scholarly journals Impact of electronic vaccine intelligence network application used in immunization sessions in Pune city

2021 ◽  
Author(s):  
Damini S. Mahanubhav ◽  
Nandkumar M. Salunke ◽  
Sangita C. Shelke ◽  
Malangori A. Parande ◽  
Muralidhar P. Tambe
Keyword(s):  
Health Care Workers ◽  
Cold Chain ◽  
User Friendliness ◽  
Group Discussions ◽  
Efficient Management ◽  
Care Workers ◽  
Network Application ◽  
Vaccine Availability ◽  
Hep B ◽  
Depth Interviews

Background: Millions of deaths due to various diseases have been reduced globally as well as in India since inception of vaccination programme. In order to avoid the instances of cold chain failure and ensure constant monitoring of temperature of cold chain equipment’s Electronic vaccine intelligence network (eVIN) technology was adopted by Government of India.Methods: A mixed methodology design with both qualitative as well as quantitative components were studied. This study was conducted in 16 immunization centres spread across the metropolitan Pune city in western Maharashtra.Results: Vaccine beneficiaries increased for polio 814 (3.25%), DPT1643 (21.79%), MR 9615 (23.02%) and IPV 2297 (23.58) vaccine after execution of eVIN app. Vaccine availability of BCG (6.04%), Polio (20.02%), MR (64.24%), IPV (11.38%) and hep B had increased as compared to the other vaccines. The vaccine wastage decreased for penta (8.64%), IPV (123.98%), TT (32.63%) and hep B (47%) vaccines post eVIN application compared to the pre eVIN. The qualitative study included in depth interviews, key informants’ interview and focus group discussions. Various themes and subthemes emerged like the user-friendliness of app, difficulties faced by health care workers, their suggestions for improvements in the app.Conclusions: The eVIN system is playing a pivotal role in effective and efficient management of vaccine supply, maintaining stock availability and monitoring. To reduce vaccine wastage usage of small dose vials in immunization sessions would be helpful. 

Prenatal Care for Undocumented Immigrants: Professional Norms, Ethical Tensions, and Practical Workarounds

2019 ◽  
Vol 47 (3) ◽  
pp. 398-408 ◽  
Author(s):  
Rachel E. Fabi ◽  
Holly A. Taylor
Keyword(s):  
Health Care ◽  
New York ◽  
Prenatal Care ◽  
Health Care Workers ◽  
Undocumented Immigrants ◽  
Safety Net ◽  
Publicly Funded ◽  
Professional Norms ◽  
Care Workers ◽  
Depth Interviews

This paper examines the practice implications of various state policies that provide publicly funded prenatal care to undocumented immigrants for health care workers who see undocumented patients. Data were collected through in-depth interviews with purposively sampled health care workers at safety net clinics in California, Maryland, Nebraska, and New York. Health care workers were asked about the process through which undocumented patients receive prenatal care in their health center and the ethical tensions and frustrations they encounter when providing or facilitating this care under policy restrictions. Respondents discussed several professional practice norms as well as the ethical tensions they encountered when policy or institutional constraints prevented them from living up to professional norms. Using Nancy Berlinger's “workarounds” framework, this paper examines health care workers' responses to the misalignment of their professional norms and the policy restrictions in their state. These findings suggest that the prenatal policies in each state raise ethical and professional challenges for the health care workers who implement them.

Breastfeeding and Weaning Practices in Rural Mexico

1994 ◽  
Vol 9 (4) ◽  
pp. 255-263 ◽  
Author(s):  
Sherry Lipsk ◽  
Patricia A. Stephenson ◽  
Thomas D. Koepsell ◽  
Stephen S. Gloyd ◽  
Jose-Luis Lopez ◽  
...  
Keyword(s):  
Health Care Workers ◽  
Rural Women ◽  
Cultural Beliefs ◽  
Bottle Feeding ◽  
Traditional Practices ◽  
Group Discussions ◽  
Care Workers ◽  
Rural Mexico ◽  
The Mean ◽  
Hospital Practices

