scholarly journals A study to assess the clean hospital initiative and quality of health services using kayakalp tool in a first referral unit, of Khordha district of Odisha, India

2018 ◽  
Vol 5 (12) ◽  
pp. 5397 ◽  
Author(s):  
Mayadhar Panda ◽  
Sikata Nanda
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Health Care Providers ◽  
Assessment Tool ◽  
Care Facility ◽  
Health Care Facility ◽  
Family Welfare ◽  
Situational Analysis ◽  
Care Providers

Background: As a part of “Swachh Bharat Abhiyaan” campaign, the Ministry of Health and Family welfare, Govt. of India had launched “Kayakalp” in 2015, an initiative to promote cleanliness and enhance the quality of public health facilities. Our aim was to study the situational analysis of the health institution using Kayakalp tool; to assess the level of cleanliness, hygiene and infection control practices in the facility and to assess the status of Bio-medical waste management in the health care facility and to suggest remedial measures based on the study finding.Methods: It is a hospital based snapshot study done during a period of one year from April 2016 to March 2017. Kayakalp assessment tool was used for analysis.Results: The total scores for upkeep maintenance obtained in 2016-17 was 69 and for the year 2017-18 was 81. There was an increase of total score in the year 2017-18 and it was found to be statistically significant. On assessment in the year 2016-17, for BMW the total score obtained was 58 and in the year 2017-18 it was 81. There was a statistically significant increase in the scores (p=0.001) obtained in the year (2017-18).Conclusions: Improvements in Biomedical waste management can be made by increasing the knowledge, awareness and practices of the health care providers as well as the beneficiaries with regular periodic monitoring. 

scholarly journals Safeguarding Abuse in Health Care

2018 ◽  
Vol 12 (2) ◽  
pp. 5-10
Author(s):  
Chanda Karki Bhandari ◽  
Gehanath Baral
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Care Facility ◽  
Health Care Facility ◽  
Healthcare Facility ◽  
Structural Level ◽  
Care Providers ◽  
Ethical Guidelines ◽  
Abuse In Health Care

Aims: The aim of the review is to understand the concept of abuse in health care in general and its various forms. It includes- review what is meant by healthcare and health care abuse; identify its various forms and to recognize who may be the most potential victims; find out the reasons of abuse by health care providers; and know the role of  ethical guidelines and institutional policy in confronting abuse in health care.Methods: Literatures and publications on the subject were searched in order to identify research studies investigating abuse in health care that were studied, analyzed and presented.  Results: Abuse in health care today is an emerging concept in need of a clear analysis and definition. At the same time, boundaries to the related concepts are not demarcated. Medical professionals and institutions are being targeted worldwide today for negligence and the medical litigation has become a huge challenge. Throughout history, health care professionals have been trusted because of their competency and caring abilities. However, the disturbing reality is that physical and psychological maltreatment of patients do occur in the health care settings throughout the world. The abuse can vary from treating someone with disrespect in a way which significantly affects the person's quality of life, to causing actual physical suffering. Differently able and dependent people are more susceptible to such abuse. Work overload, Staff burnout, lack of information and instructions were also indicated to underlie instances of abuse in health care.Conclusions: We in the healthcare facility should first accept that abuse in health care does occur and causes distress. This change needs to occur at individual, cultural and structural level. Next step will be for the staffs to be aware of abuse in health care when it happens and recognize it as such. It is always better to create a situation where we could prevent abuse from happening at health centers. Hospital personnel must implement a change in workplace culture to stop abusive behaviors wherever they occur. Each and every health care facility should be client friendly and respecting their rights. Effective ethical guidelines were needed to minimize abuse as existing ethical codes were found to be ineffective and above all there was a lack of awareness of the contents of the relevant ethical documents.

scholarly journals A study on awareness of pharmacovigilance and determinants of underreporting of adverse drug reactions by health care professionals and general practitioners

2017 ◽  
Vol 6 (5) ◽  
pp. 1227
Author(s):  
Priyadharsini R. ◽  
Raja TAR ◽  
Dhayaguruvasan M.
Keyword(s):  
Health Care ◽  
General Practitioners ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Critical Role ◽  
Care Facility ◽  
Health Care Facility ◽  
Care Providers ◽  
Awareness Program ◽  
Before And After

Background: Health care providers/professionals (HCPs) play a critical role in ADR surveillance. Only 6% of all ADRs are reported and under-reporting acts as great impedance in exchange of drug information.Methods: This was a prospective questionnaire-based study. Structured questionnaire was issued to HCPs before and after the conduct of Pharmacovigilance awareness program and scores given to each question was analyzed statistically.Results: Of the 69 participants, 46.4% were nurses, 40.6% were residents of a tertiary health care facility and 13% were general practitioners in Pondicherry. The response rate was found to be 62.7% and 100% both before and after the awareness program respectively. Creation of awareness amongst HCPs is the most important factor (77%) influencing spontaneous reporting.Conclusions: Our study suggests that HCPs were aware of the concept of ADR but the majority did not know how and where to report. Thus, creation of awareness amongst HCPs is the most important determinant influencing spontaneous reporting of ADRs.

