Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Maternal and Child Health Journal
Published in: Maternal and Child Health Journal 9/2012

01-12-2012

An Operational Study on Implementation of Mobile Primary Healthcare Services for Seasonal Migratory Farmworkers, Turkey

Authors: Zeynep Simsek, İbrahim Koruk, Nebiye Yentür Doni

Published in: Maternal and Child Health Journal | Issue 9/2012

Login to get access

Abstract

Maternal and child health is affected by exposure to unhealthy living and working conditions, by increased exposure to health hazards, and by poor utilization of primary healthcare services. The objective of this operational study was to implement mobile primary healthcare services (MPHS) for migratory seasonal farmworkers. This study, conducted in Şanlıurfa, Turkey, between March 2008 and April 2009, examined multiple stages of MPHS implementation in both a permanent settlement (336 children aged 5 and under; 580 women of reproductive age) and a working settlement (85 living units; 217 children and 257 women). The stages included: (1) identifying the problem, (2) identifying a potential solution and a quasi-experimental study to evaluate the effect of intervention, (3) utilizing and disseminating results to stakeholders, and (4) implementing sustainable MPHS county-wide. Rates of selected outcome measures, including full childhood and tetanus vaccination, phenylketonuria screening, and safer usage of pesticides, iodine salt, and sanitary toilet facilities, increased significantly following the intervention in both the permanent and temporary settlements (P < 0.05). The majority of cases of anemia (children: 16.6%, women: 17.8%) and parasitic infections (55.4%) were treated. The study results indicate that MPHS are necessary to ensure healthcare access for migratory farmworkers and to establish a stronger public health infrastructure for this risk group.
Literature
1.
Villarejo, D. (2003). The health of U.S. hired farm workers. Annual Review of Public Health, 24, 175–193.PubMedCrossRef
2.
Quandt, S. A., Arcury, T. A., Rao, P., et al. (2004). Agricultural and residential pesticides in wipe samples from farmworker family residences in North Carolina and Virginia. Environmental Health Perspectives, 112, 382–387.PubMedCrossRef
3.
Arcury, T. A., & Quandt, S. A. (2007). Delivery of health services to migrant and seasonal farmworkers. Annual Review of Public Health, 28, 345–363.PubMedCrossRef
4.
Lambert, M. I. (1995). Migrant and seasonal farm worker women. Journal of Obstetric and Neonatal Nursing, 24, 265–268.CrossRef
5.
Koruk, I., Simsek, Z., Koruk, I., et al. (2008). Mevsimlik tarım işçiliğinin kadın sağlığına etkisi [The effects of farm work on reproductive health]. 12. Ulusal Halk Sağlığı Kongresi [National Public Health Congress], Ankara (in Turkish).
6.
Ratcliffe, S. D., Lee, J., Lutz, L. J., et al. (1989). Lead toxicity and iron deficiency in Utah migrant children. American Journal of Public Health, 79, 631–633.PubMedCrossRef
7.
Lee, C. V., McDermott, S. W., & Elliott, C. (1990). The delayed immunization of children of migrant farm workers in South Carolina. Public Health Reports, 105, 317–320.PubMed
8.
Larson, O. W., I. I. I., Doris, J., & Alvarez, W. F. (1990). Migrants and maltreatment: Comparative evidence from central register data. Child Abuse and Neglect, 14, 375–385.PubMedCrossRef
9.
Martin, S. L., Kupersmidt, J. B., & Harter, K. S. (1996). Children of farm laborers: Utilization of services for mental health problems. Community Mental Health Journal, 32, 327–340.PubMedCrossRef
10.
Kupersmidt, J. B., & Martin, S. L. (1997). Mental health problems of children of migrant and seasonal farm workers: A pilot study. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 224–232.PubMedCrossRef
11.
Gwyther, M. E., & Jenkins, M. (1998). Migrant farmworker children: Health status, barriers to care, and nursing innovations in health care delivery. Journal of Pediatric Health Care, 12, 60–66.PubMedCrossRef
12.
Feldman, S. R., Vallejos, Q. M., Quandt, S. A., et al. (2009). Health care utilization among migrant Latino farmworkers: The case of skin disease. Journal of Rural Health, 25, 98–103.PubMedCrossRef
13.
Dentinger, C. M., Heinrich, N. L., Bell, B. P., et al. (2001). A prevalence study of hepatitis A virus infection in a migrant community: Is hepatitis A vaccine indicated? The Journal of Pediatrics, 138, 705–709.PubMedCrossRef
14.
McCauley, L. A., Lasarev, M. R., Higgins, G., et al. (2001). Work characteristics and pesticide exposures among migrant agricultural families: A community- based research approach. Environmental Health Perspectives, 109, 533–538.PubMedCrossRef
15.
Hansen, E., & Donohoe, M. (2003). Health issues of migrant and seasonal farmworkers. Journal of Health Care for the Poor and Underserved, 14, 153–164.PubMed
16.
Weathers, A. C., & Garrison, H. G. (2004). Children of migratory agricultural workers: The ecological context of acute care for a mobile population of immigrant children. Clinical Pediatric Emergency Medicine, 5(2), 120–129.CrossRef
17.
Simsek, Z., & Koruk, I. (2009). Effect of migratory and seasonal farmworks on growth and psychomotor development of aged 0–5 years children. 12th World Congress on Public Health, April 27–May 1, İstanbul.
18.
