fortalecendo assim o trabalho da equipe bem como o controle e combate da infecção pelo novo Coronavírus. Conclusões: Contar com o trabalho desses profissionais nos territórios tem sido estratégico e representa um diferencial para o cuidado, por auxiliarem no controle da disseminação e no monitoramento de grupos de risco, bem como das pessoas infectadas pela doença. (AU)


Objective: To describe the experience lived by nurses in connection with community health workers to face the pandemic COVID-19 locally. Method: Experience report developed from the actions of nurses working in the Family Health Strategy in the municipality of Icó, State of Ceará, highlighting the important role that community health agents play with the population in this scenario. Results: Based on the experience, it is possible to observe the important role that Community Health Agents have playing in the face of the COVID-19 pandemic, even with fear and insecurity. It was also evident during this period that his role as a health educator is essential in the actions developed within the territories. In addition, these professionals have been important protagonists in the activities carried out within the Family Health Strategies, thus strengthening the team's work as well as controlling and fighting infection by the new Coronavirus. Conclusions: Counting on the work of these professionals in the territories has been strategic and represents a differential for care, as they help in controlling the dissemination and monitoring at-risk groups, as well as people infected by the disease. (AU)


Objetivo: Describir la experiencia vivida por las enfermeras en relación con los trabajadores de salud de la comunidad para enfrentar la pandemia COVID-19. Método: Informe de experiencia desarrollado a partir de las acciones de enfermeras que trabajan en la Estrategia de Salud de la Familia en el municipio de Icó, Estado de Ceará, destacando el importante papel que los trabajadores de salud comunitarios juegan con la población en este escenario. Resultados: En base a la experiencia, es posible observar el importante papel que los agentes de salud comunitarios tienen ante la pandemia da COVID-19, incluso con miedo e inseguridad. También fue evidente durante este período que su papel como educador de salud es esencial en las acciones desarrolladas dentro de los territorios. Además, estos profesionales han sido protagonistas importantes en las actividades llevadas a cabo dentro de las Estrategias de salud familiar, fortaleciendo así el trabajo del equipo y controlando y luchando contra la infección por el nuevo Coronavirus. Conclusiones: contar con el trabajo de estos profesionales en los territorios ha sido estratégico y representa un diferencial para la atención, ya que ayudan a controlar la difusión y el monitoreo de los grupos en riesgo, así como a las personas infectadas por la enfermedad. (AU)


Asunto(s)
Enfermería , Atención Primaria de Salud , Infecciones por Coronavirus , Agentes Comunitarios de Salud
3.
J Ambul Care Manage ; 43(4): 268-277, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32858726

RESUMEN

Community health workers (CHWs) leverage their trusting relationships with underresourced populations to promote health equity and social justice in their communities. Little is known about CHWs roles in addressing COVID-19 or how the pandemic may have affected CHWs' ability to interact with and support communities experiencing disparities. A focus group with CHW leaders from 7 states revealed 8 major themes: CHW identity, CHW resiliency, self-care, unintended positives outcomes of COVID-19, technology, resources, stressors, and consequences of COVID-19. Understanding the pandemic's impact on CHWs has implications for workforce development, training, and health policies.


Asunto(s)
Agentes Comunitarios de Salud/psicología , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Adulto , Betacoronavirus , Femenino , Grupos Focales , Humanos , Liderazgo , Masculino , Pandemias , Resiliencia Psicológica , Autocuidado , Estados Unidos/epidemiología
4.
J Ambul Care Manage ; 43(4): 301-305, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32858729

RESUMEN

Over 100 Community Health Representatives (CHRs) as part of the oldest and largest Community Health Worker (CHW) program in the United States serve the Dine People on the Navajo Nation. The CHRs work under a tribally determined scope of practice that embraces the importance of self-determination of tribal nations, a philosophy central to the CHW field nationally. Navajo CHRs are the epitome of frontline workers, as they extend their traditional role to encompass long-term emergency response during coronavirus disease-2019 (COVID-19). This article describes the Navajo CHR role in the pandemic through the lens of an interview with the program's director, Mae-Gilene Begay.


