scholarly journals Household members and health care workers as supervisors of tuberculosis treatment

2010 ◽  
Vol 44 (2) ◽  
pp. 339-343 ◽  
Author(s):  
Ethel Leonor Noia Maciel ◽  
Leticia Molino Guidoni ◽  
Ana Paula Brioshi ◽  
Thiago Nascimento do Prado ◽  
Geisa Fregona ◽  
...  

OBJECTIVE: To compare tuberculosis cure rates among patients supervised by household members or health care workers. METHODS: Prospective cohort study of 171 patients treated by the program in Vitoria, Southeastern Brazil, from 2004 to 2007. Each patient was followed-up for six months until the end of the treatment. Of the patients studied, a household member supervised 59 patients and healthcare workers supervised 112 patients. Patients' sociodemographic and clinic data were analyzed. Differences between groups were assessed using chi-square test or Student's t-test. Significance level was set at 5%. RESULTS: Most patients had smear positive, culture confirmed pulmonary tuberculosis. Two patients were HIV-positive. There were more illiterate patients in the healthcare-supervised group, in comparison to those supervised by their families (p=0.01). All patients supervised by a household member were cured compared to 90% of the patients supervised by health care workers (p = 0.024). CONCLUSIONS: Successful tuberculosis treatment was more frequent when supervised by household members.

Author(s):  
Siti Alfiah ◽  
Rini Susanti

The success development in the health fields is concentrated at the attempts to reduce the mortality rate of infants and toddlers at the same time. The purpose of this research is to analyze whether there is a correlation between knowledge and performance of the health care workers to the number of the babies, specifically the ones under five years old, to visit the posyandu as an integral part of the Lubuk Baja Health Centre in Batam.This study is a descriptive analytic research with 56 respondentsthat covers all health care workers in the service area ofLubuk Baja Health Care. The data is analyzed using Chi Square statistical test at significance level of 95%. The result reveals that based on the respondents’ characteristic, it was obtained 56 respondents have good knowledge level and able to apply their knowledge to posyanduactivities. Besides, it is also noted that 44 respondents have well performance. On the other hand, the researchersdiscover 28 toddlers getgood treatment meanwhile 28 of them are not treated very well. Therefore, it can be concluded that there is no significant correlation between knowledge levels and performance of the health care workers to the number of theunder-five years children to visits the posyanduwhich indicated by  each of p> 0.05 for knowledge and performance. In general, knowledge and good performance of posyandu cadres and society surroundingsaretwo very important aspects to improvethe number of the children to attend the posyandu. As the suggestion, it is expected that theposyandu cadres and society to be more concerned about the presence of posyandufor benefit of the newborns as well as the enhancement of the health sciences for life.


2017 ◽  
Vol 21 (9) ◽  
pp. 1049-1055 ◽  
Author(s):  
M. J. Magee ◽  
L. Darchia ◽  
M. Kipiani ◽  
T. Chakhaia ◽  
R. R. Kempker ◽  
...  

Author(s):  
Dhaval Dalal ◽  
Kamalpriya Thiyagarajan ◽  
Humeshwari Nipane ◽  
Vijaykumar Gawali

Background: COVID-19 has brought psychological disorders that affect health care workers and the general public. Hence it is important to have necessary counselling to address the psychological, social aspects of the pandemic to ensure psychological well-being of especially Health-care Workers and preserve their innate and acquired immunity.Methods: The study was planned as single centre retrospective study and conducted between April and June 2020 at dedicated COVID-19 hospital in India. Front-line HCWs more than 18 years, of any gender working in COVID-19 hospital and willing to participate for the study were enrolled in the study. Study included two questionnaires, generalized anxiety disorder scale, and socio-demographics and COVID-19 related awareness questionnaire. Measurements were taken pre and post the psychological counselling intervention.Results: As per generalized anxiety disorder (GAD) scale people suffering from moderate anxiety disorder dropped from 19% (pre counselling) to 5% (post counselling) and severe cases dropped from 14% (pre counseling) to 2% (post counseling), there was statistically significant difference observed due to psychological intervention in GAD scale (Chi square test-10.794, p value=3.67E-27). Socio demographics and COVID-19 related awareness questionnaire results were statistically significant (Chi square test-11.945, p value=6.91E-33).Conclusions: Counselling interventions based on scientific data offered in groups by investigator with an accurate knowledge of the COVID-19 and its manifestation increased the confidence of health care workers (HCWs) and reduced anxiety level. This was translated into the full availability of HCWs on the clinical study site, although medical services were disrupted while other hospitals were starving due to lack of staff.


