Health Problems & Barriers to Healthcare Services for the Transgender Community in Lahore, Pakistan

Objectives: To find out the major health problems and barriers in getting health care by transgender community in Lahore, Pakistan. Methods: An analytical cross-sectional study was conducted in transgender community of Lahore from January to October 2020. The study included 214 participants from different areas of Lahore by targeting their “gurus”. Non-probability, snow-ball sampling technique was used to collect required sample size. Data was collected by using a structured questionnaire. Data were analyzed using SPSS version 23. Results were generated in form of tables and graphs. Chi square test and Fischer’s exact test were used to find out associations between health seeking behavior with their transgender status and p value was fixed as ≤ 0.05 as significant. Results: Among total 214, 78.5% were transgender females and 21.5% were transgender male. Among the common health problems were depression (56%), anxiety (59%) and genital tract ulcers (45%). About 70% transgender seek health care from government hospitals. Among total 214 participants, 70% reported that they receive poor quality of health care. The main reasons of not getting proper care is non acceptance (20.7%), feeling ashamed (28.7%), non-availability of CNIC (44.5%) and un-affordability (6.1%). Significant association of transgender female with consultation with doctors (p=0.013), seeking care at government hospitals (p =0.038) poor experience at health care facility (0.050), neglect during medical treatment (p=0.015) and feeling of discrimination during treatment (p= 0.042). Conclusion: Transgender community face physical, mental, social and reproductive health issues. About 70% trans-genders receive poor quality of health care services. Non acceptance, feeling ashamed, non-availability of CNIC and non-affordability have been reported as major barriers in getting desired health care. doi: https://doi.org/10.12669/pjms.38.1.4375 How to cite this:Manzoor I, Khan ZH, Tariq R, Shahzad R. Health Problems & Barriers to Healthcare Services for the Transgender Community in Lahore, Pakistan. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4375 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Do the quality of health care services provided at personal health care institutions of Kaunas city and access to it meet expectations of pregnant women

Medicina ◽

10.3390/medicina45080085 ◽

2009 ◽

Vol 45 (8) ◽

pp. 652 ◽

Cited By ~ 4

Author(s):

Virginija Vanagienė ◽

Birutė Žilaitienė ◽

Tadas Vanagas

Keyword(s):

Health Care ◽

Antenatal Care ◽

Pregnant Women ◽

Quality Of Health Care ◽

Response Rate ◽

Care Facility ◽

Family Physicians ◽

Personal Health ◽

Health Care Institutions

Objectives. To evaluate if the quality of services provided by family physicians and obstetricians/gynecologists at primary personal health care institutions of Kaunas city and access to it meet the needs and expectations of pregnant women. Material and methods. Pregnant women visiting the selected health care institutions at their third trimester of pregnancy were asked to fill in the anonymous questionnaire. The study was conducted at two randomly selected maternity centers of Kaunas city and two family practices of Kaunas city where antenatal care was provided by family physicians. The questionnaires were given to 106 patients visiting family physicians (response rate was 88.7%) and to 202 patients visiting obstetricians/ gynecologists (response rate was 81.7%). Results. Health services provided by family physicians and obstetricians/gynecologists met the expectations of pregnant women in respect of providing with information and communication. The patients of obstetricians/gynecologists significantly more often stated that they were very satisfied with patient-physician communication (P<0.05), they significantly more often understood explanations given by the physician (P<0.001) and claimed having sufficient knowledge about pregnancy (P<0.05), while the patients of family physicians significantly more often asserted that the physician helped them in preparation for childbirth (P<0.05). The patients of obstetricians/gynecologists significantly more often did not face any problems with access to services as compared to the patients of family physicians (z=3.0). Most of pregnant women stated that they were satisfied or very satisfied with the quality of health care at the health care facility providing them with antenatal care irrespective of the physician’s specialty. Conclusions. The quality of antenatal health care provided by both family physicians and obstetricians/gynecologists and access to it satisfied the needs and expectations of the surveyed women. Correction of the limitations noticed, e.g., closer communication, more understandable explanations, more attention to preparation for childbirth, better work planning, could improve the quality of antenatal care provided by the family physicians.

