scholarly journals Correction to: Inequity in utilization of health care facilities during childbirth: a community-based survey in post-conflict Northern Uganda

2019 ◽  
Author(s):  
David Mukunya ◽  
James K. Tumwine ◽  
Grace Ndeezi ◽  
Josephine Tumuhamye ◽  
Justin Bruno Tongun ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Facilities ◽  
Northern Uganda ◽  
Community Based ◽  
Post Conflict ◽  
Care Facilities

scholarly journals Inequity in utilization of health care facilities during childbirth: a community-based survey in post-conflict Northern Uganda

2019 ◽  
Author(s):  
David Mukunya ◽  
James K. Tumwine ◽  
Grace Ndeezi ◽  
Josephine Tumuhamye ◽  
Justin Bruno Tongun ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Facilities ◽  
Northern Uganda ◽  
Community Based ◽  
Post Conflict ◽  
Care Facilities

Towards quality primary health care: the dilemma of Community-Based Health Planning and Services (CHPS) in health service provision in Ghana

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Barnabas Addi ◽  
Benjamin Doe ◽  
Eric Oduro-Ofori
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Planning ◽  
Health Care Facilities ◽  
Health Needs ◽  
Community Based ◽  
Content Type ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

PurposeOver the past two decades, Community-Based Health Planning and Services (CHPS) has been a pragmatic strategy towards universal Primary Health Care (PHC) in Ghana. However, the ability and capacity of these facilities to deliver quality primary health care remain an illusion as they are still crumbling in myriad challenges. These challenges are translated to the poor-quality services provision and low community utilization of CHPS facilities. The study presents a comparative analysis of three communities in the Kassena-Nankana East Municipality, Ghana.Design/methodology/approachUsing a mixed-method research design, the study gathered and analysed data from 110 households, three community health officers (CHOs) and three community leaders using semi-structured questionnaires and interview guides.FindingsThe findings indicated that the facilities do not have the requisite inputs such as drugs and supplies, logistics, appropriate health personnel, good infrastructure, funding support necessary to deliver quality and appropriate healthcare services that meet the health needs of the communities. For the CHPS to realize their full potentials as PHC facilities, it is required that the needed inputs such as logistics, drugs and appropriate staff are in place to facilitate the activities of CHOs.Research limitations/implicationsDue to the limited number of participants and selection of the study communities, the results may generalization. Also, the researchers acknowledged the inability to interview the district level health officials and the Kassena-Nankana Municipal Assembly during the field visits. This could have provided in-depth knowledge on the findings of this research as well as the validation of the results from the communities' perspective. Several attempts were made to contact and interview district-level authorities which proven futile due to the unavailability of targeted respondents. This resulted in limiting the studies at the community level. However, this limitation does not disprove the findings of this study.Practical implicationsThe article implications for planning primary health care strategies include a keen assessment of community health needs and institutional management of primary health care facilities, equip PHC facilities with adequate resources such as drugs and appropriate staffing to provide the health needs of the communities.Originality/valueThe paper fulfils the gap in the literature by providing empirical data on how the challenges of primary health care facilities affected the provision of high quality service and how this can affect community’s use of the facilities.

scholarly journals Community-based models of care for management of type 2 diabetes mellitus among non-pregnant adults in sub-Saharan Africa: a scoping review protocol

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 535
Author(s):  
Emmanuel Firima ◽  
Lucia Gonzalez ◽  
Jacqueline Huber ◽  
Jennifer M. Belus ◽  
Fabian Raeber ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Health Care ◽  
Type 2 Diabetes Mellitus ◽  
Scoping Review ◽  
Health Care Facilities ◽  
Engagement In Care ◽  
Community Based ◽  
Care Facilities

Background: The burden of type 2 diabetes mellitus (T2DM) is increasing in low- and middle-income countries, including sub-Sahara Africa (SSA). However, awareness of and access to T2DM diagnosis and care remain low in SSA, leading to delayed treatment, early morbidity, and mortality. Particularly in rural settings with long distances to health care facilities, community-based care models may contribute to increased timely diagnosis and care. This scoping review aims to summarize and categorize existing models of community-based care for T2DM among non-pregnant adults in SSA, and to synthesize the evidence on acceptance, clinical outcomes, and engagement in care. Method and analysis: This review will follow the framework suggested by Arskey and O’Malley, which has been further refined by Levac et al. and the Joanna Briggs Institute. Electronic searches will be performed in Medline, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Scopus, supplemented with backward and forward citation searches. We will include cohort studies, randomized trials and case-control studies that report cases of non-pregnant individuals diagnosed with T2DM in SSA who receive a substantial part of care in the community. Our outcomes of interest will be model acceptability, blood sugar control, end organ damage, and patient engagement in care. A narrative analysis will be conducted, and comparisons made between community-based and facility-based models, where within-study comparison is reported. Conclusion: Care for T2DM has become a global health priority. Community-based care may be an important add-on approach especially in populations with poor access to health care facilities. This review will inform policy makers and program implementers on different community-based models for care of T2DM in SSA, and critically appraise their acceptability and clinical outcomes. It will further identify evidence gaps and future research priorities in community-based T2DM care.

scholarly journals Assessment of Temporary Community-Based Health Care Facilities During Arbaeenia Mass Gathering at Karbala, Iraq: Cross-Sectional Survey Study (Preprint)

2018 ◽  
Author(s):  
Faris Lami ◽  
Inam Hameed ◽  
Ali Arbaji
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Local Community ◽  
Health Care Facilities ◽  
Control Measures ◽  
Survey Study ◽  
Observation Data ◽  
Mass Gathering ◽  
Community Based ◽  
Care Facilities

