Pre-Earthquake Vulnerability Assessment

1987 ◽  
Vol 3 (1) ◽  
pp. 107-115 ◽  
Author(s):  
Reuben Eldar ◽  
Jakov Adler
Keyword(s):  
Vulnerability Assessment ◽  
Causes Of Death ◽  
Health Planning ◽  
Health Sector ◽  
Health Care Facilities ◽  
Published Data ◽  
Factors Influencing ◽  
Care Facilities ◽  
Significant Magnitude ◽  
Earthquake Vulnerability

AbstractHealth planning for disasters builds on an awareness of ways in which the disaster affects health and on anticipation of tasks to be performed by the health sector.In view of the possibility of an earthquake of significant magnitude in Israel, and in the absence of previous earthquake experience, published data of earthquake health effects were studied, such as causes of death and injury, casualty rates and factors influencing these, distribution of injuries and their severity, effect on health care facilities and on physical, social and psychological environments. Implications of the studied data were applied to relevant conditions in Israel and to an earthquake there. A predisaster vulnerability assessment was thus obtained, pointing to the nature, size, and space and time distribution of tasks the health sector would be expected to perform should an earthquake occur in Israel.On the basis of this assessment some recommendations for the preparation and preparedness of the health sector for such an occurrence are submitted.

Federal Preclusion of State Certificate-of-Need Exemptions for Research and Education Expenditures

1978 ◽  
Vol 4 (1) ◽  
pp. 91-110
Author(s):  
Lois D. Friedman
Keyword(s):  
Health Care ◽  
Health Planning ◽  
Health Care Facilities ◽  
Health Resource ◽  
Federal Funds ◽  
Certificate Of Need ◽  
Research Expenditures ◽  
Care Facilities ◽  
Education Expenditures ◽  
Research And Education

AbstractThe National Health Planning and Resources Development Act of 1974 requires each state to enact a certificate-of-need program in compliance with federal standards in order to remain eligible for continued receipt of federal funds for health resource development after 1980. This Note contends that the Act and related HEW regulations preclude states from exempting health care facilities’ research expenditures and education expenditures from the scope of the states’ certificate-of-need programs. The Note recommends that, as an alternative to such state exemptions, each state develop a streamlined certificate-of-need procedure that fulfills federal requirements while efficiently meeting the special needs of research and education projects.

scholarly journals (A3) Health Care Facilities Affected by the Earthquake in Chile

2011 ◽  
Vol 26 (S1) ◽  
pp. s1-s2
Author(s):  
C. Bambaren
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Sector ◽  
Health Care Facilities ◽  
Cold Chain ◽  
Care Services ◽  
Biomedical Equipment ◽  
Care Facilities ◽  
Health Care Infrastructure ◽  
The Impact

IntroductionOn February 27, 2010, a 8,8 MW earthquake struck the central and southern coast of Chile, that was followed by a tsunami that destroyed some cities such as Constitution, Ilaco, Talcahuando and Dichato. The national authorities reported 512 dead and 81,444 homes were affected. It was the one of the five most powerful earthquakes in the human modern history. The most affected regions were Maule (VII) and Bio (VIII).ResultsThe impact of the quake in the health sector was enormous especially on the health care infrastructure. The preliminary evaluations showed that 18 hospitals were out of service due severe structural and no-structural damages, interruption of the provision of water or because they were at risk to landslides. Another 31 hospitals had moderate damage. The Ministry of Health lost 4249 beds including 297 (7%) in critical care units. Twenty-two percent of the total number of beds and thirty-nine surgical facilities available in the affected regions were lost in a few minutes due to quake. At least eight hospitals should be reconstructed and other hospitals will need complex repair.ConclusionThe effect of the earthquake was significant on hospital services. It included damages to the infrastructure and the loss of furniture and biomedical equipment. The interruption of the cold chain caused loss of vaccines. National and foreign field hospitals, temporary facilities and the strengthening of the primary health care facilities had been important to assure the continuation of health care services. *Based on information from PAHO – Chile.

