Acute childhood asthma significance from health care workers’ and caregivers’ perspective in a low resource setting: a qualitative study.

IntroductionSimulation instructor training courses are infrequent in low-resource countries. PediSTARS India organisation has been conducting a Training of Trainers (TOT) workshop annually since 2014 and has trained 380 instructors in the last 6 years. The objective of this study is to evaluate this workshop using the basic Kirkpatrick model with a blended evaluation approach.MethodsA qualitative study design was used with purposive sampling from the 2018 workshop cohort. An initial online questionnaire gathered demographic and professional profile of participants. Semistructured interviews with those who consented explored their perceptions about the workshop and their experiences using simulation for training at their workplaces. The analysis was done based on a deductive research approach around the framework of the first three levels of the Kirkpatrick model.ResultsA total of 11 in-depth interviews were conducted. Participants reported long-term retention, translation and positive impact of the knowledge and skills gained at the TOT workshop. The results achieved saturation and underwent respondent validation.ConclusionThis study provides evidence to support simulation faculty training workshops as an effective educational intervention in promoting simulation-related workplace-based education and training among health practitioners and that follow-up activity may be useful in some cases. This is the first study of its kind in a low-resource setting, and supports similar simulation instructor training in these settings and provides a blueprint for such training. Follow-up studies are required to evaluate the longer term impact of this simulation instructor training.

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Step-Wise Development of Primary Care and Community-Based Mental Health Care in a Low-Resource Setting

10.1007/978-3-030-57296-9_134 ◽

2021 ◽

pp. 841-860

Author(s):

E. Kwobah ◽

Julius Barasa ◽

Florence Jaguga ◽

Matthew Turissini

Keyword(s):

Mental Health ◽

Primary Care ◽

Health Care ◽

Mental Health Care ◽

Community Based ◽

Low Resource ◽

Resource Setting ◽

Low Resource Setting

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Health-care users, key community informants and primary health care workers’ views on health, health promotion, health assets and deficits: qualitative study in seven Spanish regions

International Journal for Equity in Health ◽

10.1186/s12939-017-0590-2 ◽

2017 ◽

Vol 16 (1) ◽

Cited By ~ 3

Author(s):

Mariona Pons-Vigués ◽

Anna Berenguera ◽

Núria Coma-Auli ◽

Haizea Pombo-Ramos ◽

Sebastià March ◽

...

Keyword(s):

Health Care ◽

Health Promotion ◽

Primary Health Care ◽

Qualitative Study ◽

Health Care Workers ◽

Primary Health ◽

Spanish Regions ◽

Care Workers ◽

Health Assets

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Barriers in Adult Vitamin D Service Provision by Health Care Workers: a Qualitative Study in Three Ecologies of Ethiopia

10.21203/rs.3.rs-141414/v1 ◽

2021 ◽

Author(s):

Wubegzier Mekonnen ◽

Yeweyenhareg Feleke ◽

Wubetsh Asnake ◽

Jemal Haidar ◽

Biruk Lambisso ◽

...

Keyword(s):

