• Title/Summary/Keyword: Health Centers

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Barriers to Health Service Utilization Among Iranian Female Sex Workers: A Qualitative Study

  • Asadi-AliAbadi, Mehran;Abolghasemi, Jamileh;Rimaz, Shahnaz;Majdzadeh, Reza;Rostami-Maskopaee, Fereshteh;Merghati-Khoei, Effat
    • Journal of Preventive Medicine and Public Health
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    • v.51 no.2
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    • pp.64-70
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    • 2018
  • Objectives: In most countries around the world, sex work is an illegal activity. Female sex workers (FSWs) in Iran hide their identities, and they are known to be a hard-to-reach population. Despite free access to HIV testing, fewer than half of FSWs receive HIV testing. The purpose of this study was to characterize the reasons for which FSWs do not seek testing at drop-in centers (DICs) and voluntary counseling and testing (VCT) centers in Iran. Methods: A qualitative study was conducted in 2016. The participants were 24 FSWs who received services at VCT centers and DICs for vulnerable females in the north of Iran and 9 males who were the clients of FSWs. In this study, we made use of purposive sampling and carried out a thematic analysis. Results: We found 4 major and 6 minor themes. The major themes were: fear of being infected (with HIV), stigma, indifference, and knowledge. Conclusions: Despite the significant efforts made by the government of Iran to establish and expand DICs for vulnerable females, the number of FSWs receiving services at these centers has not been very considerable. Consequently, by introducing and implementing training programs for peer groups, it may be possible to take steps toward establishing strategic programs for the control and prevention of HIV/AIDS.

The influence of community oral hygiene promotion program on oral hygiene practice behavior in children (지역사회 구강보건프로그램이 아동의 구강건강관리 행태 변화에 미치는 영향)

  • Kim, Young-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.6
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    • pp.1083-1090
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    • 2015
  • Objectives: The purpose of the study is to investigate the influence of community oral hygiene program on oral hygiene practice behavior in children. Methods: Oral hygiene promotion program was performed in 23 community child centers in Seoul, Incheon and Gyeonggido. The study analyzed the effect of community oral hygiene promotion programs on the oral hygiene practice behavior in children from September to December, 2014. The trained dental hygienists in 23 public health centers and dental hygiene students participated in the oral hygiene promotion program for oral health examination and education for the children. The contents of the program was standardized and instructed to the team members. The individual improvement in children oral hygiene practice was assessed using PHP(patient hygiene performance) index score. Data were analyzed using SPSS 12.0 program. Results: After the program, children who stopped eating confectioneries and those eating once a day increased to 32.12% and 14.24%, respectively. Those eating more than four times a day were still high(32.44%), but it was a lower rate than before the program (p<0.001). The rate of toothbrushing of more than 2 to 3 times a day was 82.75% and it was higher than before the education (p<0.001). The knowledge level of children increased from 18.83% to 66.30%. The oral hygiene practice performance in children was highly improved. Conclusions: The four months duration of oral hygiene program remarkably improved the oral hygiene practice in the children. So the community health centers and welfare centers must cooperate and improve the children oral health promotion by developing the oral health promotion program.

A Study on the Job Satisfaction of Visiting Nurses of Public Health Centers in Korea (우리나라 공공조직에서의 방문간호사업 담당간호사들의 직무 만족도에 대한 조사연구-보건소를 중심으로-)

  • So, Ae-Young;Shin, Eun-Young
    • Research in Community and Public Health Nursing
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    • v.9 no.2
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    • pp.262-279
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    • 1998
  • The purpose of this study is to identify job satisfaction and relative factors of job satisfaction in visiting nurses in public health centers. Data were collected by a self-administered questionnaire from May 1 to June 25, 1997. The subjects were 384 visiting nurses of public health centers in Korea. The results of this study were as follows; 1. Job satisfaction of Visiting Nurses was measured by a 5 point rating scale, the whole mean score was 3.08. The level of job prestige was highest among the six components of job satisfaction. The mean score of job perception was 4.05. 2. The factor affecting job satisfaction were job status, educational level and the number of visits home a month. 3. Factors affecting job perception were whether or not they had other certificates, whether they were educated about visiting nursing, and the status of these nurses. 4. Job perception and Job satisfaction had a significant correlation.

