Biography:

Rafia Rahman (Assistant Professor) has worked with national and international NGOs for around nine years and then as an Academician , currently working in Institute of Health Economics, University of Dhaka, Bangladesh. She is interested in area of Health Economics, capacity building and sustainability. She take classes on public health, health science, epidemeology, Medical Sociology,Health System and Management in Health Sector.

Abstract:

Worldwide, there were 59.8 million health workers. About two third of them (39.5 million) provide health services. Worlds 57 countries are facing an acute shortage. Different countries of the world address the problem with different strategies. None of strategy is established as accurate solution. The purpose of this study is to describe among the changes, if substitution in the mainstream of health systems, people will get services at very low cost. A structured questioner was taken for in-depth interviews and focus groups. A hypothetical framework was utilized to focus on the changes, crisis and policy implication. Managers and community people suggested if service provide at locality, it will ensure the accessibility, availability and continuity of services. Local people were prepared to adjust quality in terms of waiting time and privacy with ensure referral at higher facility. Non-doctor health care provider having pre-existing medical training, receive top-up training undertake placement for experience and skill. Recommendation is for many diseases effective, cost-efficient interventions would exist.

Image

Biography:

Wei Zhu has completed his Bachelor’s degree in Nursing at West China School of Nursing, China. Presently, he is graduated student (Registered Nurse) in West China School of Nursing, majoring in hemorrhagic stroke disease

Abstract:

World health organization reported that stroke was the second leading cause of death in 2015, killed more than 6 million people in 2015 and remained the biggest killer with ischemic heart disease in last 15 years. In China, stroke is the first leading cause of death and disability, causing great demands for post-discharge care form communities and other institutions. The transitional care model was regarded as the first choice to solve this problem. The purpose of this study is to analysis the link and difference in different transitional care model and to describe the use of them in patients with hemorrhagic stroke. Methodology used was searching the online database including PubMed, Medline, Ovid-Embase and so on and review the articles. There were some mature transitional care models all over the world. However, the concept, framework, interventions and evaluation of the models differed greatly. The use of transitional care model in patients with hemorrhagic stroke was effective in reducing the cost of medical care, increasing the quality of life of patients and caregivers. The transitional care model was effective in stroke patients. It was a connection between the hospital and primary health care institutions. More research is needed to build a transitional care model, which is suitable for the health care system, individually.

Biography:

Disa Dahlman has her research concerns in physical health and unmet healthcare needs among people who inject drugs and patients receiving opioid substitution treatment (OST). Her clinical work is focused on easy-accessible primary care for patients’ groups having difficulties overcoming barriers towards primary health care, such as patients in OST.

Abstract:

Symptoms of anxiety and depression are increasing in the Swedish population. Also, patients with severe psychiatric disorders such as psychosis and heroin addiction are over-represented for physical illness such as blood-borne infections, cardiovascular disease and diseases related to tobacco use. Unmet healthcare needs are common in these patient groups. Our primary healthcare clinic aims to integrate psychiatry and primary healthcare. We present a clinical triage model of diagnosing and treating patients with psychiatric illness at primary healthcare level and a model of offering easy-accessible, low-threshold primary healthcare for patients receiving outpatient psychiatric care. Strategy for improving psychiatric care at primary healthcare level: Triage by psychiatric nurse, according to Figure-1; nurse led Antabuse and prescription drug distribution for patients with substance use disorders; patients with complex psychiatric problems are discussed in team with physician, psychiatric nurse, psychologist and counselor and on-site consultations with psychiatrist/psychologist for complex patients. Close collaboration with Addiction Centre Malmö. Strategy for improving access to primary healthcare for patients receiving treatment at psychiatric outpatient clinics: On-site primary healthcare for patients in opioid substitution treatment and yearly on-site health examinations for patients with psychosis.

Biography:

Takafumi Atarashi is President of Open Medical Consulting/AKT Consulting Group K.K. After graduating from KEIO University. Takeda experienced MR, marketing, overseas sales, afterwards MBA were acquired in Ashridge, City University in UK, and he was Director of Marketing Division at Roche, BD, Mylan and B+M. He established Open Medical Consulting (OMC) in 2011, and as President of AKT Consulting Group K.K., currently consults life science companies and healthcare organizations using IT technology.

Abstract:

In the past ten years, Japan has taken the form of giving benefits to medical institutions and dispensing pharmacies for dissemination of generic drugs. Among the medicines for which patent wants to break now, generic drugs have nearly 70% market share, but the country aims at something more than 80%.

Meanwhile, long-term listed drugs from the year when the patent expired in 10 to 12 years, will be as the same price as generic drugs. For generic pharmaceutical companies and original drug companies that are not going to develop new drugs are also in a very difficult situation.

In order to overcome competition in the long-listed items and generic drug market, it is necessary not only to price strategy, but also generic innovative product such as

Tablet size changes, DDS change and package changes, have been requested. Japan is required to have value-added generics than other countries.

Biography:

Panarat Chenchob has completed her PhD in Nursing (Health-Promotion) from Michigan State University, College of Nursing, USA and Postdoctoral studies from University of Michigan, USA. She is presently working as the Head of the Division of Human Resource Management at Boromarajonani College of Nursing, Buddhachinaraj, Thailand. As a Researcher, she serves in Thailand Primary Care Unit as a Principal Investigator (PI). Her research studies focuses on behavior change in preventing NCDs (The Strengthen Community Nurses’ Competency to enhance District Health System in Northern, Thailand).

Abstract:

The purpose of this participatory action research was to enhance the community nurses performance and heath care providers in primary health care system and community health networks in order to support and develop District Health System (DHS). This study involved the primary health care and community health network in DHS at the 1^st, 2^nd and 3^rd public health region was carried out during June 2015 to June 2017. The result showed that 12 districts achieved to develop a community health and promote health-promotion behaviors, including 40 community nurses, 106 participants in 16 interdisciplinary teams and 72 community health networks. The result of this study suggest that the approach to primary care system development and health, community, which contained important elements were: (1) The development of the potential of primary care nurses in the participant of health- promotion; (2) The encouragement for health-promotion based on the community context learning; (3) The development process with tools “four main and three sub-components” in order to analyze the problem, foundation and communication of community; (4) The encouragement of the local government and public sector for integration in the common goal; and (5) Facilitator for sharing and learning in the health care provider between community health networks. This result can inform health care providers and researchers interested in enhancing the community nurses competency. The encouragement for nurses and health care providers and community health networks should be supported based on the context based of community in order to create a sustainable health system.

