scholarly journals Early evaluation of the transition from an analog to an electronic surgical logbook system in Sierra Leone

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sophia Sung ◽  
Hilde Hørthe ◽  
Øyvind Veel Svendsen ◽  
Alex J. van Duinen ◽  
Øyvind Salvesen ◽  
...  
Keyword(s):  
Low Income ◽  
Early Stage ◽  
Income Country ◽  
Structured Interviews ◽  
User Friendliness ◽  
Documentation System ◽  
Hospital Records ◽  
Early Evaluation ◽  
Low Income Country

Abstract Background Surgical logbooks are a commonly used tool for quality assurance of surgical training. Electronic logbooks are increasingly applied in low-resource settings, but there is limited research on their quality. The aim of this study is to evaluate the quality of an app-based surgical e-logbook system shortly after its implementation in a low-income country and to identify potential areas of improvement for the system. Methods Entries in the e-logbook system were cross-checked with hospital records and categorized as matched or overreported. Moreover, the hospital records were checked for underreported procedures. Additionally, semi-structured interviews were conducted with users of the e-logbook system. Results A total of 278 e-logbook database entries and 379 procedures in the hospital records from 14 users were analyzed. Matches were found in the hospital records for 67.3% of the database entries. Moreover, 32.7% of the database entries were overreported and 50.7% of the procedures in the hospital records were underreported. A previous study of an analog surgical logbook system in the same setting estimated that 73.1% of the entries were matches or close matches. Interviews with 12 e-logbook users found overall satisfaction but also identified potential areas of improvement, including the need for more training in the use of the system, modifications to improve user-friendliness, and better access to the necessary technology. Conclusions A reliable documentation system is necessary to evaluate the quality of health workforce training. The early evaluation of a surgical e-logbook system in a low-income country showed that the collected data should be approached with caution. The quantitative analysis suggests that the e-logbook system needs to be improved in terms of accuracy. In interviews, users reported that digitalization of the logbook system was a much-needed innovation but also identified important areas of improvement. Recognition of these aspects at an early stage facilitates guidance and adjustment of further implementation and might improve the accuracy of the system.

Survival and Quality of Life of Patients After Rectal Cancer Surgery in a Low-Income Country: A Study in Cameroon, Sub-Saharan African Region

2021 ◽  
Author(s):  
Guy Aristide Bang ◽  
Eric Patrick Savom ◽  
Georges Bwelles ◽  
Julienne Yambassa Fayam ◽  
Yannick Mahamat Ekani Boukar ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rectal Cancer ◽  
Low Income ◽  
Cancer Surgery ◽  
Income Country ◽  
Rectal Cancer Surgery ◽  
African Region ◽  
Low Income Country ◽  
Sub Saharan

scholarly journals Quality of pediatric anesthesia: A cross-sectional study of a university hospital in a low-income country

PLoS ONE ◽  
2018 ◽  
Vol 13 (4) ◽  
pp. e0194622
Author(s):  
Oskar Andersson ◽  
Peter Radell ◽  
Victor Ringo ◽  
Moses Mulungu ◽  
Tim Baker
Keyword(s):  
Low Income ◽  
Pediatric Anesthesia ◽  
Cross Sectional Study ◽  
Income Country ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Low Income Country

scholarly journals Survival and Quality of Life of Patients after Rectal Cancer Surgery in a Low-Income Country: A Study in Cameroon, Sub-Saharan African Region

2021 ◽  
Vol 12 (08) ◽  
pp. 261-273
Author(s):  
Guy Aristide Bang ◽  
Eric Patrick Savom ◽  
Georges Bwelle Moto ◽  
Julienne Yambassa Fayam ◽  
Yannick Mahamat Ekani Boukar ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rectal Cancer ◽  
Low Income ◽  
Cancer Surgery ◽  
Income Country ◽  
Rectal Cancer Surgery ◽  
African Region ◽  
Low Income Country ◽  
Sub Saharan

Sedentary Behavior and Quality of Life in People with Psychotic Disorders from a Low Income Country: A Study from Uganda

2018 ◽  
Vol 55 (4) ◽  
pp. 714-720
Author(s):  
Davy Vancampfort ◽  
Michel Probst ◽  
Simon Rosenbaum ◽  
Philip B. Ward ◽  
Tine Van Damme ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sedentary Behavior ◽  
Low Income ◽  
Psychotic Disorders ◽  
Income Country ◽  
Low Income Country

scholarly journals Dialysis Adequacy and Quality of Life in Diabetic and Non-diabetic Bangladeshi Patients on Maintenance Hemodialysis

2019 ◽  
Vol 9 (2) ◽  
pp. 138-146
Author(s):  
Shudhanshu Kumar Saha ◽  
Rafi Nazrul Islam ◽  
Muhammad Abdur Rahim ◽  
Tufayel Ahmed Chowdhury ◽  
Abdur Razzak ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Interaction ◽  
Kidney Disease ◽  
Low Income ◽  
Income Country ◽  
Diabetic Patients ◽  
Dialysis Session ◽  
Dialysis Adequacy ◽  
Low Income Country

