Is there a need for a focused health care service for children with autistic spectrum disorders? A keyhole look at this problem in Tripoli, Libya

Autism ◽  
2011 ◽  
Vol 16 (4) ◽  
pp. 337-339 ◽  
Author(s):  
Adel M Zeglam ◽  
Ameena Maouna
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Health Care Providers ◽  
Health Care Service ◽  
Autistic Spectrum Disorders ◽  
Behavioral Difficulties ◽  
Care Providers ◽  
Speech And Language ◽  
Autistic Spectrum ◽  
Spectrum Disorders

Background Autism is a global disorder, but relatively little is known about its presentation and occurrence in many developing countries, including Libya. Aims To estimate the prevalence of autistic spectrum disorders in children referred to Al-Khadra hospital (KH). To increase the awareness among pediatrician and primary health care providers of the importance of considering autism in children presenting with speech and language disorders. Methods Prospective hospital-based study of all children referred to a neurodevelopment clinic between 2005 and 2009 with the diagnosis of either speech and language difficulties or behavioral difficulties. Results A total of 38,508 children were seen in the pediatric outpatient clinics of KH, Tripoli, between 2005 and 2009. Of these, 180 children were referred to the neurodevelopment clinic with history of delayed speech and language and or behavioral difficulties. A diagnosis of autism was made in 128 children, which gives a prevalence of approximately 1 in 300. Conclusion The prevalence of autism in Libya is probably similar to that seen in the USA and the UK. No data were available for comparison from either Arab or other developing countries. Autism is an important differential diagnosis of any language disorder ‘and behavioral difficulties’.

Exploring the market to establish an advanced surgical community eye hospital

2020 ◽  
pp. 147078532097005
Author(s):  
Ishaana Sood ◽  
Shalinder Sabherwal ◽  
Shantanu DasGupta ◽  
Naval Chauhan ◽  
Anand Chinnakaran ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Health Care Providers ◽  
Care Service ◽  
Health Care Service ◽  
Uttar Pradesh ◽  
Field Research ◽  
Building Blocks ◽  
Care Providers ◽  
Resource Limited

Developing countries often cite shortage of human resource, limited accessibility, low affordability, and asymmetric availability of health care resources as the provider end barriers to health care service utilization. Using the example of a market research project undertaken to establish an advanced surgical eye hospital in the Indian state of Uttar Pradesh, a decision-grid is constructed whereby health care providers’ can make informed decisions regarding expansion and service delivery. The comparative and interpretive logic-based approach utilizes public domain data coupled with field research and is apt for those working in developing countries and/or resource-crunch settings. The paradigms laid out and discussed, provide building blocks for decision-making, which if harnessed effectively, have broad applicability in terms of reaching the previously unreached and ultimately in improving health outcomes.

scholarly journals Knowledge and attitude towards infection control among supporting staffs of Chitwan Medical College, Bharatpur, Chitwan

2017 ◽  
Vol 6 (1) ◽  
pp. 40-47
Author(s):  
M Lopchan ◽  
G Gurung ◽  
L Rajbanshi ◽  
C Osti ◽  
A Baniya
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Infection Control ◽  
Health Care Providers ◽  
Nosocomial Infections ◽  
Infection Prevention ◽  
College Teaching ◽  
Care Providers ◽  
Medical College ◽  
Regular Training

