scholarly journals Testing for the Endogenous Nature between Women’s Empowerment and Antenatal Health Care Utilization: Evidence from a Cross-Sectional Study in Egypt

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Hassan H. M. Zaky ◽  
Dina M. Armanious ◽  
Mohamed Ali Hussein
Keyword(s):  
Health Care ◽  
Health Services ◽  
Antenatal Care ◽  
Women's Empowerment ◽  
Women’S Empowerment ◽  
Care Utilization ◽  
Bivariate Probit ◽  
Recursive Bivariate Probit ◽  
Quality Of Health Services

Women’s relative lack of decision-making power and their unequal access to employment, finances, education, basic health care, and other resources are considered to be the root causes of their ill-health and that of their children. The main purpose of this paper is to examine the interactive relation between women’s empowerment and the use of maternal health care. Two model specifications are tested. One assumes no correlation between empowerment and antenatal care while the second specification allows for correlation. Both the univariate and the recursive bivariate probit models are tested. The data used in this study is EDHS 2008. Factor Analysis Technique is also used to construct some of the explanatory variables such as the availability and quality of health services indicators. The findings show that women’s empowerment and receiving regular antenatal care are simultaneously determined and the recursive bivariate probit is a better approximation to the relationship between them. Women’s empowerment has significant and positive impact on receiving regular antenatal care. The availability and quality of health services do significantly increase the likelihood of receiving regular antenatal care.

scholarly journals Determinan Perilaku Kunjungan Antenatal Care di Puskesmas Bojongsari Kota Depok Tahun 2021

2021 ◽  
Vol 1 (2) ◽  
pp. 87-95
Author(s):  
Aurelia Indah Qurota A'yun ◽  
Astrid Novita ◽  
Ernita Prima Noviyani
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Health Services ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Third Trimester ◽  
The Third ◽  
Quality Of Health Services ◽  
Care Support

Introduction: The behavior of antenatal care visits is the action of pregnant women who carry out pregnancy checks from the first trimester to the third trimester. Objective: To determine the relationship between health service facilities, health promotion, health care support, and the quality of health services on the behavior of antenatal care visits at the Bojongsari Health Center, Depok City in 2021. Methods: This type of research used a quantitative analytic survey using a cross-sectional approach. The population in this study was 141 pregnant women in the third trimester. The sampling technique used was the Lemeshow formula with purposive sampling. The number of respondents was 103 third-trimester pregnant women. The types of data used are primary and secondary data with univariate and bivariate analysis. Results: Pregnant women with poor antenatal care visits were 58 pregnant women (56.3%). Conclusion: There is a relationship between the variables of service facilities (OR = 27.773), health promotion (OR = 19.213), health care support (OR = 22.519), and the quality of health services (OR = 26.057) on the behavior of antenatal care visits at the Bojongsari Health Center, Depok City. 2021.

scholarly journals PERSEPSI PASIEN RAWAT JALAN TERHADAP KUALITAS PELAYANAN DI RUMAH SAKIT

2018 ◽  
Vol 46 (4) ◽  
Author(s):  
Made Lely ◽  
Tati Suryati
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Services ◽  
Care Facility ◽  
Health Care Facility ◽  
Data Retrieval ◽  
Cross Sectional ◽  
Quality Of Health Services ◽  
Cross Sectional Design

ABSTRACT  Development in the health field today in addition to aiming for healing and recovery also to improve health and prevent the incidence of a disease in the community. The hospital is a place to provide health services for the community. The quality of health services can be seen from several perspectives: the perspective of the health care provider, the perspectives of the funder, the perspective of the owner of the health care facility and the patient's perspective. While patient satisfaction is the level of satisfaction experienced by patients after using health services. Quality of health services and customer satisfaction are the indicators of hospital service success. The purpose of this study was to know the description of patient satisfaction of referral of outpatient at District Hospital, Regional Hospital and Provincial Hospital. The study was conducted with cross sectional design, using questionnaire instrument. The respondent is an outpatient at the hospital who has finished receiving the service or finished treatment at the hospital, where if the patient age ≤ 15 years or difficult to communicate there must be a companion. Data retrieval is done by direct interviews to the patient or the patient's companion. The result of the research shows the description of satisfaction respondent/outpatient exit interview in the hospital that overall more than 80% of respondents /outpatient satisfied to service given in the hospital. Respondents/outpatients who work more satisfied than those who do not work, and non-PBI participants are more satisfied than the PBI participants. The conclusions of this study, most of the respondents / outpatients in hospitals are satisfied with the services provided by the hospital.   Keywords: outpatient perception, service quality, hospital