scholarly journals Assessment of Infection Risk of Covid-19 among Health Care Workers in a Tertiary Health Care Facility

2021 ◽  
pp. 1-5
Author(s):  
Singh Kriti ◽  
◽  
Nigam Seema ◽  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Care Facility ◽  
Health Care Facility ◽  
Healthcare Facility ◽  
Infection Risk ◽  
Care Providers ◽  
Care Workers ◽  
Tertiary Healthcare

Introduction: Health care providers are working round the clock in their fight against COVID-19. Appropriate measures are taken by the hospital administration and also healthcare providers for the protection of patients as well as for them. This study is taken up to assess infection risk of COVID-19 among healthcare providers about infection, prevention, and practices in a tertiary healthcare facility.

scholarly journals Assessment of Infection Risk of Covid-19 among Health Care Workers in a Tertiary Health Care Facility

2021 ◽  
pp. 1-5
Author(s):  
Singh Kriti ◽  
◽  
Nigam Seema ◽  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Care Facility ◽  
Health Care Facility ◽  
Healthcare Facility ◽  
Infection Risk ◽  
Care Providers ◽  
Care Workers ◽  
Tertiary Healthcare

Introduction: Health care providers are working round the clock in their fight against COVID-19. Appropriate measures are taken by the hospital administration and also healthcare providers for the protection of patients as well as for them. This study is taken up to assess infection risk of COVID-19 among healthcare providers about infection, prevention, and practices in a tertiary healthcare facility.

scholarly journals When women deliver at home with no one present: Are health care systems in Uganda driving women away?

2019 ◽  
Author(s):  
Esther Cathyln Atukunda ◽  
Godfrey R Mugyenyi ◽  
Celestino Obua ◽  
Josephine Najjuma ◽  
Isaac Aturinda ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Information Transfer ◽  
Native Speaker ◽  
Care Facility ◽  
Health Care Facility ◽  
Care Providers ◽  
Pregnancy And Childbirth ◽  
Southwestern Uganda ◽  
At Home

Abstract Background Uganda’s maternal mortality remains unacceptably high, with thousands of women and newborns still dying of preventable deaths from pregnancy and childbirth-related complications. Despite the fact that over 95% of women in Uganda attend at least one antenatal care (ANC) visit, over 30% of women still deliver at home with no skilled birth attendant, many choosing to come to hospital after experiencing a complication. We explored barriers to women’s decisions to deliver in a health care facility among postpartum women in rural southwestern Uganda, to ultimately inform interventions aimed at improving skilled facility births.Methods Between December 2018 and March 2019, we conducted in-depth qualitative face-to-face interviews with 30 post-partum women delivering at home or health facility in rural southwestern Uganda. The purposeful sample was intended to represent women with differing experiences of pregnancy, delivery and ANC. Women were recruited from 10 villages within 20km of a referral hospital. Interviews were conducted and digitally recorded in a private setting by a trained native speaker. Translated transcripts were generated and coded. Coded data was iteratively reviewed and sorted to derive descriptive categories using grounded theory methodology.Results Regardless of where they decided to give birth, women wished to deliver in a supportive, respectful, responsive and loving environment. The data revealed six key barriers to women’s decisions to deliver from a health care facility: 1) Fear of unresponsive care, fueling a fear of being neglected or abandoned while at the facility, 2) fear of embarrassment and mistreatment by health care providers, 3)low perception of risk associated with pregnancy and childbirth, 4) preferences for particular birthing positions and their outcome expectations, 5) perceived lack of privacy in public facilities, and 6) perceived poor clinical and interpersonal skills of health providers to adequately explain birthing procedures or support expectant or laboring women and their newborn.Conclusion Anticipation of unsupportive, unresponsive, disrespectful treatment, and a perceived lack of tolerance for simple, non-harmful traditions prevent women from delivering at health facilities. Building better interpersonal relationships between patients and providers within health systems could reinforce trust, confidence, improve patient-provider interaction, and facilitate useful information transfer during ANC and delivery visits.

scholarly journals Awareness and Perception of Plastic Surgery among Healthcare Professionals in Pune, India: Do They Really Know What We Do?

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Nikhil Panse ◽  
Smita Panse ◽  
Priya Kulkarni ◽  
Rajendra Dhongde ◽  
Parag Sahasrabudhe
Keyword(s):  
Health Care ◽  
Plastic Surgery ◽  
Health Care Providers ◽  
Cosmetic Surgery ◽  
Healthcare Professionals ◽  
Care Facility ◽  
Health Care Facility ◽  
Care Providers ◽  
Medical College ◽  
Clinical Conditions

Purpose. The aim of this study is to understand the level of awareness and knowledge of plastic surgery in healthcare professionals in a tertiary health care facility in Pune, India. This study also aims to highlight the perception of the medical professionals about plastic surgery and what they think a plastic surgeon does. Materials and Methods. A questionnaire-based survey was done at B.J Medical College and Sassoon Hospital, Pune in 2011. Feedback evaluation forms from hundred resident doctors and faculty were evaluated and analyzed. Results. There is not much awareness about plastic surgery as a specialty amongst health care providers. Plastic surgery is mostly perceived as cosmetic surgery, and the other spectrum of the patients we cater to goes largely unnoticed. Of all the clinical conditions given to the participants, there was not a single clinical condition where the respondents favored unanimously for plastic surgeons. Conclusion. Plastic surgery as a specialty is poorly understood by our medical colleagues, and the onus of creating and improving the awareness and perception of our specialty lies on us. Herculean unified efforts at individual as well as global level will help us achieve this goal.