Biography:

Marilia Silva Paulo is currently finishing her PhD in International Health with specialization in Health Polices and Development. Her field of study is in Health Services Research, more specifically she has been working on how to improve quality in primary health care and delivery of care to chronic patients. Her passion is on improving health systems quality and empowering people to manage their own diseases. She is been working at the Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University.

Abstract:

The Chronic Care Model (CCM) is a multicomponent model with an organizational approach that addresses how to deliver care for all individuals with chronic diseases and has its own assessment tools, like the Assessment Chronic Illness Care (ACIC)^1,2. Objectives: To explore healthcare workers perception of the level of integration of the Chronic Care Model (CCM) in the daily care of chronic patients. Methodology & Theoretical Orientation: A purposive sample of 14 healthcare workers from Abu Dhabi’s health system was interviewed using a semi-structured topic guide based on the ACIC instrument. A mixed-methods approach was used, as interviews were recorded, transcribed verbatim, and subject to content analysis using words as the unit. Following each question on the topic guide, participants scored the corresponding ACIC subscale from 0 (limited support) to 11 (fully developed). Findings: Delivery system design was the element with the highest score 8.5 and the only fully developed element to support chronic illness care. All the other elements were rated as reasonably good with scores between 6.3 (community) and 8.1 (health system). Participants awarded high scores for some components; however, the qualitative findings did not always support the quantitative data indicating that the transition from doctor-centered to patient-centered is still in process. Conclusion & Significance: Abu Dhabi’s health system currently provides good support for chronic illness care. Strategies have been implemented to create a pathway towards the full development of the CCM best practices and healthcare excellence.

Biography:

Retno Asti Werdhani, born in Jakarta, August 25, 1975. Graduated School of Medicine University of Indonesia in 2000 and joined the faculty of medicine since 2001 in the department of community medicine. She has been a member of Medical Education Unit Faculty of Medicine University of Indonesia since 2010. She earned her master in clinical epidemiology in 2006 and graduated from doctoral of medicine in 2016. Currently she works as medical education coordinator in department of community medicine since 2014 and continue developing the role of community medicine in undergraduate medical curriculum. 

Abstract:

Abstract (300 word limit)

It was observed that teaching of the Community Medicine/Public Health subjects have already existed, but without links among departments. Primary Care Doctors are usually considered one of the leaders of health system and they should provide leadership in healthcare delivery as well as health system reform. Therefore, fresh graduate doctors who, in our country, will work in primary care (at least 1 year after graduation), need to understand various aspects of socio-demographic phenomenon to create a bridge between population and health. To create the bridge between population and health, there is a necessity of community medicine in medical education. Medical graduates have limited awareness of ongoing health challenges that health systems are facing. There are also lacks of effective teamwork and leadership as well as low interest in public health/community health among undergraduate students.¹

Community Oriented Medical Education (COME) is an approach to medical education, which is focused on population groups and individual persons as well as all aspects of priority of health problems.²There are Five keys strategic direction according to WHO strategic framework for strengthening undergraduate medical education in addressing current health challenges.³Faculty of Medicine Universitas Indonesia has experience on implementing those strategies, one of which is a multi-department (community and clinical medicine) longitudinal and integrated clerkship module.⁴The module consist of many field practices (hospital and primary care based), and multidepartment personnel (committee and tutors), as well as medical education unit as our advisor.⁵

Biography:

Coming Soon

Abstract:

Biography:

Dr Rachel Nissanholtz-Gannot is a lawyer and serves as the head of the department of Health System Management at Ariel University. She is also a researcher at Myers-JDC-Brookdale Institute in Jerusalem. Her fields of interests are law, health and medical ethics. Her studies include issues, such as: Implementation of the Dying Patient Law; Physician – Pharma Relationship; Quality Indicators in Primary Health System; Changing Role of Community Nurses. The current study was published and Rachel is planning to continue another research on this issue.

Abstract:

Nurses have become key partners to the medical profession in promoting and monitoring the quality of community-based health services. Israel has had a highly effective national quality monitoring programme for community-based health services since 2004. The objective of this study is to analyse Israeli primary care physicians' (PCP's) perceptions of nurses’ roles in that program and their contributions to the monitoring and improvement of healthcare quality.

A representative sample of 1000 PCPs in Israel were surveyed using a  73-item questionnaire. . Altogether, responses were received from 605 of the 884 physicians (69%) who met the study criteria, for a response rate of 69%. Descriptive analyses were performed.

Most respondents (74%) agreed that nurses shared responsibility for improving the quality measures and that nurses contributed to practice quality. Physician characteristics typically had a minor impact on their perceptions as to whether the nurses contributed to quality improvement.  Physicians who felt that measurement improved care quality and those supporting programme continuation were likelier to perceive nurses to share responsibility. However, in open ended-questions about the changes they had made in their practice as a result of the programme, they made minimal reference to nurses’ importance and contributions in improvement of quality indicators 

There was a disparity between the closed-ended and open-ended questions regarding the way physicians depicted the roles of nurses in quality monitoring and improvement. This disparity suggests that  the nurses’ growing involvement in quality have not yet been fully internalised or appreciated by the physicians

Biography:

Dr Rachel Nissanholtz-Gannot is a lawyer and serves as the head of the department of Health System Management at Ariel University. She is also a researcher at Myers-JDC-Brookdale Institute in Jerusalem. Her fields of interests are law, health and medical ethics. Her studies include issues, such as: Implementation of the Dying Patient Law; Physician – Pharma Relationship; Quality Indicators in Primary Health System; Changing Role of Community Nurses. The current study was published and Rachel is planning to continue another research on this issue.

Abstract:

Nurses have become key partners to the medical profession in promoting and monitoring the quality of community-based health services. Israel has had a highly effective national quality monitoring programme for community-based health services since 2004. The objective of this study is to analyse Israeli primary care physicians' (PCP's) perceptions of nurses’ roles in that program and their contributions to the monitoring and improvement of healthcare quality.

A representative sample of 1000 PCPs in Israel were surveyed using a  73-item questionnaire. . Altogether, responses were received from 605 of the 884 physicians (69%) who met the study criteria, for a response rate of 69%. Descriptive analyses were performed.

