scholarly journals Experiences From an Implementation Model of ARI Diagnostic Device in Pneumonia Case Management Among Under-5 Children in Peripheral Healthcare Centers in India

2021 ◽  
Vol 15 ◽  
pp. 117955652110566
Author(s):  
Harish Kumar ◽  
Enisha Sarin ◽  
Prasant Saboth ◽  
Avinash Jaiswal ◽  
Nidhi Chaudhary ◽  
...  
Keyword(s):  
Case Management ◽  
Pulse Oximeter ◽  
Healthcare Workers ◽  
Health Workers ◽  
Severe Pneumonia ◽  
Health Centers ◽  
Health And Wellness ◽  
Diagnostic Device ◽  
Implementation Model ◽  
Primary Care Settings

Objectives: To address pneumonia, a major killer of under-5 children in India, a multimodal pulse oximeter was implemented in Health and Wellness Centers. Given the evidence of pulse oximetry in effective pneumonia management and taking into account the inadequate skills of front-line healthcare workers in case management, the device was introduced to help them readily diagnose and treat a child and to examine usability of the device. Design: The implementation was integrated with the routine OPD of primary health centers for 15 months after healthcare workers were provided with an abridged IMNCI training. Monthly facility data was collected to examine case management with the diagnostic device. Feedback on usefulness of the device was obtained. Setting: Health and Wellness Centers (19) of 7 states were selected in consultation with state National Health Mission based on patient footfall. Participants: Under-5 children presenting with ARI symptoms at the OPD. Results: Of 4846 children, 0.1% were diagnosed with severe pneumonia and 23% were diagnosed with pneumonia. As per device readings, correct referrals were made of 77.6% of cases of severe pneumonia, and 81% of pneumonia cases were correctly given antibiotics. The Pulse oximeter was highly acceptable among health workers as it helped in timely classification and treatment of pneumonia. It had no maintenance issue and battery was long-lasting. Conclusion: Pulse oximeter implementation was doable and acceptable among health workers. Together with IMNCI training, PO in primary care settings is a feasible approach to provide equitable care to under-5 children.

scholarly journals Effectiveness of Involvement of Community Health Workers in Identification and Referral of Persons Living With Epilepsy in Rural Rwanda

2020 ◽  
Author(s):  
Fidele Sebera ◽  
Peter Dedeken ◽  
Jeannine Kayirangwa ◽  
Josiane Umwiringirwa ◽  
Delphine Kajeneza ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Screening Tool ◽  
Health Workers ◽  
Fold Increase ◽  
Health Centers ◽  
Community Healthcare ◽  
Co Morbidity ◽  
Treatment Gaps ◽  
Epilepsy Diagnosis ◽  
Community Healthcare Workers

Abstract IntroductionAs part of an interventional study on epilepsy and depression as co-morbidity, persons living with epilepsy (PwE) were enrolled in villages associated with three health centers (HCs) in the Musanze district, Rwanda. Due to slower than expected enrolment based on an estimated prevalence of 47.7‰, we engaged Community Healthcare Workers (CHWs) in the identification and referral of PwE. MethodsCHWs of villages associated to three HC participated in a one-day training on epilepsy and on the Kinyarwanda version of the Limoges epilepsy screening questionnaire. CHWs returned to their villages and identified persons responding positive to one or more questions. After one week, CHWs accompanied possible PwE to their respective HC for clinical evaluation and diagnosis of epilepsy by neurologistsResults A total of 1308 patients screened positive. Clinical diagnosis of epilepsy was confirmed in 589. We observed an unexpected effect of an additional 93 non-screened patients also presenting to HCs, all confirmed with epilepsy. The number of PwE increased from 48 persons prior to the intervention to 682 (a 14.2-fold increase). In the Gataraga, Kimonyi and Karwasa HC, the patient number increased from 18 to 161, 11 to 193 and 19 to 328, respectively. Relative increases at each HC were 8.9-, 17.5- and 17.3-fold, respectively. Conclusion This observation illustrates that involving CHWs, equipped with an easy-to-administer screening tool, enhances possible case detection and decreases epilepsy diagnosis and treatment gaps. The involvement of CHWs impacted the lives of many PwE. Study supported by: UCB Pharma

scholarly journals Job Satisfaction Among Syrian Healthcare Workers in Refugee Health Centers in Turkey