Nosocomial infections (NIs) are one of the most important health issues, particularly in developing countries, because these infections cause high mortality and morbidity, and economic and human resource loss as a consequence Nosocomial infections can be defined as those occurring within 48 hours of hospital admission, 3 days of discharge or 30 days of an operation. Many studies have examined risk factors of nosocomial infections. However, knowledge of frontline workers (attendants) in infection prevention have been reported rarely in developing countries. The aim of this study was to investigate the knowledge of attendants working in different wards and OPDs about infection prevention. S: Data were collected from 100 attendants in Chitwan Medical College Teaching Hospital. Regarding the knowledge on hand washing, gloving and personal accessories for Infection Prevention, majority of the respondents had good knowledge ranging from 94-100%. Though hospital has established Infection Prevention Committee and regular training on infection prevention is provided to all the staffs, the data indicated that only 68% respondents were benefitted by the infection prevention training and proper use of virex solution to disinfect the equipment’s was found unsatisfactory. Infection control is the responsibility of all Health Care Facility (HCF) personnel. The goal of the infection control policies are to identify and reduce risks of acquiring and transmitting infections among patients, staff, students, volunteers, contract service workers, and visitors Although significant effort has been made to reduce the Nosocomial infections, regular training as well as monitoring supervision will enhance the capacity of the health care providers and front line workers for cleaning services they are our valued respondents.DOI: http://dx.doi.org/10.3126/jcmc.v6i1.55069

Digitalization and Tele-Health Care Concept of Complementary of Traditional Medical practices by Using BIOCERAMIC Technique

2021 ◽  
Author(s):  
Ting Kai Leung ◽  
Ming Tse Lin ◽  
Shu-Chen Lin
Keyword(s):  
Health Care ◽  
Pain Relief ◽  
Health Care Providers ◽  
Mixed Model ◽  
Close Contact ◽  
Health Care Service ◽  
Trigger Points ◽  
Functional Improvement ◽  
Care Providers ◽  
Myofascial Trigger Points

Objective: Tele-health care service of alternative practice for chronic pain disease is worthwhile of developing, especially in the period of COVID-19 pandemic. Targeting on myofascial trigger points, this study was performed to assess the possible short-term pain relief and functional improvement in patients by applying the device of BIOCERAMIC material enhanced by frequencies of tempo sound and visible light spectrum (BioS&L).<br><br>Methods: Fourteen patients who participated in the procedure for the selection of trigger points for the BioS&L treatment, assessment of pain levels using a visual analog scale (VAS) analysis, and detection of abnormal resonance of 12 harmonic frequencies using a quantum resonance spectrometer (QRS).<br><br>Results: Comparing the pre-and post-treatment of BioS&L on pain score of 12 HFs(V1-V12) as measured by VAS estimated by mixed model showed 91.7% (11/12) improvement with statistically significant results. The distribution of differences in the QRS score estimated by the mixed model among participants with pre-test QRS level ≥ 2 showed 83.3% (15/16) of HFs with statistically significant results.<br><br>Conclusion: Treatment of BioS&L at trigger points providing pain relief is explained by the hypothesis of microvascular physiology and physics of wave propagation. This study provides a workshop with a concept of digitalization of complementarity and traditional medical service and tele-health care, which fulfils distant data connection and remote practice. In the period of epidemic spread, it helps to decrease close contact on both health care providers and patients.

scholarly journals FRONTLINE HEALTH PROVIDER'S PERSPECTIVE IN REDUCING CHILD DEATHS DUE TO MALNUTRITION IN A TRIBAL DISTRICT OF MAHARASHTRA: A QUALITATIVE STUDY

2021 ◽  
pp. 246-249
Author(s):  
Lalit Sankhe ◽  
Chhaya Rajguru ◽  
Monali Kadam
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Service Providers ◽  
Health Workers ◽  
Health Care Service ◽  
Care Providers ◽  
Child Deaths ◽  
Primary Health ◽  
Refresher Training

