Immunization Rates Among Young Children in the Public and Private Health Care Sectors

1997 ◽  
Vol 13 (2) ◽  
pp. 84-88 ◽  
Author(s):  
Diane M. Simpson ◽  
Lucina Suarez ◽  
David R. Smith
2021 ◽  
Vol 8 (3) ◽  
pp. 124-127
Author(s):  
Priyanka Devgun ◽  
Shivesh Devgan ◽  
Harjot Singh ◽  
Sukhpal Singh ◽  
Amanbir Singh

From a point in time where the human race declared itself the master of the universe to this point in time where it is facing an existential threat from the contagion- Covid 19 pandemic has exposed the vulnerability of the human race to a wipeout. The disruption of physical, mental, social, emotional and financial health and health systems is unprecedented. Study the impact of Covid 19 on continuity of essential health services in various health care institutions in district Amritsar, Punjab.: Online survey was conducted through google forms using questionnaire adapted from the World Health Organization-Pulse Survey on Continuity of Essential Health Services during Covid 19 pandemic. Respondents were personnel working at public and Ayushman Bharat empaneled private health care institutions. Response rate was 60% (55 out of 92 health care institutions personnel responded) A highly significant difference was observed between the public and the private health care sector in provision of antenatal care (Mann Whitney U statistic= 78.00, p=.004) and imaging and radio diagnosing services (Mann Whitney U statistic= 48.00, p=.000) while a significant difference was observed in provision of service of institutional delivery (Mann Whitney U statistic= 112.00, p=.046). All the other essential health services were similarly affected in the public and private health sector institutes. Financial difficulties faced during the lockdown was the single most common reason stated for disruption of essential health services. There was a significant difference in level of satisfaction experienced by health care personnel from public and private sector (Mann Whitney U statistic= 94.00, p=.02). Thematic analysis of the data on improving preparedness to minimize disruption in essential health services yielded the themes pertaining to creating a robust public health care infrastructure including use of e-health technology in the district and recruitment of adequate health care man power according to set norms.


2016 ◽  
Vol 49 (5) ◽  
pp. 753-771 ◽  
Author(s):  
Kenneth Oldfield

Proper hand sanitation prevents spreading of many types of illness and infection, thereby lowering the quantitative and qualitative costs of public and private health care. Research shows that thinking or knowing someone is watching you wash your hands in a public lavatory appreciably improves the odds of you doing so. Nevertheless, most restaurants place their hand washing facilities inside the bathroom, beyond public view. Reformers from the public and private sectors should work cooperatively to incentivize restaurant owners voluntarily to place their hand washing facilities in public spaces. If this uncompelled approach proves unsuccessful, reformers should seek to impose laws requiring that all public eateries place their bathroom washbasins in conspicuous locations. The discussion closes by suggesting ancillary improvements to test in pursuit of further improving hand washing rates and practices in public spaces.


2012 ◽  
Vol 84 (3) ◽  
pp. 713-729 ◽  
Author(s):  
Neil J. Buckley ◽  
Katherine Cuff ◽  
Jeremiah Hurley ◽  
Logan McLeod ◽  
Stuart Mestelman ◽  
...  

PEDIATRICS ◽  
1994 ◽  
Vol 93 (3) ◽  
pp. 506-508
Author(s):  
Arthur F. Kohrman

The thoughtful and cautionary pieces by Newacheck et al1 and Perrin et al2 remind us of how much we have achieved in piecing together care for vulnerable children, how far there is yet to go, and how the transition to the long-overdue health care reform might worsen, rather than improve our present arrangements. In the absence of a rational, planned care system for children, especially for those who are poor or who require extensive services, pediatricians and child advocates in both the public and private sectors have managed to cobble together at least the possibility of decent services for large numbers of children, with some payment to those who provide those services.


PEDIATRICS ◽  
1996 ◽  
Vol 97 (6) ◽  
pp. 927-927
Author(s):  

The American Academy of Pediatrics in its role as advocate for children supports public and private cooperation in the development of immunization tracking systems (ITSs) insofar as they benefit children. All ITSs as they are developed: • Should prospectively articulate their goals and desired outcomes, including documenting immunization status and the mechanics of immunization, increasing rates of immunization, decreasing cost of immunization, and facilitating immunization opportunities; • Must accurately document each child's current immunization status; • Must preserve children's and their health care provider's right to confidentiality; • Should ensure that data will be available to health care providers 24 hours a day, 7 days a week, so that health care providers can take advantage of all opportunities to immunize; • Should ensure that data will not be used for sanctions against health care providers; • Must ensure that data input and access mechanisms enable providers to supply and access data easily, without having to purchase specialized hardware or expensive software; input and access software mechanisms need to enable all providers to supply data to and retrieve data from the ITS; • Should entitle health care providers to be reimbursed or the cost of providing data to the ITS; • Must ensure that data reflecting evidence of incomplete immunizations will not be used to deny a child access to care or eligibility for benefits by any insurance plan; • Must be studied and/or evaluated to determine their effectiveness at increasing immunization rates and decreasing costs; if such systems do not fulfill these goals, they should be eliminated; and


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