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The purpose of this study was to describe factors that influence the enrolment of dairy farmers to a Community Health Insurance scheme for better access to healthcare. Quantitative, descriptive, contextual, cross-sectional research was conducted and the Health Insurance for the Poor framework was used to describe these factors. Data collection was done using a structured interview guide. The sample consisted of 135 farmers who supplied milk to a dairy cooperation in western Kenya. Among the sample were respondents (n=17) who were enrolled to the Tanykina Community Healthcare Plan (TCHP). The findings revealed that lack of information and unfamiliarity with TCHP, lack of affordability and the distance from the TCHP centres might prevent farmers from registering for the Tanykina Community Healthcare Plan. Improved marketing strategies and establishing more health centres which are more accessible are among the recommendation made to increase the membership to the TCHP / Health Studies / M.A. (Public Health)

The purpose of this study was to describe factors that influence the enrolment of dairy farmers to a Community Health Insurance scheme for better access to healthcare. Quantitative, descriptive, contextual, cross-sectional research was conducted and the Health Insurance for the Poor framework was used to describe these factors. Data collection was done using a structured interview guide. The sample consisted of 135 farmers who supplied milk to a dairy cooperation in western Kenya. Among the sample were respondents (n=17) who were enrolled to the Tanykina Community Healthcare Plan (TCHP). The findings revealed that lack of information and unfamiliarity with TCHP, lack of affordability and the distance from the TCHP centres might prevent farmers from registering for the Tanykina Community Healthcare Plan. Improved marketing strategies and establishing more health centres which are more accessible are among the recommendation made to increase the membership to the TCHP / Health Studies / M.A. (Public Health)

Governments and healthcare providers are under increasing pressure to streamline their processes to reduce operational costs while improving service delivery and quality of care. Systematic performance management of healthcare processes is important to ensure that quality of care goals are being met at all levels of the healthcare ecosystem. The challenge is that measuring these goals requires the aggregation and analysis of large amounts of data from various stakeholders in the healthcare industry. With the lack of interoperability between stakeholders in current healthcare compute and storage infrastructure, as well as the volume of data involved, our ability to measure quality of care across the healthcare system is limited. Cloud computing is an emerging technology that can help provide the needed interoperability and management of large volumes of data across the entire healthcare system. Cloud computing could be leveraged to integrate heterogeneous healthcare data silos if a regional health authority provided data hosting with appropriate patient identity management and privacy compliance. This thesis proposes a cloud-based architecture for surveillance and performance management of community healthcare. Our contributions address five critical roadblocks to interoperability in a cloud computing context: infrastructure for surveillance and performance management services, a common data model, a patient identity matching service, an anonymization service, and a privacy compliance model. Our results are validated through a pilot project, and two experimental case studies done in collaboration with a regional health authority for community care.

Magister Pharmaceuticae - MPharm / The University of the Western Cape (UWC), School of Pharmacy has embedded service-learning in the undergraduate curriculum in an attempt to align activities with the social accountability values. Third-year pharmacy students are expected to provide pharmaceutical services for a week per semester at local community healthcare centres located across the Cape Town Metropole region. This study explored the experiences, opinions, input, and challenges of the service-learning in Pharmacy (SLiP) program from local communities’ perspective. An objective of the study was to also elicit the community representatives’ recommendations for pharmacy curriculum re-design where student activities are directed towards addressing health concerns of the local communities. / 2021-08-30

No / In this paper, we present the results of a longitudinal case study on information systems (IS) implementation conducted in a community healthcare organization. Using structuration theory as a sensitizing framework, we highlight how the information technology (IT) Management improved their influence through gaining legitimation from other organizational stakeholders, and how the nature of this evolved over time. Our results highlight how an appropriate, sophisticated use of what Giddens refers to as the duality of structure contributed to the consolidation of the IT Manager's credibility and authority. We also report on how the IT Management had most of their actions legitimated as an integral element of their actions. The results also highlight the distributed nature of power, such that even those at the lower end of organizational hierarchy were able to influence the success or failure of IS implementation.

