The quality of free antenatal and delivery services in Northern Sierra Leone

Abstract Background There is an urgent need to improve quality of care to reduce avoidable mortality and morbidity from surgical diseases in low- and middle-income countries. Currently, there is a lack of knowledge about how evidence-based health system strengthening interventions can be implemented effectively to improve quality of care in these settings. To address this gap, we have developed a multifaceted quality improvement intervention to improve nursing documentation in a low-income country hospital setting. The aim of this pilot project is to test the intervention within the surgical department of a national referral hospital in Freetown, Sierra Leone. Methods This project was co-developed and co-designed by in-country stakeholders and UK-based researchers, after a multiple-methodology assessment of needs (qualitative, quantitative), guided by a participatory ‘Theory of Change’ process. It has a mixed-method, quasi-experimental evaluation design underpinned by implementation and improvement science theoretical approaches. It consists of three distinct phases—(1) pre-implementation(project set up and review of hospital relevant policies and forms), (2) intervention implementation (awareness drive, training package, audit and feedback), and (3) evaluation of (a) the feasibility of delivering the intervention and capturing implementation and process outcomes, (b) the impact of implementation strategies on the adoption, integration, and uptake of the intervention using implementation outcomes, (c) the intervention’s effectiveness For improving nursing in this pilot setting. Discussion We seek to test whether it is possible to deliver and assess a set of theory-driven interventions to improve the quality of nursing documentation using quality improvement and implementation science methods and frameworks in a single facility in Sierra Leone. The results of this study will inform the design of a large-scale effectiveness-implementation study for improving nursing documentation practices for patients throughout hospitals in Sierra Leone. Trial registration Protocol version number 6, date: 24.12.2020, recruitment is planned to begin: January 2021, recruitment will be completed: December 2021.

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CUSTOMERS’ PREFERENCE FOR E – BANKING SERVICES: A CASE STUDY OF SELECTED BANKS IN SIERRA LEONE

Australian Journal of Business and Management Research ◽

10.52283/nswrca.ajbmr.20110104a12 ◽

2011 ◽

Vol 01 (04) ◽

pp. 108-116

Author(s):

R. A. GBADEYAN ◽

O. O. AKINYOSOYE GBONDA

Keyword(s):

Sierra Leone ◽

Software Verification ◽

Banking Industry ◽

Online Banking ◽

Chi Square ◽

Frequent Change ◽

Banking Services ◽

Chi Square Analysis ◽

Almost All

The development and the increasing progress that is being experienced in the Information and Communication Technology have brought about a lot of changes in almost all facets of life. In the Banking Industry, it has been in the form of online banking, which is now replacing the traditional banking practice. Online banking has a lot of benefits which add value to customers’ satisfaction in terms of better quality of service offerings and at the same time enable the banks gain more competitive advantage over other competitors. There are some associated risks identified in the study that seem to hinder the success of e-banking services and thus constitute major concern to both financial institutions and customers. This paper therefore, examines, if customers’ choice of banks is influenced by the quality of e–banking services provided. Stratified sampling was used; while the survey Instrument was a developed Questionnaire comprising open ended and Likert type of questions. The Likert type questions have a 4 point scale (indicating 1 = very comfortable and 4 = uncomfortable) divided into two (2) sections: personal details and customers’ e-banking preference in Sierra Leone. The instrument contained 36 items and was administered to about 400 respondents, while 360 completed and returned their Questionnaire. The statistical techniques used for the analysis were the Chi–Square and correlation. The Chi–Square analysis revealed that the quality of e–banking services offered by banks have significant influence on their customers at 95%, 3 degree of freedom. The paper recommends that various measures should be put in place to ensure more security such as installation of encrypted software, verification system of customer’s identification cards, frequent change of password, examining test questions and using mixed password such as the use of alphanumeric amongst others. The paper concludes that e –banking has become important phenomenon in the banking industry and it will continue as more progress and innovations are made in information technology.