Client characteristics and satisfaction with the quality of primary health-care services in Calabar, Nigeria

2020 ◽  
Vol 3 ◽  
pp. 1-8
Author(s):  
H. C. Okeke ◽  
P. Bassey ◽  
O. A. Oduwole ◽  
A. Adindu
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Client Satisfaction ◽  
Demographic Characteristics ◽  
Care Providers ◽  
Client Characteristics ◽  
Study Objective ◽  
Primary Health

Different mix of clients visit primary health care (PHC) facilities, and the quality of services is critical even in rural communities. The study objective was to determine the relationship between socio-demographic characteristics and client satisfaction with the quality of PHC services in Calabar Municipality, Cross River State, Nigeria. Specifically to describe aspects of the health facilities that affect client satisfaction; determine the health-care providers’ attitude that influences client satisfaction; and determine the socio-demographic characteristics that influence client satisfaction with PHC services. A cross-sectional survey was adopted. Ten PHCs and 500 clients utilizing services in PHC centers in Calabar Municipality were randomly selected. Clients overall satisfaction with PHC services was high (80.8%). Divorced clients were less (75.0%) satisfied than the singles and the married counterparts (81%), respectively. Clients that were more literate as well as those with higher income were less satisfied, 68.0% and 50.0%, respectively, compared to the less educated and lower-income clients, 92.0% and 85.0% respectively. These differences in satisfaction were statistically significant (P = 0.001). Hence, it was shown that client characteristics such as income and literacy level show a significant negative relationship with the clients satisfaction with the quality of PHC services in Calabar Municipality.

Medical Informatics and the Quality of Health: New Approaches to Support Patient Care

2003 ◽  
Vol 42 (02) ◽  
pp. 185-189 ◽  
Author(s):  
R. Haux ◽  
C. Kulikowski ◽  
A. Bohne ◽  
R. Brandner ◽  
B. Brigl ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Informatics ◽  
Health Care Providers ◽  
Medical Knowledge ◽  
Lessons Learned ◽  
Care Providers ◽  
Access To Health Services ◽  
Leading Role ◽  
Future Challenges

Summary Objectives: The Yearbook of Medical Informatics is published annually by the International Medical Informatics Association (IMIA) and contains a selection of excellent papers on medical informatics research which have been recently published (www.yearbook.uni-hd.de). The 2003 Yearbook of Medical Informatics took as its theme the role of medical informatics for the quality of health care. In this paper, we will discuss challenges for health care, and the lessons learned from editing IMIA Yearbook 2003. Results and Conclusions: Modern information processing methodology and information and communication technology have strongly influenced our societies and health care. As a consequence of this, medical informatics as a discipline has taken a leading role in the further development of health care. This involves developing information systems that enhance opportunities for global access to health services and medical knowledge. Informatics methodology and technology will facilitate high quality of care in aging societies, and will decrease the possibilities of health care errors. It will also enable the dissemination of the latest medical and health information on the web to consumers and health care providers alike. The selected papers of the IMIA Yearbook 2003 present clear examples and future challenges, and they highlight how various sub-disciplines of medical informatics can contribute to this.

scholarly journals What methods and challenges for taking account of context when transferring complex interventions?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Villadsen ◽  
S Dias
Keyword(s):  
Public Health ◽  
Health Care ◽  
Reproductive Health ◽  
Health Care Providers ◽  
Complex Interventions ◽  
Health Interventions ◽  
Care Providers ◽  
Public Health Interventions ◽  
Reproductive Health Care

Abstract For complex public health interventions to be effective their implementation needs to adapt to the situation of those implementing and those receiving the intervention. While context matter for intervention implementation and effect, we still insist on learning from cross-country comparison of implementation. Next methodological challenges include how to increase learning from implementation of complex public health interventions from various context. The interventions presented in this workshop all aims to improve quality of reproductive health care for immigrants, however with different focus: contraceptive care in Sweden, group based antenatal care in France, and management of pregnancy complications in Denmark. What does these interventions have in common and are there cross cutting themes that help us to identify the larger challenges of reproductive health care for immigrant women in Europe? Issues shared across the interventions relate to improved interactional dynamics between women and the health care system, and theory around a woman-centered approach and cultural competence of health care providers and systems might enlighten shared learnings across the different interventions and context. Could the mechanisms of change be understood using theoretical underpinnings that allow us to better generalize the finding across context? What adaption would for example be needed, if the Swedish contraceptive intervention should work in a different European setting? Should we distinguish between adaption of function and form, where the latter might be less important for intervention fidelity? These issues will shortly be introduced during this presentation using insights from the three intervention presentations and thereafter we will open up for discussion with the audience.

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