Determinants of Therapeutic Routes for Malaria Patients in Ivory Coast

Utafiti ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 75-91
Author(s):  
Lucie Florence N’goran Kone ◽  
Félix Anon N’Dia ◽  
Akissi Géneviève N’Goran
Keyword(s):  
Health Care ◽  
Ivory Coast ◽  
Sun Exposure ◽  
Urban Health Care ◽  
Health Care Facilities ◽  
Health Care Centre ◽  
Medical Practitioners ◽  
Number Of Patients ◽  
Free Care ◽  
Biomedical Treatment

Abstract Malaria patients in Ivory Coast pursue a wide variety of treatment routes, depending upon how they understand the aetiology of their illness, their association of illness with supernatural causes, their ability to afford standard consultation fees, their access to conventional health care facilities, and their confidence in traditional African therapies. This research took place in the context of the government’s policy of providing free management of ‘simple malaria’ for all. Working with four conventional doctors and four traditional African medical practitioners, treatment choices of 161 malaria patients were analysed at Kennedy-Clouétcha, a busy urban health care centre in Abidjan. Almost half (77) of the patients in the study cited mosquito bites, general poor health, and stagnant water sources as the causes of their malaria. A greater number of patients (84) indicated fatigue, sun exposure, mysticism, and diet as the cause. The scope of therapies sought by these patients covered conventional biomedical treatment, traditional African medicine, and prayer. When patients were not cured through methods of their first resort, they pursued second options for care. Despite the availability of free care in centrally located public health systems, the therapeutic trajectory of many patients diverted away from conventional treatment. The data suggests that a patient’s orientation away from the conventional biomedical model may be best explained by confusions surrounding the diagnostic label ‘simple malaria’.

scholarly journals Developing a Model of Distributed, Decentralized Digitally Connected Cancer Control Program

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 240s-240s
Author(s):  
M. Kuriakose ◽  
P. Sebastian ◽  
S. Balasubramanian ◽  
R. Sadanandan
Keyword(s):  
Health Care ◽  
Cancer Care ◽  
Cancer Control ◽  
Control Program ◽  
Health Care Facilities ◽  
The State ◽  
Cancer Centers ◽  
Number Of Patients ◽  
Out Of Pocket Expenses ◽  
Cancer Control Program

Background and context: Traditional method of managing cancer through establishing large comprehensive cancer centers are ineffective in developing country setting that has poorly developed primary health care facilities. These larger cancer centers become victims of their success and attract increasing number of patients from distant places, overstretching the resources and increasing out-of-pocket expenses for the patients. Increasing the number of cancer centers also is not effective as each unit by itself will not have the critical mass of expertise to offer comprehensive cancer care. In addition, for sustainability and improved resource utilization, the cancer care needs to be integrated with the existing health care system. The state with a population ∼ 33.3 million has 19 cancer treatment facilities distributed throughout the coastal districts. The cancer incidence rate of the state is 128 per 100,000, which is the fourth highest in the country. Aim: To develop a model for distributed, decentralized digitally connected cancer control program for the state of Kerala, India. Strategy/Tactics: A model for distributed, decentralized digitally connected cancer care that offers resource stratified cancer care and integrate with the existing health care. Program/Policy process: The distributed cancer care network for the state that will be digitally connected using a recently introduced e-health program to interconnect the cancer care as well as to integrate with the existing healthcare network. The cancer centers will be stratified in 4 levels. Level 1 would be 3 apex cancer centers with most advanced infrastructure and serves as quaternary centers and coordinate cancer care in 3 zones. The Level 2 cancer centers established at medical colleges and cancer centers in major private medical hospitals offer comprehensive cancer care in a geographic area and serve as tertiary cancer referral centers. Level 3 centers are located in the district and Taluk hospitals that offers primary cancer care for common cancers including palliative daycare chemotherapy. Level 4 units are established as part of the national health mission in primary and family health centers which provide the important task of cancer surveillance and improving cancer literacy for the public with peoples participation. Outcomes: The expected outcomes are downstaging of cancer, developing a resource-stratified referral pathway that minimize treatment delay, provide cancer care within 90 minutes of travel and lowering out-of-pocket expenses. What was learned: Planning of the program involved participation of major stakeholders of cancer and health care of the state as well as NGO.

