Impact of community strategy package on uptake of reproductive tract infections health services among young street females in the municipality of Eldoret,Kenya

Background:Despite the intervention of free medical care services for street children by a dedicated clinic in Eldoret municipality,health care service of young street females(YSFs)is still deficient.The present study aimed to evaluate the impact of the community strategy package on the uptake of reproductive tract infections(RTI)health services among the target population.Materials and methods:A pre-test-post-test quasi-experimental with a qualitative and quantitative approach was applied among the YSFs aged 10-24 years.The study used structured questionnaires and key informant interviews to collect data from the respondents.Results:The study enrolled a total of 77 young street females in Eldoret municipality.A significantly higher proportion of respondents reportedly first sought treatment for RTI at a health facility after the implementation of the community strategy package(97.1%)when compared to the proportion of respondents who first sought treatment at a health facility in the pre-intervention phase(51.0%)(p<0.001).Early seeking of treatment improved significantly after the introduction of the intervention;72.0%and 94.1%of the respondents sought treatment early during the pre-intervention and post-intervention phase,respectively(p<0.011).Conclusion:The study recommends the adoption of the community strategy as an intervention to increase the uptake of RTIs health services and promotion of the reproductive health of young street females.

Roles of mutual help of local community networks in community health activities: Improvement for the quality of life of older people in Thailand

Objectives: This study aimed to describe work and activities of community networks focusing on the improvement of the quality of life (QOL) of older people in Thailand.The understanding of the work can help enhancing the community development and strengthening of local communities and their networks.Methods: Qualitative methods including in-depth interview,observation,and focus group discussion were employed to the study.64 participants participated to the study and were recruited from 4 key actors within the community.Content analysis was used to analyze the obtained data.This study was conducted in 6 local administrative organizations (LAOs) which selected from the outstanding areas of the project.Each LAO represents one sub-district of the regions of Thailand namely;(1) the upper north,(2) the lower north,(3)the upper eastern,(4) the lower eastern,(5) the central and (6) the south.Results: The findings of this study were categorized into three main themes: (1) Social capital including people in the community,social groups,and organizations,(2) Mutual help/collaboration activities composed of six sets of activities related to social capitals working on the improvement of QOL of older people,and (3) Impacts of the mutual help/collaboration activities on older people and local communities who help to improve of QOL of older people.Conclusion: The findings are important features for the community development.These themes should be recommended for community nurses,health related groups and organizations for the improvement of QOL of older people in the community.

社区卫生服务支撑体系建设状况分析与发展策略探讨

本文基于全国社区卫生服务体系建设29个重点联系城市(区)的基线调查数据,对我国社区卫生服务发展四大支撑体系的现状进行了分析。针对存在的问题,对发展社区卫生的相关策略进行了探讨,以期为我国社区卫生的深入、持续发展提供参考与借鉴。

Medical care service model combined with support policy development and theoretical research

China has entered the aging society, on the one hand, the number of elderly people in the gradual increase in the number of the corresponding oldest old, disabled elderly, and other semi-disabled elderly is also increasing; on the other hand, family pension function is weakening. This brings new problems and challenges to elderly care services and medical services. How to make the elderly a sense of security, the old medical care, doctors explore new mode of raising combined pension service is very important, domestic scholars have done a lot of this, they mainly focus on the medical support pension model combining content, doctors pension service support combined mode and manner of service objects and the advantages and problems of the medical support combined pension model is discussed. Firstly, from ＂medical support integration＂ policy development view, then from the above three aspects of the research scholars to sort out and summarize, try to identify the lack of exploration and research, indicate the direction for further research.