scholarly journals Timely referral saves the lives of mothers and newborns: Midwifery led continuum of care in marginalized teagarden communities – A qualitative case study in Bangladesh

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 365 ◽  
Author(s):  
Animesh Biswas ◽  
Rondi Anderson ◽  
Sathyanarayanan Doraiswamy ◽  
Abu Sayeed Md. Abdullah ◽  
Nabila Purno ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Case Study ◽  
Post Partum ◽  
Primary Health Care Centre ◽  
Health Facilities ◽  
Health Care Centre ◽  
Access Barrier ◽  
Reproductive Healthcare ◽  
Timely Referral

Background: Prompt and efficient identification, referral of pregnancy related complications and emergencies are key factors to the reduction of maternal and newborn morbidity and mortality. As a response to this critical need, a midwifery led continuum of reproductive health care was introduced in five teagardens in the Sylhet division, Bangladesh during 2016. Within this intervention, professional midwives provided reproductive healthcare to pregnant teagarden women in the community.  This study evaluates the effect of the referral of pregnancy related complications. Methods: A qualitative case study design by reviewing records retrospectively was used to explore the effect of deploying midwives on referrals of pregnancy related complications from the selected teagardens to the referral health facilities in Moulvibazar district of the Sylhet division during 2016.  In depth analyses was also performed on 15 randomly selected cases to understand the facts behind the referral. Results: Out of a total population of 450 pregnant women identified by the midwives, 72 complicated mothers were referred from the five teagardens to the facilities. 76.4% of mothers were referred to conduct delivery at facilities, and 31.1% of them were referred with the complication of prolonged labour. Other major complications were pre-eclampsia (17.8%), retention of the placenta with post-partum hemorrhage (11.1%) and premature rupture of the membrane (8.9%). About 60% of complicated mothers were referred to the primary health care centre, and among them 14% of mothers were delivered by caesarean section. 94% deliveries resulted in livebirths and only 6% were stillbirths. Conclusions: This study reveals that early detection of pregnancy complications by skilled professionals and timely referral to a facility is beneficial in saving the majority of baby’s as well as mother’s lives in resource-poor teagardens with a considerable access barrier to health facilities.

scholarly journals The Presence of Stress, Burnout Syndrome and the Most Important Causes of Working Stress Among Physicians in Primary Health Care – an Observational Study from Banja Luka, Bosnia and Herzegovina

2019 ◽  
Vol 48 (2) ◽  
pp. 159
Author(s):  
Kosana Stanetić ◽  
Verica Petrović ◽  
Brankica Marković ◽  
Bojan Stanetić
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Emotional Exhaustion ◽  
Primary Health Care Centre ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Health Care Centre ◽  
Primary Health ◽  
High Level ◽  
Banja Luka

<p><strong>Objective. </strong>To investigate the level and causes of stress and the risk of onset of burnout syndrome among physicians employed at the Primary Health Care Centre, Banja Luka.</p><p><strong>Subjects and Methods. </strong>Between March 1, 2018, and May 31, 2018 all physicians from the Primary Health Care Centre, Banja Luka were offered the following questionnaires to fill in: a socio-demographic questionnaire, a questionnaire for self-assessment of the level of stress and the Maslach Burnout Inventory for assessment of the risk of burnout syndrome. <strong>Results. </strong>Out of 211 physicians, 85.8% were female. A high level of stress was found in 77.7% of the subjects. Older doctors had higher levels of emotional exhaustion compared to younger doctors with a shorter length of service (r=0.236, P=0.01). Emotional exhaustion was significantly correlated with a high level of depersonalization, a low level of personal accomplishment and a high level of stress (r=0.380, r=-0.174 and r=0.574, P=0.01, P=0.04 and P&lt;0.01, respectively). Depersonalization correlated with a low level of personal accomplishment and stress (r=-0.347 and r=0.283, P&lt;0.01 and P=0.01, respectively), while the level of personal accomplishment was in a negative correlation with stress (r=-0.281, P=0.01). A high stress level was associated with a high degree of emotional exhaustion (OR 56.543; 95% CI 11.35-213.09; P&lt;0.001) as well as lack of personal accomplishment (OR 0.155; 95% CI 0.04-0.50; P=0.003).</p><p><strong>Conclusion. </strong>A high level of stress was associated with older age, female gender, as well as with a high degree of emotional exhaustion and a lack of personal accomplishment. Preventive measures are warranted.</p>

scholarly journals Immunisation-related Knowledge, Attitudes and Promotive Practices among Mothers in an Urban Primary Health Care Centre in South-East Nigeria: a Call for Improved Clinic-based Education

2020 ◽  
Vol 3 (2) ◽  
pp. 1-16
Author(s):  
I Okedo-Alex ◽  
I Akamike ◽  
A Adeke ◽  
C Uneke
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Maternal Education ◽  
Primary Health Care Centre ◽  
Childhood Vaccination ◽  
P Value ◽  
Care Centre ◽  
Health Care Centre ◽  
Adequate Knowledge ◽  
Primary Health

Background: Nigeria is among the five countries accounting for half of the world’s unimmunised children. Maternal knowledge and attitude play key roles in uptake and timeliness of routine childhood vaccination. This study assessed immunisation-related knowledge, attitudes and promotive practices among mothers in Abakaliki Ebonyi State Nigeria. Methods: This was a cross-sectional study among 117 mothers with children aged 0-23 months attending a Primary Health Care Centre in Abakaliki, Ebonyi State. Data were collected using an interviewer-administered questionnaire and analysed using SPSS version 20 with a p value of ≤ 0.05 considered statistically significant.Results: Over half (55.6%) of the respondents were aged 26-35years while 47% had secondary school education. Majority (91.5%) had previously vaccinated their children, but only 31.7% knew the dosing of polio vaccine. Less than half (42%) of the mothers had adequate knowledge about routes of vaccine administration. About half (49.7%) had adequate knowledge about the children’s next vaccination appointments. Most (94%) considered immunisation important in preventing childhood diseases with up to 95% of them willing to bring their children for immunisation. Only 57.3% were satisfied with the adequacy of immunisation-related information received from the clinic. Majority (81.2%) were timely in accessing immunisation for their babies. Educational status (P=0.035) and child’s age (P=0.008) were associated with knowledge and practice of immunisation respectively. Conclusion: Mothers in this study had good immunisation-related practices and positive attitude towards immunisation. Although majority had good knowledge, some knowledge gaps were identified. We recommend improved maternal education and content of clinic-based education on immunisation.

scholarly journals An Overview on Hyperthyroidism, Evaluation and Management Approach in Primary Health Care Centre

2021 ◽  
Vol 12 (2) ◽  
pp. 134-139
Author(s):  
Hussain Khalid Almudayni ◽  
Rayan Khalid Alhowaish ◽  
Basheer Maqbul Alotaibi ◽  
Amal Mohammed Alshehri ◽  
Abdulhadi Muflih Alqahtani ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Health Care Centre ◽  
Management Approach ◽  
Care Centre ◽  
Health Care Centre ◽  
Primary Health

scholarly journals A household perspective on access to health care in the context of HIV and disability: a qualitative case study from Malawi

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Stine Hellum Braathen ◽  
Lifah Sanudi ◽  
Leslie Swartz ◽  
Thomas Jürgens ◽  
Hastings T Banda ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Qualitative Case Study ◽  
Access To Health
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