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Indigence et soins de santé primaires en République du Bénin: approche de solutions au problème d'identification des indigents dans les formations sanitaires publiques / Indigence and primary health care in Republic of Benin: approach of solution to the problem of targeting of indigents in the public medical centreOuendo, Edgard-Marius D. 18 May 2005 (has links)
Introduction: Du fait des faibles résultats enregistrés par différents systèmes de santé dans le monde, la conférence d'Alma Ata de 1978 avait préconisé l’approche des Soins de Santé Primaires. Pour renforcer cette approche et faciliter l’accessibilité universelle aux soins, l’Initiative de Bamako fut adoptée en 1987. Cette initiative se fonde sur la participation financière des patients aux soins. L'une des conséquences est le coût financier des soins pour les bénéficiaires avec un risque d'exclusion de certains patients. Mais l’Initiative de Bamako suggère les dispositions à prendre pour éviter l'exclusion des indigents. Au Bénin, les comités de gestion des centres de santé ont la responsabilité de veiller à l'accès aux soins des indigents. Mais malgré cela, la prise en charge des indigents n’est pas effective. Les professionnels de la santé se plaignent de ne pas disposer de critères d'identification des indigents. Sur cette base, l'identification des indigents constitue la pierre angulaire de leur prise en charge. En conséquence, la mise en place d'une stratégie opérationnelle fondée sur l'identification des indigents par les personnes ressources de la communauté et soutenue par un outil quantitatif d'identification, permet une identification fiable des indigents en vue de leur prise en charge sanitaire. <p>Méthode: Après un état des lieux de la situation des indigents dans le système de santé au Bénin, trois études ont été réalisées pour approfondir la question des indigents; <p>•\ / Doctorat en Sciences de la santé publique / info:eu-repo/semantics/nonPublished
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The perceptions of women with fibroids from diverse cultures regarding hysterectomyDzebu, Munyadziwa Jane 30 November 2007 (has links)
The purpose of this study was to explore and describe contributing factors that influence the perceptions of women with fibroids from diverse cultures regarding hysterectomy. The area of research was delimited to issues of hysterectomy among women with fibroid uterus.
The study employed a descriptive explorative method and data were collected by means of structured questionnaires. The study was conducted in one academic referral hospital, over a period of six months. The respondents were the patients with fibroid uterus and the doctors and nurses in the gynaecological units of the hospital. The majority of the patients indicated that they were afraid of undergoing a hysterectomy because of the social stigma associated with this life-saving procedure, such as alienation or marginalization by members of their respective communities. The nursing staff and gynaecologists in the unit emphasized the deep-seated fear of hysterectomy amongst women from diverse cultures.
The study found that women need information about their bodies and how they function. Health education is also needed for women and their communities. Research is needed amongst members of different communities and diverse cultures to voice their perceptions of women undergoing hysterectomy because of ill health. / Health Studies / M.A. (Health studies)
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The perceptions of women with fibroids from diverse cultures regarding hysterectomyDzebu, Munyadziwa Jane 30 November 2007 (has links)
The purpose of this study was to explore and describe contributing factors that influence the perceptions of women with fibroids from diverse cultures regarding hysterectomy. The area of research was delimited to issues of hysterectomy among women with fibroid uterus.
The study employed a descriptive explorative method and data were collected by means of structured questionnaires. The study was conducted in one academic referral hospital, over a period of six months. The respondents were the patients with fibroid uterus and the doctors and nurses in the gynaecological units of the hospital. The majority of the patients indicated that they were afraid of undergoing a hysterectomy because of the social stigma associated with this life-saving procedure, such as alienation or marginalization by members of their respective communities. The nursing staff and gynaecologists in the unit emphasized the deep-seated fear of hysterectomy amongst women from diverse cultures.
The study found that women need information about their bodies and how they function. Health education is also needed for women and their communities. Research is needed amongst members of different communities and diverse cultures to voice their perceptions of women undergoing hysterectomy because of ill health. / Health Studies / M.A. (Health studies)
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