community health services

..Therefore the project for advancing the health of newborns and mothers (Projahnmo) implemented a community-based intervention package through government and non-government organisation infrastructures to reduce neonatal mortality...

..The Lives Saved Tool (LiST) is designed to facilitate programmatic prioritization by modelling mortality reductions related to increasing coverage of specific interventions which may be combined into packages...

..With responsible implementation, ART is a key component of a comprehensive response to the epidemic in those communities most affected by HIV...

..The objective was to provide a systematic review of the effectiveness of community-level interventions to reduce maternal mortality...

..Progress should be measured and accountability assured. We prioritise research questions and suggest actions and measures for stakeholders both locally and globally, which are required to revitalise primary health care...

..65%. Community programs for CVD prevention appear to have generally achieved favorable changes in overall CVD risk and, with adaptation to current circumstances, deserve continued consideration as possible approaches to preventing CVD...

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..To test the substitution hypothesis, that community-based care reduces the probability of institutional placement for at-risk elderly...

..Changing community norms to increase awareness of HIV status and reduce HIV-related stigma has the potential to reduce the incidence of HIV-1 infection in the developing world...

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..This difference was independent of age and HIV testing history. There was no difference in rates of recent infection between the two. We conclude that community HIV testing is feasible and reaches the target group of high risk MSM...

..These results were obtained without an increase in the overall costs of health and social services, without reducing the quality of care, and without increasing the burden on elderly persons and their relatives...

..Seeking healthcare at health facilities and hospitals varied by syndrome, severity of illness, and characteristics of the patient...

..Effective and scalable community-based strategies are needed for identification and management of serious neonatal illness...

..Evidence is also insufficient to assess the effectiveness of educating coworkers and school personnel about diabetes...

..To evaluate the impact of a 2-year programme for community-based delivery of sulfadoxine-pyrimethamine (SP) on intermittent preventive treatment during pregnancy coverage, antenatal clinic attendance and pregnancy outcome...

..It may also be necessary to recognize that village midwives are not solely responsible for maternal deaths...

..The community-based approach was more cost effective from a health system perspective (US$964 vs. US$1406 per focus) as well as from society perspective (US$1508 vs. US$1767 per focus)...

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..Hispanic female cancer survivors can be trained as promotoras. Screening information conveyed by a promotora can successfully prompt Hispanic women to obtain mammography and Papanicolaou smears...

..To assess the efficacy of peer counseling to promote exclusive breastfeeding (EBF) among low-income inner-city women in Hartford, Conn...

..35% in the house index. Local task forces, in which the interests of householders as well as vector control workers are directly represented, can lead to effective government-community partnerships that resolve problems of mutual concern...

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..explores the consequences of the introduction of an electronic patient record (EPR) system to support community health services in a Norwegian municipality...

The purpose of this study was to assess the needs of older case coordinated clients receiving community health services, by examining changes in cognitive status, physical and mental health status, social support, risk for ..

..It was not thought as a process. A concept of complete package of capacity building should have been developed where training component would be only an element of overall capacity building...

..To investigate the efficacy of a falls prevention clinic and a community step-down program in reducing the number of falls among community-dwelling elderly at high risk of fall...

..The interventions focus on healthy eating, healthy physical activity and mental health and wellbeing and are designed and executed with community participation complementing existing facilities and services...

..To determine whether a telephone care-management intervention for high-risk Medicare health maintenance organization (HMO) health plan enrollees can reduce costly medical service utilization...

..Hospital separations were monitored in the intervention region, a control region and for the state of New South Wales as a whole. Changing admission patterns over the intervention period were used to assess the impact of the program...

..7) Disseminate the results to ensure that the benefits from the community program reach all communities. 8) For national implementation, the intervention program should work closely with national policy makers throughout the project...

..If the primary care STI services are to deliver public health benefit, improved outcome measures and data collection are required...

..Research on scaling-up should be embedded in large-scale delivery programmes for chronic diseases with a strong emphasis on assessment...

..Several fruitful avenues for place-sensitive research of health and social care practice (and its effects) are suggested...

..At baseline, a cohort research population of 1,200 smokers was recruited in the intervention region and in a control region. Data was gathered by means of short structured telephone interviews...

..S. cities, and to identify operational challenges...

..3%). These findings suggest that effective community-based partnerships that support the delivery of health services can contribute to mortality reductions...

..The WATCH IT programme was developed to address the needs of obese children from disadvantaged communities in Leeds and has been running since January 2004. Results of the pilot phase, prior to a randomised controlled trial, are presented...

..Increasing mammography screening rates among women living in a rural area may require improved access to health care and reaching women with lower education levels and lack of health insurance...

..The PRACHAR Project, an ongoing intervention in Bihar, seeks to increase contraceptive use for delaying and spacing births through communication interventions...

..The estimated cost-effectiveness of this intervention was 105 pound (range 33-391 pound) per life year gained. Campaigns targeted at groups with high smoking prevalence may be more cost-effective than general population campaigns...

..Low-energy fractures among the elderly may be prevented by measures aimed at reducing the risk of falling or increasing the strength of the skeleton. Acceptance of these interventions in the target population is necessary for their success...

