Social Work with Ambulatory Clients: The Wayfinding Domain

1997 ◽  
Vol 78 (3) ◽  
pp. 299-306
Author(s):  
Brennen Taylor ◽  
Ann Taylor
Keyword(s):  
Health Care ◽  
Social Work ◽  
Health Facility ◽  
Health Care Facilities ◽  
Care Facilities ◽  
Ambulatory Services

Wayfinding services help ambulatory clients develop skills to travel independently to health care facilities. The authors review social work's contribution to ambulatory clients through wayfinding training. They assert that wayfinding services promote client compliance with ambulatory services and discuss wayfinding guidelines for travel between health facility and home.

scholarly journals A Novel Method for Defining Health Facility Catchment Areas in a Low Income Country

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Kate Zinszer ◽  
Ruth Kigozi ◽  
Katia Charland ◽  
Dr. Grant Dorsey ◽  
Dr. Moses Kamya ◽  
...  
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Low Income ◽  
Health Care Facilities ◽  
Statistical Measure ◽  
Low Income Country ◽  
Catchment Areas ◽  
Care Facilities ◽  
Novel Method ◽  
Administrative Units

The catchment areas of six health-care facilities in Uganda were determined using the cumulative case ratio: the ratio of the observed to expected utilization of a facility for a particular condition by patients from small administrative areas. Our approach is simple, reproducible, and is based on a statistical measure to decide which administrative units should be included in catchment areas. 

scholarly journals Distribution of primary health care facilities in Mtwara District, Tanzania: availability and accessibility of services

1970 ◽  
Vol 20 (4) ◽  
Author(s):  
Irene R. Mremi ◽  
Mercy Mbise ◽  
Job A. Chaula
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Low Income ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Child Health Services ◽  
Healthy Population ◽  
Care Services ◽  
Care Facilities

Background: Access to health care services is a significant factor to health seeking practices that contributes to a healthy population. Improving health care accessibility is an important health priority in low-income countries. The objective of this study was to determine distribution of health care facilities and identify the high priority areas, which require more services in Mtwara, southern Tanzania.Methods: This study was carried in Mtwara Rural district of southern Tanzania and involved health care facilities. A hand held global positioning system was used to geo-reference the coordinates of all facilities. A questionnaire with both closed and open-ended questions was used to gather information from patients who attended the respective facilities. Interviews with district health officials and facility in-charges were conducted.Results:  There were 38 health in the district. Most of them were located within southern part of the district. The majority of facilities (97%) were government owned. On average each facility was serving 2,400 population. Malaria management, reproductive and child health services, family planning and integrated management of childhood illnesses were offered by all health facilities in the district. Prevention of mother to child transmission of HIV was offered by 34 (89.5%) facilities. Tuberculosis services were offered by only 3 facilities while voluntary counselling and testing of HIV and anti-retroviral treatment services were available in 15 and 10 health facilities, respectively. Only 4 facilities had laboratory and inpatients services. The majority of the staff included Medical Attendants (39%), Nurse Midwives (34%), and Clinical Officers (20%). Assistant Medical Officers and Nursing Officers each accounted for 2% of the total staff. There were no Medical Officers, laboratory technicians or pharmaceutical technicians in the district.  A total of 408 health facility clients (≥18yrs) were interviewed. Factors influencing the choice of a health facility were the availability of special services, medicine and qualified human resources.Conclusion: The majority of facilities in Mtwara are government and there is disparity in the distribution of the facilities. Availability of medicines and qualified human resources were the major factors on the preference for accessing health care services.

scholarly journals COVID-19 health facility preparedness for protecting healthcare workers: Designing a tool for rapid self- assessment

2020 ◽  
Vol 72 ◽  
pp. 83-87 ◽  
Author(s):  
Saurav Basu
Keyword(s):  
Health Care ◽  
Best Practices ◽  
Patient Care ◽  
Health Facility ◽  
Healthcare Workers ◽  
Rapid Assessment ◽  
Health Care Facilities ◽  
Multiple Sources ◽  
Self Assessment ◽  
Care Facilities

Healthcare workers (HCWs) comprise an irreplaceable resource in combating the COVID-19 pandemic. However, thousands of HCWs have been infected with the coronavirus (SARS-CoV-2) globally, and hundreds have died in the line of duty. Increased stress and fear about personal and familial safety also erode the confidence of HCWs in adhering to the best-practices for COVID-19 patient care. A tool and checklist for rapid assessment of health-care facilities for their preparedness in prioritizing the protection of healthcare workers were developed based on a survey of multiple sources. A total of ten domains were identified that are pivotal toward enabling the protection of HCWs involved in the management of suspected or confirmed COVID-19 patients.