BACKGROUND Arbaeenia mass gathering (MG) in Karbala, Iraq, is becoming one of the largest MGs in the world. The health care infrastructure in Iraq is inadequately prepared to serve the health needs of the millions of pilgrims. OBJECTIVE This study aimed to describe the temporary health care facilities installed and run by the local community to provide health care services to Arbaeenia pilgrims in Karbala, Iraq. METHODS A survey was conducted in all community-based health care facilities located along part of Najaf to Karbala road within Karbala governorate. A structured questionnaire was answered through an interview with the workers and direct observation. Data were collected on staff profile, type of services provided, use of basic infection control measures, medical equipment, drugs and supplies, and the most commonly encountered medical problems. RESULTS The total number of health care facilities was 120, staffed by 659 workers. Only 18 (15.0%, 18/120) facilities were licensed, and 44.1% (53/120) of the workers were health professionals. The health care workers provided different services including dispensing drugs (370/1692, 21.87%), measuring blood pressure and blood sugar (350/1692, 20.69%), and caring for wounds and injuries (319/1692, 18.85%). Around 97% (116/120) health facilities provided services for musculoskeletal disorders and only 16.7% (20/120) provided services for injuries. The drugs available in the clinic were analgesics, drugs for gastrointestinal and respiratory diseases, and antibiotics, with an availability range of 13.3% to 100.0%. Infection control practices for individual protection, environmental sanitation, and medical waste disposal were available in a range of 18.1% to 100.0%. CONCLUSIONS Community-based health care facilities experienced a profound shortage of trained human resources and medical supplies. They can significantly contribute to health services if they are adequately equipped and follow standardized operation procedures.

A Statewide Program to Stimulate Reporting of Adverse Drug Reactions

1989 ◽  
Vol 2 (4) ◽  
pp. 239-244 ◽  
Author(s):  
Jack Fincham
Keyword(s):  
Health Care ◽  
Adverse Drug Reactions ◽  
Drug Administration ◽  
Active Role ◽  
Health Care Facilities ◽  
Drug Reactions ◽  
Community Based ◽  
Monthly Average ◽  
Rural Settings ◽  
Care Facilities

The purpose of a 26-month Food and Drug Administration sponsored study conducted in Mississippi was to determine how the reporting of adverse drug reactions (ADRs) might be stimulated. The program included both institutional and community based health care facilities located in urban as well as rural settings. Methods used in the study increased the monthly average of reported ADRs from 3.94 to 16.5. Pharmacists have the expertise and responsibility to assume a more active role in the reporting of ADRs.

scholarly journals Assessment of Temporary Community-Based Health Care Facilities During Arbaeenia Mass Gathering at Karbala, Iraq: Cross-Sectional Survey Study

10.2196/10905 ◽  
2019 ◽  
Vol 5 (4) ◽  
pp. e10905 ◽  
Author(s):  
Faris Lami ◽  
Inam Hameed ◽  
Ali Arbaji
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Local Community ◽  
Health Care Facilities ◽  
Control Measures ◽  
Survey Study ◽  
Observation Data ◽  
Mass Gathering ◽  
Community Based ◽  
Care Facilities

Background Arbaeenia mass gathering (MG) in Karbala, Iraq, is becoming one of the largest MGs in the world. The health care infrastructure in Iraq is inadequately prepared to serve the health needs of the millions of pilgrims. Objective This study aimed to describe the temporary health care facilities installed and run by the local community to provide health care services to Arbaeenia pilgrims in Karbala, Iraq. Methods A survey was conducted in all community-based health care facilities located along part of Najaf to Karbala road within Karbala governorate. A structured questionnaire was answered through an interview with the workers and direct observation. Data were collected on staff profile, type of services provided, use of basic infection control measures, medical equipment, drugs and supplies, and the most commonly encountered medical problems. Results The total number of health care facilities was 120, staffed by 659 workers. Only 18 (15.0%, 18/120) facilities were licensed, and 44.1% (53/120) of the workers were health professionals. The health care workers provided different services including dispensing drugs (370/1692, 21.87%), measuring blood pressure and blood sugar (350/1692, 20.69%), and caring for wounds and injuries (319/1692, 18.85%). Around 97% (116/120) health facilities provided services for musculoskeletal disorders and only 16.7% (20/120) provided services for injuries. The drugs available in the clinic were analgesics, drugs for gastrointestinal and respiratory diseases, and antibiotics, with an availability range of 13.3% to 100.0%. Infection control practices for individual protection, environmental sanitation, and medical waste disposal were available in a range of 18.1% to 100.0%. Conclusions Community-based health care facilities experienced a profound shortage of trained human resources and medical supplies. They can significantly contribute to health services if they are adequately equipped and follow standardized operation procedures.

scholarly journals COVID-19 – Community Based Mitigation Measures

2021 ◽  
Vol 58 (2) ◽  
pp. 478-486
Author(s):  
Ankita Motwani, Dr. Swaroopa Chakole
Keyword(s):  
Health Care ◽  
Community Participation ◽  
Human Life ◽  
Disease Outbreak ◽  
Health Care Facilities ◽  
Mitigation Measures ◽  
Community Based ◽  
Care Facilities ◽  
Almost All ◽  
Game Changer

BACKGROUND COVID-19 pandemic is raging through continents and creating disturbances in almost all the activities of the human life sustenance. The worst disease outbreak is being faced by the humanity and containment is the need of the hour. SUMMARY Community based mitigation can prove game changer as current efforts are totally centralized and are hardly decentralized. Community participation under the supervision of the competent community health or medicine officer or equivalent authority can be ensured to effectively contain the coronavirus and thereby reducing the burden on the health care facilities. CONCLUSION More study needs to be done to target the efforts of containing the virus.People’s participation along with medical fraternity is the key to successfully defeating the menace of the pandemic of COVID-19.

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