scholarly journals Could EAISI-trained providers provide better quality of IUD services? Results of a secondary data analysis of complications as a proxy indicator

2019 ◽  
Vol 3 ◽  
pp. 1473
Author(s):  
Manish Gehani ◽  
Manoj Pal ◽  
Anupama Arya ◽  
Shobhana Singh ◽  
Kaushik S. ◽  
...  
Keyword(s):  
Service Providers ◽  
Positive Impact ◽  
Clinical Skills ◽  
Intrauterine Device ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The Government

Background: For accelerating its progress towards FP2020 goals, the Government of India has focused on improving the quality of intrauterine device (IUD) services. EngenderHealth has supported the Governments of Rajasthan and Gujarat since 2014 through its Expanding Access to IUD Services in India (EAISI) project by building the capacity of service providers, monitoring their compliance with standard practices, and strengthening health systems. This study sought to assess whether EAISI trained providers provide a better quality of IUD services as compared to non-EAISI trained providers, as indicated by a reduction in confirmed IUD complications? Methods: This study was an analytical cross-sectional study of secondary data collected from the follow-up registers of 176 intervention facilities (138 in Rajasthan and 38 in Gujarat) during Phase I of EAISI project. The analysis included clients who returned between April 2018 and March 2019 to the same facility for a follow-up visit. Multivariate logistic regression was performed to determine factors associated with IUD complications. Results: A total of 56,733 IUD insertions were conducted, and 10,747 (18.9%) client follow-ups were documented. Of these, 49.4% (N=5,305) clients received IUDs from EAISI-trained providers, while 50.6% (N=5,442) received IUDs from non-EAISI trained providers. A total of 4.0% (N=432) of clients experienced complications (Expulsion: 1.3%, Missing Strings: 1.7%, Infection: 1.1%). Clients who received IUDs from non-EAISI-trained providers were 55.5% more likely [95% CI (26.2%, 91.5%), p<0.0005] to have complications compared to clients who received insertions from EAISI-trained providers. Other significant factors include the type of IUD, timing of the follow-up visit and timing of the insertion. Conclusion: The findings demonstrate that intensive, hands-on training of providers to improve clinical skills for IUD insertions can have a positive impact on the reduction of post-insertion complications.

scholarly journals Could trained providers provide better quality of IUD services? Results of a secondary data analysis of complications as a proxy indicator

2019 ◽  
Vol 3 ◽  
pp. 1473 ◽  
Author(s):  
Manish Gehani ◽  
Manoj Pal ◽  
Anupama Arya ◽  
Shobhana Singh ◽  
Kaushik S. ◽  
...  
Keyword(s):  
Service Providers ◽  
Positive Impact ◽  
Clinical Skills ◽  
Intrauterine Device ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The Government

Background: For accelerating its progress towards FP2020 goals, the Government of India has focused on improving the quality of intrauterine device (IUD) services. EngenderHealth has supported the Governments of Rajasthan and Gujarat since 2014 through its Expanding Access to IUD Services in India (EAISI) project by building the capacity of service providers, monitoring their compliance with standard practices, and strengthening health systems. This study sought to assess whether EAISI trained providers provide a better quality of IUD services as compared to non-EAISI trained providers, as indicated by a reduction in confirmed IUD complications? Methods: This study was an analytical cross-sectional study of secondary data collected from the follow-up registers of 176 intervention facilities (138 in Rajasthan and 38 in Gujarat) during Phase I of EAISI project. The analysis included clients who returned between April 2018 and March 2019 to the same facility for a follow-up visit. Multivariate logistic regression was performed to determine factors associated with IUD complications. Results: A total of 56,733 IUD insertions were conducted, and 10,747 (18.9%) client follow-ups were documented. Of these, 49.4% (N=5,305) clients received IUDs from EAISI-trained providers, while 50.6% (N=5,442) received IUDs from non-EAISI trained providers. A total of 4.0% (N=432) of clients experienced complications (Expulsion: 1.3%, Missing Strings: 1.7%, Infection: 1.1%). Clients who received IUDs from non-EAISI-trained providers were 55.5% more likely [95% CI (26.2%, 91.5%), p<0.0005] to have complications compared to clients who received insertions from EAISI-trained providers. Other significant factors include the type of IUD, timing of the follow-up visit and timing of the insertion. Conclusion: The findings demonstrate that intensive, hands-on training of providers to improve clinical skills for IUD insertions can have a positive impact on the reduction of post-insertion complications.

