Health care infrastructure amenities – an empirical examination of Indian perspective

2014 ◽  
Vol 9 (3) ◽  
pp. 245-262
Author(s):  
Atul Gupta ◽  
Ipseeta Satpathy ◽  
B. Chandra Mohan Patnaik ◽  
Niharika Patel
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Care Facilities ◽  
The State ◽  
Empirical Examination ◽  
Content Type ◽  
Peace Of Mind ◽  
Care Services ◽  
Care Facilities ◽  
The Status

Purpose – Health is an important issue in our life. A person with good health will have peace of mind and will be able to contribute to nation-building. We cannot expect performance from an ill person with a low morale. In the present paper, the authors tried to understand the ground realities of health-care facilities provided in India and more specifically in Odisha, India. Design/methodology/approach – This empirical paper used a non-experimental design to test a proposed model based on a review of relevant literature. In this paper, an initial pilot study was conducted by taking 44 various variables; however, after the study and taking the expert opinion, the variables were restricted to only 30. For the purpose of study, only state-sponsored hospitals were considered on a random sampling method. Findings – The analysis of data is conducted on a simple percentage method with closed-end options. It is found that even after 67 years of independence, people do not have access to basic medical care facilities in the rural areas and to some extent in semi-urban areas also. The major stumbling block is inadequate infrastructure in these hospitals. Research limitations/implications – While this study offers some insight into the status of healthcare infrastructure in rural India, the sample was limited to respondents in state-sponsored hospitals, which may not represent the views about private hospitals. Practical implications – It seems that in some interior areas of Odisha, people rely more on their fate than then these health-care services. Social implications – Various governments claim that they are spending millions of rupees on health-care service, but the benefits are not being felt by the masses. We are sure that our attempt to highlight the scenario of health-care services in the state of Odisha will be an eye opener and will compel the various stake holders to introspect their involvement in the health-care services provided in these areas. Originality/value – A considerable amount of research has been done evaluating the status of healthcare in India, but this is the first empirical research study to date based on respondents from the rural parts of the state of Odisha in India. Some of these areas are not reachable to researchers due to the poor infrastructure. This contribution is also of special importance amid the recent criticism of the healthcare infrastructure in India by prominent management scholars.

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 Planning universal accessibility to public health care in sub-Saharan Africa

2020 ◽  
Vol 117 (50) ◽  
pp. 31760-31769
Author(s):  
Giacomo Falchetta ◽  
Ahmed T. Hammad ◽  
Soheil Shayegh
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Sub Saharan Africa ◽  
Public Health Care ◽  
Care Services ◽  
Universal Accessibility ◽  
Care Facilities ◽  
Sub Saharan

Achieving universal health care coverage—a key target of the United Nations Sustainable Development Goal number 3—requires accessibility to health care services for all. Currently, in sub-Saharan Africa, at least one-sixth of the population lives more than 2 h away from a public hospital, and one in eight people is no less than 1 h away from the nearest health center. We combine high-resolution data on the location of different typologies of public health care facilities [J. Maina et al., Sci. Data 6, 134 (2019)] with population distribution maps and terrain-specific accessibility algorithms to develop a multiobjective geographic information system framework for assessing the optimal allocation of new health care facilities and assessing hospitals expansion requirements. The proposed methodology ensures universal accessibility to public health care services within prespecified travel times while guaranteeing sufficient available hospital beds. Our analysis suggests that to meet commonly accepted universal health care accessibility targets, sub-Saharan African countries will need to build ∼6,200 new facilities by 2030. We also estimate that about 2.5 million new hospital beds need to be allocated between new facilities and ∼1,100 existing structures that require expansion or densification. Optimized location, type, and capacity of each facility can be explored in an interactive dashboard. Our methodology and the results of our analysis can inform local policy makers in their assessment and prioritization of health care infrastructure. This is particularly relevant to tackle health care accessibility inequality, which is not only prominent within and between countries of sub-Saharan Africa but also, relative to the level of service provided by health care facilities.

scholarly journals Characteristics of Morbidity and Choice of Health Care Facilities in Nepal

