scholarly journals Improving Nutritional Management of Cancer Patients in Tanzania

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 108s-108s
Author(s):  
H. Martin ◽  
J. Kimiywe ◽  
P. Petrucka ◽  
L. Kamanga
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Cancer Patients ◽  
Low Income ◽  
Dietary Habits ◽  
Health Care Facilities ◽  
Nutritional Management ◽  
National Hospital ◽  
Nutritional Care ◽  
Nutrition Care

Background: Cancer is one of the leading causes of death worldwide and was reported to cause 8.8 million deaths in 2015. It was long predicted that about 70% of the new cancer cases will be in low-income countries (LIC). In Tanzania, like in many LICs, the need for improved cancer care is critical because cancer rates are rising dramatically. Most cancers are detected late and hence high mortality and poor palliative care for patients. Tanzania lacks trained clinical nutritionists and dieticians to manage different conditions including cancer. Aim: The aim of this project is to build the capacity of nutritionists and other health personnel to provide nutrition care to cancer patients in hospitals. Methods: One nutritionist from Tanzania will be attached to the Kenyatta National Hospital in Kenya for one month to obtain practical experience on the nutritional management of cancer patients. The acquired knowledge will be disseminated among health care professionals in Tanzania, specifically, nutritionist and nurses in selected health care facilities. About six nutrition officers and six nurses who work in Ocean Road Cancer Institute, Bugando Hospital, KCMC hospital and Muhimbili National Hospital will be trained by the incumbent on nutrition care for cancer patients once the fellowship visit has been completed. In addition, a study to identify differences in nutritional care for cancer patients between Tanzania and Kenya will be conducted. Cancer patients visiting hospitals in Tanzania and Kenya will be asked to complete a questionnaire that will assess their nutritional care in detail. Responses from cancer patients from each country will be compared to identify differences. Results: Expected results from this project includes, the transfer of knowledge in nutritional management of cancer patients between Tanzania and Kenya, and the subsequent dissemination of this knowledge to other nutrition specialists based in the home country, Tanzania. Further results will include data obtained from a survey that will be performed on cancer patients from both countries regarding their nutritional care. This study is also expected to open up collaborative research opportunities between the universities and health facilities on best practices for nutrition care and support for cancer patients. Conclusion: This study will not only improve palliative care among cancer patients but will also create more awareness on preventive measures against cancers with emphasis on dietary habits.

scholarly journals Socio-Demographic Profile of Schedule Tribes of Five Integrated Tribal Development Agency Spots at Kurnool, Andhra Pradesh in India

2021 ◽  
Vol 07 (02) ◽  
pp. 14-19
Author(s):  
Tamanna Nazli ◽  
Keyword(s):  
Health Care ◽  
Low Income ◽  
Andhra Pradesh ◽  
Musculoskeletal Diseases ◽  
Health Care Facilities ◽  
Family Welfare ◽  
Tribal Population ◽  
Development Agency ◽  
Income Status ◽  
Care Facilities

Background: Tribal population is the second largest in India next to Africa, constituting 8.6% of total India population. Tribal population have unique physical, socio-economic and cultural environment but most deprived from health care facilities and vulnerable to malnutrition and diseases. Objective: To study the living condition of tribal people which includes socio-economic, demographic and health status profile along with providing health care facilities to tribes. Methods: Five Integrated Tribal Development Agency (ITDA) spots which belongs to Chenchu tribe of Kurnool district Andhra Pradesh were adopted. Data was collected through house-to-house survey and in Mobile medical camps in a pre-tested questionnaire provided by CCRUM. Results: A total of 3174 patients were screened among them 584 person of 130 families were selected for data collection. Majority (93.07%) were Hindu in the age group 21-30 years (31.6%), with male preponderance. Education status was fair (42.63%) population were illiterate. The basis amenities were good, (93.84%) use piped drinking water, all had open drainage system, (91.53%) use LPG, (89.23%) household surveys have pucca house, and (77.69%) use pit toilet. More than half of them (54.79%) were married, (70.16%) adopted permanent sterilization for family planning, 107 females registered when pregnant, majority delivered at hospital (53.44%), mostly (93.91%) visited family welfare center, 117(90%) household don’t have government health facility other than PHC or MCH. Conclusion: Low-income status, less literacy rate, and unhygienic sanitary conditions were common among Chenchu tribe of Andhra Pradesh. Majority of them (25.87%) suffered from Musculoskeletal diseases reported to OPD of mobile medical camps.

scholarly journals Health Care Utilization From Chemotherapy-Related Adverse Events Among Low-Income Breast Cancer Patients

2014 ◽  
Vol 75 (4) ◽  
pp. 231-238 ◽  
Author(s):  
Ravi K. Goyal ◽  
Stephanie B. Wheeler ◽  
Racquel E. Kohler ◽  
Kristen H. Lich ◽  
Ching-Ching Lin ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Adverse Events ◽  
Health Care Utilization ◽  
Cancer Patients ◽  
Low Income ◽  
Care Utilization ◽  
Breast Cancer Patients

scholarly journals Correction to: Content validation of the EORTC QLQ-C15-PAL with advanced cancer patients and health care professionals from palliative care services in Chile

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Leslye Rojas-Concha ◽  
Maiken Bang Hansen ◽  
Morten Aagaard Petersen ◽  
Mogens Groenvold
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Health Care Professionals ◽  
Content Validation ◽  
Advanced Cancer Patients ◽  
Care Services ◽  
Palliative Care Services ◽  
Eortc Qlq

An amendment to this paper has been published and can be accessed via the original article.