Asunto(s)
Agentes Comunitarios de Salud , Infecciones por Coronavirus/etnología , Infecciones por Coronavirus/epidemiología , Indios Norteamericanos , Neumonía Viral/etnología , Neumonía Viral/epidemiología , Rol Profesional , United States Indian Health Service/organización & administración , Betacoronavirus , Humanos , Pandemias , Estados Unidos/epidemiología
7.
PLoS One ; 15(7): e0235340, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32639998

RESUMEN

The transformation of the BRAC MANOSHI programme from humanitarian to a social enterprise model, has made it increasingly urgent to enumerate the minimum number of door-to-door antenatal care (ANC) visits by community health workers (CHWs), for the purpose of effectively improving facility delivery. Thus prevent social exclusion of poor slum communities in Bangladesh with regard to safe motherhood and essential newborn care (ENC). This cross-sectional study was conducted, during March-July, 2015 in slums of Chittagong, Dhaka and Sylhet city corporations of Bangladesh. A census was conducted among 25,700 households covering 10 branch offices of MANOSHI to identify women with a delivery outcome in the preceding three years of the survey. A total of 1100 respondents were interviewed randomly through a structured questionnaire. These women were stratified into three categories-1, 2 & 3, consisting of 497, 205 and 398 women respectively. Women in category-1 did not receive any ANC checkup from the BRAC CHWs, while women in category-2 and category-3 received one to three and ≥four ANC checkups from BRAC CHWs respectively. Data was analysed using STATA Version 13 (Chicago Inc.). Findings revealed that women, who received ≥four ANC checkups from BRAC CHWs, are 25% more likely to avail facility delivery [adjusted Prevalence Ratio (aPR) 1.25; 95% confidence interval (CI) (1.01-1.54)] compared to the women who did not receive any ANC from BRAC CHWs. Women in category-2 [aPR3.64; 95% CI (1.76-7.54)] and in category-3 [aPR5.92; 95% CI (3.04-11.53)] respectively had four and six folds higher tendency to receive postnatal care (PNC) within 48 hours after delivery. Furthermore, facility delivery improved PNC assisted by medically trained providers (MTPs) within 48 hours after delivery and ENC in both categories 2 & 3. The evidence shows that at least four ANC visits of BRAC CHWs can increase institutional delivery, and which can further facilitate PNC and ENC visits. At present, the BRAC MANOSHI programme needs to implement feasible strategies to include pregnant women in the slums in receiving at least four ANC checkups by BRAC CHWs for ensuring safe motherhood and newborn care.


Asunto(s)
Accesibilidad a los Servicios de Salud , Servicios de Salud Materna/tendencias , Mujeres Embarazadas , Atención Prenatal/tendencias , Adulto , Bangladesh/epidemiología , Agentes Comunitarios de Salud , Estudios Transversales , Femenino , Humanos , Recién Nacido , Persona de Mediana Edad , Áreas de Pobreza , Embarazo , Encuestas y Cuestionarios , Población Urbana
10.
BMC Public Health ; 20(1): 1185, 2020 Jul 29.
Artículo en Inglés | MEDLINE | ID: mdl-32727423

RESUMEN

BACKGROUND: Sierra Leone, a fragile country, is facing an increasingly significant burden of non-communicable diseases (NCDs). Facilitated by an international partnership, a project was developed to adapt and pilot desktop guidelines and other clinical support tools to strengthen primary care-based hypertension and diabetes diagnosis and management in Bombali district, Sierra Leone between 2018 and 2019. This study assesses the feasibility of the project through analysis of the processes of intervention adaptation and development, delivery of training and implementation of a care improvement package and preliminary outcomes of the intervention. METHODS: A mixed-method approach was used for the assessment, including 51 semi-structured interviews, review of routine treatment cards (retrieved for newly registered hypertensive and diabetic patients from June 2018 to March 2019 followed up for three months) and mentoring data, and observation of training. Thematic analysis was used for qualitative data and descriptive trend analysis and t-test was used for quantitative data, wherever appropriate. RESULTS: A Technical Working Group, established at district and national level, helped to adapt and develop the context-specific desktop guidelines for clinical management and lifestyle interventions and associated training curriculum and modules for community health officers (CHOs). Following a four-day training of CHOs, focusing on communication skills, diagnosis and management of hypertension and diabetes, and thanks to a CHO-based mentorship strategy, there was observed improvement of NCD knowledge and care processes regarding diagnosis, treatment, lifestyle education and follow up. The intervention significantly improved the average diastolic blood pressure of hypertensive patients (n = 50) three months into treatment (98 mmHg at baseline vs. 86 mmHg in Month 3, P = 0.001). However, health systems barriers typical of fragile settings, such as cost of transport and medication for patients and lack of supply of medications and treatment equipment in facilities, hindered the optimal delivery of care for hypertensive and diabetic patients. CONCLUSION: Our study suggests the potential feasibility of this approach to strengthening primary care delivery of NCDs in fragile contexts. However, the approach needs to be built into routine supervision and pre-service training to be sustained. Key barriers in the health system and at community level also need to be addressed.


