Showing 7 results for Amily
A Alipour, N Habibian, Shr Tabatabaee,
Volume 5, Issue 1 (6-2009)
Abstract
Background and objectives: Iranian family physician care program as a new program has begun since 2005 to deliver a better service particularly in primary health care. The objective this survey was to evaluate the impact of this program on family planning in Sari city between 2003-2007.
Methods: This survey was conducted among all women 15-49 years who married. Required data were collected from health files. The pattern of time trend evaluated and relevant indices compared before and after the family physician program.
Results: The application of condom, hormone injection, vasectomy and total modern contraceptives increased but employing the methods of tubectomy, IUD, OCP, Norplant and traditional method were descending. This variability for condom, tubectomy and traditional methods were statistically significant (p<0.05). However for other methods were not statistically significant (p>0.05). Difference of contraceptive using rates in pre and post of the application of program for condom, hormone injection, tubectomy and OCP were statistically significant (p<0.05) and for others were not statistically significant (p>0.05).
Conclusions: It seems relatively success of family physician program on family planning in Mazandaran province however more human resource should be allocated to family planning.
J Bolhari, F Ramezanzadeh, N Abedinia, Mm Naghizadeh, H Pahlavani, Sm Saberi,
Volume 8, Issue 1 (7-2012)
Abstract
Background & Objectives: The aim of this explorative study was to identify
influencing factors as main causes of divorce among couples in Tehran
Methods: Three hundred persons from family court of Justice participated from
March 2006 to March 2007 in this study. Structured interviews in addition a
standard questionnaire were employed.
Results: The results indicated that the most causes were psychological
factors (96.3%), socio-cultural factors (87.3%), sex problems (88%), economic
factors (80.3%) and violence (84.3%) in participatnts.
Conclusion: Premarital
counseling suggested for couples to prevent divorce in Iranian community.
Normal
0
Hr Tolideie, J Hajavi,
Volume 9, Issue 3 (2-2014)
Abstract
Background & Objectives: Asthma and allergic diseases remain among the most important health problem in different societies that affect childhood life. These diseases mostly seem to be occurred in children with family history positive. In this study, we aimed to evaluate the association between family history and the prevalence of allergic diseases in children in Gonabad.
Methods: A cross-sectional study was conducted in the city of Gonabad in 2011 year. The International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire were completed by 1627 students whom were selected by using multi-level sampling across city. The Chi-Square test was used for comparison of qualitative variables between two groups and Odds ratios (ORs) and 95% confidence intervals (CI) were calculated.
Results: Of the total (1627) participated students, 876 (53.8%) were boys and 751 (46.2%) were girls. Mean age of children was 14.5±1.8. Almost forty percent of children had at least one allergic symptom at sometime in their life and 48/1% had family history and 35/1% did not have family history (P<0.001). However, lifetime and 12-month prevalence of rhinitis symptoms, 12-month prevalence of rhino conjunctivitis and lifetime hay fever and eczema was significantly higher in students with positive family history than those with negative family history (P<0.05).
Conclusion: Our study shows that the prevalence of most allergic disorders was higher in children with positive family history. It seems that heredity plays a major role in the occurrence of allergic diseases in children.
V Yazdi Feyzabadi , Mh Mehrolhasani, Mr Baneshi, S Mirzaei, N Oroomiei,
Volume 13, Issue 0 (3-2018)
Abstract
Background and Objectives: Urban family physician program(UFPP), a program for improving equity in access to, financing, and quality of health services, is piloting in two provinces of Fars and Mazandaran, Iran since 2012. This study aimed to examine the association between the implementation of program and financial protection measures.
Methods: This cross-sectional, ecological study was performed on aggregated data of financial protection measures and some independent variables in the above provinces from 2008 to 2015. At first, the Lasso regression model was used for selecting independent variables affecting financial protection indexes. After adjusting the selected independent variables, in separate models, the association between the UFPP and financial protection measures, as outcome variables, was examined using a backward linear regression model.
Results: The percentage of households facing catastrophic health expenditure(CHE) in the years of UFPP implementation was 1.82% higher than the years before implementation(P<0.05). This increase was 1.37% in rural areas. the percentage of medical impoverishment in the two provinces increased by 0.83% during the implementation years than the years before(P<0.05). Finally, no significant relationship was observed between UFPP implementation and the Kakwani index and out of pocket payment(as % of total health expenditure) in the two provinces(P>0.05).
Conclusion: Despite the achievements attained by UFPP in improving physical access to health services, it seems that this program has had no success in improving financial protection measures and equitable health care financing. However, further research is warranted in this regard.
