Who Cares? Socio-Economic Conditions of Nurses in Mumbai

2015 ◽  
Vol 2 (2) ◽  
Author(s):  
Asha Patil

Health is one of the basic human needs. The Human Rights and the International Covenant on Economic, Social and Cultural Rights (ICESCR) recognises health as central to the dignity of the person. Health is one of the indicators of development of a society. Hence, it is also included in the Millennium Development Goals. In developing countries like India, one can see large disparities in availability and access to health facilities. In India, health is the responsibility of the state and it is included in the Directive Principles. Attainment and maintenance of good health depends on access to nutritious food, clean water, appropriate and timely availability of medical services for treatment during sickness. From this point of view, providing good health services to people becomes responsibility of the state government. In India, three types of health services are available namely- hospitals run by government, hospitals run by municipal corporations and hospitals governed by public trusts and private organizations. Health workers play a vital role in taking these services to the patients. Hence, their physical and mental status matters in reaching the health services to patients. From this angle, the researcher has chosen the appropriate topic for the study. The book highlights equity issues in health services. Subordination of nurses and its ill-effects on patients are discussed keeping gender discrimination at the centre. The researcher has focused on many issues related to nursing profession. They include working conditions of nurses, their salary, shift duties and stress levels, safety at work place and violence, grievance redressal mechanism, affiliation to unions, etc. For this, the researcher has collected primary data by interviewing nurses from various sectors, which is the strength of this research. The sample of the research includes nurses employed in various health care institutions located in ward H-East and West of Mumbai district, Maharashtra.

PEDIATRICS ◽  
1968 ◽  
Vol 42 (5) ◽  
pp. 845-854
Author(s):  
Herbert C. Miller

A personal survey was made during the fall of 1967 of child health services in selected western European countries. Particular attention was given to the different roles of government and private practice in the delivery of health services to children, the amount and kinds of preventive health services provided in public health clinics and school health services, availability of health personnel, and the training of physicians and nurses involved in health services for children. There appears to be widespread acceptance of the point of view that good health is a right of all children. Implementation of this point of view has gone forward in all countries while maintaining the concept of private practice and free choice of physician.


2012 ◽  
Vol 1 (2) ◽  
Author(s):  
Laura Monsalve Lorente

ABSTRACTPromotion and Health Education developed from Schools is one of the key tools of health interventions. Access to children and young people is almost complete because of the obligatory education. In the period of the obligatory people education are more receptive for the learning, being the period of the vital development in which acquire major life habits that are consolidated with the years (physical activity, food, etc.) It also is an area of social intervention that counts with health workers who have high qualifications from the pedagogical point of view. In this context, the main objective of ESP is to develop activities and encourage the students to achieve the highest attainable standard of health, through the acquisition of knowledge and skills that promote choice and adoption of healthy lifestyles, seeking the participation, the interaction and social integration and the ability to work critically and creatively, and the search for solutions. Schools, along with the home are two of the key places where takes place the individual and social development of people in its early stages, exerting an important role in shaping behavior and social values of children, adolescence and youth. The achievement of positive educational outcomes in the teaching centers closely related to the achievement of good health among students. According to this reality, schools have the need to include addressing the issues related to health promotion as one of the foundations that will enable them to achieve educational goals.RESUMENLa Promoción y Educación para la Salud desarrollada desde los Centros educativos Es-pañoles es una de las herramientas clave de las intervenciones en salud. Por un lado, el acceso a la población infantil y juvenil es casi total debido a la obligatoriedad de la educación. Por otro lado, en esta época de la vida las personas se hallan más receptivas para el aprendizaje, siendo la época del desarrollo vital en la que se adquieren los principales hábitos de vida que se consolidarán con los años (actividad física, alimentación, etc.). Además se trata de un ámbito de intervención social que cuenta con agentes de salud que disponen de alta calificación desde el punto de vista pedagógico: el profesorado, ya sea en el nivel de educación Infantil, como en Primaria y Secundaria. En este marco, el principal objetivo de la Educación para la salud, es desarrollar actividades e incentivar al alumnado para conseguir el mayor grado posible de salud, mediante la adquisición de conocimientos y habilidades que favorezcan la elección y adopción de estilos de vida saludables; buscando la participación, la interacción y la integración social, y trabajando la capacidad crítica y creativa, así como la búsqueda de soluciones. Los Centros escolares, junto con el hogar, son dos de los lugares clave donde tiene lugar el desarrollo individual y social de las personas en sus estadios más tempranos, ejerciendo un importante papel en la configuración de la conducta y los valores sociales de la infancia, la adoles-cencia y la juventud.