The Orkdal model: Development, implementation, and evaluation of collaboration between specialist and community care within cancer palliative care.

2014 ◽  
Vol 32 (31_suppl) ◽  
pp. 73-73 ◽  
Author(s):  
Anne-Tove Brenne ◽  
Anne Kari Knudsen ◽  
Cinzia Brunelli ◽  
Vidar Halsteinli ◽  
Stein Kaasa
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Cancer Patients ◽  
Health Care Professionals ◽  
Care Pathway ◽  
Care Services ◽  
Related Quality ◽  
Palliative Care Services ◽  
Specialist Health Care ◽  
Standardized Care

73 Background: Palliative care early in the cancer disease trajectory may improve health related quality of life for patients and their families. Collaboration between community and specialist health care professionals is paramount to achieve optimal cancer care. The objective of this study is to develop and to implement this model into our health care system.The target population is cancer patients with metastatic and/ or loco-regional disease. Methods: The study takes place in a rural district of 13 municipalities with a local hospital (Orkdal) in Mid Norway. It is designed as a prospective controlled observational pre- post cohort study with four main interventions: 1. Development and implementation of a standardized care pathway across health care levels, 2. Educational programme for health care professionals, 3. Information about cancer and palliative care to the public, 4.Information,education and support to family members.Outcomes are patient’s time spent at home, family member’s health related quality of life, improvement of health care providers’ knowledge and skills and distribution of health care service use. Results: A standardized care pathway for all palliative cancer patients including home care, care in nursing homes, and specialist care in hospitals (in- and outpatients) is developed. It focuses on access to palliative care services, transfer of medical data, and symptom assessment. The educational program consists of two parts; one to inform about the project and the standardized care pathway, and one to improve competence and skills in cancer palliative care. To the general public, information regarding chemo- and radiotherapy, symptom diagnosis and treatment and palliative care services in general is given. Conclusions: A total integrated model to improve care for cancer patients was developed focusing on collaboration between community and specialist health care, and on early integration of palliative care in the traditional cancer care trajectory. Improved care for cancer patients and their families in the Orkdal region to equal costs is expected. The Orkdal Model may be applied in other regions and for other chronic diseases. Clinical trial information: NCT02170168.

Palliative care and end-of-life health utilization in elder patients with pancreatic cancer.

2018 ◽  
Vol 36 (4_suppl) ◽  
pp. 488-488
Author(s):  
Nizar Bhulani ◽  
Ang Gao ◽  
Arjun Gupta ◽  
Jenny Jing Li ◽  
Chad Guenther ◽  
...  
Keyword(s):  
Health Care ◽  
Pancreatic Cancer ◽  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
Health Care Utilization ◽  
End Of Life ◽  
Cancer Patients ◽  
Cost Of Care ◽  
Care Utilization

488 Background: Prospective trials have shown that palliative care is associated with improved survival and quality of life, with lower rate of end-of-life health care utilization and cost. We examined trends in palliative care utilization in older pancreatic cancer patients. Methods: Pancreatic cancer patients with and without palliative care consults were identified using the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked database between 2000 and 2009. Trend of palliative care use was studied. Emergency room and Intensive Care utilization and costs in the last 30 days of life were assessed. Statistical analyses were performed with SAS version 9.4 (SAS Institute, Inc., Cary, NC). Results: Of the 72205 patients with pancreatic cancer, 3383 (4.1%) received palliative care. The proportion of patients receiving palliative care increased from 1.8% in 2000 to 7.8% in 2009 (p for trend < 0.001). Patients with palliative care were more likely to be Asian and women. Of those who received palliative care, 73% received it in the last 30 days of life, and only 11% at least 12 weeks before death. The average number of visits to the ED in the last 30 days of life were significantly higher for patients who received palliative care (0.93±0.62) versus those who did not (0.79±0.61), p < 0.001, and had a significantly higher cost of care ($1317 vs $842, p < 0.001). Intensive care unit length of stay in the last 30 days of life did not differ between patients who did and did not receive palliative care (1.14 days vs 1.04 days, p 0.08). Intensive care unit cost of care was significantly higher for patients with palliative care compared to their counterparts ($5202.641 vs $3896.750, p < 0.001). Conclusions: Palliative care use for pancreatic cancer patients has increased between 2000 and 2009 in this study of Medicare patients. However, it was largely offered close to the end of life and was not associated with reduced health care utilization or cost. Early palliative care referral may be more beneficial.

scholarly journals Characteristics of Morbidity and Choice of Health Care Facilities in Nepal

