scholarly journals PNS158 ARE THE PRIMARY HEALTH CENTERS ADEQUATELY EQUIPPED TO DELIVER PRIMARY HEALTHCARE IN INDIA? A STUDY OF PUBLIC HEALTH MANPOWER AND INFRASTRUCTURE

2019 ◽  
Vol 22 ◽  
pp. S312
Author(s):  
S. Sriram
Keyword(s):  
Public Health ◽  
Primary Healthcare ◽  
Health Centers ◽  
Health Manpower ◽  
Primary Health

scholarly journals Drones Optimized Therapy System (DrOTS): Use of Drones for Tuberculosis Diagnosis in Nepal

2019 ◽  
pp. 14
Author(s):  
Uttam Pudasaini
Keyword(s):  
Public Health ◽  
Primary Healthcare ◽  
Urban Areas ◽  
Access To Health Care ◽  
Health Workers ◽  
Healthcare Access ◽  
Health Care Facilities ◽  
Health Centers ◽  
Diagnostic Tools ◽  
Healthcare Facilities

Over 50% of the total Nepalese population lives in hilly and mountainous areas with extremely poor transportation and access to health care facilities. With advanced health centers concentrated only in urban areas, and diagnostic laboratories not being present in most primary healthcare facilities, majority of people are forced to have to walk by foot, in an average 6-8 hours, to access proper healthcare facilities. Drone Optimized Therapy System, (DrOTS) aims to improve access to healthcare access in rural villages of Nepal. The pilot phase currently involved improving the accessibility of Tuberculosis diagnostic tests by linking communit y health workers (CHWs) with state-of-the-art diagnostic tools (GeneXpert) via drones in two municipalities of Pyuthan district, Nepal. The drones fly from central Hospitals to remote healthcare centers and bring back sputum samples for diagnosis. The purpose of this project is to assist the Ministry of Health and Population (MoHP) and National Tuberculosis Center (NTC) by generating the data necessary to assess the suitability of the drones-based services for nationwide expansion. The aerial distance between any two points being lesser than the actual road distance, drone technology has come out as a very popular tool in transporting medical samples/medicines between health centers. Drones can be used as crucial tools to connect primary healthcare facilities to hospitals by delivering patient information such as blood, urine, sputum, stool etc. samples required for diagnosis from primary facilities to hospitals, and medicines from hospitals to patients in nearby rural locations for treatment. The project team consists of multisector experts; Public Health- Birat Nepal Medical Trust (BNMT), Drones & Tech - WeRobotics, Nepal Flying Labs & DroNepal, Research: The Liverpool School of Tropical Medicine, Govt. stakeholders: MoHP Nepal, the National TB Center and the District Public Health Office (DPHO Pyuthan) is supported by Stony Brook University and the Simons Foundation.International Journal of Human and Health Sciences Supplementary Issue: 2019 Page: 14

Evaluation of Patient’s Satisfaction Level with the Provided Healthcare in Primary Healthcare Centers in Saudi Arabia

2021 ◽  
Vol 6 (11) ◽  
pp. 776-783
Author(s):  
Prof. Dr. Sharifa Ezat Wan Puteh ◽  
Assoc. Prof. Dr. Azimatun Noor Aizuddin ◽  
Abdulaziz Abdullah Al Salem
Keyword(s):  
Saudi Arabia ◽  
Nursing Staff ◽  
Primary Healthcare ◽  
Clinical Skills ◽  
Vital Role ◽  
Health Centers ◽  
Patient’S Satisfaction ◽  
Jeddah City ◽  
Primary Health ◽  
Primary Healthcare Centers