scholarly journals Faktor-Faktor yang Mempengaruhi Migrasi Sirkuler Pasien Kanker Payudara di Yogyakarta

2016 ◽  
Vol 3 (02) ◽  
pp. 38
Author(s):  
Ratna Dewi
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Cancer Patient ◽  
Health Sector ◽  
Health Care Facilities ◽  
The Other ◽  
The Family ◽  
Care Facilities ◽  
Complete Health ◽  
The Town

AbstrakMigrasi penduduk merupakan salah satu upaya yang dilakukan untuk memenuhi kebutuhan hidup. Hal ini juga terjadi pada pasien kanker. Keterbatasan fasilitas kesehatan di daerah asal akan dapat mendorong mereka untuk mencari pengobatan di luar tempat tinggalnya. Penelitian ini bertujuan untuk mengetahui proses pengambilan keputusan untuk melakukan mobiitas pada pasien kanker yang melakukan pengobatan di yogyakarta. Hasil penelitian menunjukkan bahwa keterbatasan pelayanan kesehatan di daerah asal menyebabkan pasien melakukan pengobatan keluar daerahnya. Ada banyak pertimbangan bagi pasien kanker untuk mengambil keputusan melakukan migrasi. Pertimbangan dapat berupa pengaruh dari dalam maupun luar diri pasien. Kuatnya ikatan kekeluargaan membuat mereka berat meninggalkan daeraah asalnya. Proses pengambilan keputusan bukanlah hal yang mudah karena berkaitan dengan keluarga ataupun pekerjaan yang harus ditinggalkan. Pilihan daerah tujuan dipengaruhi oleh beberapa hal, antara lain jarak antara tempat tinggal dengan kota tujuan, informasi yang diterima mengenai daerah tujuan, dan penilaian pasien kanker terhadap daeah tujuan.Kata-kata Kunci: migrasi sirkuler, kajian lokal Yogyakarta, social ekonomiAbstractPeople migration is an effort to fulfill their living needs. It was happened to the cancer patients. Limited facility of health services in one place can encourage people to get a healing outside the town of origin where the more complete facilities are available. The contrast in the services and facilities of health sector inter-regionally has become one of the matters encouring people to move to find far more complete health facilities. This research was aimed to determine the process of the decision-making of the cancer patient for treatment in Yogyakarta. This happened due to the limited cancer facilities and services in a number of hospitals. The result of the research shows that the limitation of health care facilities in the native region is one of the matters causing the patients to take medication outside their domicilies. There are many considerations to decide to move. Those considerations are the external and also internal effects. The strength of the kinship makes people are hard to leave their town of origin. The decision is not easy to be taken due to issues related to the family or the work which must be abandoned.In case of choosing the recovery place, there are some considerations on it, there are, the distance from the town of origin, the affection from the other people, and the condition or environment.

scholarly journals ANALYSIS OF TOURIST TRAVEL PATTERNS TOWARD HEALTH CARE FACILITIES

2018 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Nida Hanifah ◽  
Marta Nilasari Catur Pujianingsih ◽  
Dea Handika Pratiwi ◽  
Linta Alfi Fahmi ◽  
Fathurohim Anhari ◽  
...  
Keyword(s):  
Health Care ◽  
Network Analysis ◽  
Health Service ◽  
Health Sector ◽  
Route Planning ◽  
Health Care Facilities ◽  
Travel Patterns ◽  
Service Facility ◽  
Healthcare Facilities ◽  
Care Facilities