Most respondents (74%) agreed that nurses shared responsibility for improving the quality measures and that nurses contributed to practice quality. Physician characteristics typically had a minor impact on their perceptions as to whether the nurses contributed to quality improvement.  Physicians who felt that measurement improved care quality and those supporting programme continuation were likelier to perceive nurses to share responsibility. However, in open ended-questions about the changes they had made in their practice as a result of the programme, they made minimal reference to nurses’ importance and contributions in improvement of quality indicators 

There was a disparity between the closed-ended and open-ended questions regarding the way physicians depicted the roles of nurses in quality monitoring and improvement. This disparity suggests that  the nurses’ growing involvement in quality have not yet been fully internalised or appreciated by the physicians

Biography:

Shaimaa abdel Ati, Benha University, Egypt

Abstract:

Benzo[a]pyrene induced lung cancer by mechanism which interact with DNA and cause genetic changes; this mechanism accelerates the cell cycle progression and induces the abnormal cell proliferation. Selenium, N Acetyl cysteine and curcumin in nanocomposite have been shown to confer various biological effects, anticancer, enhance immune system and antioxidant properties. The present study was undertaken to evaluate the chemopreventive effect of nano (selenium ,acetl cysteine ,curcumin) (NSACC) and possess ability of SNACC with dose 4mg kg.b.w against Benzo[a]pyrene carcinogenesis with dose 200mgkg.bw divided at two doses the first at the 1st week of the experiment the second after 20 week from the time of the experiment.The results indicated that B[a]p induced lung cancer in mice's histopathologically and cause significant decrease of SOD, GSH,CAT values and significant increase of NOx, LP over expression of p53,cas3 and cas9.While, treating with(NSACC) causes significant increase of SOD, GSH, GPx, and significant decrease of CAT, LP, Nox, induction of p53, cas 3, cas 9 gradually then decrease to normal control values. From the obtained results, it could be concluded that inhibition of peroxidation and oxidative stress markers, enhanced antioxidant status, induction of p53 expression , caspase3 and 9 gene in mice lung tissue by NSACC suggest the potential efficacy of NSACC as an addition chemo preventive agent in treatment of lung carcinogenesis. These data provide direct evidence for the role of NSACC as very strong chemo preventive and treating drug for lung cancer induced by B[a]P.

Biography:

Ali M Awaad, Al-Azhar University, Egypt

Abstract:

Bifidobacterium represent one of the major genera of the intestinal tract of human and animals used as probiotics in dairy and nondairy foods for restore the intestinal microflora which confers a health benefit. The identification of Bifidobacterium by phenotypic features is commonly unreliable, time, money, and effort consuming. We sought to improve the Bifidobacterium identification method based on molecular level to identify probiotic bacteria in complex microbial communities. The application of 16S-23S rRNA oligonucleotide primers is the best and most reliable, rapid, and precise species and sub species identification approach. The ribosomal intergenic spacer region (ISR) located between the highly conserved 16S rRNA and 23S rRNA shows a high degree of variation in length and sequence and potential for intra species discrimination and providing the phylogenetic Relationship of the Genus Bifidobacterium spp. Results showed that one of the two primer sets Bflac2-Bflac5 species specific gives positive results differentiating between B. animalis ssp. Lactis isolated from breast fed infants milk of human and that isolated from feces of breast fed infant and detecting reference strain for B. animalis ssp. Lactis DSM10140. DNA sequences of the two strains were submitted to the Genbank NCBI under accession number (KT758845) named as B. animalis ssp. Lactis Egm1 (Egyptian milk) and accession number (KT758846) named as Egf1 Egyptian feces while the second primer give false positive result. Also, we aim to obtain patent protection under Intellectual property rights (IPRs) for B. animalis ssp.Lactis which was isolated from Egyptian resources to be used for a better and healthier food and dairy products.

Biography:

Coming Soon

Abstract:

Objectives:

1. To achieve a recovery rate of 75% in severe acute malnutrition (SAM) children and 35% in severe underweight (SUW) children, in tribal community based management of severe malnutrition.

2. To achieve a case fatality rate of <4% in SAM and SUW children in the above setting.

3. To reduce current prevalence rate of SAM and SUW by at least 35% after 3 years of intervention.

Design

 Community-based prospective, single-group intervention study.

Setting:

 Primary and secondary care was given to participants from 14 villages of the tribal area of Melghat.

Participants:

 Severely malnourished children (SMC:734), tribal, male and female of the 6–60 months age group were enrolled and 680 children completed the study over a period of 3 years. Sample size (N = 762) was estimated -considering the prevalence of severe malnutrition (SAM and SUW) in 6–60 months population as 21.5%; design effect was 3.0 and relative precision was 10%, with 95% confidence interval.

Interventions:

 LTF (local-therapeutic-food) with MN (micronutrients), treatment of infections and BCC (behaviour change communication) were given for 90 days to SMC by VHW (village health worker).

Outcome measures

Rate of recovery, case fatality rate, and reduction in prevalence of SAM and SUW.

Results:

Majority of SMC (69.1%) in the 6–24 months age group were SAM, while majority of SMC (65.3%) in the 25–60 months age group were SUW. Recovery rate of SAM is 75.9%, 77.8%, and 79.4% at the end of 8th, 10th, and 12th week, respectively; the recovery rate for SUW is 37.5%, 42.7%, and 45.4%, respectively. Case fatality rate for SAM is 0.6% and for SUW is 0.2% after 8th week. There is significant reduction in prevalence of SAM (p – 0.005) and SUW (p – 0.0001) children at the end of the study.

Conclusions:

The study shows efficacy of LTF-MN and effectiveness of our community-based model in acute and chronic malnutrition. Further research is needed for deciding the exact duration of SUW therapy.

Trial registration:

 The study is registered under Protocol Registration and Results System (PRS) (ClinicalTrials.gov ID: NCT02671786).

Keywords:

SAM, SUW, LTF, MN, BCC

Biography:

Ahmed R Awd, AL Azher University, Egypt 

Abstract:

Lactobacillus represent one of the major genera of the intestinal tract of human and animals and are used, as probiotics, in dairy and non-dairy foods to restore the intestinal microflora which confer a health benefit. After an adaptation period for 7 days, the first group was fed on basal diet (80 g- for each rat group /day) and served as control I, while the second group was offered basal diet plus standardized buffalo's milk (40 ml. for each rat group / day) and served as control II. The other groups were fed on 80 grams of basal diet for each rat group / day and 40 ml. / day for each rat group, buffalo's milk plus one of the following Lactobacillus strains respectively L.casei strain AZ1, L.rhamnosus strain AZ1 and L.gasseri strain AZ1. Furthermore, supplementation of diets with fermented milk products cultured with L. casei KY123805 or L. rhamnosus KY123789 resulted in noticeable decreases in Total cholesterol, HDL- cholesterol and triglycerides levels at the end of the experiment (28 days) as compared to dry diet (control I). Species of lactobacilli occurring in intestinal tract deconjugate both taurocholic and glycocholic acids, such serum cholesterol levels when it is considered that deconjugated bile acids function more poorly in supporting adsorption of lipids from the intestinal tract than deconjugated ones, this could result in reduce adsorption of cholesterol from the intestines and thus influence its serum level. Therefore, the main target of the present investigation was to isolate and identify some local isolates belonging to genera Lactobacillus. Also, the isolated strains have been screened in order to define their characteristics that would be as probiotic strains or not. Furthermore, the long-term goal of this work is to registering patent protection for some Lactobacillus spp. isolated from local Egyptian resources to increase the additive values of the Egyptian microbial wealth and well use it in the industrial healthy dairy products and pharmaceutical.