2021 ◽  
Vol 9 (3) ◽  
pp. 89-99
Author(s):  
Hamdan bin Mohd Salleh ◽  
Rashidin Idris ◽  
Mohd Naqib Lutfi bin Abdul Latif

The Sabah state assembly was dissolved on 30 July 2020 by the Chief Minister Shafie Apdal to prevent a coup by the previous Chief Minister Musa Aman through his “Group 33”.  The 2020 Sabah State election was held on 26 September 2020 involved a record total of 447 candidates vying for 73 state seats. The main contest was between the WARISAN-PLUS of 5 political parties and a group of 9 political parties under the coalition of the newly minted Gabungan Rakyat Sabah (GRS). GRS managed to wrest the state government by comfortably winning 38 out of 73 seats with additional 3 seat came from pro-GRS independent candidates. Nevertheless, WARISAN managed to retain N53 Sekong even as the incumbent have been dropped after 26 months at the helm. This article studied on issues surrounding the victory of Alias Haji Sani during the election.  The findings of this articles uses primary data, secondary data, online sources dan participative observation findings. The victory of Alias Haji Sani shows that the influence of people-centric and “Gentlemen Politics Budiman” identification is stronger than political affiliation.


Author(s):  
Nurul Qalbi R ◽  
Prof Indar ◽  
Prof Rahmatiah

Good health care is a community need and is often a measure of development success. The utilization of health service units is still relatively low, although the Puskesmas continue to try to bring health services closer to immigrants. This shows that the lack of confidence of immigrant patients in the health services provided by health workers so that immigrant patients prefer to be referred and continue treatment at the hospital. The purpose of this study is to analyze the factors that influence immigrant patients on the utilization of health services. This research was conducted at Tamalanrea Public Health Center in Makassar City from July-August 2019. The population in this study was 154 people based on data in Tamalanrea Health Center in the last 6 months while the sample in this study was 59 people. Analysis of the data used in this study includes univariate and bivariate analysis stages using multiple regression tests using SPSS version 10. The results of this study indicate that (1) Age has no influence on the utilization of health services, gender has an influence on the utilization of health services in Tamalanrea Health Center ; (2) There is an influence of facilities, and trust in the use of health services with the respective p-value: facilities p = 0.015 and trust p = 0.004. While knowledge has a value of p = 0.665 so that it does not influence the utilization of health services at the Tamalanrea Health Center. The important role of the immigration detection house agency is to help promote and convince immigrants or foreign refugees that first-rate health services can provide the best health services and cure their sickness.


Author(s):  
Saviour F.

The present paper throws light upon the workingenvironment of the migrant labourers in the state of Kerala. It focusses on the unskilled labourers who work in the unhealthy working conditions of the industrial sector. In spite of their vital role in the economic growth of the state, they are made to work for more than the stipulated time, not even paid for the overtime work. These unskilled labourers and their families face health issues due to the hazardous work and improper medical care. It is a fact that they are employed as temporary workers with neither proper wages nor any other benefits. They are not even added in any of the official records of the city. Even though they face difficulty in the work place, they prefer to stay in the state itself, because of work opportunities. Hence there is a dire need to preserve the interests of these unskilled migrant labourers to protect the social and economic wellbeing of the state as a whole.


Author(s):  
Jangkholam ◽  
A. Rajmani Singh

Micro and Small Enterprises are a very important sector that continues to contribute enormously for the economic development of the country and to the state of Manipur in particular. The success and failure of these enterprises depends a lot on the efficient management of its financial resources. This paper therefore attempts to study the accounting and financial management practices followed by the Micro and Small Enterprises (MSEs) in Manipur and to make an awareness about the importance of accounting and financial management practices in their business conduct. For the purpose of the study both primary and secondary data are used. Secondary data were collected from the related available literature like books, articles, magazines, MSME annual report, directory of MSME Manipur, etc. Primary data is obtained by distributing questionnaire to 100 respondents who are owner/manager of the MSEs. The collected data were analysed using various statistical tools to get meaningful conclusion. The results of the study revealed that majority of the MSEs do not maintain proper accounting records of their business which made it difficult for the owner-manager to measure the performance of their business. The main reason for the failure of the enterprises to keep proper accounting records is their lack of knowledge in accounting. The financial management practices followed by the MSEs in Manipur are only fire-fighting in nature and no standard rules or procedures are followed for managing their finance. Finally, the study suggested that both the Central and the State Government should make strict rules and regulations to adopt accounting and financial management practices to each and every MSEs operating in the state. KEYWORDS: Accounting practices, Accounting records, Financial management, Micro and Small Enterprises (MSEs), Manipur


