Abstract P182: Workforce Reforms And Task Sharing To Improve Hypertension Treatment Coverage In India

Hypertension ◽  
2020 ◽  
Vol 76 (Suppl_1) ◽  
Author(s):  
Matti Marklund ◽  
Rajeev Cherukupalli ◽  
Priya Pathak ◽  
Dinesh Neupane ◽  
Ashish Krishna ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Public Healthcare ◽  
Task Sharing ◽  
Hypertension Treatment ◽  
Treatment Coverage ◽  
Community Healthcare ◽  
Healthcare Facilities ◽  
The Public ◽  
Treat All ◽  
Size Task

Background: Most patients with hypertension in India are not treated, in part due to insufficient healthcare providers. Objective: Estimate the current hypertension treatment capacity of the public healthcare system in India and simulate the effects of workforce system and treatment reforms designed to increase coverage of hypertension treatment. Methods: We estimated the hypertension treatment capacity and salary costs of public healthcare facilities (subcenters, primary and community healthcare centers) under different assumptions on workforce size, task sharing, and treatment frequencies. Results: In 2020, an estimated 9% of all hypertensives in India (~23 million adults) are being treated for hypertension in subcenters and primary/community healthcare centers. Treating 30% of hypertensives without task sharing would require an additional >400,000 staff and >340 billion INR/year in salaries ( Figure ). Task sharing under current legislation was estimated to allow the current workforce to treat 14%, while a feasible extension of task sharing beyond the current legislation (e.g., allowing nurses to prescribe medicines) could treat 57% of hypertensive adults with the same workforce. Applying quarterly visits in addition to the extended task sharing, the current workforce could treat all hypertensives adults in India. Conclusion: Under the current practice, even modest increases of hypertension treatment coverage will require substantial additional human and financial resources. Extended task sharing plus fewer visits with longer prescription period may achieve nationwide hypertension treatment at public systems without additional workforce.

scholarly journals Public and private sectors collective response to combat COVID-19 in Malaysia

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Ching Siang Tan ◽  
Saim Lokman ◽  
Yao Rao ◽  
Szu Hua Kok ◽  
Long Chiau Ming
Keyword(s):  
Insurance Coverage ◽  
Healthcare Providers ◽  
Screening Tests ◽  
Public Healthcare ◽  
Private Hospitals ◽  
Public And Private ◽  
The Public ◽  
Private Healthcare ◽  
Care Services ◽  
Challenges And Opportunities

AbstractOver the last year, the dangerous severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly around the world. Malaysia has not been excluded from this COVID-19 pandemic. The resurgence of COVID-19 cases has overwhelmed the public healthcare system and overloaded the healthcare resources. Ministry of Health (MOH) Malaysia has adopted an Emergency Ordinance (EO) to instruct private hospitals to receive both COVID-19 and non-COVID-19 patients to reduce the strain on public facilities. The treatment of COVID-19 patients at private hospitals could help to boost the bed and critical care occupancy. However, with the absence of insurance coverage because COVID-19 is categorised as pandemic-related diseases, there are some challenges and opportunities posed by the treatment fees management. Another major issue in the collaboration between public and private hospitals is the willingness of private medical consultants to participate in the management of COVID-19 patients, because medical consultants in private hospitals in Malaysia are not hospital employees, but what are termed “private contractors” who provide patient care services to the hospitals. Other collaborative measures with private healthcare providers, e.g. tele-conferencing by private medical clinics to monitor COVID-19 patients and the rollout of national vaccination programme. The public and private healthcare partnership must be enhanced, and continue to find effective ways to collaborate further to combat the pandemic. The MOH, private healthcare sectors and insurance providers need to have a synergistic COVID-19 treatment plans to ensure public as well as insurance policy holders have equal opportunities for COVID-19 screening tests, vaccinations and treatment.