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Kualitas hidup ditinjau dari pengetahuan keluarga tentang perawatan lansia

Indonesia Berdaya ◽

10.47679/ib.202013 ◽

2020 ◽

Vol 1 (1) ◽

pp. 15-22

Author(s):

Muhammad Nur ◽

Hamid Mukhlis

Keyword(s):

Quality Of Life ◽

Health Workers ◽

Elderly Care ◽

Family Health ◽

The Elderly ◽

Health Problems ◽

Poor Quality ◽

P Value ◽

Relationship Of

Families have a significant role in developing, preventing, adapting, and improving health problems found in families. Family health issues are interconnected with the problems of other family members if one family member with health problems will undoubtedly affect the implementation of the functions Family. Similarly, the elderly will affect the quality of family life as a whole will affect the quality of life of the elderly. The purpose of this study to determine the relationship of family knowledge about elderly care with the quality of life in the elderly in pekon Ambarawa East 2017. type of research using quantitative design with cross-sectional.sampel in this study as many as 48 people. The results of the study were obtained from 48 people, and it is known some respondents with poor quality of life that is as many as 24 people (50 percent) and good quality of life as many as 24 people (50 percent) .of 48 people, it is known most respondents with poor quality of life that is as much 24 people (50 percent) and good quality of life as many as 24 people (50 percent), there is a relationship of knowledge with quality of life of elderly with p-value 0,037 and OR 4,491. Based on the results of the study, it is suggested to the family to increase knowledge about health care for the elderly, and families to be more active to ask health workers about the good elderly care for the sake of the quality of life of the elderly is good.

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Editorial comments

Health SA Gesondheid ◽

10.4102/hsag.v5i4.39 ◽

2000 ◽

Vol 5 (4) ◽

pp. 2

Author(s):

Marie Poggenpoel ◽

Annatjie Botes

Keyword(s):

Health Care ◽

Health Services ◽

Quality Of Health Care ◽

Full Text ◽

Poor Quality ◽

News Reports ◽

The Poor

We are daily confronted with news reports on the poor quality of health care in our health services. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

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THE ANALYSIS OF BPJS PATIENT SATISFACTION LEVEL OF THE QUALITY HEALTH SERVICES IN PAFIO B ROOM CIBINONG HOSPITAL

Jurnal Ilmiah Wijaya ◽

10.46508/jiw.v11i2.61 ◽

2020 ◽

Vol 11 (2) ◽

pp. 101-111

Author(s):

Deden Deden Nurjaman ◽

Dede Dede Rukasa

Keyword(s):

Health Care ◽

Patient Satisfaction ◽

Health Services ◽

General Hospital ◽

Quality Of Health Care ◽

P Value ◽

Satisfaction Level ◽

Quality Health Care ◽

Quality Health

Satisfaction is feeling happy or disappointed someone who emerged after comparing the perception or impression of the performance or the result of a product or expectations. Good quality will increase customer satisfaction, according to law number 36 of 2009 on health stressed the importance of improving the quality of health services. This study aims to determine how the level of patient satisfaction BPJS to quality health care in the space Pafio B Cibinong General Hospital. This research method using cross sectional method using Kendall Tau Correlation. And the method of taking samples in this study with Probability Sampling technique with the number of sample of 170 respondents. The results showedas many as 97 respondents (57.1%) reported better quality of health care, 84 of them said they were satisfied. While 73 respondents (42.9%) stating quality of health care is not good, of which 71 respondents (41.8%) are not satisfied. Based on the results obtained by p value = 0,000 with significant value <0.05. There is a relationship between the quality of health care with patient satisfaction level in the room BPJS Pafio B Cibinong General Hospital.

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