scholarly journals Outpatient Cancer Care Delivery in the Context of E-Oncology: A French Perspective on “Cancer outside the Hospital Walls”

Cancers ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 219 ◽  
Author(s):  
François Bertucci ◽  
Anne-Gaëlle Le Corroller-Soriano ◽  
Audrey Monneur-Miramon ◽  
Jean-François Moulin ◽  
Sylvain Fluzin ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Health Care Facilities ◽  
Point Of View ◽  
Care Providers ◽  
Public Authorities ◽  
Number Of Patients ◽  
Areas Of Interest

In oncology, the treatment of patients outside of hospitals has become imperative due to an increasing number of patients who are older and live longer, along with issues such as medical desertification, oncologist hyperspecialization, and difficulties in financing mounting health expenditures. Treatments have become less “invasive”, with greater precision and efficiency. Patients can therefore receive most of their care outside of hospitals. The development of e-health can address these new imperatives. In this letter, we describe the different e-health tools and their potential clinical impacts in oncology, as already reported at every level of care, including education, prevention, diagnosis, treatment, and monitoring. A few randomized studies have yet demonstrated the clinical benefit. We also comment on issues and limits of “cancer outside the hospital walls” from the point of view of patients, health care professionals, health facilities, and public authorities. Care providers in hospitals and communities will have to adapt to these changes within well-coordinated networks in order to better meet patient expectations regarding increasing education and personalizing management. Ultimately, controlled studies should aim to definitively demonstrate areas of interest, benefits, and incentives, for not only patients, but also caregivers (formal and informal) and health care providers, health care facilities, and the nation.

Promotion of Health through Consumer Protection: Nigeria

1982 ◽  
Vol 2 (4) ◽  
pp. 281-287
Author(s):  
Prince Ade Olowo Demehin
Keyword(s):  
Health Care ◽  
Interpersonal Communication ◽  
Interpersonal Relationship ◽  
Medical Science ◽  
Traditional Healers ◽  
Health Care Facilities ◽  
Western World ◽  
Medical Practitioners ◽  
Modern Health Care ◽  
Care Facilities

This paper investigates the attitudes of Nigerian health consumers towards modern health care facilities. It examines both the traditional beliefs and customs which stand in the way of accepting modern health care, and the modern health care facilities themselves which discourage patients through their red tape, lack of interpersonal communication and mass production atmosphere. The paper attempts to explain the communication gap between patients and modern medical practitioners in Nigeria by examining the historical development of medical science in the country. It concludes that there is no continuity between the traditional and modern practitioners and that modern health care is totally derived from the Western world without consideration for the social and cultural background of the population. Special training in interpersonal relationship of all medical and paramedical personnel including the observation of psychological methods used by the traditional healers, as well as “a patient's bill of right” aimed at promoting health consumer awareness of the part he has to play in the proper delivery of health care are proposed.

Pathways to severe mental illness care: A retrospective study of patients seeking psychiatric care at Department of Psychiatry, AIIMS, Delhi

2021 ◽  
pp. 002076402098858
Author(s):  
Surat Ram Kudi ◽  
Deepika C Khakha ◽  
T K Ajesh Kumar ◽  
Koushik Sinha Deb
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Treatment Options ◽  
Sampling Technique ◽  
Health Care Facilities ◽  
Mental Illnesses ◽  
Psychotic Symptoms ◽  
Cross Sectional ◽  
Faith Healer ◽  
Medical Practitioners

Background and aim: Globally, very few patients with mental illness go to health care facilities to receive psychiatry treatment. This study aims to identify pathways used by patients with severe mental disorders who seek mental health care services in the psychiatry unit of AIIMS, New Delhi. Materials and methods: It is a retrospective cross-sectional study with convenience sampling technique was used, and data were collected from 123 caregivers of patients with severe mental illnesses using standardized tools like MINI, BPRS, YMRS and WHO Encounter pathway. Results: The findings revealed that 41.5% of the patients made their first contact with the faith healers, 27.6% with AYUSH medical practitioners, 14.6% with psychiatrists and 12.2% with allopathic medical practitioners. About 26% of the patients reported hallucinations as the first symptom for seeking help. In the majority of cases (96.7%), the patient’s relatives made the decision for the patient to seek treatment the first time to manage the symptoms. The psychotic symptoms (65.1%) helped the patient’s relatives to take the decision for first seek. The mean delay for seeking treatment from psychiatrists was 13.31 ± 10.6 (months). Conclusion: This study showed that a higher proportion of patients received treatment from the faith healer at the first seek, whereas only a few patients approached psychiatrist directly. Hence, there is an immense need to create awareness regarding mental illness and treatment options available.