Baseline assessment of therapeutic injection practices in Pakistan in 2020: a cross-sectional study

2021 ◽  
pp. 16-21
Author(s):  
Syed Sharaf Ali Shah ◽  
Safdar Pasha ◽  
Nikhat Iftikar ◽  
Altaf Ahmed Soomro ◽  
Nazia Farrukh ◽  
...  
Keyword(s):  
Public Sector ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Cross Sectional ◽  
Injection Equipment ◽  
Public And Private ◽  
Healthcare Facilities ◽  
The Public ◽  
Injection Safety

Objective: To assess the magnitude of the problem of injection safety in public and private health facilities in two districts of Sindh and Punjab provinces of Pakistan. Methods: A cross-sectional observational study was conducted between October and December 2020 among public and private health facilities of two districts of Pakistan: Gujarat in Punjab and Larkana in Sindh provinces. A convenient sample size of 60 healthcare facilities (30 from each district) was taken due to time and resource constraint. Six data collection tools were used which included structured observations and interviews with injection prescribers and providers based on WHO Revised Tool C, which were finalised after piloting. Results: Reuse of injection equipment was not observed in any of the 60 health facilities. In exit interviews of 120 patients, it was found that 27 (22.5%) patients reported receiving an injection, while 11 (9.2%) were prescribed intravenous (IV) drips. More injections and drips were prescribed in the private sector (n=15; 25.0%) in comparison with the public sector (n=12; 20.0%). Slightly higher proportion of IV drips were prescribed by the private providers when compared to public sector healthcare providers: 6 (10.0%) vs 5 (8.3%) respectively. Most of the prescribers (n=58; 96.7%) reported that patients who attended public and private health facilities demanded injectable medicines. Used syringes and drips were noted to be visible in open containers and buckets for final disposal in 20 (33.3%) assessed health facilities. Continuou...

scholarly journals Congenital toxoplasmosis: perception of knowledge and primary prevention measures among healthcare professionals and pregnant women treated in public healthcare facilities

2017 ◽  
Vol 27 (1) ◽  
pp. 25389 ◽  
Author(s):  
Fernanda Loureiro De Moura ◽  
Patricia Riddell Millar ◽  
Ana Beatriz Monteiro Fonseca ◽  
Maria Regina Reis Amendoeira
Keyword(s):  
Risk Factors ◽  
Primary Prevention ◽  
Pregnant Women ◽  
Healthcare Professionals ◽  
Congenital Toxoplasmosis ◽  
Public Healthcare ◽  
Prevention Measures ◽  
Community Healthcare ◽  
Healthcare Facilities ◽  
Before And After

Aims: To evaluate knowledge about toxoplasmosis among pregnant women and healthcare professionals and to evaluate the knowledge acquired by pregnant women after health education actions.  Methods: Five hundred pregnant women and 141 healthcare professionals from health units in Niterói, state of Rio de Janeiro, answered a questionnaire, received information about toxoplasmosis and had access to an interactive educational model and to folders between 2013 and 2016. After 3 months, 145 pregnant women answered the questionnaire once again.  Results: Of 500 pregnant women, 226 (45.2%) reported having heard about toxoplasmosis. Among these, 23.5% had obtained information from friends and 19.0% from their doctors. About their exposure to risk factors, 6.8% had had contact with cat feces; 14.0% had had contact with soil without gloves; 23.4% had ingested undercooked meat; and 24.0% had drunk unfiltered water from the public supply system. The questionnaires of 145 pregnant women before and after the educational activities were compared and showed that contact with soil without gloves dropped significantly from 11.0% to 4.8% (p = 0.022) while consumption of unfiltered water fell from 26.9% to 20.0% (p < 0.001). Washing foods (62.1%), washing hands (62.1%) and consumption of well-cooked meat (61.4%) were the most widely cited preventive measures. Many mistakes were reported among healthcare professionals, and one nursing technician and 13 community healthcare agents (9.9%) had not heard about toxoplasmosis.  Conclusions: Lack of knowledge about toxoplasmosis by most of the interviewed pregnant women, in addition to the misconceptions observed among healthcare professionals, leads to the conclusion that little importance has been given so far to primary prevention of toxoplasmosis during the prenatal period. Also, health professionals’ inadequate knowledge could be detrimental to secondary prevention, which consists of early detection and treatment of toxoplasmosis during pregnancy. In this study, educational intervention contributed to improving knowledge about the transmission and prevention of toxoplasmosis by pregnant women and, to a lesser extent, to reducing exposure to some risk factors.  