Public Health ◽

Health Care ◽

Vitamin D ◽

Qualitative Study ◽

Vitamin D Deficiency ◽

Health Care Workers ◽

Public Health Problem ◽

Health Facilities ◽

Care Workers ◽

Service Training

Abstract Background: Adult vitamin D deficiency, a public health problem in low-income countries, is correlated with increased mortality. Although health care workers (HCWs) in Ethiopia are educated on minerals counseling on the benefits of vitamin D and its sources is not witnessed since their knowledge is low. The main aim of this study is to explore barriers to good knowledge, positive attitude, and practice of health care providers on adult vitamin D.Methods: An exploratory qualitative study is done in three ecologies covering highland, midland, and lowland. The size of 27 participants was fixed by saturation of ideas. In-depth interviews were conducted among leaders and HCWs of different professional groups in health centers and hospitals. Moderators were Ph.D. holders. An interview guide was developed after reviewing research that was translated into the local language. Interviews were audio-taped, transcribed and, translated. Open Code software was used to code and categorize the data. Thematic analysis is presented using themes and sub-themes.Result: The main barriers are related to health systems, HCWs’ understandings, health facilities, and the educational system. Lack of attention by the health systems’ leadership, missing adult vitamin D as a priority in health programs, and the absence of adult vitamin D management and treatment guidelines are barriers related to the health system. On the other hand, health care professionals believed that the prevalence of adult vitamin D deficiency is insignificant and vitamin D deficiency is only an issue related to children. Besides, the inadequacy of laboratory investigation and limited in-service training are barriers related to health facilities while the absence of studies and the focus of the medical curriculum on child vitamin D are barriers related to the education system. Conclusion: Adult vitamin D deficiency is a neglected public health problem with many barriers related to diagnosis and treatment. Barriers are related to the professionals themselves, their leadership, health facilities, and the education system. The government should give attention to adult vitamin D management and treatment, continuous on the job training, development of guidelines, purchase of laboratory equipment, the inclusion of adult vitamin D in pre-service and, in-service training curriculums.

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The Experiences of Health Care Workers during the COVID-19 Pandemic in Korea: a Qualitative Study

Journal of Korean Medical Science ◽

10.3346/jkms.2021.36.e170 ◽

2021 ◽

Vol 36 (23) ◽

Author(s):

Ju-Yeon Lee ◽

Ji-yeon Lee ◽

So Hee Lee ◽

Jangrae Kim ◽

Hye Yoon Park ◽

...

Keyword(s):

Health Care ◽

Qualitative Study ◽

Health Care Workers ◽

Care Workers

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Stigmatization, psychological and emotional trauma among frontline health care workers treated for COVID-19 in Lagos State, Nigeria: A qualitative study

10.21203/rs.3.rs-53453/v1 ◽

2020 ◽

Cited By ~ 1

Author(s):

AYI VANDI KWAGHE ◽

Olayinka Stephen Ilesanmi ◽

Peter Okpeh Amede ◽

James Olatunde Okediran ◽

Rowland Utulu ◽

...

Keyword(s):

Health Care ◽

Qualitative Study ◽

Health Care Workers ◽

Health Workers ◽

Study Data ◽

Movement Restriction ◽

Phone Calls ◽

Care Workers ◽

Lagos State ◽

Use Of Social Media

Abstract Background COVID-19 pandemic has resulted in global health and economic crisis. We investigated the experiences of frontline health care workers recovering from COVID-19 in Lagos State Nigeria. Methods We conducted a qualitative study among frontline health workers recovering from COVID-19 in Lagos State, Nigeria. We interviewed 12 respondents based on data saturation. We used a checklist of questions to guide the interview according to the phenomenon under study. Data obtained was analyzed using Colaizzi's phenomenological method. Results The study was summarized under five themes: knowledge of COVID-19, exposure, reactions, challenges and recommendations. The respondents were quite knowledgeable on COVID-19, their reactions when informed of their status were denial, anxiety, distress, disorientation, crying for fear of stigmatization, while some were psychologically prepared. Reactions from colleagues, family and friends were encouraging and provided solace for them with a few colleagues and families that had negative reactions. Challenges include anosmia, movement restriction, loneliness, worries about the state of their families, nondisclosure of status to family members, non-conducive isolation centre with limited space, insomnia, stigmatization by health workers at the isolation centre, extended duration of stay, delay in the release of test results and use of ambulance for evacuation to the isolation centres. Coping strategies were watching movies, phone calls, use of social media, listening to music, attending webinars, working on projects and reading spiritual books. Recommendations were early laboratory testing of samples and conveying of results, increase testing capacity, the need of health care workers to be more compassionate, better method of evacuation of people that tested positive to COVID-19, aside the use of ambulance that increases the likelihood of stigmatization and standard guideline for the case management of people recovering from COVID-19 in Lagos state. Conclusions Respondents felt stigmatized and psychologically and morally traumatized. Isolation is a difficult experience and some negative emotions as expressed by previous studies were experienced by the respondents. There is need for increased testing capacity, timely results, early evacuation and creation of more isolation centres in Lagos State due to the rising number of cases and shortage of bed space.