scholarly journals Potential for Improving Intrauterine Device (IUD) Service Delivery Quality: Results from a Secondary Data Analysis

2020 ◽  
Vol 3 ◽  
pp. 1473
Author(s):  
Manish Gehani ◽  
Manoj Pal ◽  
Anupama Arya ◽  
Shobhana Singh ◽  
Kaushik S. ◽  
...  
Keyword(s):  
Service Providers ◽  
Clinical Skills ◽  
Intrauterine Device ◽  
Secondary Data ◽  
Skills Training ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The Government ◽  
Standard Practices

Background: To accelerate progress toward Family Planning 2020 (FP2020) goals, the government of India focused on improving the quality of intrauterine device (IUD) services. EngenderHealth, an international sexual and reproductive health and rights organization, has been supporting the governments of Gujarat and Rajasthan since 2014 through the Expanding Access to IUD Services in India (EAISI) project by building the capacity of service providers, monitoring compliance with standard practices, and strengthening health systems. This study sought to assess whether EAISI-trained providers offer higher quality IUD services than non-EAISI-trained providers, as indicated by a reduction in confirmed IUD complications. Methods: The study team conducted an analytical cross-sectional study of secondary data collected from follow-up registers at 176 intervention facilities (38 in Gujarat and 138 in Rajasthan) during Phase I of the EAISI project. The analysis included follow-up clients who returned to the same facility between April 2018 and March 2019. We performed a multivariate logistic regression to determine factors associated with IUD complications. Results: During the period of assessment, 56,733 clients received IUD insertions, and 10,747 (18.9%) clients returned for follow-up services. Of the returning clients, 49.4% (N=5,305) had received IUDs from EAISI-trained providers, while 50.6% (N=5,442) had received IUDs from non-EAISI-trained providers. A total of 4.0% (N=432) of all returning clients experienced complications (expulsion: 1.3%, missing strings: 1.7%, infection: 1.1%). Clients who received IUDs from non-EAISI-trained providers were 55.5% more likely (95% CI [26.2%, 91.5%], p<0.0005) to have experienced complications than clients who received insertions from EAISI-trained providers. The type of IUD, the timing of the insertion, and the timing of the follow-up visit also affected complication prevalence. Conclusion: Our findings indicate that intensive, practical clinical skills training for IUD insertion can reduce the prevalence of complications.

Hearing Outcome of Stapes Surgery in NIENT, Bangladesh

2020 ◽  
Vol 26 (1) ◽  
pp. 31-36
Author(s):  
Md Zakaria Sarkar ◽  
AHM Ferdows Nur ◽  
Utpal Kumar Dutta ◽  
Muhammad Rafiqul Islam ◽  
Debabrota Roy ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cross Sectional Study ◽  
Surgical Trauma ◽  
Group 14 ◽  
Progressive Hearing Loss ◽  
Cross Sectional ◽  
Hearing Gain ◽  
Hearing Outcome

Objective: The aim of this study was to evaluate hearing outcome after stapedotomy in patients with Otosclerosis. Methods: This cross sectional study was carried out from July 2017 to January 2019 in National Institute of ENT, Unit V. About 22 patients with Otosclerosis were included in this study. Diagnosis of Otosclerosis was based on the history, medical status with Otoscopy, Tuning fork tests and Audiometric tests. We compiled data on the pre and post operative air-bone gap (ABG) at 0.5, 1, 2 KHZ. The ABG was Calculated using AC and BC thresholds on the same audiogram. Post operative hearing gain was then Calculated from the ABG before the operation minus the ABG of the last follow up examination Results: In this study most of the cases were age group 14-30 years (72.7%), female (54.5%). Most common symptoms was progressive hearing loss, tinnitus (77.8%).The average preoperative hearing loss in this study was (AC) was 48.31±7.68. The average post opt. hearing (AC) at follow up was 28.95±10.30 with an average hearing gain of 15.40±8.53 dB which was significant. The average pre-operative ABG was 28.99 dB ± 8.10. The average post opt. ABG was analyzed at 1 follow up showed ABG 13.18±8.09 dB which was found to be significant. Conclusion: Stapedotomy is an effective surgical procedure for the treatment of otosclerosis which leads to improvement in patient’s quality of life. A favorable hearing outcome can be obtained by the combination of experienced hands with minimal surgical trauma and appropriate surgical technique. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 31-36

