scholarly journals No One Is Leaving This Time: Appraisal of Awareness and Knowledge of Port Health Officers on International Health Regulation IHR (2005)

2022 ◽  
Author(s):  
Yusuf Babatunde Adiama ◽  
Solomon Olayinka Adewoy ◽  
Opasola Afolabi Olaniyi ◽  
Lateefat Modupe Habeeb ◽  
Abdullahi Ahmed ◽  
...  

Background: Historically, ships have played an important role in transmitting infectious diseases around the world. The spread of cholera pandemics in the 19th century was thought to be linked to trade routes and facilitated by merchant shipping. The international maritime traffic of people and goods has often contributed to the spread of pathogens affecting public health. Objectives: To assess level of awareness and knowledge of international Health regulation (IHR 2005) content among port health officer Methods: The study design was descriptive cross-sectional evaluation, questionnaires were used to capture the respondents knowledge, awareness and sanitary condition of ship in accordance with (IHR 2005) Results: On awareness and knowledge, Majority of the respondent (77.1%) demonstrate good awareness of the IHR (2005), while 22.9% had not and some even testified of hearing the said document for the first time. Despite the fact that majority of respondent were aware but only 24.6% of them can actually demonstrate good knowledge of IHR (2005) and its intent to protect and prevent spread of disease along the international route. Conclusion: There is need to improve the knowledge of port health officers by expand training and guidance on application of the IHRs to frontline officer at point of entries. Also ensure more thorough inspection and avoid influence of ship agent during inspection of ship.

2021 ◽  
Vol 12 (1) ◽  
pp. 33-38
Author(s):  
Herqutanto Herqutanto ◽  
Albert Wijaya ◽  
Budi Sampurna ◽  
Manaor F.L. Napitupulu ◽  
Ferdi Afian

Background: : Emergency landing as an airport emergency requires quick and precise action by Port Health Office (PHO) as the medical coordinator. Medical treatment in an emergency landing is critical for the safety of disaster victims, based on the knowledge, attitudes and behavior of airport PHO officers. This study aimed to determine knowledge, attitude and behavior of PHO officers at Soekarno-Hatta International Airport (SOETTA) and Zainuddin Abdul Majid International Airport (ZAM) regarding emergency landings. Methods: This is an observational applying cross sectional design. Ninety-eight PHO officers from SOETTA airport and ZAM airport have participated, and their data was collected through questionnaires, and then analyzed based on knowledge, attitude, and practice toward emergency landing. Results: The knowledge of SOETTA PHO officers was sufficient in 63.5% officers, while it was 79.2% in ZAM. SOETTA PHO officers’ attitude was positive in 67.6% while in ZAM it was 54.16%. The behavior of SOETTA PHO officers was good in 55.4% officers while in ZAM it was 75%. Conclusion: The level of knowledge of SOETTA and ZAM PHO officers regarding emergency landings was sufficient. The attitude of SOETTA and ZAM PHO officers regarding emergency landings was positive. The behavior of SOETTA and ZAM PHO officers was good for emergency landings. Keywords: emergency landing, port health officer, knowledge, attitudes and practice   Abstrak Latar belakang: Emergency landing sebagai salah satu keadaan darurat bandara memerlukan tindakan yang cepat dan tepat oleh Kantor Kesehatan Pelabuhan (KKP) sebagai koordinator medis. Penanganan medis dalam emergency landing sangat menentukan keselamatan dan keamanan korban, yang berbasis pada pengetahuan, sikap dan perilaku petugas KKP bandara. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan, sikap dan perilaku petugas KKP Bandara Internasional Soekarno-Hatta (SOETTA) dan Bandara Internasional Zainuddin Abdul Majid (ZAM) terhadap emergency landing. Metode: Penelitian ini adalah sebuah studi obervasional dengan disain potong lintang. Sembilan puluh delapan petugas KKP dari 74 bandara SOETTA dan 24 bandara ZAM diambil datanya lewat kuesioner.dan selanjutnya dinilai pengetahuan, sikap dan perilaku terhadap emergency landing. Hasil: Sebanyak 63,5% petugas KKP SOETTA memiliki pengetahuan yang cukup sementara 79,2% petugas ZAM meiliki pengetahuan yang tergolong cukup. Untuk hasil sikap petugas KPP SOETTA yang tergolong positif 67,6% sementara di ZAM sikap petugas KPP yang tergolong positif 54,16%. Untuk hasil perilaku petugas KPP SOETTA yang tergolong baik 55,4% sementara di ZAM perilaku petugas KPP yang tergolong baik 75%. Kesimpulan: Tingkat pengetahuan petugas KKP SOETTA dan petugas KKP ZAM terhadap emergency landing tergolong cukup. Sikap petugas KKP SOETTA dan ZAM terhadap penanganan emergency landing positif. Perilaku petugas KKP SOETTA dan ZAM cukup baik terhadap emergency landing. Kata kunci: emergency landing; petugas KKP; pengetahuan, sikap dan perilaku