scholarly journals Access to chronic medicines: patients’ preferences for a last kilometre medicine delivery service in Cape Town, South Africa

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Siraaj Adams ◽  
Mwila Mulubwa ◽  
Mea van Huyssteen ◽  
Angeni Bheekie
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Facility ◽  
Employment Status ◽  
Health Care Facilities ◽  
Chronic Patients ◽  
Chi Square ◽  
Delivery Service ◽  
Care Facilities ◽  
Chi Square Test

Abstract Background Chronic patients are required to access their chronic medicines on a regular basis, often only to refill their repeat prescriptions. Adherence to chronic medicines is challenging and has stimulated health care providers to devise differentiated service delivery models of care to decentralise chronic medicine distribution to decrease the frequency of medicine collection at health care facilities. One such option includes a last kilometre medicine delivery service. This study investigated chronic patients’ preferences for a last kilometre medicine delivery service model. Methods An exploratory non-randomised quantitative study was conducted over 4 weeks at four public sector primary health care facilities in Cape Town, South Africa. Data was collected on a structured questionnaire from chronic patients queuing to receive medication at each facility’s pharmacy waiting area. Patient demographics were noted to align with preferences for chronic medicine service delivery characteristics including; mobile ordering, fee for service and location for delivery. Chi-square test and frequencies were employed to analyse data using SPSS version 23. Results A total of 116 patients participated in this study. Most were interested in a medicine delivery service (80.2%) and were willing to use a mobile application to order their medicines (84.5%). Almost all patients (96.8%) preferred that their medicines be delivered to their home. More than three quarters of participants were willing to pay for the service (77.6%). Chi-square test showed that gender, age group, employment status, distance to the health facility and /or average waiting time at the clinic significantly influenced the preference for certain characteristics of the medicine delivery service (p < 0.05). Conclusion Most participants were interested in a last kilometre medicine delivery service, especially those older than 45 years, waiting for more than 6 h at the facility, and staying within one kilometre radius of the clinic. More studies are needed to establish the influence of patients’ employment status and the distance to health facility on interest in the medicine delivery service.

scholarly journals Community participation in the collaborative governance of primary health care facilities, Uasin Gishu County, Kenya

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248914
Author(s):  
Jackline Sitienei ◽  
Lenore Manderson ◽  
Mabel Nangami
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Participation ◽  
Health Facility ◽  
Service Providers ◽  
Collaborative Governance ◽  
Health Care Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Introduction Community participation in the governance of health services is an important component in engaging stakeholders (patients, public and partners) in decision-making and related activities in health care. Community participation is assumed to contribute to quality improvement and goal attainment but remains elusive. We examined the implementation of community participation, through collaborative governance in primary health care facilities in Uasin Gishu County, Western Kenya, under the policy of devolved governance of 2013. Methods Utilizing a multiple case study methodology, five primary health care facilities were purposively selected. Study participants were individuals involved in the collaborative governance of primary health care facilities (from health service providers and community members), including in decision-making, management, oversight, service provision and problem solving. Data were collected through document review, key informant interviews and observations undertaken from 2017 to 2018. Audio recording, notetaking and a reflective journal aided data collection. Data were transcribed, cleaned, coded and analysed iteratively into emerging themes using a governance attributes framework. Findings A total of 60 participants representing individual service providers and community members participated in interviews and observations. The minutes of all meetings of five primary health care facilities were reviewed for three years (2014–2016) and eight health facility committee meetings were observed. Findings indicate that in some cases, structures for collaborative community engagement exist but functioning is ineffective for a number of reasons. Health facility committee meetings were most frequent when there were project funds, with discussions focusing mainly on construction projects as opposed to the day-to-day functioning of the facility. Committee members with the strongest influence and power had political connections or were retired government workers. There were no formal mechanisms for stakeholder forums and how these worked were unclear. Drug stock outs, funding delays and unclear operational guidelines affected collaborative governance performance. Conclusion Implementing collaborative governance effectively requires that the scope of focus for collaboration include both specific projects and the routine functioning of the primary health care facility by the health facility committee. In the study area, structures are required to manage effective stakeholder engagement.

scholarly journals Utilization of public health care facilities in Lucknow district

2018 ◽  
Vol 5 (5) ◽  
pp. 1835
Author(s):  
Vinita Shukla ◽  
Monika Agarwal ◽  
M. Z. Idris ◽  
Naim Ahmed ◽  
Pratibha Gupta
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Facility ◽  
Waiting Time ◽  
Care Facility ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Long Distance ◽  
Cross Sectional ◽  
Care Facilities

