Objective:This study aimed to identify the challenges of community health nurses(CHNs)in delivering effective community health care to achieve universal health coverage(UHC)in Myanmar.Methods:A total of 30 CHNs from t...Objective:This study aimed to identify the challenges of community health nurses(CHNs)in delivering effective community health care to achieve universal health coverage(UHC)in Myanmar.Methods:A total of 30 CHNs from township health centers in the northeastern,southern,and western parts of Myanmar were purposefully recruited for quantitative and qualitative interviews.Quantitative data were processed using Microsoft Excel software,and qualitative data were analyzed using thematic analysis.This study is registered with researchregistry6201.Results:Around the country,30 CHNs uncovered their hardships in implementing primary health care to achieve UHC.Over 90%of the participants agreed to the problem of inadequate health infrastructure,while half of them felt unmotivated when they encountered role conflicts among various cadres of healthcare providers and poor opportunities for career promotion.Major problems arose from the lack of standard professional education at the entry point to community settings because most CHNs did not achieve specialized training in providing public health services.Complications are incapable of evaluating health services for policy-making and the inability to conduct health research to develop evidencebased practices.Insecure work and living conditions,unsupportive community relationships,and undereducation in professional practices were supportive major themes explored by CHNs to achieve a deeper understanding of the barriers to UHC.Not only the health system itself but also the population and other geographical factors have contributed to many challenges to CHNs.Conclusion:Myanmar’s CHNs face many challenges in achieving UHC.These challenges are not confined to the health sector.Some situations,such as geographical barriers and transportation problems,remain persistent challenges for healthcare providers.This study highlights the fact that current health systems should be strengthened by qualified healthcare providers and sufficient infrastructure.Meanwhile,public empowerment plays a critical role in promoting health development.展开更多
According to several researches and survey findings, violence and the threat of violence are increasingly present at workplaces in the field of healthcare. In 2011, the Finnish Union of Health and Social Care Professi...According to several researches and survey findings, violence and the threat of violence are increasingly present at workplaces in the field of healthcare. In 2011, the Finnish Union of Health and Social Care Professionals--Tehy implemented a poster campaign targeted at the users of healthcare services, as well as healthcare staff. Representatives of local trade unions, as well as safety representatives, reported that the campaign was relevant. Most employers had a favorable attitude toward distributing campaign posters at the workplace. Raising this issue, which increases the mental burden of work and risks occupational safety at the workplace, helps to achieve improvements. Following the poster campaign, Tehy conducted an electronic survey in early 2012 about the impacts of the campaign among representatives of local trade unions （N= 279） and safety representatives （N = 278）. The campaign resulted in some working environment improvements, as well as an increase in reporting situations involving violence. On a more worrying note, the provision of workplace-level training on managing violent situations did not increase.展开更多
The story of the Twenty-four Solar Terms(24-ST_s) is one of the most popular elements in Chinese culture, which has a profound influence on agriculture production, health care, and even daily life in both ancient and ...The story of the Twenty-four Solar Terms(24-ST_s) is one of the most popular elements in Chinese culture, which has a profound influence on agriculture production, health care, and even daily life in both ancient and modern China. This traditional calendric system was invented by the Chinese ancestors through combining fundamental astronomical knowledge with climatic and phenological conditions in the Yellow River Basin some 2000 years ago. Although the basic philosophy of the 24-ST_s remains valid for the country as a whole to date, their regional robustness has been increasingly challenged by accumulating observational data in terms of temporal shift and spatial inhomogeneity. To tackle these issues, we propose to recalibrate the medically related critical timings of Great Heat and Great Cold in the classic ST system by using big meteorological data, and adjust them by introducing geographically correlated analytical models. As a result, a novel calendric system, called the Twenty-four Medical Terms(24-MT_s), has been developed as an upgraded version of the traditional 24-ST_s. The proposed 24-MT_s are characterized by two striking features with respect to the 24-ST_s: A varying duration of each MT instead of a fixed one for the ST, and a geographically dependent timing for each MT instead of a unified one for the entire nation. As such, the updated 24-MT_s are expected to provide a more realistic estimate of these critical timings around the year, and hence, a more precise guidance to agronomic planning and health care activity in China.展开更多
基金This work was supported by the Ministry of Health and Sports,Republic of the Union of Myanmar(MOHS IR Grant 2019,Research ID No.501).
