scholarly journals The impact of war on the health system of the Tigray region in Ethiopia: an assessment

2021 ◽  
Vol 6 (11) ◽  
pp. e007328
Author(s):  
Hailay Gesesew ◽  
Kiros Berhane ◽  
Elias S Siraj ◽  
Dawd Siraj ◽  
Mulugeta Gebregziabher ◽  
...  
Keyword(s):  
Health System ◽  
Postnatal Care ◽  
Healthcare Delivery ◽  
Healthcare Delivery System ◽  
Healthcare Facilities ◽  
Tigray Region ◽  
Health Centres ◽  
Emergency Food Assistance ◽  
The Impact ◽  
First 90 Days

The war in Tigray region of Ethiopia that started in November 2020 and is still ongoing has brought enormous damage to the health system. This analysis provides an assessment of the health system before and during the war. Evidence of damage was compiled from November 2020 to June 2021 from various reports by the interim government of Tigray, and also by international non-governmental organisations. Comparison was made with data from the prewar calendar year. Six months into the war, only 30% of hospitals, 17% of health centres, 11.5% of ambulances and none of the 712 health posts were functional. As of June 2021, the population in need of emergency food assistance in Tigray increased from less than one million to over 5.2 million. While the prewar performance of antenatal care, supervised delivery, postnatal care and children vaccination was 64%, 73%, 63% and 73%, respectively, but none of the services were likely to be delivered in the first 90 days of the war. A conservative estimate places the number of girls and women raped in the first 5 months of the war to be 10 000. These data indicate a widespread destruction of livelihoods and a collapse of the healthcare system. The use of hunger and rape as a weapon of war and the targeting of healthcare facilities are key components of the war. To avert worsening conditions, an immediate intervention is needed to deliver food and supplies and rehabilitate the healthcare delivery system and infrastructure.

scholarly journals Breaking the bottle neck to enhance pediatrics renal transplantation at Soba university hospital: Role of a non-governmental organization

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Ihab B. Abdalrahman ◽  
Shaima N. Elgenaid ◽  
Rashid Ellidir ◽  
Asma Nizar Mohammed Osman Abdallah ◽  
Safa Ahmed Hassan Hamid ◽  
...  
Keyword(s):  
Renal Transplant ◽  
Quality Care ◽  
Healthcare Delivery ◽  
University Hospital ◽  
Healthcare Delivery System ◽  
Governmental Organization ◽  
Low Resource ◽  
Number Of Patients ◽  
Stage Renal Disease ◽  
The Impact

High cost and limited resources of pediatrics renal transplant in low-resource countries limits the number of transplants. However, the collaboration between government and community sector provided high quality care for these patients. Here we highlight the impact of a non-governmental organization in facilitating pediatrics renal transplant. Data was collected from files of all pediatric patients withend stage renal disease who received renal transplant between January 2010 and December 2017 at Soba University Hospital (77 patients). The 8-year period was divided into 16 intervals of 6 months each. The number of patients who received renal transplant ranged from 1 to 12 patients in each interval. There was a rise in 2017 when 21 (28.7%) patients received kidney transplant. In the last 6 months in 2017 there was a significant reduction in duration of hospital stay compared to the rest of the period; it dropped from 16.36 to 9.92 days (P=0.003). Partnership between governmental and non-governmental sectors is a good strategy in low resource area to bridge some of the gaps of healthcare delivery system.

scholarly journals Practical Applicability of Teledentistry in Pediatric Patients Amidst Pandemic : A Narrative Review

2021 ◽  
Vol 2 ◽  
Author(s):  
Mousumi Goswami ◽  
Tanu Nangia ◽  
Aditya Saxena ◽  
Sakshi Chawla ◽  
Anam Mushtaq ◽  
...  
Keyword(s):  
Management Strategy ◽  
Healthcare Professionals ◽  
Emergency Services ◽  
Healthcare Delivery ◽  
Patient Treatment ◽  
Treatment Needs ◽  
Elective Patient ◽  
Healthcare Delivery System ◽  
Healthcare Facilities ◽  
Traumatic Injuries

The coronavirus disease-2019 (COVID-19) pandemic has imposed a situation where all healthcare facilities except emergency services remain suspended. These times generated the necessity for the implementation of a healthcare delivery system that can be accessed digitally and, thus, benefit the majority of children as well as healthcare professionals. This review aims to propose a sound model of less technique sensitive, safe and handy strategies for dental traumatic injuries, endodontic and restorative concerns, and orthodontic urgencies until complete clinical help can be sought. Five hundred thirty articles were obtained from the PubMed, Google Scholar, Embase, Lilacs, and Cochrane databases published from 2011 to 2021. Nineteen articles that described teledentistry in the COVID-19 era were included. Teledentistry can serve as a vital patient management strategy that can aid in triaging urgent and elective patient treatment needs, ultimately easing the burden of clinics and at the same time providing a safer means of consultation.