V Kohpeima Jahromi , R Dehnavieh, Mh Mehrolhasani,
Volume 13, Issue 0 (3-2018)
Abstract
Background and Objectives: Due to lack of proper health system coverage in cities, the urban family physician program began as pilot in two provinces in Iran. Decision on developing the program to other provinces requires a comprehensive assessment. The study aimed to evaluate the program in Iran.
Methods: This cross-sectional study was conducted in 2015 and 2016 in two provinces (Fars and Mazandaran). The data of 141 family physicians working in health centers and 710 patients were collected using a questionnaire. A multi-stage sampling method was used for the samples. Data analysis was performed using descriptive and inferential statistical methods.
Results: 81% of the workload of family physicians in a week was patient visits. Co-payment in second and third levels was a real obstacle for some patients. The majority of the patients could receive their required healthcare facilities in up to 40 minutes. Software programs were infrequently used. Patients were visited by their physicians 5.5 times in a week. The mean duration of each patient visit was less than 10 minutes in 80% of the cases. Referral rate was reported by 14% (Fars= 21.8%, Mazandaran= 4%). 30 out of 45 medical devices were available to family physicians on average.
Conclusion: Although the program has been successful in areas such as access to health services and comprehensiveness of care, there are some challenges in coordination and continuity of care. Therefore, it is suggested that the root causes of these challenges be resolved prior to extending this program to other provinces.
J Mohammadi Bolbanabad , A Mohammadi Bolbanabad , S Valiee, N Esmailnasab, F Bidarpour, G Moradi,
Volume 15, Issue 1 (5-2019)
Abstract
Background and Objectives: The Family Physician (FP) plan was implemented in rural areas and cities with a population of less than 20000 in 2005. The purpose of this study was to explain the challenges and obstacles of¬ the Rural Family Physician Program in Kurdistan Province from the perspective of stakeholders.
Methods: This qualitative study was conducted using 30 semi-structured interviews and 5 focused group discussions (FGD) with stakeholders of the FP plan from June 2017 to Jan 2018. The participants were selected through a purposive sampling method with maximum variation. The contents of the interviews and FGD were categorized by the content analysis method using MAXQDA10 software (V. 10).
Results: The challenges and obstacles of the FP plan were categorized into 16 subcategories and 5 main categories. The main categories were stewardship challenges, service delivery challenges, cultural and educational challenges, human resource challenges, and infrastructure challenges. The most important subcategories of these challenges included weaknesses in policy-making, formation of laws and regulations, weaknesses in insurance performance, weaknesses in intra-sector coordination, weaknesses in the referral system, weaknesses in communicating the plan to the community, low survival of physicians, inadequate motivational mechanisms, and weaknesses in the information system.
Conclusion: The rural FP plan faces many challenges that require multi-dimensional interventions. Identifying the challenges of the FP plan from the perspective of its stakeholders can help to gradually improve the plan.
M Piri, Aa Haghdioost, F Gadari, M Moradi, M Karamouzian, H Sharifi,
Volume 16, Issue 4 (3-2021)
Abstract
Background and Objectives: At present, investigation of extensive contact of tuberculosis (TB) patients’ families is not a routine part of TB control efforts in most countries. This study was conducted to evaluate the effective contacts of TB cases to assess the potential risk of transmission and its determinants in their families.
Methods: In this cross-sectional study, registered TB cases in Kerman, Iran provided information about their family size and type and frequency of unprotected effective contacts with their families from 2014 to 2015. The unprotected effective contact was defined using the Centre for Disease Control (CDC) classification (2005) based on the close, frequent, and long-term contact of TB cases. The demographic variables and the frequency of effective contact were analyzed using a logistic regression model with Stata version 12 with 95% confidence intervals.
Results: Overall, among 407 contacts of 74 TB cases, 73% had effective contacts. Having an effective contact was significantly higher among females (Adjusted Odds Ratio (AOR)=5.1; 95% CI:1.9-13.7); those with a lower education level (AOR=4.0; 95% CI: 1.4-15.1), lower income (AOR=7.7; 95% CI: 2.2-27.0), and a house size ≤80 m2 (AOR=16.6; 95% CI: 5.1-54.3); Afghan patients (AOR=30.2; 95% CI: 3.4-272.1); and those living in the rural areas (AOR=4.9; 95% CI: 1.8-21.9).
Conclusion: It seems that unprotected effective contact with the family members is high among TB patients, which can be a serious concern for the control of TB in this area. Reducing these unprotected effective contacts through educating patients and their families besides screening of the family members can help the health sector to decrease the burden of TB in Iran.