Biography:

Coming Soon

Abstract:

Bifidobacterium represent one of the major genera of the intestinal tract of human and animals used as probiotics in dairy and nondairy foods for restore the intestinal microflora which confers a health benefit. The identification of Bifidobacterium by phenotypic features is commonly unreliable, time, money, and effort consuming. We sought to improve the Bifidobacterium identification method based on molecular level to identify probiotic bacteria in complex microbial communities. The application of 16S-23S rRNA oligonucleotide primers is the best and most reliable, rapid, and precise species and sub species identification approach. The ribosomal intergenic spacer region (ISR) located between the highly conserved 16S rRNA and 23S rRNA shows a high degree of variation in length and sequence and potential for intra species discrimination and providing the phylogenetic Relationship of the Genus Bifidobacterium spp. Results showed that one of the two primer sets Bflac2-Bflac5 species specific gives positive results differentiating between B. animalis ssp. Lactis isolated from breast fed infants milk of human and that isolated from feces of breast fed infant and detecting reference strain for B. animalis ssp. Lactis DSM10140. DNA sequences of the two strains were submitted to the Genbank NCBI under accession number (KT758845) named as B. animalis ssp. Lactis Egm1 (Egyptian milk) and accession number (KT758846) named as Egf1 Egyptian feces while the second primer give false positive result. Also, we aim to obtain patent protection under Intellectual property rights (IPRs) for B. animalis ssp.Lactis which was isolated from Egyptian resources to be used for a better and healthier food and dairy products.

Biography:

Rafia works with national and international NGOs for around nine years then an academician. Her wishes to increase, ensure health care services by registered trained provider in the countries, with this view this frame work was make. Being a physician, academician and a researches, she fell this model will work for all developing countries.

Abstract:

Statement of the Problem: Worldwide there were 59.8million Health worker. About two third of them (39.5 million) provide health services. Worlds 57 countries were faces an acute shortage

Different countries of the world address the problem with different strategies.  None of strategy is establish as accurate solution. The purpose of this study is to describe among the changes if substitution is cope in the mainstream of health systems, people will get services at very low cost. Methodology: A structured questioner was taken for in- depth interviews and focus groups. A hypothetical framework was utilized to focus on the changes, crisis and policy implication. Findings: Manages and community people suggested if service provide at locality; it will ensure the accessibility, availability and continuity of services. Local people were prepare adjusted quality in terms of waiting time and privacy with ensure referral at higher facility. Conclusion & Significance: Non-doctor health care provider having pre-existing medical training, receive top-up training undertake placement for experience and skill.  Recommendation is for many diseases an effective, cost-efficient interventions would exist.

Biography:

Syed Fareed Uddin has expertise in the Quality Management of Health Facilities and is a Certified Assessor for National Quality Assurance Standards by Ministry of Health and Family Welfare, Government of India.

He has worked in Health Projects funded by JICA- Reproductive Health in Madhya Pradesh, UKAID-DFID-Madhya Pradesh Health Sector Reforms, World Bank-Uttar Pradesh Health System Strengthening. Presently working with World Bank funded-Nagaland Health Project as Health Planning and Bio Medical Waste Expert and USAID funded-Project on the Health Component with a Smart City Project in Madhya Pradesh.

National Trainer for Bio Medical Waste Management and have trained over 2500 Health Staff and staff of Pollution Control Boards from across India.

He was member of the documentation team for documentation of the Good Practices of JICA-Madhya Pradesh Reproductive Health Project and has authored a no. of publications in National and International Journals.

Abstract:

Statement of the Problem: The large population of India poses big challenge to the Government. Providing Health to a large population in varied geographical areas poses a challenge in India.

Provincial Governments are responsible for providing Health to its population. Primary Healthcare is essential health care based on the principles of Equitable Distribution, Community Participation, Intersectoral Coordination co-ordination using Appropriate Technology

 

India has a 3-Tier system - Primary, Secondary and Tertiary. Primary Health Centre (PHC) is the first level of contact with the health system to promote health system to promote health, prevent illness, care for common illnesses and cater to the specific needs of the community.

The Basic Elements of Primary Healthcare are - Educating the community about the prevailing health conditions and methods for prevention and control. Promotion of food supply and proper nutrition. Adequate water supply and basic sanitation. Maternal and Child Healthcare with Family Planning. Immunisation against major infectious diseases. Provision of essential drugs.

 

Rural population in India is close to 70% which makes it a more complex proposition. To benefit the rural population Madhya Pradesh State Government took an innovative step and established the Gram Arogya Kendra at village level within the Anganwadi. Medicine stock for basic illnesses was maintained and the ANM under whose Sub Health Centre (SHC) it falls provides the ANC Services to the Pregnant women of the village and does the Immunisation of women and children and Distributes the medicine. The village community receives the health services almost at their doorstep.

 

The National Rural Health Mission made provision for Delivery at SHCs for the benefit of the rural population.

More Urban PHCs are being established. Quality norms and Assessment Tools are introduced to ensure Quality Management of the PHCs. Annual monetary award introduced to motivate the staff

Biography:

Dr. Chen’s research fields include (1) health care delivery system and policy; (2) health care disparities; (3) behavioral health; and (4) economic evaluation.  Her work uses a multidisciplinary perspective and involves collaboration with clinical leaders, community partners, and organizational decision makers. Most recently she has conducted research on patient-centered medical homes, including designing personalized patient activation and empowerment strategies to encourage and sustain patients’ involvement in their treatment. Her research on behavioral health focuses on the integration of health care organizations to promote behavioral health of vulnerable populations. 