OSCE: An Effective Tool of Assessment for Medical Students

2021 ◽  
Vol 15 (8) ◽  
pp. 2235-2239
Author(s):  
Farrukh Sarfraz ◽  
Fahad Sarfraz ◽  
Imran Jawad ◽  
Mohammad Zia-Ul-Miraj ◽  
Rizwan Zafar Ahmad ◽  
...  
Keyword(s):  
Medical Students ◽  
Time Allocation ◽  
Assessment Tool ◽  
Clinical Skills ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Clinical Competencies ◽  
Medical College ◽  
Data Collection Procedure

Background: To assess the competency of a student different tools are used. Since its introduction in 1975 by Dr. Harden and his team, OSCE has gained tremendous strides to assess the clinical competencies. Since 1975 onward OSCE has been very successfully used to assess the clinical competencies of medical student globally. OSCE is an assessment tool in which student is observed for performance of different tasks at specified stations. In the current study perception of medical students about OSCE examination was done which shall give room for positive criticism and further improvement of the system where ever required. Objective: To expedite view of final year MBBS students of Azra Naheed College about OSCE Material and Method Study design: Quantitative, cross sectional study. Settings: Azra Naheed College, Lahore. Duration: Six months i.e. 1st July2020 to 31st December 2020 Data Collection procedure: After an informed consent and appropriate briefing, the questionnaire was distributed among the final year medical students of Azra Naheed Medical College. Questionnaire developed by Russell et al was used. Results: Out of 148 students who participated in the study, 66(45%) students were females and 82(55%) were male. Majority of the students were satisfied with the quality of the exam. Consensus about the quality of exam was that, 29.7% were aware about the nature of the exam, 52.7% were satisfied that the syllabus taught was asked in the exam, 58.1% were satisfied about the time allocation for each station. Majority i.e. 60% considered OSCE an exam of practical nature which is not biased by gender or ethnicity. More than 50% of the students were satisfied with the standard of the exam. At the same time more than 50% students considered essay exam the easiest format of assessment. However, OSCE was considered to be fairest form of assessment 73%. 68.9% perceived that learning is enhanced by MCQs rather than other formats of assessment. Conclusion: To conclude this study, it is very much clear that the perception of students about OSCE as an assessment tool was very encouraging, as it not only provided them the opportunity to highlight their weaknesses but also helped them to perform well in the exam, manage time during exam and to overcome them stress which influenced their results. Key words: OSCE, Objective, Examinations, Clinical skills, qualitative analysis

scholarly journals A study on evaluation of health and nutrition day in urban slums of Berhampur, Odisha

2017 ◽  
Vol 4 (9) ◽  
pp. 3479
Author(s):  
Radha Madhab Tripathy ◽  
Manasee Panda ◽  
Jyotshna Rani Sahoo
Keyword(s):  
Urban Poor ◽  
Service Providers ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Maternal Child Health ◽  
Cross Sectional ◽  
Health And Nutrition ◽  
Abdominal Examination ◽  
Depth Interviews