Background: Malnutrition is a complex problem with double burden of undernutrition and overweight. India is no exception to it but there is a higher level of malnutrition in tribal blocks and to curb this situation,various activities have been undertaken but the slow pace of decline in malnutrition is a concern.The role of frontline health workers is crucial in strengthening primary health care.They serve as the bridge between the formal government health-care system and the community.The present study helps to seek the perception of primary health care service providers and challenges faced by them in reducing child deaths due to malnutrition. Method: A descriptive cross sectional qualitative study was conducted during August 2019 - February 2020 in three talukas of a tribal district. Focus group discussions (FGD) for each service providers Auxiliary Nurse midwife (ANM), Anganwadi worker (AWW) and Accredited Social Health activist (ASHA) were conducted. All the FGDs were audio recorded and transcripts were prepared,a thematic analysis framework was used for doing the analysis. Results: Most of the service providers were aware regarding their roles and responsibilities in implementation of schemes/ services related to malnutrition. The important factors influencing their performance were superstitions, more reliance on health seeking from unqualified health care providers and faith healers, poor road connectivity, network issues,lack of refresher training,overburdening with work,poor incentives. Conclusion: Specific training programs to tackle malnutrition along with frequent refresher training of the service providers,better infrastructure and human resources will help in achieving the desired results in future in dealing with child malnutrition.

scholarly journals Hematopoietic Stem-Cell Transplantation in the Resource-Limited Setting: Establishing the First Bone Marrow Transplantation Unit in Bangladesh

2018 ◽  
pp. 1-10 ◽  
Author(s):  
Albert C. Yeh ◽  
Mohiuddin A. Khan ◽  
Jason Harlow ◽  
Akhil R. Biswas ◽  
Mafruha Akter ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Stem Cell ◽  
Hematopoietic Stem Cell Transplantation ◽  
Stem Cell Transplantation ◽  
Cell Transplantation ◽  
Hematopoietic Stem Cell ◽  
Health Care Providers ◽  
Care Providers ◽  
Hematopoietic Stem

Purpose Treatment of malignant and nonmalignant hematologic diseases with hematopoietic stem-cell transplantation (HSCT) was first described almost 60 years ago, and its use has expanded significantly over the last 20 years. Whereas HSCT has become the standard of care for many patients in developed countries, the significant economic investment, infrastructure, and health care provider training that are required to provide such a service have prohibited it from being widely adopted, particularly in developing countries. Methods Over the past two decades, however, efforts to bring HSCT to the developing world have increased, and several institutions have described their efforts to establish such a program. We aim to provide an overview of the current challenges and applications of HSCT in developing countries as well as to describe our experience in developing an HSCT program at Dhaka Medical College and Hospital in Bangladesh via a partnership with health care providers at Massachusetts General Hospital. Results and Conclusion We discuss key steps of the program, including the formation of a collaborative partnership, infrastructure development, human resource capacity building, and financial considerations.

Volunteering in hospice and palliative care in Germany

2018 ◽  
Author(s):  
Michaela Hesse ◽  
Lukas Radbruch
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Providers ◽  
Hospice Care ◽  
Care Service ◽  
Health Care Service ◽  
Care Providers ◽  
Specialist Services ◽  
Patient Groups ◽  
Hospice And Palliative Care

German hospice care developed as a civil society movement in which volunteers were essential from the beginning. Palliative care was, however, led by a few pioneer physicians and started independently from hospices. This separate development is still visible with a clear distinction between palliative care units and inpatient hospices. Over the last two decades these two areas of care have moved more into the regular health care service. As a result volunteer services are increasingly subject to regulations. This also means that there is an increasing amount of competition and economic pressure. Developing trust and high transparency in the local and regional palliative care networks, and open and bilateral collaboration of specialist services with general practitioners (GPs) and other health care providers on the basic palliative care level are prerequisites of integrated palliative care. Ongoing development leads to changes in the patient groups that receive palliative care.

