scholarly journals Implementation of telemedicine project in Bhutanese refugee camp in Nepal

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Khatoon
Keyword(s):  
Health Services ◽  
Health Workers ◽  
Cost Effective ◽  
Tertiary Hospital ◽  
Refugee Health ◽  
Health Staff ◽  
Care Programme ◽  
Regular Monitoring ◽  
Medical Referral ◽  
Bhutanese Refugee

Abstract While working with UNHCR (UN Refugee Agency) in Nepal, I faced the challenge of managing Bhutanese refugee health care programme with limited resources. Since 1993, UNHCR was providing health services to Bhutanese refugees living in seven camps. UNHCR Nepal had received limited budget due to emerging refugee crisis in other parts of the world in 2016. As a health focal person, I was assigned to look for new approaches to provide health services to refugees. After exploring several possibilities, telemedicine project was introduced in the camp in 2016 with the collaboration of tertiary hospital, B. P. Koirala Institute of Health Sciences. The main objective of the project was to reduce medical referral, which consumed most of the resources. From testing and prototyping, videoconference was considered as the most appropriate method to perform telemedicine in the camp. Telemedicine helped camp clinical staff to directly communicate with consultants in the tertiary hospital at distant and address the refugee health issue at camp level. After implementation of telemedicine, medical referral from camp clinic to hospitals in 2016 was reduced by 54.8 % in comparison to previous year 2015. Telemedicine project also enhanced the coordination and linkage of refugee and UNHCR with tertiary referral hospital. Regular monitoring visit from the expert helped to improve the telemedicine project significantly. The most important lesson learnt was that beneficiaries and camp health staff should be involved from beginning. Camp health workers must be trained on using telecommunications equipment. Telemedicine is cost-effective in refugee setting where internet access is strong. Regular monitoring and technical support from the expert, learning attitude of camp health workers and acceptance from refugee are vital for the success of the project. Telemedicine increased access of essential healthcare to the most disadvantaged communities and ultimately facilitated universal health coverage. Key messages Telemedicine is cost-effective way of providing health services to refugee at remote area where access to hospitals is challenging due to certain limitation such as distance, budget, transportation. Telemedicine not only save the cost of medical referral but also save opportunity cost, time and energy of refugees, which are invested while visiting hospital.

scholarly journals Community Empowerment in Health: An Exploratory Study in Rural Community of a District of West Bengal

2020 ◽  
pp. 11-19
Author(s):  
Dipta Kanti Mukhopadhyay ◽  
Sujishnu Mukhopadhyay ◽  
Nivedita Das ◽  
Tarun Kumar Sarkar ◽  
Fasihul Akbar ◽  
...  
Keyword(s):  
Health Services ◽  
Health System ◽  
National Health ◽  
Rural Areas ◽  
West Bengal ◽  
Health Workers ◽  
Community Empowerment ◽  
Current Status ◽  
Health Staff ◽  
Key Informants

Background: Community empowerment is the process and outcome where community itself is able to identify, prioritize health problems and address them. It has been considered as the key strategy for scalability and sustainability of health services. Objectives: To explore the status of community empowerment in health in rural areas in West Bengal, India and the interplay of different stakeholders. Methods: A cross-sectional, qualitative study was conducted in 2017 – 2018 among the people residing in rural areas of Birbhum district in West Bengal, India who utilized the public health system (lay informants), formal and informal leaders of the community, community level health workers and peripheral health staff (key informants). Three community blocks, two sub-centers from each block and one village from each sub-center were selected randomly. In-depth interviews were conducted among 36 lay and 36 key informants using Laverack’s nine dimension model of community empowerment. Framework analysis was done to summarize data. Results: Participation of people was restricted to awareness and utilization of existing health services. Unmet aspiration for greater participation was noted among a small section of the community. They were mostly fitted to the role of beneficiaries. Functioning of village level organization to promote communitization as envisaged in national health programmes was largely deficient. The community health workers acted as the most peripheral appendages of formal health system rather than the health activists to empower community regarding community’s health. Conclusion: Although, every national health programme advocated community empowerment, the current status and the process of empowerment in health is in nascent stage.