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Obesity and Related-factors in Patients with Chronic Mental Illness Registered to Community Mental Health Welfare Centers (지역사회 정신건강복지센터를 이용하는 만성정신질환자의 비만 관련요인)

  • Park, Eun-Suk;Lee, Eun-Hyun
    • Research in Community and Public Health Nursing
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    • v.29 no.1
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    • pp.76-86
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    • 2018
  • Purpose: The purpose of study was to examine the relationship between obesity and its associated factors (psychiatric symptom, duration of illness, type of medication, physical activity, dietary habits, depressive symptom, and stress) in patients with chronic mental illness registered to community mental health welfare centers. Methods: This was a cross-sectional correlation study using a convenience sampling. A total of 392 participants were recruited from community mental health welfare centers. The obtained data were analyzed using binary and multinomial logistic regression. Results: Atypical antipsychotic medication, duration of illness, dietary habits (overeating, and drinking instant coffee) were significantly contributed variables into body mass index (BMI) obesity. Atypical antipsychotic medication and instant coffee were significantly related to abdominal obesity. Conclusion: These results emphasized the needs of tailored obesity-preventive management for the community-dwelling patients with chronic mental illness, topically focusing on the administration of atypical antipsychotic medication, duration of illness, and dietary habits.

A Case-Study of Implementation of Improved Strategies for Prevention of Laboratory-acquired Brucellosis

  • Castrodale, Louisa J.;Raczniak, Gregory A.;Rudolph, Karen M.;Chikoyak, Lori;Cox, Russell S.;Franklin, Tricia L.;Traxler, Rita M.;Guerra, Marta
    • Safety and Health at Work
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    • v.6 no.4
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    • pp.353-356
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    • 2015
  • Background: In 2012, the Alaska Section of Epidemiology investigated personnel potentially exposed to a Brucella suis isolate as it transited through three laboratories. Methods: We summarize the first implementation of the United States Centers for Disease Control and Prevention 2013 revised recommendations for monitoring such exposures: (1) risk classification; (2) antimicrobial postexposure prophylaxis; (3) serologic monitoring; and (4) symptom surveillance. Results: Over 30 people were assessed for exposure and subsequently monitored for development of illness. No cases of laboratory-associated brucellosis occurred. Changes were made to gaps in laboratory biosafety practices that had been identified in the investigation. Conclusion: Achieving full compliance for the precise schedule of serologic monitoring was challenging and resource intensive for the laboratory performing testing. More refined exposure assessments could inform decision making for follow-up to maximize likelihood of detecting persons at risk while not overtaxing resources.

Community Health Center Digital Transition (마을 건강센터 디지털 전환)

  • Han, Jeong-won;Han, June-Sik
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.10a
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    • pp.514-516
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    • 2022
  • Busan Metropolitan City runs Community Health Center which aims to health care service based on the community, besides the established health medical service towards people with low-income. 71 centers are run in 2021, therefore, this papear explores the way of digital transition of these centers. Digital Technologies possibly adopted inside the centers are: First, smart devices to advance the management system of chronical diseases based on health index; Second, IoT with mobile tech to manage health index; Third, AI Robot to care lone elderly people and to warn the emergency.

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Analysis of the priority of roles performed by health educators in charge of health promotion programs at community health centers (보건소 건강증진사업 담당인력으로서 보건교육사 역할의 우선 순위 분석)

  • Choi, Seung Hee;Kim, Myung
    • Korean Journal of Health Education and Promotion
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    • v.31 no.5
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    • pp.121-133
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    • 2014
  • Objectives: The purpose of this study was to analyze the roles of workforce required for effective execution of health promotion programs of community health centers in Korea. Methods: Survey was undertaken on 92 people in community health centers and the Analytic Hierarchy Process was employed in order to obtain results regarding the relative importance of role required for health educators. Results: The analysis suggests that of all 5 categories, 'Assess needs for health education' and 'Evaluate health promotion programs and Conduct related research' were relatively more important than the other categories of role. Taking into account the weightings of the main categories and the subcategories, the analysis shows that the order of importance follows, 'Use existing health-related statistical data', 'Collect health-related data', 'Survey method and knowledge and skills related to health statistics', 'Write an evaluation report', 'Understand and apply health education planning theories'. Conclusion: As a health promotion expert of community health center, a health educator is preferentially required to perform 1) the role to analyze the needs of the community and enable the planning for a customized health promotion program, 2) the role to execute evaluation throughout a health promotion programs and disseminate evaluation findings and apply them in following programs, in consideration of higher relative importance of these roles.