2021 ◽  
Author(s):  
Monica Zikusooka ◽  
Omur Cinar Elci ◽  
Habibe Özdemir
Keyword(s):  
Job Satisfaction ◽  
Financial Incentives ◽  
Healthcare Workers ◽  
Health Workers ◽  
Short Form ◽  
Human Resources Management ◽  
Refugee Health ◽  
Health Centers ◽  
Cross Sectional Survey ◽  
General Physicians

Abstract Background: Achieving universal health coverage is subject to the availability, accessibility, acceptability and quality of health workers. Countries that host refugees and migrants, like Turkey, must strengthen the capacity of their health systems to increase access to services, especially for refugees and migrants. The Turkish Ministry of Health adapted Syrian refugee healthcare workers in the healthcare services to boost Syrian refugees' access to healthcare. This study aimed to assess job satisfaction and the factors influencing job satisfaction among refugee physicians and nurses working in Refugee Health Centers (RHCs) in Turkey.Methods: A self-administered, cross-sectional survey targeted all Syrian physicians and nurses working in RHCs across Turkey. The short-form Minnesota Satisfaction Questionnaire(MSQ) was used to assess job satisfaction. In total, 555 nurse/midwives and 336 physicians responded, yielding a total response rate of 56.5%. Descriptive analyses and linear regression tests were conducted to determine the level of job satisfaction and to analyze determinant factors. Results: Nurses/midwives reported the highest level of general job satisfaction, followed by specialist physicians and general physicians. Physicians who had worked as specialists in Syria but were now working as general physicians in Turkey had the lowest job satisfaction levels. Multiple regression analysis showed that professional status in Turkey, income, teamwork and team management were significantly associated with job satisfaction.Conclusions: To maintain a high level of job satisfaction in refugee healthcare workers, human resources management should consider matching job placements with training specialization and support good leadership and good teamwork. Remuneration that accounts for the cost of living and non-financial incentives could also play a significant role in job satisfaction.

scholarly journals Prevention, Control and Safety of Health Care Providers during COVID-19: A Review Study

2020 ◽  
Author(s):  
Shandiz Moslehi ◽  
Gholamreza Masoumi ◽  
Morteza Rostamian ◽  
Fahimeh Barghi Shirazi
Keyword(s):  
Infection Control ◽  
Health Care Providers ◽  
Prevention And Control ◽  
Healthcare Workers ◽  
Health Workers ◽  
Control Measures ◽  
Health Centers ◽  
Care Providers ◽  
The World ◽  
And Control

Abstract Background: Infection prevention, control, and health workers’ safety in the face of biological agents are among the vital issues in healthcare systems across the world. Considering the high prevalence of COVID-19 infection in the world and its high mortality rate, this epidemic can be tackled to some extent through infection control in the general population and promoting the safety of health centers. This study aims to scrutinize the literature in terms of measures adopted for infection control and safety of healthcare workers in health centers during COVID-19.Methods: We searched key words related to the study namely, “prevention and control”, “safety”, “coronavirus”, “COVID-19”, and “health personnel” in PubMed, Web of Science, ScienceDirect, Scopus databases, Google Scholar, and also in Persian data bases such as SID, Magiran, Irandoc, and Iran Medex using AND/OR functions. To select the documents, the titles of the retrieved studies were first evaluated for relevance; then, the abstracts and full texts of the papers with relevant titles were inspected. Results: Out of 136 retrieved studies, 10 were relevant and their data were analyzed. Four of the articles highlighted the importance of prevention, three enunciated the importance control and three of them related to care providers’ safety. The results showed that the COVID-19 epidemic has affected the healthcare providers’ health; however, it is possible to prevent a catastrophe through strategic planning, prevention and control measures. Conclusions: Considering the importance of the healthcare workers’ health, it is necessary to implement COVID-19 prevention and control management principles according to scientific evidence.

scholarly journals Assessment of Job Satisfaction Level and Its Associated Factors among Health Workers in Addis Ababa Health Centers: A Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Mesfin Aklilu ◽  
Waleleng Warku ◽  
Wogayehu Tadele ◽  
Yimer Mulugeta ◽  
Hussene Usman ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Healthcare Workers ◽  
Associated Factors ◽  
Health Workers ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Satisfaction Level ◽  
Sectional Study ◽  
Cross Sectional