Author(s):  
Alfonso Pérez-Agote

The societies of Western Europe, following the territorial delimitation of the corresponding State, have gone through different historical processes of internal homogenization. After the Peace of Westphalia (1648) the application of the principle cuius regio eius religio induced the religious homogenization of the population. Then, due to the ethnic diversity of its population, the State tried to homogenize it from the cultural point of view; it was the process of nationalization and democratization of the State. This process lead to the separation of religion from politics and from culture. After the two world wars, national reconstruction needed a foreign population: this need for labor was filled in the most developed countries by population of the countries that were least (Portuguese, Spanish, Italian ...) and also by population flows coming from the old colonies. The cultural and religious homogeneity of these countries began to lose force. With the oil crisis of the 1970s, a period of major economic fluctuations began in Europe. In those years, the second generation of the population of immigrant origin began to go to a job market that was not in good health. The religion and culture of their predecessors became autonomous resources for the reconstruction of their identity and to achieve a personal and social esteem. This process is necessarily leading States to rethink the relations between politics, culture and religion.


Author(s):  
Jannatul Ferdous

The civil service as supporting mechanism for government in every country plays a vital role in governance. Bangladesh is not excluded in this case. Comparable partaking of equally males and females in the decision making procedure is indispensable for the progress of a state. Over the previous decades in Bangladesh, women’s status of employment has amplified. However, women are still staying behind in contrast to men. Women’s lively involvement in executive task is not simply vital for confirming parity and fairness for themselves as populaces of the state, but also it helps in turn into more approachable and proficient of addressing the necessities of women along with men. As Bangladesh accompanied by other developing countries are devoted to lessening of the gender discrimination as a share of their communal advancement programs; the situation of discrimination of women in the civil service of the state appeals for exploration of their definite position, discover the fundamental causes. This paper pinpoints and investigates issues that represent the positive progression of women to senior points in the civil service. The paper discusses that though the general picture of women in the civil service has amplified. But the existence of women in the higher positions is still now low, which is revealing of the presence of stumbling blocks to the progression of women.   Keywords: women, representation, civil service, Bangladesh. Abstrak Perkhidmatan awam sebagai mekasnime sokongan kerajaan di setiap negara memainkan peranan yang penting dalam pengurusan pentadbiran. Bangladesh tidak dikecualikan dalam kes ini. Pengambilan yang sama antara lelaki dan perempuan dalam prosedur membuat keputusan adalah sangat diperlukan untuk kemajuan negara. Sepanjang dekad yang lalu di Bangladesh, status wanita dalam pekerjaan telah diperkukuhkan. Walaubagaimanapun, status wanita tetap berada agak jauh ketinggalan jika dibandingkan dengan para lelaki. Penglibatan aktif para wanita dalam bidang eksekutif bukan sahaja penting untuk menjelaskan persamaan dan keadilan mereka sebagai penduduk di negara tersebut tetapi membantu menangani isu keperluan wanita bersama lelaki dengan lebih berkesan. Sebagaimana Bangladesh dan juga beberapa negara lain telah dikhaskan untuk mengurangkan diskriminasi gender sebagai sebahagain daripada program kemajuan masyarakat, situasi diskriminasi wanita dalam sektor perkhidmatan awam memerlukan satu tinjaun terhadap kedudukan mereka bagi mengetahui sebab-sebab utamanya. Kajian ini mengenalpasti dan menyiasat isu-isu yang membawa kepada perkembangan positif wanita dalam perkhidmatan awam. Kajian ini menjelaskan bahawa walaupun gambaran umum wanita dalam perkhidmatan awam telah diperkuatkan, namun peluang wanita menyandang jawatan-jawatan yang tinggi masih terhad dan berkurangan. Ini menunjukkan terdapat halangan-halangan yang mengganggu proses kemajuan dan perkembangan para wanita. Kata Kunci: Para wanita, perwakilan, perkhidmatan awam, Bangladesh.


