O716 Job satisfaction among physicians and nurses in a teaching and referral hospital in Western Kenya: Do partnerships with high resource institutions in North America make a difference?

2009 ◽  
Vol 107 ◽  
pp. S298-S298
Author(s):  
S. Sinasac ◽  
S. Taleski ◽  
R. Spitzer ◽  
E. Omenge
Keyword(s):  
Job Satisfaction ◽  
North America ◽  
Referral Hospital ◽  
Western Kenya ◽  
High Resource

scholarly journals Clinical bleeding patterns and management techniques of abnormal uterine bleeding at a teaching and referral hospital in Western Kenya

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243166
Author(s):  
Godfrey Shichenje Mutakha ◽  
Emily Mwaliko ◽  
Philip Kirwa
Keyword(s):  
Medical Management ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Referral Hospital ◽  
Reproductive Age ◽  
Laboratory Evaluation ◽  
Cross Sectional ◽  
Western Kenya ◽  
Prolonged Bleeding ◽  
Diagnostic Guideline

Abnormal uterine bleeding (AUB) affects 30% of reproductive age women globally. However, there are limited local studies evaluating the management of these women. The diagnostic guideline using structural and functional causes of AUB adopts the PALM-COEIN criteria, namely: Polyp; Adenomyosis; Leiomyoma; Malignancy and Hyperplasia; Coagulopathy; Ovulatory dysfunction; Endometrial; Iatrogenic; and Not yet classified. This study aimed to determine the clinical bleeding patterns, adherence to PALM-COEIN diagnosis guidelines and management of AUB among women in their reproductive age. This was a cross-sectional study among 108 women with AUB aged 18–45 years was conducted at the gynaecology department of Moi Teaching and Referral Hospital in Western Kenya between April 2018 and April 2019. Their sociodemographic and clinical characteristics were collected using interviewer administered structured questionnaire and chart reviews. Adherence to diagnosis recommendations was assessed using PALM COEIN classification. Descriptive and inferential data analysis was conducted at 95% confidence interval. The median age was 30 (IQR: 22, 41) years with prolonged bleeding as the most predominant pattern at 41.7%. Bleeding patterns were significantly associated with age (p = 0.04). Only 16.7% were diagnosed as per the PALM-COEIN criteria with PALM and COEIN accounting for 60% and 40% respectively. Leiomyoma (44.5%) was the common cause of AUB. Laboratory evaluation included: pregnancy tests, full haemogram, hormonal profile and biopsy. Most (79.6%) of the women had abdominopelvic ultrasound done. Medical management was provided for 78.7% of women. Prolonged bleeding was the most common pattern with medical management preferred. There is need for in-hospital algorithms to ensure adherence to PALM-COEIN guidelines.

scholarly journals Satisfaction of Physicians Working in a Referral Hospital in Tehran, Iran in 2019

2020 ◽  
Vol 5 (2) ◽  
pp. 70-74
Author(s):  
Mohsen Saberi Isfeedvajani ◽  
Esmat Davoudi-Monfared ◽  
Mojtaba Naderi
Keyword(s):  
Job Satisfaction ◽  
Female Physician ◽  
Faculty Members ◽  
Referral Hospital ◽  
Quality Of Services ◽  
Satisfaction Level ◽  
Data Collection Tool ◽  
Physician Group ◽  
Income Satisfaction

Background: Physicians’ satisfaction is closely related to the effectiveness of health services, including quality of services as well as patient compliance, satisfaction, and outcomes. Objectives: This study was designed to examine the job satisfaction level of physicians working at a referral hospital in Tehran. Methods: This research was a descriptive study performed on a population of physicians working at a referral hospital from April to August 2019. The sample size was calculated as 120 subjects. The Physicians’ Job Satisfaction Questionnaire (PJSQ), which is a valid questionnaire, was used as the data collection tool. The collected data was entered into SPSS Statistics 20. Mann-Whitney and t tests were used for data analysis. Results: The frequency of female and male physicians was 50 (38.2%) and 81 (61.8%), respectively. The total mean of Job satisfaction in physicians was 51± 7.05. Overall satisfaction scores were 70.7±15.1, 51.5±11.1, 49.8±13.1, 49.5±11.2, 44.1±9.3, and 40.5±11.9 in domains of income satisfaction, physicians’ satisfaction with management, relationship between physicians and their colleagues, patients, staff, and physicians’ job satisfaction, respectively. 87% of physicians participating in this study were not willing to leave their jobs. The income satisfaction of the female physician group was significantly higher than that of men (P=0.029). The income satisfaction of subspecialists was significantly higher than that of specialists (P=0.022). The job satisfaction of physicians who were not faculty members was significantly higher than that of physicians who were faculty members (P=0.034). Conclusion: The job satisfaction level of physicians working at a referral hospital in Tehran was moderate. Income satisfaction and job satisfaction were the highest and lowest levels of satisfaction, respectively.

scholarly journals High Burden of Cardiac Disease in Pregnancy at a National Referral Hospital in Western Kenya