Health workers account for the largest share of public expenditures on health and play an important role in improving the quality of health services. There is concern that poor health worker performance limits the effectiveness of health systems strengthening efforts. A cross-sectional study was conducted from September to October 2016 in Addis Ababa health centers. Data were collected from 420 healthcare workers using a pretested and structured questionnaire by trained data collectors. EPI Info 7 was used for data entry, and analysis was done by SPSS version 20. Bivariate and multivariate logistic analyses were used to identify factors associated with the outcome variable and to control confounders. P values less than 0.05 were considered statistically significant. The overall job satisfaction level accounts for 53.8% with 95% CI of (48.9%, 59.0%). Marital status and professional qualification were the potent predictors of job satisfaction. Respondents who never married were 1.65 times more likely to be satisfied in their job than those married or divorced (AOR: 1.65 (95% CI: 1.02, 2.66)). Laboratory professionals and nursing professionals were 2.74 and 1.97 times more likely to be satisfied in their job compared to health officers (AOR: 2.47 (95% CI: 1.14, 6.59) and AOR: 1.97 (95% CI: 1.12, 3.48), respectively). More than half of the healthcare workers in the study area were satisfied in their job. Marital status and healthcare workers’ profession type were predictors of job satisfaction. Research studies indicate that there is a positive relationship between performance and job satisfaction. Accordingly, the present study aimed at determining the level of job satisfaction of health workers and its associated factors in the health centers of Addis Ababa, Ethiopia.

Knowledge, awareness and perceptions of diabetes mellitus among the Saudi population

2020 ◽  
Vol 9 (6) ◽  
pp. 413-422
Author(s):  
Muhammad H Mujammami ◽  
Abdulaziz A Alodhayani ◽  
Mohammad Ibrahim AlJabri ◽  
Ahmad Alhumaidi Alanazi ◽  
Sultan Sayyaf Alanazi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Social Media ◽  
Risk Factor ◽  
Healthcare Workers ◽  
Health Workers ◽  
Saudi Population ◽  
Limited Data ◽  
High Prevalence ◽  
Associated Risk Factors

Background: High prevalence of undiagnosed cases of diabetes mellitus (DM) has increased over the last two decades, most patients with DM only become aware of their condition once they develop a complication. Limited data are available regarding the knowledge and awareness about DM and the associated risk factors, complications and management in Saudi society. Aim: This study aimed to assess knowledge of DM in general Saudi society and among Saudi healthcare workers. Results: Only 37.3% of the participants were aware of the current DM prevalence. Obesity was the most frequently identified risk factor for DM. Most comparisons indicated better awareness among health workers. Conclusion: A significant lack of knowledge about DM in Saudi society was identified. Social media and educational curriculum can improve knowledge and awareness of DM.

Coping mechanisms among health workers in community health centers

2020 ◽  
Vol 30 ◽  
pp. 122-125
Author(s):  
Hasniati ◽  
Badu Ahmad ◽  
Andi Ahmad Yani ◽  
Nur Indrayanti Nur Indar ◽  
Atta Irene Allorante ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Centers ◽  
Health Workers ◽  
Coping Mechanisms ◽  
Health Centers

A great inspiration for today's vaccination efforts: Biographical sketch of Francisco Xavier Balmis (1753–1819)

2021 ◽  
pp. 096777202110347
Author(s):  
Gabriel E Andrade
Keyword(s):  
History Of Medicine ◽  
19Th Century ◽  
Healthcare Workers ◽  
Health Workers ◽  
Western Hemisphere ◽  
Biographical Sketch ◽  
Spanish Colonial ◽  
Remote Areas ◽  
History Of ◽  
The 19Th Century

The management of the coronavirus disease 2019 pandemic will require huge worldwide vaccination efforts. In this endeavour, healthcare workers face the twofold challenge of reaching remote areas, and persuading people to take the vaccine shots. As it happens, this is nothing new in the history of medicine. Health workers can take inspiration from Francisco Xavier Balmis, a Spanish physician of the 19th century who realised the importance of Jenner's vaccine against smallpox, and led a big successful expedition to administer the vaccines in the Spanish colonial possessions of the Western hemisphere and Asia. This article presents a biographical sketch of Balmis, focusing on his expedition.