2017 ◽  
Vol 2 (2) ◽  
pp. 47-55
Author(s):  
Arjun Kumar Thapa ◽  
Shiva Raj Adhikari
Keyword(s):  
Health Care ◽  
Low Income ◽  
Health Care Services ◽  
Acute Illness ◽  
Health Care Facilities ◽  
Seek Health Care ◽  
Care Services ◽  
Primary Health ◽  
Service Production ◽  
Care Facilities

In aftermath of People’s Movement 2008, the Government of Nepal promulgated health as a component of basic human rights. But Nepalese health consumers can seek health care services in government primary health facilities, hospitals, private clinics or do self–medication. The study intends to describe the characteristics of morbidity and factors associated in choosing particular type of health facility. For data, the study depends on a nationally representative rich cross sectional household survey data (Nepal Living Standard Survey, 2010/11) of Nepal. The findings of the study show that around one fifth of the total population reported acute illness while near about 10 percent is facing chronic illness. Around 30 percent of people reporting acute illness do not seek any health care services. Most of the rural people and poor population seek health care services in government primary health care facilities and private pharmacies. People belonging to low income quintiles are likely to seek health care services in government primary facilities. Similarly people residing in mountain & hill are likely to utilize services of government primary facilities. The study shows that urbanites are more likely to seek services in hospitals and private clinics. Therefore a homogeneous health care service production and delivery cannot address the country wide demand of health care services.

scholarly journals Inequalities in Utilization of Maternal Reproductive Health Care Services in Urban Bangladesh: A Population-Based Study

SAGE Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. 215824402091439 ◽  
Author(s):  
Md. Nuruzzaman Khan ◽  
Pushpendra Kumar ◽  
Md. Mijanur Rahman ◽  
Md. Nazrul Islam Mondal ◽  
M. Mofizul Islam
Keyword(s):  
Health Care ◽  
Postnatal Care ◽  
Health Care Services ◽  
Concentration Index ◽  
Skilled Birth Attendant ◽  
Health Care Facilities ◽  
Wealth Status ◽  
Reproductive Health Care ◽  
Care Services ◽  
Care Facilities

This study examined inequalities in the utilization of maternal reproductive health care services in urban Bangladesh. Data of 6,617 urban women were extracted from most recent two rounds of Bangladesh Demographic and Health Survey, conducted in the years 2011 and 2014. Inequalities in the utilization of antenatal checkup, receiving care from a skilled birth attendant, delivery in health care facilities, and postnatal care were investigated through concentration index. Contributions of selected predictors to inequalities were estimated by using the regression-based decomposition method. Noticeable inequalities were observed. Concentration index for utilization of at least one antenatal care visit was 0.09, four or more antenatal visits was 0.17, care from skilled birth attendant was 0.16, delivery care in health care facilities was 0.17, and postnatal care within 2 days of delivery was 0.19. Exposure to mass media, educational status of women and their spouses, wealth status, employment, birth order, and age of pregnancy were significant determinants of inequalities. There was a gradient in the utilization of services when examined across wealth status. Those with unfavorable social determinants of health reported low levels of utilization. Alongside providing tailored health care services to urban poor women, efforts should be made to reduce inequalities in social determinants of health.

scholarly journals Communicative Development and Diffusion of Humanoid AI Robots for the Post-Pandemic Health Care System

2021 ◽  
Vol 3 ◽  
pp. 65-82
Author(s):  
Do Kyun David Kim ◽  
Gary Kreps ◽  
Rukhsana Ahmed
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Technology Development ◽  
Health Care Facilities ◽  
Ethical Concerns ◽  
Care Services ◽  
Communicative Development ◽  
Care Facilities ◽  
Near Future ◽  
And Diffusion

As humanoid robot technology, anthropomorphized by artificial intelligence (AI), has rapidly advanced to introduce more human-resembling automated robots that can communicate, interact, and work like humans, we have begun to expect active interactions with Humanoid AI Robots (HAIRs) in the near future. Coupled with the HAIR technology development, the COVID-19 pandemic triggered our interest in using health care robots with many substantial advantages that overcome critical human vulnerabilities against the strong infectious COVID-19 virus. Recognizing the tremendous potential for the active application of HAIRs, this article explores feasible ways to implement HAIRs in health care and patient services and suggests recommendations for strategically developing and diffusing autonomous HAIRs in health care facilities. While discussing the integration of HAIRs into health care, this article points out some important ethical concerns that should be addressed for implementing HAIRs for health care services.

