ABSTRACT
Objective: to evaluate the users' opinion on the operation of the Center and Counseling Center. Method: evaluative study with quantitative and qualitative approach, consisting of 52 members who responded to a semi-structured interview that it was possible to assess indicators of user satisfaction with the service. To analyze the interviews, we opted for the method of content analysis. The study was approved by the Ethics in Research UFRN (CEP-UFRN), with protocol number 128/10. Results: it was observed that all categories of indicators of users satisfaction were considered satisfactory, but the guidelines, ambiance and access indicators, although they are satisfactory, they require changes. Conclusion: the user's opinion is essential in public health services. It is expected with this study, that there is a reflection on the attitude of professionals, leaders to bring about change in health care happen, and thus the services offered are upgraded.
Objetivo: avaliar a opinião dos usuários sobre o funcionamento do Centro de Testagem e Aconselhamento. Método: estudo avaliativo com abordagem quantiqualitativa, constituída de 52 usuários que responderam a uma entrevista semiestruturada através da qual foi possível avaliar indicadores da satisfação dos usuários com o serviço. Para a análise das entrevistas, optou-se pelo método de análise de conteúdo. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da UFRN (CEP-UFRN), com protocolo de número 128/10. Resultados: percebeu-se que todas as categorias de indicadores de satisfação do usuário foram consideradas satisfatórias, porém os indicadores orientações, ambiência e acesso, apesar de satisfatórios, necessitam de mudanças. Conclusão: a opinião do usuário é essencial nos serviços de saúde pública. Logo, espera-se com este estudo que exista uma reflexão na postura dos profissionais e dos governantes para que mudanças na atenção à saúde aconteçam e, assim, os serviços oferecidos sejam aperfeiçoados.
Objetivo: evaluar la opinión de los usuarios sobre el funcionamiento del Centro de Pruebas y Asesoramiento. Método: estudio evaluativo con enfoque cuantitativo cualitativo, constituida de 52 usuarios que respondieron a una entrevista semi-estructurada a través de la cual fue posible evaluar indicadores de la satisfacción de los usuarios con el servicio. Para el análisis de las entrevistas, se optó por el método de análisis de contenido. La investigación fue aprobada por el Comité de Ética en Investigación de la UFRN (CEP-UFRN), con protocolo de número 128/10. Resultados: se notó que todas las categorías de indicadores de satisfacción del usuario fueron consideradas satisfactorias, sin embargo los indicadores orientaciones, ambiente y acceso, a pesar de satisfactorios, necesitan de cambios. Conclusión: la opinión del usuario es esencial en los servicios de salud pública. Se espera con este estudio que exista una reflexión en la postura de los profesionales y de los gobernantes para que cambios en la atención a la salud sucedan y así, los servicios ofrecidos sean perfeccionados.
Subject(s)
Humans , Male , Female , HIV , User Embracement , Counseling/organization & administration , Health Services Research , BrazilABSTRACT
O estudo objetivou avaliar o trabalho nos Centros de Testagem e Aconselhamento (CTAs) do município de Porto Alegre-RS na perspectiva de seus aconselhadores. Tratou-se de pesquisa qualitativa envolvendo a realização de seis grupos focais com 13 aconselhadoras dos três CTAs do município. Os relatos foram submetidos à análise de conteúdo qualitativa, resultando na categoria temática central Conjugações entre gestão e processos de trabalho nos CTAs. Na visão das aconselhadoras, os serviços são essenciais para o diagnóstico e a prevenção em HIV/Aids e contribuem muito para a efetivação dos atendimentos nessa área. Contudo, os serviços estariam vivendo uma crise quanto ao seu papel, em função da expansão do aconselhamento e da testagem anti-HIV para a rede básica de saúde. Essas mudanças trouxeram angústias e incertezas, principalmente pela falta de diálogo com as esferas gestoras e pela ausência de diretrizes claras para o trabalho no contexto das novas políticas nacionais. Os achados também evidenciaram a preocupação com a qualidade e a forma como o aconselhamento será realizado na Atenção Básica, bem como a necessidade de mais profissionais para o atendimento em HIV/Aids e de consultas com especialidades médicas. Acredita-se que estratégias de gestão participativa poderiam contribuir no redirecionamento da atuação dos CTAs, fortalecendo o matriciamento da testagem e do aconselhamento em HIV e reforçando os CTAs na atenção de maior complexidade e como formadores de recursos humanos na área.
This qualitative study aimed to assess the work in Voluntary Counseling and Testing Services (VCT) in Porto Alegre, Brazil in the perspective of their counselors. It was conducted six focus groups with 13 counselors from the three VCT services in the city. Qualitative content analysis of the reports resulted in a central theme named Joining management and work processes in the VCT services. Counselors have emphasized that services are essential for HIV/AIDS diagnosis and prevention, and contributed significantly to effective healthcare. However, VCT services were facing a crisis regarding its role in the healthcare system since counseling and HIV testing activities were being extended as a responsibility of primary health care. These changes have brought anxiety and uncertainness among counselors, especially because the poor relationships with management levels and the lack of clear guidelines in the new policy context. Findings also pointed out counselors' concerns about the quality of counseling offered in the primary health care services, the lack of professionals to HIV/AIDS healthcare and the lack of medical specialist appointments. We endorsed that participatory management strategies could help to redirect VCT services activities, strength the matrix support testing and counseling for HIV and value these services as specialized healthcare providers and human resources reference for training in the area.