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Bishop Stephen Neill, the IMC and the State of African Theological Education in 1950

Studies in World Christianity ◽

10.3366/swc.2012.0005 ◽

2012 ◽

Vol 18 (1) ◽

pp. 41-62

Author(s):

Dyron Daughrity

Keyword(s):

Sierra Leone ◽

Theological Education ◽

The State ◽

Gold Coast ◽

World Council Of Churches ◽

Tropical Africa ◽

Travel Diary ◽

World Council ◽

International Missionary Council

From April to July of 1950, Bishop Stephen Neill (1900–84) took a sweeping tour of East and West Africa to assess the state of African theological education. He visited Egypt, Sudan and the six British territories in tropical Africa: Tanganyika, Kenya, Uganda, Nigeria, Gold Coast (Ghana) and Sierra Leone. Employed by the World Council of Churches at the time, Neill was appointed by the International Missionary Council to spearhead the project. The overall objective was to shed insight on what could be done to improve the quality of theological education and the training of ministry in Africa. Neill produced a considerable amount of material during and after the trip, including a 120-page ‘travel diary’ and a 51-page confidential report. This paper has three goals: to explain how and why this tour of African theological education came together, to provide an overview of Neill's research trip through his diary entries and to reflect on Neill's conclusions and suggestions for what ought to be done.

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Quality of age data in the Sierra Leone Ebola database

Pan African Medical Journal ◽

10.11604/pamj.2020.35.104.20348 ◽

2020 ◽

Vol 35 ◽

Author(s):

Lindsay Shively Womack ◽

Charles Alpren ◽

Frederick Martineau ◽

Amara Jambai ◽

Tushar Singh ◽

...

Keyword(s):

Sierra Leone

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Pandemic in the Network Society: COVID-19 in EU and Latin America

Contemporary Europe ◽

10.15211/soveurope12021130140 ◽

2021 ◽

Vol 101 (1) ◽

pp. 130-140

Author(s):

Vladimir Milovidov ◽

Keyword(s):

Latin America ◽

Food Delivery ◽

Network Society ◽

Local Networks ◽

Broadband Internet ◽

The World ◽

Delivery Services ◽

Development Levels ◽

High Level

The article presents the results of a comparative analysis of the factors related to the spread of the new coronavirus infection in Europe and Latin America. The choice of regions for comparison is due to a certain similarity of their peoples' cultures and religions, their linguistic commonality, the scale of infection of the population with the new coronavirus, clearly expressed specificity and different economic development levels. The criteria for the network society are: indicators of broadband Internet subscribers and Internet shopping, the proportion of households with Internet access and the Network Readiness Index (NRI). The article proves that the development of a modern network society can affect the spread of diseases in global pandemics. The author uses the example of the popularity of food delivery services in various countries to show that the features of the influence of elements of a networked society on the risks of COVID-19 infection are regional. The author provides arguments that ceteris paribus a high level of development of the network society is the most effective in terms of ensuring biological safety in countries with a higher standard of living, which retain their regional and cultural specifics and are distinguished by the presence of sufficiently strong local communities. The evolution of a network society opens up significant opportunities for developing countries, an improvement in the quality of life, and the emergence of new traditions. All this together changes the established social structures, groups, and local networks. The world is becoming more interconnected and interdependent. That requires collective efforts from the entire world community to equalize the living standards of the population in different countries of the world, which is necessary for minimizing risks during periods of global pandemics and possibly other biological crises.

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Women’s perception and satisfaction with the quality of antenatal care services in mission hospitals in Benin City, Nigeria

Pyramid Journal of Medicine ◽

10.4081/pjm.2020.82 ◽

2020 ◽

Vol 3 (1) ◽

Author(s):

Collins Ejakhianghe Maximilian Okoror ◽

Ehigha Jude Enabudoso ◽

Maryjane Ifeyinwa Okoroh

Keyword(s):