2017 ◽  
Vol 2 (2) ◽  
pp. 47-55
Author(s):  
Arjun Kumar Thapa ◽  
Shiva Raj Adhikari
Keyword(s):  
Health Care ◽  
Low Income ◽  
Health Care Services ◽  
Acute Illness ◽  
Health Care Facilities ◽  
Seek Health Care ◽  
Care Services ◽  
Primary Health ◽  
Service Production ◽  
Care Facilities

In aftermath of People’s Movement 2008, the Government of Nepal promulgated health as a component of basic human rights. But Nepalese health consumers can seek health care services in government primary health facilities, hospitals, private clinics or do self–medication. The study intends to describe the characteristics of morbidity and factors associated in choosing particular type of health facility. For data, the study depends on a nationally representative rich cross sectional household survey data (Nepal Living Standard Survey, 2010/11) of Nepal. The findings of the study show that around one fifth of the total population reported acute illness while near about 10 percent is facing chronic illness. Around 30 percent of people reporting acute illness do not seek any health care services. Most of the rural people and poor population seek health care services in government primary health care facilities and private pharmacies. People belonging to low income quintiles are likely to seek health care services in government primary facilities. Similarly people residing in mountain & hill are likely to utilize services of government primary facilities. The study shows that urbanites are more likely to seek services in hospitals and private clinics. Therefore a homogeneous health care service production and delivery cannot address the country wide demand of health care services.

scholarly journals Evaluation of Health Facilities Capacity for the Management of Severe Preeclampsia and Eclampsia in Bayelsa State, Nigeria

2021 ◽  
pp. 78-86
Author(s):  
O. M. Alabintei ◽  
P. W. Alabrah ◽  
I. J. Abasi
Keyword(s):  
Health Care ◽  
Low Income ◽  
Care Delivery ◽  
Data Entry ◽  
Sampling Technique ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Low Income Countries ◽  
Multi Stage ◽  
Interview Guide

Background: The lack of properly-stocked facilities with basic and essential equipment and supplies as well as clinical guidelines required to successfully manage Pre-eclampsia/eclampsia (PE/E) has been reported in developing, low-income countries. It is necessary to ensure properly stocked health facilities for effective health care delivery. This study set out to assess the capacity of the health facilities in Bayelsa, Nigeria for the management of cases of eclampsia. Methods: A descriptive design was used in the conduct of this research in which 155 workers were recruited. A multi-stage sampling technique was employed to select health facilities for the study. The study instruments included a self-administered structured questionnaire, an interview guide, and an inventory checklist. Data entry, cleaning and analysis were done using the Statistical Package for Social Sciences (SPSS) version 22. Descriptive and inferential statistics were generated using the data. Results: It was found in this study that though MgSO4 was present in one (8.33%) primary and two (66.6%) secondary health facilities visited, no guide on how to administer and monitor the patients was available. The majority of the workforce in the primary health facility were the CHEW/CHO (48%), followed by midwives (16.9%) and then nurses (12.3%).Doctors constituted 7.7% while  pharmacists and pharmacist technicians constituted 6.2% and 9.2% respectively. Conclusion: In conclusion, this study revealed that facilities assessed lacked most of the basic and essential equipment, supplies and drugs, required for the successful management of PE/E. For effective management of cases of eclampsia, it is very essential that there should be a continuous supply of necessary tools, drugs and functioning equipment needed for the management of PE/E in all health care facilities.

scholarly journals Resilience for family carers of advanced cancer patients—how can health care providers contribute? A qualitative interview study with carers

2018 ◽  
Vol 32 (8) ◽  
pp. 1410-1418 ◽  
Author(s):  
Ingebrigt Røen ◽  
Hans Stifoss-Hanssen ◽  
Gunn Grande ◽  
Anne-Tove Brenne ◽  
Stein Kaasa ◽  
...  
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Health Care Providers ◽  
Support Needs ◽  
Care Providers ◽  
Family Carers ◽  
Advanced Cancer Patients ◽  
Qualitative Interview Study

Background: Caring for advanced cancer patients affects carers’ psychological and physical health. Resilience has been defined as “the process of adapting well in the face of adversity, trauma, tragedy, threats or even significant sources of threat.” Aim: The aim of this study was to explore factors promoting carer resilience, based on carers’ experiences with and preferences for health care provider support. Design: Qualitative, semi-structured, individual interviews with family carers of advanced cancer patients were performed until data saturation. The interviews were recorded, transcribed, and analyzed using systematic text condensation. Setting/participants: Carers ( n = 14) of advanced cancer patients, not receiving curative treatment, admitted to an integrated curative and palliative care cancer outpatient clinic or to a university hospital cancer clinic, were included. Results: 14 carers of advanced cancer patients were included; 7 men, 7 women, and mean age of 59 years; 3 were bereaved; 12 were partners; 5 had young and teenage children. Four main resilience factors were identified: (1) being seen and known by health care providers—a personal relation; (2) availability of palliative care; (3) information and communication about illness, prognosis, and death; and (4) facilitating a good carer–patient relation. Conclusion: Health care providers may enhance carers’ resilience by a series of simple interventions. Education should address carers’ support needs and resilience. Systematic assessment of carers’ support needs is recommended. Further investigation is needed into how health care providers can help carers and patients communicate about death.

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