Asunto(s)
Agentes Comunitarios de Salud/educación , Prestación de Atención de Salud , Diabetes Mellitus/terapia , Hipertensión/terapia , Atención Primaria de Salud , Evaluación de Programas y Proyectos de Salud , Presión Sanguínea , Estudios de Factibilidad , Femenino , Humanos , Masculino , Asistencia Médica , Mentores , Persona de Mediana Edad , Enfermedades no Transmisibles/terapia , Sierra Leona
11.
BMC Public Health ; 20(1): 1184, 2020 Jul 29.
Artículo en Inglés | MEDLINE | ID: mdl-32727520

RESUMEN

BACKGROUND: Contact investigation is important in finding contacts of people who have Tuberculosis (TB) disease so that they can be given treatment and stop further transmission. The main objective of this study was to assess the contribution of community health volunteers (CHVs) to the number of TB patients notified to the National program in Kenya through household contact screening and referral of persons with TB signs and symptoms to the facilities for further investigation. METHODS: This was a retrospective desk review of project reports submitted to Amref Health Africa in Kenya by the sub-recipients implementing activities in the 33 counties with Case Notification Rate (CNR) of less 175/100,000 and Treatment Success Rate (TRS) of less than 88% as per the National strategic plan 2015-2018. Data for this study covered a period between January and December 2016. Data on the notified TB patients was obtained from the National Tuberculosis Information Basic Unit (TIBU). The study population included all the TB index cases whose households were visited by CHVs for contact screening. Data was recorded into excel spreadsheets where the descriptive analysis was done, proportions calculated and summarized in a table. RESULTS: Community health volunteers visited a total of 26,307 TB patients (index cases) in their households for contact screening. A total of 44,617 household members were screened for TB with 43,012 (96.40%) from households of bacteriologically confirmed TB patients and 1606 (3.60%) from households of children under 5 years. The proportion of the persons referred to the number screened was 19.6% for those over 5 years and 21.9% from under 5 years with almost the same percentages for males and females at 19.2% and 19.7% respectively. The percentage of (TB) cases identified through tracing of contacts in these counties improved to 10% (5456) of the 54,913 cases notified to the National TB Program. CONCLUSIONS: This study showed that in the 33 counties of Global Fund TB project implementation, the percentage of TB cases identified through tracing of contacts improved from 6 to 10% while the percentage of notified TB cases; all forms contributed through community referrals improved from 4 to 8%. Community health volunteers can play an effective role in household contact screening and referrals for the identification of TB.


Asunto(s)
Agentes Comunitarios de Salud , Trazado de Contacto , Tamizaje Masivo , Tuberculosis , Voluntarios , Adolescente , Adulto , Niño , Preescolar , Composición Familiar , Femenino , Programas de Gobierno , Humanos , Lactante , Kenia , Masculino , Salud Pública , Derivación y Consulta , Estudios Retrospectivos , Tuberculosis/diagnóstico , Tuberculosis/epidemiología , Tuberculosis/terapia , Adulto Joven
16.
BMJ Glob Health ; 5(6)2020 06.
Artículo en Inglés | MEDLINE | ID: covidwho-532119

RESUMEN

COVID-19 disproportionately affects the poor and vulnerable. Community health workers are poised to play a pivotal role in fighting the pandemic, especially in countries with less resilient health systems. Drawing from practitioner expertise across four WHO regions, this article outlines the targeted actions needed at different stages of the pandemic to achieve the following goals: (1) PROTECT healthcare workers, (2) INTERRUPT the virus, (3) MAINTAIN existing healthcare services while surging their capacity, and (4) SHIELD the most vulnerable from socioeconomic shocks. While decisive action must be taken now to blunt the impact of the pandemic in countries likely to be hit the hardest, many of the investments in the supply chain, compensation, dedicated supervision, continuous training and performance management necessary for rapid community response in a pandemic are the same as those required to achieve universal healthcare and prevent the next epidemic.