Subject(s)
Humans , Primary Health Care , Attitude of Health Personnel , HIV Infections/diagnosis , Health Education , Acquired Immunodeficiency Syndrome/diagnosis , Counseling/organization & administration , Health Evaluation , Brazil , HIV Infections/prevention & control , Public Health , Acquired Immunodeficiency Syndrome/prevention & control , HIV , Health Personnel/education , Health Management , Qualitative Research , Health WorkforceABSTRACT
PURPOSE: The purpose of this study were to investigate the effects of a 12-week brisk walking program on triglycerides (TG) and apolipoprotein B (Apo B) and to compare these effects to those of a brisk walking plus diet program in middle-aged overweight/obese (BMI> or =23) Korean women with hypertriglyceridemia. METHOD: This analysis was done with nineteen middle-aged overweight/obese Korean women who completed either the brisk walking program (9 women) or the brisk walking plus diet program (10 women) for 12 weeks. The brisk walking consisted of walking for 20 to 50 minutes/day at an intensity of 40 to 70% of heart rate reserve (HRR) for 3 to 6 days/week. The diet consisted of 60 minutes of group education and 20 to 30 minutes of individual counseling every week. TG and Apo B were assessed pre- and post-intervention. RESULTS: TG and Apo B decreased significantly after the brisk walking program (Z = -2.31, p = 0.021; Z = -2.59, p = 0.009). TG and Apo B lowering effects of the brisk walking program were not significantly different from those of the brisk walking plus diet program (U = 37.0, p = 0.549; U = 42.0, p = 0.842). CONCLUSION: Brisk walking can be an effective intervention for overweight/obese middle-aged women with hypertriglyceridemia in reducing cardiovascular risk by lowering TG and Apo B levels. Adding diet to brisk walking may have no additional significant effects on changes in TG and Apo B.
Subject(s)
Adult , Female , Humans , Middle Aged , Apolipoproteins B/blood , Body Mass Index , Cardiovascular Diseases/etiology , Combined Modality Therapy , Counseling/organization & administration , Diet, Fat-Restricted/methods , Energy Intake , Exercise Test , Exercise Therapy/education , Heart Rate , Hypertriglyceridemia/blood , Korea/epidemiology , Nursing Evaluation Research , Obesity/complications , Patient Education as Topic/organization & administration , Prevalence , Risk Reduction Behavior , Triglycerides/blood , WalkingABSTRACT
PURPOSE: This study was done to determine the effects of weight management program using self-efficacy in middle-aged obese women. The study also attempted to measure the effects of the program on the weight efficacy lifestyle, body composition, and depression. METHOD: The research design of this study was a nonequivalent control group pretest-posttest design. The experimental group consisted of 21 middle-aged obese women and another 21 middle-aged obese women in the control group. The women in the experimental group participated in the weight management program for 12 weeks using self-efficacy. The weight management program using self-efficacy included education on effects of exercise for weight control, aerobic exercise program, muscle training and counseling through the telephone. RESULTS: After 12 weeks of participation in the program, BMI (p<.0001), body fat % (p<.0001), abdominal fat (p<.0001), in the experimental group were significantly decreased compared to the control group. Weight self-efficacy lifestyle (p<.0001) and depression (p=.006) in the experimental group were significantly improved after the program compared to the control group. According to these findings, weight management program self-efficacy for middle-aged obese women could increase weight efficacy lifestyle, and decrease depression, BMI, body fat, and abdominal fat. CONCLUSION: The result also suggested that the increasing weight efficacy and lifestyle help the obese women to perform and continue exercise. This program could be used in the community such as public health center for weight care and mental health promotion of middle-aged obese women.
Subject(s)
Adult , Female , Humans , Middle Aged , Body Composition , Body Mass Index , Body Weight , Chi-Square Distribution , Counseling/organization & administration , Depression/complications , Exercise Therapy/methods , Life Style , Lipids/blood , Nursing Evaluation Research , Obesity/blood , Patient Education as Topic/organization & administration , Program Evaluation , Psychiatric Status Rating Scales , Surveys and Questionnaires , Self Efficacy , TelephoneSubject(s)
Counseling/organization & administration , Depressive Disorder/diagnosis , Health Education/organization & administration , Health Fairs/organization & administration , Humans , India/epidemiology , Needs Assessment , Program Evaluation , Referral and Consultation/organization & administrationABSTRACT
To improve treatment compliance, follow-up and attendance of STD patients and their contacts, a programme, based on domiciliary visits was attempted. The programme was limited to male defaulters not responding to written and telephone calls. House visits to 79 out of 169 defaulters were made. Approximately half the number of houses were found locked. Fourteen defaulting patients reported for completion of their treatment and follow-up. Of these 11 were directly interviewed. None of the 14 patients agreed to disclose the addresses of their extramarital partners. During the study period 51 female sex contacts reported for treatment as compared to 27 in the control group. Though the numbers were small the study revealed that direct contact with the patient yielded the best results. It is suggested that to make the system cost-effective the health workers should spend time with STD patients in the clinic to mark out the correct location and time for meeting the patient either in the work place or at home in case of a follow-up.