scholarly journals Patient and provider perspectives on how trust influences maternal vaccine acceptance among pregnant women in Kenya

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Stacy W. Nganga ◽  
Nancy A. Otieno ◽  
Maxwell Adero ◽  
Dominic Ouma ◽  
Sandra S. Chaves ◽  
...  
Keyword(s):  
Health Education ◽  
Pregnant Women ◽  
Critical Role ◽  
Vaccine Uptake ◽  
Care Providers ◽  
Patient Trust ◽  
Provider Attitudes ◽  
Vaccine Acceptance ◽  
Provider Perspectives ◽  
Patient Health

Abstract Background Pregnant women and newborns are at high risk for infectious diseases. Altered immunity status during pregnancy and challenges fully vaccinating newborns contribute to this medical reality. Maternal immunization is a strategy to protect pregnant women and their newborns. This study aimed to find out how patient-provider relationships affect maternal vaccine uptake, particularly in the context of a lower middle- income country where limited research in this area exists. Methods We conducted semi-structured, in-depth narrative interviews of both providers and pregnant women from four sites in Kenya: Siaya, Nairobi, Mombasa, and Marsabit. Interviews were conducted in either English or one of the local regional languages. Results We found that patient trust in health care providers (HCPs) is integral to vaccine acceptance among pregnant women in Kenya. The HCP-patient relationship is a fiduciary one, whereby the patients’ trusts is primarily rooted in the provider’s social position as a person who is highly educated in matters of health. Furthermore, patient health education and provider attitudes are crucial for reinstating and fostering that trust, especially in cases where trust was impeded by rumors, community myths and misperceptions, and religious and cultural factors. Conclusion Patient trust in providers is a strong facilitator contributing to vaccine acceptance among pregnant women in Kenya. To maintain and increase immunization trust, providers have a critical role in cultivating a positive environment that allows for favorable interactions and patient health education. This includes educating providers on maternal immunizations and enhancing knowledge of effective risk communication tactics in clinical encounters.

scholarly journals Patient and Health Care Provider Perspectives on Long Acting Injectable Antipsychotics in Schizophrenia and the Introduction of Olanzapine Long-Acting Injection

2011 ◽  
Vol 3 ◽  
pp. JCNSD.S4091 ◽  
Author(s):  
Heidi J. Wehring ◽  
Sheryl Thedford ◽  
Maju Koola ◽  
Deanna L. Kelly
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Health Care Providers ◽  
Care Provider ◽  
Treatment Options ◽  
Care Providers ◽  
Provider Attitudes ◽  
Provider Perspectives ◽  
Long Acting ◽  
Acting Agent

Olanzapine long acting injection has joined risperidone and paliperidone as the second generation long acting antipsychotic injection options for treatment of patients with schizophrenia. Long acting injections are important alternatives to oral medications for patients who have difficulty adhering to daily or multiple daily medication administrations, yet may be underutilized or not well understood. Patient perceptions, adherence, and preferences are important issues for health care providers to address when discussing treatment options with their patients. Reviewed here are overall patient and health care provider attitudes and perceptions regarding long acting injections and the details of olanzapine long acting injectable, the newest agent, and how it will fit in the marketplace. In addition, efficacy, safety, dosing and use data regarding this newest long acting agent are reviewed and compared to other available long acting agents.

scholarly journals Gambaran Status Gizi Balita Berdasarkan Tingkat Pendidikan dan Pengetahuan Ibu tentang Gizi di Posyandu 1 Dusun Kajeksan Desa Kajeksan Kecamatan Tulangan

2018 ◽  
Vol 2 (1) ◽  
pp. 36-40
Author(s):  
Fitriana Ikhtiarinawati Fajrin
Keyword(s):  
Blood Pressure ◽  
Pregnant Women ◽  
High Blood Pressure ◽  
Health Care Providers ◽  
Gestational Hypertension ◽  
Descriptive Analysis ◽  
Care Providers ◽  
Unhealthy Lifestyle ◽  
Pregnancy Hypertension ◽  
Patient Health