One of the sectors that are closely related and reasonably determining for the growth and development of the tourism sector is the health sector. The aim of this research  was to a) know the affordability of health care facilities from tourism Prambanan and Plaosan Temple,  b) to know the travel patterns of tourists headed for healthcare facilities. This research uses qualitative descriptive method by using data collection observation techniques, documentation, and data analysis using network analysis. The network analysis method that used is the closest facility. The results of this research show that a) the affordability of the nearest health service facility from the Plaosan Temple object is Kebondalem Lor Puskesmas which is traveled by 1.7 km distance and takes about 4 minutes from the location of Plaosan Temple, while the closest health service facility from the Prambanan Temple is Prambanan Puskesmas which is taken with distance of 5.3 km and travel time 14 minutes from location of Prambanan Temple. to be known travelers can use private vehicles at tourism Plaosan Temple, because the attractions have a radius of 1.7 km. While on the tourist object of tourism Prambanan Temple can not use private vehicle because the mileage exceeds 3 km, and b) The travel pattern of tourists to health care facilities is categorized good, because the tourists can access health services with the nearest route and adequate facilities. Keywords: Travel Patterns, Health Facilities, Network Analysis   ReferencesAnwar, A. (2010). Introduction to Health Administration.Jakarta: Binarupa Aksara.Groenou, M. V., & Tilburg, T. V. (1975). Network Anaysis. Vrije Universitet, Amsterdam, The Netherland.Kuntarto, A., & Purwanto, T. H. (2012). Use of Geographic Information Network Analysis System for Route Planning Tourists in Sleman. Journal of The Earth Indonesia of Vol 1 Number 2, 141.Laksono, A. D., & dkk. (2016). The accessibility of health service in Indonesia. Yogyakarta: KANISIUS PT.Law number. 36 Year 2009 About HealthLaw number. 47 Year 2016 About Health Facilities.Moeleong, L. (2002). Qualitative Research Methods. Bandung: Teens Rosdakarya.Muta'ali, L. (2013). Regional and City Spatial Planning (Tinjauan Normatif-Teknis). Yogyakarta: Badan Penerbit Fakultas Geografi (BPFG) Gadjah Mada University.Narsid, S. (1988). Development Geography. Jakarta: Space.O.Z, T. (1997). Transport Planning and Modeling. Bandung: Institut Teknologi Bandung.  

scholarly journals MEDICAL GRADUATES?

2015 ◽  
Vol 22 (02) ◽  
pp. 153-158
Author(s):  
Fatima Mukhtar ◽  
Abuzar Aziz ◽  
Shayan Rashid Khawaja ◽  
Akasha Amjad ◽  
Alina Haider
Keyword(s):  
Health Care ◽  
Prolonged Exposure ◽  
Medical Profession ◽  
Health Planning ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Cross Sectional ◽  
Medical Graduates ◽  
Care Facilities

A universal challenge faced by developing countries these days is the inequitabledistribution of health professionals, which compromises the capacity of the health system todeliver efficient and effective health care. Availability of reliable data on medical graduatesis important for health planning and development of policies and plans dealing with healthworkforce labour market. Objectives: To determine the proportion of medical graduates whoremained affiliated with the profession three to six years after graduation from a private medicalschool, To find out the specialty selection and practice location of these graduates, and todetermine the association between their gender and affiliation with the profession. Methods:A cross-sectional study was undertaken at the Lahore Medical & Dental College from March toMay 2014 selecting graduates through convenience sampling. The graduates were contactedthrough e-mail, Facebook and telephone. After obtaining voluntary informed consent fromthe respondents, a pre-tested structured questionnaire was used to collect information.Thedata was recorded and analysed using the statistical package for social sciences version 16.0.Chi-square test is used to test statistical significance between respondent’s gender and theiraffiliation with the medical profession at p < 0.05. Results: A large proportion 98(88%) ofmedical graduates remained affiliated with the profession. Those who didn’t pursue it were allfemales (p < 0.05). Majority 86(88%) were located in Pakistan. A greater proportion worked inthe tertiary health care facilities 65(94%). The popular specialty being pursued was medicine24(24%). Conclusion: Female medical graduates should be provided opportunities for parttime work.Medical schools should provide early and prolonged exposure of students to primaryhealth care facilities, in order to increase their uptake of rural postings.

