Preference for private hospital-based maternity services in inner-city Lagos, Nigeria: An observational study

Health Policy ◽  
2010 ◽  
Vol 96 (3) ◽  
pp. 210-216 ◽  
Author(s):  
Bolajoko O. Olusanya ◽  
Alero A. Roberts ◽  
Tolulope F. Olufunlayo ◽  
Victor A. Inem
Keyword(s):  
Observational Study ◽  
Inner City ◽  
Private Hospital ◽  
Maternity Services

NON-UPTAKE OF FACILITY-BASED MATERNITY SERVICES IN AN INNER-CITY COMMUNITY IN LAGOS, NIGERIA: AN OBSERVATIONAL STUDY

2009 ◽  
Vol 42 (3) ◽  
pp. 341-358 ◽  
Author(s):  
B. O. OLUSANYA ◽  
O. P. ALAKIJA ◽  
V. A. INEM
Keyword(s):  
Developing Countries ◽  
Inner City ◽  
Tertiary Education ◽  
Full Time ◽  
Health Seeking ◽  
Cross Sectional ◽  
Rapid Urbanization ◽  
Hospital Delivery ◽  
Maternity Services ◽  
Skilled Attendants

SummaryScaling-up of skilled attendants and facility-based services is necessary for improving maternal and child care in developing countries but their effectiveness is crucially influenced by the uptake of such services. This study set out to establish the pattern and uptake of maternity services and associated factors against the backdrop of rapid urbanization in Nigeria. A cross-sectional study of socio-demographic and obstetric characteristics of mothers attending the Bacille Calmette-Guérin (BCG) immunization clinics in inner-city Lagos was conducted from July 2005 to December 2007, and their association with non-hospital delivery and use of unskilled attendants was determined by multiple logistic regression analyses. Of the 6465 participants, over half (51.4%) delivered outside hospital facilities and 81.8% of this group had no skilled attendants at delivery. Non-hospital delivery or the presence of unskilled attendants at delivery was associated with teenage mothers, Muslim religion, low or middle social class and use of herbal drugs in pregnancy. Additionally, non-hospital delivery was associated with ethnicity (Yoruba tribe), lack of tertiary education or full-time employment, accommodation with shared sanitation facilities and multiparity. The results suggest that availability of and access/proximity to hospital facilities or skilled attendants is no guarantee of uptake of maternity services. Efforts aimed at improving maternal and child health in developing countries should take cognisance of the socio-demographic and cultural underpinnings of maternal health-seeking behaviour of urban mothers beyond the provision of facility-based services or strengthening of the existing health care systems.

scholarly journals ASSESSMENT OF MEDICATION ERRORS IN PEDIATRICINPATIENT DEPARTMENT OF A PRIVATE HOSPITAL

2017 ◽  
Vol 9 (6) ◽  
pp. 70 ◽  
Author(s):  
P. Nikhithasri ◽  
M. Ramya ◽  
P. Kishore
Keyword(s):  
Observational Study ◽  
Medication Errors ◽  
Nursing Staff ◽  
Medication Safety ◽  
Prospective Observational Study ◽  
Private Hospital ◽  
Pediatric Patients ◽  
Patient Records ◽  
Prescribing Errors ◽  
Direct Communication

Objective: To assess the overall rate and incidence of medication errors in pediatric inpatients and to determine the importance of pharmacist participation in medication errors.Methods: A prospective observational study has been conducted in a ‘private childrens hospital’ for 6 mo at Warangal, Telangana. Patients who are ≤18 ywere considered. Data was collected from patient records, direct communication with patient and their care givers.Results: Among 400 patients with 2,461 medication orders,1381(56%) errors were found. Patients were more exposed to AME(33.7) caused by the nursing staff, followed by PME-21.5,CME-0.6,DME-0.2 in incidence with the 95% CI.Conclusion: Pediatric patients are more exposed to administration errors and prescribing errors. Pediatricians and Pharmacists should develop effective programs for safe administration of medications, report medication errors, eliminate barriers in reporting medication errors, encourage a non-punitive reporting culture and create an environment of medication safety for all hospitalized pediatric patients

Patterns of Use of Mammography Among Inner-City Detroit Women: Contrasts Between a Health Department, HMO, and Private Hospital

Medical Care ◽  
1993 ◽  
Vol 31 (4) ◽  
pp. 322-334 ◽  
Author(s):  
Robert C. Burack ◽  
Phyllis A. Gimotty ◽  
William Stengle ◽  
Lawrence Warbasse ◽  
Anita Moncrease
Keyword(s):  
Inner City ◽  
Private Hospital ◽  
Health Department ◽  
Patterns Of Use

Students as Active Participants in Hearing Aid Maintenance

1992 ◽  
Vol 23 (3) ◽  
pp. 208-213 ◽  
Author(s):  
Marsha Lipscomb ◽  
Peggy Von Almen ◽  
James C. Blair
Keyword(s):  
Inner City ◽  
Hearing Aids ◽  
School System ◽  
Regular Education ◽  
Hearing Aid ◽  
Hearing Impairments ◽  
City School

Twenty students between the ages of 6 and 19 years who were receiving services for students with hearing impairments in a metropolitan, inner-city school system were trained to monitor their own hearing aids. This study investigated the effect of this training on the percentage of students who wore functional hearing aids. Ten of the students received fewer than 3 hours of instruction per day in the regular education setting and generally had hearing losses in the severe to profound range. The remaining 10 students received greater than 3 hours of instruction per day in the regular education setting and had hearing losses in the moderate to severe range. The findings indicated improved hearing aid function when students were actively involved in hearing aid maintenance programs. Recommendations are made concerning hearing aid maintenance in the schools.

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