ABSTRAKKehamilan adalah masa dimulai dari hasil konsepsi sampai lahirnya janin dengan lama kehamilan 280 hari (40 minggu atau 9 bulan 7 hari) dihitung dari hari pertama haid terakhir. Hipertensi pada kehamilan adalah hipertensi yang timbul sebelum usia kehamilan 20 minggu tanpa disertai proteinuria. Hipertensi merupakan komplikasi yang disebabkan oleh kondisi lingkungan seperti faktor keturunan, emosi dan pola hidup yang tidak seimbang. Metode yang digunakan dalam penyusunan laporan penelitian ini adalah deskriptif yaitu metode yang dilakukandengan tujuan memberi gambaran tentang suatu keadaan secara obyektif dengan menggunakan studi kasus yaitu perbandingan antara teori dan kasus nyata. Berdasarkan data yang di peroleh dari Dinas Kesehatan Jawa Timur bulan Januari – Juni Tahun 2015 di dapatkan ibu hamil dengan hipertensi 11.056 orang, data dari Dinas Kesehatan Kabupaten Lamongan sebanyak 143 orang. Data yang diperoleh dari register kunjungan pemeriksaan Antenatal Care (ANC) di PuskesmasSukodadi bulan Januari – Juli Tahun 2015 terdapat 389 orang ibu hamil, di dapatkan 6 orang (1,5%) dengan hipertensi. di BPS Luluk Pusparini, AMd. Keb, didapatkan 2 orang (7,7%) dengan kehamilan hipertensi.Berdasarkan dari hasil pengkajian maka dapat ditegakkan diagnosa yaitu Asuhan Kebidanan pada Ny. “S” Trimester II dengan hipertensi gestasional. Dan dari hasil penelitian ini tidak terdapat kesenjangan antara tinjauan teori dan tinjauan kasus. Diharapkan bagi petugas kesehatan hendaknya dapat mengenali tanda dan gejala hipertensi sehingga dapat melakukan penatalaksanaan dengan baik dan sesuai standart kompetensi.Kata Kunci : Kehamilan, Hipertensi, GestasionalABSTRACTPregnancy is a period started from the conception to the birth in 280 days (40 weeks or 9 months and 7 days) counted from the first day of the last women’s period. Hypertention is a complication caused by many factors like genetics, emotional condition, and unhealthy lifestyle. Hypertension in pregnancy usually occure before 20 weeks of gestational age without any proteinuria. The prevalence of gestational hypertension is quite high in East Java and Kabupaten Lamongan. According to Dinas Kesehatan Jawa Timur, there were 11.056 pregnant women in East Java with hypertension in January-June 2015 while according to Dinas Kesehatan Kabupaten Lamongan, there were 143 case of gestational hypertension in Lamongan. In addition, at a primary care Puskesmas Sukodadi Lamongan, there were 6 of 389 women (1,5%) observed with gestational hypertension and at a midwifery practise, 2 pregnant women (7,7%) were reported had a high blood pressure. The recent studywas a case study of a pregnant woman with high blood pressure using descriptive analysis method.The results showed that there was no discrepancy between theorethical and practical midwifery care for the patient. Health care providers should be able to recognize the symtomps of gestational hypertention so that it could be treatproperly.Keywords : Pregnancy, Hypertension, Gestational.

scholarly journals “That Pain Is Genuine to Them”: Provider Perspectives on Chronic Pain in University Student Populations

2017 ◽  
Author(s):  
Alexandra Nowakowski ◽  
Kaitlyn Barningham ◽  
Charlyn Buford ◽  
Martin Laguerre ◽  
J. Sumerau
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Pain Management ◽  
Health Care Providers ◽  
Clinical Care ◽  
University Student ◽  
Care Providers ◽  
Provider Attitudes ◽  
Provider Perspectives ◽  
Pain Prevalence

We explored provider attitudes about and experiences in chronic pain management for university student populations. Our central question was: “What do providers at a large university campus health care center experience in the process of offering pain management services?” We explored instrumental, behavioral, emotional, and attitudinal dimensions of our participants’ experiences using a qualitative case study approach. Data were gathered through semi-structured interviews with 10 health care providers at the student health center for a large research university in Florida. Interviews captured providers’ background and experiences in providing pain management to student patients with diverse needs. We used grounded theory techniques for data analysis (i.e., collaborative content analysis with open coding). Data reflect differences in perceptions of chronic pain prevalence and palliation best practices. We identified five themes: different perceptions of chronic pain prevalence, awareness of painful conditions, palliation as a contested process, importance of communication, and multidimensional perspectives. Responses varied by training, specialization, experience, and sociodemographics. Our findings mirror the broader literature on pain management. We outline priorities for further research in university health care settings, and suggest participatory strategies for translating associated findings into targeted plans for clinical care improvement.