scholarly journals Health Promotion and Medical Services on Health Services Through Performance at Tajuncu Health Center (Puskesmas)

2021 ◽  
Author(s):  
M Chairul Basrun Umanailo
Keyword(s):  
Health Promotion ◽  
Health Services ◽  
Health Center ◽  
Health Knowledge ◽  
Health Workers ◽  
Health Centre ◽  
Medical Services ◽  
Health Staff ◽  
Or Education ◽  
Successful Recovery

This analysis aims to define and evaluate the effects of health promotion and medical services on health services through success at the Tajuncu Health Centre, Soppeng Regency. This research used the causality design and quantitative method used at the Tajuncu Health Center, Soppeng Regency. This research sample was 100 health workers and nurses at the Tajunju Health Center, Soppeng Regency. The sampling procedure was carried out using an objective sampling technique. The analysis included all demographics as a sample. Data collection was carried out by observation, interviews, questionnaires, and documentation. Analysis of data using route analysis. The findings revealed that the degree of health promotion carried out by the Tajuncu Health Center in Soppeng Regency improved the awareness and ability of the population on the value of receiving health knowledge or education. Puskesmas related to sickness suffered by the group. Health promotion, which is well carried out, is due to the good results of health staff and health programs. Also, patient facilities are factors that decide the improvement of health services. The medical services are sufficient and proportionate to the specialty's level and specialization level. The social care given can be seen by advancing public health, early diagnosis and adequate consideration, prevention of injury, and successful recovery. Indirectly, success is a potent mediator between emergency care and health services.

scholarly journals Community Triage of Otology Patients Using a Store-and-Forward Telemedicine Device: A Feasibility Study

2020 ◽  
pp. 014556132090895
Author(s):  
Nishi Gupta ◽  
Neeraj Chawla ◽  
Digant Gupta ◽  
Nidhi Dhawan ◽  
Vidya R. Janaki
Keyword(s):  
Developing Countries ◽  
Health Workers ◽  
Quality Care ◽  
Smart Phone ◽  
Chronic Otitis Media ◽  
Cost Effective ◽  
Tertiary Hospital ◽  
Acquired Hearing Loss ◽  
Provide Quality Care ◽  
Store And Forward

Chronic otitis media is a major contributor to acquired hearing loss in developing countries. Developing countries such as India, with huge populations and poor health infrastructures, have always felt the shortage of trained specialists who can provide quality care to meet the enormous demand for treatment of this disease. This pilot study assessed the feasibility of empowering trained health workers equipped with ENTraview, a store-and-forward telemedicine device that integrates a camera- enabled smart phone with an otoscope. This device allows the screening of otology patients within the community. Three months of extensive training was provided to five community health workers on primary ear and hearing care, including training on the use of the ENTraview device. Community otology screenings were conducted to triage otology patients and provide them with specialized ENT care at a tertiary hospital. In the initial 6 months of the project, 45 screening camps were organized, which screened 3,000 patients free of cost. Of these 3,000 screened patients, 54% (1,619) were referred for ENT consultation and 215 patients reported. Nearly 50% (103) of the 215 reporting patients required surgical intervention, and 29 patients underwent surgery. Reaching out to the community by remote screening of ear diseases by trained technicians with a telemedicine device seems to be an effective and cost-effective way to triage patients with otologic pathologies.

General Practitioners and Mental Health Staff Sharing Patient Care: Working Model

2005 ◽  
Vol 13 (2) ◽  
pp. 176-180 ◽  
Author(s):  
Deborah Horner ◽  
Kim Asher
Keyword(s):  
Mental Health ◽  
General Practitioner ◽  
Mental Health Services ◽  
Health Services ◽  
General Practitioners ◽  
Shared Care ◽  
Health Staff ◽  
Mental Health Staff ◽  
Care Programme ◽  
Care Protocol

