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1.
Cad Saude Publica ; 22 Suppl: S69-76, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17086339

RESUMO

In developing a proposal for the study of the effect of user fees on access to preventive care, a team, comprising researchers and policy-makers, initiated interaction with key policy implementers in the Jamaica's Ministry of Health to ensure that their perspectives were considered at the preliminary stage. There were many pressing events occupying the minds and energies of the implementers, but the team was able to capitalize on existing good relationships to capture attention. In the interviews that followed, agreement was reached on the necessity for the study, its focus and methodology. The process of consultation achieved notable successes and can be regarded as a model for successful research and policy interaction.


Assuntos
Pessoal Administrativo , Pesquisa Biomédica , Política de Saúde , Formulação de Políticas , Serviços Preventivos de Saúde/organização & administração , Pesquisadores , Honorários Médicos , Planejamento em Saúde , Humanos , Relações Interprofissionais , Jamaica , Serviços Preventivos de Saúde/economia , Atenção Primária à Saúde/economia
2.
Cad. saúde pública ; 22(supl): S69-S76, 2006.
Artigo em Inglês, Português | LILACS | ID: lil-437188

RESUMO

In developing a proposal for the study of the effect of user fees on access to preventive care, a team, comprising researchers and policy-makers, initiated interaction with key policy implementers in the Jamaica's Ministry of Health to ensure that their perspectives were considered at the preliminary stage. There were many pressing events occupying the minds and energies of the implementers, but the team was able to capitalize on existing good relationships to capture attention. In the interviews that followed, agreement was reached on the necessity for the study, its focus and methodology. The process of consultation achieved notable successes and can be regarded as a model for successful research and policy interaction.


Diante da proposta de cobrança aos usuários de atendimentos preventivos (defendida pelos implementadores de políticas-chave do Ministério da Saúde da Jamaica), uma equipe de pesquisadores e formuladores de políticas apresentou um projeto de pesquisa visando a estudar os efeitos dessa cobrança de honorários pagos diretamente, e solicitaram ainda que os achados do estudo fossem considerados nesta fase preliminar. Embora a agenda do Ministério da Saúde fosse permeada de muitas questões prementes, a equipe de pesquisa conseguiu potencializar as relações produtivas preexistentes e garantir espaço na agenda do Ministério da Saúde. As negociações levaram a um consenso sobre a necessidade do estudo, seu enfoque e metodologia. O processo de consulta alcançou sucessos notáveis e pode ser considerado um modelo para a interação bem-sucedida entre pesquisa e política.


Assuntos
Honorários Médicos , Pesquisadores , Política de Saúde , Jamaica
3.
West Indian med. j ; 50(Suppl 5): 27, Nov. 2001.
Artigo em Inglês | MedCarib | ID: med-151

RESUMO

OBJECTIVE: To investigate the manner in which Jamaican men view themselves and their relationships with women and their role in family life as partners and fathers. METHODS: A two-stage stratified random sample was used to select men aged 15-40 years in three parishes, Kingston, St.Andrew and Hanover. Enumeration districts and dwellings were selected in the first and second stages, respectively. In selected dwellings, all males 15-40 years were identified among the eligible males who had fathered at least one child. From these, one respondent was randomly selected. A questionnaire was administered to the sample yield of 714. Focus group discussions were held with a subset of the sample. Eight focus groups were held, four each in rural and urban areas among men 15-24 years, and similarly among men 25-40 years. RESULTS: The majority (64 percent) of the men who currently either in visiting or common-law unions and 23 percent had formed these unions between the ages of 15 and 19 years. Most (58 percent) had spent one to six years in their current union, of which the largest group (26 percent) spent one and a half to three years. Just over two-thirds of the children were born in current unions and those born outside of the current union were born in visiting unions (41 percent). Approximately 44 percent of the respondents' children were not living with them; 80 percent were living with their mothers. Respondents (87 percent) reported that they were involved in their children's lives. Major involvement was the provision of food (52 percent), clothes (51 percent) and health care (51 percent). The main obstacle identified for male participation in parenting was their marginal economic status. Significant relationships (p<0.1) were: the increase in the fathering role with age; fathers who were not household heads were less involved in their children's lives, especially when a step-father was present and the economic contribution of fathers was strongly related to their economic status. Contact between parents was significantly influenced by the age of both the father and the children. CONCLUSIONS: The findings indicate that fatherhood is hinged in the ability of the men to make economic and material contributions to their family. In general, men wanted a better life for their children but faced real constraints. Poverty was the major factor preventing men from performing the role they consider central to their concept of fatherhood. (AU)


