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.

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 Is community radio an effective tool for health education? Perceptions of stakeholders of a community radio project in north coastal Andhra Pradesh

2020 ◽  
Vol 7 (4) ◽  
pp. 1522
Author(s):  
Vijay Rajana ◽  
K. K. L. Prasad ◽  
B. Devi Madhavi
Keyword(s):  
Health Education ◽  
Andhra Pradesh ◽  
Service Providers ◽  
Cross Sectional Study ◽  
Drop Out ◽  
Background Information ◽  
Community Radio ◽  
Major Drawback ◽  
Cross Sectional ◽  
The Government

Background: Unlike commercial radio, community radio works with local communities and helps in catering their specific needs and necessities and works as an innovative tool in bringing social change by using the participation of common man from the community in the program. Community radio stations are operated, owned, and influenced by the communities they serve. The objectives of the study were to describe the background information of the community radio services and to assess the perceptions of the rural community about the effectiveness of community radio and challenges in delivering its services.Methods: This study was designed on mixed method approach. Knowledge about health was assessed through a cross-sectional study. Perceptions about the effectiveness of community radio were gathered through focus group discussions. In-depth interviews with service providers obtained limitations and constraints that hinder the effectiveness. Villages surrounding an engineering college in Srikakulam district of north coastal Andhra Pradesh which is being provided community radio services by the institute. People in the selected villages who were provided community radio services and the staff of the engineering college involved in the program.Results: Preliminary results indicate that the beneficiaries found that programmes on care during pregnancy and delivery related issues were most beneficial. Drop out of trained community personnel to provide the health education was a major drawback as per the service providers.Conclusions: This beneficial approach to community needs support from the Government to implement it in every remote corner of our country.

scholarly journals Review on oral methotrexate in medical management of ectopic pregnancy: a 2 years experience in hospital Shah Alam

2019 ◽  
Vol 8 (8) ◽  
pp. 3229
Author(s):  
Wan Nurul Ezyani Wan Jabarudin ◽  
Normala Mohammad Som ◽  
Afidatul Mardhiah Mohammad Daud ◽  
Nor Dalila Shamsuddin ◽  
Nazian Hanna Yaacob ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Success Rate ◽  
Medical Management ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Clinical Settings ◽  
Cross Sectional ◽  
Early Presentation ◽  
Oral Methotrexate

Background: The objective of this study is to determine the success rate of oral methotrexate in Hospital Shah Alam for the past 2 years.Methods: This is a cross-sectional study using secondary data obtained from medical record office in Hospital Shah Alam on patients with ectopic pregnancy. A total of 35 patients who fulfilled the criteria for medical management were selected. They were prescribed with oral methotrexate with the dose of 60 mg given in 3 divided doses every 2 hours using the standard tablet of 2.5mg. Follow up was done at day 4, day 7 and till HCG level achieve less than 20 iu/litre.Results: 29 patients were successfully treated with oral methotrexate 60 mg (82.8%). Another 6 patients had to undergo laparoscopic surgery with confirmed leaking, ruptured tubal pregnancy. 4 patients needed second dose of Methotrexate due to rising HCG level and all of them were successfully treated after the second dose. The side effects of oral methotrexate were tolerated well by all patients. There are numbers of predictors for success which are the level of HCG <4000 iu/litre, size of mass <4cm, no abdominal pain during early presentation and decrease of HCG level in between day 4 to day 7 after oral methotrexate.Conclusions: The success rate of oral methotrexate for stable ectopic pregnancy is good making it a suitable option for clinical settings which has no specialised equipment to handle cytotoxic drugs.

scholarly journals COVID-19 in Douala-Cameroon: Epidemiologic features, challenges to fight the pandemic, and psychosocio-economic impacts

2021 ◽  
Vol 7 (1) ◽  
pp. 045-048
Author(s):  
H. Blaise Nguendo Yongsi
Keyword(s):  
Mental Health Problems ◽  
Economic Impacts ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
First Case ◽  
Urban Settlements ◽  
The Government ◽  
The City ◽  
Epidemiologic Features

Coronaviruses are a family of viruses that can cause illnesses such as the common cold, severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS). In 2019, a new coronavirus was identified as the cause of a disease outbreak that originated in China. Cases of COVID-19 have been reported in a growing number of cities worldwide. Cameroon recorded the first case of the Coronavirus on March 6, 2020 and thereafter, there was a geometric increase in the number of cases. In response to this, the government announced firm measures in an effort to curb the exponential increase of the Coronavirus cases in the country. Despite the measures, the number of cases has continued to increase, coupled with another unwanted socio-economic phenomenon. This study aims to present the challenges to fight COVID-19 in Cameroon urban settlements as with the case of Douala metropolitan city, to examine its geographical distribution pattern, and to apprehend its socio-economic impacts on Douala city dwellers. Data used here derived from local and national health statistics, and from a cross-sectional study conducted in Douala city from May to December 2020. Results reveal that coherent measures were taken by health officials to fight the pandemics. However, spread of the virus has continued in the city, under a differentiated dissemination pattern. Findings also revealed that during lockdown, the city witnessed downturn in the economy, increase in domestic violence and mental health problems. The study recommends the effective follow-up of the measures put in place by the government as well as all the stakeholders, the financial support of enterprises and an aggressive sensitization of the population.

