scholarly journals Operational Efficiency of an Immunization Clinic Attached to Rural Health Training Centre in Delhi, India: A Time and Motion Study

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Varun Kumar ◽  
Abha Mangal ◽  
Sanjeet Panesar ◽  
Geeta Yadav ◽  
Richa Talwar ◽  
...  

Background. Obtaining baseline data about current patterns of work is important for assessing the effects of interventions designed to improve care delivery. Time and motion studies allow for the most accurate measurement of structured components. Therefore, the present study was conducted to study the operational efficiency of an immunization clinic in Delhi, India.Methods. An observational cross-sectional study was conducted at the immunization clinic of Rural Health Training Centre in Delhi, India, from January 2014 to March 2014. The study composed two stage evaluations, a passive observation and a time and motion study. Systemic random sampling method was used to select 863 mothers/caregivers attending the immunization clinic.Results. At the immunization clinic, the study participants spent 64.1% of their total time in waiting. For new cases, the mean time taken for initial registration and receiving postvaccination advice was found to be significantly longer than old cases. Delivering health care services took more time during Mondays and also during the first hour of the day.Conclusion. Results of this study will guide public health decision-makers at all government levels in planning and implementation of immunization programs in developing countries.

Author(s):  
Rahul Rajaram Chopade ◽  
Narendra K. Sharma ◽  
Suresh M. Sundar

Background: Purpose of time motion study is to know the time taken in different service delivery points in outpatient department (OPD), for specific activity, work function or mechanical process and to assess the perception of beneficiaries regarding the total time spent in the OPD. Therefore, the present study was conducted to study the operational efficiency and also to find the time required for various activities at different service points at rural health training centre attached to medical college.Methods: It was a cross-sectional study carried out in rural health training centre attached to BKL Walawalkar rural medical college, Sawarde), district Ratnagiri, Maharashtra, India over period of 6 month from July 2018 to December 2018. About 300 patients were included in the study.Results: According to 26.67% study participants, total time was too long. 26% study participants were not satisfied about the total time taken in the OPD while 50.34% study participants were satisfied regarding the total time.Conclusions: Patients satisfaction is the most important criterion to be met if more people are to be drawn into the hospital. Thus, improving the satisfaction of patients towards health care services by reducing their waiting time, by attending the patient in time will help to create a positive image of hospital in the mind of people and community.


Author(s):  
Ratna Balaraju ◽  
Chandrasekhar Vallepalli ◽  
K. Chandra Sekhar ◽  
M. M. V. Prasad Sharma ◽  
T. Sushmita

Background: Dementia is one of the major causes of disability and dependency among older people worldwide. Dementia has physical, psychological, social and economic impact. Worldwide prevalence of dementia in elderly population of more than 60 years is 5-8%. Prevalence of mild cognitive impairment in India is 14.89%. Present study aim was to estimate the prevalence of dementia and the risk factors associated with dementia among elderly population in rural field practice area of Nalgonda district.Methods: A descriptive, community based cross-sectional study was conducted among 119 elderly population in the field practice area of Rural Health Training Centre by simple random sampling method, with the help of a pre-designed and pre-tested questionnaire. Data was analyzed using SPSS Version 19. MMSE (mini mental status examination) questionnaire was used to screen for dementia. Barthel index was used to assess the dependency status.Results: Demographic profile of the study population of 119, males 65 (54.62%), females 54 (45.38%). Majority of their source of income were government service pension 30 (25.21%) and old age pension 70 (58.82%). 56 (47.06%) of elderly population living with family and 63 (52.94%) people were living individually. The study revealed the prevalence of cognitive impairment is 35.3%. Risk factors like middle age obesity, smoking, alcohol consumption, social isolation showed significant association with dementia.Conclusions: Dementia can be prevented by early diagnosis and promoting physical health and treating behavioural and psychological symptoms. Risk of dementia can be reduced by following regular exercise, diet, quitting smoking and alcohol.