Objective: The paper describes a shared care programme developed by mental health services and general practitioners for shifting patients with chronic psychiatric disorders to the care of a general practitioner. The programme is characterized by: (i) a dedicated mental health service general practitioner liaison position to manage the programme and provide support to both patients and doctors; (ii) a multidisciplinary care planning meeting that includes mental health staff, the patient, the general practitioner and a carer; and (iii) a jointly developed individual management plan that specifies patient issues, strategies to deal with these issues, persons responsible for monitoring and a review date. Methods: The shared care protocol, the results of a review of patient mental health indicators and general practitioner satisfaction with the programme are described. Results: Outcomes to date suggest that patients' mental health is not compromised and may be enhanced by transfer to general practitioners within the shared care model. Indicators of mental health outcomes (Health of the Nation Outcome Scale and Life Skills Profile scores) show improved patient symptomatology and functioning in most cases. Conclusions: The programme fits the model of recovery-based mental health services and complies with current local, state and Commonwealth policies that encourage integrated and collaborative approaches by mental health services and general practitioners in delivering mental health care to persons with chronic mental illness.

scholarly journals Knowledge about the Earthquake of Earthquake in Health in Pidie Jaya General Hospital with Meureudu Health Center

2019 ◽  
Vol 6 (3) ◽  
pp. 432
Author(s):  
Wafaun Nisa ◽  
Imran Imran ◽  
Agussabti Agussabti
Keyword(s):  
Health Services ◽  
Health Center ◽  
General Hospital ◽  
Health Personnel ◽  
Quantitative Research ◽  
Health Workers ◽  
Sampling Technique ◽  
Health Staff ◽  
Disaster Victims ◽  
Level Of Knowledge

Knowledge of emergencies is very important for health workers, because this affects actions when they provide health services for disaster victims. This study aims to determine the level of knowledge and differences in the level of knowledge of emergencies in health workers at Pidie Jaya General Hospital and Meureudu Health Center. Quantitative research with purposive sampling technique for 150 health workers for each Pidie Jaya General Hospital and Meureudu Health Center. The level of knowledge of emergencies was assessed from scor on a total of 30 questionnaire statements containing questions about Airway, Breathing and Circulation, Triage, Basic Life Assistance. The level of emergency knowledge is in the Very Low category, which is as much as 50%, namely 75 respondents in Pidie Jaya Hospital health workers and as many as 50%, namely 75 respondents at the Meureudu Health Center health personnel. There is no difference in knowledge between health workers at Pidie Jaya General Hospital and Meureudu Health Center. The knowledge of hospital health workers is 57.2% while the Puskesmas is 63.2%, while the triage is 54.7% of the health staff of the hospital and 52.7% of the health personnel of the health center. The Basic Life Discharge indicator for hospital health workers was 63.0% and Puskesmas 61.4%. Health workers at Pidie Jaya General Hospital and Meureudu Health Center are still not ready to handle the victims of the disaster because they have very low knowledge of the emergency.

scholarly journals The Tyranny of Size: challenges of health administration in Pacific Island States

2016 ◽  
Vol 11 (3) ◽  
pp. 65-74 ◽  
Author(s):  
Richard Taylor
Keyword(s):  
Health Services ◽  
Communicable Disease ◽  
Cost Effective ◽  
Pacific Rim ◽  
Health Staff ◽  
Pacific Island ◽  
Health Administration ◽  
Island States ◽  
Health Domains ◽  
Pacific Island States

There is great diversity among Pacific Island states (n=22) in geography, history, population size, political status, endemic disease, resources, economic and social development and positions in the demographic and health transitions and their variants. Excluding Papua New Guinea, all Pacific states are less than one million, and half of them (11) are less than 100,000. Smallness also means fewer resources available for health, even if percentage allocations are similar to larger countries, and a disproportionate amount may derive from international aid. Specialisation is not cost-effective or even possible in clinical, administrative or public health domains in small populations, even if resources or personnel were available, since such staff would lose their skills. In instances where only one to two staff are required, retirement or migration means decimation of the workforce. Training doctors within the Pacific Island region provides appropriately trained personnel who are more likely to remain, including those trained in the major specialities. Nursing training should be in-country, although in very small entities, training in neighbouring states is necessary. Outmigration is a significant issue, however, opportunities in Pacific Rim countries for medical doctors are contracting, and there is now a more fluid workforce among Pacific health personnel, including those resident in Pacific Rim countries. International and regional agencies have a disproportionate influence in small states which can mean that global policies intended for larger polities are often promulgated inappropriately in small Pacific states.Smallness also leads to strong personal relationships between health staff, and contributes to teamwork, but can also create issues in supervision. Small health services are not just scaled-down versions of large health services; they are qualitatively different. Smallness is usually intractable, and its effects require creative and particularistic solutions involving other more endowed Pacific states and Pacific Rim countries. Abbreviations: NCD – Non-Communicable Disease; NGOs – Non Government Organisations; ODA – Overseas Development Assistance; TFR – Total Fertility Rate.