Global Heart ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 10
Author(s):  
Rebecca Lumsden ◽  
Felix Barasa ◽  
Lawrence P. Park ◽  
Christian B. Ochieng ◽  
Joy M. Alera ◽  
...  
Keyword(s):  
Cardiac Disease ◽  
Referral Hospital ◽  
Western Kenya ◽  
High Burden ◽  
National Referral Hospital ◽  
In Pregnancy

scholarly journals Evaluation of the Relationship between Clinical Outcome of Early Neonatal Sepsis and HIV Exposure in Homa bay County Referral Hospital, Western Kenya

2020 ◽  
Vol 3 (4) ◽  
pp. 139-145
Author(s):  
Mulongo Naulikha Jacqueline ◽  
◽  
O Adoka Samson ◽  
Obonyo Charles ◽  
◽  
...  
Keyword(s):  
Neonatal Sepsis ◽  
Referral Hospital ◽  
Sub Saharan Africa ◽  
Hiv Positive ◽  
Western Kenya ◽  
Maternal Hiv ◽  
Hiv Exposure ◽  
Early Neonatal Sepsis ◽  
Hiv Exposed ◽  
The Relationship

Background: Maternal HIV is the leading cause of both maternal and child morbidity in Sub-Saharan Africa and very little is known about the relationship of HIV exposure and early neonatal sepsis. Objective: To describe the association between maternal HIV and probable or confirmed early neonatal sepsis in Homa Bay County Referral Hospital, Western Kenya. Design: Hospital based cross- sectional study. Study Setting: Homa Bay County Referral Hospital. Subjects/Participants: One hundred and forty two (142) neonates aged 24 hours to 96 hours. Results: Data purposively collected included, characteristics of women and newborns at enrollment, by maternal HIV status and HIV- positive women and their newborns, prevalence of probable or confirmed sepsis, factors in association between maternal HIV infection and probable sepsis in newborns and associations between HIV exposure and probable or confirmed sepsis among newborns and HIV-exposed newborns, 0(0.00%) HIV-positive by 24-hours PCR, prevalence of positive culture 1.6% in HIV-exposed, 1.7% HIV-unexposed with a prevalence ratio: 1.11 (95% CI: 0.05, 8.00) p-value = 0.8615. There was no statistical relationship between clinical outcomes of early neonatal sepsis to HIV exposure. Conclusion: There was no association between maternal HIV and probable or confirmed early neonatal sepsis in Homa Bay County Referral Hospital, Western Kenya.

Intensive Care Outcomes and Mortality Prediction at a National Referral Hospital in Western Kenya

2018 ◽  
Vol 15 (11) ◽  
pp. 1336-1343 ◽  
Author(s):  
Hussain S. Lalani ◽  
Wangari Waweru-Siika ◽  
Thomas Mwogi ◽  
Protus Kituyi ◽  
Joseph R. Egger ◽  
...  
Keyword(s):  
Intensive Care ◽  
Mortality Prediction ◽  
Referral Hospital ◽  
Western Kenya ◽  
Care Outcomes ◽  
National Referral Hospital

scholarly journals Integration of Palliative Care Into Comprehensive Cancer Treatment at Moi Teaching and Referral Hospital in Western Kenya

2015 ◽  
Vol 1 (1) ◽  
pp. 23-29 ◽  
Author(s):  
Kenneth Cornetta ◽  
Susan Kipsang ◽  
Gregory Gramelspacher ◽  
Eunyoung Choi ◽  
Colleen Brown ◽  
...  
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Cancer Treatment ◽  
Cancer Care ◽  
Care Service ◽  
Palliative Care Service ◽  
Referral Hospital ◽  
Western Kenya ◽  
Care Services ◽  
Palliative Care Services

Purpose The prognosis for the majority of patients with cancer in Kenya is poor, with most patients presenting with advanced disease. In addition, many patients are unable to afford the optimal therapies required. Therefore, palliative care is an essential part of comprehensive cancer care. This study reviews the implementation of a palliative care service based at the Moi Teaching and Referral Hospital in Eldoret, Kenya, and describes the current scope and challenges of providing palliative care services in an East African tertiary public referral hospital. Methods This is a review of the palliative care clinical services at the only tertiary public referral hospital in western Kenya from January 2012 through September 2014. Palliative care team members documented each patient's encounter on standardized palliative care assessment forms; data were then entered into the Academic Model Providing Access to Health Care (AMPATH)-Oncology database. Interviews were also conducted to identify current challenges and opportunities for program improvement. Results This study documents the implementation of a palliative care service line in Eldoret, Kenya. Barriers to providing optimal palliative cancer care include distance to pharmacies that stock opioids, limited selection of opioid preparations, education of health care workers in palliative care, access to palliative chemoradiation, and limited availability of outpatient and inpatient hospice services. Conclusion Palliative care services in Eldoret, Kenya, have become a key component of its comprehensive cancer treatment program.

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