scholarly journals A Clinical Profile of Diabetic Foot Patients at Tertiary Health Care Institute, Nashik

2015 ◽  
Vol 2 (1) ◽  
pp. 49
Author(s):  
S. D. Bhamre ◽  
K. Mogal Kailash ◽  
C. A. Sadiwala
Keyword(s):  
Health Care ◽  
Diabetic Foot ◽  
Causative Factor ◽  
Clinical Profile ◽  
Minor Trauma ◽  
Elderly Male ◽  
Health Care Centre ◽  
Preventative Measures ◽  
Number Of Patients ◽  
Associated Risk Factors

<strong>Introduction:</strong> One of the most dreaded complications of diabetes mellitus is the diabetic foot syndrome. It can cause prolonged morbidity and possibly loss of a limb, apart from high medical expenses. It often is caused due to an easily correctable factor, or lack of simple preventative measures in a vulnerable patient. <strong>Aims:</strong> To study the clinical profile of diabetic foot patients, and associated risk factors. <strong>Method:</strong> A descriptive study, including diabetic foot patients admitted in surgery department at tertiary health care centre was carried out over a period of 2 years. <strong>Results:</strong> Majority of patients were males. Highest number of patients was in 61-70 years age group (41.66%). Use of tobacco (52.78%) and trauma were common causative factor. <strong>Conclusion:</strong> Diabetic foot is common in elderly male diabetics, tobacco users, with peripheral neuropathy, often caused due to minor trauma which patient ignores. Patient education and early intervention can reduce incidence and morbidity of this condition.

EFFECT OF CORONA PANDEMIC ON OPHTHALMIC SERVICES IN A TERTIARY CARE SUB-HIMALAYAN INSTITUTE & ITS PSYCHOSOCIAL IMPACT ON SOCIETY IN COVID ERA

2021 ◽  
pp. 48-50
Author(s):  
Ram Lal Sharma ◽  
Kalpana Sharma
Keyword(s):  
Health Care ◽  
Defense Mechanism ◽  
Tertiary Care ◽  
Health Care Facilities ◽  
Psychosocial Impact ◽  
Third Wave ◽  
Global Pandemic ◽  
Number Of Patients ◽  
Department Of Ophthalmology ◽  
Novel Coronavirus

Introduction-The novel coronavirus known as Severe Acute Respiratory Syndrome Coronavirus(SARS-CoV-2) has engulfed the entire world. The nations worldwide are engaged in carrying out several research, treatment and vaccine trials to relieve the world from the shackles of this global pandemic. This pandemic has not only strained health care facilities but also has psychosocial repercussions. Objective- To nd out the effects of lockdown on ophthalmological services in COViD Era and its psychosocial impact. Material And Methods- Retrospective analysis of data in the Department of Ophthalmology of tertiary care institute from March 2020 to August 2020 was done. This period was compared with corresponding months of previous year 2019. The services affected and the pattern of social behaviour during different phases of complete and partial lockdown periods were studied. Results- Strict administrative execution of lockdown and curfews lead to the reduction in number of patients visiting hospital and accounted for drastic dip in no of patients visiting out patient department and operating procedures. The initial mental defence phases of apprehension, denial and projection in lockdown period were eventually followed by displacement and suppression in unlockdown period. Conclusion- The number of COVID positive patients in India have risen exponentially. As per WHO this global pandemic is likely to stay longer and we are witnessing second or in some countries third wave also, the standard protocol for patients and health care workers needs to be adhered strictly and revised from time to time as there is expected surge of patients with visual threatening situations for number of patients have been deprived of treatment in restriction phases of lockdown . The psychosocial behavior as a result of mental defense mechanism should also be maneuvered along the pandemic control.