Assuntos
Adulto , Humanos , Masculino , Adolescente , Pai/psicologia , Comportamento Paterno/etnologia , Jamaica , Relações Pai-Filho/etnologia , Região do Caribe/etnologia , Fatores Socioeconômicos , Pobreza
4.
WEST INDIAN MED. J ; 45(1): 18-21, Mar. 1996.
Artigo em Inglês | MedCarib | ID: med-4689

RESUMO

In order to improve the effectiveness and subtainability of the family planning programme, the National Family Planning Board has devised a strategy to shift users to longer-acting methods and increase the role of the private sector. To design interventions, a better understanding of existing services was thought to be necessary. This study examines the distribution of family planning service delivery points in Jamaica and the services offered by the public and private sectors through an examination of records and questionnaire interviews. The study found that, because of the concentration of private sector providers - the main outlets for longer-acting methods - in urban areas, rural areas had poor access to these methods. Because rural areas are not attractive to private sector providers, the public sector should recognize the need to continue to serve these areas (AU)


Assuntos
Humanos , Acesso aos Serviços de Saúde , Serviços de Planejamento Familiar , Serviços de Planejamento Familiar , População Urbana , População Rural , Serviços de Planejamento Familiar/economia , Área Carente de Assistência Médica , Jamaica , Anticoncepção
5.
West Indian med. j ; 45(1): 18-21, Mar. 1996.
Artigo em Inglês | LILACS | ID: lil-165473

RESUMO

In order to improve the effectiveness and subtainability of the family planning programme, the National Family Planning Board has devised a strategy to shift users to longer-acting methods and increase the role of the private sector. To design interventions, a better understanding of existing services was thought to be necessary. This study examines the distribution of family planning service delivery points in Jamaica and the services offered by the public and private sectors through an examination of records and questionnaire interviews. The study found that, because of the concentration of private sector providers - the main outlets for longer-acting methods - in urban areas, rural areas had poor access to these methods. Because rural areas are not attractive to private sector providers, the public sector should recognize the need to continue to serve these areas


Assuntos
Humanos , Serviços de Planejamento Familiar , Serviços de Planejamento Familiar/provisão & distribução , Acesso aos Serviços de Saúde , Anticoncepção , Serviços de Planejamento Familiar/economia , Jamaica , Área Carente de Assistência Médica , População Rural , População Urbana
8.
Mona; s.n.; . 45 p.
Monografia em Inglês | MedCarib | ID: med-3788

RESUMO

Reviews the major issues of environmental management of concern in the Caribbean. Examines the types of environmental problems facing the region and their effects on health and safety. Factors suggested as contributing to degradation of the natural resources include unsustainable land use practices; inadequate legislation and lack of enforcement of legislation; inadequate waste management and poverty. (AU)


Assuntos
Meio Ambiente , Jamaica
9.
Kingston; s.n; 1995. 49 p.
Monografia em Inglês | MedCarib | ID: med-3807

RESUMO

Reports on interviews conducted for the pilot year of the research project `Managing the Environment for Health and Safety', the objective of which was to facilitate an understanding of the types of environmental degradation facing the Caribbean, and their effects on health, and the linkages between economic development and health-related environmental degradation. Attempts to give an up-to-date picture of environmental degradation and its actual and potential effects in Jamaica and St. Lucia, to identify issues which were priorities for research and intervention. (AU)


Assuntos
Monitoramento Ambiental , Política Ambiental , Jamaica
10.
In. Hatcher Roberts, Janet; Kitts, Jennifer; Jones Arsenault, Lori. Gender, health, and sustainable development: perspectives from Asia and the Caribbean, proceedings of workshops held in Singapore 23-26 January 1995 and Bridgetown, Barbados 6-9 December 1994. Ottawa, International Development Research Centre, Aug. 1995. p.326-7.
Monografia | MedCarib | ID: med-3808
11.
Stud Fam Plann ; 26(6): 338-49, 1995. tab, gra
Artigo em Inglês | MedCarib | ID: med-3525

RESUMO

This report presents a study of the family planning service-delivery practices of private physicians in Jamaica. All 367 private physicians in Jamaica who offer family planning services, counseling, or referral were included in the survey. The study revealed that a client seeking services might be given a method by one provider and not by another, and that the methods clients use are likely to be influenced by the providers' preferences. Private physicians in Jamaica are in need of access to current international guidance on contraceptive methods and service practices. (AU)


Assuntos
Adulto , Feminino , Humanos , Serviços de Planejamento Familiar , Padrões de Prática Médica , Acesso aos Serviços de Saúde , Jamaica
12.
Adv Contracept ; 11: 245-54, 1995.
Artigo em Inglês | MedCarib | ID: med-4588

