scholarly journals Assessing Facilitators and Barriers to Referral of Children Under the Age of Five Years at Ndirande Health Centre in Blantyre, Malawi

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110518
Author(s):  
Wezzie Kaunda ◽  
Thokozani Umali ◽  
Marumbo Eve Chirwa ◽  
Alinane Linda Nyondo-Mipando
Keyword(s):  
Quality Care ◽  
Group Discussion ◽  
Health Centre ◽  
Community Support ◽  
Care Workers ◽  
Facilitators And Barriers ◽  
Patient Referrals ◽  
Depth Interviews ◽  
Purposive Sample ◽  
Queen Elizabeth Central Hospital

Patient referrals among health facilities are initiated to maximize receipt of quality care at a proper level within the health system. This study explored the processes, factors that influence, and strategies for referral of children from Ndirande Health Centre to Queen Elizabeth Central Hospital in Blantyre, Malawi. We drew a purposive sample comprising health care workers, mothers, fathers, ambulance drivers, and Health Center Advisory Committee (HCAC) members and held 19 in-depth interviews and 1 focus group discussion in August 2020. The referral process is influenced by the availability of motor and bicycle ambulances that are well equipped with medical equipment, delay in seeking health services, uptake of referral, and community support. Education and communication with the community and parents respectively optimize the process of referral. There is a need to improve the referral system of under-five children by instituting a policy that is functional while addressing the main barriers.

“I Knew I Could Make a Difference”: Motivations and Barriers to Engagement in Fighting the West African Ebola Outbreak Among U.S.-Based Health Professionals

2018 ◽  
Vol 29 (4) ◽  
pp. 522-532 ◽  
Author(s):  
Alexandra Greenberg ◽  
Georgia J. Michlig ◽  
Elizabeth Larson ◽  
Ilona Varallyay ◽  
Karen Chang ◽  
...  
Keyword(s):  
Health Professionals ◽  
Media Coverage ◽  
Group Discussion ◽  
International Health ◽  
West African ◽  
Humanitarian Response ◽  
Leave Of Absence ◽  
Facilitators And Barriers ◽  
Care Worker ◽  
Depth Interviews

The 2014 West African Ebola outbreak was unprecedented in scale and required significant international assistance. Many U.S.-based health professionals traveled to West Africa to participate in the response, whereas others considered participation, but ultimately decided against it. This study explores motivators, facilitators, and barriers to international health care worker mobilization. We conducted 24 semistructured in-depth interviews and one focus group discussion with clinical and nonclinical responders and nonresponders. Responders reported feeling duty-bound to help, confidence in their training, and prior experience in humanitarian response. Media coverage was perceived to create environments of stigma and misinformation. Supportive workplaces and clear leave of absence policies facilitated engagement, whereas unsupportive workplaces posed barriers. Although nonresponders were included in the study, the dynamics of nonresponse were less clear and warrant further exploration. Understanding how to support health professionals in responding to outbreak situations may improve mobilization in future public health crises.

scholarly journals Penerapan Peraturan Desa Tentang Penemuan dan Pengawasan Pengobatan Kasus Malaria Berbasis Masyarakat

2018 ◽  
Vol 10 (1) ◽  
pp. 15-26
Author(s):  
Agung Puja Kesuma ◽  
Nova Pramestuti ◽  
Asnan Prastawa ◽  
Ulfah Farida Trisnawati
Keyword(s):  
Group Discussion ◽  
Evaluation Study ◽  
Malaria Treatment ◽  
Community Based ◽  
Central Java ◽  
Care Workers ◽  
And Control ◽  
Depth Interviews ◽  
Village Health