..This pilot study investigated the feasibility of delivering a package of community-based interventions for improving perinatal care using lady health workers (LHWs) and traditional birth attendants (Dais) in rural Pakistan...

..Research in this area would benefit from of standardization of methodologies and the application of pharmacokinetic modelling...

..In this study, community perceptions, health worker and drug provider opinions about the community based distribution of HOMAPAK and its effect on the use of other antimalarials were assessed...

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..A total of 44% earn an annual salary of $20,00 to $25,000; 30% make more than $25,001. AIDS and maternal and child health are the two major content foci of CHW work...

..Malawi is poised to drastically expand safety nets to orphans and their families, and these findings provide an important foundation for this process...

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..They illustrate the steps needed to broaden the traditional scope of public health and to advance a new vision for improving community health and wellness...

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..Moreover, most of these schemes were created some 10 years ago but since then, only one or two new schemes have been launched. The dynamic of CHI has apparently come to a halt...

..Be Active Eat Well (BAEW) was a multifaceted community capacity-building program promoting healthy eating and physical activity for children (aged 4-12 years) in the Australian town of Colac...

..8; Treatment Specialist, mean = 4.7; Déjate de ese Vicio, mean = 4.6). The results suggest that promotores understood the concepts and methodologies presented...

..Differences between treatment groups did not persist at 18 months. Combined physician and patient interventions lowers blood pressure; future research should focus on enhancing effectiveness and sustainability of these interventions...

..A comprehensive review of the evidence base for impact of interventions on neonatal health and survival in developing-country communities has not been reported...

..Quality is measured by maternal reports of prenatal care procedures received that correspond with clinical guidelines...

..We developed a program that delivers HIV medical care and support services to marginalized people, and evaluated the association between support and medical services utilization...

..This study was designed to develop an evidence- and community based falls prevention program -- Tai Chi: Moving for Better Balance...

..Raising public awareness of the importance of social determinants of health (SDH) and health disparities presents formidable communication challenges...

..The program includes 30 to 40 minutes of exercise, health education time, and devotional time promoting spiritual and emotional health...

..The aim of this study was to describe the extent, content and regional variation of existing health promotion initiatives for older people in Wales, provided by statutory, voluntary and private sector agencies...

..Student outcome data was also collected and showed students perceived they had increases in the following skill sets: health promotion, assessment, civic engagement, and research...

..Such approaches help ensure that stakeholders agree on the purpose of the program, work toward its success, and contribute toward its continuous improvement...

..This article establishes the impact of each of the 10 CCRs on women's past-year exposure to IPV and contact with IPV services and explores the associations between specific CCR components and contact with IPV services...

..DISSEMINATION: Program dissemination began in May 2003 with a three-part approach: recruiting leaders and forming key partnerships, soliciting participant interest and supporting implementation, and promoting growth and sustainability...

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..quot; SCF has drastically changed the healthcare system from a slow bureaucratic system to a customer-responsive, customer-owned and customer-driven healthcare system...

..Across the Borough some professionals became more aware of specific health issues in their local population...

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..CBHPP have effectively promoted health behaviors within certain communities. To promote health and wellness in light of our diverse society and health needs, health promotion professionals and churches can be dynamic partners...

..Because diabetes exacts a disproportionate toll among African Americans, the findings from this project should aid in developing strategies to lessen the burden of this disorder, particularly among minority populations...

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..Mexican immigrants tend to be poor, uninsured, monolingual Spanish speakers without adequate access to appropriate medical care. As a further barrier, many are also undocumented...

..Our experiences suggest that those suffering urinary incontinence and living in the community are an underserved group and that continence services should be community focussed, multi-disciplinary, generalist in nature...

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..focus of training? and (2) Does training empower CHRs and, indirectly, their facilities to educate about breast and cervix cancer, promote screening, and teach breast self-exam skills to American Indian and Alaska Native women?..

..Evaluation findings indicate that this community-tailored intervention may be an effective way to reach transgender women and reduce sexual risk behaviors, depression, and perceived barriers to substance abuse treatment...

..The findings underline the importance of primary care practitioners taking an anticipatory approach to community palliative care...

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..Finally, relevant resources to help you pursue these issues are provided...

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..The results could be used as a reference in future health promotion education in the community...

..Through training and site visits, this model is one approach to addressing the challenges of evaluating rural health promotion programs...

..In conclusion, this community participation approach, employing a committee style, was effective in improving health-related behaviour and in promoting health literacy while overcoming socio-economic variation...

..This educational program on cardiovascular disease improved knowledge and reduced risk behaviours in healthy adults over a short time period...

..Evaluative findings indicate that academic and community-based organizations can collaborate effectively to increase women's access to electronic health information...

..Specific prerequisites and principles are provided. In addition, several tips for increasing the use of the results are highlighted...

..Patients who were homeless or in precarious housing also were vulnerable. Results are discussed in terms of designing and evaluating innovative service models to close these service gaps...

..This paper describes the background, process and statistical results of their work...

