scholarly journals Electricity Access, Community Healthcare Service Delivery, and Rural Development Nexus: Analysis of 3 Solar Electrified CHPS in Off-Grid Communities in Ghana

2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Richard Opoku ◽  
Eunice A. Adjei ◽  
George Y. Obeng ◽  
Luc Severi ◽  
Abdul-Rahim Bawa
Keyword(s):  
Rural Development ◽  
Service Delivery ◽  
Health Outcomes ◽  
Community Health ◽  
Healthcare Service ◽  
Healthcare Services ◽  
Solar Pv ◽  
Pv Systems ◽  
Time Savings ◽  
Electricity Access

Over 600 million people living in sub-Saharan Africa do not have access to electricity. Modern healthcare services, including vaccine refrigeration, which require electricity are therefore lacking in such energy-deprived communities. In this work, analysis has been conducted on how electricity access can help improve healthcare service delivery and rural development, with a case study on 3 different off-grid solar photovoltaic (PV) systems in community-based health planning and services (CHPS) in Ghana. Analysis from this study showed that for the 3.0 kWp solar PV systems installed at the various sites, the in-house electricity consumptions are between 4.30 and 7.58 kWh per day. It was found out that excess electricity generation of 148–304 kWh per month is available and can be used to provide other economic services including phone charging, torchlight battery charging, and small-sized cold storage services to generate income for the maintenance of the systems, which is critical for sustainability of solar PV installations in rural poor communities. The study results also showed that electrified health facilities which are able to provide basic healthcare services have potential impact on community health outcomes and rural development. Assessment conducted at the CHPS compounds revealed that, generally, there is improvement in healthcare service delivery resulting in time savings of 15-43 hours per month for the inhabitants which can potentially be used for productive work. The time savings were more significant in females and children than in males. In many rural agro-based communities in developing countries, female and children are usually the workforce engaged in various farming activities. This paper concludes that access to electricity in CHPS compounds helps to improve community health outcomes and increases time availability for women to engage in productive work that can potentially result in significant socioeconomic activities and rural development.

scholarly journals Health Literacy of Hearing-Impaired High School Students, Some of the Problem, and their Expectations

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
K Gür ◽  
G Dolaner ◽  
R Turan
Keyword(s):  
High School ◽  
High School Students ◽  
Health Literacy ◽  
Health Outcomes ◽  
Sign Language ◽  
Healthcare Service ◽  
Health Workers ◽  
Healthcare Services ◽  
Hearing Impaired ◽  
School Students

Abstract Purpose This study aims to determine hearing-impaired students’ levels of health literacy, problems when they receive healthcare service and their expectations. Methods This descriptive study was conducted on 88 hearing-impaired high school students over 15 years of age. The data collection tools used in the study are “Form of Problems Experienced When Receiving Healthcare Service”, “Form of Expectations from Healthcare Service”, and Turkey Health Literacy Scale (THLS-32). The researchers know sign language. The Health Sciences Faculty granted approval for the study (04.12.2017-255). The families were informed of the program through the school administration, and their consent was obtained. Results 70.5% of the students had inadequate, 19.3% had limited, 2.3% had adequate and 8% had excellent health literacy levels. Those who had communication problems with the doctor (25%), those who misused the prescribed medication (13.6%) and those who could not use the medication without help (43.2%) had low THLS scores (<0.05). Those who stated that they did not understand what the nurses said (43.2%) and the health education materials (56.8%) and those who reported that they were confused when they had more than one appointment (20.5%) had significantly low THLS scores (<0.05). 55.7% of them expected that their prescriptions or care procedures were to be given in writing, and 87.5% expected them to be told in sign language. Conclusions Most of of the participants have significantly weaker general health literacy. Students with low THLS scores have less understanding of the given information and have problems with health workers. Main messages: This can create disparities and inequalities in the use of healthcare services and in the health outcomes. Key messages This can create disparities and inequalities in the use of healthcare services. This can create disparities and in the health outcomes.

