scholarly journals Factors affecting mothers’ intentions to visit healthcare facilities before hospitalisation of children with pneumonia in Biliran province, Philippines: a qualitative study

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e036261
Author(s):  
Mari Sato ◽  
Hitoshi Oshitani ◽  
Raita Tamaki ◽  
Nobuko Oyamada ◽  
Kineko Sato ◽  
...  

Background and objectivesDespite a substantial reduction in the mortality rate of children under 5 years in the past 25 years, pneumonia remains the single-largest infectious cause of child deaths worldwide. This study explored the chronological order of visited healthcare facilities and practitioners, and the factors affecting mothers’ intention to seek care before the hospitalisation of children with pneumonia.Methods and analysisA qualitative research design was employed using theory of planned behaviour as a framework for the analysis. Using purposive sampling technique, 11 mothers, whose children under 5 years old were hospitalised with severe pneumonia, were recruited for individual semi-structured interviews. Their socio-demographic information was analysed using descriptive statistics.ResultsMothers brought their sick children to multiple facilities, and 1 to 19 days had passed before hospitalisation. We identified four major factors determining mothers’ intentions: (1) doing something useful for the sick child, (2) expecting the child to receive the necessary assessment and treatment, (3) accepting advice to visit a healthcare facility and be referred to a hospital and (4) considering issues and benefits associated with hospitalisation. Mothers noticed their children’s unusual symptoms and monitored them while applying home remedies. They also took their children to traditional healers despite knowing that the treatments were not necessarily effective. Mothers expected children to be checked by health professionals and listened to advice from family members regarding the facilities to visit, and from healthcare staff to be referred to a hospital. Financial issues and the double burden of housework and caring for the hospitalised child were mothers’ major concerns about hospitalisation.ConclusionChildren were hospitalised after several days because they visited multiple healthcare facilities, including traditional healers. Improving care quality at healthcare facilities and reducing financial and mothers’ burden may reduce the hospitalisation delay for children with pneumonia.

2019 ◽  
Vol 6 (1) ◽  
pp. 31
Author(s):  
Addisu Bekele Demie

The study was conducted to assess the Factors Affecting Tourism Marketing Demand in the case of Bale Mountain National Park. The main objective of the study is investigating factors affecting tourism marketing demand: the case of Bale mountain national park. The sample respondents were selected using Convenience sampling technique from non probability sampling. For the sake of achieving the objectives of this study, administered schedule were analyzed using statistical analysis both descriptive and inferential analysis. The information gathered through schedule from a sample of 220 tourists (domestic and international) and structured interviews were conducted with 8 workers of the park and analyzed using descriptive narrations. Regression and correlation analyses are also applied for the study. The findings indicate that poor image creation, lack of proper promotion of tourist attraction, inadequate infrastructure to and inside the destination, problem of safety and security, political risk, and seasonality nature of tourism demand are factors influencing tourism marketing demand. Based on findings, improving tourism infrastructure, Building institutional capacity and developing community based ecotourism are some of the recommendation forwarded.


2014 ◽  
Vol 1 (1) ◽  
pp. 069-073
Author(s):  
Suprajitno Suprajitno ◽  
Mujito Mujito ◽  
Eva Latifa Lestari Dewi S

The quality of service have to be started from the need of patient and ended on patient satisfaction. Nursing service can be evaluated by patient satisfaction with RATER dimension. Method: Research design was descriptive exploratorative. Research subject was 30 patients whose check in Poli Penyakit Dalam RSD Mardi Waluyo Blitar, and who was selected using quota sampling technique. Collecting data was structured interviews with help the check list. The interviewer only puts the sign of Ö (check) at appropriate patient answer. Instrument of data collecting was 20 questions items based on the quality of RATER dimension. Result: The nursing service quality in Poli Penyakit Dalam RSD Mardi Waluyo Blitar based on RATER dimension was in bravo position, which means what the customers got is suitable with the patient’s expectation. Discussion: To maintain and improve the quality of nursing care quality, assessment needs to be done periodically and enhanced for in-patient ward.