Abstract:

Mental illness is a major public health concern in the United States. Untreated mental illnesses are associated with high mortality rates; increased risk of developing major chronic diseases, including heart disease, diabetes, asthma, and hypertension; and accelerating progression of coexisting physical illness and amplifying their disability. Sixty-eight percent of adults with a mental illness have one or more chronic physical conditions. A recent study showed that the overall cost of mental illness reached $201 billion in the United States in 2013, topping the list of the most costly conditions. There is an increased awareness of the impact of social determinants of mental health. The need to address healthcare access and underlying social determinants of health will require a multisector integrated mental healthcare system to target “population health.” Public health and health promotion programs became a vital part of hospitals' effort to focus on the primary goal of benefiting the community at large. Research suggests the partnership between hospital systems and public health has the potential to address some of the root causes of poor health.¹ Our study shows that the integration of public health system is associated with the 9% reduction of health disparities between racial groups.² Care coordination models include improving the use of a patient-centered medical home, clinician–patient continuity, team-based approaches, use of community hospital-based support, specialized outpatient programs for high-risk patients, home visits, patient navigation to link primary care and specialty care, and referral tracking systems. Evidence consistently suggests that care coordination is essential to meet the growing demands for mental healthcare access while controlling costs and improving quality of service delivery.³

Biography:

Merav Ben Natan is the Director of the Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center in Hadera, Israel. She is also an Instructor at the Department of Nursing at Tel Aviv University. She also serves as the Chairman of the Committee on Elder Abuse and Violence of the Israel Ministry of Health and as the Chairman of the Israeli Nursing Research Association. She has published more than 70 articles in various professional journals.

Abstract:

The aim of the present study was to identify factors associated with Israeli women's intention to exclusively breastfeed EBF their next baby based on the Theory of Planned Behavior (TPB), within the context of Israeli ethnic and cultural diversity. The study is a correlational quantitative study. Women were recruited at lectures on women's health at an urban setting in central Israel during September-December 2013. The lectures were organized by a local nursing school and were open for the general public. A convenience sample of 200 Hebrew-speaking women of childbearing age, who had at least one child over six months old which had been EBF for at least one month, was taken for study. The women completed a closed questionnaire based on the TPB. In the multivariate analysis, behavioral beliefs, behavioral attitudes, knowledge of EBF and EBF duration of the previous child predicted 35.3% of Israeli women's intentions to EBF in the future. In addition, study findings revealed the importance that women attributed to their spouses' opinion concerning EBF. Muslim Arab women expressed higher intention to EBF than Jewish women. The findings of this study will constitute the basis of a nurse-administered intervention program for promoting EBF in Israeli society. In the context of this program, nurses’ interventions will emphasize the benefits of EBF for mothers and infants, and provide women and their spouses with tools and information to support EBF. Nurses’ interventions will also take into account the influence of ethnicity and culture, as well as the duration of women’s previous EBF experiences.

Biography:

She is also an Instructor at the Department of Nursing at Tel Aviv University. Also, she serves as the Chairman of the Committee on Elder Abuse and Violence of the Israel Ministry of Health and as the Chairman of the Israeli Nursing Research Association. She has published more than 70 articles in various professional journals.

Abstract:

New advanced nursing roles are currently being introduced and nursing is undergoing dynamic change. Public views on expanding the authority of nurses and factors affecting public views await investigation. The aim of this study is to explore views of the Israeli public on expanding the authority of nurses and identify factors affecting these views. In a correlational study, a questionnaire was administered to 200 male and female Israelis aged 18 and older treated at a hospital or healthcare clinic at least once over the past year. Most respondents are in favor of expanding the authority of nurses, considered vital for patients. In addition, the public is in favor of certifying clinical nursing specialists in all fields. Influential factors were ethnicity, personal acquaintance with nurses, income and religiosity. The public has a positive perception of expanding the authority of nurses and major determinants are familiarity with nursing, ethnicity, income and religiosity. Understanding public views on expanding the authority of nurses in Israel will help policymakers adjust their actions according to social perceptions and needs. This will help nursing managers further the process of expanding nurse authority, to the satisfaction of both nurses and the public they serve.

Biography:

Professor Mitsuko Harada belongs to Wayo Women's University School of Nursing, Japan and the specialized field is Community Health Nursing.

Abstract:

Parkinson’s disease (PD) is an intractable neurological disease that affects approximately 140,000 people in Japan and the disease rate increases with age. In terms of nursing, although home-based care for patients with severe PD (Hoehn-Yahr (HY) scale 3 or above) is subsidized by the government, there are very few reports concerning this subject. Currently in many severe cases of PD (HY scale 3 or above), there is hardly any involvement by specialists. Most PD patients see a physician only as an out-patient basis and there are few opportunities for nurses, public health nurses, pharmacists or physical therapists to play a part in the treatment of such patients. In cases involving elderly patients, the rate of medication adherence rises if a pharmacist is involved in their care at home. It also rises when verbal encouragement is given by a helper during visits. We believe that a specialist can make a positive difference in medication adherence, which results in the effectiveness of drug therapy. PD patients require drug therapy over a long period of time and if they undergo rehabilitation while symptoms are being moderated by the effect of drugs, their quality of life (QOL) can be maintained. The effect of anti-PD drugs fluctuates throughout the day regardless of the severity of the condition, and even patients with milder symptoms face various problems in their daily lives. We therefore attempted to identify what made taking drugs difficult for PD patients to clarify effective means of providing nursing support in relation to medication. In this study, we conducted semi-structured interviews with ten PD patients aged 60 years or older who had an HY score of 3 and went to regular check-ups. The results were analyzed by a content analysis. Answers were collated according to the similarity of content, labeled with a definition and classified into categories and core categories. As a result, we were able to identify four core categories: Management of symptoms using drugs; overcoming of negative factors associated with medication; a sense of being able to control symptoms and good communication with physicians. In this report, we will focus on one of these core categories: Overcoming of negative factors associated with medication. Answers that were classified under this category were a lack of knowledge regarding the efficacy and side effects of drugs and trouble/anxiety/discomfort/or a sense of being restricted by medication. We can help achieve better control of symptoms by providing support that alleviates these two issues. It is important for nurses to provide support for PD patients to deal with negative factors associated with medication in the outpatient setting and at home.

Biography:

Yuko Suzuki has obtained Doctorate from the Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan. Further, she continued to the field of the community health nursing in the college and has continued to research to apply the results of the mental health research to the career development research of nursing. She is presently working on creating a program to train primary care nurses

Abstract:

The practicum institutions for the community health nursing (Public Health Nursing) in our country mainly include municipalities and public care centers. It is rare to learn the primary care nursing at clinics. In Chiba, population as well as Healthcare and Welfare services are concentrated in the north. The south of Chiba, Awa area where our college is located, the outflow of population is also noticeable and the population is aging and shortage of skilled workers is growing. Shortage of skilled workers who support the aging society in Japan becomes more serious, which is called ‘Year 2025 problem’. Accordingly, the functions of Healthcare and Welfare services will be significant therefore; we enhance the practicum by committing the primary care at clinics. We discussed and considered about the significance of the primary care nursing at clinics with a practicum instructor of a clinic (head nurse) and a faculty member of the community health nursing in the college. As a result, the significance of the primary care nursing at clinics in Awa area is to protect the dignity of people and support self-care. It is based on the behavioral science and promotes behavior modification of people. Communication skills have been utilized to respect independence and empower so that people can control their health by themselves. The learning effect on students was promoted while modeling nurses who practice the primary care nursing in the clinical practicum to learn.

