Showing 4 results for Delivery
H Malek Afzali , A.s Forouzan , F Bahreini , A Mowla ,
Volume 3, Issue 4 (7-2005)
Abstract
Natural disasters cause millions of death and disability and major financial losses
world wide every year. The major concern of our health system has already been to
reduce physical mortality and morbidity. While such events may be a considerable
source of stress for the survivors and cause serious and long-lasting psychiatric
complications. The purpose of this study was to assess the function of rescuers in
mental health service delivery to survivors of Bam earthquake in four steps Rescuing,
Emergency services, Transportation of the injured survivors and Treatment in the first
2 weeks after the earthquake.
For reaching the purpose 4 groups of the survivors were selected: first group was the
healthy survivors (>15 years) living in Bam after the earthquake, the second group
was healthy survivors (<15 years) living in Bam after the earthquake, the third group
was the injured survivors admitted in Kerman and Tehran hospitals and the last group
was the Relatives who accompanied the injured survivors. 2 weeks after the
earthquake a questionnaire including questions about, demographic data, function of
rescuers in rescuing and emergency services steps, informing the survivors of their
relatives condition and Condoling with the survivors and mental health services
delivery was filled for each of the cases.
In all groups, more than 85% of the cases who needed help and rescued from the load
of the earthquake were rescued by their relatives and rescuers of the Red Crescent
Society or other governmental organization just had a little portion (5%)in this field.
Only 25%of the cases who needed help and rescuing from the load of the earthquake
were rescued in the first hour after the earthquake. Only 40% of the cases were
sympathized by their rescuers. About 65% of the cases had enough information about
their relatives. 40% of the cases were prevented from crying by rescuers. Only 30% of
the cases said that they knew addict individuals who were hot given alternative
materials. 30/% of the children had played during 2 weeks after earthquake and 42/%
of them had facilities for playing.
Regarding to all studied groups rescue activities, primary care services and transfers
have been performed by relatives and domestic people , therefore general training and
organizing CBO (community Based organization) for providing services in disasters
especially in regions which are at high risk of earthquake will be useful for reducing
the injuries. According to this research rescuers are in serious need of training in
mental health services and that major areas of education need are: using counseling
techniques, providing the necessary information for the survivors and stress
management techniques.
Hamed Rezakhani Moghaddam, Davoud Shojaeizadeh, Mohammad Hasan Taghdisi, Yousef Hamidzadeh Arbabi, Mohammad Taghi Savadpour,
Volume 10, Issue 3 (1-2013)
Abstract
Background and aim: Delivery or parturition is the peak of a woman’s pregnancy period, accompanied with birth of one or more babies. Unfortunately, Cesarean section, despite its probable undesirable health and economic consequences, has become more and more common. Considering that the goal of health education is behavior change in people, the objective of this study was to investigate the role of health volunteers in educating mothers consulting the health care centers in Ardabil in the area of choice of delivery method based on the Behavioral Intention Model (BIM).
Materials and Methods: In this experimental study, 140 primaparous mothers in Ardabil city in the seventh month of pregnancy were selected by systematic random sampling and divided into a case and a control group, and a written pretest was given to both groups. Education based on the BIM was imparted to the case group. One month after delivery, both groups were post-tested. The data on awareness, attitude, results evaluation and practice were analyzed using the Wilcoxon, Mann Whitney-U and Chi-square tests.
Results: The findings revealed statistical differences between the case and control groups after intervention with regard to awareness, evaluation of results and attitude (p<0.001). However, behavioral intention did not change (p=0.106).
Conclusion: Although health volunteers' participation results in an increase in knowledge and promotes attitude and evaluation of behavioral results in pregnant women, it does not change their behavioral intention. It is suggested to conduct similar studies for comparative purposes involving other trainers, such as physicians and nurses in other cities, using other educational models and methods.
Mostafa Maleki, Ali Mousavizadeh, Saadat Parhizkar, Mohsen Shamsi,
Volume 15, Issue 2 (9-2017)
Abstract
Background and Aim: In Iran the rate of Cesarean section is reported to be 48%, which is higher than the acceptable rate recommended by WHO (15%). This study was conducted to determine the effect of an intervention based on social marketing on the reduction of intention to choose Cesarean section by primigravidae in Boyer-Ahmad County, Iran in 2015.
Materials and Methods: In this field trial 39 primigravidae three to four months pregnant who had an intention to choose Cesarean section for delivery participated. A formative research (a quantitative survey and a qualitative study) was done to achieve the social marketing mix, and based on the results a tailored intervention was designed and pretested on the subjects. The final intervention was implemented for a period of one month and its effectiveness assessed after at least one month by a proportion test.
Results: The average age of the women was 25.82 years. The proportion of the women with a high school (or lower) and university education was 38.5% and 61.5%, respectively. One month after the intervention thirty of the pregnant women expressed willingness and intention to have a normal delivery, which was a statistically significant change (p=0.01).
Conclusion: An educational intervention based on the consumer-oriented social marketing theory can be effective in designing, implementing and evaluating a program aiming at reducing Cesarean section intention.
Maryam Yaghoubi, Marzieh Javadi, Saeid Karimi, Vahid Pirasteh,
Volume 16, Issue 2 (9-2018)
Abstract
Background and Aim: Iran's Health Sector Evolution Plan (HSEP) is one of the most important national health reform plans. HSEP has attracted many criticisms. An important criticism is about its service costs. This article reports the results of a project conducted to compare the costs of normal and caesarian section delivery before and after implementation of the HSEP.
Materials and Methods: This was an applied research project using hospital accounting records as data. A total of 120 delivery files (60 normal delivery and 60 caesarian section) were selected randomly from the accounting software of a large hospital in Isfahan before and after May, 2014.The data in each subject’s file ─ paid shares of the hospital, patient and insurance ─ but not hoteling, inpatient and other costs was extracted. The health service providers’ incomes based on the annual tariffs of the services and changes in payments for each service for gynecologist and anesthesiologists were calculated. Data were analyzed using the excel software.
Results: The costs of normal delivery and caesarian section after implementation of the National HSEP had increased by 193% and 226%, respectively. In addition, of the treating physicians (gynecologists and anesthesiologists) had also increased by 257% for the normal and by 130% for caesarian section. Changes in the sums of money involved in service delivery indicates shifting of parts of the costs from the patients to the health subsidy and insurance systems.
Conclusion: The health System Evolution has not lead to real reductions in the out-of-pocket money paid by the patients. Higher cost of services will imply the need for better cost management. Increased costs of services will be to the benefit of neither patients nor the health system. This would mean that in designing and implementation of the Health Sector Evolution Plan economic aspects should be taken into consideration more carefully.