This study aims to analyze the contributions of Community Healthcare Agent Training Course s Stage I, through the perception of these students /workers included in the referred training in the city of Itabaiana, state of Sergipe in 2010. By understanding that the demand for this training is related to political, ideological and social choices inserted in a particular context, we sought to conduct a historical review of the Health Professional Education articulated with the policies and laws of the Ministry of Education. To carry out the research, we had chosen quantitative and qualitative study by using focus groups, in addition to document analysis, in order to understand which contribution the Training Community Healthcare Agent (CHA) brings to the daily work of professionals within the National Health System, from the perspective of these subjects. The analysis of the focus groups was framed along the following lines: the work of the Community Healthcare Agent, the participation of CHAs in Stage I of the training course and the perception of CHAs over the training course for the work process of these professionals. Finally, we present the links between the reading of documents seized in the analysis and the discourse of CHAs on the Training they were offered, focusing on the development achieved (or not) through this training experience for both CHAs, living and working in urban areas and those in the rural town of the city of Itabaiana-SE. / O presente trabalho tem como objetivo analisar as contribuições do Módulo I, do Curso de Formação em Agente Comunitário de Saúde, a partir das percepções desses alunos trabalhadores, contemplados com a referida qualificação no Município de Itabaiana, no Estado de Sergipe, em 2010. Entendendo que a demanda dessa formação está relacionada às opções políticas, ideológicas e sociais, inseridas em um determinado contexto, buscou-se realizar uma síntese histórica da Educação Profissional em Saúde, articulada com as políticas e legislações do Ministério da Educação. Para a realização da investigação, optou-se por um estudo de natureza quantitativa e qualitativa, utilizando grupos focais, além da análise documental, a fim de compreender qual a contribuição da Formação em Agente Comunitário de Saúde para o cotidiano de trabalho desses profissionais, no âmbito do Sistema Único de Saúde. A análise dos grupos focais foi estruturada nos seguintes eixos: o trabalho do Agente Comunitário de Saúde; a participação dos ACS no Módulo I do Curso de Formação e as percepções dos ACS sobre o Curso de Formação em ACS para o processo de trabalho desses profissionais. Por fim, apresenta-se a articulação entre a leitura empreendida na análise documental e o discurso dos ACS sobre a formação que lhes foi ofertada, cujo foco centrou-se nos desdobramentos produzidos, ou não, por essa experiência formativa, tanto para os ACS que residem e atuam na zona urbana como para aqueles da zona rural no município de Itabaiana-SE.

Despite the passage of the Patient Protection and Affordable Care Act (PPACA) in 2010, the Centers for Disease Control and Prevention identified persistent disparities in health care resources as the primary causes of mortality among minority populations. An underexplored resource for affected African American populations is the church, which is not a recognized stakeholder in the implementation of current health care policy. The purpose of this phenomenological case study was to gather perspectives from African American parishioners who lacked sufficient health care insurance on the roles the church could play. Qualitative data management software was used to organize the data (transcripts of interviews) for coding. The purposeful sample of 12 church attendees came from urban, suburban, and rural African American churches. The Andersen behavioral model and Hochbaum's health belief model were used as the conceptual framework for thematic analysis of health care disparities. Kingdon's multiple-stream framework provided theoretical grounds for policy development and revision. Key findings revealed several interrelated health care disparity themes: the significance of insurance coverages, premium costs, financial barriers, family and personal issues, empowerment strategies, religious beliefs, and roles the church could play in promoting quality community health. The study has implications for positive social change: The results include guidance for the development of a bipartisan health care policy that includes the church as a stakeholder. A- partnership between the church and the legislators of health care reform could be a catalyst for improved metrics, trust, accountability, transparency, and opportunities to create tailored health care interventions and thus help alleviate societal health crises.