Effects of Urban Violence on Primary Healthcare: The Challenges of Community Health Workers in Performing House Calls in Dangerous Areas.
Community health workers in developing countries usually perform house calls in degraded and violent territories. Thus, in this paper we study the effects of urban violence in the performance of CHWs in poorly developed territories, in order to understand the challenges of delivering care to dangero...
| Publicado en: | Journal of Community Health Vol. 44; no. 3; pp. 569 - 577 |
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| Autores principales: | , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Jun2019
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=136256223&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 136256223 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Jun2019 vid: 44 iid: 3 pid: 237 pub: Springer Nature artinfo: ui: 136256223 10.1007/s10900-019-00657-2 ppf: 569 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P size: 594KB tig: atl: Effects of Urban Violence on Primary Healthcare: The Challenges of Community Health Workers in Performing House Calls in Dangerous Areas. aug: au: Bellas, Hugo Cesar Jatobá, Alessandro Bulhões, Bárbara Koster, Isabella Arcuri, Rodrigo Burns, Catherine Grindrod, Kelly de Carvalho, Paulo Victor R. affil: Centro de Estudos Estratégicos, Fundação Oswaldo Cruz – FIOCRUZ, Rio de Janeiro, RJ, Brazil Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brazil Escola Nacional de Saúde Pública Sergio Arouca - ENSP, Fundação Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, RJ, Brazil Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil University of Waterloo, Waterloo, ON, Canada Instituto de Engenharia Nuclear - IEN, Comissão Nacional de Energia Nuclear, CNEN, Rio de Janeiro, RJ, Brazil su: Brazil Communities Counseling Home care services Interviewing Medical care Metropolitan areas Primary health care Telephones Psychosocial factors Social support Violence prevention Community health workers Health outcome assessment Surveys sug: subj: Communities Counseling Home care services Interviewing Medical care Metropolitan areas Primary health care Telephones Psychosocial factors Social support Brazil Other Individual and Family Services Services for the Elderly and Persons with Disabilities Home Health Care Services Offices of All Other Miscellaneous Health Practitioners Offices of all other health practitioners Electronic components, navigational and communications equipment and supplies merchant wholesalers Violence prevention Community health workers Health outcome assessment Surveys keyword: Exposure to violence House calls Exposure to violence House calls ab: Community health workers in developing countries usually perform house calls in degraded and violent territories. Thus, in this paper we study the effects of urban violence in the performance of CHWs in poorly developed territories, in order to understand the challenges of delivering care to dangerous communities in developing countries. We conducted telephone surveys for 5 months in 2017, within a systematic sample of 2.000 CHWs based on clinics distributed along the health regions of the city of Rio de Janeiro, Brazil. We completed 766 interviews, approximately 40% of the sample, 86% man and 14% women. Most participants are 30 to 39 years old (35%), followed by 27% of 40 to 49 years old participants. As CHWs work on the sharp end of the healthcare system, responsible for outreaching, community education, counseling, and social support, our study presents contributions to government and management levels on working conditions inside communities, constraints in assistance, and difficulties in implementing primary care policies. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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