2008 ◽  
Vol 4 (1) ◽  
Author(s):  
Herman S. ◽  
Sumardjo Sumardjo ◽  
Pang S. Asngari ◽  
Prabowo Tjitropranoto ◽  
Djoko Susanto

Farmer’s capacity is the most important factor in agricultural development based on human resources; high level of farmer’s capacity ensures his success and sustainable of agribusiness. The objectives of the research are: to determine the level of farmer’s capacity and to analyze dominant factors affecting farmer’s capacity. The research was carried out in Malang and Pasuruan Districts which are the centres of vegetables in East Java Province. Data were collected using structured interviews and direct observation. Total sample was consisted of 177 farmers, drawn using a cluster random sampling technique. The results of the research show that: the level of farmer’s capacity is in a lows level, there is significant difference of the level of farmer’s capacity in two locations, The level of farmer’s capacity in Malang district is higher than in Pasuruan District. The characteristics of innovation and formal educational are determinant factors affecting farmer’s capacity. The fasctors have significant indirect effect to the success of agribussiness through farmer’s capacity and self reliance in farming. The results of the research imply that agricultural extension should take into consideration the level of farmer’s educational level, farmer’s capacity and characteristics of innovation in developing programs to disseminate innovation and information.


2019 ◽  
Vol 7 (1) ◽  
pp. 45
Author(s):  
Hasman Abdul Manan ◽  
Shahira Ariffin ◽  
Tengku Sharifeleani Ratul Maknu ◽  
Irwan Ibrahim ◽  
Harlina Suzana Jaafar

The significant shifts in urbanites’ lifestyles have been the catalyst behind the increased in the consumption of foreign foods and beverages in Malaysia; particularly those made in western nations. Notably, Malaysia’s total import for food had risen significantly from RM26.7 billion in 2009 to RM42.6 billion and RM 45.4 billion, in 2014 and 2015 respectively. These days, urban Malaysian Malays are being inundated with various foreign Halal food products in local markets however, these can also leave them in a rather risky circumstance as the likelihood that some of these foreign food products are not suitable (i.e. Haram) for their consumptions, is relatively high. Halal food issues (namely those foods originated from non-Muslim countries) have created lots of anxieties within the Malaysian Malays’ society. Hence, this study aims to examine factors affecting willingness to accept foreign Halal foods by urban Malaysian Malays. Convenience sampling technique was used to obtain responses from 450 urban Malaysian Malays in designated areas within the Greater Kuala Lumpur/Klang Valley region. The results demonstrated urban Malaysian Malays willingness to accept foreign Halal foods were significantly affected by trust but displayed no relationships with subjective knowledge and attitude. Also, the insignificant attitude- willingness relationship signified the presence of the attitude-behavior gap. The study’s outcomes may perhaps offer new understandings on urban Malaysian Malay markets particularly for global brand owners and marketers.


Author(s):  
Ivonne R. G. Kaya ◽  
Fildo De Lima

Tourism has become one of the major players in ‎international commerce and represents one of the main income ‎sources for many developing countries at the same time. These dynamics have turned tourism into a key driver for socio-‎economic progress.‎ This article described the potential of tourism attraction and factor affecting the development of marine tourism area in the utilization zone of Manusela National Park. Semi-structured interviews, in-depth interviews and participant observations were conducted with respondent (n=110) in Bellarizky, Air Belanda, Ora Beach and Lizar Bahari resort. The potential of tourist attractions in the utilization zone of Manusela National Park is as a snorkeling, diving and point of view. Factors affecting the development are service, transportation, supporting facilities and tourism attractions.


2018 ◽  
Vol 8 (2) ◽  
pp. 51-74
Author(s):  
Fonteh Athanasius Amungwa

This paper examines the impact of community education and challenges facing Centres for Education and Community Action as a rural development strategy in Cameroon. The study was conducted in the North-West Region of Cameroon, employing field observations, semi-structured interviews with key informants using a convenient sampling technique and through elaborate review of documents. These research instruments were blended into what is termed triangulation and the data collected was analysed descriptively. The main focus of qualitative analysis is to understand the ways in which people act and the accounts that people give for their actions. This paper posits that extreme dependence on the provision of Western formal education cannot solve the problems of a rapidly changing society like Cameroon, which is facing a long-term economic crisis and persistent unemployment issues of graduates. Consequently, education should be redefined in the context of the prevailing economic crisis to make it responsive to the aspirations of rural communities. Findings showed that community education had contributed towards rural development immensely but has suffered many challenges due to neglect of the field in the policy agenda. This paper recommends the integration of community education with formal education to facilitate group and community betterment in particular and rural transformation in general.