2018 ◽  
Vol 3 (2) ◽  
pp. 91
Author(s):  
Sarma Eko Natalia Sinaga

Quality of health services for patients is a sense of satisfaction with the health services received. Where  the good quality is associated with recovery from illness, improvement of health status, good health service, physical facility, official friendliness, easy procedure and reasonable cost. The purpose of this study illustrates the effect of quality of outpatient services (age, responsiveness, tangibles) on patient  and  family perception at the RS Lebak Mission. The study design is descriptive with cross-sectional approach, in which a large sample of 110 respondents that are outpatients that have received health services. The independent variables in this study are age, responsiveness, tangibles while the dependent variable is the perception of patient and family. The Data collection is using questioners and the data analysis used univariate analysis and bivariat Chi-Square Test. From the statistical test obtained results that  there is a relationship between responsiveness to the quality of outpatient services (P = 0.000). The relationship between tangibles to the quality of outpatient services (P = 0.000). Hospitals should be able to provide physical facilities, the provision of the best care equipment, maintaining the cleanliness and neatness of the room in hospital. In addition, health workers should have the desire to provide the best assistance to patients.


2019 ◽  
Vol 29 (4) ◽  
Author(s):  
Prastuti Soewondo ◽  
Meliyanni Johar ◽  
Retno Pujisubekti ◽  
Halimah Halimah ◽  
Dwi Oktiana Irawati

Abstract  The condition of public health in disadvantaged areas has become a public highlight lately such as the high prevalence of child malnutrition and infectious diseases. This can be related to the lack of utilization of health services and the health behavior of the community itself. This study aims to provide a more comprehensive picture of clean and healthy living behaviors, health conditions, and the use of health services in disadvantages areas. Inference is made based on primary data collected at the household-level and public primary health centre in areas  classified as disadvantaged, border and outer islands (DTPK) based on Presidential Decree Number 131 year 2015, and areas with the need for health workers, some of which are locations for the Nusantara Sehat (NS) program placement This study uses quantitative methods and analysis used in the form of descriptive analysis. The results show that most households have adopted some of the clean healthy behaviors that were implemented by the Ministry of Health. Almost all households know the location of the public health centre for treatment, but 47% of patients did not find a doctor when visiting the public health centre.It was also found that 36% of households choose to seek selt-medication when sick. For maternal and child health, it is known that already 66% of deliveries are assisted by midwives, and most of children under five years have received basic immunisation. What still needs to be improved is the knowledge of health and housing infrastucture that supports clean and healthy living. Suggestion for  policymakers to equalize the distribution of health workers and to innovate health promotion programs in advantaged areas. Abstrak Kondisi kesehatan masyarakat di daerah tertinggal menjadi soroton publik belakangan ini seperti tingginya prevalensi gizi buruk pada balita maupun penyakit infeksi. Hal tersebut bisa dikaitkan dengan kurangnya pemanfaatan pelayanan kesehatan maupun perilaku kesehatan masyarakat itu sendiri. Kajian ini bertujuan untuk memberikan gambaran yang lebih komprehensif tentang perilaku hidup bersih dan sehat, kondisi kesehatan, serta penggunaan pelayanan kesehatan di daerah tertinggal. Inferensi dibuat berdasarkan data primer yang dikoleksi di tingkat rumah tangga dan puskesmas di daerah yang tergolong daerah tertinggal, perbatasan, dan kepulauan terluar (DTPK) berdasarkan Peraturan Presiden (Perpres) No. 131 tahun 2015 dan daerah berkebutuhan tenaga kesehatan yang beberapa diantaranya menjadi lokasi penempatan program Nusantara Sehat. Metode penelitian ini menggunakan metode kuantitatif dan analisis yang digunakan berupa analisis deskriptif. Hasil kajian menunjukkan bahwa sebagian besar rumah tangga telah mengadopsi sebagian perilaku hidup bersih dan sehat seperti yang dicanangkan Kementrian Kesehatan RI. Hampir semua rumah tangga mengetahui lokasi Puskesmas untuk berobat, tetapi 47% pasien tidak menemukan dokter saat berkunjung ke puskesmas. Ditemukan juga bahwa 36% rumah tangga memilih untuk berobat sendiri ketika sakit. Untuk kesehatan ibu dan anak, diketahui bahwa sudah 66% persalinan dibantu oleh bidan dan sebagian besar balita telah menerima imunisasi dasar. Hal yang masih perlu ditingkatkan adalah pengetahuan tentang kesehatan dan prasarana rumah yang menunjang perilaku hidup bersih sehat. Saran bagi pembuat kebijakan untuk melakukan pemerataan distribusi tenaga kesehatan maupun menginovasikan program promotif kesehatan di daerah tertinggal.


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