scholarly journals Signal functions for measuring the ability of health facilities to provide abortion services: an illustrative analysis using a health facility census in Zambia

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Oona M. R. Campbell ◽  
Estela M. L. Aquino ◽  
Bellington Vwalika ◽  
Sabine Gabrysch
Keyword(s):  
Health Facility ◽  
Health Facilities ◽  
Signal Functions

scholarly journals Newborn signal functions in Bangladesh: identification through expert consultation and assessment of readiness among public health facilities—study protocol using Delphi technique

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e037418
Author(s):  
Ahmed Ehsanur Rahman ◽  
Goutom Banik ◽  
Shema Mhajabin ◽  
Tazeen Tahsina ◽  
Md. Jahurul Islam ◽  
...  
Keyword(s):  
Public Health ◽  
Health Facility ◽  
Delphi Technique ◽  
Scale Up ◽  
Health Facilities ◽  
Ethical Review ◽  
Service Availability ◽  
Expert Consultation ◽  
Signal Functions ◽  
Public Health Facilities

IntroductionThere is a set of globally accepted and nationally adapted signal functions for categorising health facilities for maternal services. Newborn resuscitation is the only newborn intervention which is included in the WHO recommended list of emergency obstetric care signal functions. This is not enough to comprehensively assess the readiness of a health facility for providing newborn services. In order to address the major causes of newborn death, the Government of Bangladesh has prioritised a set of newborn interventions for national scale-up, the majority of which are facility-based. Effective delivery of these interventions depends on a core set of functions (skills and services). However, there is no standardised and approved set of newborn signal functions (NSFs) based on which the service availability and readiness of a health facility can be assessed for providing newborn services. Thus, this study will be the first of its kind to identify such NSFs. These NSFs can categorise health facilities and assist policymakers and health managers to appropriately plan and adequately monitor the progress and performance of health facilities delivering newborn healthcare.Methods and analysisWe will adopt the Delphi technique of consensus building for identification of NSFs and 1–2 indicator for each function while employing expert consultation from relevant experts in Bangladesh. Based on the identified NSFs and signal function indicators, the existing health facility assessment (HFA) tools will be updated, and an HFA survey will be conducted to assess service availability and readiness of public health facilities in relation to the new NSFs. Descriptive statistics (proportion) with a 95% CI will be used to report the level of service availability and readiness of public facilities regarding NSFs.Ethics and disseminationEthical approval was obtained from Research Review and Ethical Review Committee of icddr, b (PR-17089). Results will be disseminated through meetings, seminars, conference presentations and international peer-review journal articles.

scholarly journals Safer primary healthcare facilities are needed to protect healthcare workers and maintain essential services: lessons learned from a multicountry COVID-19 emergency response initiative

2021 ◽  
Vol 6 (6) ◽  
pp. e005833
Author(s):  
Leena N Patel ◽  
Samantha Kozikott ◽  
Rodrigue Ilboudo ◽  
Moreen Kamateeka ◽  
Mohammed Lamorde ◽  
...  
Keyword(s):  
Health Facility ◽  
Healthcare Workers ◽  
National Level ◽  
Lessons Learned ◽  
Health Facilities ◽  
Infection Prevention And Control ◽  
Health Facility Level ◽  
Ensure Patient Safety ◽  
Increased Risk ◽  
Facility Level

Healthcare workers (HCWs) are at increased risk of infection from SARS-CoV-2 and other disease pathogens, which take a disproportionate toll on HCWs, with substantial cost to health systems. Improved infection prevention and control (IPC) programmes can protect HCWs, especially in resource-limited settings where the health workforce is scarcest, and ensure patient safety and continuity of essential health services. In response to the COVID-19 pandemic, we collaborated with ministries of health and development partners to implement an emergency initiative for HCWs at the primary health facility level in 22 African countries. Between April 2020 and January 2021, the initiative trained 42 058 front-line HCWs from 8444 health facilities, supported longitudinal supervision and monitoring visits guided by a standardised monitoring tool, and provided resources including personal protective equipment (PPE). We documented significant short-term improvements in IPC performance, but gaps remain. Suspected HCW infections peaked at 41.5% among HCWs screened at monitored facilities in July 2020 during the first wave of the pandemic in Africa. Disease-specific emergency responses are not the optimal approach. Comprehensive, sustainable IPC programmes are needed. IPC needs to be incorporated into all HCW training programmes and combined with supportive supervision and mentorship. Strengthened data systems on IPC are needed to guide improvements at the health facility level and to inform policy development at the national level, along with investments in infrastructure and sustainable supplies of PPE. Multimodal strategies to improve IPC are critical to make health facilities safer and to protect HCWs and the communities they serve.

