Base de dados : MedCarib
Pesquisa : SP1 [Categoria DeCS]
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Fotocópia
Id: 18094
Autor: The University of the West IndiesHarewood, H(aut); Unwin, N(aut).
Título: Determinants and correlates of unintended pregnancy in polyclinic patients in Barbados: Patient and provider insights and the implications for health policy, service design and delivery
Fonte: West Indian med. j;65(Supp. 3):[23], 2016.
Idioma: en.
Conferência: Apresentado em: 61st Annual CARPHA Health Research Conference, Providenciales, June 23-25, 2016.
Resumo: OBJECTIVE: To estimate the prevalence of unintended pregnancy in women attending the polyclinic for ante natalcare using direct and proxy measurements. SUBJECT AND METHODS: A piloted questionnaire was administered to a random sample of 300 women 15û44years (mean 25.5 al 5.9 years). Direct measurements of unintended pregnancy were obtained from responses about the timing of the most recent or current pregnancy. Pregnancies were categorized as unintended, intended and ambivalent. Proxy measurement of unintended pregnancy was based on the proportion of women reporting at least one non-therapeutic abortion during their lifetime. RESULTS: Two-thirds (67.7%) reported an unintended pregnancy; most (50%, 95% CI 45.0, 56.3) were mistimed. The ratio of mistimed to unwanted pregnancy was 3:1. Approximately a quarter (24.7%) reported an intended pregnancy and 6.3% reported ambivalent pregnancy. Overall, 27.3% reported at least one non-therapeutic abortion. Of these, one-third (34.7%, p < 0.001) reported an abortion by age 30 years. The prevalence of nontherapeutic abortion was highest in women with technical/vocational education (33.7%) and lowest in womenwith at least secondary education (24.0%; p = 0.02). Theprevalence of non-therapeutic abortion was lowest in unemployed women (24.0%) compared to women employed by an employer (32.5%) or by self (31.7%; p =0.04). Higher levels of abortion were reported by women with partners 30û39 years (33.0%) or over 40 years(34.1%), compared to women with partners 20û29 years(24.6%; p = 0.01). CONCLUSION: Unintended pregnancy is high among polyclinic patients. Family planning programmes must be reframed to reduce unintended pregnancy.
Responsável: TT2.1 - Library
TT5; W1, WE389


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Id: 16241
Autor: Spencer, Michele; Rawlins, Joan.
Título: Decentralization and health sector reform in Trinidad and Tobago: a literature review.
Fonte: St. Augustine; Public Health and Primary Care Unit, Faculty of Medical Sciences, The University of the West Indies; 1999. 52,7 p. maps, tab.
Idioma: En.
Responsável: TT5 - Médical Sciences Library
TT5; WX 150 DT7 S745d 1999


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Id: 16154
Autor: Blake, Dorothy.
Título: Report on Caribbean Cooperation in Health "Meeting of donors" held on November 1, 1989, Hotel Normandie, St. Ann's, Port of Spain, Trinidad.
Fonte: St. Ann's, Port of Spain; CCH; 1989. 43 p.
Idioma: En.
Resumo: Includes proceedings of the meeting which was held to promote the CCH to external agencies and to submit national project proposals in the seven priority areas to possible donors with a view to securing funding for such projects
Responsável: TT5 - Médical Sciences Library
TT5


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Id: 16084
Autor: Inaugural meeting and conference of the Caribbean Public Health Association (CARIPHA).
Título: Proceedings of the inaugural meeting and conference.
Fonte: Kingston; CARIPHA; 1990. 116 p.
Idioma: En.
Resumo: The document is organized into four sections- a general overview of the inaugural meeting and conference, a review of health development in the geographical area , a record of progress in specified health areas, a vision(derived from research) of new strategies and plans of action
Responsável: TT5 - Médical Sciences Library
TT5; WA 541 DW5 I35p 1990