Background: Urban health and nutrition day (UHND) serves as a common platform to deliver maternal, child health care, nutrition and WASH services to the urban poor population. This study was formulated with an objective to study the availability of resources at the UHND, to assess the services provided and to determine the satisfaction by the beneficiaries.Methods: A cross sectional study was conducted in urban slum of Berhampur from November 2016 to January 2017 and 10% of UHND sessions were observed. Data was collected regarding the presence of service providers at the session sites, availability of required equipments and supplies with the help of a semi-structured checklist. In-depth interviews of the service providers and exit interview from the beneficiaries from each session was taken after obtaining their informed consent and analyzed.Results: Out of 21 sessions, ANMs were present at all sessions but AWWs were present only at 61.9% sessions. Examination table, bed screen were not present at any session. Registration of pregnant women & BP measurement was done at 90.5% but abdominal examination of the woman were not performed. Weighing of children and plotting of weight on the card was done in 71.4% and 52.4% sessions respectively. 78.5% clients were satisfied with the quality of services they received.Conclusions: There was inadequate logistics identified in many UHND sessions. Hence strengthening of resources and infrastructure as well as regular supportive supervision is recommended to ensure provision of quality services. 

scholarly journals Predictors of health-related quality of life among patients with diabetes on follow-up at Nekemte specialised Hospital, Western Ethiopia: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e036106
Author(s):  
Bikila Regassa Feyisa ◽  
Mekdes Tigistu Yilma ◽  
Belachew Etana Tolessa
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Patients With Diabetes ◽  
Related Quality ◽  
Health Related ◽  
Western Ethiopia

ObjectiveTo assess health-related quality of life (HRQoL) and its predictors among patients with diabetes on follow-up at Nekemte Specialised Hospital in Western Ethiopia.Design, setting and participantsThis facility-based cross sectional study was conducted among 224 patients with diabetes mellitus (types I and II) on follow-up at one of the public hospitals in western Ethiopia. Respondents were selected by systematic random sampling and interviewed with the aid of a questionnaire.Main outcome measuredHRQoL was measured by using the Medical outcomes study 36-item Short Form (SF-36) Health Survey from 15 April to 5 June 2019. A structured questionnaire was used for data collection from participants selected by systematic random sampling. Multiple linear regression was used for the final model.ResultA total of 215 patients with diabetes consented and completed the study, giving a response rate of 96%. The mean score of the overall HRQoL of the study participants was 50.3±18.1. The highest mean score was obtained in the physical functioning domain and the lowest mean score in the general health domain. Age, education status, history of smoking, feeling of stigmatisation and body mass index were inversely associated with the overall HRQoL. Gender (male), marital status (currently married), absence of comorbidity and absence of chronic complications related to diabetes mellitus were positively associated with overall HRQoL.ConclusionThe overall HRQoL of patients with diabetes on follow-up at the study area was found to be moderate. General health, mental health, bodily pain and vitality were the most affected domains. Both the mental and physical components need to be considered when caring for the patients with diabetes on follow-up beyond provision of treatment.

scholarly journals Patients’ Satisfaction on Services of Border Guard Hospital, Guimara, Bangladesh

2020 ◽  
Vol 15 (1) ◽  
pp. 13-15
Author(s):  
Md Abdul Wahab ◽  
Farzana Zafreen ◽  
Mohsen Uddin Ahmed ◽  
Md Habibur Rahman ◽  
Md Abdur Razzak
Keyword(s):  
Service Providers ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Professional Services ◽  
Waiting Room ◽  
Cross Sectional ◽  
Medical College ◽  
Patients Satisfaction ◽  
Attitude Behavior

Introduction: Patients’ satisfaction is one of the established yard sticks to measure success of the hospitals. To improve the quality of services, health organizations use patient satisfaction survey to evaluate their processes delivered. A satisfied patient is more likely to develop a deeper and longer lasting relationship with their medical service providers, leading to improved compliance, continuity of care, and ultimately better outcomes. Objectives: To assess the patients satisfaction with services provided and the infrastructure facilities of Border Guard Hospital, Guimara (BGHG), of Khagrachari district Bangladesh. Materials and Methods: This descriptive cross sectional study was conducted among the patients who attended the outpatient department of BGHG from January to December 2017. Total 1340 patients aged more than 18 years, irrespective of sex, having no serious complications and willing to participate were selected by convenient sampling. Data were collected by semi-structured questionnaire by face to face interview and analyzed by SPSS 21.0. Results: Out of 1340 respondents 53.7% were serving BGB members, 18.3% were BGB families and 28.0% respondents were local residents. Majority of the patients stated that the general basic facilities at the hospital were adequate. Regarding cleanliness 94.7%, waiting room sitting facilities 91.9%, drinking water availability 88.4%, lighting arrangement 96.7%, ventilation arrangement 88.1% and toilet facilities 91.1% respondents reported that the hospital facilities were adequate. Most of the respondents were satisfied with the quality of professional services by all type of staffs of the hospital. Highest 84.9% of the respondents were satisfied with doctors’ attitude, behavior and cooperation. About other staffs; 72.9% respondents were satisfied with attitude, behavior and cooperation of nurses, 71.9% with pharmacists, 71.1% with registration clerk, 75.3%, with information desk, 70.2% with guards and 73.8% with supporting staffs. Conclusion: Patients attended at BGHG was highly satisfied about the infrastructure and the services provided the hospital. But few percentages of patients expressed their dissatisfaction. BGHG authority should keep it up and try to improve further. Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 13-15

