Abstract:
:In 1976 the Ministry of Health of Nicaragua began a low cost program to deliver simple health services in rural areas through trained traditional birth attendants or "parteras." After two years the program had prepared 768 parteras in a five-day training course. Parteras were equipped with a kit that included oral rehydration salts, an antihelminthic, multi-vitamins with iron, aspirin, contraceptives, and obstetrical equipment. The difficulties encountered in implementing this limited set of simple health services illustrate a number of potential obstacles to the achievement of universal, comprehensive primary health care in less developed countries. The most prominent difficulties involved elements of the health service delivery system itself: supervision, the collection and use of management information, training, partera selection, and logistics. The experience also provided examples of issues in the design of delivery systems that require specific applied research.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Heiby JRdoi
10.2105/ajph.71.5.514subject
Has Abstractpub_date
1981-05-01 00:00:00pages
514-9issue
5eissn
0090-0036issn
1541-0048journal_volume
71pub_type
杂志文章abstract:OBJECTIVES:This study examined the persistence and comorbidity of women's physical and mental health conditions after pregnancy and the association of these conditions with child outcomes. METHODS:A national cohort of women who recently gave birth were surveyed in 1988 and again in 1991. We examined longitudinal data ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.8.1312
更新日期:2002-08-01 00:00:00
abstract:OBJECTIVES:To measure cost-effectiveness of an intervention to increase retrofitting of rollover protective structures (ROPS) on tractors. METHODS:Tractor overturns are the leading cause of farm fatalities. ROPS prevent these deaths. This study updates a 2011 cost-effectiveness assessment of a New York State intervent...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304644
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:We examined the association between unprotected anal intercourse and sexually transmitted diseases (STDs) among heterosexual women. METHODS:In 2006 through 2007, women were recruited from high-risk areas in New York City through respondent-driven sampling as part of the National HIV Behavioral Surveillance ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.181883
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVES:This project investigated whether augmented prenatal care for high-risk African American women would improve pregnancy outcomes and patients' knowledge of risks, satisfaction with care, and behavior. METHODS:The women enrolled were African American, were eligible for Medicaid, had scored 10 or higher on a r...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.91.1.105
更新日期:2001-01-01 00:00:00
abstract::Twenty-eight states have laws that limit payments in malpractice cases, and several studies indicate that these laws reduce the frequency and severity of malpractice claims and lower premiums. Moreover, proponents believe that such laws reduce health care expenditures by reducing the practice of defensive medicine. Ho...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.077883
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVES:This study investigated the psychological effects of paid employment and nonemployment, cross-sectionally and longitudinally, in 541 middle-aged women. METHODS:Women were seen for an extensive baseline evaluation and were reevaluated in an identical manner 3 years later. They were divided into four "synthet...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.2.202
更新日期:1994-02-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.087551
更新日期:2007-06-01 00:00:00
abstract::Public health agencies increasingly use electronic means to acquire, use, maintain, and store personal health information. Electronic data formats can improve performance of core public health functions, but potentially threaten privacy because they can be easily duplicated and transmitted to unauthorized people. Alth...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.107706
更新日期:2008-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.115519
更新日期:2008-04-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.152942
更新日期:2010-03-01 00:00:00
abstract::A case of rubella in a male obstetrics-gynecology house staff member exposed 170 staff members and 11 prenatal patients to the clinical disease. Of 163 staff members tested within one week of exposure, 132 (80 per cent) were not susceptibles. Repeat titres three weeks later on 28 susceptibles remained negative. Of the...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.3.287
更新日期:1979-03-01 00:00:00
abstract::Certificates of 1,454 deaths occurring over 11 months were retrieved from the Civil Register in Valencia, Spain. Relevant medical information was systematically gathered from hospital records, questionnaires, and Coroner reports. We compared the underlying cause of death (UCD) from the original death certificate, and ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.10.1352
更新日期:1989-10-01 00:00:00
abstract::Most exposure to low-level ionizing radiation, both diagnostic x-rays and nuclear radiation, occur in the range between 100 milirads and 10 rads--the "one rad range". In the past, the estimates of hazards in this range have been obtained by linear extrapolation from data on persons who were exposed to much higher dosa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.2.130
更新日期:1979-02-01 00:00:00