RESUMO

The National Family Planning Board is the agency of Government empowered to prepare, carry out and promote family planning programs in Jamaica. The Board has prioritized the expansion and sustainability of family planning services in large part through encouraging the participation of the private sector. To enhance the availability and effectiveness of private physician family planning services, information was collected on the service practices of 90 percent of physicians, through face to face interviews. Bruce's framework was used to evaluate the findings of the study. The study indicated that: (1) A wide variety of contraceptives are available. (2) Basic equipment and adequate supplies are in place for the provision of services. (3) Provider bias, inapproriate contraindicators and process and scheduling hurdles exist. The major recommendations relate to the: (1) Revision of norms and guidelines for all contraceptives. (2) Continuation of contraceptive technology updates for private physicians. (3) Revision of legal/regulatory barriers which restrict access to some contraceptives for certain target groups (AU)


Assuntos
Feminino , Humanos , Masculino , Adulto , Pessoa de Meia-Idade , Anticoncepção , Serviços de Planejamento Familiar , Prática Privada , Assistência à Saúde , Dispositivos Anticoncepcionais , Anticoncepcionais Orais , Dispositivos Intrauterinos , Jamaica , Esterilização Reprodutiva
13.
West Indian med. j ; 43(2): 46-7, June 1994.
Artigo em Inglês | MedCarib | ID: med-7999

RESUMO

The study investigates the factors involved in the decision of a sample of women to break appointments for sterilizations at the Fertility Management Unit of the University of the West Indies. A case control study involved 50 women who did not show up (no-shows) and an equal number who did show up (shows) over the same period. The no-shows had spent a shorter time in their current union than the shows, and some had no children for their partners at the time the appointments were made. Marriage was the single most important event that would encourage the no-shows to consider sterilization in the future. As long as poor women see child bearing as a precondition for financial assistance from spouses, they will hesitate to give up this capability (AU)


Assuntos
Agendamento de Consultas , Esterilização Reprodutiva/psicologia , Características da Família , Fatores Etários , Jamaica , Paridade , Motivação , Atitude
14.
West Indian med. j ; 43(2): 43-5, June 1994.
Artigo em Inglês | MedCarib | ID: med-8000

RESUMO

A new fee structure was introduced to the Advanced Training and Research in Fertility Management Unit in 1992. The study looked at the effect of the new fees on attendance and the choice of contraceptive methods through an examination of clinic records and a questionnaire survey. There was a decline in attendance of roughly 28 per cent between 1992 and 1993. The decline affected mainly new clients and those who accepted injectables. A reduction in the price of injectables is suggested since the fee for this short-term method is more in line with those charged for long-term and permanent methods. (AU)


Assuntos
Humanos , Feminino , Honorários Médicos , Serviços de Planejamento Familiar/economia , Serviços de Planejamento Familiar/estatística & dados numéricos , Agendamento de Consultas , Pacientes Desistentes do Tratamento/estatística & dados numéricos , Jamaica , Dispositivos Anticoncepcionais/estatística & dados numéricos
15.
West Indian med. j ; 43(2): 43-5, Jun. 1994.
Artigo em Inglês | LILACS | ID: lil-136479

RESUMO

A new fee structure was introduced to the Advanced Training and Research in Fertility Management Unit in 1992. The study looked at the effect of the new fees on attendance and the choice of contraceptive methods through an examination of clinic records and a questionnaire survey. There was a decline in attendance of roughly 28 per cent between 1992 and 1993. The decline affected mainly new clients and those who accepted injectables. A reduction in the price of injectables is suggested since the fee for this short-term method is more in line with those charged for long-term and permanent methods.


Assuntos
Humanos , Feminino , Serviços de Planejamento Familiar/economia , Serviços de Planejamento Familiar/estatística & dados numéricos , Honorários Médicos , Agendamento de Consultas , Dispositivos Anticoncepcionais/estatística & dados numéricos , Jamaica , Pacientes Desistentes do Tratamento/estatística & dados numéricos
16.
West Indian med. j ; 43(2): 46-7, Jun. 1994.
Artigo em Inglês | LILACS | ID: lil-136480

RESUMO

The study investigates the factors involved in the decision of a sample of women to break appointments for sterilizations at the Fertility Management Unit of the University of the West Indies. A case control study involved 50 women who did not show up (no-shows) and an equal number who did show up (shows) over the same period. The no-shows had spent a shorter time in their current union than the shows, and some had no children for their partners at the time the appointments were made. Marriage was the single most important event that would encourage the no-shows to consider sterilization in the future. As long as poor women see child bearing as a precondition for financial assistance from spouses, they will hesitate to give up this capability.