Medical Waste: A Minimal Hazard

1991 ◽  
Vol 12 (11) ◽  
pp. 682-685 ◽  
Author(s):  
John H. Keene
Keyword(s):  
Public Health ◽  
New York ◽  
Healthcare Providers ◽  
Medical Waste ◽  
Healthcare Facilities ◽  
The Public ◽  
Treatment And Disposal ◽  
Elected Representatives ◽  
Potential Public Health ◽  
Medical Wastes

Healthcare providers need to be aware of the facts regarding the environmental impact of regulated medical wastes and be prepared to voice concern over unnecessary and costly regulations. The wash-ups of waste, a small percentage of which was medical waste, on the beaches on New York and New Jersey in the summers of 1987 and 1988 prompted an immediate response by state and federal governments. Although it was demonstrated that this medical waste did not originate in healthcare facilities,' the public demanded that their elected representatives do something about what they perceived to be the degradation of the environment and a risk to public health caused by “uncontrolled dumping” of “medical wastes” into the ocean. As a result of these and other occurrences, several environmental concerns regarding the treatment and disposal of medical waste were voiced by the public and acknowledged by the legislators. These included the following: aesthetic damage to the environment; potential public health problems associated with infectious agents in medical waste; and potential environmental contamination with hazardous chemicals and radioactivity associated with medical wastes.

scholarly journals Surgery in Brazilian Health Care: funding and physician distribution

2017 ◽  
Vol 44 (2) ◽  
pp. 202-207 ◽  
Author(s):  
NIVALDO ALONSO ◽  
BENJAMIN B. MASSENBURG ◽  
RAFAEL GALLI ◽  
LUCAS SOBRADO ◽  
DARIO BIROLINI
Keyword(s):  
Local Population ◽  
Surgical Care ◽  
National Database ◽  
Public Healthcare ◽  
Health Coverage ◽  
Inequality Index ◽  
Public And Private ◽  
Healthcare Facilities ◽  
The Public ◽  
The North

ABSTRACT Objective: to analyze demographic Brazilian medical data from the national public healthcare system (SUS), which provides free universal health coverage for the entire population, and discuss the problems revealed, with particular focus on surgical care. Methods: data was obtained from public healthcare databases including the Medical Demography, the Brazilian Federal Council of Medicine, the Brazilian Institute of Geography and Statistics, and the National Database of Healthcare Establishments. Density and distribution of the medical workforce and healthcare facilities were calculated, and the geographic regions were analyzed using the public private inequality index. Results: Brazil has an average of two physicians for every 1,000 inhabitants, who are unequally distributed throughout the country. There are 22,276 board certified general surgeons in Brazil (11.49 for every 100,000 people). The country currently has 257 medical schools, with 25,159 vacancies for medical students each year, with only around 13,500 vacancies for residency. The public private inequality index is 3.90 for the country, and ranges from 1.63 in the Rio de Janeiro up to 12.06 in Bahia. Conclusions: A significant part of the local population still faces many difficulties in accessing surgical care, particularly in the north and northeast of the country, where there are fewer hospitals and surgeons. Physicians and surgeons are particularly scarce in the public health system nationwide, and better incentives are needed to ensure an equal public and private workforce.

scholarly journals Strategizing Public Sector Hospitals In Megacity Karachi: A Case Study On Gender Based Healthcare Facility Selection Criteria And Concerns (From Demand And Supply Perspective)