Purbalingga is one of  malaria-endemic areas in Central Java. In 2012, government  developed a model of malaria control as Village Regulation for detection  and Monitoring  of  Malaria treatment  with  Community-Based Treatment of Malaria Cases. Research aim is  to evaluate the Regulation (Perdes) effectiveness on the incidence of malaria in Tetel. This research is an evaluation study of  the policy with qualitative method. The research conducted in Tetel, Pengadegan District, Purbalingga, in March to October 2015. The datas collected by in-depth interviews on community leaders and health care workers, focus group discussion (FGD) on a group of men and women, and  documents review. Datas were analyzed using content analysis. The Regulation socialized through village health forum meetings and other group meetings. Malaria case detection have done by the community  that  reported  to JMD to immediately take blood preparations. Monitoring  of malaria treatment by JMD with follow-up action. Cases of malaria in Tetel tends to decrease even to zero after implementation of the  regulation. The implementation of  regulation  can reduce and control the incidences of malaria in Tetel. Implementation of  regulation also can be used as an example for other villages that still have problems with malaria

Relatives as paid care-givers: how family carers experience payments for care

2009 ◽  
Vol 30 (3) ◽  
pp. 467-489 ◽  
Author(s):  
ELLEN GROOTEGOED ◽  
TRUDIE KNIJN ◽  
BARBARA DA ROIT
Keyword(s):  
Quality Care ◽  
Term Care ◽  
Care Givers ◽  
Care Giving ◽  
Care Workers ◽  
Informal Setting ◽  
Care Relationships ◽  
The One ◽  
Depth Interviews

ABSTRACTPayments for care, by which people in need of long-term care directly employ care workers, have been introduced in many European countries. In The Netherlands, care dependants are allowed to use these payments to hire relatives to perform care tasks. Care-givers who are employed by their relatives are in a hybrid position, because they are contracted as employees in the informal setting of a family home and its affective care relationships. This paper reports a qualitative study of relatives' experiences of payments for care and how these affect their care-giving. In-depth interviews were undertaken with 17 paid carers: they were asked to respond to three fictional vignettes of contrasting care trajectories. It was found that the cash nexus had mixed and partly contradictory implications for the paid care-givers. On the one hand, the care-givers were satisfied with the arrangement, as the payments recognised and raised their status as carers, and were seen as reward and reciprocation for their care work. Some carers had found that the contract helped manage strained relationships, by enabling a clearer differentiation of care tasks from affection. On the other hand, some who regarded themselves as employees and saw their role as equivalent to formal carers felt a greater obligation to provide high-quality care, and found that they were thanked less often and received fewer tokens of gratitude.

scholarly journals Hidden Tales of Ebola: Airing the Forgotten Voices of Ugandan “Ebola Nurses”

2021 ◽  
pp. 104365962110179
Author(s):  
Isaac Okello Wonyima ◽  
Susan Fowler-Kerry ◽  
Grace Nambozi ◽  
Charlotte Barry ◽  
Jeanie Wills ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Access To Treatment ◽  
Care Workers ◽  
Free Health Care ◽  
Control And Prevention ◽  
Holistic Practice ◽  
Phenomenological Design ◽  
Depth Interviews ◽  
Current Reality

Introduction According to the Centers for Disease Control and Prevention, Ebola has affected the lives of thousands, including health care workers. With few studies describing the experience of nurses who survived Ebola, the study aimed to describe Ugandan nurses’ experiences. Method Using a phenomenological design, in-depth interviews were conducted among five Ugandan nurses who contracted Ebola and survived. Result Thematic analysis revealed themes of expectations of dying, hopelessness, loneliness, and betrayal by family, community, and the health system. Discussion Results support the need for policies targeting holistic practice protocols to protect all health care professionals during future outbreaks. Last, nursing survivors should have access to government-guaranteed support programs, including free health care and financial stipends. These results and recommendations transcend to the current reality of living with COVID-19 (coronavirus disease 2019). Efficient practice protocols could protect all rights and privileges and contribute to access to treatment and stigma removal.

scholarly journals Business Strategies in HR in Times of Crisis: The Case of Agri-Food Industry in Central Greece

Businesses ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 36-50
Author(s):  
Konstantina Ragazou
Keyword(s):  
Food Industry ◽  
Group Discussion ◽  
Business Strategies ◽  
Food Sector ◽  
Central Greece ◽  
Internal Mobility ◽  
Modern Business ◽  
Mobility Training ◽  
A Company ◽  
Depth Interviews