scholarly journals Maternal Health Care Among Refugees and Host Communities in Northern Uganda: Access, Quality, and Discrimination

2021 ◽  
Vol 2 ◽  
Author(s):  
Siri Aas Rustad ◽  
Helga Malmin Binningsbø ◽  
Haakon Gjerløw ◽  
Francis Mwesigye ◽  
Tony Odokonyero ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Health Facility ◽  
Maternal Health Services ◽  
Maternal Health Care ◽  
Host Community ◽  
Northern Uganda

Introduction: Uganda is one of the largest refugee-hosting nations in the world, with the majority of the refugees having fled South Sudan. In the early 2000's the local government and refugee health systems were merged to create a more equal and integrated system for refugees and the host population. Our aim is to investigate whether mothers from the two groups experience the same access to and quality of maternal health services, and whether refugee- and host-community mothers perceive the maternal health services differently.Methods: In November–December 2019, we conducted a household survey of 1,004 Ugandan nationals and South Sudanese refugee mothers aged 15–49 in the West Nile region covering the districts of Arua, Yumbe, and Adjumani, and elicited information on access to maternal health care services, perceptions of the quality of services, and feelings of discrimination. The data was then analyzed using Ordinary Least Squares and logistic regression.Results: Our analyses do not reveal large differences between refugees and the host community in terms of access to and the quality of maternal health services. Results from bivariate models indicate that refugee mothers are 6% points less likely to receive antenatal care (p-value < 0.05) but are 8% points more likely to give birth at a health facility (p-value < 0.05). Refugee mothers are generally less satisfied with how they were treated during antenatal care (0.132 lower average value on a Likert scale, p-value < 0.01). Refugee mothers are also 4% points more likely to feel discriminated against during ANC compared to their counterparts in the host community (p-value < 0.05).Discussion: The way women feel treated at the health facility during maternal health care is an important aspect of quality care. While there seems to be equal access to resources between refugees and host community mothers in Northern Uganda in terms of access to and quality of care, there is still a discrepancy between the two groups in terms of how the women feel treated. Policymakers and practitioners in the health sector should pay attention to these perceived inequalities between refugees and women from the host communities to ensure equally inclusive treatment across groups.

scholarly journals Measuring the Quality of Health Services in the Benghazi Center for diagnosis and treatment of diabetes، from the Point of View Reviewers: تقييم جودة الخدمات الصحية المقدمة بمركز بنغازي لتشخيص وعلاج السكري من وجهة نظر المترددين

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Fatma Abdalla Omar, Faten Ali Qatrani, Hager M. Abeid
Keyword(s):  
Health Care ◽  
Health Services ◽  
Point Of View ◽  
Diagnosis And Treatment ◽  
Physical Factors ◽  
Cross Sectional ◽  
Effective Measure ◽  
Treatment Of Diabetes ◽  
Quality Of Health Services

