scholarly journals Are Incentives Everything? Payment Mechanisms for Health Care Providers in Developing Countries

Author(s):  
Varun Gauri
2017 ◽  
Vol 6 (1) ◽  
pp. 40-47
Author(s):  
M Lopchan ◽  
G Gurung ◽  
L Rajbanshi ◽  
C Osti ◽  
A Baniya

Nosocomial infections (NIs) are one of the most important health issues, particularly in developing countries, because these infections cause high mortality and morbidity, and economic and human resource loss as a consequence Nosocomial infections can be defined as those occurring within 48 hours of hospital admission, 3 days of discharge or 30 days of an operation. Many studies have examined risk factors of nosocomial infections. However, knowledge of frontline workers (attendants) in infection prevention have been reported rarely in developing countries. The aim of this study was to investigate the knowledge of attendants working in different wards and OPDs about infection prevention. S: Data were collected from 100 attendants in Chitwan Medical College Teaching Hospital. Regarding the knowledge on hand washing, gloving and personal accessories for Infection Prevention, majority of the respondents had good knowledge ranging from 94-100%. Though hospital has established Infection Prevention Committee and regular training on infection prevention is provided to all the staffs, the data indicated that only 68% respondents were benefitted by the infection prevention training and proper use of virex solution to disinfect the equipment’s was found unsatisfactory. Infection control is the responsibility of all Health Care Facility (HCF) personnel. The goal of the infection control policies are to identify and reduce risks of acquiring and transmitting infections among patients, staff, students, volunteers, contract service workers, and visitors Although significant effort has been made to reduce the Nosocomial infections, regular training as well as monitoring supervision will enhance the capacity of the health care providers and front line workers for cleaning services they are our valued respondents.DOI: http://dx.doi.org/10.3126/jcmc.v6i1.55069


2020 ◽  
pp. 147078532097005
Author(s):  
Ishaana Sood ◽  
Shalinder Sabherwal ◽  
Shantanu DasGupta ◽  
Naval Chauhan ◽  
Anand Chinnakaran ◽  
...  

Developing countries often cite shortage of human resource, limited accessibility, low affordability, and asymmetric availability of health care resources as the provider end barriers to health care service utilization. Using the example of a market research project undertaken to establish an advanced surgical eye hospital in the Indian state of Uttar Pradesh, a decision-grid is constructed whereby health care providers’ can make informed decisions regarding expansion and service delivery. The comparative and interpretive logic-based approach utilizes public domain data coupled with field research and is apt for those working in developing countries and/or resource-crunch settings. The paradigms laid out and discussed, provide building blocks for decision-making, which if harnessed effectively, have broad applicability in terms of reaching the previously unreached and ultimately in improving health outcomes.


2018 ◽  
pp. 1-10 ◽  
Author(s):  
Albert C. Yeh ◽  
Mohiuddin A. Khan ◽  
Jason Harlow ◽  
Akhil R. Biswas ◽  
Mafruha Akter ◽  
...  

Purpose Treatment of malignant and nonmalignant hematologic diseases with hematopoietic stem-cell transplantation (HSCT) was first described almost 60 years ago, and its use has expanded significantly over the last 20 years. Whereas HSCT has become the standard of care for many patients in developed countries, the significant economic investment, infrastructure, and health care provider training that are required to provide such a service have prohibited it from being widely adopted, particularly in developing countries. Methods Over the past two decades, however, efforts to bring HSCT to the developing world have increased, and several institutions have described their efforts to establish such a program. We aim to provide an overview of the current challenges and applications of HSCT in developing countries as well as to describe our experience in developing an HSCT program at Dhaka Medical College and Hospital in Bangladesh via a partnership with health care providers at Massachusetts General Hospital. Results and Conclusion We discuss key steps of the program, including the formation of a collaborative partnership, infrastructure development, human resource capacity building, and financial considerations.


Author(s):  
Maha Zaitoun ◽  
Mohammad Rawashdeh ◽  
Safa AlQudah ◽  
Hana' ALMohammad ◽  
Amjad Nuseir ◽  
...  