scholarly journals Sustaining Otolaryngology Services for the Long Haul during the COVID-19 Pandemic: Experience from a Tertiary Health System

2020 ◽  
Vol 163 (1) ◽  
pp. 47-50 ◽  
Author(s):  
Joshua K. Tay ◽  
Wei Sian Lim ◽  
Woei Shyang Loh ◽  
Kwok Seng Loh
Keyword(s):  
Health System ◽  
Significant Proportion ◽  
Personal Protection ◽  
Personal Protection Equipment ◽  
Safe Environment ◽  
Strategic Goals ◽  
The Impact ◽  
First 90 Days

The impact of the COVID-19 pandemic has been far-reaching and has profoundly affected the practice of otolaryngology in an unprecedented way. In this commentary, we draw from our experience in the first 90 days of the pandemic and discuss a set of workflow measures, personal protection equipment protocols, and strategic goals that can provide a safe environment for patients and staff to continue managing a significant proportion of patients in the otolaryngology service during the pandemic.

Healthcare in the United States

2018 ◽  
pp. 73-85
Author(s):  
Hillary Knepper
Keyword(s):  
United States ◽  
Healthcare Delivery ◽  
Basic Structure ◽  
The United States ◽  
Healthcare Industry ◽  
Healthcare Delivery System ◽  
Patient Protection ◽  
Public Revenue ◽  
The Impact ◽  
The U.S

Healthcare in the United States is a dynamic mix of public and marketplace solutions to the challenge of achieving the maximum public good for the greatest number of people. Indeed, in the U.S. the healthcare industry generates over $3 trillion in the economy. This creates a uniquely American paradox that is examined here. The basic structure of the U.S. public-private healthcare delivery system is explored. The dynamics of public sector involvement in healthcare delivery is reviewed, with particular emphasis on the impact of the Patient Protection and Affordable Care Act. Economic impact, employment indicators, and recent cost estimates of public revenue investment will be considered. Finally, a discussion about the future implications of healthcare for public administration in the 21st century is presented. Eight tables and figures present a visual and detailed explanation to accompany the narrative.

Healthcare in the United States

2021 ◽  
pp. 480-491
Author(s):  
Hillary Knepper
Keyword(s):  
United States ◽  
Healthcare Delivery ◽  
Basic Structure ◽  
The United States ◽  
Healthcare Industry ◽  
Healthcare Delivery System ◽  
Patient Protection ◽  
Public Revenue ◽  
The Impact ◽  
The U.S

Healthcare in the United States is a dynamic mix of public and marketplace solutions to the challenge of achieving the maximum public good for the greatest number of people. Indeed, in the U.S. the healthcare industry generates over $3 trillion in the economy. This creates a uniquely American paradox that is examined here. The basic structure of the U.S. public-private healthcare delivery system is explored. The dynamics of public sector involvement in healthcare delivery is reviewed, with particular emphasis on the impact of the Patient Protection and Affordable Care Act. Economic impact, employment indicators, and recent cost estimates of public revenue investment will be considered. Finally, a discussion about the future implications of healthcare for public administration in the 21st century is presented. Eight tables and figures present a visual and detailed explanation to accompany the narrative.

Healthcare of Vulnerable Populations: Through the Lens of Halldorsdottir’s Theory

2010 ◽  
Vol 14 (3) ◽  
pp. 53-59 ◽  
Author(s):  
Denise Nagle Bailey
Keyword(s):  
Delivery System ◽  
Vulnerable Populations ◽  
Healthcare Access ◽  
Healthcare Delivery ◽  
Poor Health ◽  
System Implementation ◽  
Healthcare Delivery System ◽  
Patient’S Perspective ◽  
Healthcare Coverage ◽  
The Impact

This paper explores caring within the context of healthcare access in vulnerable populations. Specifically, it connects how underserved status heightens an individual’s vulnerability to poor health. With the increase of disparities and inequalities that exist in the healthcare delivery system, implementation of caring and caring theory are examined as a plausible means to ameliorate the impact of inadequate healthcare coverage. Halldorsdottir’s (1996) theory of caring and uncaring encounters, within nursing and healthcare, from the patient’s perspective frames the discussion.