文摘Objective:This study aimed to identify the challenges of community health nurses(CHNs)in delivering effective community health care to achieve universal health coverage(UHC)in Myanmar.Methods:A total of 30 CHNs from township health centers in the northeastern,southern,and western parts of Myanmar were purposefully recruited for quantitative and qualitative interviews.Quantitative data were processed using Microsoft Excel software,and qualitative data were analyzed using thematic analysis.This study is registered with researchregistry6201.Results:Around the country,30 CHNs uncovered their hardships in implementing primary health care to achieve UHC.Over 90%of the participants agreed to the problem of inadequate health infrastructure,while half of them felt unmotivated when they encountered role conflicts among various cadres of healthcare providers and poor opportunities for career promotion.Major problems arose from the lack of standard professional education at the entry point to community settings because most CHNs did not achieve specialized training in providing public health services.Complications are incapable of evaluating health services for policy-making and the inability to conduct health research to develop evidencebased practices.Insecure work and living conditions,unsupportive community relationships,and undereducation in professional practices were supportive major themes explored by CHNs to achieve a deeper understanding of the barriers to UHC.Not only the health system itself but also the population and other geographical factors have contributed to many challenges to CHNs.Conclusion:Myanmar’s CHNs face many challenges in achieving UHC.These challenges are not confined to the health sector.Some situations,such as geographical barriers and transportation problems,remain persistent challenges for healthcare providers.This study highlights the fact that current health systems should be strengthened by qualified healthcare providers and sufficient infrastructure.Meanwhile,public empowerment plays a critical role in promoting health development.
文摘According to several researches and survey findings, violence and the threat of violence are increasingly present at workplaces in the field of healthcare. In 2011, the Finnish Union of Health and Social Care Professionals--Tehy implemented a poster campaign targeted at the users of healthcare services, as well as healthcare staff. Representatives of local trade unions, as well as safety representatives, reported that the campaign was relevant. Most employers had a favorable attitude toward distributing campaign posters at the workplace. Raising this issue, which increases the mental burden of work and risks occupational safety at the workplace, helps to achieve improvements. Following the poster campaign, Tehy conducted an electronic survey in early 2012 about the impacts of the campaign among representatives of local trade unions （N= 279） and safety representatives （N = 278）. The campaign resulted in some working environment improvements, as well as an increase in reporting situations involving violence. On a more worrying note, the provision of workplace-level training on managing violent situations did not increase.
基金supported by the National Natural Science Foundation of China (Grant No. 61361136001)
文摘The story of the Twenty-four Solar Terms(24-ST_s) is one of the most popular elements in Chinese culture, which has a profound influence on agriculture production, health care, and even daily life in both ancient and modern China. This traditional calendric system was invented by the Chinese ancestors through combining fundamental astronomical knowledge with climatic and phenological conditions in the Yellow River Basin some 2000 years ago. Although the basic philosophy of the 24-ST_s remains valid for the country as a whole to date, their regional robustness has been increasingly challenged by accumulating observational data in terms of temporal shift and spatial inhomogeneity. To tackle these issues, we propose to recalibrate the medically related critical timings of Great Heat and Great Cold in the classic ST system by using big meteorological data, and adjust them by introducing geographically correlated analytical models. As a result, a novel calendric system, called the Twenty-four Medical Terms(24-MT_s), has been developed as an upgraded version of the traditional 24-ST_s. The proposed 24-MT_s are characterized by two striking features with respect to the 24-ST_s: A varying duration of each MT instead of a fixed one for the ST, and a geographically dependent timing for each MT instead of a unified one for the entire nation. As such, the updated 24-MT_s are expected to provide a more realistic estimate of these critical timings around the year, and hence, a more precise guidance to agronomic planning and health care activity in China.
