Health Care Facilities at Primary Health Centres - An Analysis of Select PHCs in Telengana Region

2013 ◽  
Vol 3 (4) ◽  
Author(s):  
Ramesh Babu P ◽  
Hanumantha Rao Naidu
Keyword(s):  
Health Care ◽  
Health Care Facilities ◽  
Primary Health ◽  
Primary Health Centres ◽  
Care Facilities ◽  
Health Centres

scholarly journals Nurses’ Perceptions About Stock-outs of Essential Medicines at Primary Health Care Facilities in Vhembe District, South Africa

2019 ◽  
Vol 12 (1) ◽  
pp. 550-557 ◽  
Author(s):  
Ogbodu Olubumni M ◽  
Maputle Maria S ◽  
Mabunda Jabu
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Facilities ◽  
Essential Medicines ◽  
Generic Medicines ◽  
Primary Health ◽  
Care Facilities ◽  
Health Centres ◽  
Vhembe District ◽  
Primary Health Care Facilities

Background: The development of generic medicines that are cost-effective and affordable aims to facilitate improved availability of essential medicines to meet the health care needs of the majority of the population. However, these essential generic medicines are not regularly available at the community health centres and clinics. Aim: This study aimed to determine the perceptions of professional nurses regarding the status of stock-outs of generic medicines at primary health care health facilities in a selected province of South Africa. Materials and Methods: The study was conducted in five primary health care facilities; three clinics and two health centres in Thulamela B municipality of Vhembe District, Limpopo Province. A qualitative, exploratory, descriptive and contextual research design was used to obtain the perceptions of the participants. Thirteen professional nurses were purposively selected. Data were collected through face-to-face in-depth interviews until data saturation was reached. Data were analysed using Tesch’s open coding method. Results: Key findings showed that essential medicines were not always available, with the health centres reporting fewer stock-outs than clinics. The perceived major contributors to stock-outs were institutional inefficiency and practices by both health service providers and patients. Conclusion and Recommendations: The study concluded that primary health care facilities in rural communities still grapple with poor access to essential medicines due to poor availability. Therefore, the provision of sufficient funding for procurement, and training of inventory management practices were recommended. In addition, community public awareness campaigns to discourage patients’ self-medication and multiple consultations should be put in place.

scholarly journals Quality of Service of Primary Health Centres: Insights from a Field Study

2004 ◽  
Vol 29 (3) ◽  
pp. 71-82 ◽  
Author(s):  
P Rameshan ◽  
Shailendra Singh
Keyword(s):  
Health Care ◽  
Quality Of Service ◽  
Primary Health Care ◽  
Local Government ◽  
Health Care Facilities ◽  
Community Members ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres

This paper provides an evaluation of the quality of services and customer orientation of Primary Health Centres (PHCs) against the backdrop of the changed environment in the country with customer focus and efficiency emerging as the cornerstones of economic transactions in private and public sectors alike. It focuses on ten selected PHCs of Uttar Pradesh and covers the following stakeholders: Customers including patients who use the health care facilities of PHCs as well as the relatives and their personal attendants. Community members covering the village public, local shopkeepers, local government functionaries, local intelligentsia such as teachers and others having an interest or stake in PHC activities. Doctors and staff of the PHCs. District Medical Officials responsible for controlling and monitoring the PHC activities. The paper draws, among others, the following conclusions: The customers and community members of the villages perceived the facilities and services of PHCs to be deficient in many respects. Neither doctors and PHC staff nor the district officials are able to refute adequately the issues raised by villagers about the quality of service of PHCs. While villagers do not like the panchayat (local government) coming into the picture for improving the services of PHCs, district officials totally discount privatization as a means for providing effective primary health care in rural areas. While it is not very easy to solve the primary health care problems of the Indian villagers, yet the policy-makers can take recourse to the following measures to improve the facilities and services of PHCs in future: Form village committees to monitor PHC facilities, resources, and services. Identify industry patrons/sponsors for each PHC for developing infrastructure, facilities, and logistics without straining the scarce government resources. Constitute district-level user committees to monitor not only the PHC activities of a district but also the activities of the District Medical Offices. Enable panchayat and district administration to perform monitoring and supporting functions to ensure multiple checks on activities of the PHCs and District Medical Offices.

scholarly journals Effect of COVID-19 pandemic on provision of sexual and reproductive health services in primary health facilities in Nigeria: a cross-sectional study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Babatunde Adelekan ◽  
Erika Goldson ◽  
Zubaida Abubakar ◽  
Ulla Mueller ◽  
Audu Alayande ◽  
...  
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres

Abstract Background Nigeria, like many other countries, has been severely affected by the COVID-19 pandemic. While efforts have been devoted to curtailing the disease, a major concern has been its potential effects on the delivery and utilization of reproductive health care services in the country. The objective of the study was to investigate the extent to which the COVID-19 pandemic and related lockdowns had affected the provision of essential reproductive, maternal, child, and adolescent health (RMCAH) services in primary health care facilities across the Nigerian States. Methods This was a cross-sectional study of 307 primary health centres (PHCs) in 30 Local Government Areas in 10 States, representing the six geopolitical regions of the country. A semi-structured interviewer-administered questionnaire was used to obtain data on issues relating to access and provision of RMCAH services before, during and after COVID-19 lockdowns from the head nurses/midwives in the facilities. The questionnaire was entered into Open Data Kit mounted on smartphones. Data were analysed using frequency and percentage, summary statistics, and Kruskal–Wallis test. Results Between 76 and 97% of the PHCS offered RMCAH services before the lockdown. Except in antenatal, delivery and adolescent care, there was a decline of between 2 and 6% in all the services during the lockdown and up to 10% decline after the lockdown with variation across and within States. During the lockdown. Full-service delivery was reported by 75.2% whereas 24.8% delivered partial services. There was a significant reduction in clients’ utilization of the services during the lockdown, and the difference between States before the pandemic, during, and after the lockdown. Reported difficulties during the lockdown included stock-out of drugs (25.7%), stock-out of contraceptives (25.1%), harassment by the law enforcement agents (76.9%), and transportation difficulties (55.8%). Only 2% of the PHCs reported the availability of gowns, 18% had gloves, 90.1% had hand sanitizers, and a temperature checker was available in 94.1%. Slightly above 10% identified clients with symptoms of COVID-19. Conclusions The large proportion of PHCs who provided RMCAH services despite the lockdown demonstrates resilience. Considering the several difficulties reported, and the limited provision of primary protective equipment more effort by the government and non-governmental agencies is recommended to strengthen delivery of sexual and reproductive health in primary health centres in Nigeria during the pandemic.

scholarly journals A retrospective audit of antibiotic prescriptions in primary health-care facilities in Eastern Region, Ghana

2015 ◽  
Vol 31 (2) ◽  
pp. 250-258 ◽  
Author(s):  
Mary-Anne Ahiabu ◽  
Britt P Tersbøl ◽  
Richard Biritwum ◽  
Ib C Bygbjerg ◽  
Pascal Magnussen
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Facilities ◽  
Eastern Region ◽  
Primary Health ◽  
Retrospective Audit ◽  
Care Facilities ◽  
Primary Health Care Facilities

scholarly journals A National Accessibility Audit of Primary Health Care Facilities in Brazil—Are People with Disabilities Being Denied Their Right to Health?

2021 ◽  
Vol 18 (6) ◽  
pp. 2953
Author(s):  
Alexandro Pinto ◽  
Luciana Sepúlveda Köpcke ◽  
Renata David ◽  
Hannah Kuper
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
People With Disabilities ◽  
Health Care Facilities ◽  
Internal Space ◽  
Major Barrier ◽  
Healthcare Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Poor accessibility of healthcare facilities is a major barrier for people with disabilities when seeking care. Yet, accessibility is rarely routinely audited. This study reports findings from the first national assessment of the accessibility of primary health care facilities, undertaken in Brazil. A national accessibility audit was conducted by trained staff of all 38,812 primary healthcare facilities in Brazil in 2012, using a 22-item structured questionnaire. An overall accessibility score was created (22 items), and three sub-scales: external accessibility (eight items), internal accessibility (eight items), information accessibility (six items). The main finding is that the overall accessibility score of primary care facilities in Brazil was low (mean of 22, standard deviation (SD) of 0.21, on a 0–100 scale). Accessibility of different aspects of the healthcare facilities was also low, including external space (mean = 31.0, SD = 2.0), internal space (18.9, 1.9) and accessibility features for people with other visual or hearing impairments (6.3, SD = 1.0). Scores were consistently better in the least poor regions of Brazil and in facilities in larger municipality size (indicating more urban areas). In conclusion, large-scale accessibility audits are feasible to undertake. Poor accessibility means that people with disabilities will experience difficulties in accessing healthcare, and this is a violation of their rights according to international and Brazilian laws.

Childhood Mental Disorders in Primary Health Care: Results of Observations in Four Developing Countries

PEDIATRICS ◽  
1981 ◽  
Vol 68 (5) ◽  
pp. 677-683
Author(s):  
R. Giel ◽  
M. V. de Arango ◽  
C. E. Climent ◽  
T. W. Harding ◽  
H. H. A. Ibrahim ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Health Workers ◽  
Health Care Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Research Procedure ◽  
Primary Health Care Facilities

To ascertain the frequency of mental disorders in Sudan, Philippines, India, and Colombia, 925 children attending primary health care facilities were studied. Rates of between 12% and 29% were found in the four study areas. The range of mental disorders diagnosed was similar to that encountered in industrialized countries. The research procedure involved a two-stage screening in which a ten-item "reporting questionnaire" constituted the first stage. The study has shown that mental disorders are common among children attending primary health care facilities in four developing countries and that accompanying adults (usually the mothers) readily recognize and report common psychologic and behavioral symptoms when these are solicited by means of a simple set of questions. Despite this, the primary health workers themselves recognized only between 10% and 22% of the cases of mental disorder. The results have been used to design appropriate brief training courses in childhood mental disorders for primary health workers in the countries participating in the study.

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