scholarly journals Translation and validation of Training Needs Analysis Questionnaire among reproductive, maternal and newborn health workers in Tanzania

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tumbwene Mwansisya ◽  
Columba Mbekenga ◽  
Kahabi Isangula ◽  
Loveluck Mwasha ◽  
Eunice Pallangyo ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Professional Training ◽  
Health Workers ◽  
Newborn Health ◽  
Training Needs ◽  
Assessment Tools ◽  
Needs Analysis ◽  
Maternal And Newborn Health ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Background Continuous professional development (CPD) has been reported to enhance healthcare workers’ knowledge and skills, improve retention and recruitment, improve the quality of patient care, and reduce patient mortality. Therefore, validated training needs assessment tools are important to facilitate the design of effective CPD programs. Methods A cross-sectional survey was conducted using self-administered questionnaires. Participants were healthcare workers in reproductive, maternal, and neonatal health (RMNH) from seven hospitals, 12 health centers, and 17 dispensaries in eight districts of Mwanza Region, Tanzania. The training needs analysis (TNA) tool that was used for data collection was adapted and translated into Kiswahili from English version of the Hennessy-Hicks’ Training Need Analysis Questionnaire (TNAQ). Results In total, 153 healthcare workers participated in this study. Most participants were female 83 % (n = 127), and 76 % (n = 115) were nurses. The average age was 39 years, and the mean duration working in RMNH was 7.9 years. The reliability of the adapted TNAQ was 0.954. Assessment of construct validity indicated that the comparative fit index was equal to 1. Conclusions The adapted TNAQ appears to be reliable and valid for identifying professional training needs among healthcare workers in RMNH settings in Mwanza Region, Tanzania. Further studies with larger sample sizes are needed to test the use of the TNAQ in broader healthcare systems and settings.

scholarly journals Survival analysis of time to SARS-CoV-2 PCR negativisation to optimise PCR prescription in health workers: the Henares COVID-19 healthcare workers cohort study

2021 ◽  
pp. oemed-2020-106903
Author(s):  
Julio González Martin-Moro ◽  
Marta Chamorro Gómez ◽  
Galicia Dávila Fernández ◽  
Ana Elices Apellaniz ◽  
Ana Fernández Hortelano ◽  
...  
Keyword(s):  
Cohort Study ◽  
Healthcare Workers ◽  
Cox Regression ◽  
Health Workers ◽  
Upper Respiratory Tract ◽  
Rt Pcr ◽  
Kaplan Meier ◽  
Confounding Variables ◽  
The Impact ◽  
Associated Variables

ObjectivesReverse transcriptase PCR (RT-PCR) is considered the gold standard in diagnosing COVID-19. Infected healthcare workers do not go back to work until RT-PCR has demonstrated that the virus is no longer present in the upper respiratory tract. The aim of this study is to determine the most efficient time to perform RT-PCR prior to healthcare workers’ reincorporation.Materials and methodsThis is a cohort study of healthcare workers with RT-PCR-confirmed COVID-19. Data were collected using the medical charts of healthcare workers and completed with a telephone interview. Kaplan-Meier curves were used to determine the influence of several variables on the time to RT-PCR negativisation. The impact of the variables on survival was assessed using the Breslow test. A Cox regression model was developed including the associated variables.Results159 subjects with a positive RT-PCR out of 374 workers with suspected COVID-19 were included. The median time to negativisation was 25 days from symptom onset (IQR 20–35 days). Presence of IgG, dyspnoea, cough and throat pain were associated with significant longer time to negativisation. Cox logistic regression was used to adjust for confounding variables. Only dyspnoea and cough remained in the model as significant determinants of prolonged negativisation time. Adjusted HRs were 0.68 (0.48–096) for dyspnoea and 0.61 (0.42–0.88) for dry cough.ConclusionsRT-PCR during the first 3 weeks leads to a high percentage of positive results. In the presence of respiratory symptoms, negativisation took nearly 1 week more. Those who developed antibodies needed longer time to negativisate.

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