    Seen patient satisfaction as a source of information and an effective measure to evaluate the true and judgment on the level and the reality of health care provided to them، as well as an important tool in the field of management research and planning health care and policy-related. This study aimed to measure the quality of provided health services at the Benghazi Center for diagnosis and treatment of diabetes from the point of view patients، also the study suggested some of recommendations that contribute to the improvement and development of the reality of services in health centers and reduce the negative effects So as to achieve benefit for the management of the center and the beneficiaries. METHODOLOGY: Study Design: This is a quantitative research study (cross-sectional، descriptive study. Setting: This study conducted in the Benghazi Center for diagnosis and treatment of diabetes. Participants: this study included (378) Diabetes The sample size was determined using Epilno7 at 95% confidence Step 80% and the percentage of error of 5%.instrument: the study collected data by using a questionnaire that consisting of two parts: a part of the data relating to the description of the sample members، the second part of the collection of data related to the evaluation of the services provided by the center، Of 22 questions divided into 5 dimensions of quality (6) questions of melody (5) questions of reliability (3) questions of response (4) questions of safety and confidence (4) questions of empathy.. RESULTS:. the study found the Benghazi center for the diagnosis and treatment of diabetes medical service dimensions are available in it in terms of responsiveness، empathy، tangible، and safety and confidence level of the average acceptance except for - reliability dimension from the point of view and reviewers، The equivalent of (3.3) recorded for both response and empathy dimensions (3.1) for tangibility dimension (3.5) safety and confidence dimensions while the reliability dimension recorded approximately (2.8).The study concluded to Work to raise the quality of health services provided to patients by focusing on the following: Conducting lectures on education and awareness on an ongoing and periodic basis on diabetes mellitus. Providing various specialities، especially as it is known to link diabetes with several complications that require the existence of different specialities. There are several physical factors stand without providing a good quality service and acceptable to patients، including the difficulty of access to the center because of the signatory must، therefore، be the decision-makers and officials to establish other centers for patients diagnosed with diabetes to reduce the burden on patients and achieve the desired benefit.    

scholarly journals Evaluation the Quality of Health Services Based on SERVQUAL Model in Ahwaz Health Care Centers, Iran

2019 ◽  
Vol 4 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Seyyed Mansour Kashf ◽  
◽  
Diba raufi ◽  
Tayebeh Rakhshani ◽  
Hasan Hashemi ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Quality Of Health Services ◽  
Health Care Centers

DESTINATION OF PUBLIC FUNDS FOR HEALTH PROTECTION PURPOSES

2018 ◽  
Vol 28 (5) ◽  
pp. 1713-1717
Author(s):  
Wioletta Świeboda
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Expenditure ◽  
Health Care Financing ◽  
Healthcare Services ◽  
Health Needs ◽  
Equal Access ◽  
Public Funds ◽  
Quality Of Health Services

The aim of the article is to present the functioning of the Polish health care system in comparison with other EU countries. The aspects discussed will concern: health care expenditure by financing scheme, government schemes and compulsory contributory health care financing schemes, government schemes, health care expenditure by provider.One of the rights guaranteed by the Constitution of the Republic of Poland is the right to health protection. Every citizen, regardless of the financial situation, public authorities are obliged to ensure equal access to healthcare services, which is financed from public funds. In addition, in accordance with the law, the state is obliged to create conditions for the functioning of the entire health care system and to assess the health needs of society, promote health, prevent and finance these activities along with health care benefits.Demand for healthcare services can be defined as the demand for a specific number and quality of health services that result from the consumer's striving to meet needs at the prevailing level of prices in a given periodand other socio-economic factors. The growing demand for health services makes the health sector strive to meet the needs of society.A characteristic feature of health needs is their unlimitedness, which results from the observed process of population aging tendencies, technology development, changes in the quality of health services, increased awareness or patient expectations. As a consequence, the management staff of medical facilities is constantly struggling with a constant increase in costs and insufficient possibilities of their financing. Health care systems are undergoing constant transformation, which is why health care financing is becoming more and more complex. It is a kind of combination of public and private expenditure in various areas and methods of payment. However, it is impossible to fully meet the needs, to the full extent, for each insured, because it collides with the economic situation of their satisfaction. Equal access to benefits is not possible due to the limited finances of public finances. The system of organization and financing of the health care sector itself is one of the most complicated.The methods of statistical analysis were used in the research. There were used data conducted by the Central Statistical Office in Warsaw and Eurostat data and from a representative Polish Household Budget Survey. The research methods are: critical analysis and meta analysis of Polish and foreign literature on the subject.