scholarly journals Knowledge and perception of Prevention of Mother to Child services amongst pregnant women accessing antenatal clinic in a Primary Health Care centre in Nigeria

2012 ◽  
Vol 4 (1) ◽  
Author(s):  
Eme T. Owoaje ◽  
Adedoyin D. Omidokun ◽  
Olusimbo K. Ige
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Infant Feeding ◽  
Antenatal Clinic ◽  
Primary Health Care Centre ◽  
Health Care Facilities ◽  
Care Centre ◽  
Health Care Centre ◽  
Primary Health ◽  
Mother To Child

Background: Few studies have assessed pregnant women’s perceptions regarding prevention of mother to child of HIV and the available services at the primary health care level in Nigeria.Objective: Assessment of knowledge and perception of antenatal clinic (ANC) attendees regarding Prevention of Mother to Child Transmission (PMTCT) of HIV at primary health care facilities in south-west Nigeria.Method: A cross-sectional survey was conducted amongst 400 antenatal attendees in a Primary Health Care centre in Ibadan, Nigeria.Results: Known methods of PMTCT were: use of anti-retroviral treatment (ART) during pregnancy (75.0%), ART at birth (65.8%) and not breastfeeding (61.8%). Previous HIV Counselling and Testing (HCT) was reported by 71%, significantly higher proportions of those who were married, in the third trimester of pregnancy or engaged in professional and/or skilled occupations had been tested. Regarding the HCT services provided, 92.2% understood the HIV-related health education provided, 89.7.2% reported that the timing was appropriate, 92.6% assessed the nurses’ approach as acceptable but 34.0% felt the test was forced upon them. Majority (79.6%) were aware of non-breastfeeding options of infant feeding, but only 3.5% were aware of exclusive breastfeeding for a stipulated period as an infant feeding option. Nevertheless, the majority of the women found the non-breast feeding option culturally unacceptable.Conclusion: Women in this survey were knowledgeable about the methods of PMTCT, but had negative perceptions regarding certain aspects of the HCT services and the recommended non-breastfeeding infant feeding option. Health workers should provide client friendly services and infant feeding counselling that is based on current WHO recommendations and culturally acceptable.

scholarly journals Effects of Public Reporting Legislation of Nurse Staffing: A Trend Analysis

2019 ◽  
Vol 20 (2) ◽  
pp. 92-104 ◽  
Author(s):  
Pamela B. de Cordova ◽  
Jeannette Rogowski ◽  
Kathryn A. Riman ◽  
Matthew D. McHugh
Keyword(s):  
Health Care ◽  
Nurse Staffing ◽  
The United States ◽  
Public Reporting ◽  
Health Care Facilities ◽  
American Hospital ◽  
American Hospital Association ◽  
Department Of Health ◽  
Number Of Patients ◽  
Care Facilities

Public reporting is a tactic that hospitals and other health care facilities use to provide data such as outcomes to clinicians, patients, and payers. Although inadequate registered nurse (RN) staffing has been linked to poor patient outcomes, only eight states in the United States publicly report staffing ratios—five mandated by legislation and the other three electively. We examine nurse staffing trends after the New Jersey (NJ) legislature and governor enacted P.L.1971, c.136 (C.26:2 H-13) on January 24, 2005, mandating that all health care facilities compile, post, and report staffing information. We conduct a secondary analysis of reported data from the State of NJ Department of Health on 73 hospitals in 2008 to 2009 and 72 hospitals in 2010 to 2015. The first aim was to determine if NJ hospitals complied with legislation, and the second was to identify staffing trends postlegislation. On the reports, staffing was operationalized as the number of patients per RN per quarters. We obtained 30 quarterly reports for 2008 through 2015 and cross-checked these reports for data accuracy on the NJ Department of Health website. From these data, we created a longitudinal data set of 13 inpatient units for each hospital (14,158 observations) and merged these data with American Hospital Association Annual Survey data. The number of patients per RN decreased for 10 specialties, and the American Hospital Association data demonstrate a similar trend. Although the number of patients does not account for patient acuity, the decrease in the patients per RN over 7 years indicated the importance of public reporting in improving patient safety.

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