scholarly journals Health care providers’ attitudes toward and experiences delivering oral PrEP to adolescent girls and young women in Kenya, South Africa, and Zimbabwe

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Michele Lanham ◽  
Kathleen Ridgeway ◽  
Maryline Mireku ◽  
Definate Nhamo ◽  
Diantha Pillay ◽  
...  
Keyword(s):  
South Africa ◽  
Adolescent Girls ◽  
Health Care Providers ◽  
Young Women ◽  
Critical Role ◽  
Primary Concern ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Provider Attitudes ◽  
Oral Prep

Abstract Background In Kenya, South Africa, and Zimbabwe, oral pre-exposure prophylaxis (PrEP) is recommended for adolescent girls and young women (AGYW) at high risk of HIV. Health providers play a critical role in the uptake and effective use of sexual and reproductive health services; however, few published studies have explored providers’ attitudes toward and experiences delivering PrEP to AGYW. Methods We conducted a cross-sectional qualitative study, interviewing 113 providers at 36 public, private, and nongovernmental health facilities in Kenya, South Africa, and Zimbabwe that were offering PrEP during the research period or were likely to offer PrEP in the future. Data were coded in NVivo 11, and an applied thematic analysis was conducted. Results Most providers preferred that adolescent girls wait until age 18 to have sex but acknowledged that many girls younger than 18 could benefit from oral PrEP. Their primary concern was whether adolescent girls would be able to take PrEP daily, especially if they do not tell their parents or partners they are using it. Providers reported that it was more challenging to deliver PrEP and other HIV services to girls younger than 18. Those with experience providing PrEP pointed to stigma and lack of PrEP awareness in communities as two primary barriers to PrEP uptake and use. Conclusions Providers were generally accepting of oral PrEP as an HIV prevention option for AGYW; however, many had negative attitudes about adolescent girls being sexually active and concerns about whether they could take PrEP daily. Results were used to update national PrEP training materials to address negative provider attitudes about PrEP use by AGYW.

scholarly journals Health Care Providers’ Attitudes Toward and Experiences Delivering Oral PrEP to Adolescent Girls and Young Women in Kenya, South Africa, and Zimbabwe

2021 ◽  
Author(s):  
Michele Lanham ◽  
Kathleen Ridgeway ◽  
Maryline Mireku ◽  
Definate Nhamo ◽  
Diantha Pillay ◽  
...  
Keyword(s):  
South Africa ◽  
Adolescent Girls ◽  
Health Care Providers ◽  
Young Women ◽  
Critical Role ◽  
Primary Concern ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Provider Attitudes ◽  
Oral Prep

Abstract Background: In Kenya, South Africa and Zimbabwe, oral pre-exposure prophylaxis (PrEP) is recommended for adolescent girls and young women (AGYW) at high risk of HIV. Health providers play a critical role in the uptake and effective use of sexual and reproductive health services; however, few published studies have explored providers’ attitudes toward and experiences delivering PrEP to AGYW.Methods: We conducted a cross-sectional qualitative study, interviewing 113 providers at 36 public, private, and nongovernmental health facilities in Kenya, South Africa, and Zimbabwe that were offering PrEP during the research period or were likely to offer PrEP in the future. Data were coded in NVivo 11, and an applied thematic analysis was conducted.Results: Most providers preferred that adolescent girls wait until age 18 to have sex but acknowledged that many girls younger than 18 could benefit from oral PrEP. Their primary concern was whether adolescent girls would be able to take PrEP daily, especially if they do not tell their parents or partners they are using it. Providers reported that it was more challenging to deliver PrEP and other HIV services to girls younger than 18. Those with experience providing PrEP pointed to stigma and lack of PrEP awareness in communities as two primary barriers to PrEP uptake and use.Conclusions: Providers were generally accepting of oral PrEP as an HIV prevention option for AGYW; however, many had negative attitudes about adolescent girls being sexually active and concerns about whether they could take PrEP daily. Results were used to update national PrEP training materials to address negative provider attitudes about PrEP use by AGYW.