Biography:

Background: Studies show that patients after long hospitalization tend to develop dependency on the hospital staff. In some cases, the patients refuse to be discharge home from the hospital and it creates a problem because the hospital focused upon the need to reduce delayed discharges. Studies indicate some main discharge issues that influence on the patients: (1) Fear and stress to be far away from the hospital facilities, (2) Lack of information about community helping system, (3) Lack of family support, (4) Increasing of emotional aspects like anxiety and depression.

Aim: To develop discharge intervention plan in order to make better discharge preparations.

Method: The project managers are the head nurse and the social worker of the department. A plan was made for the patients in order to assess their needs and then make a discharge plan together with each one of them few days after they hospitalize in the unit. The plan included a reference to their needs like family support, contact and assistance from community services, arrangement of home care from their clinic and the possibility of getting mental and emotional assistance.

Results: Till now we saw that the patients need emotional support as well as practical help and they all express their satisfaction from the planning discharge intervention and they feel that the interaction reduce substantially their concerns from going home.

Conclusion: By planning the discharge in advance we manage to reduce the pressures associated with release from the hospital. Patients noted that, for them a good discharge has been associated to the degree of security they felt, and they felt safer knowing that the staffs at the hospital taking care of everyone’s needs.

Abstract:

Arza Ashkenasi is a Social Worker and Sexologist, working in Tel Aviv Medical Center for 25 years in Plastic Surgery Unit, Oncology Unit and Internal Unit. She has experience in training a new social workers and students.

Biography:

Victoria Kabanovsky is the Head Nurse of Plastic Surgery Unit. She is an expert in wound treatment of all kinds and has experience in treating oncology patient, especially the breast cancer patients

Abstract:

Background: Studies have demonstrated the benefits of using supportive telephone intervention in cancer patients. Telephone support confers significant benefits including enhanced compliance in health care and improvement in both family and patient’s wellbeing.

Aim: To provide assistance by telephone intervention to patients who may not otherwise receive psychosocial intervention, because of different factors such as geographical isolation, physical limitation and lack of comfort with face to face approach.

Method: Breast cancer patients after breast reconstruction that hospitalize in the plastic surgery unit and express their willing to take part with the telephone intervention after they get discharged home. The telephone intervention is conducted every two weeks for six months and managed by the head nurse and the social worker of the unit. The project started on May 2017 with 20 breast cancer patients in order to make needs assessment after discharge from the hospital and help them with any existing problem related to their health.

Result: The participants indicate that the telephone intervention assists them in symptom management and they feel safe by knowing that there is a reference to any health problem. Till now we found that the subjects that were most discussed in the telephone intervention were about managing stress, family issues, medical problems, referrals to community services and need of psychological help.

Conclusion: Telephone intervention was likely to be well accepted by the patients. All of them evaluated the intervention positively and thought that the intervention is very helpful in learning how to manage their recovery and all of them express a request to continue this intervention.

Biography:

Merav Ben Natan is the Director of the Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center in Hadera, Israel. She is also an Instructor at the Department of Nursing at Tel Aviv University. She also serves as the Chairman of the Committee on Elder Abuse and Violence of the Israel Ministry of Health and as the Chairman of the Israeli Nursing Research Association. She has published more than 70 articles in various professional journals.

Abstract:

This study investigated the intention of mothers in Israel to vaccinate their sons against HPV, using the Health Belief Model (HBM) as a framework, while comparing between Arab and Jewish mothers. The study has a quantitative cross-sectional design. A convenience sample of 200 Jewish and Arab mothers of boys aged 5-18 completed a questionnaire based on the HBM. The research findings indicate that only 14% of the mothers, constituting mostly Arab mothers, vaccinated their sons against HPV. Moreover, mothers showed a moderate level of intention to vaccinate their sons. This level was similar among Arab and Jewish mothers. However, the health beliefs of Jewish and Arab mothers differed. The HBM was found to explain 68% of mothers' intention to vaccinate their sons against HPV and the perceived benefits of the vaccine was the factor most affecting this intention. Although mothers' health beliefs concerning vaccinating their sons against HPV may vary between sectors, the HBM can be used to explain what motivates mothers to vaccinate their sons. The research findings can assist in designing a national project among mothers of boys aimed at raising HPV vaccination rates, in both the Jewish and the Arab sector.

Biography:

Alexandre Favero Bulgarelli has his expertise in assessment of primary health services in development of public health systems. Currently, he is a Public Health Professor at Federal University of Rio Grande do Sul, Brazil

Abstract:

Statement of the Problem: In Brazil, the increase in demands for home care to older adults is growing rapidly. This is a social reality and a current demographic Brazilian situation that are in need to be discussed. In the scope of Unified Health System, which is the Brazilian public health system (Acronym in Portuguese is SUS), primary health care is responsible for creating the linkage with the user, caregivers, health worker and family. Furthermore, primary health care is responsible to develop the integrality and the longitudinality of care and attention through in-home/domiciliary care. In this context, older people in palliation, which are in end-of-life situations and are unable to access even the nearest health care center, demand professionals prepared to deliver home care services to control painful symptoms and give comfort to the patient and their family.

Aim: The aim of the present study is to analyze the perspective of health professionals (doctors, nurses and dentists) in the domiciliary care, held at Primary Health Care in SUS, in the assistance district of the Federal University of Rio Grande do Sul: Glória Cruzeiro Cristal District Management, located in the municipality of Porto Alegre, Brazil.

Methodology & Theoretical Orientation: This is a qualitative research with a comprehensive study design in which the perceptions of workers regarding the process of home care assistance were analyzed. The theoretical support is a part of the main thoughts of the German philosopher Hans-Georg Gadamer, in which he interprets/researcher comprehension of the research object is the ability of the researcher to put himself in the place of the other. Data were collected by means of semi-structured interviews with 12 subjects. The interviews were digitally recorded and transcribed. Empirical data from interview transcripts were systematized and analyzed according to the content analysis. The interpretation took place through the Gadamer’s philosophical hermeneutics.

Result: From this assumption, the analysis of the consensus of the perceptions was made articulating them with interpretative indications referring to the object, allowing, in this way, the construction of the interpretation of the categories: Thinking about health comfort in end-of-life; to whom should we ask for help in the service?; the self-reflection: To be solidary and to face the suffering; importance in guiding caregivers in the end-of-life of the elderly and keep developing in-home visits to give comfort to the family.