scholarly journals COVID-19 in Jeddah Islamic Port (Ministry of Health, Kingdom of Saudi Arabia)

2021 ◽  
Vol 3 (30) ◽  
pp. 30-47
Author(s):  
Nashwan M. Abdullah ◽  
◽  
Abdullah J. Alsahafi ◽  
Ahmed A. Osman ◽  
Mohammed S. Alharbi ◽  
...  
Keyword(s):  
Infection Control ◽  
Health Management ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Health Surveillance ◽  
Control Measures ◽  
Primary Data ◽  
Ministry Of Health ◽  
Cross Sectional

Health Surveillance Centers at Jeddah Islamic Port (HSCJIP) devised a plan consisting of preventive measures implemented alongside several agencies to contend with COVID-19. We aimed to explore the experience of the Ministry of Health in Jeddah in terms of dealing with COVID-19 in the Jeddah Islamic Port (JIP) in 2020. Methods: This is a cross-sectional study using secondary data from the HSCJIP, the primary data of which have been collected as a part of routine health surveillance. Results: HSCJIP identified 261 patients with 676 contacts and they performed 472 visits to thermal scans points and performed 106,633 thermal scans to the employee and visitors. Discussion and conclusion: HSCJIP conducted an epidemiological investigation of positive cases and follow-up of contacts with the quarantine of confirmed cases. Moreover, several infection control measures were applied such as thermal scans. Monitoring visits at government and private agencies at the port were required. In quarantine facilities, there was a need to assign doctors, nurses, pharmacists, infection control specialists, and health management staff and to define their tasks and coordinate their activities during work. There was also a need for HSCJIP to apply all environmental sanitation and infection control requirements to the quarantine facilities, with remarkable cooperation from the hotel administration, in order to meet all the needs of the medical team, including the provision of medical files, medicines, personal protective equipment, forms and patient files of referral and follow-up cases, and preparation for requirements for the safe disposal of medical waste in patient rooms.

scholarly journals Análise temporal dos aspectos clínicos e sociais relacionados a sífilis congênita na Paraíba entre 2008 e 2017

2021 ◽  
Vol 1 (54) ◽  
pp. 44
Author(s):  
Matheus Santos Duarte ◽  
Michael Ferreira Machado ◽  
Carlos Dornels Freire de Souza
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Congenital Syphilis ◽  
Treponema Pallidum ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Social Characteristics ◽  
Cross Sectional ◽  
Time Period ◽  
The Government

<p class="Normal1"><span class="fontstyle0">Congenital syphilis is a disease resulting from vertical transmission of the Treponema pallidum bacterium from the infected mother to her child, which can result in several sequelae for the newborn. This study aimed to analyze the clinical and social characteristics of mothers whose children were affected by this disease in Paraíba between 2008 and 2017. It is a descriptive and cross-sectional study developed from secondary data from the Ministry of Health. The trends were analyzed through a segmented regression model using Joinpoint software. The statistical results were compared with the government actions implemented in the analyzed time period, in the scope of the fight against syphilis. A higher proportion of cases of this disease was observed in women with brown skin and low schooling. This proportion was higher than the national average. A high percentage of inadequate treatment was also observed. Although this ratio has decreased lately, the proportion of those who did not undergo treatment has increased. Prenatal care has been increasingly performed by these pregnant women. In this sense, the influence of the Rede Cegonha on this process can be highlighted, providing greater reach and quality of prenatal care, in addition to the expansion of the capacity of testing and treatment of pregnant women with syphilis.</span><strong> <br /><br /> </strong></p>

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

Agro-Innovation – Path to Agricultural Entrepreneurship: Feasibility Study

2019 ◽  
Vol 5 (1) ◽  
pp. 63
Author(s):  
Elias Kamaruzzaman ◽  
Norzaidi Mohd Daud ◽  
Samsudin Wahab ◽  
Rozhan Abu Dardak
Keyword(s):  
Migrant Workers ◽  
Production Cost ◽  
Swot Analysis ◽  
Service Providers ◽  
Secondary Data ◽  
Financial Cost ◽  
Technology Changes ◽  
Property Owners ◽  
The Government ◽  
Agricultural Entrepreneurship

Technology changes will always be for the better, not only to the end users but also to the intellectual property owners of the technology and the implementers of the technology. The objective of this paper is to study the feasibility and viability for entrepreneurs to become service providers for the dispensation of fertilizers, pesticides, fungicides and supporting services such as aerial crop reconnaissance using Unmanned Aerial Vehicles (UAV) or drones. The methodology used for this study is SWOT Analysis. Both primary and secondary data is used for this analysis. This study finds that paddy farming employing drones is feasible. The beneficiaries of this study shall be the government, by way of lowering financial cost to subsidise the paddy planting, the farmers who no longer need the services of migrant workers, thus saving production cost, and finally the drone service providers and their downstream business associates who can engaged themselves in very lucrative businesses.

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