scholarly journals Mutu Pelayanan Kesehatan Pasien Rawat Inap oleh Tenaga Kesehatan di Pusksesmas Sonimanu Kabupaten Rote Ndao

2019 ◽  
Vol 1 (3) ◽  
pp. 76-83
Author(s):  
Helmi M. Bolla ◽  
Yoseph Kenjam ◽  
Tadeus A. L. Regaletha
Keyword(s):  
Health Services ◽  
Health Center ◽  
Health Workers ◽  
Quantitative Description ◽  
Sampling Technique ◽  
Total Sample ◽  
Health Staff ◽  
Patient Health ◽  
Good Nutrition

Service Quality can be obtained if what is expected by the patient to the service provider is in accordance with the patient's requirements. This study aims to determine the quality of patient health services by health workers at the Sonimanu health center in 2019. The sample in this study was all In patients with a total sample of 73 people the sampling technique in this study was totally sampling. Data collection was carried out with 20 items of hope and reality questionnaire, which is a quantitative description of this type of study. The analysis conducted is univariate using Importance Performance Analysis. The results of this study indicate that the value of conformity between expectations and quality of inpatient services of health workers to the tangible dimension is 97.28% (Very Satisfied), reliably 95.27% (Very Satisfied), responsiveness 86.38% (Satisfied), assurance 98.14% (Very Satisfied), empathy 97.21% (Very Satisfied). There is one attribute of inadequate quality of service that is a good nutrition officer providing and helping patients with dietary needs (58.42%), it is expected that the health staff at the Sonimanu health center need to prioritize and be more responsive in paying attention to the rights or needs of Inpatients. It is recommended that the quality of inpatient health services by health workers need to be further improved, especially in the dimension of responsiveness.

Conclusion

2018 ◽  
Author(s):  
Yana van der Meulen Rodgers
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Health Outcomes ◽  
Cost Effective ◽  
Reproductive Health Services ◽  
Cost Effective Approach ◽  
Restrictive Legislation

Chapter 7 concludes by highlighting the three biggest messages from the analysis presented in this book: (1) the global gag rule has failed to achieve its goal of reducing abortions; (2) restrictive legislation is associated with more unsafe abortions; and (3) the expanded global gag rule is likely to have negative repercussions across a range of health outcomes for women, children, and men. They are simple but powerful messages that should be heard by policymakers over the voices calling for an ideologically based policy that fails to achieve its desired outcome. The chapter closes with a more constructive and cost-effective approach for US family-planning assistance that targets integrated reproductive health services.

The Impact of Social Mobilization on Health Service Delivery and Health Outcomes

2018 ◽  
Author(s):  
Xavier Giné ◽  
Salma Khalid ◽  
Mansuri Ghazala
Keyword(s):  
Health Services ◽  
Service Delivery ◽  
Health Outcomes ◽  
Health Workers ◽  
Health Service Delivery ◽  
Health Providers ◽  
Child Health Outcomes ◽  
Rural Pakistan ◽  
Post Natal Care ◽  
The Impact

This chapter uses a randomized community development programme in rural Pakistan to assess the impact of citizen engagement on public service delivery and maternal and child health outcomes. The programme had a strong emphasis on organizing women, who also identified health services as a development priority at baseline. At midline, we find that the mobilization effort alone had a significant impact on the performance of village-based health providers. We detect economically large improvements in pregnancy and well-baby visits by female health workers, as well as increased utilization of pre- and post-natal care by pregnant women. In contrast, the quality of supra-village health services did not improve, underscoring the importance of community enforcement and monitoring capacity for improving service delivery.

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