Aim: To determine the behaviors, expectations and experiences about health-sickness of women from society, to evaluate the socio-cultural characteristics of these behaviors. Method: This research is qualitative, planned as "case study". The research is sampled as goal-oriented maximum variation and 31 women included who are between 17-77 with different socio-cultural characteristics. Four focused interviews were conducted. Before the study, participants were informed and a questionnaire was used to question socio-demographic characteristics. The interviews were made at participants' houses. One interviewer and two observers was ready in each session. The voice recordings and observers' notes were trasncripted. No names have been transcribed. Each of the interviews were analyzed thematically, were commonised to reach research findings. Results: According to the analysis, there are five theme topics. 1. Physician (professionalism) characteristics affecting the choice of doctor (skills, attitude, gender, knowledge). 2. Expectations and behaviours about services related to women's health (afraid of the examination style, expectations of confidentiality and sympathy, prejudices). 3. Reasons for choosing health institutions (attitude of health workers, gender of doctor, hospital facilities, accessibility, prejudices, queue waiting). 4. Unmet health needs and thoughts about the causes (fear of malpractice, shyness, financial impossibilities, advanced appointments). 5. Attitudes on Family Health Centers (reasons for not using: lack of equipment, crowd, existing habits, doctor's attitude, distrust to doctor's knowledge). The participants repeated that dental health services are the most difficult to obtain. Conclusion: Socio-cultural characteristics, health services presentation and attitude of health workers influences expectations of individuals about utilization of health services. Therefore, when planning trainings of health workers, the applicants' health perceptions affected by the socio-cultural characteristics, learning methods which allows the development of a positive attitude and improves communication skills should be considered. Also, in the organization of health services, taking into account the factors affecting applicants' utilization of health services will be effective for the elimination the unmet needs.
Background: After March 2020, with the first case of novel coronavirus, Turkish health care system switched to state of emergency to manage the COVID-19 pandemic. In order to control the pandemic, a scientific committee was established, guidelines were prepared, and filiation/contact tracing studies were started. Field investigation and isolation teams were established, and District Health Directorates (DHD) became frontline primary care organizations to manage contact tracing in Turkey. Case presentation: In this report, pandemic management and contact tracing were evaluated in example of Kartal DHD from Istanbul, Turkey. The report contains the details about the planning process, Kartal DHD Pandemic Management priorities, aim and planning of this policy, coordination and cooperation with other institutes to overcome this extraordinary state. Also, evaluation of the contact tracing and telemedicine usage in the pandemic management is examined as well with future implications. Conclusions: From the SWOT analysis to planning process, this report attempts to describe how this state of emergency was managed and how effective the contact tracing management process was. With its detailed key points of the pandemic management and future perspectives, it has been written in terms of preparation for the future pandemics.
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