This report describes the breastfeeding and weaning practices of rural women in two Mexican towns and the cultural beliefs upon which these practices are based. Interviews and focus group discussions were used to collect information. Women thought breastfeeding preferable to bottle-feeding. Eighty percent initiated breastfeeding and 69% gave colostrum. Breastfeeding was discontinued early (mean age 4 months). The mean age at which children were introduced to other liquids was 2 months (range 0–5 months) and to solids, 4 months (range 1–8 months). Women's decisions regarding infant feeding were influenced most by custom and advice from doctors and family members. In some instances medical advice conflicted with traditional practices. These findings suggest important avenues for intervention in hospital practices, education for health care workers, and in the development of health promotion services.

scholarly journals A description of the influenza vaccination program for health care workers in Vietnam

2020 ◽  
Author(s):  
Nga Ha ◽  
Thoa Thi Minh Nguyen ◽  
Tung Xuan Nguyen ◽  
Phu Dac Tran ◽  
Hang Minh Nguyen ◽  
...  
Keyword(s):  
Health Care ◽  
Influenza Vaccination ◽  
Health Care Workers ◽  
Cold Chain ◽  
The North ◽  
Technical Requirements ◽  
Care Workers ◽  
Distributed Communication ◽  
Referral Hospitals ◽  
Uptake Sites

Abstract Background In 2017, the Vietnam Ministry of Health conducted a demonstration project to introduce seasonal influenza vaccination to health care workers (HCWs). A total of 11,000 doses of influenza vaccine, single-dose prefilled syringes, were provided free to HCWs at 29 selected hospitals, clinics, and research institutes in four provinces: Hanoi, Khanh Hoa, Dak Lak and Ho Chi Minh City. Methods Before the campaign, a workshop was organized to discuss an implementation plan including technical requirements, cold chain, uptake reporting, and surveillance for adverse events following immunization (AEFIs). All sites distributed communication materials and encouraged their staff to register for vaccination. Following immunization sessions, sites sent reports on uptake and AEFI cases. Left-over vaccine was transferred to other sites to maximize vaccine use. Results The average uptake was 57% for all HCWs, with 11 sites achieving 90% and above. These 11 sites were small with less than 500 staff, including 5 primary hospitals, 3 preventive medicine units, and 2 referral hospitals. Among the six biggest sites with over 1,000 staff, four sites had the lowest uptake (14%-47%). Most of the high-uptake sites were from the central to the south; only one site, a referral hospital, was from the north. After redistribution of left-over vaccine, only 130 vaccine doses (1.2%) were not used and destroyed. Based on factors that affected uptake, including registration levels, differing communication strategies, availability of vaccination, and commitment by health facility leaders, we recommended ways to increase HCW coverage; recommendations to improve AEFI reporting also were made. Conclusions The project demonstrated that it was feasible to conduct influenza vaccination campaigns among HCWs in Vietnam. Improvements in promotion of registration, more intense pre-planning, especially at larger facilities, and wider, more consistent availability of communication materials will result in increased efficiency and coverage in this program’s future expansion.

scholarly journals A description of the influenza vaccination program for health care workers in Vietnam

2020 ◽  
Author(s):  
Nga Ha ◽  
Thoa Thi Minh Nguyen ◽  
Tung Xuan Nguyen ◽  
Phu Dac Tran ◽  
Hang Minh Nguyen ◽  
...  
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Influenza Vaccination ◽  
Health Care Workers ◽  
Cold Chain ◽  
The North ◽  
Technical Requirements ◽  
Care Workers ◽  
Distributed Communication ◽  
Referral Hospitals

