scholarly journals "Why did our baby die soon after birth?"—Lessons on neonatal death in rural Cambodia from the perspective of caregivers

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252663
Author(s):  
Ayako Suzuki ◽  
Mitsuaki Matsui ◽  
Rathavy Tung ◽  
Azusa Iwamoto
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Health System ◽  
Neonatal Death ◽  
Care Service ◽  
Health Care Service ◽  
System Transformation ◽  
Neonatal Deaths ◽  
Open Coding

Introduction Neonatal deaths represent around half the deaths of children less than five-years old in Cambodia. The process from live birth to neonatal death has not been well described. This study aimed to identify problems in health care service which hamper the reduction of preventable neonatal deaths in rural Cambodia. Methods This study adopted a method of qualitative case study design using narrative data from the verbal autopsy standard. Eighty and forty villages were randomly selected from Kampong Cham and Svay Rieng provinces, respectively. All households in the target villages were visited between January and February 2017. Family caregivers were asked to describe their experiences on births and neonatal deaths between 2015 and 2016. Information on the process from birth to death was extracted with open coding, categorized, and summarized into several groups which represent potential problems in health services. Results Among a total of 4,142 children born in 2015 and 2016, 35 neonatal deaths were identified. Of these deaths, 74% occurred within one week of birth, and 57% were due to low-birth weight. Narrative data showed that three factors should be improved, 1) the unavailability of a health-care professional, 2) barriers in the referral system, and 3) lack of knowledge and skill to manage major causes of neonatal deaths. Conclusion The current health system has limitations to achieve further reduction of neonatal deaths in rural Cambodia. The mere deployment of midwives at fixed service points such as health centers could not solve the problems occurring in rural communities. Community engagement revisiting the principle of primary health care, as well as health system transformation, is the key to the solution and potential breakthrough for the future.

scholarly journals Unlearning and public services —A case study with a Vygotskian approach

2018 ◽  
Vol 24 (2) ◽  
pp. 188-207 ◽  
Author(s):  
Jari Stenvall ◽  
Tony Kinder ◽  
Paivikki Kuoppakangas ◽  
Ilpo Laitinen
Keyword(s):  
Health Care ◽  
Single Case ◽  
Care Service ◽  
Health Care Service ◽  
Transition Process ◽  
Radical Change ◽  
Public Health Care ◽  
University Hospital ◽  
Product Logic

All successful public service innovations require learning and just as importantly and often more deeply, unlearning. This research investigates the unlearning of health professionals focusing on the issue of why and how unlearning happens at an individual level for health care professions in the transition from product logic to service-dominant logic at Tampere University Hospital in Finland. We applied a qualitative single case study method, a problem-centred unlearning framework with a narrative approach, which facilitates understanding of how the informants perceived the service transition process. We identified three distinct unlearning narratives, and we recognised barriers and enablers to unlearning in the health care service culture and context and suggest ways in which these might be overcome. Results of the study shows that deep and radical change in public health care services is possible, by applying distributed leadership and allowing individual actors time for reflections, mind-wandering, listening and learning from users and discourse between professionals.

scholarly journals Delivery of Health Care Service in the Organization of Islamic Cooperation (OIC) Member States and Regional Diversity: A Bootstrap Dea Analysis

2019 ◽  
Vol 5 (1) ◽  
pp. 59-66
Author(s):  
Nabila Asghar ◽  
Majid Ali ◽  
Fatima Farooq ◽  
Urooj Talpur
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care System ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Allocative Efficiency ◽  
Truncated Regression ◽  
Regression Approach ◽  
Care System

For the last few decades, demographic changes require new and expensive medical innovations, which ultimately put the health care system under financial pressure. Therefore, provision of efficient services for the sustainability in health care system is mandatory. The objective of this study is to explore the performance of health care services provided in 55 OIC member countries during 2011 and 2015.The bootstrap Data Envelopment Analysis and Truncated regression approach have been applied to observe the health system and estimate the efficiency score  in 55 OIC member countries. The findings of DEA show that cost efficiency (CE), technical efficiency (TE) and allocative efficiency (AE) of health care system of OIC member countries on average are 0.52, 0.72, and 0.70, respectively. It indicates that OIC countries are not good at selecting cost efficient input mix. The results of truncated regression approach indicate that out-pocket health expenditures is the most important determinant relative to other indicators. It is suggested that it is hard to improve the overall health system at most efficient level. For this purpose there is a need to educate the mass and provide the better opportunities so that people can earn handsome amount, through which they may have better health care.

