International Implementation Research Network in Primary Health Care

This paper outlines the importance of Implementation Research in primary health care and the context in which it operates. The first section gives background to the vital role of implementation research in developing and supporting health care delivery, systems and services, and the importance of closely linking implementation research to primary health care to achieve this. The second section outlines the background, purpose and role of the IIRNPC and to discuss network activities in 2014

Improving postpartum care among low parity mothers in Palestine

In an effort to improve the health status of Palestinian women and their children in the West Bank and Gaza, USAID, in collaboration with the Palestinian Ministry of Health and a number of NGOs, designed and funded a 28-month pilot activity, the Pilot Health Project (PHP), that was expected to have a positive impact on the health of women and children. This report describes the results of the intervention designed to measure the effectiveness of a second home visit on low-parity women in 1) improving their knowledge and practices regarding their own health as well as the health of their newborn child; 2) increasing utilization of healthcare services postpartum, particularly the day 40 clinic visit; 3) increasing husband support; 4) increasing contraceptive use at six months postpartum; and 5) improving awareness and practice of breast and cervical cancer prevention techniques. Based on its findings, the report recommends: at least one home visit to low-parity women during the postpartum period, improving the performance of community health workers during home visits, involving husbands, encouraging mothers to seek postpartum care, catering to the needs of the mother as well as the newborn during the day 40 visit, and investigating use of mass media as a way of disseminating health information to low parity mothers

Quick COVID-19 Primary Care Survey of Clinicians: Summary of the second weekly pan-Canadian survey of frontline primary care clinicians’ experience with COVID-19. (English)

On Friday April 10, the SPOR PIHCI Network, in partnership with the Larry A. Green Center, launched the weekly Canadian Quick COVID-19 Primary Care Survey. Weekly results are available in English and French and an invitation to primary care clinicians across the country to participate opens weekly (http://spor-pihci.com/resources/covid-19/).https://deepblue.lib.umich.edu/bitstream/2027.42/154872/1/PIHCIN-Covid-19-survey series2.pdfDescription of PIHCIN-Covid-19-survey series2.pdf : Main Articl

Global healthcare for the 21st century and beyond

Despite the Alma-Ata goal of acceptable health care for all by the year 2000, gross inequalities continue to condemn the world’s poorer and disadvantaged citizens to inadequate levels of health and health care. Articles in this issue describe important history, cultural influences and political events leading to this disparity, as well as current challenges and model programmes that inform our path forward

Is bigger better for primary care groups and trusts?

SIGLEAvailable from British Library Document Supply Centre-DSC:m01/16032 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

New investments in primary care in Australia

There is a crisis in primary care health workforce shortages in Australia. Its government has attempted to fix this by role-substitution (replacing medical work with nursing instead). This was not completely successful. Obstacles included entrenched social roles (leading to doctors 'checking' their nurse role-substituted work) and structures (nurses subservient to doctors) - both exacerbated by primary care doctors' ageing demographic; doctors owning their own practices; doctors feeling themselves to have primary responsibility for the care delivered; and greater attraction towards independence that may have selected doctors into primary care in the first place

APHCRI Dialogue

Through this bulletin, published between 2005 and 2010, APHCRI debated issues applicable to national policy formulation. Issues emerged through national and international media watches, systematic reviews of research, government documents and discussion at workshops and conferences attended by APHCRI staff. They were within one of eight identified areas of interest for APHCRI addressed in the primary health care setting - namely: 1. Chronic disease management; 2. Integration, co-ordination and multidisciplinary care; 3. Prevention and early intervention; 4. Innovative models for comprehensive primary health care delivery; 5. Innovative models for the management of mental health in primary health care settings; 6. Older Australians and health promotion, prevention and post-acute care; 7. Children and young Australians, health promotion and prevention; and 8. Workforce. A topic area was selected for each issue of the publication and was discussed in the bulletin, with room for responses from readers in future issues. It was recognised that issues addressed in the APHCRI Dialogue would at times be controversial. In putting forward the evidence and raising the questions the aim was to facilitate informed debate – not to take a particular ‘partisan’ line. APHCRI Dialogue had regular features examining how issues discussed in the bulletin have been explored in the media, as well as an update on the activities of the APHCRI team during the quarter, including their policy development work, new research grants, the latest research results and policy and information seminars.The Australian Primary Health Care Research Institute is supported by a grant from the Australian Government Department of Health and Ageing under the Primary Health Care Research Evaluation and Development Strategy

4 SCMU8-08/09-0036 Supply, Delivery and Erection of boundary fences at Mt Pleasant Farm in the Nxuba Municipality.

Appointment of a service provider to render cleaning and hygienic services at EC Provincial Treasury for a period of 36 months. 7 SCMU10-08/09-0084 Establishment at OR Tambo District of Saturday school for Maths

‘I wouldn't push that further because I don't want to lose her’: a multiperspective qualitative study of behaviour change for long-term conditions in primary care

Background: Health outcomes for long-term conditions (LTCs) can be improved by lifestyle, dietary and condition management-related behaviour change. Primary care is an important setting for behaviour change work. Practitioners have identified barriers to this work, but there is little evidence examining practices of behaviour change in primary care consultations and how patients and practitioners perceive these practices. Objective: To examine how behaviour change is engaged with in primary care consultations for LTCs and investigate how behaviour change is perceived by patients and practitioners. Design: Multiperspective, longitudinal qualitative research involving six primary health-care practices in England. Consultations between patients with LTCs and health-care practitioners were audio-recorded. Semi-structured interviews were completed with patients and practitioners, using stimulated recall. Patients were re-interviewed 3 months later. Framework analysis was applied to all data. Participants: Thirty-two people with at least one LTC (chronic obstructive pulmonary disease, diabetes, asthma and coronary heart disease) and 10 practitioners. Results: Behaviour change talk in consultations was rare and, when it occurred, was characterized by deflection and diffidence on the part of practitioners. Patient motivation tended to be unaddressed. While practitioners positioned behaviour change work as outside their remit, patients felt uncertain about, yet responsible for, this work. Practitioners raised concerns that this work could damage other aspects of care, particularly the patient–practitioner relationship. Conclusion: Behaviour change work is often deflected or deferred by practitioners in consultations, who nevertheless vocalize support for its importance in interviews. This discrepancy between practitioners’ accounts and behaviours needs to be addressed within primary health-care organizations