Crisis, in whatever form it takes, is a challenge for modern business. The challenge lies in the fact that a company is prepared to balance the difficult conditions that are created, while preserving their business interest and efficiency. Thus, companies focus only on their perceived fixed bases, those that are in the internal environment such as the human capital. The need for better human resource management is more urgent than ever, and the burden on the business department is particularly great. The aim of this qualitative research is to highlight the strategies that were developed by agri-food companies in Greece and contribute to the maintenance and motivation of employees in the context of economic crisis. The methodology of this study is based on in depth interviews that were conducted in focus group discussion. Eleven companies from the agri-food sector in the region of Central Greece participated in the research. The executives highlighted three different strategies that were developed by agri-food companies in Greece, which focused on internal mobility, training and appraisal performance. Companies had to face different difficulties to use these strategies, but most of them proved that they can face their weaknesses and apply these strategies in a turbulent period like a financial crisis.

A Proposal For A Nonreinstatement Rule In Unfair Labor Practice Cases Involving Patient Abuse

1985 ◽  
Vol 11 (3) ◽  
pp. 319-341
Author(s):  
Clare T. Tully
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Labor Relations ◽  
Quality Care ◽  
Disciplinary Action ◽  
Non Profit ◽  
Health Care Institutions ◽  
Care Workers ◽  
Union Activists ◽  
Patient Abuse

AbstractNursing home discharges of employees based on patient abuse raise a difficult issue when the motivating factor for the disciplinary action is union activism. A tension is created between the rights of employees to engage in protected concerted activity and the rights of patients to quality care. In 1974, Congress passed the Health Care Institutions Amendments, which granted to non-profit health care workers collective organizing and bargaining rights substantially similar to those which workers in other industries had enjoyed for decades under the National Labor Relations Act. Congress intended to give health care workers only that degree of parity, however, which is compatible with the provision of high quality patient care. The agency charged with enforcing the Act, the National Labor Relations Board (NLRB), has failed to distinguish employee misconduct in industrial settings from patient abuse in health care institutions when fashioning remedies for discriminatorily discharged union activists. The NLRB typically has ordered the reinstatement, with back pay, of the patient abuser as the patient’s primary care-giver. This Article suggests that a front pay remedy is more appropriate to these cases because it protects the patient’s right to be free from abuse without sacrificing employee unionization rights.

STRATEGI PENGEMBANGAN DESA WISATA SENI & KERAJINAN KASONGAN, BANGUNJIWO, BANTUL, YOGYAKARTA

2016 ◽  
Vol 10 (03) ◽  
pp. 49-64
Author(s):  
Hani Ernawati ◽  
Sela Apriliyani Mahmudah
Keyword(s):  
Development Policy ◽  
Swot Analysis ◽  
Development Program ◽  
Community Support ◽  
Market Potential ◽  
Economic Potential ◽  
The Public ◽  
Qualitative Approaches ◽  
Tourism Product ◽  
Depth Interviews

This study discusses and examines the strengths and weaknesses and the opportunities and threats to formulate a strategy and program development in the Art Tourism Village of Kasongan bantul Yogyakarta. This study used quantitative and qualitative approaches. Data collected by observation, in-depth interviews, documentation and dissemination of questionnaires to 53 respondents consisting of bureaucrats, tourism businesses and community leaders, then analyzed by SWOT method. Based on the SWOT analysis obtained alternative strategies that can be applied is create quality art-tourism product. Tourism development policy must have the support from the private sector and the public. Community support depends on the condition variable resources of tourism areas, namely diversity, uniqueness, potential for conservation, economic potential, and market potential. These five variables are the basis for the establishment of community support. Keywords: art-tourism, tourism-village, strategy and development program

HUBUNGAN PENGETAHUAN DAN KINERJA KADER TERHADAP KUNJUNGAN BAYI BALITA KE POSYANDU DI PUSKESMAS LUBUK BAJA KOTA BATAM

2019 ◽  
Vol 7 (3) ◽  
pp. 14-21
Author(s):  
Siti Alfiah ◽  
Rini Susanti
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Health Centre ◽  
General Knowledge ◽  
Knowledge Level ◽  
Well Performance ◽  
Chi Square ◽  
Significance Level ◽  
Care Workers ◽  
And Performance