Determinants of child immunization in Nepal: The role of women’s empowerment

2011 ◽  
Vol 71 (6) ◽  
pp. 642-653 ◽  
Author(s):  
Shanta Pandey ◽  
Hae nim Lee
Keyword(s):  
Health Services ◽  
Antenatal Care ◽  
Formal Education ◽  
Service Use ◽  
Women's Empowerment ◽  
Cost Of Care ◽  
Wife Beating ◽  
Women’S Empowerment ◽  
Child Immunization ◽  
First Child

Background: Approximately 1.4 million or 13% of all children who die each year could be prevented with widely-available vaccines. Objective: We examined if women’s empowerment improved child immunization using data on 1,056 mothers with young children from Nepal. Methods: The study utilized the 2006 Nepal Demographic and Health Survey, a nationally-representative sample of 10,793 women from 8,707 households across Nepal. We selected all mothers with first child between the ages of 12 and 23 months at the time of interview. This resulted in a sample of 1,056 mothers. Results: Among the measures of women’s empowerment, mothers’ education was significantly associated with child immunization. The odds of being fully immunized for children of mothers with secondary education were 5.91 times the odds for children of mothers without any formal education. Other measures of women’s empowerment – women’s age at birth of first child, gap in age between spouses, women’s knowledge about sexually-transmitted diseases, their role in intra-household financial, health and mobility decisions, and their perceptions toward wife beating – were not associated with child immunization. Among control variables, mothers who received antenatal care were 3.31 times as likely to immunize their children as mothers who did not receive any antenatal care. Other such barriers to health service use such as cost of care, distance to health services, and quality of health services were not significant. Conclusions: To improve child immunization, Nepal should strengthen its antenatal care services. Additionally, over 56% of mothers in Nepal had no formal education; to improve child health in the long run, the country should focus on education of women and girls.

scholarly journals Quality of Health Services in the First Level Health Facilities and the Role of Quality and Cost Control Team in Lampung Province

2020 ◽  
Vol 3 (1) ◽  
pp. 8
Author(s):  
Asep Sukohar ◽  
Arli Suryawinata ◽  
Aulian Mediansyah
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Cost Control ◽  
Health Facilities ◽  
Care Providers ◽  
Primary Health ◽  
Control Team ◽  
Quality Of Health Services

Background: The National Health Insurance/Jaminan Kesehatan Nasional (JKN) program is a public health protection guarantee held by the Social Securite Management Agency/Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS) to ensure that all Indonesians receive comprehensive, fair, and equitable health care benefits. The health services are provided using a tiered service system with the first stage in the First Level Health Facilities/Fasilitas Kesehatan Tingkat Pertama (FKTP) acting as a gatekeeper. In conducting these duties, they must always be maintained with good cost-efficiency to be able to provide optimal health service quality. The audit function is imposed by the Quality and Cost Control Team/Tim Kendali Mutu Kendali Biaya (TKMKB) which partners with BPJS. Until now, various efforts to improve the quality of services continue to be developed, one of which is the capitation-based service commitment/Kapitasi Berbasis Komitmen Pelayanan (KBK) payment method. Quality of health services in FKTP can be seen through the high number of FKTP that are affected by the capitation-based service commitment (FKTP KBK-K) payment. Additionally, the high number of FKTP KBK-K can also be a measure of the success of the quality and cost control program implemented by the regional TKMKB. Objective: To assess the quality of health services in FKTP and the TKMKB performance of Lampung Province. Methods: This research was a descriptive-analytic study using data from the BPJS report of Lampung Province and TKMKB in the first and second quarters of 2019. Results: There was an increase in the number of FKTP KBK-K in Lampung Province in the second quarter of 2019, not achieving the minimum contact number, with a low ratio of Prolanis Routine Participants Visiting/Rasio Peserta Prolanis Rutin Berkunjung (RPPRB) especially at the FKTP non-Primary Health Care Centers (non-Puskesmas) in Lampung Province. Conclusion: An increase in the number of FKTP KBK-K that is not accompanied by an increase in the clinical ability of primary health care providers (such as family doctors/primary care doctors) can reflect suboptimal health services in FKTP. Also, this can further serve as a benchmark that the performance of the provincial TKMKB is not yet optimal.