2019 ◽  
Vol 19 (1) ◽  
pp. 179-196
Author(s):  
Shamaila Burney ◽  
Khalid Mahmood Iraqi
Keyword(s):  
Public Sector ◽  
Selection Criteria ◽  
Healthcare Facility ◽  
Health Care Facilities ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Demand And Supply ◽  
Healthcare Facilities ◽  
The Public

Karachi is the most populous city in Pakistan and it plays an important role in urban demography of Pakistan. It is growing rapidly, as every fifth urban citizen lives here. This urbanization creates serious challenges for all sectors of Karachi. Especially the health sector, from demand and supply view point is facing serious challenges in terms of non-availability of qualified doctors, specifically female doctors, medicines, latest equipment, poor infrastructure, and patient’s queues belonging to other rural areas because of the lack of quality healthcare facilities, makes the public hospitals crowded and overburdened. Like all over Pakistan, public sector hospitals are very much neglected in Karachi also and needs special consideration. The focus should be on developing patient oriented supply chains for efficient patient’s care and healthcare facilities. Moreover, the case study of Qatar hospital a part of our basic research study also highlighted the depriving condition for women patients’ in Emergency Department, because only male doctors are there but female doctors are not available. Although we observed that the gender wise daily patient flow was consist of 65% females, whereas only 35% male patients. The study suggests that there is an urgent need of women doctors and paramedics staff in the public sector hospitals of suburbs of Karachi. This paper presents a synoptic view of concerns of the residents of Karachi, and identification of their selection criteria of health care facilities. The study also aimed to provide solutions and recommendations for the improvement of these facilities. Cross sectional questionnaire and random sampling with two stage clusters sampling was used to record the responses of 1991 households, 46% respondents were female and 54% were male. Among the total of 11127 respondents, only 580, (5.2 %) sought treatment in public health hospitals and, 2440 (21.9 %) visited private hospitals. Research results shows that Cost is the only significant factor because of which people opt for treatment at public healthcare facility.

Public Disclosure of Healthcare-Associated Infections: The Role of the Society for Healthcare Epidemiology of America

2005 ◽  
Vol 26 (2) ◽  
pp. 210-212 ◽  
Author(s):  
Edward S. Wong ◽  
Mark E. Rupp ◽  
Leonard Mermel ◽  
Trish M. Perl ◽  
Suzanne Bradley ◽  
...  
Keyword(s):  
Health Planning ◽  
Healthcare Providers ◽  
Public Disclosure ◽  
Healthcare Associated Infection ◽  
Healthcare Facilities ◽  
The Public ◽  
Disclosure Laws ◽  
The Right ◽  
Healthcare Associated ◽  
Healthcare Epidemiology

Prior to 2004, only two states, Pennsylvania and Illinois, had enacted legislation requiring healthcare facilities to collect nosocomial or healthcare-associated infection (HAI) data intended for public disclosure. In 2004, two additional states, Missouri and Florida, passed disclosure laws. Currently, several other states are considering similar legislation. In California, Senate Bill 1487 requiring hospitals to collect HAI data and report them to the Office of Statewide Health Planning was passed by the legislature, but was not signed into law by Governor Schwarzenegger, effectively vetoing it. The impetus for these laws is complex. Support comes from consumer advocates, who argue that the public has the right to be informed, and from others who view HAI as preventable and hope that public disclosure would provide an incentive to healthcare providers and institutions to improve their care.

scholarly journals Sources of Cardiovascular Health Information and Channels of Health Communication among Urban Population in Nigeria

2018 ◽  
Vol 7 (1) ◽  
pp. 72
Author(s):  
Ejiofor Augustine Ezika ◽  
Beth Cross ◽  
Moira Lewitt
Keyword(s):  
Health Communication ◽  
Health Information ◽  
Healthcare Workers ◽  
Cardiovascular Health ◽  
Healthcare Providers ◽  
Community Based ◽  
Community Healthcare ◽  
Healthcare Facilities ◽  
Education Interventions ◽  
Awareness Programme