Author(s):  
Wina Lova Riza

 This study aims to determine the psychological dynamics of former drug addicts, starting from drug abuse until they become addicted, deciding to stop using them. This study uses a qualitative approach, the subject or informant is determined using a non-probability sampling technique with a purposive sampling type based on predetermined criteria, which involves one informant, namely a male (F) aged 42 years. Data collection methods used in this study are in-depth interviews (in depth interviews), where researchers will interview informants with semi-structured interviews. In addition, researchers also used observation and psychological tests, which are graphic tests in the form of DAM (Draw a Man) and BAUM (tree drawing) tests, and intelligence tests using WAIS. The data analysis technique used is case study analysis of case / incident patterns. Based on the results of research F became a drug addict because of the learning process, where the enjoyment and lack of parental supervision is a reinforcement to continue using drugs. Generalization of people, places, pleasure makes it difficult for F to stop using drugs.   Keywords: Psychological Dynamics, Drug Addicts. Penelitian ini bertujuan untuk mengetahui dinamika psikologis mantan pecandu napza, dimulai dari awal menyalahgunan napza hingga menjadi kecanduan, memutuskan untuk berhenti memakai. Penelitian ini menggunakan pendekatan kualitatif, Subjek atau informan ditentukan dengan menggunakan tehnik sampling non-probability sampling dengan tipe purposive sampling berdasarkan kriteria yang telah ditentukan, yaitu melibatkan satu informan, yaitu laki-laki (F) yang berusia 42 tahun. Metode pengumpulan data yang digunakan dalam penelitian ini adalah dengan wawancara secara mendalam (in depth interview), dimana peneliti akan menwawancarai informan dengan wawancara semi terstruktur. Selain itu peneliti juga menggunakan observasi serta menggunakan tes-tes psikologi, yaitu tes grafis berupa tes DAM (Draw a Man) dan BAUM (tes menggambar pohon), serta tes inteligensi dengan menggunakan WAIS. Tehnik analisis data yang digunakan adalah menggunakan analisis studi kasus pola kasus/kejadian. Berdasarkan hasil penelitian F menjadi pecandu narkoba karena adanya proses belajar, dimana kenikmatan dan kurangnya pengawasan orang tua merupakan reinforcement untuk terus menggunakan napza. Adanya generalisasi terhadap people, place, pleasure menyebabkan F sulit untuk berhenti menggunakan napza. Kata Kunci: Dinamika Psikologis, Mantan Pengguna Napza


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 292.2-293
Author(s):  
S. Battista ◽  
M. Manoni ◽  
A. Dell’isola ◽  
M. Englund ◽  
A. Palese ◽  
...  