2017 ◽  
Vol 1 (2) ◽  
pp. 173
Author(s):  
Mira Amelynda Prakosa ◽  
Nursalam Nursalam ◽  
Candra Panji Asmoro

Introduction. The quality of documentation can decrease because of bad admission filling of documentation. Workload is one of the factor that can influence admission filling of documentation. This study was aimed to analyze the correlation between nurse’s objective workload and the quality of nursing documentation in RSU Haji. Method. The design of this study was descriptive correlation with cross-sectional approach. The population on this study was the nurse that works in Marwah 3 and 4 inpatient care in RSU Haji Surabaya. The number of the sample was 14 respondents were selected by simple random sampling. The independent variable was nurse’s objective workload and the dependent variable was quality of nursing documentation. The data were analyzed by using regression logistic. Result. Nurse’s objective workload in RSU Haji was 72%. There was no correlational between nurse’s objective workload with the completeness of nursing documentation (P= 0,999), also nurse’s objective workload with accurate of nursing documentation (P= 0,999). Discussion. This study concluded that nurse’s objective workload was low and quality of nursing documentation was accurate enough and complete enough. Next researcher should provide precise operational so the factors that affected the quality of documentation can be reached and the workload of the nurses in RSU Haji become ideal.Keyword:  nurses, quality of nursing documentation, objective workload


2019 ◽  
Vol 8 (1) ◽  
pp. 40 ◽  
Author(s):  
Mahboubeh Rezaei ◽  
Maryam Ahmadishad ◽  
Mohsen Adib-Hajbaghery ◽  
Fatemeh Atoof ◽  
Esther Munyisia

Author(s):  
Preethi Selvaraj ◽  
Ramkumar Boopathirajan

Background: India is the diabetic capital of the world with nearly 31.7 million people suffering from the disease in 2000 which is projected to become 79.4 million in the year 2030. The incidence of diabetes in India is around 8.8%. This study aims at developing a mini questionnaire to quickly assess the self-care practices among the diabetic patients attending rural health training centre and also to educate the diabetic patients about self-care practices and dietary pattern they need to follow.Methods: The study design is a community based cross-sectional study. All diabetic patients who visited rural health training centre attached to a private medical college aged 40 years and above in the period of June to July 2019 were included in our study. Institutional ethical clearance was taken before commencing the study. Construction of mini self-care practices questionnaire (MSCPQ) comprised of two phases. Trained medical students collected the data by interview method using semi-structured, pre-tested questionnaire.Results: The reliability of the MSCPQ using Cronbach’s alpha came to be 0.82 and the intra class correlation coefficient was 0.81; 95% CI (0.763-0.853) (p=<0.001). Around sixty six percent are having their health check-up regularly. Most (43%) of the study participants check their blood sugars monthly.Conclusions: Even though there are various factors contributing in facilitating self-care activities in patients living with diabetes, the role of health care physicians in educating about self-care practices are indispensable.


Author(s):  
Priyanka Chakkarwar ◽  
Amol Kinge

Background: Almost 2.5 billion people don’t have the access to clean toilet globally. In 2011 sanitation coverage globally was 64%. While open defecation is declining across the globe, 15% (one billion) of the global population still defecate outdoors. OFD practices are associated with transmission of variety of infectious diseases. This study was conducted to understand the nature of defecation practices with respect to hygiene in a tribal community.Methods: It was a cross sectional study conducted among patients attending out-patient department of a rural health training center from a nearby tribal area, Thane district, Maharashtra which is a field practice area of rural health training centre of Seth GSMC and KEM Hospital, Mumbai.Results: Majority of the subjects practiced open field defecation (67%), followed by 18% subjects used household latrines and 15% used community based latrines. Majority of the study participants practiced open field defecation in agriculture fields (81%), while 44% preferred nearby water source as a site for defecation.Conclusions: The sanitary condition in the study area was poor. Rural areas with better literacy seems to have lower open field defecation prevalence and higher percentages of sanitary latrine usage. 


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