The aim of this study was to evaluate patient’s satisfaction at primary health centers PHCCs in (Khobar, Jeddah, Riyadh, Jubail, Dhahran, Hail, Majmah, Abha, Baha, and Makkah) located in Saudi Arabia. The review finding shows that the highest overall satisfaction in Baha city (84.16%) followed by Majmah city with (81.7%), and the lowest overall satisfaction was the score (2.44) out of a maximum of 5 for Jubail city and Jeddah (2.45). Dhahran, Hail, Abha, Makkah, Riyadh, and Khobar were scored different scores; (3.66), (3.60), (57.7%), (70.1%), (64.2%) and (3.76). Nursing staff play a vital role in the satisfaction of patients in primary healthcare centers, including education, care and counselling, which is why all nursing staff should be skilled in clinical skills, level of education and interpersonal skills The highest domain of satisfaction was for nursing performance, and their treatment were found to be high (90.1%), but the lowest score was for the explanation of the medical conditions by the nurses, which could be due to language barrier. Medical care, laboratory services, and pharmacological services are other factors that may impact patient satisfaction with primary health centers. There are significant differences between Abha city (57.7%) and Baha city (84.16%) in south province in their overall satisfaction with Patient’s Satisfaction in primary healthcare centers PHCCs. And between Riyadh city (64.2%) and Majmah city (82.0%) in the middle province. In the eastern province, overall satisfaction for three cities Khobar city (3.76), Jubail city (2.44), and Dhahran city (3.66). The western province, overall satisfaction for two cities, Makkah city (70.1%), and Jeddah city (2.45). One city for north province Hail city (3.60). For comparison, the highest overall satisfaction in this study was Baha city (84.16%) located in south province, and the lowest one was Jubail city with score (2.44) out of 5.

scholarly journals A study on prescription analysis of referral dog bite cases to anti rabies clinic of M.K.C.G. Medical College, Berhampur, India

2017 ◽  
Vol 7 (1) ◽  
pp. 51-54
Author(s):  
Tapas Ranjan Behera ◽  
Gurukrushna Mohapatra ◽  
Biswabara Rout
Keyword(s):  
Public Health ◽  
Rural Areas ◽  
Community Health Centers ◽  
Drug Prescription ◽  
Specific Treatment ◽  
Public Health Problem ◽  
Health Centers ◽  
Dog Bite ◽  
Medical College ◽  
Primary Health

Dog bites in human are a serious public health problem and have been well documented worldwide. As rabies is not a notifiable disease in India and most deaths occur in rural areas where surveillance is poor. The objective of this study to assess the drug prescription patterns of referral cases of dog bite attending in the anti-rabies clinic (ARC) of Department of Community Medicine at MKCG Medical College. For this particular study 606 prescriptions were collected over a six months period. Suspected referred dog bite cases to ARC and willing to participate in the study were included as study subjects. Prescriptions Patients’ identity (name, age, sex) and date of prescription were present in all cases, address was written correctly in only 30% cases. 88% of the prescriptions were legible. Majority prescriptions (44%) were referred from of primary health centers and community health centers. Nearly one third of referred patients had not received anti rabies vaccine. Only 5% cases were administered with rabies immune globulin and about 30% had taken oral antibiotics which were referred from PHCs/CHCs. Specific treatment to dog bite (i.e. use of vaccine & RIG) was lacking in the prescription whereas Co-prescription of other drugs (i.e. antibiotics, pain killers, vitamins) were mentioned in the prescription. Regular prescription auditing with training of Medical Officers on essential drug availability should be undertaken by the Govt. of Odisha in order to give rationality to all prescriptions.South East Asia Journal of Public Health Vol.7(1) 2017: 51-54

scholarly journals Accessibility Analysis of Primary Healthcare Services in Mysore District Using Geospatial Techniques

2021 ◽  
pp. 62-69
Author(s):  
Dr. Minutha. V
Keyword(s):  
Health Services ◽  
Primary Healthcare ◽  
Rural Areas ◽  
Health Centre ◽  
Healthcare Services ◽  
Service Area ◽  
Health Centers ◽  
Primary Health ◽  
Thiessen Polygon ◽  
The Impact

The accessibility of healthcare centers is one of the most important indicators for measuring the efficiency of a healthcare system. Accessibility is a complex indicator that reflects the number of health care institutions, their geographical distribution and the impact of different types of barriers social, Economic and culture (1). Primary health centre which acts as the first level of contact between the population and health centers. It acts has a cornerstone of rural health services. Primary healthcare is affordable, accessible and appropriate care for the particular needs of a given population especially in rural areas. The main objectives of the study are to study the spatial distribution pattern and delineation of service area of primary health centers; to identify the gap between the availability and accessibility of health services. The base map of study area has been geo-referenced and digitized using ARC GIS software. The Global positioning system (GPS) was adopted to take the coordinate of all the existing primary health centers in the study area. Simple Euclidean buffers are mapped and analyzed to define the service area, Thiessen polygon and Nearest Neighbour Technique was used here to identify the availability of health services in Mysore district. The results reveal that, the spatial variation in the distribution of PHC’s, which were not evenly distributed across the study area and there is scarcity in the availability of workforce among the study area.