Asunto(s)
Agentes Comunitarios de Salud , Infecciones por Coronavirus/transmisión , Control de Infecciones/métodos , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Neumonía Viral/transmisión , Infecciones por Coronavirus/epidemiología , Prestación de Atención de Salud , Brotes de Enfermedades , Humanos , Pandemias , Equipo de Protección Personal , Neumonía Viral/epidemiología , Organización Mundial de la Salud
17.
Afr J Prim Health Care Fam Med ; 12(1): e1-e4, 2020 Jun 04.
Artículo en Inglés | MEDLINE | ID: covidwho-531615

RESUMEN

The public sector primary care facilities in Cape Town serve a large number of patients with chronic diseases such as human immunodeficiency virus, tuberculosis, diabetes, hypertension, asthma and chronic obstructive pulmonary disease. Prior to the Coronavirus disease 2019 (COVID-19) epidemic, stable patients with chronic conditions attended the facility or support groups to obtain their medication. During the COVID-19 epidemic, these patients would be put at risk if they had to travel and gather in groups to receive medication. The Metropolitan Health Services, therefore, decided to offer home delivery of medication. A system of home delivery was rapidly established by linking the existing chronic dispensing unit system with the emerging approach to community-orientated primary care in the Metro. Medication was delivered as usual to primary care pharmacies, but then a variety of means were used to disseminate the parcels to local non-profit organisations, where they could be delivered by a city-wide network of community health workers (CHWs). Innovations included various ways of delivering the parcels, including via Uber, bicycles and electric scooters, as well as Google forms to monitor the success of the initiative. It was estimated that up to 200 000 parcels per month could be delivered in this way via 2500 CHWs. The new system was established throughout the Metropole, and its strengths, weaknesses, opportunities and threats are further discussed. The initiative may prevent COVID-19 amongst people with comorbidities who would be at risk of more severe diseases. It may also have de-congested primary care facilities ahead of the expected surge in COVID-19 cases.


Asunto(s)
Enfermedad Crónica/tratamiento farmacológico , Infecciones por Coronavirus/epidemiología , Servicios Farmacéuticos/organización & administración , Neumonía Viral/epidemiología , Agentes Comunitarios de Salud , Humanos , Cumplimiento de la Medicación , Pandemias , Atención Primaria de Salud , Sudáfrica/epidemiología
18.
Indian J Public Health ; 64(Supplement): S102-S104, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: covidwho-530400

RESUMEN

At the end of April 2020, there had already been three million cases of COVID-19 in the world pandemic. Chhattisgarh might expect 90,000 diagnosed cases of COVID-19 in the end. The first step taken in March was to ensure a simple checklist of activities that needed to continue. Handbills were given with the basic information on the symptoms and what to do in the community. In urban areas, the lockdown affected the poorer section of the society, especially who are not having BPL card and no other means of availing necessary eatables. Issues that arose affecting regular activities such as tuberculosis and immunization. Residents of informal settlements are also vulnerable during any COVID-19 responses. Frontline workers such as Mitanins in the community are an important asset in the capacity building and preparedness strategies.


Asunto(s)
Agentes Comunitarios de Salud/organización & administración , Infecciones por Coronavirus/epidemiología , Planificación en Desastres/organización & administración , Pandemias , Neumonía Viral/epidemiología , Betacoronavirus , Agentes Comunitarios de Salud/normas , Desinfección de las Manos , Educación en Salud , Humanos , India/epidemiología , Guías de Práctica Clínica como Asunto , Servicios de Salud Rural/organización & administración , Servicios Urbanos de Salud/organización & administración
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA