scholarly journals Environmental Health Services and Professionals Level of Engagement in Different Sectors in Eastern Ethiopia: A Mixed Methods Study Design

2021 ◽  
Vol 15 ◽  
pp. 117863022098855
Author(s):  
Yohannes Tefera Damtew ◽  
Binyam Negussie Desta ◽  
Adey Sileshi

Introduction: Environmental health (EH) services have a long history in Ethiopia, but data on environmental health services quality and the magnitude of environmental health professionals’ engagement has never been addressed. This study was conducted to assess the quality of environmental health services in different sectors and professionals’ level of engagement in Eastern Ethiopia. Methods: Institution based cross-sectional mixed study design was implemented. A cluster sampling technique was employed to select 83 participants. Data were collected using a pretested questionnaire and an interview guide. Descriptive, bivariate, multivariate, and thematic analysis was carried out. Results: Professionals’ performance in most services were reported to be average or low. Only 19.5% of participants responded as having good satisfaction in their job. The multiple logistic regression analysis showed factors associated with selected environmental health services. The odds of identifying environmental problems was associated with profession (adjusted odds ratio (AOR): 4.1; 95% confidence interval (CI): 1.3-7.6) and level of education (AOR: 3.1; 95%CI: 0.9-5.9). The factors contributing to introducing innovative solutions to EH problems were type of institution (AOR: 3.1, 95%CI = 1.6-9.3), profession (AOR: 3.4, 95%CI = 1.1-12.2), and level of support and emphasis offered (OR: 5.6, 95% CI = 2.2-11.9). Level of job satisfaction was also associated with the above-mentioned independent variables. Conclusion: The current study showed low level of professionals’ engagement and factors associated with the quality of environmental health services in different sectors. Therefore, Ethiopian Federal Ministry of Health and other concerned ministries, agencies, and authorities should intervene accordingly to improve the service and level of professionals’ engagement.

2017 ◽  
Vol 5 (2) ◽  
pp. 91
Author(s):  
Sumarni Sumarni

<em>Ministry of Health of the Republic of Indonesia to set out five key issues related to safety in the hospital, the Patient Safety, worker safety, the safety of buildings and equipment in hospitals that could have an impact on Patient Safety and personnel, safety of the environment that have an impact on environmental pollution and safety businesses Hospital related to the survival Hospital. Management of patient safety plays an important role in improving the quality of health services. Patient safety is the efforts of service that prioritizes patient safety. The research was conducted at Ibn Sina Hospital, the type of research is cross sectional study is a draft that examines the dynamics of the correlation between the independent variables (patient safety) and the dependent variable (improving the quality of health services) at the same time. Respondents that all officers in the field of medical care and support services at Ibn Sina Hospital. The sampling technique used is random cluster sampling technique with a population of 402 respondents sampled 304 respondents. Based on interviews with the respondents stated that the higher the safety of the patient, the better the quality of a hospital, when a patient is exposed to the incident then it will switch to other hospitals, patient safety and quality are positively correlated Hospital. The results showed that no respondents (0%) the implementation of Patient Safety classified as very weak. The percentage of respondents to the implementation of Patient Safety is very strong, strong, moderate and weak amounted to 12.25% (30 respondents), 71.57% (224 respondents), 15.69% (39 respondents) and 0.49% (11 respondents ). Based on these results it is known that the majority of respondents ie 71.57% (224 respondents) is the implementation of the Patient Safety category are classified as strong, so it can be concluded that the implementation of Patient Safety at Ibn Sina Hospital relatively strong. Based on the dimensions of most of the dimensions Implementing Patient Safety at Ibn Sina Hospital is high with dimensions on the dimension of cooperation is highest in units amounted to 97.10%.</em>


2020 ◽  
Vol 8 ◽  
pp. 205031212094512
Author(s):  
MaryJoy Umoke ◽  
Prince Christian Ifeanachor Umoke ◽  
Ignatius O Nwimo ◽  
Chioma Adaora Nwalieji ◽  
Rosemary N Onwe ◽  
...  

Background: Patient satisfaction is an essential parameter in the assessment of quality of care and healthcare facility performance. Objective: To investigate patients’ satisfaction with quality of care in general hospitals in Ebonyi State, South East, Nigeria, using the SERVQUAL. Methods: A cross-sectional descriptive study design was employed on a sample of 400 patients using a 27-item structured open-ended patients’ satisfaction questionnaire with a multi-stage cluster sampling technique. Patients included in the study were those who must have come for an outpatient clinic within the period, be 18 years and above, and those who gave consent to participate. Of 400 questionnaires administered, 396 (99%) were retrieved. SPSS version 20 was used for data analysis. Descriptive statistics, such as frequencies, percentages, mean score ( x), and standard deviation, were employed for interpretation. Results: Out of 396 patients, 156 (39.4%) were male and 240 (60.6%) were females. Most patients were 18–39 years (233 (58.8%)), had secondary education (139 (35.1%)), married (221 (55.8%)), earned <18,000 (170(42.9%)), and were traders (136 (34.3%)). Patients were satisfied with tangibility (2.57 ± 0.99) and reliability (2.84 ± 0.95) and very satisfied with responsiveness (3.06 ± 0.63), assurance (3.07 ± 0.63), and empathy (3.12 ± 0.57). Conclusions: Patients were satisfied with the quality of care. However, satisfaction was highest with empathy and lowest with tangibility. Thus, managers should focus their quality improvement efforts on areas of the neat appearance of health workers, waiting facilities for attendants and patients, and hygienic conditions at the hospital. Also, biannual assessment of patients’ satisfaction should be done and the results generated use judiciously to provide a platform for health sector reform.


Author(s):  
Uju S. Azubogu ◽  
Inumanye Ojule

Aims: To determine the factors associated with the occurrence of skin diseases among children attending the Children’s Outpatient Clinic of the University of Port Harcourt Teaching Hospital (UPTH). Study Design: A Cross sectional study design was used. It was both descriptive and analytical. Place and Duration of Study: The study was carried out in the Children’s Outpatient Clinic of the Department of Paediatrics, UPTH from June to August 2020 (3 months). Methodology: We studied 370 children aged less than 18 years. A semi structured interviewer-administered questionnaire was used to obtain all relevant data. This was followed by dermatological examination of the children to make diagnosis of skin diseases. Relevant samples for laboratory confirmation were also obtained where necessary. Results: Among the 88 children (23.7%) who had skin diseases, our study showed that the socio-demographic factors associated with the occurrence of skin diseases includes: male gender (p=0.001) and low socio-economic class (p<0.001). Hygiene-related factors associated with occurrence of skin diseases includes: lack of water within the home (p=0.001), bath frequency < twice per day (p=0.001) and sharing of personal items (p<0.001). On multiple logistic regression analysis of these factors, the factors predictive of skin diseases were: male gender (p=0.000), low and middle socioeconomic class (p=0.004) and lack of water within the home (p=0.013). Conclusion: Several socio-demographic and hygiene-related factors were identified to be associated with the occurrence of skin diseases among children in our study. These factors provide an important window for interventions to prevent and control the burden of skin diseases among children in our setting.


PHARMACON ◽  
2019 ◽  
Vol 8 (4) ◽  
pp. 888
Author(s):  
Gerald N. P. Tulung ◽  
Gayatri Citraningtyas ◽  
Imam Jayanto

ABSTRACT The quality of health services is classified as good if the health services provided could cause satisfaction to each patient in accordance with the level of satisfaction of the average population who are the main target of the health service. The purpose of this study was to determine the level of satisfaction of outpatients with the quality of pharmacy services at the Pharmacy Installation at Budi Setia Langowan Hospital. This research is a cross-sectional study with the study sample determined using the accidental sampling method, which is a sampling technique by taking samples randomly. Data were taken by prospective way then analyzed using statistical methods with SPSS analysis program, using bivariate analysis to test the relationship between independent variables, namely the level of outpatient satisfaction with the dependent variable namely Outpatient Service Quality (Tangibles, Reliability, Responsiveness, Assurance, and Empathy) given by the hospital to outpatients. The results showed that the value of outpatient patient satisfaction was at a positive index with a value of 0.07 with a CSI value of 87.74, which was in the very satisfied range, thus stating overall of the patients receiving pharmaceutical services at the Budi Setia Langowan Pharmacy Installation, had felt very satisfied. Keywords: Analysis of the level of satisfaction of outpatients, Budi Setia Langowan. ABSTRAK Kualitas pelayanan kesehatan digolongkan baik jika pelayanan kesehatan yang diberikan dapat menimbulkan rasa puas pada setiap pasien yang sesuai dengan tingkat kepuasan rata-rata penduduk yang menjadi target utama dari pelayanan kesehatan tersebut. Tujuan penelitian ini untuk mengetahui tingkat kepuasan pasien rawat jalan terhadap kualitas pelayanan kefarmasian di Instalasi Farmasi Rumah Sakit Budi Setia Langowan. Penelitian ini merupakan penelitian cross-sectional dengan sampel penelitian ditetapkan menggunakan metode accidental sampling, yaitu teknik pengambilan sampel dengan mengambil sampel secara bebas. Data yang diambil secara prospektif  kemudian  dianalisis menggunakan metode statistik dengan program analisis SPSS, dengan menggunakan Analisis bivariat untuk melakukan uji hubungan antara variabel bebas yaitu tingkat kepuasan pasien rawat jalan dengan variabel terikat yaitu Mutu Pelayanan Rawat Jalan (Tangibles, Reliability, Responsiveness, Assurance, dan Emphaty) yang diberikan Rumah Sakit kepada pasien tawat jalan. Hasil penelitian menunjukan nilai Ikj kepuasan pasien  rawat jalan berada pada indeks positif dengan nilai 0,07 dengan nilai CSI sebesar 87,74 yang berada pada rentang sangat puas, sehingga menyatakan secara keseluruhan pasien yang menerima pelayanan kefarmasian di Instalasi Farmasi Budi Setia Langowan sudah merasa sanggat puas. Kata kunci : Analisa tingkat kepuasan pasien rawat jalan, Budi Setia Langowan.