The success development in the health fields is concentrated at the attempts to reduce the mortality rate of infants and toddlers at the same time. The purpose of this research is to analyze whether there is a correlation between knowledge and performance of the health care workers to the number of the babies, specifically the ones under five years old, to visit the posyandu as an integral part of the Lubuk Baja Health Centre in Batam.This study is a descriptive analytic research with 56 respondentsthat covers all health care workers in the service area ofLubuk Baja Health Care. The data is analyzed using Chi Square statistical test at significance level of 95%. The result reveals that based on the respondents’ characteristic, it was obtained 56 respondents have good knowledge level and able to apply their knowledge to posyanduactivities. Besides, it is also noted that 44 respondents have well performance. On the other hand, the researchersdiscover 28 toddlers getgood treatment meanwhile 28 of them are not treated very well. Therefore, it can be concluded that there is no significant correlation between knowledge levels and performance of the health care workers to the number of theunder-five years children to visits the posyanduwhich indicated by  each of p> 0.05 for knowledge and performance. In general, knowledge and good performance of posyandu cadres and society surroundingsaretwo very important aspects to improvethe number of the children to attend the posyandu. As the suggestion, it is expected that theposyandu cadres and society to be more concerned about the presence of posyandufor benefit of the newborns as well as the enhancement of the health sciences for life.

scholarly journals Toward a Better Understanding of Non-Addicted, Methamphetamine-Using, Men who Have Sex with Men (MSM) in Atlanta

2010 ◽  
Vol 4 (1) ◽  
pp. 141-147 ◽  
Author(s):  
Brian J Dew
Keyword(s):  
Risk Behaviors ◽  
Culturally Specific ◽  
Two Phase ◽  
Initial Development ◽  
Methamphetamine Use ◽  
Social Marketing Campaign ◽  
Public Health Officials ◽  
Facilitators And Barriers ◽  
Sex With Men ◽  
Depth Interviews

Methamphetamine use has increasingly become linked with sexual risk behaviors among men have sex with men (MSM). Yet, the majority of research has been done with methamphetamine dependent MSM or with samples in which addiction to the substance was not evaluated. Furthermore, research with methamphetamine-using MSM in the Southern U.S. is lacking. In this study, focus groups and in-depth interviews were conducted in order to understand the motives, context, and other facilitators and barriers of methamphetamine use among non-addicted MSM residing in Atlanta. Participants included 30 non-addicted, methamphetamine-using MSM and 16 local mental and public health officials. Findings from the first of this two-phase formative research project will result in the initial development of a community-tested, culturally-specific social marketing campaign and an individual-based intervention based in HIV-testing facilities.

scholarly journals Sustainability of Seahorses: Lessons Learned of Local Wisdom from Bintan Islands, Riau Islands Province

2018 ◽  
Vol 47 ◽  
pp. 07001
Author(s):  
Fitria Ulfah ◽  
Afrizal ◽  
Arief Pratomo
Keyword(s):  
Local Knowledge ◽  
Sea Water ◽  
Group Discussion ◽  
Economic Value ◽  
Lessons Learned ◽  
Coastal Communities ◽  
Ecological Knowledge ◽  
Local Institution ◽  
Reproduction Pattern ◽  
Depth Interviews

Seahorse (Hippocampus spp.) has a high economic value in Bintan Island that leads to its exploitation by coastal community intensively. This study was to assess local knowledge on seahorse ecology which was captured across shoreline near the coastal communities. The research was conducted in SebongPereh village Bintan Island. The data were collected by conducting depth interviews and focus group discussion on seahorse fishermen which was selected purposively. The results revealed local fishermen have ecological knowledge related to habitat types, behavior, and monthly variation in abundance, size and reproduction pattern. The result also showed that the existence of the seahorse during the catch season moves around, follow the condition of the seaweed and tidal of sea water. This local knowledge was used by fishermen as a strategy in determining the fishing time and catchment area of a seahorse. Through such local wisdom, local fishing communities established a local institution to manage conversation and sustainability use of seahorse in waters of SebongPereh village.

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