Exploring Provider Reactions to Decision Aid Distribution and Shared Decision Making

2016 ◽  
Vol 37 (1) ◽  
pp. 113-126 ◽  
Author(s):  
Clarissa Hsu ◽  
David T. Liss ◽  
Dominick L. Frosch ◽  
Emily O. Westbrook ◽  
David Arterburn
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Health Care Providers ◽  
Decision Aid ◽  
Qualitative Interviews ◽  
Accurate Information ◽  
Shared Decision ◽  
Care Providers ◽  
Provider Attitudes ◽  
Provider Perspectives

Background. A critical component of shared decision making (SDM) is the role played by health care providers in distributing decision aids (DAs) and initiating SDM conversations. Existing literature indicates that decisions about designing and implementing DAs must take provider perspectives into account. However, little is known about how differences in provider attitudes across specialties may impact DA implementation and how provider attitudes may shift after DA implementation. Group Health’s Decision Aid Implementation project was carried out in six specialties using 12 video-based DAs for preference-sensitive conditions; this study focused on two of the six specialties. Design. In-depth, qualitative interviews with specialty care providers in two specialties—orthopedics and cardiology—at two time points during DA implementation. Data were analyzed using a thematic analysis approach. Results. We interviewed 19 care providers in orthopedics and cardiology. All respondents believed that providing patients with accurate information on their health conditions and treatment options was important and that most patients wanted an active role in decision making. However, respondents diverged in decision-making styles and views on the practicality and appropriateness of using the DAs and SDM. For example, cardiology specialists were ambivalent about DAs for coronary artery disease because many viewed DAs and SDM as unnecessary or inappropriate for this clinical condition. Provider attitudes towards DAs and SDM were generally stable over two years. Limitations. Limitations include a lack of patient perspectives, social desirability bias, and possible selection bias. Conclusions. Successfully implementing DAs in clinical practice to promote SDM requires addressing individual provider attitudes, beliefs, and knowledge of SDM by specialty. During DA development and implementation, providers should be asked for input about the specific conditions and care processes that are most appropriate for SDM.

scholarly journals Antenatal Care Users, Health Care Providers’ Perception and Experience on Antenatal Care Health Education: Qualitative Study at Five Public Health Centers, Addis Ababa, Ethiopia, 2020

2020 ◽  
Author(s):  
Fikirte Woldeselassie Woldeyohannes ◽  
LM Modiba
Keyword(s):  
Health Care ◽  
Health Education ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Health Centers ◽  
Birth Preparedness ◽  
Care Providers ◽  
Complication Readiness ◽  
Care Health

Abstract Background: Providing antenatal care health education is one of the elements that promote the health of women by preventing pregnancy-related issues and assisting pregnant women to apprehend delivery preparedness and complications readiness plan. However, healthcare providers offer underprovided and too little information to women. Moreover, assessment of health care provider’s health education interventions in antenatal care services has not yet been studied in Ethiopia. The aim of this study was to explore and describe perceptions and experiences of pregnant women and health care providers’ health education during antenatal care.Methods: A Qualitative phenomenological research design was used to explore the awareness and experience of pregnant women and health care providers of antenatal health education at deliberately selected health centers. Focused group discussions and key informant interviews were used to gather data using an interview guide from pregnant women and health care providers working at antenatal care from June 20-30, 2018 respectively.Results: The qualitative findings have shown that the provision of antenatal care health education is insufficient. Especially there is health care provider misunderstand birth preparedness and complication readiness health education. Factors such as time, work overload, and personal perceptions of health care professionals, women's duty at home, and a growing number of clients influence the delivery of antenatal care health education.Conclusions: In general antenatal care, health education provided by health professionals during antenatal care was inadequate and affected by various factors. Therefore, the researcher of this study recommends that policy makers and programmers to develop a strategy to strengthen health education in the antenatal care service that will contribute to health education is critical in the prevention of maternal mortality and morbidity related to pregnancy danger signs awareness problem.

scholarly journals Women's views on accepting COVID-19 vaccination during and after pregnancy, and for their babies: A multi-methods study in the UK.

