La mayor parte de las mujeres inmigrantes que viven en Sevilla trabajan en el servicio doméstico. Sus quejas en los servicios de urgencias y de atención primaria, según la impresión de los profesionales sanitarios, van más allá de los síndromes y encierran toda su historia. La atención directa a estas mujeres en los servicios sociales y sanitarios, así como la gestión a medio-largo plazo de los servicios para el futuro, necesitan de una mirada integradora que contemple los movimientos migratorios, las nuevas relaciones laborales en la era de la globalización, las relaciones salud-género y la cultura, que lo atraviesa todo. Una mirada del profesional que intente comprender con la finalidad de reducir las desigualdades en salud evitables.
Health promotion can contribute towards reducing inequality and ensuring equal opportunities, providing the means to enable the entire population to develop its maximum health possibilities. Women living in areas with social transformation needs (ASTN) are an especially vulnerable group due to the situation of material deprivation and social exclusion in which they live. Health promotion programmes for this group can bring about an improvement in their health. This paper describes the health promotion programme Socio-educational Groups of Primary Care for Women (SEGPC-W), and evaluates its implementation in ASTN in the city of Seville (Spain), as well as the benefits and difficulties of its development through a documentary analysis and interviews with participating professionals.
Professionals think there is too much rigidity and adding-up in the measurement of targets and objectives. This creates unfavourable working conditions, which affects the quality of health service delivery.
Study aim was to assess Andalucian death certificate records to find potential occupational disease problems. Methodology proposed by Rutstein (1983) has been adapted. We had checked Seville City Council Mortality Registry (1987-89) and Andalucian Mortality Registry (1975-85). In the former 8.1% of diagnoses and in the latter 8.6% of diagnoses have one included in the Sentinel Health Event (occupational) List. Accurate occupation data in the Seville City Council Mortality provides appropRiate information about occupational diseases. Limitations of the occupational data in the Andalucian Mortality Registries make it impossible to find the majority of potential occupational diseases, and occupation data were even worse during the second period of study (1980-85).
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