BACKGROUND In Nigeria, the shortage of health workers is worst at the primary health care (PHC) level, especially in rural communities. And the responsibility for PHC - usually the only form of formal health service available in rural communities - is shared among the three tiers of government (federal, state, and local governments). In addition, the responsibility for community engagement in P...

background although recombinant hepatitis b vaccine is effective in a majority of population, a significant percent may do not response (up to 10%). old age, obesity, heavy smoking and immunologic impairment have been associated with lower anti –hbs responses. in the present study, the efficacy of vaccine and effects of the abovementioned factors have been evaluated. materials and methods of 11...

in recent years, the main focus of health sector reforms in iran is the family physician and referral system plan. fundamental changes in the goals and strategies, has increased the necessity of the need to reform the organizational structure. this study tries to review and summarize all cases about the organizational structure of iran and its challenges in primary health care system.this study...

a recent editorial by naoki ikegami has proposed three key lessons from japan’s experience of achieving virtually universal coverage with primary healthcare services: the need to integrate the existing providers of primary healthcare services into the organised health system; the need to limit government commitments to finance hospital services and the need to empower providers of primary healt...

BACKGROUND Primary health care workers (HCWs) represent a growing occupational group worldwide. They are at risk of infection with blood-borne pathogens because of occupational exposures to blood and body fluids (BBF). AIM To investigate BBF exposure and its associated factors among primary HCWs. METHODS Cross-sectional study among workers from municipal primary health care centres in Flori...

The purpose of the study was to explore how the child primary mental health worker role, as defined in the Health Advisory Service document, has been interpreted in each of the mental health trusts in England. Studies have indicated there is a deficit in recognition and treatment skills, by primary care workers, of psychological difficulties presented by children and young people, which could b...

results tst was positive in 198 (60.4%) health care workers out of 328. likelihood of positive tst among hcws increased in nurses (or = 4.617, 95% ci = 1.181-18.054, p = 0.028), increasing working experience (or = 1.178, 95% ci = 1.131 - 1.226, p < 0.001), and history of exposure to patients with tb (or = 9.035, 95% ci = 4.018 - 20.315, p < 0.001). age, gender and bcg vaccination scar were not ...

abstract background: breast cancer as a most common organ cancer in women is the first cause of death among women with 40-45 years old. the only way to control this disease is early detection that it can be treated in about 90% of women with breast cancer. the best way for early detection of breast cancer is screening, and the best accessible way is breast self examination (bse). considering th...