2021 ◽  
Vol 42 (6) ◽  
pp. 445-452
Author(s):  
Rajesh Kumar ◽  
Kalpana Beniwal ◽  
Yogesh Bahurupi ◽  
Ravi Kant ◽  
Mukesh Bairwa

Background: The coronavirus disease 2019 (COVID-19) pandemic has caused a large number of deaths along with severe socio-economic effects. The vaccine is considered to be the last hope to control viral transmission. This study aimed to explore the determinants of health care workers’ (HCWs) willingness to take the COVID-19 vaccination.Methods: A structured, pre-validated, and pre-tested questionnaire was administered online to 599 HCWs including physicians, residents, and nurses from different types of healthcare set-ups across India. Information was collected regarding vaccine acceptability, attitude toward vaccination, and reasons for hesitancy. The chi-square test, followed by multinomial regression analysis, was applied to determine the factors associated with HCWs’ vaccination willingness.Results: It was found that 73 % (n=437) of HCWs were willing to accept the vaccines, while 10.85% (n=65) refused and 16.2% (n=96) needed more time to decide. Gender (P<0.001), occupation (P=0.040), working as front-line workers (P=0.008), vaccine manufacturing country preferences (P<0.001), and perceived risk of catching COVID-19 in the next 6 months (P=0.005) had a significant association with intent to receive vaccination (the response were “yes” vs. “no” and “not sure”). The reasons for vaccine hesitancy were vaccine safety and efficacy concerns, antivaccine attitude and beliefs, personal choice, and not wanting to take a vaccine before others.Conclusion: The majority of HCWs agreed to take COVID-19 vaccines once available. Nevertheless, providing support to manage evolving vaccine environments will help change the perception of HCWs who refuse or are reluctant to take the vaccines.


2021 ◽  
Vol 4 (6) ◽  
pp. 43-59
Author(s):  
Adetoun A.O. ◽  
Olanrewaju A.I. ◽  
Temidayo O.A. ◽  
Oluwasayo B.O.

Background and Aim: Healthcare workers are at risk of infections from blood-borne pathogens due to percutaneous injuries from sharps, mucous membrane and skin exposures to contaminated blood and bodily fluids. The study, therefore, investigated exposure to occupational-related blood and fluids infections, accidental injuries and precaution practices among health care workers in a tertiary hospital in South-West, Nigeria. Methods: The study utilised a cross-sectional research design requiring a structured questionnaire to elicit data from medical doctors, nurses and laboratory scientists/technologists. Through the convenience sampling technique, 266 respondents were selected for the study. Non-parametric descriptive statistics were used to analyse the data with the level of significance of the chi-square test put at 5%. Results: The overwhelming majority (76%) of the health care workers at the hospital are of the female gender. The study found that the majority of the respondents (92%) were trained on infection control in the course of their career while virtually all of them (98%) had never contracted an occupational-related infection. Recapping of used needles accounted for 24.4% of activity that predisposed the workers to accidental injuries. Also, there was a significant association between the recapping of needles and the occurrence of accidental injuries (P.V. = 0.000). Meanwhile, the incidence of unreported injuries stood at 70.3% as all the reasons given were significant (P.V. = 0.000) using a one-sample chi-square test. Conclusion: It has been established that prevention practices like training in infection control, adherence to clear work procedures and guidelines, post-exposure prophylaxis and use of personal protective equipment were associated with contraction of occupational-related infections. Moreover, while recapping of used needles was a usual practice in the hospital, it was, however, associated with cases of accidental injuries among most health care workers. Unfortunately, most cases of injuries were unreported due to certain significant reasons.


Open Medicine ◽  
2008 ◽  
Vol 3 (2) ◽  
pp. 221-224 ◽  
Author(s):  
Aleksandra Jovic-Vranes ◽  
Bjegovic Vesna ◽  
Vranes Boris ◽  
Milic Natasa

AbstractThe study was undertaken to assess job satisfaction among health care workers (HCWs) who work with disabled patients and to identify the factors that contribute to their job satisfaction. This was a cross-sectional study conducted at nine rehabilitation centers in Serbia. The study sample consisted of doctors, nurses, physiotherapists, and other HCWs (social workers, work and speech therapists, and psychologists). A self-administrated questionnaire was distributed to 170 HCWs. Chi square testing and multivariate logistic regression analyses were applied. The response rate was 97.1% (165/170). Overall job satisfaction was reported by 22.4% of the respondents and was associated with hospital politics (odds ratio [OR], 4.16; 95% confidence interval [CI], 1.13–15.30], personal relationships (OR, 13.96; 95% CI, 4.07–47.92) and the feeling of being able to provide a good quality of care (OR, 5.24; 95% CI, 1.62–16.99). Profession, age, and gender did not affect job satisfaction. In conclusion, the results show very low job satisfaction among HCWs. Improving contributing factors may lead to higher job satisfaction and a better quality of health care.