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 Data utilisation and factors influencing the performance of the health management information system in Tanzania

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leonard E. G. Mboera ◽  
Susan F. Rumisha ◽  
Doris Mbata ◽  
Irene R. Mremi ◽  
Emanuel P. Lyimo ◽  
...  
Keyword(s):  
Health Care ◽  
Information System ◽  
Data Management ◽  
Management Information System ◽  
Health Management ◽  
Health Care Facilities ◽  
Health Management Information System ◽  
Management Information ◽  
Factors Influencing ◽  
Care Facilities

Abstract Background Health Management Information System (HMIS) is a set of data regularly collected at health care facilities to meet the needs of statistics on health services. This study aimed to determine the utilisation of HMIS data and factors influencing the health system’s performance at the district and primary health care facility levels in Tanzania. Methods This cross-sectional study was carried out in 11 districts and involved 115 health care facilities in Tanzania. Data were collected using a semi-structured questionnaire administered to health workers at facility and district levels and documented using an observational checklist. Thematic content analysis approach was used to synthesise and triangulate the responses and observations to extract essential information. Results A total of 93 healthcare facility workers and 13 district officials were interviewed. About two-thirds (60%) of the facility respondents reported using the HMIS data, while only five out of 13 district respondents (38.5%) reported analysing HMIS data routinely. The HMIS data were mainly used for comparing performance in terms of services coverage (53%), monitoring of disease trends over time (50%), and providing evidence for community health education and promotion programmes (55%). The majority (41.4%) of the facility’s personnel had not received any training on data management related to HMIS during the past 12 months prior to the survey. Less than half (42%) of the health facilities had received supervisory visits from the district office 3 months before this assessment. Nine district respondents (69.2%) reported systematically receiving feedback on the quality of their reports monthly and quarterly from higher authorities. Patient load was described to affect staff performance on data collection and management frequently. Conclusion Inadequate analysis and poor data utilisation practices were common in most districts and health facilities in Tanzania. Inadequate human and financial resources, lack of incentives and supervision, and lack of standard operating procedures on data management were the significant challenges affecting the HMIS performance in Tanzania.

scholarly journals (A2) Strategies to Recover the Health Care Capacity Post Earthquake in Chile

2011 ◽  
Vol 26 (S1) ◽  
pp. s1-s1
Author(s):  
C. Bambaren
Keyword(s):  
Health Care ◽  
Health Sector ◽  
Winter Season ◽  
Health Care Facilities ◽  
Small Scale ◽  
Care Facilities ◽  
Private Health Sector ◽  
Foreign Governments ◽  
Set Up ◽  
Care Capacity

BackgroundThe earthquake that struck Chile on February 27th, 2010 produced profound damage of hospital services with 4249 bed lost especially in the regions of Maule and Bio. The capacity of the health was critically reduced in ability to assure health access to affected people by the disaster.Discussion of InterventionsThe first strategy to maintain health services was the deployment of 18 field hospitals from Chilean organizations (Army and Air Force), international organizations and foreign governments. This measure allowed for 533 beds and 16 surgical blocks in the first weeks. There were 14 field hospitals until November. Taking into account the beginning of the winter season, the national government set up another sort of strategy to increase the capacity of the health care facilities: § Strengthening of hospitals without damage that were close to the disaster area. These hospitals were used as referral centers. § Purchasing of 708 beds from the private health sector. § Habilitation of free spaces to be used for inpatients. § Increasing the capacity of home care health programs to release beds. § Construction of some small temporary units to admit patients. § Small-scale interventions to repair damages in hospitals. § Extending the work time until 16 hours in the primary health care facilities. § Improving of the efficient of the using of human and physical resources. § Restructuration of the hospital network that allowed adding 300 new beds.ResultsThe ministry of health recovered more than 94% of loss beds and 92% of surgical blocks through July. However, it is necessary to identify US$ 2720 million for reconstruction program and to establish a national strategy of safe hospitals in order to reduce the future costs of the recovery of damaged health care facilities. *Based on information from PAHO – Chile.

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