scholarly journals Factors influencing successful implementation of the basic antenatal care approach in primary health care facilities in eThekwini district, KwaZulu-Natal

Curationis ◽  
2013 ◽  
Vol 36 (1) ◽  
Author(s):  
Thembelihle S.P. Ngxongo ◽  
Maureen N. Sibiya
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Antenatal Care ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Successful Implementation ◽  
Care Services ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Background: In a move to alleviate the burden of consistently high maternal and perinatal mortality rates, the South African National Department of Health (DoH) introduced Basic Antenatal Care (BANC) in all Primary Health Care facilities that were providing antenatal care services. However, not all facilities in the eThekwini district have successfully implemented the approach. The aim of the study was to identify the factors that influence successful implementation of the BANC approach.  Objectives: The objectives were to identify facilities that had successfully implemented the BANC approach and the factors that influenced successful implementation of the BANC approach, in order to make recommendations on these factors.Method: A descriptive quantitative design was used. Firstly, primary health care facilities that were successful in implementing the BANC approach were identified through a retrospective record auditing. A total of 27 facilities were identified, of which 18 facilities were included in the study. This was followed by data collection from 59 midwives in order to identify the factors that influenced successful implementation of the BANC approach. The data was analysed using version 19 of the Statistical Package for the Social Sciences.Results: The positive factors that influenced successful implementation of the BANC approach included: the availability and accessibility of BANC services, policies, guidelines and protocol; various means of communication; a comprehensive package of and the integration of primary health care services; training and in-service education; human and material resources; the support and supervision offered to the midwives by the primary health care supervisors; supervisors’ understanding of the approach and the levels of experience of midwives involved in implementation of the BANC approach.Conclusion: The success that the facilities had achieved in implementing BANC approach was attributed to these positive factors. 

scholarly journals Distribution of primary health care facilities in Mtwara District, Tanzania: availability and accessibility of services

1970 ◽  
Vol 20 (4) ◽  
Author(s):  
Irene R. Mremi ◽  
Mercy Mbise ◽  
Job A. Chaula
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Low Income ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Child Health Services ◽  
Healthy Population ◽  
Care Services ◽  
Care Facilities

Background: Access to health care services is a significant factor to health seeking practices that contributes to a healthy population. Improving health care accessibility is an important health priority in low-income countries. The objective of this study was to determine distribution of health care facilities and identify the high priority areas, which require more services in Mtwara, southern Tanzania.Methods: This study was carried in Mtwara Rural district of southern Tanzania and involved health care facilities. A hand held global positioning system was used to geo-reference the coordinates of all facilities. A questionnaire with both closed and open-ended questions was used to gather information from patients who attended the respective facilities. Interviews with district health officials and facility in-charges were conducted.Results:  There were 38 health in the district. Most of them were located within southern part of the district. The majority of facilities (97%) were government owned. On average each facility was serving 2,400 population. Malaria management, reproductive and child health services, family planning and integrated management of childhood illnesses were offered by all health facilities in the district. Prevention of mother to child transmission of HIV was offered by 34 (89.5%) facilities. Tuberculosis services were offered by only 3 facilities while voluntary counselling and testing of HIV and anti-retroviral treatment services were available in 15 and 10 health facilities, respectively. Only 4 facilities had laboratory and inpatients services. The majority of the staff included Medical Attendants (39%), Nurse Midwives (34%), and Clinical Officers (20%). Assistant Medical Officers and Nursing Officers each accounted for 2% of the total staff. There were no Medical Officers, laboratory technicians or pharmaceutical technicians in the district.  A total of 408 health facility clients (≥18yrs) were interviewed. Factors influencing the choice of a health facility were the availability of special services, medicine and qualified human resources.Conclusion: The majority of facilities in Mtwara are government and there is disparity in the distribution of the facilities. Availability of medicines and qualified human resources were the major factors on the preference for accessing health care services.

scholarly journals Patient satisfaction towards health care services provided in Ethiopian health institutions: a systematic review and meta-analysis