Author(s):  
Akshaya Srikanth Bhagavathula ◽  
Wafa Ali Aldhaleei ◽  
Jamal Rahmani ◽  
Mohammadjavad Ashrafi Mahabadi ◽  
Deepak Kumar Bandari

BACKGROUND During the first week of March, the coronavirus disease 2019 (COVID-19) outbreak reached more than 100 countries with over 100,000 cases. Health care authorities have already initiated awareness and preparedness activities worldwide. A poor understanding of the disease among health care workers (HCWs) may result in delayed treatment and result in the rapid spread of the infection. OBJECTIVE This study aimed to investigate the knowledge and perceptions of HCWs about COVID-19. METHODS A cross-sectional, web-based study was conducted among HCWs about COVID-19 during the first week of March 2020. A 23-item survey instrument was developed and distributed randomly to HCWs using social media; it required 5 minutes to complete. A chi-square test was used to investigate the level of association among variables, with significance set to <i>P</i>&lt;.05. RESULTS Of 529 participants, a total of 453 HCWs completed the survey (response rate: 85.6%); 51.6% (n=234) were male, 32.1% (n=147) were aged 25-34 years, and most were doctors (n=137, 30.2%) and medical students (n=134, 29.6%). Most participants (n=276, 61.0%) used social media to obtain information on COVID-19. A significant proportion of HCWs had poor knowledge of its transmission (n=276, 61.0%) and symptom onset (n=288, 63.6%) and showed positive perceptions of COVID-19. Factors such as age and profession were associated with inadequate knowledge and a poor perception of COVID-19. CONCLUSIONS As the global threat of COVID-19 continues to emerge, it is critical to improve the knowledge and perceptions of HCWs. Educational interventions are urgently needed to reach HCWs worldwide, and further studies are warranted.


2019 ◽  
Vol 49 (4) ◽  
pp. 844-861 ◽  
Author(s):  
Nurcan Hamzaoglu ◽  
Burcu Türk

Workplace violence has affected many individuals in recent years, irrespective of age, gender, race, educational level, and sector. We analyzed the responses to the Workplace Violence in the Health Sector Country Case Study Questionnaire, applied online to 447 health care workers who worked in public or private health care institutions in different cities of Turkey. Frequencies, percentages, and a chi-square independence test were used for data analysis through SPSS 18. Of the participants, 37.4% were doctors, 61.3% were midwives-nurses or emergency medical technicians (EMT), and 1.3% worked in units with no direct contact with patients and relatives (such as management and the hospital pharmacy). A total of 36.7% of participants reported exposure to physical violence, and 88.8% reported exposure to verbal abuse at least once during their working lives. Many participants who were victims of physical violence or verbal abuse did not report incidents because they thought it would provide no benefits. Regulations on effective communication training, changes in workplace conditions, and effective implementation of violence prevention procedures may help to reduce the rates of verbal abuse and physical violence in the health care sector. In addition, when managers show support for their employees in the prevention of workplace violence, it may help employees to feel more secure in their workplaces.


2020 ◽  
Vol 11 ◽  
pp. 215013272095502 ◽  
Author(s):  
Beesan Maraqa ◽  
Zaher Nazzal ◽  
Therese Zink

Background: COVID-19 is thought to be the most significant public health threat the modern world has encountered. Health care workers (HCWs) face enormous pressure due to work overload, negative emotions, exhaustion, lack of contact with their families, and risk of catching the infection and death. Aim: This study aims to assess the level of stress perceived by HCWs and possible associated factors during the COVID-19 outbreak in Palestine. Methods: A cross-sectional sample of 430 frontlines HCWs was conducted using an online self-reported questionnaire. HCWs’ stress from the COVID-19 outbreak, factors that increase stress, and the activities that reduced stress were assessed. Chi-square test was used to compare between a categorical variable and the study outcome; associations are presented as odds ratios (OR) and confidence intervals (95% CI) with 0.05 significance level. Al-Najah National University institutional review board granted ethics approval. Results: Most respondents (74.0%) reported high-stress levels during the outbreak. Fear of transmitting the virus to family was the most stressful factor (91.6%). HCWs who did not have training on the outbreak response were more likely to have high-stress levels (OR = 2.7 [95% CI = 1.7-4.4], P < .001). Those with high stress reported being disappointed (OR = 2.4 [95% CI = 1.5-3.6], P < .001), and strongly considered taking sick leave (OR = 3.9 [95% CI = 1.9-7.9], P < .001). Conclusion: HCWs are under tremendous stress, given the ongoing COVID-19 pandemic. Understanding the psychological impact of the outbreak on HCWs and the activities that mitigate the stress is crucial to guide policies and interventions that can maintain psychological well-being.


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