scholarly journals Predictors of quality of life of older persons in rural Uganda:  A cross sectional study

2018 ◽  
Vol 1 ◽  
pp. 22 ◽  
Author(s):  
Fred Maniragaba ◽  
Betty Kwagala ◽  
Emmanuel Bizimungu ◽  
Stephen Ojiambo Wandera ◽  
James Ntozi
Keyword(s):  
Quality Of Life ◽  
Rural Areas ◽  
Older Persons ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Hiv And Aids ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Government

Background: Little is known about the quality of life of older persons (OPs) in Uganda in particular, and Africa in general. This study examined factors associated with quality of life of older persons in rural Uganda. Method: We performed a cross-sectional survey of 912 older persons from the four regions of Uganda. Data were analyzed at univariate, bivariate and multivariate level where ordinal logistic regression was applied. Results: Older persons in northern (OR=0.39; CI=0.224-0.711) and western (OR=0.33; CI=0.185-0.594) regions had poor quality of life relative to those in central region. Those who were HIV positive had poor quality of life (OR=0.45; CI=0.220-0.928) compared to those who were HIV negative. In contrast, living in permanent houses predicted good quality of life (OR=2.04; CI=1.391-3.002). Older persons whose household assets were controlled by their spouses were associated with good quality of life (OR=2.06;CI=1.032-4.107) relative to those whose assets were controlled by their children. Conclusion: Interventions mitigating the HIV and AIDS related Quality of life should target older persons. The government of Uganda should consider improving housing conditions for older persons in rural areas.

scholarly journals Family support and quality of life of schizophrenia patients

2021 ◽  
Vol 10 (3) ◽  
pp. 696
Author(s):  
Ni Made Setiawati ◽  
Anak Agung Sagung Sawitri ◽  
Cokorda Bagus Jaya Lesmana
Keyword(s):  
Quality Of Life ◽  
Family Support ◽  
Community Health Centers ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Appraisal Support ◽  
Global Issue ◽  
The Government ◽  
Persons With Schizophrenia

Schizophrenia remains a global issue. More than half of those living with schizophrenia have yet to receive appropriate treatment that led to the impeded of their recovery and the low quality of life. This study aimed to understand the relationship between familial supports with the quality of life (QOL) of persons with schizophrenia. The cross-sectional study was conducted on randomly selected 161 outpatients at 13 community health centers (puskesmas). Family support and quality of life data were collected by interviewing the respondents with the Friedman’s family support questionnaire and WHO quality of life (WHOQOL-BREF) questionnaire. Subsequently, data was analyzed using logistic regression. The respondents have a mean age of 45 years, mostly males, have completed high school, mostly unemployed and unmarried. Instrumental (AOR=3.177; 95%CI 1.01-9.91) and appraisal support (AOR=7.620; 95%CI 2.83-20.4) were significantly associated with QOL. Conversely, no significant relationship was found between emotional (AOR=1.345; 95%CI 0.46-3.88) and informational (AOR=2.515; 95%CI 0.85-7.42) support toward QOL. Employment, being married and not experiencing relapse were significantly related to QOL. Instrumental support and appraisal support are important factors in determining the quality of life of persons with schizophrenia. Hence, the government needs to expand the roles of family and community to support these roles.

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