Healthscape role towards customer satisfaction in private healthcare

2016 ◽  
Vol 29 (6) ◽  
pp. 600-613 ◽  
Author(s):  
Debajani Sahoo ◽  
Tathagata Ghosh
Keyword(s):  
Customer Satisfaction ◽  
Service Quality ◽  
Service Delivery ◽  
Healthcare Service ◽  
Reliability And Validity ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Valuable Insight ◽  
Content Type ◽  
Private Healthcare

Purpose – The purpose of this paper is to identify the motives that enforce consumers to find out the major determinants that frame healthscape in private healthcare service that leads to their satisfaction in a developing country like India. Design/methodology/approach – The generic motive dimensions are identified using an exploratory factor analysis. Next the reliability and validity of the factors are established followed by regression analysis using SPSS 20.0 s/w. Findings – This paper identifies six healthscape motives in the private healthcare sector named as service personnel conduct and cleanliness, service delivery and facilities, ambience, location and look, appealing decoration, and upgraded safety service, out of which only service delivery, ambience, location, and decorations contribute the most to build customer satisfaction as per their significance value. Research limitations/implications – The various dimensions of healthcare motives should be viewed as the levers of improving hospitals’ service quality in the minds of its present and future customers. This finding can offer valuable insight to the forthcoming as well as existing developer who are planning to have their healthcare service presence in India. Practical implications – This study suggests some important strategic guidelines for service positioning and market segmentation of healthcare services as per customer requirements. In the recent past, availing services from hospitals were purely utilitarian in nature. Customers were more inclined to get proper and timely services and cared more about the service quality of the healthcare service provider. Originality/value – This paper is among the few works done on understanding private healthcare service delivery process in India and customer satisfaction level from those Hospitals. This study addresses the gap by identifying a set of dimensions that are relevant to customers for a unique healthcare experience.

scholarly journals Photovoltaic Solar Technologies: Solution to Affordable, Sustainable, and Reliable Energy Access for All in Rwanda

2019 ◽  
Vol 2019 ◽  
pp. 1-29 ◽  
Author(s):  
Samuel Bimenyimana ◽  
Godwin Norense Osarumwense Asemota ◽  
Jean De Dieu Niyonteze ◽  
Cyprien Nsengimana ◽  
Paula Jeanne Ihirwe ◽  
...  
Keyword(s):  
Greenhouse Gas Emission ◽  
Energy Resource ◽  
Production Capacity ◽  
Electricity Production ◽  
Energy Access ◽  
Solar Pv ◽  
Resource Exploitation ◽  
Pv Systems ◽  
Electricity Access ◽  
Pv Grid

Despite remarkable economic growth and development in recent decades, Rwanda has been still facing energy crises and challenges. Although the country has considerable energy assets, less than 10% is utilized for its local electricity needs. Currently, national installed generation capacity is estimated at 221 MW, for a population around 12 million, and electricity access is estimated at 51% (37% grid and 14% off-grid networks). About half the population is without electricity access while the grid-connected users face high electricity tariffs and frequent power outages (blackouts). The national grid itself is also experiencing high losses. This paper used the HOMER software for modeling the optimal, sustainable, reliable, and affordable photovoltaic solar technologies as energy solutions for all (off-grid and on-grid users) in Rwanda. The selection and recommendation of a suitable photovoltaic (PV) solar technology depend on its annual electricity production capacity, electrical load, renewable energy penetration percentage, economic viability, feasibility, affordability, carbon footprint, and greenhouse gas emission level for climate change considerations towards a clean and greener future. The results show that the least cost of energy (LCOE) for electricity production by each of the solar PV systems with storage, PV-grid-connected household, and PV-grid connection with storage was 67.5%, 56.8%, and 33.9%, respectively, lower than the normal electricity tariff in Rwanda. The PV systems with storage proposed in this paper could be effective in increasing national energy resource exploitation, providing affordable and reliable energy access to all citizens.

Application of an Electronic System to the Management of Medical Records

Mousaion ◽  
2019 ◽  
Vol 37 (1) ◽  
Author(s):  
Ngoako Solomon Marutha
Keyword(s):  
Service Delivery ◽  
Medical Records ◽  
Quantitative Data ◽  
Healthcare Service ◽  
System Analysis ◽  
Electronic System ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Records Management ◽  
Peace Of Mind

The management of functions in any sector including the healthcare sector is highly dependent on the application of electronic technology to achieve effective results and to give peace of mind to the organisation. The manual modus operandi for the management of medical records in healthcare institutions brings about many discrepancies that regularly result in chaos in healthcare services, which always affects patients negatively. This study sought to investigate the application of an electronic system for the management of medical records in the Limpopo province of South Africa to support healthcare services. The study used a survey questionnaire to collect quantitative data from a sample of 306 (49%) out of a total of 622 records management officials. The response rate was 70.9 per cent (217), and system analysis and observation were applied to augment the quantitative data. The study discovered that the electronic system has not yet been applied for the management of medical records in healthcare institutions but is only used for capturing the personal information and financial status of patients or for billing purposes, although records management modules were available in the same system, and that negatively affects healthcare services and patients directly. The study recommends the application or enhancement of the current business administration system for healthcare patients or the development of a new electronic system to cater for the electronic management of medical records to support healthcare service delivery. The study further proposes a framework for the application of an electronic system for the management of medical records to support healthcare service delivery.