Service Providers’ Decision to Use Ethics Committees and Consultation in Complex Services

2020 ◽  
Vol 57 (2) ◽  
pp. 278-297 ◽  
Author(s):  
J. Daniel Zyung ◽  
Vikas Mittal ◽  
Sunder Kekre ◽  
Gajanan G. Hegde ◽  
Jennifer Shang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Ethical Decision Making ◽  
Service Providers ◽  
Ethical Dilemmas ◽  
Care Service ◽  
Health Care Service ◽  
Ethics Consultation ◽  
Ethics Committees ◽  
Care Providers

Ethics has long been, and continues to be, a central topic among marketing scholars and practitioners. When providing complex services—multiple interactions over time that are predicated on the evolving needs of customers—service providers face ethical dilemmas, which are often resolved by engaging an ethics committee (EC). Despite the prevalence of ECs, research on service providers’ preference to engage with an EC is sparse. This study examines whether the role that health care providers play, as either task manager or relationship manager, makes a difference in their preference for engaging with and utilizing an EC for resolving ethical dilemmas. Results based on 1,440 observations collected from health care service providers show that service providers’ task or relationship management role, as well as prior experience with an ethics consultation, influences their preference both for engaging an EC and for having the EC prescribe a specific outcome to resolve an ethical dilemma. This study extends prior work on conceptual models examining ethical decision-making processes in marketing.

scholarly journals Knowledge and Practice of Hearing Screening and Hearing Loss Management among Ear, Nose, and Throat Physicians in Jordan

2020 ◽  
Author(s):  
Maha Zaitoun ◽  
Mohammad Rawashdeh ◽  
Safa AlQudah ◽  
Hana' ALMohammad ◽  
Amjad Nuseir ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Hearing Loss ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Hearing Screening ◽  
Care Providers ◽  
Cross Sectional ◽  
Limited Knowledge ◽  
Nose And Throat

Abstract Introduction One of the main factors that affect the early diagnosis and intervention of hearing loss is inadequate knowledge by the health care workers. Ear, nose, and throat (ENT) specialists are the main source of information about hearing loss and its management in most developing countries, such as Jordan. Objective The purpose of the present study is to explore the level of knowledge and the practice of hearing screening and hearing loss management for children among ENT physicians in Jordan as an example of health care providers in developing countries of the Middle East. Methods This was a cross-sectional study, adapting a questionnaire of knowledge and the practice of hearing screening and hearing loss management for children. The questionnaire consisted of 2 sections with 20 questions. A total of 40 ENT physicians completed the questionnaire. Results The majority of the respondents acknowledged the importance of hearing screening for children; however, there was limited knowledge regarding hearing loss management and testing. Only 10 of the ENT physicians believed that a referral to an audiologist is warranted, and the majority of the respondents were not aware that a child with a confirmed permanent hearing loss should be referred to a speech pathologist or to a rehabilitation center. Managing unilateral and mild sensorineural hearing loss (SNHL) was another area about which ENT physicians have limited knowledge. Conclusion There is a strong need for professional intervention programs, providing the latest updates and standardizations in the field of audiology and pediatric rehabilitation for ENT physicians.

Electronic Health Records in Developing Countries: The Role Of Intelligent Devices

2020 ◽  
Vol 27 (1) ◽  
Author(s):  
O Kalesanwo ◽  
SO Kuyoro ◽  
D Aleburu ◽  
VO Nwaocha ◽  
AA Adenrele
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Electronic Health Record ◽  
Health Care Providers ◽  
Intelligent Systems ◽  
Easy Access ◽  
Health Record ◽  
Care Providers ◽  
Intelligent Devices ◽  
Electronic Health

The collection and storing of medical records pertaining to the health status of patients in an electronic form so as to allow; easy access, information sharing and making better medical decisions among other things is known as an Electronic Health Record (EHR). Data generated by health care providers from patient‟s diagnosis, prescription, health monitoring and other health related issues were basically kept on paper. However, the rapid proliferation of data has led to the advancement of effective management of these data to help bring about better decision making and also improvement in health care delivery. This paper highlights the importance of EHR, its role in delivering better health care and the development of a nation, taking cognizance of its adoption level in both the developed and developing countries. Strategic solution of integrating intelligent devices (Chatbots and glass) to burgeon the implementation of EHR so as to improve the overall health care of the populace of developing nations was proposed. Keywords: Electronic Health Record, Intelligent systems, Chatbots, Glass

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