Conclusion: It is finally considered that the common sense about domiciliary care, from the perspective of these SUS workers, includes in the dialectical reflection of the representation of the human and solidarity in the exercise of primary healthcare services. To these workers, palliation in finitude shows itself as a constant human connection between health services and the family. This study will enrich the development of the humanized assistance at the Primary Health Care strategies of the Brazilian Public Health System regarding older adults in palliation.

Biography:

Lau, C.W., Ling, P.L., Tam, K.L.R., Tang, H.L., Tang, W.Y, Tham, K.I, & Yau, K.Y. are the final-year nursing students of the Bachelor of Health Science (Hons) at Tung Wah College in Hong Kong. Their research study focuses on the primary care education and public health promotion. They also interest in medical decision making at the end-of-life, diabetes care and primary home care.

Abstract:

Background: Herpes Zoster (HZ) is the reactivation of the latent varicella zoster virus that causes chickenpox. It is estimated that one out of three people will develop HZ in a lifetime. Research showed that people who aged 50 or above have a higher chance of developing HZ. HZ vaccine is proved to effectively reduce the prevalence of HZ infection and postherpetic pain. Although HZ vaccine has been approved for use in Hong Kong since 2007, the promotion from the government is scarce and public awareness of the availability of HZ vaccine is low. Hence, there is a need to raise the public awareness towards the prevention of HZ through vaccination.

Objective: The aim of this study was to explore the determining factors for vaccination among adults aged 50 or above and to increase their knowledge and awareness towards HZ and HZ vaccination. The ultimate outcome is to increase the vaccine update rate and thus reduce the morbidity and mortality of HZ in Hong Kong.

Methodology: This is a quantitative observational study and participants who aged 50 years or above will be recruited by convenience sampling at the public areas in Hong Kong. Participants are required to complete the baseline questionnaire, then given an educational leaflet to read. They will further receive telephone follow-up at one-week post intervention and their knowledge level and intention to vaccinate at baseline and after intervention will be compared.

Result: A total of 148 Hong Kong citizens aged 50 years or above were recruited. The number of correct responses regarding knowledge about HZ was significantly increased after brief educational intervention, with pre-test score (M=7.06, SD=3.916) and post-test score (M=13.44, SD=2.881); t(147)=19.665, p<0.001. Participants’ intention to receive HZ vaccine also increased after education, t(138)=7.859, p<0.001.

Conclusion: With the limited research and promotion campaigns related to HZ and HZ vaccine were done in Hong Kong, the brief education intervention used in this study if proved to be effective can be largely implemented across the territory to promote public health in the future.

Biography:

Pnina Granat, Assaf Harofeh Medical Center, Israel

Abstract:

Introduction: Intravenous catheters are indispensable tools of modern medicine. Although intravenous devices can be used for a variety of purposes, they may cause complications, Phlebitis being the most commonly observed one. During hospitalization, a peripheral infusion is introduced into the patient for therapeutic purposes or retention of venous access. The incidence of Phlebitis ranges from 25% up to 70%. About 80% of hospitalized patients have intravenous treatment. This subject was chosen by a management team in the department as a quality project.

Aims: (1) Mapping the existing situation, (2) Increasing awareness of nursing staff to prevent infections and (3) Improving the quality of patient care.

Method: Quality indices were established. Using a sample of 100 patients each quarter during the year, data were collected by means of observation and completion of a questionnaire by the department staff. We examined measures such as rate of patients without evidence of Phlebitis, no deviations from vein, vein line treatment, skin assessment and documentation reports.

Results: The rate of patients without Phlebitis was 89% and increased to 95%. The rate of no deviation from the vein increased from 91% to 98%. Quality treatment according to procedures increased from 86% to 93%. The performance index for skin rate assessment increased from 82% to 94%. During the implementation of the quality program the staff attended lectures about infection prevention and participated in training sessions. The findings were presented at staff meetings and cooperation between doctors and nurses increased. The improvement program continues to be in operation in the department for the purpose of achieving and maintaining the goals.

Conclusion: Health professionals must acknowledge the importance of infection prevention and appropriate patient care and this should be emphasized via education of the staff, prevention measures, clinical evaluation and intervention.

Biography:

He has completed his bachelor degree in nursing in West China School of Nursing, China. Now, he is a graduated student in West China School of Nursing, majoring in hemorrhagic stroke disease.

Abstract:

Background: World health organization reported that stroke was the second leading cause of death in 2015, killed more than 6 million people in 2015 and remained the biggest killer with ischemic heart disease in last 15 years. In China, stroke is the first leading cause of death and disability, causing great demands for post-discharge care form communities and other institutions.  The transitional care model was regarded as the first choice to solve this problem. The purpose of this study is to analysis the link and difference in different transitional care model, and to describe the use of them in patients with hemorrhagic stroke. Methodology: Search the online database including pubmed, medline, ovid embase and so on, and review the articles. Findings: There were some mature transitional care models all over the world. However, the concept, framework, interventions and evaluation of the models differed greatly. The use of transitional care model in patients with hemorrhagic stroke was effective in reducing the cost of medical care, increasing the quality of life of patients and caregivers. Conclusion & Significance: The transitional care model was effective in stroke patients. It was a connection between the hospital and primary health care institutions. More researches are need to build a transitional care model, which is suitable for the health care system, individually.  

Biography:

Yan Wang has completed her bachelor degree from nursing school,West China hospital of medicine,Sichuan University,China.And now is a graduated student of nursing school,West China hospitalof medicine,Sichuan University,China..

Abstract:

OBJECTIVE To study the influence of perinatal individualized comprehensive intervention on breastfeeding behavior of women with gestational diabetes.

METHOD A randomized controlled trial was used in this study.Gestational diabetes pregnant women who stayed in a women,s and children,s Hospital in Chengdu City,Sichuan Province from July 2017 To October 2017 were randomly divided into intervention group(n=107)and control group(n=105).The intervention group adopted perinatal individualized integrated intervention,the scale was assessed at admission,and individualized exercise ,diet and breastfeeding measures were fomulated.Breastfeeding,exercise and diet guidance immediately after delivery,and knowledge enhancement before discharge.Researcher take one to one ,face to face intervention throughout the process.The control   group was given routine feeding guidance.Breastfeeding,knowledge of breastfeeding knowledge and self-efficacy of breastfeeding were compared between the intervention group and the control group.

RESULT There was no difference in baseline data between the two groups of subjects at admission(P>0.05).The pure breastfeeding rate of the intervention group(31.8%) was higher than that of the control group(13.3%)(P=0.004) .The score of breastfeeding knowledge in the

intervention group(111.64±9.03) was higher than that of the control group(107.39±9.21)(P=0.001) and the inner dimension ,the skill dimension and the total score of the breastfeeding self-efficacy in the intervention group were all higer than the control group(P<0.01 for all).

