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General practice health promotion activities for infants

Nataliya Vasileva Usheva

Abstract

Introduction: Health promotion and disease prevention are the key elements of modern Primary Health Care (PHC). The objective of this study is to estimate the time allocated for health promotion activities in GP daily routine.

Methods: An anonimous servey was conducted among 526 GPs in 5 regions from the Eastern part of Bulgaria: Varna, Burgas, Shumen, Dobrich, Ruse (June-August 2009).

Results: The time allocated for disease prevention and health promotion activities is mostly estimated as `average` (n=257; 48.9%). 47.6% (n=20) of the medical professionals who have obtained two specialties - GP and Paediatrics, as well as those with Paediatrics - 44.3% (n=58), allocate `much time` for health prevention activities (χ = 41.03; р=0.002; Spearman`s ρ= 0.13, p=0.009). The majority of GP (72.4%; n=380) consider the allocated time of 20.6 (5.9; 5÷40) minutes for children health check to be also adequate for disease prevention and health promotion activities. 336 (63.9%) of the GP would assign these activities to the nurse they work with, while contact with breastfeeding consultants would be advised by 78.6% (n=81) of the GP acquainted with the BC duties; and 65.2% (n=260) of the GP who do not know these. The respondents who assess the health promotion activities for infants as `unsatisfactory` are 54.9% (n=259) with the main reasons for this being: poor organization of the children PHC, parents` passivity and untrained GP neglecting health promotion.

Conclusions: PHC has been still focusing mainly on disease and its treatment. The study identified a necessity for dispatching the health promotion activities for infants to professionals trained to these (healthcare nurses, breastfeeding and nutrition consultants, etc.).


Keywords

primary health care; GP; infant; promotion; Eastern Bulgaria

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DOI: http://dx.doi.org/10.14748/sssp.v1i1.1274

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About The Author

Nataliya Vasileva Usheva
Medical University of Varna
Bulgaria

Social Medicine and Healthcare Management Department

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