scholarly journals Sosialisasi Manajemen Klinis untuk peningkatan mutu pelayanan kesehatan bagi Profesional Perekam Medis

2021 ◽  
Vol 1 (2) ◽  
pp. 147-158
Author(s):  
Rahmi Septia Sari ◽  
Yanti Desnita Tasri ◽  
Rindy Shakila
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Health Care Facilities ◽  
Care Providers ◽  
Clinical Quality ◽  
Management Concepts ◽  
Quality Health ◽  
Quality Of Health Services

Abstract                Health facilities are very important services for the community. The most important health service is to produce beneficial outcomes for patients, users and society. Achieving this outcome is highly dependent on the quality of health services. Improving the quality of clinical services is one of the efforts to manage the quality of health services. Information about health services from all users of medical services and all individuals is needed as a source of data to answer questions about the quality of health services. So that accurate information is obtained. The purpose of this activity is to provide information and knowledge to medical recorders about the quality of health services related to clinical quality management in improving performance and implementing clinical management concepts. There are several perspectives regarding the quality of health services, including according to consumers of health services as a service that can meet the needs of the community, according to quality health service providers, namely the availability of equipment, work procedures, professional freedom in performing health services, according to funders of health services as a health service. In an effective and efficient manner, according to the owner of health care facilities, quality health services can generate income that is able to cover operational costs, while according to health service administrators, it can provide for the needs of patients and health care providers. The method used is by providing information directly through virtual media to medical recorders. Keywords: Management, Clinical, Quality, Service, Medical Record     Abstrak Fasilitas kesehatan merupakan pelayanan yang sangat penting bagi masyaraka. Pelayanan kesehatan yang paling utama adalah menghasilkan outcome yang menguntungkan bagi pasien, pengguna dan masyarakat. Pencapaian outcome ini sangat tergantung pada mutu pelayanan kesehatan. Peningkatan mutu pelayanan klinis merupakan salah satu upaya manajemen mutu pelayanan kesehatan. Informasi mengenai pelayanan kesehatan dari seluruh pengguna jasa pelayanan medis maupun seluruh individu diperlukan sebagai sumber data untuk menjawab pertanyaan mengenai mutu pelayanan kesehatan. Sehingga diperoleh informasi yang akurat. Tujuan kegiatan adalah untuk memberikan informasi dan pengetahuan kepada para perekam medis tentang mutu pelayanan kesehatan terkait manajemen mutu klinis dalam peningkatan kinerja serta mengimplementasikan konsep manajemen klinis. Terdapat beberapa perspektif mengenai mutu pelayanan kesehatan diantaranya menurut konsumen layanan kesehatan sebagai suatu layanan yang dapat memenuhi kebutuhan masyarakat, menurut provider layanan kesehatan yang bermutu yaitu tersedianya peralatan, prosedur kerja, kebebasan profesi dalam melakukan layanan kesehatan, menurut penyandang dana layanan kesehatan sebagai suatu layanan kesehatan yang efektif dan efisien, menurut pemilik sarana layanan kesehatan bahwa layanan kesehatan yang bermutu dapat menghasilkan pendapatan yang mampu menutupi biaya operasional sedangkan menurut administrator layanan kesehatan dapat menyediakan kebutuhan pasien serta pemberi layanan kesehatan. Adapun metode yang dilakukan adalah dengan cara memberikan informasi langsung melalui media virtual kepada perekam medis. Kata kunci: Manajemen, Klinis, Mutu, Pelayanan, Perekam Medis

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