scholarly journals Improving Tanzanian childbirth service quality

2018 ◽  
Vol 31 (3) ◽  
pp. 190-202 ◽  
Author(s):  
Jennie Jaribu ◽  
Suzanne Penfold ◽  
Cathy Green ◽  
Fatuma Manzi ◽  
Joanna Schellenberg
Keyword(s):  
Health Facility ◽  
Low Income ◽  
Healthcare Providers ◽  
Health Facilities ◽  
Rural District ◽  
Local Data ◽  
Content Type ◽  
Primary Health ◽  
Primary Health Facilities ◽  
Childbirth Care

Purpose The purpose of this paper is to describe a quality improvement (QI) intervention in primary health facilities providing childbirth care in rural Southern Tanzania. Design/methodology/approach A QI collaborative model involving district managers and health facility staff was piloted for 6 months in 4 health facilities in Mtwara Rural district and implemented for 18 months in 23 primary health facilities in Ruangwa district. The model brings together healthcare providers from different health facilities in interactive workshops by: applying QI methods to generate and test change ideas in their own facilities; using local data to monitor improvement and decision making; and health facility supervision visits by project and district mentors. The topics for improving childbirth were deliveries and partographs. Findings Median monthly deliveries increased in 4 months from 38 (IQR 37-40) to 65 (IQR 53-71) in Mtwara Rural district, and in 17 months in Ruangwa district from 110 (IQR 103-125) to 161 (IQR 148-174). In Ruangwa health facilities, the women for whom partographs were used to monitor labour progress increased from 10 to 57 per cent in 17 months. Research limitations/implications The time for QI innovation, testing and implementation phases was limited, and the study only looked at trends. The outcomes were limited to process rather than health outcome measures. Originality/value Healthcare providers became confident in the QI method through engagement, generating and testing their own change ideas, and observing improvements. The findings suggest that implementing a QI initiative is feasible in rural, low-income settings.

scholarly journals Changes in Pneumonia Incidence and Infant Mortality 5 Years Following Introduction of the 13-valent Pneumococcal Conjugate Vaccine in a “3+0” Schedule in Nicaragua

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S67-S68
Author(s):  
Sylvia Becker-Dreps ◽  
Bryan Blette ◽  
Rafaela Briceno ◽  
Jorge Aleman ◽  
Michael G Hudgens ◽  
...  
Keyword(s):  
Public Health ◽  
Infant Mortality ◽  
Bacterial Meningitis ◽  
Health Facility ◽  
Conjugate Vaccine ◽  
Pneumococcal Conjugate Vaccine ◽  
Public Health Intervention ◽  
Vital Statistics ◽  
Health Facilities ◽  
One Year

