scholarly journals Disinfection by 1% sodium hypochlorite through cold fogging: an innovative appropriate technology against COVID-19 in public health

Author(s):  
Arun Gupta ◽  
S. K. Kaushik ◽  
Suraj Kapoor ◽  
Gurmesh S. Sabarwal ◽  
Saurabh Bobdey ◽  
...  

Background: SARS-CoV-2 is an enveloped virus with a fragile outer lipid envelope that makes it more susceptible to disinfectants compared to non-enveloped viruses. In this article, dispensation through cold Fogger was innovated as a measure against aerosol-based transmission of COVID-19 in large, enclosed spaces like hospitals, nursing homes, isolation centers and quarantine facilities.Methods: Ecological exploratory to study 1% sodium hypochlorite through cold fogging as an innovative appropriate technology. Study setting included medical college in Western Maharashtra and the selected COVID-19 hospitals Statistical analysis-The data was collated in MS excel and analysed using IBM SPSS version 23.0.Results: Average of 2.9 % HCWs got infected in hospitals where the innovation was used to disinfect, as compared to infections rates of 21.5% in other premier health institutes. There was strong negative correlation between percentage of health care infected and liters of sodium hypochlorite used with R2=0.56. Also, on applying Spearman correlation coefficient there was good negative correlation (-0.8).Conclusions: This appropriate technology has shown significant reduction in infection, with antecedent benefit of decreased morbidity and mortality of precious trained manpower. It gives much better dis-infection at 07 times less the cost and can be conveniently used for dis-infection against COVID-19 at the very periphery of primary health care delivery done at Sub-centres and PHCs. 

A method of detailed technological planning is described in which a subsystem of the total health care delivery system is identified, and the components within it created and integrated with one another. The components produced are termed a microplan, since they concern planning for technical detail. A project for microplanning in Indonesia is discussed, and some of the promising features of the new method described.


2019 ◽  
Vol 6 (2) ◽  
pp. 564
Author(s):  
Anjana Bose ◽  
Agniva Ghosh Dastidar

Background: Public health care delivery is inadequate and as a result the demand supply gap is large, this is specially so in rural India. Even with so many hospitals in the peripheries still there is overcrowding in the urban Medical Colleges. Overcrowding is when hospitals operate beyond a safe level of 85% bed occupancy. This leads to delay in treatment and subsequent medical complications. Furthermore, quality of the treatment is jeopardised as its effects physician’s effectiveness, causing frustration among medical staff and may even contribute to violence. The objective was to identify the elective/non-emergency operations that could have been done in rural hospitals but were done in a tertiary Medical College and to find out the cause for avoiding the local government hospitals nearer to their residence. This study suggested some remedies to correct this disparity.Methods: This was an observational and descriptive study where patient’s type of operation, distance travelled and cause for coming to an urban Medical College was noted.Results: Majority of the patients did not have any idea as to why they chose this hospital, other reasons are lack of infrastructure in their rural hospital, bad reputation, lack of cleanliness, malpractice by the hospital staff etc.Conclusions: Health care facilities in different locations should be based on utilization rates and also proper and efficient management of these established facilities should be done.


Author(s):  
Addisu Gize Yeshanew ◽  
Rozina Ambachew Geremew ◽  
Melkayehu Kassa Temesgen

<p class="abstract"><strong><span lang="EN-US">Background:</span></strong>Satisfaction is one of the meaningful indicators of users’ experience of health care services in general and laboratory service in particular. Understanding the level of this satisfaction in public laboratory service is the most important for the improvement of health care delivery in any country at large. The aim of this study was to assess level of patient and health care workers satisfaction on the laboratory services in St. Paul’s hospital millennium medical college, Addis Ababa, Ethiopia<span lang="EN-US">. </span></p><p class="abstract"><strong><span lang="EN-US">Methods:</span></strong><span lang="EN-US"> A cross sectional study was conducted from May 1 to 30, 2016 in St. Paul’s hospital millennium medical college. Data were collected using structured questionnaire, through face to face interview, entered to Epi-Info version 5.3.1 and exported to SPSS version 20.0 for analysis. </span>Satisfaction score was calculated by using Likert’s five scale giving a value of 1 for poor satisfaction level up to a value of 5 for excellent. Chi-square tests were employed and P-value less than 0.05 considered as statistically significance.  </p><p class="abstract"><strong><span lang="EN-US">Results:</span></strong><span lang="EN-US"> The findings of the study showed that the overall satisfactions level with the laboratory services in the hospital were 55.9% for the patient and 60% for health care workers. </span>Satisfaction was reported to be highest (74.2%) on the hospitability of laboratory professionals to their patients, from patient satisfaction level and (73.8%) with the language of laboratory professional communication skills to their patient from health care worker satisfaction<span lang="EN-US">.</span></p><p class="abstract"><strong><span lang="EN-US">Conclusions:</span></strong>The study showed that low satisfaction level rate laboratory service in both the patient and health care workers. Therefore, the hospital laboratory director and managers consider these service areas in order to solve the identified problems. </p>


2014 ◽  
Vol 3 (4) ◽  
pp. 6-8
Author(s):  
Ajay Shakya ◽  
A Rao ◽  
R Shenoy ◽  
M Shrestha

Dental caries is a common childhood disease. Its prevalence can be reduced by integrating dental strategies into primary health care approach. Knowledge, attitude and practice of anganwadi workers in the subject of oral health is imperative in achieving this goal. This study was therefore conducted to assess the knowledge and attitude towards oral health among anganwadi workers of Mangalore city. A questionnaire study, using convenience samples was conducted among 159 angan­wadi workers of Mangalore city. A close ended questionnaire consisting of 20 questions was used. Details of age and quali­fication were recorded. The data was analyzed using SPSS 11.5. Only 45.9% of the anganwadi workers knew that dental caries was a disease, 57.2% knew that the best time to eat sweets was during meal time, 58.5% workers stated dentists as their source of oral health information. Almost all of the Anganwadi workers were positive towards the importance of oral health education and expressed their willingness to teach children how to brush properly and obliged to advise a child need­ing dental care to go to dentist. An anganwadi worker can be a vital link in the health care delivery system. There is a need to educate them on oral health in order to reach children at an early and receptive age. It is very important on the part of the health department to carry out effective programmes on oral health for anganwadi workers. Journal of Chitwan Medical College 2013; 3(4); 6-8 DOI: http://dx.doi.org/10.3126/jcmc.v3i4.9545


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