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Id: 15053
Autor: Price, Margaret.
Título: Local health systems in Montserrat, Grenada, Carriacou and Petit Martinique.
Fonte: s.l.; s.n.; May 22 1991. 69 p. tab.
Idioma: EN.
Resumo: Reports on a consultancy aimed at evaluating the various aspects of health care provided at the district level in the three countries. The document examines the most important variables in the political and administrative base of local health system; and makes a comparative analysis and recommendations for operational integration and development of local health systems in the countries involved. Findings show that the countries share several common characteristics and that the planning process tended to be more centralised than decentralised. States that the community has never really been involved in the decision-making process. Generally health care is financed by government. Statistical data show considerable improvement in the health of the population over the last decade. However, the system can be more cost-effectively run if strategies suggested are implemented. Observes that the absence of political will remains the single key factor affecting progress in Barbados and to some extent in Grenada
Responsável: GD3
GD3; 02.05.02*PR


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Id: 15050
Autor: Clyde, David F.
Título: Health in Grenada: a social and historical account.
Fonte: London; Vade-Mecum; 1985. xi,415 p. ill.
Idioma: En.
Resumo: Traces the history of health services and facilities from the seventeenth century to the present. States that the conquest of epidemic and endemic infectious diseases that ravaged the country, held down population growth and hampered agricultural development and trade has been a relatively recent accomplishment. Details of the fight by the medical authorities in the eighteenth century against such diseases as dysentery, malaria, and yellow fever; and yaws, tuberculosis and cholera in the nineteenth and early twentieth century are given. Other aspects of public health are also examined. Presents information on the development of the district medical services; development of a network of visiting stations and improved sanitation services. Concludes with details of the government's committment to health for all by the year 2000 and the programs and strategies that will be established to accomplish this
Responsável: GD3
JM23.1; F2056.C59; GD3; 15.04..01*Cl


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Id: 14687
Autor: Nunes, Frederick; Nunes, Winsome.
Título: Caribbean cases in health management.
Fonte: Bridgetown; Carib Research and Publications; 1990. 204 p.
Idioma: En.
Responsável: JM3.1 - Médical Library
JM3.1; RA455.N85 1990


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Id: 14634
Autor: Laskin, Mark J.
Título: Commonwealth Caribbean health sector study. Part I: The health sector in perspective.
Fonte: s.l; U.S Agency for International Development; May 1977. 400 p.
Idioma: En.
Responsável: JM3.1 - Médical Library
JM3.1; RA67.L37.1977


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Id: 13813
Autor: Tull, G. P.
Título: A study of integration of health services in Barbados.
Fonte: Kingston; s.n; 1976. 53 p. maps, tab.
Idioma: En.
Responsável: JM3.1 - Médical Library
JM3.1; RA456.J3T8


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Fotocópia
Id: 13787
Autor: Barrett, Ina R.
Título: The delivery of health care in Jamaica and its implications for public policy.
Fonte: Kingston; ; July 1979. xii,172 p.
Idioma: En.
Tese: Apresentada a University of the West Indies (Mona) para obtenção do grau de Master of Science (Government).
Resumo: This is a study of the system of health care delivery in Jamaica between the years immediately following the emancipation of slavery (1838) and the end of the first sixteen years of the nation's political independence (1978). While this enquiry is by no means exhaustive, it has attempted to examine in historical perspective some of the dynamics of the public policy-making processes with particular reference to the area of health care delivery. Throughout the research an attempt was made to describe, analyse and explain some of the causes and effects of government's activities in this particular area of public administration. The investigations sought to identify centres of decision-making within the system and to establish the nature of the relationships between the environmental forces, - national and international - and the actors in the political system in the formulation and implementation of public policy. A fundamental aspect of this paper is its focus on the effects of political 'development' on the process of change in the system of social policy. This should provide a basis on which to question some of the theoretical assumptions about how public policy 'is' or 'ought to be' made, as well as assist students of public administration to draw some conclusions on the applicability of theoretical 'models' of decision-making to the policy-making processes in a developing country such as Jamaica (AU)
Responsável: JM23.1 - Main Library
JM23.1; U Thesis



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