..Although the environmental intervention should be more than one year, the minimum time would be one academic year with a one year follow up. A pilot study with a historically black college or university is also proposed. ..

..The inclusion of PA, use of a CBPR approach, engagement of church decision makers, and focus on the church's social, cultural, and policy influences make this project innovative. ..

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..Research Arm on Diabetes, PI Kathleen Colleran, MD Research Arm on Pediatric Overweight, PI Keri Bolton Oetzel, PhD, MPH, LPC Research Arm on Buprenorphine, PI Miriam Komaromy, MD Research Arm on Medical Ethics, PI Anne Simpson, MD, CMD ..

..Should our study find this partnered intervention strategy to be effective and sustainable, the results will be pivotal to the timely and efficient dissemination of this approach as a nationwide diabetes prevention model. ..

..The inclusion of PA, use of a CBPR approach, engagement of church decision makers, and focus on the church's ..

..This study will inform policy and practice regarding whether or not a parenting intervention, highly targeted to child development and behavior when children are 0-3, has effects when children are 5 years of age. ..

..Study findings also will help shape new multilevel intervention approaches and strategies to reduce the disproportionate HIV/AIDS disease burden of Latino men. ..

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..The inclusion of PA, use of a CBPR approach, engagement of church decision makers, and focus on the church's social, cultural, and policy influences make this project innovative. ..

..The inclusion of PA, use of a CBPR approach, engagement of church decision makers, and focus on the church's social, cultural, and policy influences make this project innovative. ..

..In combination, these data will enable us to design and conduct a larger, future 3-year trial focusing on the effectiveness and sustainability of community DPP translation in multiple YMCA settings. ..

..It also will provide client-based information that will enable the development of targeted interventions and policies to address these factors and improve service systems and community resources. ..

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..In combination, these data will enable us to design and conduct a larger, future 3-year trial focusing on the effectiveness and sustainability of community DPP translation in multiple YMCA settings. ..

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..Positive results could lead to large scale implementation in South Africa. ..

..The proposed study will provide important information of use to those designing preventive and treatment interventions for substance abuse and dependence. ..

..The primary outcomes are school-age children's social, behavioral and mental health status. HIV+ parent's and family caregivers' health mental health, parenting skills, and family bonds are intermediate outcomes. ..

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..Acceptability and feasibility of the intervention will be evaluated, as well as efficacy of the intervention on plasma viral load suppression and self-reported HIV-risk behaviors during the first 6 months post release. ..

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..These results are likely to have implications for millions of AIDS orphans internationally and for the 550,000 adolescents bereaved annually by parental death. ..

..We will initiate the intervention in the control markets from 12/06-12/07. We will participate in publishing cross-site papers throughout the next three years. ..

..Previous measurement was guided by the investigators' social development model, which organizes empirical findings of risk and protective factors into a casual theory (Catalano & Hawkins, in press). ..

..Results from this investigation may assist physicians in identifying adolescents at high risk for CFS and allow them to initiate preventative measures. ..

..The purpose of this proposal is to develop and test two such interventions, which, if effective, should complement ongoing efforts to stem the obesity epidemic and ultimately prevent obesity-related CVD. ..

..We believe the strengths of our faculty, funded research opportunities, and training record make us uniquely qualified to offer this training program in behavior change and CVD. (End of Abstract) ..

..The ultimate goals are to improve the treatment of drug dependent patients through clinical research and to help foster the next generation of clinician-researchers. ..

..Greater understanding of the broader sociodemographic conditions that enable the development of drug markets will enable the formulation of effective state-wide drug prevention strategies. ..

..Patient characteristics that may be associated with outcomes will be evaluated, and a cost-effectiveness evaluation of the interventions also will be conducted. ..

..If effective in womenwith incontinence, the methods and strategies of this innovative motivationally-focusedmaintenance intervention can beexamined n other obese populations. ..

..We believe that this combination of close mentorship by experienced HIV prevention researchers and multiple opportunities for "hands on" research experiences is essential to train fellows to become productive independent investigators. ..

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..Such findings will be vital to policy makers in predicting the potential burden of NMPAU-related problems. ..

..Both short-term and long-term efficacy, as well as cost-effectiveness, will be evaluated when CM is administered by community-based therapists. ..

..The results will inform scientific and policy discussions on the importance of interventions to reduce acute-phase transmission. ..

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..Such findings will be vital to policy makers in predicting the potential burden of NMPAU-related problems. ..

..The proposed study will contribute to theoretical and intervention development for this vulnerable population. ..

..Our research team has an established history of collaboration in this area, and brings together a wealth of research expertise in HIV treatment outcomes, substance abuse, and behavioral aspects of adherence. ..

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..S., as well as policy efforts ultimately aimed at improving the health of people with HIV. ..

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..It will suggest potential structural interventions for addressing the movement between prison/jail and the community, including drug policy reforms, with the potential to reduce race disparities in HIV/AIDS. ..

..To enhance community acceptability of the research, the control group will be offered the intervention after all measures are completed. ..

..Results from this study will provide important information regarding the efficacy of brief interventions for reducing gambling and related problems in substance abusers. ..