Irfaeya, Maesa: The application of Community Oriented Primary Care (COPC) approach on assessing psychological stress among Arab migrant women in the city of Cologne/Germany [...]. 2006
Inhalt
- 1 INTRODUCTION
- 2 COMMUNITY ORIENTED PRIMARY CARE (COPC)
- 2.1 Definition of COPC
- 2.2 The idea and History of COPC
- 2.3 Principles of COPC
- 2.4 Requirements of COPC
- 2.5 Steps of COPC
- 2.5.1 Step one. Community definition
- 2.5.2 Step two. Community characterization/diagnosis
- 2.5.3 Step three. Prioritization
- 2.5.3.1 Methods for priority setting
- 2.5.3.2 Public participation in priority setting: commitment or illusion?
- 2.5.3.3 What is/ who are “the public”?
- 2.5.4 Step four. Detailed assessment
- 2.5.5 Step five. Intervention
- 2.5.5.1 Examining previous local experience: what is being or what has been done?
- 2.5.5.2 What else can be done?
- 2.5.5.3 Targeting the intervention
- 2.5.5.4 Defining the objectives of the intervention
- 2.5.5.5 Intervention activities
- 2.5.5.6 Record system
- 2.5.5.7 Resources
- 2.5.5.8 Timeline
- 2.5.6 Step six. Evaluation
- 2.6 Characteristics of COPC
- 2.7 Advantages and benefits of COPC application
- 2.8 Obstacles that could face COPC application
- 3 MIGRATION
- 3.1 Definition of migration
- 3.2 Causes of migration
- 3.3 Stages of migration
- 3.4 Migration issue in the world
- 3.5 Specific related indicators to migrants in Germany
- 3.5.1 Demographic indicators
- 3.5.2 Labor force indicators
- 3.5.3 Socioeconomic indicators
- 3.5.4 Main health indicators
- 3.5.5 Psychosocial and psychiatric health
- 3.5.6 Substance abuse
- 3.6 Access of migrants to health care
- 3.7 Response of health care system to migrants
- 4 STRESS, CULTURE, MENTAL HEALTH AND MIGRATION
- 4.1 Stress
- 4.1.1 Definition of stress
- 4.1.2 Models of stress
- 4.1.3 Signs of stress
- 4.1.4 Coping with stress
- 4.1.5 Cultural aspects of stress
- 4.2 Culture and health
- 4.2.1 Definition of culture
- 4.2.2 Context of culture
- 4.2.3 Dimensions of culture
- 4.2.4 Analyzing health through culture
- 4.2.5 Psychiatric thinking in the context of culture
- 4.3 Factors affecting physical, psychological and mental health
- 4.4 Migration and psychological stress
- 4.4.1 Life changes linked to migration
- 4.4.2 How does migration affect psychological status?
- 4.4.3 Causes and precipitants of mental disorder in migrants
- 4.5 Acculturation
- 4.6 Women and psychological stress
- 5 RESEARCH PURPOSE, AIMS AND OBJECTIVES
- 5.1 Purpose of the study
- 5.2 Study hypotheses
- 5.3 Research questions
- 5.4 Research aims and objectives
- 5.4.1 Focus groups' aim and objectives
- 5.4.2 Key interviews' aim and objectives
- 5.4.3 Open group discussion’s aim and objective
- 5.4.4 Questionnaire’s aim and objectives
- 5.4.5 Intervention’s goal and objectives
- 5.4.6 Evaluation’s goals and objectives
- 5.5 Definition of terms
- 6 THEORETICAL MODEL OF STRESS
- 7 RESEARCH METHODS AND MATERIALS
- 7.1 Study design
- 7.2 Period of the study
- 7.3 Study setting
- 7.4 Study population
- 7.5 Study sample and sampling
- 7.5.1 Focus group sample and sampling
- 7.5.2 Key informant sample and sampling
- 7.5.3 Open group discussion meeting sample
- 7.5.4 Sample and sampling for the quantitative part
- 7.5.5 Sample and sampling for the intervention and evaluation steps
- 7.6 Data collection methods
- 7.7 Data collection instruments/measures
- 7.7.1 Focus groups data collection instrument
- 7.7.2 Key interviews data collection instrument
- 7.7.3 Open group meeting data collection instrument
- 7.7.4 Quantitative part/questionnaire for detailed assessment and evaluation
- 7.7.5 Data collection and planning for intervention
- 7.7.6 Data collection for evaluation
- 7.8 Ethical considerations
- 7.9 Analysis strategies
- 8 RESULTS
- 8.1 Cologne city profile
- 8.1.1 Population
- 8.1.2 Socioeconomic characteristics about the population of Cologne
- 8.1.3 Geography and surface
- 8.1.4 Religion
- 8.1.5 Housing and buildings
- 8.2 Information about the center (BFmF)
- 8.3 Foreign population in details
- 8.4 Results of the study
- 8.4.1 Results from focus groups
- 8.4.2 Results from key informant interviews and secondary data
- 8.4.3 Health situation and health services in Cologne (secondary data)
- 8.4.4 Results from the open group meeting discussion
- 8.4.5 Results from the questionnaire
- 8.4.6 Results from the intervention step
- 8.4.6.1 What has been done concerning psychological health of migrants in general and Arab migrants in specific in Cologne and in Germany?
- 8.4.6.2 Literature concerning dealing with psychological stress
- 8.4.6.3 What more can be done for Arab migrant women in the city of Cologne?
- 8.4.7 Results from Evaluation
- 9 DISCUSSION
- 9.1 Focus groups and key informants
- 9.2 Open group discussion/public meeting for prioritization
- 9.3 Discussion of the questionnaire results
- 9.3.1 Demographic section
- 9.3.2 Health status section
- 9.3.3 Psychological status section
- 9.3.4 Women’s SCL-90-R scores
- 9.4 Intervention and evaluation
- 9.5 Strengths of the study
- 9.6 Limitations of the study
- 10 RECOMMENDATIONS
- 10.1 Planners and policy makers
- 10.2 Service providers
- 10.3 Institutions/Centers working on migrants’ issues
- 10.4 Community/Women/Media and Publications
- 10.5 Future research
- SUMMARY
- REFERENCES AND BIBLIOGRAPHY