Koruk, I., Simsek, Z., Tekin Koruk, S., et al. (2010). Intestinal parasites, nutritional status and physchomotor development delay in migratory farm worker’s children. Child: Care, Health and Development, 36, 888–894.CrossRef
19.
Simsek, Z., & Koruk, I. (2008). Şanlıurfa il merkezinde gezici mevsimlik tarım işçiliği durumu ve sağlık hizmetine erişim [Seasonal farmworkers in Şanlıurfa and access to healthcare services]. XII Ulusal Halk Sağlığı Kongresi [National Public Health Congress], 22–26 October, Ankara (in Turkish).
20.
Bender, D. E., & Harlan, C. (2005). Increasing Latino access to quality health care: Spanish language training for health professionals. Journal of Public Health Management and Practice, 11, 46–49.PubMed
21.
Timmins, C. L. (2002). The impact of language barriers on the health care of Latinos in the United States: A review of the literature and guidelines for practice. Journal of Midwifery & Women’s Health, 47, 80–96.CrossRef
22.
Gentry, K., Quandt, S. A., Davis, S. W., et al. (2007). Child healthcare in two farmworker populations. Journal of Community Health, 32, 419–431.PubMedCrossRef
23.
Kelley, J. D., & Thelin, A. (2006). Prevention of illness and injury in agricultural populations. In J. D. Kelley & A. Thelin (Eds.), Agricultural medicine: Occupational and environmental health for the health professions (pp. 381–410). Iowa: Blackwell Publishing.
24.
Rust, G. S. (1990). Health status of migrant farmworkers: A literature review and commentary. American Journal of Public Health, 80, 1213–1217.PubMedCrossRef
25.
Grzywacz, J. G., & Fuqua, J. (2000). The social ecology of health: Leverage points and linkages. Behavioral Medicine, 26, 101–115.PubMedCrossRef
26.
Ward, L. S. (2007). Preliminary tests of an ecological model of Hispanic farmworker health. Public Health Nursing, 24, 554–564.PubMedCrossRef
27.
World Health Organization. (1978). Declaration of Alma-Ata. Almaty, Kazakhstan In International Conference on Primary Health Care, 6–12 September.
28.
Lewin, S., Lavis, J. N., Oxman, A. D., et al. (2008). Alma-Ata: Rebirth and revision 2. Supporting the delivery of cost-effective interventions in primary health-care systems in low-income and middle-income countries: An overview of systematic reviews. Lancet, 372, 928–939.PubMedCrossRef
29.
Tezcan, S., & Kurtuluş, E. (2004). Vaccination and child health, Turkey DHS Report 2003. Ankara: Hacettepe Population Institute.
30.
Koruk I, Simsek Z, Tekin Koruk, S. Effect of migratory and seasonal farmworks on coverage of vaccination of aged 0–5 years children in Sanliurfa in Turkey. 12th World Congress on Public Health 2009, April 27–May 1, İstanbul.
31.
Rothman, J. (1979). Three models of community organization practice: Their mixing and phasing. In F. Cox, J. L. Erlich, J. Rothman, & J. E. Tropman (Eds.), Strategies of community organization. Itasca, Illinois, USA: Peacock Publisher.
32.
Centers for Disease Control and Prevention. (2008). The community guide: evidence-based recommendations for programs and policies to promote population health. Atlanta, Georgia, USA: CDC. http://​www.​thecommunityguid​e.​org. Accessed 11 June 2011.
33.
Mobed, K., Gold, E. B., & Schenker, M. B. (1992). Occupational health problems among migrant and seasonal farm workers. Western Journal of Medicine, 157, 367–373.PubMed
34.
Lawn, J. E., Rohde, J., Rifkin, S., et al. (2008). Alma-Ata 30 years on: Revolutionary, relevant, and time to revitalise. Lancet, 13(372), 917–927.CrossRef
35.
Walley, J., Lawn, J. E., Tinker, A., et al. (2008). Rebirth and revision 8—primary health care: Making Alma-Ata a reality. Lancet, 372, 1001–1007.PubMedCrossRef
36.
Hughes, S. (2006). ‘Community based tuberculosis-control program in Yei county: Experience in a war situation in southern Sudan.’ Operational research in tropical and other communicable diseases. Final Report Summaries 2003–2004 implemented during 2004–2006. Results portfolio 3. World Health Organization. WHO-EM/TDR/110/E. Geneva.
Metadata
Title
An Operational Study on Implementation of Mobile Primary Healthcare Services for Seasonal Migratory Farmworkers, Turkey
Authors
Zeynep Simsek
İbrahim Koruk
Nebiye Yentür Doni
Publication date
01-12-2012
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 9/2012
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-011-0941-3

Other articles of this Issue 9/2012

Maternal and Child Health Journal 9/2012 Go to the issue

OriginalPaper

Emergency Department Visits and Hospitalizations for Injuries Among Infants and Children Following Statewide Implementation of a Home Visitation Model

OriginalPaper

Educating Health Professionals in Obstetrics and Gynecology Regarding Rapid Human Immunodeficiency Virus (HIV) Testing in Labor and Delivery: A Local Initiative

OriginalPaper

Female Perceptions of Male Versus Female Intendedness at the Time of Teenage Pregnancy

OriginalPaper

Dietary Intakes of Preschool-Aged Children in Relation to Caregivers’ Race/Ethnicity, Acculturation, and Demographic Characteristics: Results from the 2007 California Health Interview Survey

Brief Report

Missed Opportunities: A National Survey of Obstetricians About Attitudes on Maternal and Infant Immunization

OriginalPaper

Parental Weight (Mis)Perceptions: Factors Influencing Parents’ Ability to Correctly Categorise Their Child’s Weight Status