Author(s):  
Sandrine Roussel ◽  
Alain Deccache ◽  
Mariane Frenay

Introduction: The implementation of Therapeutic Patient Education (TPE) remains a challenge. An exploratory study highlighted two tendencies among practitioners of TPE, which could hamper this implementation: an oscillation between identities (as caregivers versus as educators) and an inclination towards subjective psychological health objectives. Objectives: To verify whether these tendencies can be observed among an informed audience in TPE. Next, to explore the variables associated with one or other of these tendencies. Method: A quantitative cross-sectional survey by a self-administered questionnaire was carried out among 90 French-speaking healthcare professionals. Statistical analyses (chi-square, logistic regression) were then conducted. Results: Sixty percent of respondents displayed identity oscillation, which was found to be linked to task oscillation, patient curability, scepticism towards medicine and practising in France. Fifty-six percent pursued subjective psychological health objectives, which was found to be associated with health behaviour objectives and a locus of power in the healthcare relationship distinct from those seen in the pre-existing health models (biomedical, global). This tendency seems to constitute an alternative model of TPE. Discussion & conclusion: Identity oscillation and subjective psychological health objectives can be both observed. This study stresses the need to deliberate on the form(s) of TPE that is/are desired.


2010 ◽  
Vol 13 (9) ◽  
pp. 1314-1318 ◽  
Author(s):  
Mark Tomlinson ◽  
Vera Adams ◽  
Mickey Chopra ◽  
Pieter Jooste ◽  
Emmerentia Strydom ◽  
...  

AbstractObjectiveTo obtain baseline pre-intervention prevalence levels of iodine deficiency and parasitic and helminth infections in school-going children in Bie Province, Angola.DesignA cross-sectional study conducted in randomly selected schools. The target population was children aged 6–10 years.SettingBie Province, Angola.SubjectsA total of 1029 children sampled, with 791 stool samples and 826 urine samples collected from twenty-four schools.ResultsWidespread severe and moderate deficiencies in iodine. Children in five schools were severely iodine deficient. All sampled schoolchildren were iodine deficient to a greater or lesser extent. In all, 80 % of all children across the twenty-four schools were infected with one or a combination of intestinal helminths and intestinal protozoa.ConclusionsThese findings have serious implications for the cognitive development of Angolan children, as well as for Angola’s development in terms of productivity and economic potential. It is strongly recommended that the provincial and national Ministries of Health, in collaboration with international health agencies, immediately plan and implement a strategy to provide sufficient iodine through iodised oil capsules and iodised salt to the iodine-deficient population. National coalitions need to be strengthened among the government, partners and salt producers. It is also recommended that all the children in schools be de-wormed for multiple helminth species at least twice a year.


2012 ◽  
Vol 1 (2) ◽  
pp. 39-44 ◽  
Author(s):  
Rajiv Ranjan Karn ◽  
Buna Bhandari ◽  
Nilambar Jha

Background: Inadequate sanitation has direct effect on health of individual, family, communities and nation as a whole. Objective: To assess the personal hygiene and sanitary condition of the Katahari Village Development Committee (VDC). Methods: The cross sectional study was done in Katahari VDC of Morang district. A total of 80 households were randomly selected from two wards of VDC. The data were collected by interview method using interview schedule. Data were entered in Excel sheet and analyzed on SPSS program. Results: Many respondents (61%) were unable to read and write, 33% involved in private job in various factory. Knowledge of sanitation was high (90%) but only 65% of them were using soap water for hand washing. Sixty percent had no toilet facilities. There was significant association between education and toilet facilities among community people. Land holding and type of family had no significant association with toilet facilities. Conclusion: The knowledge regarding sanitation was high among community people but very poor in practice.DOI: http://dx.doi.org/10.3126/jonmc.v1i2.7298 Journal of Nobel Medical College (2012), Vol.1 No.2 p.39-44