Background: Quality of life (QOL) is one of the chief areas to be addressed when caring for people with end stage renal disease (ESRD). The continual excretory function of native kidneys are replaced in such patients by few hours of rapid urea clearance in a week. This study aimed to explore whether more weekly hemodialysis sessions and dialysis adequacy do actually improve parameters of QOL and if this is beneficial enough at the cost of taking additional dialysis sessions in a low income country like Bangladesh. Whether being diabetic influences QOL was also investigated. Methods: This cross-sectional study recruited 135 adults, who were on maintenance haemodialysis(MHD) for >3 months, from three dialysis centers in Dhaka from January to December, 2013. Patients with malignancy, dementia, and psychosis were excluded. Patients were interviewed once by the investigators to fill a validated Bangla version of the kidney disease quality of life short form questionnaire (KDQOL-SF-36 version 1.3) and calculate a QOL score. Results: Mean age, mean duration of chronic kidney disease (CKD) and MHD were 50±12 years, 4.9±5.1 years and 12±11.8 months respectively. Overall QOL score for the study sample was 50±17. Only 43(31.9%) patients received adequate hemodialysis (mean Kt/V=1.3) while the rest (with Kt/V<1.2) had achieved an average Kt/V of 0.8 (p<0.001). Duration of MHD, hemoglobin, serum albumin, and ferritin were not significantly different for those adequately dialysed, compared to the rest. Also no improvement in any QOL parameter was found in those with Kt/V>1.2 (adequate HD). However, when a comparison was made between those with 3 HD sessions/week (n=63, mean MHD duration 24±14 months) with patients receiving 2 HD sessions/week (n=72, mean MHD duration 8.4±11 months), the former group had lower “effect of kidney disease” scores (p=0.021), higher “quality of social interaction” scores (p=0.031) and lower “role emotion” scores (p=0.002). When diabetic patients (n=82, mean age 54±8 years, MHD duration 18.5±9.5 months) and non-diabetic subjects (n=53, aged 42±13 years, MHD duration of 25±16 months) were compared, “effects of kidney disease”, “cognitive function” and “quality of social interaction” scales were significantly higher in those having diabetes (with p<0.045, p<0.024 and p<0.022 respectively). Conclusion: Since achieving hemodialysis adequacy was not found to improve QOL scores, an additional dialysis session at extra cost every week may not be advisable for people of a low income country Birdem Med J 2019; 9(2): 138-146

scholarly journals Quality of anaesthesia for Caesarean sections: a cross-sectional study of a university hospital in a low-income country

2015 ◽  
Vol 20 (10) ◽  
pp. 1329-1336 ◽  
Author(s):  
Jesper Eriksson ◽  
Tim Baker ◽  
Henrik Jörnvall ◽  
Lars Irestedt ◽  
Moses Mulungu ◽  
...  
Keyword(s):  
Low Income ◽  
Cross Sectional Study ◽  
Income Country ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Low Income Country

scholarly journals Care-seeking and managing diabetes in rural Bangladesh: a mixed methods study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hannah Maria Jennings ◽  
Joanna Morrison ◽  
Kohenour Akter ◽  
Hassan Haghparast-Bidgoli ◽  
Carina King ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health Care Providers ◽  
Low Income ◽  
Diabetes Management ◽  
Local Health ◽  
Care Seeking ◽  
Care Providers ◽  
Structured Interviews ◽  
Rural Bangladesh

Abstract Background Type 2 diabetes mellitus poses a major health challenge worldwide and in low-income countries such as Bangladesh, however little is known about the care-seeking of people with diabetes. We sought to understand the factors that affect care-seeking and diabetes management in rural Bangladesh in order to make recommendations as to how care could be better delivered. Methods Survey data from a community-based random sample of 12,047 adults aged 30 years and above identified 292 individuals with a self-reported prior diagnosis of diabetes. Data on health seeking practices regarding testing, medical advice, medication and use of non-allopathic medicine were gathered from these 292 individuals. Qualitative semi-structured interviews and focus group discussions with people with diabetes and semi-structured interviews with health workers explored care-seeking behaviour, management of diabetes and perceptions on quality of care. We explore quality of care using the WHO model with the following domains: safe, effective, patient-centred, timely, equitable and efficient. Results People with diabetes who are aware of their diabetic status do seek care but access, particularly to specialist diabetes services, is hindered by costs, time, crowded conditions and distance. Locally available services, while more accessible, lack infrastructure and expertise. Women are less likely to be diagnosed with diabetes and attend specialist services. Furthermore costs of care and dissatisfaction with health care providers affect medication adherence. Conclusion People with diabetes often make a trade-off between seeking locally available accessible care and specialised care which is more difficult to access. It is vital that health services respond to the needs of patients by building the capacity of local health providers and consider practical ways of supporting diabetes care. Trial registration ISRCTN41083256. Registered on 30/03/2016.

scholarly journals Variations in sub-national road traffic fatality trends in a low-income country

2013 ◽  
Vol 3 (1) ◽  
pp. 25 ◽  
Author(s):  
JunaidA Bhatti ◽  
AjmalKhan Khoso ◽  
Hunniya Waseem ◽  
UzmaRahim Khan ◽  
JunaidA Razzak
Keyword(s):  
Low Income ◽  
Road Traffic ◽  
Income Country ◽  
Traffic Fatality ◽  
Low Income Country ◽  
National Road
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