2021 ◽  
Author(s):  
Helen Skirrow ◽  
Sara Barnett ◽  
Sadie L Bell ◽  
Lucia Riaposova ◽  
Sandra Mounier-Jack ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Ethnic Minority ◽  
Online Survey ◽  
Safety Information ◽  
Vaccine Uptake ◽  
Lower Income ◽  
Structured Interviews ◽  
Vaccine Acceptance ◽  
Targeted Interventions ◽  
Women’S Views

Background: COVID-19 vaccines are the cornerstone of the pandemic response and now advised for pregnant women in the United Kingdom (UK) however COVID-19 vaccine acceptance among pregnant women is unknown. Methods: An online survey and semi-structured interviews were used to investigate pregnant women's views on COVID-19 vaccine acceptability for themselves when pregnant, not pregnant and for their babies. 1,181 women, aged over 16 years, who had been pregnant since 23rd March 2020, were surveyed between 3rd August - 11th October 2020. Ten women were interviewed. Results: The majority of women surveyed (81.2%) reported that they would 'definitely' or were 'leaning towards' accepting a COVID-19 vaccine when not pregnant. COVID-19 vaccine acceptance was significantly lower during pregnancy (62.1%, p<0.005) and for their babies (69.9%, p<0.005). Ethnic minority women were twice as likely to reject a COVID-19 vaccine for themselves when not pregnant, pregnant and for their babies compared to women from White ethnic groups (p<0.005). Women from lower-income households, aged under 25-years, and from some geographic regions were more likely to reject a COVID-19 vaccine when not pregnant, pregnant and for their babies. Multivariate analysis revealed that income and ethnicity were the main drivers of the observed age and regional differences. Women unvaccinated against pertussis in pregnancy were over four times more likely to reject COVID-19 vaccines when not pregnant, pregnant and for their babies. Thematic analysis of the survey freetext responses and interviews found safety concerns about COVID-19 vaccines were common though wider mistrust in vaccines was also expressed. Trust in vaccines and the health system were also reasons women gave for accepting COVID-19 vaccines. Conclusion: Safety information on COVID-19 vaccines must be clearly communicated to pregnant women to provide reassurance and facilitate informed pregnancy vaccine decisions. Targeted interventions to promote COVID-19 vaccine uptake among ethnic minority and lower-income women may be needed.

scholarly journals Sharia (Islamic Law) Perspectives of COVID-19 Vaccines

2021 ◽  
Vol 2 ◽  
Author(s):  
Yan Mardian ◽  
Kathryn Shaw-Shaliba ◽  
Muhammad Karyana ◽  
Chuen-Yen Lau
Keyword(s):  
Islamic Law ◽  
Human Life ◽  
Critical Role ◽  
Vaccine Uptake ◽  
Vaccine Acceptance ◽  
Potential Harm ◽  
Social Challenges ◽  
Islamic Jurisprudence ◽  
Muslim Majority ◽  
Animal Component

The Coronavirus disease 2019 (COVID-19) pandemic has caused health, economic, and social challenges globally. Under these circumstances, effective vaccines play a critical role in saving lives, improving population health, and facilitating economic recovery. In Muslim-majority countries, Islamic jurisprudence, which places great importance on sanctity and safety of human life and protection of livelihoods, may influence vaccine uptake. Efforts to protect humans, such as vaccines, are highly encouraged in Islam. However, concerns about vaccine products’ Halal (permissible to consume by Islamic law) status and potential harm can inhibit acceptance. Fatwa councils agree that vaccines are necessary in the context of our current pandemic; receiving a COVID-19 vaccination is actually a form of compliance with Sharia law. Broader use of animal component free reagents during manufacturing may further increase acceptance among Muslims. We herein explain the interplay between Sharia (Islamic law) and scientific considerations in addressing the challenge of COVID-19 vaccine acceptance, particularly in Muslim populations.

Reproduction and Language

2018 ◽  
Author(s):  
Sallie Han
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Social Study ◽  
Linguistic Anthropology ◽  
Human Reproduction ◽  
Care Providers ◽  
Medical Health Care ◽  
Medical Health

The aim of this chapter is to demonstrate the importance and necessity of bringing together the considerations of language and reproduction. While other topics of sexuality have aroused interest in sociolinguistics and linguistic anthropology, the ideas, practices, and experiences of human reproduction, notably pregnancy, remain understudied. At the same time, a discussion of language has been largely absent from the anthropology of reproduction, which has emerged in the last twenty years as an especially vibrant area of cultural and social study. The chapter examines the metaphors and discourses or the “talk about” reproduction; the interactions and “talk between” people, like pregnant women and medical health care providers, which shapes the ordinary experiences of reproduction; the “talk to” parties (specifically, fetuses and imagined children) who themselves become constituted through talk; and reproduction as literacy event or one that is mediated and experienced in relation to texts. It is asserted that language is a practice of reproduction.

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