Abstract Background Streptococcus pneumoniae causes an estimated 826,000 deaths of children in the world each year and many health facility visits. To reduce the burden of pneumococcal disease, many nations have added pneumococcal conjugate vaccines to their national immunization schedules. Nicaragua was the first country eligible for funding from the GAVI Alliance to introduce the 13-valent pneumococcal conjugate vaccine (PCV13), provided to infants at 2, 4, and 6 months of age. The goal of this study was to evaluate the population impact of the first five years of the program. Methods Numbers of visits for pneumonia, pneumonia-related deaths, bacterial meningitis, and infant deaths between 2008 and 2015 were collected from all 107 public health facilities in León Department. Vital statistics data provided additional counts of pneumonia-related deaths that occurred outside health facilities. Adjusted incidence rates and incidence rate ratios (IRRa) in the vaccine (2011–2015) and pre-vaccine periods (2008–2010) were estimated using official population estimates as exposure time. Results The IRRa for pneumonia hospitalizations was 0.70 (95% confidence interval [CI]: 0.66, 0.75) for infants, and 0.92 (95% CI: 0.85, 0.99) for one year olds. The IRRa for post-neonatal infant mortality was 0.56 (95% CI: 0.41, 0.77). In the population as a whole, ambulatory visits and hospitalizations for pneumonia, as well as pneumonia-related mortality and rates of bacterial meningitis were lower in the vaccine period. Conclusion Five years following program introduction, reductions were observed in health facility visits for pneumonia in immunized age groups and infant mortality, which would be hard to achieve with any other single public health intervention. Future study is warranted to understand whether the lack of a booster dose (e.g.,, at 12 months) may be responsible for the small reductions in pneumonia hospitalizations observed in one year-olds as compared with infants. Disclosures S. Becker-Dreps, Pfizer: Consultant and Grant Investigator, Consulting fee and Research grant; D. J. Weber, Pfizer: Consultant and Speaker’s Bureau, Consulting fee and Speaker honorarium

scholarly journals Evaluation of Infection, Prevention and Control Program in Goromonzi District, Zimbabwe, 2018: A process outcome evaluation

2019 ◽  
Author(s):  
Govha Emmanuel ◽  
Zizhou Simukai Tirivanhu ◽  
Shambira Gerald ◽  
Gombe Tafara Notion ◽  
Tsitsi Juru ◽  
...  
Keyword(s):  
Health Facility ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Health Workers ◽  
Outcome Evaluation ◽  
Hazard Identification ◽  
Health Facilities ◽  
Infection Prevention And Control ◽  
Hiv Test ◽  
And Control

Abstract Background A healthcare-associated infection (HAI) is defined as an infection originating in the environment of a health facility that was not present or incubating at the time of patient admission. HAIs can be prevented through infection, prevention and control (IPC) measures. No hazard identification and risk assessment IPC rounds and monthly meetings were conducted in Goromonzi district since 1st of January to 30th of June 2018. No trainings nor orientation for the new employees was conducted. We therefore evaluated Goromonzi District IPC program. Methods A process-outcome evaluation using the logic model was conducted in Goromonzi district’s 15 health facilities. Checklists, interviewer administered questionnaires and key informant guides were used to collect data on availability of inputs, knowledge of health workers, processes performed, outputs and outcomes achieved. Data were entered into Epi Info 7TM, which was used to generate frequencies and proportions. Qualitative data from checklists and key informants interviews was sorted manually into themes and analysed. Results All 15 health facilities had adequate stocks of HIV test kits and PEP kits. Adequate bins and detergents were found in only 3/15 (20%) of health facilities. All facilities failed to hold a single IPC meeting and none had specific budget for IPC in 2018. No IPC mentorship activities were carried out in the district. Only 7/13 (54%) health workers who had needle pricks received PEP with 2/7 (29%) of them finishing the course. No health facility had a functional HAI surveillance system. The overall knowledge rating was fair. Conclusion The IPC program inputs in Goromonzi district were inadequate hence its failure to achieve the intended outputs and outcomes. Inadequate knowledge, unavailability of health worker training plans, specific budgets and absence of IPC committees reflected non prioritisation of the program.

scholarly journals Development of a Master Health Facility List in Nigeria

2014 ◽  
Vol 6 (2) ◽  
Author(s):  
Olusesan Ayodeji Makinde ◽  
Aderemi Azeez ◽  
Samson Bamidele ◽  
Akin Oyemakinde ◽  
Kolawole A Oyediran ◽  
...  
Keyword(s):  
Health Information ◽  
Health Facility ◽  
Health Information Systems ◽  
Facility Management ◽  
Health Facilities ◽  
Unique Identifier ◽  
Explicit Processes ◽  
National Health Information Infrastructure ◽  
Multi Level ◽  
State Code

