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Biomedical subjects

R Barber-Madden

Publications and source records attributed to R Barber-Madden.

14 recordsLinked to original sources
PubMed1997

The extent of barriers and linkages to health care for head start children.

Data were gathered as part of a larger survey of 218 Head Start Programs in Region II (New York City, New York State (excluding New York City), New Jersey, Puerto Rico and U.S. Virgin Islands) in 1993-94. The general purpose of the survey was to obtain information on child health, screening practices, training needs, family health and community problems, barriers to diagnosis and treatment and the extent of linkages between Head Start programs and health and nutrition providers at the local level. In this study barriers to the care of Head Start children and their families were examined as perceived by the Health Coordinators or other health related staff of the Health Services Component of these programs. The extent of linkages with health and nutrition service providers were also examined. The most frequently reported barriers were lack of parent participation (72%), private transportation not available (67%), parents' perception of quality of care (64%), distance to provider (63%), cost of transportation (63%), lack of funding (56%), limited/inconvenient hours (56%), and health services not available in the community (55%). On average, programs reported linkages to 14.5 providers (including an average of 4 nutrition programs). More than 90% of them reported linkages with public health services, child protective services, WIC and private physicians/dentists. Finally, the extent of barriers and linkages were compared across different geographic areas. Significant barriers were identified in this study, yet the survey confirmed and validated the extensive nature of formal linkages with health and nutrition service providers at the local levels. These findings may indicate that the current levels of service availability may not be sufficient to meet the severity and diversity of health needs of this population.

Analysis of Variance↗
PubMed1996

[Health advocacy in contemporary Brazil].

The concept of health advocacy is presented by means of a description of its elements, practice and agents. The need to formulate this concept derives from one of the main functions of the university: the identification of social demands and the presentation of alternatives that aim at eliminating obstacles to their fulfillment. Social participation, as guaranteed by the 1988 Constitution, understood as an opportunity for the development of mechanisms for the construction of citizenship, especially as related to the conquist of the right to health, is emphasized.

Brazil↗
PubMed1993

Technical assistance from student interns.

Student interns in public health from Columbia University, New York, have been providing short-term technical assistance to health service agencies in Latin American and Caribbean countries. The arrangement has proved beneficial to both the interns and the agencies.

Caribbean Region↗
PubMed1993

Public health advocacy on behalf of women in São Paulo: learning to participate in the planning process.

In 1988, a new Constitution was adopted in Brazil in which guidelines for community participation in the development and implementation of the national health system were delineated. The health and welfare of women and children were given priority. Implementation of these guidelines presents a major challenge in a city such as São Paulo with a population of 15 million, of which an estimated 5.8 million are women of childbearing age. In order to determine the extent to which community organizations are actively participating in planning health services for women and children in São Paulo, a study was undertaken to examine the experience of community and professional organizations in public health advocacy. This paper describes a sample of these organizations, their constituents, membership, history, funding, advocacy objectives, and strategies used and results obtained. The information gathered indicates that the community organizations are involved in activities that include major efforts to improve access to health care by providing specialized courses in women's health, including the status of women's work, sexuality, discrimination, family planning, and the politics of health; publishing newsletters; producing radio programs; engaging in legal action; and using petitions, demonstrations, and public meetings to garner public support on specific issues.

Brazil↗
PubMed1990

Maternity care financing: universal access or universal care?

In an era of fiscal constraint, growing poverty, increased uninsuredness, medical liability problems, and increasing costs of maternity care, public and private financing mechanisms are changing rapidly and the service delivery system is increasingly fragmented. Despite the almost mercurial changes in the system, data from national studies show that access to care is a major problem affecting all childbearing women. This paper describes the three groups of women who require comprehensive maternity care, their insurance coverage, and the gaps for each group. It describes proposals which are currently under development to reduce uninsuredness and produce universal access and, in addition, presents an alternative plan for universal maternity care.

Costs and Cost Analysis↗
PubMed1983

Training day care program personnel in handling child abuse cases: intervention and prevention outcomes.

Attempts have been made to provide day care services as part of a treatment plan and these services are also used as a preventive strategy. Day Care programs have the potential for providing growth experiences, supportive adult role models, and modeling parental skills in an atmosphere of understanding, respect and trust. There is a need, however, for day care professionals and paraprofessionals who come into contact with children to recognize problems of child abuse and neglect and to develop skills to deal with the range of inherent problems. A report on a training program for day care workers is presented in this article. A survey involving 84 day care programs in southeastern Pennsylvania was conducted and comparisons of intervention and prevention activities of two groups: those programs whose staff participated in the training and those whose staff did not, were made. Assessment of intervention activities shows that there is no difference between the groups. However, analysis of prevention activities shows that day care workers in the trained group were significantly more involved in prevention and high risk referral.

Child↗
PubMedDate not supplied

Participatory learning in continuing nursing education: Soviet edition of a public health and medicine trivia game.

The challenge in designing professional continuing education programs lies in balancing the need to provide a new knowledge base with the need to engage the interest of the adult learner. This article reports on the use and evaluation of an experiential and innovative educational approach using adult learning techniques in a continuing education program for nurses in a cross-cultural setting.

Cross-Cultural Comparison↗
PubMedDate not supplied

Collaborative studies program on maternal and child health in New York State, 1981-83.

With the passage of the Omnibus Reconciliation Act and the establishment of the block grant system in 1981, responsibility for the direction of many public health programs shifted from Federal to State government. This shift, coupled with funding cutbacks and the constraints of the current economic status of the country, has had an impact on the ability of the service delivery network to maintain service delivery programs. In the implementation of the Maternal and Child Health (MCH) Services Block Grant, collaboration among service, research, and training programs has been emphasized as an essential component to respond to the needs of service agencies and to provide relevant field experience for public health students. A program of projects centered on joint collaboration and support is described in this paper. Two of the 13 projects implemented over a 2-year period are highlighted. In 1981, the MCH Collaborative Studies Program was established, linking Columbia University School of Public Health, the New York State Health Department, and MCH service providers in New York City in an effort to identify underserved MCH populations, assess the impact of funding cutbacks, and define new strategies for service delivery programs. Graduate research assistants are assigned to participating agencies to coordinate the activities of each project.

Breast Feeding↗