Abstract Background: In 2017, the Vietnam Ministry of Health conducted a demonstration project to introduce seasonal influenza vaccination to health care workers. A total of 11,000 doses of influenza vaccine, single-dose prefilled syringes, were provided free to HCWs at 29 selected hospitals, clinics, and research institutes in four provinces: Hanoi, Khanh Hoa, Dak Lak and Ho Chi Minh City. Methods: Before the campaign, a workshop was organized to discuss an implementation plan including technical requirements, cold chain, uptake reporting, and surveillance for adverse events following immunization. All sites distributed communication materials and encouraged their staff to register for vaccination. Following immunization sessions, sites sent reports on uptake and adverse events following immunization. Left-over vaccine was transferred to other sites to maximize vaccine use. Results: The average uptake was 57% for all health care workers, with 11 sites achieving 90% and above. These 11 sites were small with less than 500 staff, including 5 primary hospitals, 3 preventive medicine units, and 2 referral hospitals. Among the six biggest sites with over 1,000 staff, four sites had the lowest uptake (14%-47%). Most of the high-uptake sites were from the central to the south; only one site, a referral hospital, was from the north. After redistribution of left-over vaccine, only 130 vaccine doses (1.2%) were not used and destroyed. Based on factors that affected uptake, including registration levels, differing communication strategies, availability of vaccination, and commitment by health facility leaders, we recommended ways to increase health care worker coverage; recommendations to improve reporting adverse events following immunization were also made.Conclusions: The project demonstrated that it was feasible to conduct influenza vaccination campaigns among health care workers in Vietnam. Improvements in promotion of registration, more intense pre-planning, especially at larger facilities, and wider, more consistent availability of communication materials will result in increased efficiency and coverage in this program’s future expansion.

scholarly journals “You Cannot Catch Fish Near the Shore nor Can You Sell Fish Where There Are No Customers”: Rethinking Approaches for Reaching Men With HIV Testing Services in Blantyre Malawi

2021 ◽  
Vol 15 (2) ◽  
pp. 155798832110113
Author(s):  
Alinane Linda Nyondo-Mipando ◽  
Mphatso Kumwenda ◽  
Leticia Chimwemwe Suwedi- Kapesa ◽  
Sangwani Salimu ◽  
Thokozani Kazuma ◽  
...  
Keyword(s):  
Health System ◽  
Hiv Testing ◽  
Hiv Care ◽  
Differentiated Service ◽  
Group Discussions ◽  
Outreach Services ◽  
Care Workers ◽  
Hiv Testing Services ◽  
Depth Interviews ◽  
Testing And Counseling

HIV testing is the entry point to the cascade of services within HIV care. Although Malawi has made positive strides in HIV testing, men are lagging at 65.5% while women are at 81.6%. This study explored the preferences of men on the avenues for HIV testing in Blantyre, Malawi. This was a descriptive qualitative study in the phenomenological tradition in seven public health facilities in Blantyre, Malawi, among men and health-care workers (HCWs). We conducted 20 in-depth interviews and held 14 focus group discussions among 113 men of varying HIV statuses. All our participants were purposively selected, and data were digitally recorded coded and managed through NVivo. Thematic analysis was guided by the differentiated service delivery model. Men reported a preference for formal and informal workplaces such as markets and other casual employment sites; social places like football pitches, bars, churches, and “bawo” spaces; and outreach services in the form of weekend door-to-door, mobile clinics, men-to-men group. The health facility was the least preferred avenue. The key to testing men for HIV is finding them where they are. Areas that can be leveraged in reaching men are outside the routine health system. Scaling up HIV testing among men will require targeting avenues and operations outside of the routine health system and leverage them to reach more men with services. This suggests that HIV testing and counseling (HTC) uptake among men may be increased if the services were provided at informal places.

scholarly journals Virtual Pathology Elective Provides Uninterrupted Medical Education and Impactful Pathology Education During the COVID-19 Pandemic

2021 ◽  
Vol 8 ◽  
pp. 237428952110102
Author(s):  
Lucy Fu ◽  
Michael Swete ◽  
Daniel Selgrade ◽  
Clarence W. Chan ◽  
Raven Rodriguez ◽  
...  
Keyword(s):  
Medical Education ◽  
Health Care Workers ◽  
Clinical Pathology ◽  
Group Discussions ◽  
Medical Specialties ◽  
Care Workers ◽  
Initial Suspension ◽  
Small Group Discussions ◽  
Excellence In Education ◽  
Pathology Education