Background:The care process is often a complex and intimate process experienced by patients. Osteoarthritis (OA) care is usually characterised by multimodal interventions that consider the broader array of symptoms and functional limitations and often require a high level of patients’ compliance. Despite efforts to improve the quality of care of patients suffering from OA, and the publication of state-of-the-art clinical practice guidelines [1], the quality of the care process, as experienced by patients, seems to be suboptimal [2]. Hence, it is essential to investigate how patients experience this process to highlight potential elements that can enhance or spoil it to optimise the care quality.Objectives:To explore the patients’ experience of the received OA care process.Methods:Qualitative study, 10 semi-structured interviews were performed. The interview guide was created by a pool of healthcare professionals (physiotherapists, psychologists, nurses) and expert patients. It investigated the emotional experience, beliefs, expectations, perceived barriers and facilitators towards conservative treatments perceived by patients suffering from OA. The interviews lasted approximately one hour, were transcribed verbatim and analysed independently by two authors, who labelled their core parts to find categories and subcategories. A theme-based analysis was performed following an ecological paradigm, naturalistic epistemology, philosophy of phenomenological research.Results:Our analysis revealed 7 main categories with several subcategories (Fig. 1). 1) Uncertainty as some patients perceived treatment choice not to be based on medical evidence “there is an almost religious way of thinking on how to deal with the pathology. It is not an exact science when you choose the physicians you choose the treatment”. 2) Relationship with the self and the others as some patients did not feel understood or even shameful and hopeless about their condition. 3) Patients’ and Health Professionals’ beliefs about the pathology management where common thoughts were the perceived (ab)use of passive therapies, the movement as something dangerous and that OA is “something that you try to resist to, but (surgery) is your destiny”. 4) facilitators and 5) barriers of the adherence to therapeutic exercise that revolve around the cost of the therapy, the time needed and the willingness to change life habits. 6) Patients’ attitudes towards pathology in which the oldest patients perceive OA as “something I have to accept since I am getting old” and the youngest as “Something I have to fight”. 7) Relationship with food in which diet is seen as something that “you force yourself to follow” which is useful only to lose weight and not to preserve a high health status and where overeating is used “to eat your feelings”.Figure 1.Categories and Subcategories stemmed from the analysis of the patients’ interviewsConclusion:Patients suffering from hip and knee OA seem to experience an uncertain care process. The lack of clear explanations and the attitude towards conservative treatment, which is considered as “a pastime while waiting for surgery,” fosters the importance of providing patients with adequate information about the treatment, to shift their beliefs and improve their awareness. This will enhance a patient-centred and shared decision-making treatments.References:[1]Fernandes L, Hagen KB, Bijlsma JWJ, et al. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann. Rheum. Dis. 2013;72:1125–35.[2]Basedow M, Esterman A. Assessing appropriateness of osteoarthritis care using quality indicators: a systematic review. J Eval Clin Pract 2015;21:782–9.Acknowledgements:This work is part of the project funded by EULAR Health Professionals Research Grant 2020.Disclosure of Interests:None declared


2021 ◽  
Vol 9 (5) ◽  
pp. 53
Author(s):  
Rayan Sharka ◽  
Jonathan P. San Diego ◽  
Melanie Nasseripour ◽  
Avijit Banerjee

Aims: This study aimed to identify the risk factors of using DSM to provide an insight into the inherent implications this has on dental professionals in practice and trainee professionals’ education. Materials and methods: Twenty-one participants (10 dental professionals and 11 undergraduate and postgraduate dental students) participated in this qualitative study using semi-structured interviews in a dental school in the UK. The interviews were analysed and categorised into themes, some of which were identified from previous literature (e.g., privacy and psychological risks) and others emerged from the data (e.g., deceptive and misleading information). Results: The thematic analysis of interview transcripts identified nine perceived risk themes. Three themes were associated with the use of DSM in the general context, and six themes were related to the use of DSM in professional and education context. Conclusions: This study provided evidence to understand the risk factors of using DSM in dental education and the profession, but the magnitude of these risks on the uptake and usefulness of DSM needs to be assessed.


2020 ◽  
Vol 13 (2) ◽  
pp. 53-58
Author(s):  
Nilufar Yeasmin Nili

Background and objectives: Maternal as well as infant mortality is high in Bangladesh. Utilization of post natal care (PNC) services is important to reduce maternal and infant mortality. Considering this matter, this study attempted to find out the level of PNC utilization by women living in slum areas of Dhaka city as well as to identify the factors associated with the utilization of PNC services. Methods: This study was conducted in Khilgaon and Rampura slums of Dhaka city. In each slum, women aged between 15-49 years who had given birth to at least one child were enrolled in the study by random sampling technique. Participants were interviewed with a semi-structured questionnaire which included information on socio-economic, demographic, cultural status as well as information on PNC service utilization. Results: Out of total 360 enrolled women in both slums, 58.6% utilized PNC services. The rate of utilization of PNC services was 55% and 62.2% in Khilgaon and Rampura slum respectively. Compared to 40-49 years age group, significantly (p<0.01) higher percentage of women aged <20, 20-29 and 30-39 years utilized PNC services (69.6%, 67.0% and 56.4% respectively). The significant associates of receiver of PNC were respondent’s education, number of antenatal care (ANC) received, level of tetanus vaccination, place of delivery, distance between home and clinic, mass media exposure, male participation and autonomy. Conclusion: Local socioeconomic and cultural aspects should be considered while planning intervention program to improve the utilization of PNC service. Ibrahim Med. Coll. J. 2019; 13(2): 53-58


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