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Roles and Expectations of Male Partners from PMTCT services in Chiradzulu Malawi: A Qualitative Study

10.21203/rs.2.13825/v1 ◽

2019 ◽

Author(s):

Beatrice M'baya Kansinjiro ◽

Alinane Linda Nyondo-Mipando

Keyword(s):

Health Care ◽

Qualitative Study ◽

Health Facility ◽

Health Care Workers ◽

Health Assessment ◽

Male Involvement ◽

Sub Saharan Africa ◽

Male Partners ◽

Care Workers ◽

Sub Saharan

Abstract Background: Prevention of mother to child transmission of HIV (PMTCT) is the main measure for curbing HIV infection in children. Male involvement (MI) greatly influences uptake and adherence to PMTCT services yet the level remain low in Sub Saharan Africa. Lack of well stipulated roles for men in PMTCT is one of the main barriers to MI. Studies on MI have focused on women and Health care workers (HCW), thereby making men silent partners. The main aim of the study was to explore the roles and expectations of male partners in PMTCT services in Malawi. Methods: This was a descriptive qualitative study that involved men whose partners were either pregnant or breastfeeding a child, health care workers working in PMTCT services for over six months and traditional leaders. We conducted 9 in-depth interviews and 12 key informant interviews from January to March 2018. All interviews were audio-recorded, transcribed and translated. Thematic analysis was employed to analyze data. Results: Male partners play supportive, HIV prevention behaviour change and decision-making roles in PMTCT services. Health assessment and health promotion activities are the male specific services required in PMTCT services and these should be delivered at both health facility and community levels. Conclusion : Male partners in PMTCT have expectations that need to be met at both health facility and community levels. There is need to have male-tailored package of health services that are directly provided to men along with PMTCT services at different levels in order to promote MI. The services should be provided in an atmosphere that allows and accepts male partners to exercise their roles in PMTCT services.

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Needs, beliefs and barriers for contraceptive use among women in a low resource setting in Tamil Nadu: a qualitative study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20194852 ◽

2019 ◽

Vol 8 (11) ◽

pp. 4332

Author(s):

Thacker S. Naveen ◽

Sajitha M. F. Rahman ◽

Pavan Mukherjee ◽

Augustine . ◽

Kirubah V. David ◽

...

Keyword(s):

Side Effects ◽

Qualitative Study ◽

Tamil Nadu ◽

Contraceptive Use ◽

Group Discussion ◽

Care Hospital ◽

Low Resource ◽

Resource Setting ◽

Low Resource Setting ◽

Study Participants

Background: The decline in fertility rate based on the National Health Profile is attributed to the choice of permanent sterilisation as the preferred method of contraception among Indian women. The uptake of spacing methods has declined over the years in many parts of India related to low awareness about options other than sterilisation. Hence understanding the needs, beliefs and barriers of women regarding contraceptive use can identify the factors behind their choice of contraceptive methods. This study aims to explore the needs, beliefs and barriers of women in using different methods of contraception in a low-resource area of urban Vellore, Tamil Nadu.Methods: A qualitative study was conducted in three underserved areas of urban Vellore served by the secondary care hospital of a private academic institution. A descriptive qualitative method was chosen. Focus group discussion was carried out among study participants. Thematic analysis was used to analyse data.Results: The need for contraceptive use was felt after completing the families determining the type of method chosen. Fear of impending side-effects of commonly available spacing methods of contraception limited their use. The results highlight the forceful use of intra-uterine device among study participants reflecting the incentive-based family planning services implemented in most Indian states.Conclusions: Our study reinforces that neither the availability of contraceptives nor forceful implementation of policies will increase the utilisation of contraceptives. There is a need for community-based education on the indications, types and side-effects of reversible methods of contraception.

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