2019 ◽  
Author(s):  
Feng-Jen Tsai ◽  
Mathuros Tipayamongkholgul

Abstract Background This study aimed to evaluate associations among countries’ self-reported International Health Regulation 2005 (IHR 2005) capacity assessments and infectious disease control outcomes. Methods Countries’ self-reported assessments implemented by percentages as IHR Monitoring Tools (IHRMT) in 2016 and 2017 were used to represent national capacity regarding infectious disease control. WHO Disease Outbreak News and matched diseases reports on ProMED-mail were collected in 2016 to represent disease control outcomes of countries. Disease control outcomes were divided in good, normal and bad groups based on the development of outbreaks listed in the reports. The Human Development Index (HDI), density of physicians and nurses, health expenditure, number of arrivals of international tourists were also collected for control. Chi-square test and logistic regression were applied for analysis. Results A total of 907 cases occurred in 92 countries. For all diseases, cases occurring in high international travel volume countries presented twice the risk of having a bad disease control outcomes than cases occurring in low international travel volume countries (OR = 2.19 for IHR 2016, OR =2.97 for IHR 2017). Cases occurring in low IHR average score countries had significant higher risk (OR = 7.83 for IHR 2016 and OR = 2.23 for IHR 2017) of having a bad disease control outcomes than countries with high IHR average scores. For only human diseases, cases occurring in high international travel volume countries presented twice the risk of having a bad disease control outcomes than cases occurring in low international travel volume countries for IHR 2017 (OR =2.79). Cases occurring in low IHR average score countries had significant higher risk (OR = 11.16 for IHR 2016 and OR = 3.45 for IHR 2017) of having a bad disease control outcomes than countries with high IHR average scores. The HDI, health workforce density and total health expenditure were all positively associated with disease control outcomes. Conclusions Countries’ self-reported infectious disease control capacities positively correlated with their disease control outcomes. While the self-reported IHR scores were accountable to some degree, this approach was useful for understanding global capacity in infectious disease control and in allocating resources for future preparedness.


2017 ◽  
Vol 11 (1) ◽  
pp. 28
Author(s):  
Arif Budiman

Dengue fever occurrences are still problematic in Nanggulan district, Kulon Progo regency, which is in each year, the number of cases varies in each village. This research used ‘cross sectional’  design which samples of this research were taken from all the houses in Wijimulyo village as endemic  village, and Banyuroto village as non-endemic village. The number of samples used in this research of 94 respondents. The instrument that used in obtaining data were questionnaires and observation check list. The result of Chi Square test in endemic village with influential factor dengue mosquito brending eradication was respondent attitude (p = 0,009) Contingency coefficient (p = 0,391), corelation is adequate, and action (p = 0,009) contingency coeficcient (p = 0,391) corelation is adequate . The result  of Chi Square test in non endemic village with influential factor mosquito brending eradication was action (p = 0,011) Contingency coefficient (p = 0,422) corelation is adequate and action (p = 0,040) Contingency coefficient (p = 0,365) corealtion is adeqaute and it is found the fact that it’s better in non endemic village than in endemic village. Variable which influenced respondent attitude and existance of wiggler were not draining the tub over a week, used bucket, used can, used tire, not covering the tub, having fishless fond, so that the public health departement through Puskesmas suggest to conduct counseling of dengue mosquito breeding eridication, fond village monitoring by village officer and health officer to be drained in harvest season until planting season, changing permanent tub with impermanent one or big bucket in order to be easy to be cleaned.Keywords:Dengue Fever, Mosquito Breedin


2017 ◽  
Vol 22 (24) ◽  
Author(s):  
Rosa M López-Gigosos ◽  
Marina Segura ◽  
Rosa M Díez-Díaz ◽  
Isabel Ureña ◽  
David Urzay ◽  
...  

The international maritime traffic of people and goods has often contributed to the spread of pathogens affecting public health. The Maritime Declaration of Health (MDH), according to the International Health Regulations (IHR) (2005), is a document containing data related to the state of health on board a ship during passage and on arrival at port. It is a useful tool for early detection of public health risks. The main objective of our study was to evaluate compliance with the model provided in the IHR, focusing on the format and degree of completion of MDH forms received at Spanish ports. We reviewed the content of 802 MDH forms submitted to nine Spanish ports between October 2014 and March 2015. Study results show that 22% of MDH forms presented did not comply with the recommended model and 39% were incomplete. The proportion of cargo ships with correct and complete MDH forms was lower than passenger ships; thus, the nine health questions were answered less frequently by cargo ships than passenger ships (63% vs 90%, p value < 0.001). The appropriate demand and usage of MDH forms by competent authorities should improve the quality of the document as a tool and improve risk assessment.