scholarly journals Decentralization: Catalyst for Welfare Service Delivery by Local Government Administration

2012 ◽  
Vol 2 (4) ◽  
pp. 43
Author(s):  
Salihu Abdulwaheed ◽  
Khalil Samihah
Keyword(s):  
Local Government ◽  
Service Delivery ◽  
Primary Education ◽  
Local Governments ◽  
Healthcare Service ◽  
Central Government ◽  
Healthcare Services ◽  
Fiscal Year ◽  
Welfare Service ◽  
State And Local

The paper aims to look at the transferring of authorities, resources and responsibilities from one tier of government (central government) to other tiers of government (state and local governments) in order to deliver efficient and effective welfare service. This transfer serves two basic purposes, namely accountability for resource management and effective welfare service delivery. This can only be possible if the system of co-responsibility between institutions of governance at the central, states and local governments is decentralized effectively. Similarly, the paper intends to critically examine local governments’ budget and budgeting system in order to deliver primary education and healthcare service to the public. Therefore, the paper studies the main source of revenue of local governments, and determines how the resources are utilized in providing primary education and healthcare services. The study designs information data sheet to elicit information from at least four local governments in Nigeria. Statutory allocation disbursed to four local governments under consideration for the fiscal year 2008 is considered. Approved annual budget of the local governments is analyzed to determine the differential (%) in terms of what is budgeted and what is the budget outcomes. The findings reveal average differential of 65.78% between approved and actual estimates for primary education, and 37.57% for primary healthcare service in the local government under consideration. This shows that local governments under consideration are not delivering primary education and healthcare services optimally.

scholarly journals Appraisal of Health Maintenance Organisations’ Performance in the Nigerian Healthcare Service Sector

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
James O. Akinbode ◽  
Eniola A. Sokefun ◽  
Muideen O. Aremu
Keyword(s):  
Service Delivery ◽  
Healthcare Service ◽  
Service Sector ◽  
Survey Design ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Health Maintenance ◽  
World Class ◽  
Level Of Significance

The quality of healthcare service delivery under the existing health maintenance organisations (HMOs) in Nigeria has been a major concern to enrollees who have contested the value received from their respective HMO accredited hospitals under the program. This paper appraised health maintenance organisations’ performance in the Nigerian healthcare service sector capturing enrollees’ experience on the issues of access, responsiveness, and quality of healthcare service choice to measure the success or failure of the program since inception. The study adopted survey design with three hundred forty enrollees of ten leading HMOs in Nigeria that operate in different parts of Lagos Metropolis. Data collected were analysed with relevant descriptive and inferential statistics while hypotheses tested were at 0.05 level of significance. Findings revealed that HMO accredited hospitals have not ensured adequate access of enrollees to healthcare services, their responsiveness to enrollees’ healthcare requests have not been impressive, and quality of healthcare services to enrollees have also not been excellent. Based on the findings, the study recommends that HMOs and government should improve on monitoring the quality of healthcare service delivery at their accredited hospitals and concluded that the performance of the HMOs in the area of healthcare service delivery is not world class when it comes to access, responsiveness, and quality of service delivery.

scholarly journals Service delivery and coverage in primary healthcare in a community-health project in Ibadan, Nigeria

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Kabiru K. Salami ◽  
William R. Brieger
Keyword(s):  
Service Delivery ◽  
Antenatal Care ◽  
Community Health ◽  
Primary Healthcare ◽  
First Trimester ◽  
Health Service Delivery ◽  
Healthcare Services ◽  
Steady Increase ◽  
Record Keeping ◽  
Health Project

Background: Standard health-service delivery aimed toward improving maternal and childhealth status remains elusive in Nigeria because of inaccuracies in data documentation leading to a lack of relatively stable evidence.Objectives: Through a community-health project, this study tested the accuracy of record keeping in primary healthcare services in nine clinics run in Ibadan, Nigeria.Methods: A validation exercise was performed through a sample of the 10 most recent names extracted from three registers maintained by each clinic.Results: A review of the register covering a period of four years showed a steady increase in: fully-immunised children, registration for antenatal care during the first trimester of pregnancy, the number of women who attended antenatal care at least three times, the overall number of women who booked for antenatal care and women who delivered in Eniosa Community-Health Project facilities over the four-year period. It was possible to trace 86% of those selected from the antenatal care register, 88.9% of those from the birth register and 81.1%of those from the immunisation register. Four women who should have been included for antenatal care, seven who had delivered (but were not in the register) and 13 who reportedlyreceived immunisation but were not listed were found during the validation exercise.Conclusion: This study concludes that the names appearing in the register are likely to represent valid events, but that the registers did not capture all such events in the community.