<p>This study employed mixed methods to investigate the preferred sources of health information and later explored the views of community healthcare workers on the enablers, barriers and ways of overcoming barriers to health communication. The study found that majority of the participants preferred their source of CV (cardiovascular) health information from the healthcare workers including the medical doctors, nurses, and pharmacists. On the other hand, the least preferred source of health information was from friends, family members, and community leaders. Some of the identified enablers to community health communication include awareness programme via Non-Governmental Organisations (NGOs), community-based organisations such as faith-based organisations and healthcare facilities. Others are traditional media and social media. The identified barriers to community-based health communication include lack of knowledge and poverty, language barriers, and other miscellaneous issues including misuse of internet, lack of basic amenities and religious beliefs. The community-based healthcare providers articulated ways to overcome the identified barriers, including enlightenment programmes, using the language of the target audience, funding health awareness programmes, and monitoring of health education interventions. This study concludes that dissemination of health information using numerous channels is essential in ensuring population-wide primary prevention of diseases.</p>

scholarly journals Velferdsteknologi – fremtidens helsevesen med eller uten omsorg?

2020 ◽  
Vol 16 (1) ◽  
pp. 14
Author(s):  
Stine Hauvik ◽  
Solfrid Vatne
Keyword(s):  
Public Management ◽  
New Public Management ◽  
Healthcare Providers ◽  
User Involvement ◽  
Public Healthcare ◽  
The Public ◽  
New Public ◽  
The Future ◽  
Welfare Technology ◽  
Communicative Discourse

Welfare technology - healthcare in the future with or without care? In the future, it will be a challenge to maintain today’s quality of care. Welfare technology may be a solution to reduce the expected care crisis. The public healthcare system is influenced by New Public Management ideals as” what can we afford? rather than “what are the patients` need”. Questions concerning patients’ rights and healthcare providers’ moral obligation seem to be less important. In the discussion Martinsen criticizes that caring has become a secondary term where patients` have less power. To increase the patient’s user involvement, Habermas suggests communicative discourse as a solution to the discrepancy between the public healthcare systems focus on earnings, and the patients’ need for care. 

scholarly journals The impacts of motivation, personal traits of managers and management education on the performances of public healthcare facilities

2016 ◽  
Vol 73 (9) ◽  
pp. 831-837
Author(s):  
Nevena Karanovic ◽  
Sanja Stosic
Keyword(s):  
Public Sector ◽  
Personal Development ◽  
Formal Education ◽  
Management Education ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
The Public ◽  
Health Technologies ◽  
The Impact

Background/Aim. Exposed to increasing needs of users for better and faster services, more medications and innovative health technologies, managers of healthcare services in the public sector need motivation, permanent updating of information and constant personal development. The aim of this paper was to evaluate, on the basis of experienced healthcare managers, the impact of their motivation, selected character traits, managerial skills and formal education in management on healthcare facilities performances in the public sector. Methods. For the purposes of this study, 97 experienced managers from public hospitals and primary health centers in Serbia answered to 30 questions on the motivation of managers, essential skills for successful management and formal education in management in health facilities. The obtained data about their motivation, governing experience, personal skills and formal education in management were systematized and processed by the Statistical Package for Social Sciences (SPSS). Healthcare facilities performances were expressed by the healthcare facilities ranks in the official annual rankings according to the quality improvement, conducted by the Institute of Public Health of Serbia. Pearson's or Spearman's correlation coefficients were used for proving the potential impact of selected factors on performances of healthcare facilities. Results. This study confirmed the association between the healthcare facilities ranks and managers' abilities to organize the working process (t = -2.453; p = 0.018); expressed high managers? motivation (?S = 0.206; p = 0.048) and the length of governing experience (r = -0.198; p = 0.043). Within a 3-year follow-up, this study also confirmed a positive correlation between annual ranks of healthcare facilities and managers quality management courses (?S = -0.238; p = 0.017) and managers education in human resources management (?S = -0.234; p = 0.027). Conclusion. In addition to management education, permanent personal development and higher motivation of managers have positive influence on healthcare performances.

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