2019 ◽  
Author(s):  
feng-jen Tsai ◽  
Mathuros Tipayamongkholgul

Abstract Background This study aimed to evaluate associations among countries’ self-reported International Health Regulation 2005 (IHR 2005) capacity assessments and infectious disease control outcomes. Methods Countries’ self-reported assessments implemented by percentages as IHR Monitoring Tools (IHRMT) in 2016 and 2017 were used to represent national capacity regarding infectious disease control. WHO Disease Outbreak News and matched diseases reports on ProMED-mail were collected in 2016 to represent disease control outcomes of countries. Disease control outcomes were divided in good, normal and bad groups based on the development of outbreaks listed in the reports. The Human Development Index (HDI), density of physicians and nurses, health expenditure, number of arrivals of international tourists were also collected for control. Chi-square test and logistic regression were applied for analysis. Results A total of 907 cases occurred in 92 countries. For all diseases, cases occurring in high international travel volume countries presented twice the risk of having a bad disease control outcomes than cases occurring in low international travel volume countries (OR = 2.19 for IHR 2016, OR =2.97 for IHR 2017). Cases occurring in low IHR average score countries had significant higher risk (OR = 7.83 for IHR 2016 and OR = 2.23 for IHR 2017) of having a bad disease control outcomes than countries with high IHR average scores. For only human diseases, cases occurring in high international travel volume countries presented twice the risk of having a bad disease control outcomes than cases occurring in low international travel volume countries for IHR 2017 (OR =2.79). Cases occurring in low IHR average score countries had significant higher risk (OR = 11.16 for IHR 2016 and OR = 3.45 for IHR 2017) of having a bad disease control outcomes than countries with high IHR average scores. The HDI, health workforce density and total health expenditure were all positively associated with disease control outcomes. Conclusions Countries’ self-reported infectious disease control capacities positively correlated with their disease control outcomes. While the self-reported IHR scores were accountable to some degree, this approach was useful for understanding global capacity in infectious disease control and in allocating resources for future preparedness.


Author(s):  
Jackline Mokeira Selvester ◽  
Moses Otiati Esilaba ◽  
Oscar Omondi Donde

Background: Globally, due to low health care coverage, there have been continued efforts to ensure that there is increased accessibility to quality, affordable and equitable universal health care (UHC) services in most parts of developing countries, such as within Nakuru county in Kenya.Methods: The study focused on determining health workforce gaps in health care facilities that affect the implementation of UHC in Nakuru West Sub County. Cross-sectional study design was applied, data was collected using structured questionnaires, analyzed using statistical package for social sciences 23rd version and presented in charts for ease comparison.Results: The findings of this study indicated that there was shortage of HWCs. This implies that the staffing in the facilities located in Nakuru West Sub-County is inadequate for the implementation of the Kenyan government UHC and it was evident that the mostly affected sections were the nursing, public health officer (PHO), pharmacy, clinical officers and laboratory in that order. Most alarmingly, majority of the HCWs (58.2%) were not being appreciated for good work, despite the fact that they play a key role in the implementation of UHC.Conclusions: It is therefore imperative for the county government which is the arm of the Kenyan government to ensure that they recruit adequate health care workers in all cadres to serve the continuously rising population and HCWs should have adequate level of education, acceptable training skills and be well- motivated.


2011 ◽  
Vol 129 (4) ◽  
pp. 198-205 ◽  
Author(s):  
Marcos Bosi Ferraz ◽  
Patricia Coelho de Soárez ◽  
Paola Zucchi

CONTEXT AND OBJECTIVES: The health technology assessment (HTA) process has been developed locally. The aim of this study was to describe, analyze and compare the opinions of participants in international health economics symposia about the HTA process used in Brazil. DESIGN AND SETTING: Observational cross-sectional study at the 2006 and 2008 International Health Economics Symposia, in São Paulo. METHODS: A structured questionnaire was applied. For the statistical analysis, the percentage distribution for each category was calculated, and variables were compared using tests for two-sample proportion hypotheses. RESULTS: Totals of 153 and 74 participants answered the 2006 and 2008 surveys, respectively. The response rate was better for the 2006 survey (67.1%) than for the 2008 survey (31.8%). Most interviewees were between the ages of 30 and 49 years and were managers in the healthcare system. Most of them considered that the current HTA process was incomplete and unable to meet the needs of the healthcare system. They mentioned the government, academia and experts as the three main groups of people who should be involved in the process, and selected efficiency/effectiveness, safety and disease relevance as the three main criteria to be considered in the HTA process. There is a trend towards developing decentralized regionalized HTA processes, with separate assessment and decision-making for the public and private systems. CONCLUSIONS: The HTA concept is well known. Healthcare system players feel that the process has methodological limitations. Additional surveys are needed to track the HTA process and its application in Brazil.


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