CONCLUSION The adoption of perinatal individualized comprehensive intervention can significantly improve the exclusive breastfeeding rate,improve breast feeding knowledge and breastfeeding sele-efficacy in women with gestational diabetes.

Biography:

Jie Chen in his work uses a multidisciplinary perspective and involves collaboration with clinical leaders, community partners and organizational decision makers. Her research field includes health care delivery system and policy, health care disparities, behavioral health and economic evaluation. Recently, she has conducted research on patient-centered medical homes, including designing personalized patient activation and empowerment strategies to encourage and sustain patients’ involvement in their treatment.

Abstract:

Mental illness is a major public health concern in the United States. Untreated mental illnesses are associated with high mortality rates, increased risk of developing major chronic diseases, including heart disease, diabetes, asthma and hypertension and accelerating progression of coexisting physical illness and amplifying their disability. 68% of adults with a mental illness have one or more chronic physical conditions. A recent study showed that the overall cost of mental illness reached $201 billion in the United States in 2013, topping the list of the most-costly conditions. There is an increased awareness of the impact of social determinants of mental health. The need to address healthcare access and underlying social determinants of health will require a multisector integrated mental healthcare system to target population health. Public health and health promotion programs became a vital part of hospitals' effort to focus on the primary goal of benefiting the community at large. Research suggests that the partnership between hospital systems and public health has the potential to address some of the root causes of poor health. Our study shows that the integration of public health system is associated with the 9% reduction of health disparities between racial groups. Care coordination models include improving the use of a patient-centered medical home, clinician-patient continuity, team-based approaches, use of community hospital-based support, specialized outpatient programs for high-risk patients, home visits, patient navigation to link primary care and specialty care and referral tracking systems. Evidence consistently suggests that care coordination is essential to meet the growing demands for mental healthcare access while controlling costs and improving quality of service delivery.

Biography:

Rosa María Ostiguin Meléndez has completed her Doctorate from the University of Trujillo, Peru. She has published more than 19 articles in national and international journals and has been a Member of the Editorial Board of renowned Spanish-language nursing journals.

Abstract:

The family provides care for the development or preservation of the health of its members even under exceptional conditions of illness or disability. Health professionals for an assertive practice should consider the family as a subject with their own care processes that are valid and validated by their members. In this context, family care should be explored as a process where deep dimensions interact that give meaning and direction to do, to do and to be in group action, where love and the care ethos impels it permanently for the unfolding of care expressions/resonances, which are driven by fundamental family principles. The aim of the study was to explore family care in the Mexican population to analyze the dimensions that underlie and mobilize care in that social unit. The study was qualitative, exploratory and descriptive. Results show that care in Mexican families shows dimensions of care, ethics, aesthetic and ontological. Family care has three dimensions: Ethics that recover the virtuous sense of attitudes, habits, hopes and obligations that drive the duty of the family, also the aesthetic that weighs the feelings as the art of family care to precipitate the doing of care and the ontological that mobilizes the being-family to express the care of the group through the generational resonances of the same.

Biography:

Ejlertsson has her expertise in occupational health and has a passion for creating new pathways when improving the wellbeing of healthcare workers. She is exerting both qualitative and quantitative methods in her research, always using a salutogenic approach. Her research goals include creating a positive spiral, since healthy healthcare workers leads to better health care.

Abstract:

Statement of the Problem: Lack of recovery is connected to increased levels of stress-related problems and development of ill-health. Recovery outside the workplace has been studied previously, but a recent study found that recovery during working hours, regardless of recovery outside work, is valuable in relation to high self-rated health.

Aim: The aim of this study was to explore the concept of recovery during working hours, as described by the employees working in primary health care.

Methodology: Focus groups with a total of 50 staff members from different professions were conducted in eight primary health care centers in southern Sweden, using a semi-structured interview guide. The analysis was inspired by systematic text condensation.

Findings: The experience of recovery during working hours was described in a similar way in all the focus groups, although there were some individual differences. Three main categories were identified: (1) Variation (including changes in location, tasks and tempo), Companionship (including helpfulness, appreciation, social chat and laughter) and (3) Manageability (including completion, satisfaction, influence, control and reflection). The participants described how their work entailed many different opportunities for recovery, but there was not enough time or knowledge to accomplish them in the daily work. The workplace culture and atmosphere were significant factors for giving the employees possibilities to recover.

Conclusion & Significance: Recovery during working hours is multifaceted. All three categories identified in this study interact with each other and are, at various levels, prerequisites for recovery. We have not found any other available literature concerning this aspect and it can be considered as a novel finding. In a future study, the results will be used for an intervention in primary health care; with the aim of assessing to what extent these factors influence recovery in daily work, which will enhance the wellbeing of the employees.

Biography:

Kahabi Ganka Isangula is a Tanzanian Medical Doctor and Public Health Expert. He is currently studying at the School of Public Health and Community Medicine, UNSW, Sydney as a PhD Research Fellow. His research involves public health, health service delivery, epidemiology and non-communicable diseases.

Abstract:

Statement of the Problem: Recent research indicates an increasing burden of NCDs in low income Africa. The WHO emphasize on Best Buys as the cost-effective intervention in resource constrained settings with drug therapy, risk management and patient counseling as the cornerstones of biomedical NCDs response. However, the literature in low-income Africa persistently indicates poor NCDs health care seeking, non-adherence to medication and poor continuity with care. Research in high-income countries suggests improving trust in patient-doctor relationship as a promising strategy to address these challenges. Factors shaping patient trust in doctors have been extensively documented in western countries. What is not yet clear are the factors shaping patient trust in doctors in low income Africa’s healthcare settings. The purpose of this research is to examine the provider factors shaping patient trust in doctors in Tanzania using hypertension as a case study.

Methodology: A qualitative inquiry using audio-taped in-depth interviews with patients and providers was conducted between October 2015 and March 2016 in two characteristically rural districts of Tanzania. Data were managed using Nvivo 11 software and analyzed thematically.

Findings: The accounts of 34 patients representing 77% of the participants of the broader study on patient trust in doctors in Tanzania were analyzed. Features of good doctors ranging from reputation within the community and fellow patients, behaviors and demeanors portraying good customer care to technical skills were valued by patients as shaping their trust. Poor technical and behavioral competences were characterized as features of bad doctors consequently shaping distrust. These competences were characterized as manifesting along the spectrum of care: before, during and after patient-doctor encounter.

Conclusion & Significance: Doctor’s reputation, behavioral and technical skills are equally important in shaping patient trust. The findings of this study provide useful insights to medical professions and health training institutions in LIA to reshaping current practices and training curriculum respectively.