background: primary health care physicians (phcps) are the first in the clinic to detect and help victims of intimate partner violence (ipv). therefore, their attitude and practice toward domestic violence (dv) are important to manage this problem. the aim of current study was to compare the behavior and attitude of phcps about dv versus other health risk factors in tehran, iran.   methods : a ...

when the japanese government adopted western medicine in the late nineteenth century, it left intact the infrastructure of primary care by giving licenses to the existing practitioners and by initially setting the hurdle for entry into medical school low. public financing of hospitals was kept minimal so that almost all of their revenue came from patient charges. when social health insurance (s...

conclusions with regard to the current challenges in iran’s health system, using risk-adjusted capitation as a primary healthcare payment system can lead to useful changes in the health system’s features. however, future research should focus on the development of the risk-adjusted capitation model. background when a country’s health system is faced with fundamental flaws that require the redes...

abstract background: the world health organization emphasizes on integration of sexual health into primary health care services, educating people and health care workers about sexuality, and promoting optimal sexual health. despite the high prevalence of sexual problems, these problems are poorly managed in primary health care services. this study was conducted to evaluate the efficacy and feas...

PROBLEM CONSIDERED Accessibility by telephone to cystic fibrosis (CF) centers for a diagnostic sweat test appointment from a parental perspective—which can be stressful—compared to experience in contacting a general pediatrics practice in the same area. METHODS We called each CF center and affiliate twice, plus a sample of multiphysician general pediatrics practices selected from yellowpages....

Objective To determine the costs and benefits of interventions for maternal and newborn health to assess the appropriateness of current strategies and guide future plans to attain the millennium development goals. Design Cost effectiveness analysis. Setting Two regions classified by the World Health Organization according to their epidemiological grouping: Afr-E, those countries in sub-Saharan ...

OBJECTIVES To explore the "how" and "why" of care decision making by frontline providers of maternal and newborn services in the Greater Accra region of Ghana and determine appropriate interventions needed to support its quality and related maternal and neonatal outcomes. METHODS A cross sectional and descriptive mixed method study involving a desk review of maternal and newborn care protocol...

Background Care for women and babies before, during, and after the time of birth is a sensitive measure of the functionality of any health system. Engaging communities in preventing newborn deaths is a promising strategy to achieve further progress in child survival in sub-Saharan Africa. Objective To assess the effect of a home visit strategy combined with health facility strengthening on upta...