scholarly journals Factors influencing reproductive choices of HIV positive individuals attending primary health care facilities in a South African health district

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Samuel Agbo ◽  
Laetitia C. Rispel
Keyword(s):  
Health Care ◽  
South African ◽  
Health Care Facilities ◽  
Hiv Positive ◽  
Factors Influencing ◽  
Primary Health ◽  
African Health ◽  
Care Facilities ◽  
Primary Health Care Facilities ◽  
South African Health

scholarly journals Burnout among rural hospital doctors in the Western Cape: Comparison with previous South African studies

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Andrew R. Liebenberg ◽  
Johan F. Coetzee ◽  
Hofmeyr H. Conradie ◽  
Johan F. Coetzee
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
South African ◽  
Health Care Facilities ◽  
Western Cape ◽  
District Health ◽  
District Health System ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Background: Burnout among doctors negatively affects health systems and, ultimately,patient care.Aim: To determine the prevalence of burnout among doctors working in the district health system in the Overberg and Cape Winelands districts of the Western Cape Province and to compare the findings with those of previous South African studies.Setting: Rural district hospitals.Methods: During 2013, a validated questionnaire (Maslach Burnout Inventory) was sent to 42 doctors working in the district health system within the referral area of the Worcester Hospital, consisting of the Overberg health district and the eastern half of the Cape Winelands.Results: Response rate was 85.7%. Clinically significant burnout was found among 81% of respondents. High levels of burnout on all three subscales were present in 31% of participants.Burnout rates were similar to those of a previous study conducted among doctors working in the Cape Town Metropolitan Municipality primary health care facilities. Scores for emotional exhaustion (EE) and depersonalisation (DP) were greater than those of a national survey;however, the score for personal accomplishment (PA) was greater. EE and PA scores weresimilar to that of a study of junior doctors working in the Red Cross Children’s Hospital;however, EE was smaller.Conclusion: This study demonstrates high burnout rates among doctors working at district level hospitals, similar to the prevalence thereof in the Cape Town Metropolitan primary health care facilities. Health services planning should include strategies to address and prevent burnout of which adequate staffing and improved work environment are of prime importance.

scholarly journals Potential benefits and harms of the use of UV radiation in transmission of tuberculosis in South African health facilities

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Marang Tebogo Mamahlodi
Keyword(s):  
Health Care ◽  
Ultraviolet Radiation ◽  
South African ◽  
Environmental Control ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Reasonable Doubt ◽  
African Health ◽  
Care Facilities ◽  
South African Health

The incidence and prevalence of transmitted Mycobacterium tuberculosis have risen very rapidly in modern society. Environmental control measure such as ultraviolet radiation has been introduced in various health care facilities. This preventative measure has been extensively explored in the medical, legislative and public forums. However, the guidelines and manufacturer’s claims have created controversies, in terms of prevention of cross-transmission of M. tuberculosis in health care facilities. In this article, the authors reviewed the overall benefits and harms associated with the use of ultraviolet radiation in the prevention of M. tuberculosis transmission. The author concluded that there are still existing gaps in proving beyond any reasonable doubt that ultraviolet radiations absolutely prevent the spread of M. tuberculosis in South African health facilities.

scholarly journals A retrospective audit of antibiotic prescriptions in primary health-care facilities in Eastern Region, Ghana

2015 ◽  
Vol 31 (2) ◽  
pp. 250-258 ◽  
Author(s):  
Mary-Anne Ahiabu ◽  
Britt P Tersbøl ◽  
Richard Biritwum ◽  
Ib C Bygbjerg ◽  
Pascal Magnussen
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Facilities ◽  
Eastern Region ◽  
Primary Health ◽  
Retrospective Audit ◽  
Care Facilities ◽  
Primary Health Care Facilities

scholarly journals A National Accessibility Audit of Primary Health Care Facilities in Brazil—Are People with Disabilities Being Denied Their Right to Health?

2021 ◽  
Vol 18 (6) ◽  
pp. 2953
Author(s):  
Alexandro Pinto ◽  
Luciana Sepúlveda Köpcke ◽  
Renata David ◽  
Hannah Kuper
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
People With Disabilities ◽  
Health Care Facilities ◽  
Internal Space ◽  
Major Barrier ◽  
Healthcare Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Poor accessibility of healthcare facilities is a major barrier for people with disabilities when seeking care. Yet, accessibility is rarely routinely audited. This study reports findings from the first national assessment of the accessibility of primary health care facilities, undertaken in Brazil. A national accessibility audit was conducted by trained staff of all 38,812 primary healthcare facilities in Brazil in 2012, using a 22-item structured questionnaire. An overall accessibility score was created (22 items), and three sub-scales: external accessibility (eight items), internal accessibility (eight items), information accessibility (six items). The main finding is that the overall accessibility score of primary care facilities in Brazil was low (mean of 22, standard deviation (SD) of 0.21, on a 0–100 scale). Accessibility of different aspects of the healthcare facilities was also low, including external space (mean = 31.0, SD = 2.0), internal space (18.9, 1.9) and accessibility features for people with other visual or hearing impairments (6.3, SD = 1.0). Scores were consistently better in the least poor regions of Brazil and in facilities in larger municipality size (indicating more urban areas). In conclusion, large-scale accessibility audits are feasible to undertake. Poor accessibility means that people with disabilities will experience difficulties in accessing healthcare, and this is a violation of their rights according to international and Brazilian laws.

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