The Challenges of Nigerian Hospital Ward Setting in Providing for Family Participation

2014 ◽  
Vol 584-586 ◽  
pp. 142-151 ◽  
Author(s):  
Ibrahim Abubakar Alkali ◽  
Moh'd Hamdan Hj Ahmad ◽  
Ismail Said
Keyword(s):  
Health Care Systems ◽  
Healthcare Delivery ◽  
Hospital Setting ◽  
Hospital Ward ◽  
Family Participation ◽  
Healthcare Delivery System ◽  
Design Data ◽  
Healthcare Facilities ◽  
Tertiary Hospitals ◽  
Care Systems

Healthcare facilities design is a complex and dynamic process that considers meeting the needs of each of its stakeholders. The design becomes more complex when it involves building for particular user groups with non-standard specification. The Nigerian healthcare delivery system like many other health care systems in developing countries requires active participation of the patient's family member. However, the hospital setting in Nigeria has not been configured to accommodate their stay. This qualitative study is carried out to explore the extent of family participation in caring for their hospitalised ones with a view to identify design indices that will guide Nigerian hospital ward design. Data was obtained through observation and unstructured interview in a typical adult male and female surgical wards in one of the tertiary hospitals in Nigeria. Data was analysed using classical content analysis method. The result shows the design indices generated from patient's families involvement required in the Nigerian hospital ward configuration.

scholarly journals Why women chose unassisted home birth in Malaysia: A qualitative study

2019 ◽  
Author(s):  
Nur Amani @ Natasha Ahmad Tajuddin ◽  
Julia Suhaimi ◽  
Siti Nurkamilla Ramdzan ◽  
Ahmad Ihsan Abu Bakar ◽  
Khasnur Abdul Malek ◽  
...  
Keyword(s):  
Healthcare Delivery ◽  
Home Birth ◽  
Personal Beliefs ◽  
Healthcare Delivery System ◽  
Healthcare Facilities ◽  
Beliefs And Values ◽  
Decision Methods ◽  
Birth Processes ◽  
Birthing Practices ◽  
Depth Interviews

Abstract Background: Reports of unassisted home birthing practices have been increasing in Malaysia despite the accessibility to safe and affordable child delivery facilities. We aimed to explore the reasons for women to make such decision. Methods: Twelve mothers participated in-depth interviews. They were identified using snowballing approach. The interviews were supported by a topic guide which was developed based on the Theory of Planned Behaviour and previous literature. The interviews were audio recorded, transcribed verbatim and analysed using thematic analysis. Results: Women in this study described a range of birthing experiences and personal beliefs to why they chose unassisted home birth. Four themes emerged from the interviews; i) preferred birthing experience, ii) a natural process, iii) expressing autonomy and iv) faith, as reasons for choosing unassisted homebirth. Such decision was firm and strong despite the possible risks and complications that can occur during home birthing. Giving birth is perceived to occur naturally regardless of assistance and home birthing provide the preferred environment which health facilities may lack. Women believed that they were much in control of the birth processes apart from fulfilling the spiritual beliefs. Conclusions: Women may choose unassisted home birth to express their personal beliefs and values, at the expense of the health risks. Apart from increasing mothers’ awareness of the possible complications arising from unassisted home births, urgent efforts is needed to providing a better birth experiences in healthcare facilities that resonate with the mothers’ beliefs and values. Keywords: Home birth; free birth; unassisted home birth; Malaysia; healthcare delivery system; qualitative.

Health Information Technology

2019 ◽  
Author(s):  
Jordan Everson ◽  
Melinda Beeuwkes Buntin
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Delivery System ◽  
Healthcare Delivery ◽  
Healthcare Organizations ◽  
Healthcare Delivery System ◽  
Learning Health System ◽  
Adoption And Diffusion ◽  
The Impact

The potential for health information technology (HIT) to reshape the information-intensive healthcare industry has been recognized for decades. Nevertheless, the adoption and use of IT in healthcare has lagged behind other industries, motivating governments to take a role in supporting its use to achieve envisioned benefits. This dynamic has led to three major strands of research. Firstly, the relatively slow and uneven adoption of HIT, coupled with government programs intended to speed adoption, has raised the issue of who is adopting HIT, and the impact of public programs on rates of adoption and diffusion. Secondly, the realization of benefits from HIT appears to be occurring more slowly than its proponents had hoped, leading to an ongoing need to empirically measure the effect of its use on the quality and efficiency of healthcare as well as the contexts under which benefits are best realized. Thirdly, increases in the adoption and use of HIT have led to the potential for interoperable exchange of patient information and the dynamic use of that information to drive improvements in the healthcare delivery system; however, these applications require developing new approaches to overcoming barriers to collaboration between healthcare organizations and the HIT industry itself. Intertwined through each of these issues is the interaction between HIT as a tool for standardization and systemic change in the practice of healthcare, and healthcare professionals’ desire to preserve autonomy within the increasingly structured healthcare delivery system. Innovative approaches to improve the interactions between professionals, technology, and market forces are therefore necessary to capitalize on the promise of HIT and develop a continually learning health system.

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