Exploring enablers of modularity in healthcare service delivery

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Gyan Prakash
Keyword(s):  
Service Delivery ◽  
Healthcare Service ◽  
Professional Competence ◽  
Service Providers ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Professional Autonomy ◽  
Equation Modeling ◽  
Content Type ◽  
Patient Centric

PurposeThis paper explores the enablers of modular healthcare services.Design/methodology/approachA survey-based approach was adopted with specialised hospitals as the unit of analysis. A structural model was developed based on a literature review and assessed using a cross-sectional research design. A 23-indicator questionnaire was circulated among service providers in the healthcare system across India, and 286 valid responses were received. The data were analysed using partial least squares-structural equation modeling (PLS-SEM).FindingsThe results reveal that professional competence, technological versatility, clear division of tasks, channelised flow of information and professional autonomy act as enablers that may drive modular service delivery.Research limitations/implicationsBy examining service providers' perspectives, this paper highlights the influence of the identified enablers on modular service delivery in healthcare organisations.Practical implicationsFor practitioners, the study provides suggestions for designing patient-centric healthcare services via modular healthcare delivery. The identified structural relationships can facilitate immediate corrective actions and the formulation of future policies. The findings will help practitioners foresee opportunities for patient participation in value co-creation, meet patients' varying needs, decompose service offerings, mix and match components develop sets of rules as interfaces between service modules and design service packages on an ongoing basis.Social implicationsThis study underscores the emergence of patient-centric care and may aid the design of processes that deliver health to the patient as a person.Originality/valueThis paper identifies and empirically validates relationships between healthcare service delivery processes and modular service delivery.

scholarly journals The relationship between healthcare service provision models and patient experience

2021 ◽  
Vol 36 (9) ◽  
pp. 1-24
Author(s):  
Sabina De Rosis ◽  
Chiara Barchielli ◽  
Milena Vainieri ◽  
Nicola Bellé
Keyword(s):  
Service Delivery ◽  
Patient Experience ◽  
Service Provision ◽  
Healthcare Service ◽  
Care Delivery ◽  
Healthcare Services ◽  
Content Type ◽  
Team Working ◽  
The Relationship ◽  
Delivery Models

PurposeUser experience is key for measuring and improving the quality of services, especially in high personal and relation-intensive sectors, such as healthcare. However, evidence on whether and how the organizational model of healthcare service delivery can affect the patient experience is at an early stage. This study investigates the relationship between healthcare service provision models and patient experience by focusing on the nursing care delivery.Design/methodology/approach65 nurses' coordinators were involved to map the nursing models adopted in the healthcare organizations of in an Italian region, Tuscany. This dataset was merged with patient experience measures reported by 9,393 individuals discharged by the same organizations and collected through a Patient-Reported Experience Measures Observatory. The authors run a series of logistic regression models to test the relationships among variables.FindingsPatients appreciate those characteristics of care delivery related to a specific professional nurse. Having someone who is in charge of the patient, both the reference nurse and the supervisor, makes a real difference. Purely organizational features, for instance those referring to the team working, do not significantly predict an excellent experience with healthcare services.Research limitations/implicationsDifferent features referring to different nursing models make the difference in producing an excellent user experience with the service.Practical implicationsThese findings can support managers and practitioners in taking decisions on the service delivery models to adopt. Instead of applying monolithic pure models, mixing features of different models into a hybrid one seems more effective in meeting users' expectations.Originality/valueThis is one of the first studies on the relationship between provision models of high-contact and relational-intensive services (the healthcare services) and users' experience. This research contributes to the literature on healthcare service management suggesting to acknowledge the importance of hybridization of features from different, purely theoretical service delivery models, in order to fit with providers' practice and users' expectations.Highlights This is one of the first studies on the relationship between provision models of nursing care and patient experience.Healthcare services' users appreciate service delivery characteristics identified with “be cared by,” or in other words with having a reference nurse.Nursing models' features that relate to the organizations and that providers tend to judge as professionalizing and evolutive, such as team working, appear not key in relation to patient experience.Pure models of service delivery are theoretically useful, but hybrid models can better meet users' expectations.

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