abstract:OBJECTIVES:This study assessed changes in the prevalence of hearing impairment in persons aged 50 years and older over the past 30 years and identified risk factors. METHODS:Age-adjusted hearing impairment prevalence rates at four time intervals were calculated from the Alameda County Study (n = 5108). Logistic regres...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.3.440
更新日期:1997-03-01 00:00:00
abstract:OBJECTIVES:Knowledge of infection is essential for human immunodeficiency virus-type 1 (HIV-1) treatment initiation and epidemic control. This study evaluates infection knowledge among infected injection drug users and acceptance of confidential testing among injection drug users, particularly those infected with HIV-1...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.10.1414
更新日期:1993-10-01 00:00:00
abstract:OBJECTIVES:We conducted a midpoint review of The California Endowment's Healthy Eating, Active Communities (HEAC) program, which works in 6 low-income California communities to prevent childhood obesity by changing children's environments. The HEAC program conducts interventions in 5 key childhood environments: schools...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.192781
更新日期:2010-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2006.094128
更新日期:2007-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.5.461
更新日期:1976-05-01 00:00:00
abstract::An analysis was performed of direct maternal mortality over 22 years (1950 through 1971) in the state of Michigan. The overall direct maternal mortality rate fell from 5.0/10,000 live births in 1950 to 1.5 in 1971. The rate among nonwhites was more than four times greater than among whites and the difference in relati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.9.821
更新日期:1977-09-01 00:00:00
abstract:OBJECTIVES:We sought to determine the amount of time required for a primary care physician to provide recommended preventive services to an average patient panel. METHODS:We used published and estimated times per service to determine the physician time required to provide all services recommended by the US Preventive ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.4.635
更新日期:2003-04-01 00:00:00
abstract::To evaluate helmet use in California before and after the introduction of an unrestricted helmet use law on January 1, 1992, observations of motorcycles and their riders were made at 60 locations in seven California counties, twice before and four times after the law was introduced. Helmet use increased from about 50%...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.1.96
更新日期:1995-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:2003-07-01 00:00:00
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journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.83.11.1567
更新日期:1993-11-01 00:00:00
abstract::In a matched case-control study of an occupational cohort in East Tennessee, data from the death certificates of 608 cases and controls were abstracted and analyzed in order to investigate possible risk factors associated with the certification on the death certificate of an ill-defined cause of death. There was a ver...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.3.455
更新日期:1992-03-01 00:00:00
abstract:OBJECTIVES:We assessed whether it would be feasible to replace the standard measure of net worth with simpler measures of wealth in population-based studies examining associations between wealth and health. METHODS:We used data from the 2004 Survey of Consumer Finances (respondents aged 25-64 years) and the 2004 Healt...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.194175
更新日期:2011-05-01 00:00:00
abstract::Examining previously underused corporate documents, we revisit the story of the Asbestos Information Association/North America, an industry trade group that sought in the early 1970s to counteract the growing public attention to, and government regulation of, asbestos as a serious threat to workers and consumers. From...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.303023
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVES:This report examines the impact of an economic embargo from 1991 to 1994 on health, well-being, and human rights in Haiti. METHODS:Data from surveillance systems for nutrition, reportable diseases, and hospital diagnoses were combined with survey data and interviews with affected women, governmental represe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.10.1499
更新日期:1999-10-01 00:00:00
abstract::We investigated changes in community-based agencies following the implementation of the Medicare prospective payment system for hospitals utilizing DRGs (diagnosis-related groups). Data were collected in 1986 and 1987 from 771 community service providers. There were five major findings: 1) hospital discharge planners,...
journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:1990-07-01 00:00:00
abstract::The relationships of high-density lipoprotein (HDL) cholesterol with body composition, leisure-time physical activity, cigarette smoking, and education were examined in a community-based sample of 480 Black and 1337 White women. Univariate and multivariate analyses indicated inverse associations of HDL with body mass ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.1.98
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVES:We evaluated the effectiveness of the Community Relapse Prevention and Maintenance (CRPM) program, developed by Correctional Service Canada to better meet the needs of women offenders with drug problems. METHODS:Using survival analysis, we investigated the association between exposure and nonexposure to CRP...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.300094
更新日期:2011-06-01 00:00:00