2021 ◽  
Vol 4 (2) ◽  
pp. 38-48
Author(s):  
Andalia Roza ◽  
Putri Wulandini ◽  
Arrasidah Nailul Hasanah

Nutritional status is the state of the body as a result of food consumption and use of nutrients nutritional status can also be interpreted as a physical sign caused by a balance between income and expenditure through nutrition through certain variables, namely indicators. The quality of the menu is one of the main things besides service and kitchen cleanliness that must be maintained properly. The purpose of this study is to find out whether there is a relationship between the quality of the menu to the nutritional status of adolescents in the Pondok Ampar Syafa'aturrasul Batu Ampar, Beringin Taluk Kuantan. This type of research is correlated with cross sectional research design. The population in this study were all adolescents in Syafa'aturrasul Islamic Boarding School with a total of 800 inhabitants. The sample used was 267 students. The sampling technique is to use cluster sampling technique. The research instrument used observation sheets. The data obtained was processed by univariate and bivariate data analysis. The results obtained p value 0.27 means p value> 0.05, it can be concluded that there is no significant relationship between the quality of the menu on the nutritional status of adolescents in the Gyafa'aturrasul Islamic boarding school in Beruk, Taluk Kuantan. It is expected that the cottage together with parents work together to prevent and provide health education on good nutritional status for adolescence.


Author(s):  
Renny Listiawaty

One of the government's policy to reduce the maternal mortality rate (MMR) is to launch Jampersal Program. This study purpose to describe the factors associated with utilization Maternity Insurance service (Jampersal) by maternal in Public Health Center X, Muaro Jambi Regency in 2013. The research method used a cross sectional sampling technique with proportional random sampling, after that followed by a qualitative approach through in-depth interviews and document review 9 informants. Quantitative research results showed that 31.1% Jampersal utilize. There is a significant relationship between the variables of age, education, knowledge, attitudes, beliefs, income, accessibility, the role of health workers and the need to use Jampersal. The most dominant variable is income after controlled by education, knowledge, income and accessibility. This study recommended   midwives to give more intensive information, clear and complete to the community and always working to improve the quality of service Jampersal.


Author(s):  
Dyah Wiji Puspita Sari ◽  
Muhammad Abdurrouf ◽  
Rismawati Rismawati

Introduction: Sharia labeled hospitals have more responsibility in providing health services to patients. This challenge requires health care providers to compete by improving the quality of services so that patient loyalty is formed. The purpose of this study was to identify the relationship between sharia-based nursing services and patient loyalty in Semarang Hospital. Methodology: This research is a quantitative type with a cross sectional approach. Data collection using a questionnaire with the number of respondents 105 patients with total sampling technique. Results: the characteristics of respondents mostly consisted of age 36-45 (24.8%), last education elementary school 69 people (65.7%), length of stay that is 4 days a number of 35 people (33.3%), there is a relationship between services sharia-based nursing with patient loyalty at RSISA Semarang with pvalue 0.002 (p-value <0.05) with an R value (0.305). Discussion: This study can be used as a reference in improving good health services by implementing services in accordance with sharia principles so that patient loyalty is achieved.


2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Melash Belachew Asresie ◽  
Gedefaw Abeje Fekadu ◽  
Gizachew Worku Dagnew

Background. Anemia among children is a global public health problem. The burden is high in developing countries including Ethiopia. Although there are some studies about anemia among children, there is a dearth of information about factors associated with anemia in Ethiopia. Therefore, this analysis was performed to identify factors associated with anemia among children aged 6–59 months in Ethiopia. Methods. We used the 2016 Ethiopian Demography and Health Survey (EDHS) data. EDHS was a community-based, cross-sectional study conducted from January 18, 2016 to June 27, 2016. The 2016 EDHS selected the participants using a two-stage stratified cluster sampling technique. A total of 8,462 children aged 6–59 months were included for this analysis. Both descriptive and logistic regression analyses were performed using Stata version14. A P value less than 0.05 at 95% confidence interval was set to test the statistical significance. Results. The analysis indicated that about 58% (95% CI: 55.1, 60.1) of children aged 6–59 months were anemic. Of those, 29.4% and 3.1% had moderate and severe anemia, respectively. The analysis revealed that stunted (AOR = 0.135, 95% CI: 1.13, 1.62) and underweight (AOR = 1.27, 95% CI: 1.04, 1.55) children had higher odds of being anemic. Besides, children aged 6–23 months (AOR = 1.39, 95% CI: 1.06, 1.82), 24–42 months of age (AOR = 1.26, 95% CI: 1.05, 1.51), and those with fever (AOR = 1.34, 95% CI: 1.07, 1.67) had higher odds of being anemic. Similarly, children from anemic mothers (AOR = 1.86, 95% CI: 1.58, 2.18) and poor households (AOR = 1.35, 95% CI: 1.09, 1.67) were at a higher risk of anemia. Children from households with large family sizes (AOR = 1.29, 95% CI: 1.03, 1.60), young mothers (15–24 years of age (AOR = 1.39, 95% CI: 1.06, 1.82) and 25–34 years of age (AOR = 1.26, 95% CI: 1.05, 1.51)), and developing regions (AOR = 1.44, 95% CI: 1.03, 2.02) also had higher odds of developing anemia. Conclusion. The overall prevalence of anemia among children aged 6–59 months in Ethiopia was high. Malnourished children (stunting and underweight); children with fever; children from anemic, uneducated, and young mothers; and children from large and poor families had higher odds to develop anemia. Therefore, preventing childhood illnesses and maternal anemia should be strengthened to reduce anemia among children.


2021 ◽  
pp. 624-629
Author(s):  
Lilis Suryani ◽  
Ricky Kurniawan ◽  
Agni Laili Perdani

Patient safety is a significant global health problem and a top priority for incidents prevention. Data revealed that the patient safety goals’ average implementation was only 33.5%, far away from the 100% target. The compliance of hand hygiene among nurses, meanwhile, was only 28.6%. This study aims to analyze factors associated with the implementation of patient safety goals among nurses at X Hospital Karawang. A cross-sectional approach with a simple random sampling technique was implemented in this study. A total of 117 nurses in the inpatient room were recruited in this study. A significant relationship showed knowledge, supervision, motivation, and the implementation of patient safety goals (p-value < 0.05). Supervision from the head nurse is the most associated factor. By improving the quality of Supervision, will influence the application of patient safety goals; therefore, that a patient safety culture is created and achieved well. recommend to define clearly the significant of patient safety and what kind of indicators we can use to measure this? and evaluate qualitatively (not using percetange) to indicate the extent to which patient safety is applied.   Keywords: patient safety goals, Supervision, knowledge, motivati


2020 ◽  
Author(s):  
Kindie Mekuria Tegegne ◽  
Biruk Beletew Abate ◽  
Mesfine Wudu Kassaw ◽  
Etsay Hailu G/mariam ◽  
Mohammed Ahmed Yimam

Abstract Background: Alcohol consumption is a global issue, both developed and underdeveloped countries' health trouble. Specifically in Ethiopia, youth men 15-24 years of age are engaged in psychoactive substances mainly alcohols. Alcoholic person has other concomitant mental illness the discord of school, unemployment and being low socio-economic status.Methods: A cross-sectional study using the 2016 Ethiopia Demographic and Health Survey (EDHS) data set was applied. The samples were selected using a two-stage stratified cluster sampling technique. The data were analyzed with SPSS version 20. Multivariate logistic regression analysis was performed to identify factors associated with alcohol consumption by controlling confounders. An adjusted odds ratio with a 95 % confidence interval was considered to declare a statistically significant association.Results: The present study comprised of 4486 weight samples of youth men. The prevalence of alcohol consumption among youth men in this study was 39.3 %. Men aged 15-19 (AOR=1.27 (95% CI =1.01-1.60), being unemployed (AOR=1.62 (95% CI=1.27-2.07), don’t have awareness about HIV/AIDS (AOR=4.70 (95%=2.44-9.01),being married (AOD 0.58(0.39-0.85) and poorer youth men (AOD =1.75(95%CI=1.21-2.54) ,being orthodox (AOR=5.12(95%CI =2.47-10.64), protestant (AOR=0.42(95% CI =0.20- 0.87)Muslim (AOR=0.07(95% CI=0.03-0.16) religious followers were significantly associated with alcohol consumption.Conclusion: Alcohol consumption among youth men was relatively high when we compared with other countries study. Strengthening the awareness of HIV/AIDS, change alcohol drinking experience on religious ceremonies especially in orthodox, organizes the youth and job creation is suggested to avert alcohol consumption trajectory.


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