2021 ◽  
Vol 14 ◽  
pp. 117863292110406
Author(s):  
Henok Biresaw ◽  
Henok Mulugeta ◽  
Aklilu Endalamaw ◽  
Nurhusien Nuru Yesuf ◽  
Yibeltal Alemu
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Care Services ◽  
Meta Analysis ◽  
Healthcare Services ◽  
Health Care Facilities ◽  
Cochrane Library ◽  
Indirect Measure ◽  
Care Services ◽  
Care Facilities

The level of patient satisfaction is a direct or indirect measure of services delivered in healthcare institutions. Different primary studies in Ethiopia showed the proportion of satisfied patients toward health services. Patient satisfaction reflects a wide gap between the current experience and the expected services and pushes clients to go to farther located health care facilities and even to more expensive private health care facilities to find quality healthcare services. Inconsistent findings regarding the proportion of patients that are satisfied with the healthcare services in Ethiopia make generalizations difficult at the national level. We have accessed previous studies through an electronic web-based search strategy using PubMed, Cochrane Library, Google Scholar, Embase, and CINAHL and a combination of search terms. The quality of each included article was assessed using a modified version of the Newcastle-Ottawa Scale for cross-sectional studies. All statistical analyses were done using STATA version 14 software for windows, and meta-analysis was carried out using a random-effects method. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed for reporting results. Out of 188 records screened, 41 studies with 17 176 participants fulfilled the inclusion criteria and were included for proportion estimation. The pooled proportion of satisfied patients was 63.7%. Attending a health center (AOR = 2.68; 95% CI = 1.79, 2.85), being literate (AOR = 0.46; 95% CI = 0.28-0.64), being younger than 34 years old (AOR = 2.07; 95% CI = 1.28, 2.85), and being divorced (AOR = 0.58; 95% CI = 0.38, 0.88) were factors identified as being associated with patient satisfaction. The proportion of patient satisfaction in Ethiopia was high based on over 50% satisfaction scale. The Ministry of Health should give more emphasis to improve hospital health care services to further improve patient satisfaction.

scholarly journals Mapping and Assessment of Healthcare Facilities Using GIS in a Part of Ikorodu Metropolis, Lagos State

2019 ◽  
Vol 4 (8) ◽  
pp. 55-62
Author(s):  
E. Effiong ◽  
O. F. Iyiola ◽  
Isaac Adelakun Gbiri ◽  
M. O. Oludiji ◽  
S. T. Oyebanji ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Local Community ◽  
Healthcare Facility ◽  
Health Care Facilities ◽  
Healthcare Facilities ◽  
Care Services ◽  
Care Facilities ◽  
Development Area ◽  
Digital Healthcare

The uneven distribution of health care services in Nigeria had been validated the inequalities in the accessibility and the best of fitness care services rendered to citizens. Basic fitness care offerings continue to be a cardinal responsibility of the authorities for the survival of her citizenry. Mostly in the developing country, the accessibility to these health care centres is poorly understood and underserved by the timing populations. there is a need to apprehend the elements that affect or inhibit health care used and what contributed to the use elements in term of distance from residences to the health care amenities and the thickly populace developed round the facilities. This paper focuses on the acceptable evaluation of spatial distribution of health care facilities and proposed for new health centres in some of catchments location that deserves it primarily based on distance and population figures in Ikorodu Local Community Development Area. It was subdivided  into Ibese, Ojubode , Local Govt, Police Post, Ebute , Ogoloto , Tos Benson, Ita Elewa, Sambo , Alagbala  and Eyita Area with their two land mass for every the catchment area inside the learn about which covered two Ibese Area, Ojubode Area, Local Govt. Area, Police Post Area, Ebute Area, Ogoloto Area, Tos Benson Area, Ita Elewa, Sambo Area, Alagbala Area and Eyita Area covered 128.585 ha, 59.658 ha, 106.793ha, 99.631ha, 140.803ha, 109.485ha, 131.518 ha, 111.625ha, 155.051 ha, 89.698 ha and 112.907 ha. Based on buffer coverage and population used and it was revealed and proposed new healthcare centres  for  Ojubode, Local Govt, Ibese, part of Eyita, Sambo,Alagbala and Ogoloto areas maps were produced. The useful geodatabase was created for digital healthcare facility mapping for less difficult replace every time it’s necessary.

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