Assuntos
Agendamento de Consultas , Esterilização Reprodutiva/psicologia , Fatores Etários , Atitude , Características da Família , Jamaica , Motivação , Paridade
17.
Kingston; National Family Planning Board; 1994. ix, 24 p.
Monografia em Inglês | MedCarib | ID: med-3810

RESUMO

Reports of a project aimed at importing the effectiveness and sustainability of Jamaica's National Family Planning Programme in light of the planned phasedown of international donor support particularly the reduction of USAID-donated contraceptive supplies. A "Mapping Study and Private Physicians Survey" was designed to collect background information on the existing infrastructure of service delivery points (SDPs)and a better undrestanding of physicians' skill and interest levels pertaining to long-term and permanent methods. This information would enable interventions to be designed that would target less-well-served areas offer appropriate incentives for private-practice physicians to become more involved in family planning, and meet specific needs among the private physician community as they try to become more involved. Among the noteworthy findings of this study are, given that a key goal of the project is to increase use of longer-acting methods, these methods are not readily available at affordable prices to rural consumers/patients ie. half the Jamaican population. long-term and permanent methods are concentrated in urban areas and offered primarily by private physicians. Short-term or supply methods were widely available to both urban and rural users and were quite affordable. Another significant finding is that private physicians have an interest in increasing their understanding of and involvement in family planning, widespread interest was expressed in the Private Physicians' Pilot Project. The private sector it was found offers the most SDPs, the widest range of methods and the greatest number of hours of operation, however, it is the public sector that provides the most services ie. about 60 percent of family planning services. These was a tendency for private sector providers to be concentrated in urban areas due to available supporting medical services; a further intra-urban clustering of private sector sites was also found; ther was a tendency among newer doctors to establish practices in urban areas outside of Kingston; a more evenly distributed pattern for public sector SDP was found, along with a clear emphasis on serving rural communities; an expansionary trend in terms of number of SDPs in urban areas is noticeable whereas a slight reduction in overall number of SDPs serving rural areas was noted. The recommendations are, to use the findings from this mapping study to plan future activities; to improve availability on long-term and permanent methods for rural groups; to encourage the private sector to increase its participation in family planning; to engage pharmacies and private physicians in expanded social marketingprogrammes; and that the social marketing programme be encouraged to expand its marketing support to include longer-acting methods. (AU)


Assuntos
Serviços de Planejamento Familiar , Serviços de Planejamento Familiar , Jamaica , Agências Internacionais , Médicos
18.
Kingston; National Family Planning Board; Apr. 1994. ix,24 p.
Monografia em Inglês | LILACS | ID: lil-169707

RESUMO

Reports on a project aimed at importing the effectiveness and sustainability of Jamaica's National Family Planning Programme in light of the planned phasedown of international donor support particularly the reduction of USAID-donated contraceptive supplies. A "Mapping Study and Private Physicians Survey" was designed to collect background information on the existing infrastructure of service delivery points (SDPs)and a better undrestanding of physicians' skill and interest levels pertaining to long-term and permanent methods. This information would enable interventions to be designed that would target less-well-served areas offer appropriate incentives for private-practice physicians to become more involved in family planning, and meet specific needs among the private physician community as they try to become more involved. Among the noteworthy findings of this study are, given that a key goal of the project is to increase use of longer-acting methods, these methods are not readily available at affordable prices to rural consumers/patients ie. half the Jamaican population. long-term and permanent methods are concentrated in urban areas and offered primarily by private physicians. Short-term or supply methods were widely available to both urban and rural users and were quite affordable. Another significant finding is that private physicians have an interest in increasing their understanding of and involvement in family planning, widespread interest was expressed in the Private Physicians' Pilot Project. The private sector it was found offers the most SDPs, the widest range of methods and the greatest number of hours of operation, however, it is the public sector that provides the most services ie. about 60 percent of family planning services. These was a tendency for private sector providers to be concentrated in urban areas due to available supporting medical services; a further intra-urban clustering of private sector sites was also found; ther was a tendency among newer doctors to establish practices in urban areas outside of Kingston; a more evenly distributed pattern for public sector SDP was found, along with a clear emphasis on serving rural communities; an expansionary trend in terms of number of SDPs in urban areas is noticeable whereas a slight reduction in overall number of SDPs serving rural areas was noted. The recommendations are, to use the findings from this mapping study to plan future activities; to improve availability on long-term and permanent methods for rural groups; to encourage the private sector to increase its participation in family planning; to engage pharmacies and private physicians in expanded social marketingprogrammes; and that the social marketing programme be encouraged to expand its marketing support to include longer-acting methods.


Assuntos
Serviços de Planejamento Familiar , Agências Internacionais , Jamaica , Médicos
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