Background: Health has been declared a fundamental human right. Governments all over the world are striving to expand and improve their health care services. Though there is scarcity of health care resources in India, yet utilization of the Govt. Health care facilities reveal that their outreach was not only poor but even where they are within the reach of population they remained under utilization. In view of the facts stated above this study was planned to assess the extent of utilization of available health facility, the purpose of visit to health care facility and the reasons for non-utilization of public health care facility.Methods: Sample of 1024 was drawn from rural and urban population of Lucknow district. Cross sectional study was conducted in one-year period using the stratified multistage sampling. Data was analyzed using the stata software version -8 for windows.Results: Most of the respondents in rural (73.66%) and in urban (87.44%) visited the health facility for treatment of illnesses. Majority 55.28% in rural and 67.15% in urban area visited private health facility. The most common reason for non-utilization of public health facility in rural respondents (63.5%) was the long distance to health facility and for urban respondents it was long waiting time (56.46%).Conclusions: Most of the people prefer private health care facilities over public. The two most common reasons were long distance and long waiting time. These issues can be dealt by mobile clinics and strengthening the already existing health centres etc.

scholarly journals Using the Water and Sanitation for Health Facility Improvement Tool (WASH FIT) in Zimbabwe: A Cross-Sectional Study of Water, Sanitation and Hygiene Services in 50 COVID-19 Isolation Facilities

2021 ◽  
Vol 18 (11) ◽  
pp. 5641
Author(s):  
Mitsuaki Hirai ◽  
Victor Nyamandi ◽  
Charles Siachema ◽  
Nesbert Shirihuru ◽  
Lovemore Dhoba ◽  
...  
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Health Care Facilities ◽  
Civil Society Organizations ◽  
Infection Prevention And Control ◽  
Water And Sanitation ◽  
Sanitation And Hygiene ◽  
Care Facilities ◽  
Isolation Facilities ◽  
Health Care Waste

The availability of water, sanitation and hygiene (WASH) services is a key prerequisite for quality care and infection prevention and control in health care facilities (HCFs). In 2020, the COVID-19 pandemic highlighted the importance and urgency of enhancing WASH coverage to reduce the risk of COVID-19 transmission and other healthcare-associated infections. As a part of COVID-19 preparedness and response interventions, the Government of Zimbabwe, the United Nations Children’s Fund (UNICEF), and civil society organizations conducted WASH assessments in 50 HCFs designated as COVID-19 isolation facilities. Assessments were based on the Water and Sanitation for Health Facility Improvement Tool (WASH FIT), a multi-step framework to inform the continuous monitoring and improvement of WASH services. The WASH FIT assessments revealed that one in four HCFs did not have adequate services across the domains of water, sanitation, health care waste, hand hygiene, facility environment, cleanliness and disinfection, and management. The sanitation domain had the largest proportion of health care facilities with poor service coverage (42%). Some of the recommendations from this assessment include the provision of sufficient water for all users, Menstrual Hygiene Management (MHM)- and disability-friendly sanitation facilities, handwashing facilities, waste collection services, energy for incineration or waste treatment facilities, cleaning supplies, and financial resources for HCFs. WASH FIT may be a useful tool to inform WASH interventions during the COVID-19 pandemic and beyond.

ETHNOVETERINARY MEDICINAL USES OF SOME MEDICINAL PLANTS ON PNEUMONIA BY THE GUJJAR AND PAHARI TRIBES OF POONCH DISTRICT OF JAMMU AND KASHMIR

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
JAMIL AHMED KHAN ◽  
RAJINDER PAUL
Keyword(s):  
Health Care ◽  
Medicinal Plants ◽  
Medicinal Plant ◽  
Natural Resources ◽  
Indigenous People ◽  
Health Care Facilities ◽  
Jammu And Kashmir ◽  
Medicinal Uses ◽  
Modern Health Care ◽  
Care Facilities

Poonch district of Jammu and Kashmir is a reservoir of enormous natural resources including the wealth of medicinal plants. The present paper deals with 12 medicinal plant species belonging to 8 genera of angiosperms used on pneumonia in cattle such as cows, sheep, goats and buffaloes in different areas of Poonch district. Due to poverty and nonavailability of modern health care facilities, the indigenous people of the area partially or fully depend on surrounding medicinal plants to cure the different ailments of their cattles. Further research on modern scientific line is necessary to improve their efficacy, safety and validation of the traditional knowledge.

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