Reducing Adolescents’ Perceived Barriers to Treatment and Increasing Help-seeking Intentions: Effects of Classroom Presentations by General Practitioners

The Building Bridges to General Practice (BBGP) program is an outreach initiative. It aims to reduce young peoples’ perceived knowledge- and belief-based barriers to engaging in treatment and to increase their behavioral intentions to consult a general medical practitioner (GP) for physical and psychological problems. By increasing intentions, the BBGP program aims to increase actual consultations with a GP for both types of problem. A quasi-experimental nested design was used to evaluate the effect of the intervention in three Australian high schools. A Treatment group (n = 173, M = 16 years) and Comparison group (n = 118, M = 15 years) completed questionnaires of perceived barriers, intentions and self-reported consultations with a GP. Questionnaires were completed 1 week before the intervention, 5 then 10 weeks post-intervention. The Treatment group, but not the Comparison group, showed reductions in perceived barriers over time, increased intentions to consult a GP for psychological problems and a significant correlation between intentions and subsequent GP consultations. Results support the utility of the intervention for improving adolescents’ beliefs, intentions and behavior related to consulting a GP for physical and psychological problems.

Shaping participation: an international NGO implementing a government participation policy

This article reports on a case study of how one NGO utilised a government participation policy to establish ostensibly participatory spaces in the Cambodian health sector. The ethnographic field study revealed how the NGO exerted influence in establishing and facilitating participative committees by controlling membership, resources, and meeting agendas. This resulted in limited citizen participation, with committees used to educate, lobby, and mobilise community leaders to work towards the NGO’s priorities rather than community identified needs. This case contributes to our understanding of insisted spaces and the role of third parties implementing government participation policies.     

The historical contribution of faith-based health providers in the Ecuadorian health system: an overview of the evidence

ABSTRACT

Faith-based health providers (FBHPs) have historically shaped the national health system in Ecuador, yet there is little robust evidence of this role, or their current contribution to the national health system. This article situates FBHPs in the Ecuadorian health system, using secondary analyses of national health surveys to consider changes in contribution from 1998 to 2014, and synthesising this with secondary literature. The research confirms the important role that FBHPs have historically played in Ecuador, but also shows that their current role needs to be better understood if universalisation of health service coverage is to be achieved.     

Factors affecting access to primary health care services in Pakistan: a gender-based analysis

This article explores access to primary health care (PHC) services and associated factors in Pakistan. Data were collected from 302 respondents. The findings revealed that women accessed PHC services more than men due to their greater health needs. However, a large proportion of both genders did not access any PHC services. Besides general weaknesses, gender-related barriers were found in basic health unit locations, distance, transport, staff availability, income, service hours, and service organisation, confirming gender issues in access to PHC services. Policymakers are recommended to take measures to improve access to PHC services through the formulation of gender-responsive policies and strategies.     

Female genital cutting in Egypt: drivers and potential responses

ABSTRACT

Female genital cutting (FGC) is a major issue at the interplay of faith and health in development. The practice is in part faith-inspired, and has clear negative health impacts. The prevalence of FGC remains especially high in Egypt. This article reflects on some of the factors that lead to the perpetuation of the practice by analysing data from the 2014 Survey of Young People in Egypt. The focus is on whether religiosity, acceptance of traditional gender roles and discrimination, attitudes towards women’s autonomy, and age at marriage affect attitudes towards FGC, controlling for other factors. The results suggest that all these factors do indeed play a role.     

试论心理健康教育在公安思想政治工作中的作用

警察的心理健康对公安思想政治工作有较大影响,它关系到警察队伍的管理和战斗力的发挥。我们要转变观念,树立人性化的管理意识,遵循民警的心理发展规律和心理特征,改革公安思想政治工作中存在的问题,借助心理健康教育的科学性提高思想政治教育的实效性。     

投保人告知义务研究

告知义务是诚实信用与契约自由原则在保险法中的具体体现。保险合同融专业性、复杂性和技术性为一体 ,投保人善尽告知的范围应以保险人的书面询问为限。为使保险人能准确衡估危险 ,告知义务主体应扩大及于被保险人。违反告知义务者 ,保险人有权解除合同 ,故意不履行告知义务者 ,对合同解除前发生保险事故造成损失的 ,保险人不负赔偿责任 ;过失未履行告知义务者 ,对合同解除前发生保险事故造成损失的 ,保险人原则上应负赔偿责任     

The Relationship of Abuse to Women’s Health Status and Health Habits

The present study examined the relationship between exposure to abuse and women’s health status and health behaviors in a sample of rural women. One hundred forty-eight women visiting a community health care center completed survey packets that included measures that assessed: exposure to abuse, impairment associated with exposure to abuse, physical and mental health problems, health behaviors, and the extent of health care usage. Results indicated that exposure to abuse was positively and significantly related to the adoption of a negative psychological perspective, which in turn was negatively correlated with physical and mental health, as well as with the practice of healthy behaviors. Results also showed that women exposed to abuse engage in less healthy behaviors and utilize more health care resources than do women with no such exposure. Implications for improving the assessment and treatment of abuse in health care settings are discussed. This article is based on a thesis completed by the first author with the same title as this report.     

银保合作：中国保险业发展的必然选择

随着保险业与银行合作在世界范围内的兴起,国内保险业也在与银行的合作方面加快了脚步。我国银保合作良好的基础和优势促进了银保合作实践的迅猛发展,同时也暴露出金融监管体制不完善对国内银保合作的制约。