scholarly journals Comprehensive primary health facilities are more efficient in delivering primary care: Efficiency analysis of primary healthcare facilities in Afghanistan

2020 ◽  
Author(s):  
Farhad Farewar ◽  
Khwaja Mir Ahad Saeed ◽  
Abo Ismael Foshanji ◽  
Said Mohammad Karim Alawi ◽  
Mohammad Yonus Zawoli ◽  
...  
Keyword(s):  
Health Services ◽  
Primary Healthcare ◽  
Relative Efficiency ◽  
Healthcare Services ◽  
Efficiency Score ◽  
Health Facilities ◽  
Health Centers ◽  
Healthcare Facilities ◽  
Average Efficiency ◽  
Primary Health

Abstract Background: The Afghan health system is unique in that primary healthcare is delivered by donor-funded implementing partners, not the government. Given the wide range of implementers providing the basic package of health services, there may exist performance differences in primary healthcare. This study assessed the relative efficiency of different levels of primary healthcare services and explored its determinants in Afghanistan. Method: Data on personnel and capital expenditure (inputs) and the number of facility visits for six primary healthcare services (outputs) were obtained from national health information databases for 1,263 healthcare facilities in 31 provinces. Data envelopment analysis was used to assess the relative efficiency of three levels of primary healthcare facilities (comprehensive, basic, and sub health centers). Bivariate analysis was conducted to assess the correlation of various elements with efficiency scores. Regression models were used to identify potential factors associated with efficiency scores at the health facility level. Results: The average efficiency score of health facilities was 0.74, when pooling all 1,263 health facilities, with 102 health facilities (8.1%) having efficiency scores of 1 (100% efficient). The lowest quintile of health facilities had an average efficiency score of 0.36 while the highest quintile had a score of 0.96. On average, efficiency scores of comprehensive health centers were higher than basic and sub health centers by 0.108 and .071 respectively. In addition, the difference between efficiency scores of facilities in the highest and lowest quintiles was highest in facilities that offer fewer services, so that they have the largest room for improvement. Conclusions: Our findings show that public health facilities in Afghanistan that provide more comprehensive primary health services, use their resources more efficiently, and that smaller facilities have more room for improvement. A more integrated delivery model would help improve the efficiency in providing primary healthcare in Afghanistan.

Assessment of Indian Public Health Standards in the Primary Health Centers in a District of Uttar Pradesh, India

2017 ◽  
Vol 2 (2) ◽  
pp. 53-60
Author(s):  
Arshiya Masood ◽  
Anil K Singh ◽  
DS Martolia ◽  
Tanu Midha
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Rural Areas ◽  
Uttar Pradesh ◽  
Health Centers ◽  
Care Providers ◽  
Cross Sectional ◽  
Primary Health ◽  
Health Standards

ABSTRACT Introduction Primary health center (PHC) is a first port of call to a qualified doctor of the public sector in rural areas. Standards are the main driver for continuous improvement in quality. The performance of PHCs can be assessed against the Indian Public Health Standards (IPHS) recommended for PHCs in early 2007. The overall objective of IPHS for PHCs is to provide health care, i.e., quality oriented and sensitive to the needs of the community. These standards would also help monitor and improve the functioning of the PHCs. Aims and objectives This study was carried out to assess (1) the infrastructure, equipments, instruments, staffing, and other facilities; (2) the services being provided at PHCs; (3) to find out the reasons for nonutilization of health services and suggest remedial measures for the same. Material and methods This was a cross-sectional study at two PHCs, namely Thatiya and Umerda of Tirwa block of Kannauj District selected randomly for assessment. Health care providers, mainly medical officers, were interviewed using pretested, precoded pro forma. Descriptive analysis was used as per study requirements. Results It has been found that only outpatient department services were being provided with many missing components, such as one of the most important ones like maternal and child health and family planning. Physical infrastructure and facilities were inadequate at both the PHCs. Both of them were grossly underequipped and understaffed. Medical officers face their own problems; even basic amenities of life like water, electricity, canteen, etc., are lacking there. Conclusion Both the PHCs were not performing up to the expectations and standards of the Indian Public Health. How to cite this article Masood A, Singh AK, Martolia DS, Midha T. Assessment of Indian Public Health Standards in the Primary Health Centers in a District of Uttar Pradesh, India. Int J Adv Integ Med Sci 2017;2(2):53-60.

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