Antenatal Care ◽

Statistical Significance ◽

Vital Role ◽

P Value ◽

Cross Sectional ◽

Nigerian Women ◽

Benin City ◽

Delivery Services ◽

High Level

Despite the vital role and availability of antenatal care, only a small proportion of Nigerian women utilise it. Women’s perception and satisfaction with antenatal care is believed to improve health outcomes, continuity of care, adherence to treatment, and the relationship with the provider. The aim is to ascertain the women’s perception and satisfaction with the quality of ANC services in mission hospitals in Benin City, Nigeria. This cross-sectional descriptive study was carried out among 405 pregnant women in their third trimester. Data collection was with a pretested interviewer-administered questionnaire and analysis with IBM SPSS Statistics version 21.0. Statistical significance was taken as P value <0.05. The women’s perception of doctors and nurses was good for all domains assessed. Their satisfaction was highest for cleanliness of the facility 336 (83.0%) and lowest for amount paid for delivery services 168 (41.5%). The overall satisfaction for services received was high 337 (83.2%). The religion of the respondents, gestational age at ANC booking, payment for booking, the delivery fee and availability of requisite resources to cater for the women showed statistically significance with the overall satisfaction. However, only religion (AOR = 17.450, 95% CI = 3.364-90.508) and availability of requisite resources (AOR = 4.629, 95% CI = 2.426-8.832) independently influenced their satisfaction. This study showed a high level of satisfaction with the services rendered. However, making services more affordable as well as improving their quality through investment in both human and material resources to deliver essential care to all clients will drive better satisfaction among them.

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Quality improvement in anaesthesiology

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20193423 ◽

2019 ◽

Vol 7 (8) ◽

pp. 3216

Author(s):

Maruti Gupta

Keyword(s):

Quality Of Care ◽

Healthcare Provider ◽

Quality Measurement ◽

Reporting Quality ◽

Positive Health ◽

Efficient System ◽

Delivery Services ◽

To Come ◽

Giving Feedback

In recent times, numerous efforts have been made in the field of medicine to improve the methodology of measuring and reporting the quality of care delivered to patients. Most of these efforts have been executed in the western population, because of an efficient system of Incident Reporting. Quality Measurement in healthcare typically means quantifying processes of care that have a direct relationship to positive health outcomes. Quality in anaesthesia is usually measured by perioperative mortality, morbidity and Incidents. Quality measurement is not only important for the clientele but also for the employer, to make choices and healthcare provider to introspect his performance. It is an effective method of giving feedback to anaesthesiologists, doctors and paramedical staff to address quality issues and bring about improvement. Without Quality Measurement, improvement in quality, if at all, would be expected to be very slow and clientele would be blindfolded in taking important decisions pertaining to health care. The concepts of quality assurance and quality control are rapidly gaining popularity in surgical sciences as the society is heading towards social, technical and clinical advancements globally. In times to come, quality of anaesthesia services will be closely monitored by quality indicators and will become a benchmark for assessment of the healthcare provider and the hospital. At present, the need of the hour is to devise ways and means to measure the quality of care being provided by the healthcare provider and adopt these evolutionary practices aimed at improving anaesthesia delivery services in a medical setup.

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Physicochemical and bacteriological analysis of the quality of sachet water and their source point (spring box) consumed in Bo city, Sierra Leone

Journal of Environmental Chemistry and Ecotoxicology ◽

10.5897/jece2020.0475 ◽

2021 ◽

Vol 13 (1) ◽

pp. 14-22

Author(s):

Pujeh Junior Mohamed ◽

Brima Gogra Alhaji ◽

Paul Kaisam John ◽

Kudush Kawa Yahaya

Keyword(s):

Sierra Leone ◽

Bacteriological Analysis ◽

Source Point ◽

Sachet Water

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Exploring the Dimensions of Mobile Banking Service Quality

International Journal of Business Analytics ◽

10.4018/ijban.2016070104 ◽

2016 ◽

Vol 3 (3) ◽

pp. 60-76 ◽

Cited By ~ 13

Author(s):

Nabila Nisha

Keyword(s):

Mobile Phone ◽

Information Quality ◽

Banking Sector ◽

Service Providers ◽

Mobile Banking ◽

Banking Services ◽

Banking Service ◽

Delivery Services ◽

Facilitating Conditions

Today, mobile phone is an essential part of the lives of most people – a reason why, banking sector and mobile phone service providers have teamed up to provide banking services to customers via mobile phones. However, customers often are critical of the quality of such alternative financial delivery services provided by banks. The aim of this paper is to examine the underlying factors and service qualities that can influence customers' behavioral intentions towards the use of mobile banking services in Bangladesh. The hybrid model in this study identifies service qualities like reliability, privacy, information quality, responsiveness and empathy that capture customers' overall perceptions of the performance of mobile banking services. In addition, other factors like performance expectancy, effort expectancy and facilitating conditions significantly influence customers' intention to use such services. Implications of these findings provide practical recommendations to banking industry, and directions for further work from the perspective of Bangladesh.

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