Current Status and Management of Congregate Meal Service Program for the Elderly at Community Centers (사회복지관의 노인 경로식당 급식 서비스 현황)

  • Seo, Hui-Jae;Lee, Yun-Na;Jang, Yeong-Ae;Kim, Bok-Hui;Lee, Haeng-Sin;Kim, Cho-Il
    • Journal of the Korean Dietetic Association
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    • v.10 no.3
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    • pp.333-344
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    • 2004
  • To investigate current status of the elderly meal service program, community centers nationwide were surveyed for congregate meal services. The survey was conducted during the month of December 2002 by mail using self-developed questionnaire on administration, staffs, funding, and meal service management. Only 95 out of 356 community centers (27%) answered and returned the questionnaires, and congregate meal menus were also collected from 20 centers for 492 days. Results were analyzed using SAS package program. In more than half of the elderly congregate meal service programs, following criteria were used in multiple form to allow participation; 65 years old or older, low income, or living alone. All centers served lunch, most of them free of charge, and 88.4% of them provided service 5 days a week. About 79% of the total cost occurred on the congregate meal service was supported by the government. Most of the menus served at congregate meal service were Korean style dish with rice. On the average, each meal provided 3 side dishes including kimchi, in addition to soup or stew. Only 19% of the centers have employed dietitian working for meal service programs; meal menus were prepared by social welfare workers or other non-dietetic personnels in more than 80% of the centers. Food purchasing and food hygiene control was also practiced mainly by social welfare workers or cooks. This study suggests that dietetic professionals are needed to better manage meal service programs for the elderly in both aspects, food hygiene and nutrition. Development of more nutritious menus and determination of appropriate serving sizes for the elderly meal service programs are necessary to meet the RDAs and dietary action guide for the elderly.

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Investigation & Study Analysis of Health Affairs for the Old (공공보건기관의 노인보건 업무실태 분석에 관한 조사연구 -제주도내 4개 시.군 중심으로-)

  • Hyun, In-Sook
    • Research in Community and Public Health Nursing
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    • v.10 no.1
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    • pp.44-52
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    • 1999
  • This investigation & study has been made in oder to revitalilize the health care for the elderly in public health centers. The date subject, including 88 persons in charge health services in public heal centers, were from Chejudo. These were largely female, the average age was 38.4 at the health center. Their responsibilities included home visitation, nutrition management for the early, health education, and physical therapy. The most important problem were personal management and a lack of facilities, especially in home visitation, health education, physical therapy. Systematic networks of various activities are needed to encourage not only the patient but also volunteer who will also take part in these services. The numbers of members in charge of the elderly are not only to be increased and educate with facilities and equipment but also better provided with proper facilities and equipment. This is the best way to conduct health services the elderly.

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A Study on the Architectural, Physical Environment and Satisfaction of the Senior Citizens' Day Care Center in Jeonju (전주시 노인주간보호센터 건축적, 물리적 환경 및 만족도 조사)

  • Bao, Wei;Chen, Minxi;Jeong, Insoo
    • Journal of the Korean Institute of Rural Architecture
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    • v.26 no.2
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    • pp.47-56
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    • 2024
  • Through an examination of future societal development, it was found that the demographic structure is gradually aging, thus placing higher demands on elderly welfare centers. This study conducted surveys on three elderly day care centers in the entire region, aiming to enhance the pivotal role of elderly day care centers in the welfare facilities for the elderly. The current usage status, interior architectu/ral evaluations, and questionnaire surveys of these centers were analysed. The results of investigation into the architectural environment of the elderly day care centers showed that in terms of physical environment, smaller-scale centers did not lag behind larger ones in internal facilities, but larger-scale centers excelled in spatial utilization. Furthermore, the results of questionnaire survey results revealed correlations between family relationships, health status, level of assistance required, and satisfaction with facility usage, while no correlation was found between usage time, health status, and satisfaction with facility usage. This study conducted basic investigations such as architectural and physical surveys, and questionnaire surveys on elderly day care centers. Based on the survey results, future design practices should continuously explore and innovate to meet the needs of an aging society, further improve the community care system, provide more comprehensive and meticulous services for the elderly, and lay the foundation for enhancing the quality of life for the elderly and providing comfortable services.