Abstract Introduction One of the main factors that affect the early diagnosis and intervention of hearing loss is inadequate knowledge by the health care workers. Ear, nose, and throat (ENT) specialists are the main source of information about hearing loss and its management in most developing countries, such as Jordan. Objective The purpose of the present study is to explore the level of knowledge and the practice of hearing screening and hearing loss management for children among ENT physicians in Jordan as an example of health care providers in developing countries of the Middle East. Methods This was a cross-sectional study, adapting a questionnaire of knowledge and the practice of hearing screening and hearing loss management for children. The questionnaire consisted of 2 sections with 20 questions. A total of 40 ENT physicians completed the questionnaire. Results The majority of the respondents acknowledged the importance of hearing screening for children; however, there was limited knowledge regarding hearing loss management and testing. Only 10 of the ENT physicians believed that a referral to an audiologist is warranted, and the majority of the respondents were not aware that a child with a confirmed permanent hearing loss should be referred to a speech pathologist or to a rehabilitation center. Managing unilateral and mild sensorineural hearing loss (SNHL) was another area about which ENT physicians have limited knowledge. Conclusion There is a strong need for professional intervention programs, providing the latest updates and standardizations in the field of audiology and pediatric rehabilitation for ENT physicians.


2020 ◽  
Vol 27 (1) ◽  
Author(s):  
O Kalesanwo ◽  
SO Kuyoro ◽  
D Aleburu ◽  
VO Nwaocha ◽  
AA Adenrele

The collection and storing of medical records pertaining to the health status of patients in an electronic form so as to allow; easy access, information sharing and making better medical decisions among other things is known as an Electronic Health Record (EHR). Data generated by health care providers from patient‟s diagnosis, prescription, health monitoring and other health related issues were basically kept on paper. However, the rapid proliferation of data has led to the advancement of effective management of these data to help bring about better decision making and also improvement in health care delivery. This paper highlights the importance of EHR, its role in delivering better health care and the development of a nation, taking cognizance of its adoption level in both the developed and developing countries. Strategic solution of integrating intelligent devices (Chatbots and glass) to burgeon the implementation of EHR so as to improve the overall health care of the populace of developing nations was proposed. Keywords: Electronic Health Record, Intelligent systems, Chatbots, Glass


2012 ◽  
Vol 1 (9) ◽  
pp. 294-301 ◽  
Author(s):  
Ayushy Sachan ◽  
Anupam K Sachan ◽  
Sudhir S Gangwar

During the past few years, the pharmacy profession has expanded significantly in terms of professional services delivery and now has been recognized as an important profession in the multidisciplinary provision of health care. The Pharmacist is a key component of healthcare and manages the human resource to support the growth. In contrast to the situation in developed countries, pharmacists in developing countries are still underutilized and their role as health care professionals is not deemed important by either the community or other health care providers. The aim of this paper is to highlight the role of pharmacists in developing countries, particularly in India, Pakistan and Bangladesh. The paper draws on the literature related to the pharmacy profession in the country in the context of the current directions of health care. The paper highlights the current scenario and portrays the pharmacy profession in India, Bangladesh and Pakistan. It concludes that although the pharmacy profession in developing countries is continuously evolving, the health care system which yet to recognize the pharmacist's role. This lack of recognition is due to the limited interaction of pharmacists with the public. Pharmacists in developing countries are concerned about their present professional role in the health care system. The information presented in this paper may stimulate discussion and critical analysis and planning, and will be of value in further adaptation of the pharmacy education to desired educational outcomes. These are times of enormous change in healthcare and the pharmacy profession and pharmaceutical education must prepare students to enter into the practice of pharmacy.DOI: http://dx.doi.org/10.3329/icpj.v1i9.11622 International Current Pharmaceutical Journal 2012, 1(9): 294-301 


2017 ◽  
Vol 1 (1) ◽  
pp. 18-20 ◽  
Author(s):  
Sojib Bin Zaman ◽  
Naznin Hossain

The term of universal health coverage (UHC) are getting popularity among the countries who have not yet attained it. Majority of the developing countries are planning to implement the UHC to protect the vulnerable citizen who cannot afford to buy the health services. Poor people living in developing countries, where there is no UHC, are bereft of getting equal health care. They have to bear a significant amount of health cost in buying different services which often causes catastrophic expenditures for an individual and a family. If a country can provide UHC, it will be possible to bring all the citizens under provision of equal and quality care. However, implementation of a UHC is not an easy phenomenon, rather it needs proper design of a good health insurance system by integrating both the public and private health care providers. The influence of good governance and a sustainable health financing system is fundamental to establish UHC in the developing countries.


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