‘Out of Pocket Expenditure’ of Health Care Services in India: Factors, Consequences and Solution

2013 ◽  
Vol 9 (2) ◽  
Author(s):  
Shatabdi Bagchi ◽  
Priyanka Bakhshi
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Secondary Data ◽  
Critical Factor ◽  
World Health ◽  
World Health Survey ◽  
Care Services

Financing is the most crucial part of the of the health care service delivery system and health care finance is one of the most critical factor contributing in the poverty scenario of any country.  In developing countries like India where the health system should be more equitable and cost effective, the soaring problem of ‘out of pocket expenditure’ on Health System has shown a gloomy face and raises question on health equity. Evidences from several studies In India show that out of pocket expenditures on health care services intensify poverty.  In the World Health Survey of 2011, India was ranked 42nd in the list of countries with highest average of out of pocket expenditure. The survey found that 74.4 per cent of private expenditure on health was paid out of pocket. The article discusses the triggering factors which lead to the inequitable out of pocket health expenditure. Secondary Data from World Health Statistics 2010, NSSO 52nd and 60th round have been used here as evidence.

Best Practices for Basic and Advanced Skills in Health Care Service Recovery: A Case Study of a Re-admitted Patient

2010 ◽  
Vol 36 (7) ◽  
pp. 310-318 ◽  
Author(s):  
Anna C. Hayden ◽  
James W. Pichert ◽  
Jodi Fawcett ◽  
Ilene N. Moore ◽  
Gerald B. Hickson
Keyword(s):  
Health Care ◽  
Best Practices ◽  
Care Service ◽  
Health Care Service ◽  
Service Recovery ◽  
Advanced Skills

scholarly journals Gaps in oral health-care service provision systems for children in Nigeria: A case study of a tertiary health institution

2018 ◽  
Vol 29 (5) ◽  
pp. 622
Author(s):  
OlawunmiAdedoyin Fatusi ◽  
Eyitope Ogunbodede ◽  
ChristianaAyomide Sowole ◽  
MorenikeOluwatoyin Folayan
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Service Provision ◽  
Care Service ◽  
Health Care Service ◽  
Oral Health Care ◽  
Health Institution

Advancement of telemedicine in Africa and the current laws: A case study of Nigeria

2021 ◽  
pp. 002581722110183
Author(s):  
Amanze N Ikwu ◽  
David T Komolafe ◽  
Gladys I Ahaneku ◽  
Sixtus E Nwawudu
Keyword(s):  
Health Care ◽  
Communication Technology ◽  
Health Care Services ◽  
Conventional Medicine ◽  
Care Service ◽  
Health Care Service ◽  
Telemedicine System ◽  
Care Services ◽  
Information And Communication

Advancements in technology have heralded more than a few cutting-edge benefits. Medicine is a vital sector of every nation and it has benefitted from these advancements in delivering health care services at a distance. The increasing use of Information and Communication Technology (ICT) by a vast population worldwide has been pivotal for telemedicine in recent years. Many developed and developing countries of the world have embraced telemedicine as a proactive means of delivering health care services to their citizens, although at different rates of development. The challenges associated with health care service and delivery is numerous and telemedicine has become one solution to counter some of these challenges. This paper seeks to examine the state of telemedicine in Nigeria. It identifies the gaps that ought to be filled in the Nigerian legal system and proposes relevant policies and legislation that must be formulated by government alongside appropriate authorities in order to ensure an optimum telemedicine system that meets the standards of conventional medicine.

scholarly journals Non-communicable diseases diagnosed in a health care service for dock workers: a case study in a seaport of Brazil

2012 ◽  
Vol 3 (6) ◽  
Author(s):  
Marta Regina Cezar-Vaz ◽  
Marlise Capa Verde de Almeida ◽  
Clarice Alves Bonow ◽  
Laurelize Pereira Rocha ◽  
Anelise Miritz Borges ◽  
...  
Keyword(s):  
Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Communicable Diseases ◽  
Non Communicable Diseases ◽  
Dock Workers

Open Innovation for Wicked Problems: Using Proximity to Overcome Barriers

2020 ◽  
pp. 000812562096863
Author(s):  
Ward Ooms ◽  
Roel Piepenbrink
Keyword(s):  
Health Care ◽  
Case Studies ◽  
Open Innovation ◽  
Care Service ◽  
Health Care Service ◽  
Service Innovation ◽  
Wicked Problems ◽  
The Face ◽  
Innovation Barriers

Open innovation is a viable strategy to solve wicked problems. However, the complexity of these types of problems renders the management of open innovation initiatives (even) more difficult. How can managers make open innovation for complex or even wicked problems work? This article examines case studies of open innovation initiatives adopting a health care service innovation. It uses the proximity framework to identify several ways in which open innovation barriers can be overcome despite their complexity. The case study findings show how partners leverage their differences to the benefit of service innovation in the face of wicked problems.

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