Introduction: Routine Health Information Systems (RHIS) are increasingly transitioning to electronic platforms in several developing countries. Establishment of a Master Facility List (MFL) to standardize the allocation of unique identifiers for health facilities can overcome identification issues and support health facility management. The Nigerian Federal Ministry of Health (FMOH) recently developed a MFL, and we present the process and outcome.Methods: The MFL was developed from the ground up, and includes a state code, a local government area (LGA) code, health facility ownership (public or private), the level of care, and an exclusive LGA level health facility serial number, as part of the unique identifier system in Nigeria. To develop the MFL, the LGAs sent the list of all health facilities in their jurisdiction to the state, which in turn collated for all LGAs under them before sending to the FMOH. At the FMOH, a group of RHIS experts verified the list and identifiers for each state.Results: The national MFL consists of 34,423 health facilities uniquely identified. The list has been published and is available for worldwide access; it is currently used for planning and management of health services in Nigeria.Discussion: Unique identifiers are a basic component of any information system. However, poor planning and execution of implementing this key standard can diminish the success of the RHIS.Conclusion: Development and adherence to standards is the hallmark for a national health information infrastructure. Explicit processes and multi-level stakeholder engagement is necessary to ensuring the success of the effort. 

scholarly journals SISTEM INFORMASI GEOGRAFIS FASILITAS KESEHATAN BPJS DI KOTA PALANGKA RAYA BERBASIS ANDROID

2020 ◽  
Vol 14 (1) ◽  
pp. 30-39
Author(s):  
Licantik Licantik ◽  
Nova Noor Kamala Sari
Keyword(s):  
Health Facility ◽  
Program Implementation ◽  
System Development ◽  
Emergency Situation ◽  
Health Facilities ◽  
The Public ◽  
Facility Locations ◽  
Human Needs ◽  
Waterfall Model ◽  
Analysis System

Today the development of technology has been increasing rapidly as well as the use of android smartphones in the field of information systems. It is familiar among the public because it can help in getting the information in a fast and accurate way particularly in an emergency situation. Human needs for information, one of them is information of health facilities in collaboration with Badan Penyelenggara Jaminan Sosial (BPJS) or Agency of Social Security. The purpose of this study is to produce an Android-based application that can facilitate the public in getting information of health facilities in collaboration with BPJS in Palangkaraya. The method applied in the system development in this study is the Waterfall model which consists of five stages, namely, need analysis, system of design, program code writing, program testing, and program implementation. In addition, in creating process,  the program uses Android studio software with java programming language and XAMPP connection database, up to UML (Unifield Modeling Language) to depict the system to be made. From this study, the test result shows that the functionality of the BPJS health facility Geographic Information System (GIS) in Palangkaraya City is going well and is in accordance with its function. This android-based application system can display online maps of BPJS health facility locations as well as detailed information from BPJS health facilities in Palangkaraya

scholarly journals PEMAHAMAN TENTANG HAK DAN KEWAJIBAN PESERTA BPJS KESEHATAN DI PUSKESMAS GANDING SUMENEP

2019 ◽  
Vol 4 (2) ◽  
pp. 25-27
Author(s):  
Moh. Jonaidy Prasetiawan ◽  
Dr. Eko Mulyadi ◽  
Sugesti Aliftitah
Keyword(s):  
Health Services ◽  
Health Facility ◽  
Consumer Protection ◽  
Emergency Services ◽  
Health Facilities ◽  
Research Report ◽  
Descriptive Research ◽  
To Come

The large number of BPJS Kesehatan participants who do not understand the rights and responsibilities of BPJS Kesehatan participants, make medical workers in health facilities often conflict with patients and families of patients. This research was conducted to describe the understanding about the rights and obligations of BPJS Kesehatan participants. The method in this research is qulitative descriptive research, this research is intended to investigate the condition, condition or other matters, which result presented in the form of research report. Lack of understanding of BPJS Kesehatan participants due to the absence of clear, correct, detailed and detail information regarding regulations, financing, rights and obligations, sanctions if late dues, health facility destinations, tiered referral, emergency services, how to submit complaints, or concerning health services anything that can and can not be obtained. BPJS Kesehatan socializes passively, which is only doing socialization if invited to come by interested parties. According to Law No. 08 of 1999 on Consumer Protection, BPJS Kesehatan as a business actor is obliged to provide information and socialization that is clear, true and honest about the product of goods or and services to be provided, should not cause the interpretation, must be clear, detailed, and detail. Keyword: Rights, Responsibilities, Socialization, BPJS Kesehatan.

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