As students do not qualify as essential health care workers, medical education faced severe disruptions during the COVID-19 pandemic including initial suspension of all in-person lectures and on-site rotations. Our Pathology Department was among the first at Northwestern to offer a completely virtual rotation with the goals of: (1) providing a comprehensive introduction to the practice of anatomic and clinical pathology, (2) emphasizing uninterrupted and continued excellence in education, and (3) minimizing exposure risk during the pandemic. The innovative 2-week curriculum incorporated diverse teaching modalities including live and recorded lectures; live and recorded video demonstrations; interactive small group discussions; interactive virtual sign-outs; and written and multimedia assignments, quizzes, and projects. The virtual elective ran from March to July 2020 with 52 total participating medical students. On post-rotation evaluations, students rated the pathology virtual elective 4.7/5.0 compared to other virtual rotations and 4.0/5.0 compared to all rotations (including in-person and virtual). Furthermore, continual improvements were made to the established framework based on rotation feedback such that curriculum content was more abundant and more favorably rated by the last cohort when compared to the first. Finally, although students identified interest in over 10 different medical specialties, all participants expressed increased interest in choosing pathology as a specialty and better understanding of pathology’s role in patient care. We hope our detailed description of creating and evaluating a completely virtual elective rotation serves as a model for other departments to improve pathology education and visibility.

scholarly journals A description of the influenza vaccination program for health care workers in Vietnam

2020 ◽  
Author(s):  
Nga Ha ◽  
Thoa Thi Minh Nguyen ◽  
Tung Xuan Nguyen ◽  
Phu Dac Tran ◽  
Hang Minh Nguyen ◽  
...  
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Influenza Vaccination ◽  
Health Care Workers ◽  
Cold Chain ◽  
The North ◽  
Technical Requirements ◽  
Care Workers ◽  
Distributed Communication ◽  
Referral Hospitals

Abstract Background: In 2017, the Vietnam Ministry of Health conducted a demonstration project to introduce seasonal influenza vaccination to health care workers. A total of 11,000 doses of influenza vaccine, single-dose prefilled syringes, were provided free to HCWs at 29 selected hospitals, clinics, and research institutes in four provinces: Hanoi, Khanh Hoa, Dak Lak and Ho Chi Minh City. Methods: Before the campaign, a workshop was organized to discuss an implementation plan including technical requirements, cold chain, uptake reporting, and surveillance for adverse events following immunization. All sites distributed communication materials and encouraged their staff to register for vaccination. Following immunization sessions, sites sent reports on uptake and adverse events following immunization. Left-over vaccine was transferred to other sites to maximize vaccine use. Results: The average uptake was 57% for all health care workers, with 11 sites achieving 90% and above. These 11 sites were small with less than 500 staff, including 5 primary hospitals, 3 preventive medicine units, and 2 referral hospitals. Among the six biggest sites with over 1,000 staff, four sites had the lowest uptake (14%-47%). Most of the high-uptake sites were from the central to the south; only one site, a referral hospital, was from the north. After redistribution of left-over vaccine, only 130 vaccine doses (1.2%) were not used and destroyed. Based on factors that affected uptake, including registration levels, differing communication strategies, availability of vaccination, and commitment by health facility leaders, we recommended ways to increase health care worker coverage; recommendations to improve reporting adverse events following immunization were also made.Conclusions: The project demonstrated that it was feasible to conduct influenza vaccination campaigns among health care workers in Vietnam. Improvements in promotion of registration, more intense pre-planning, especially at larger facilities, and wider, more consistent availability of communication materials will result in increased efficiency and coverage in this program’s future expansion.

scholarly journals A case study of an influenza vaccination program for health care workers in Vietnam

2020 ◽  
Author(s):  
Nga Ha ◽  
Thoa Thi Minh Nguyen ◽  
Tung Xuan Nguyen ◽  
Phu Dac Tran ◽  
Hang Minh Nguyen ◽  
...  
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Influenza Vaccination ◽  
Health Care Workers ◽  
Cold Chain ◽  
The North ◽  
Technical Requirements ◽  
Care Workers ◽  
Distributed Communication ◽  
Referral Hospitals

Abstract Background: In 2017, the Vietnam Ministry of Health conducted a demonstration project to introduce seasonal influenza vaccination to health care workers. A total of 11,000 doses of influenza vaccine, single-dose prefilled syringes, were provided free to HCWs at 29 selected hospitals, clinics, and research institutes in four provinces: Hanoi, Khanh Hoa, Dak Lak and Ho Chi Minh City. Methods: Before the campaign, a workshop was organized to discuss an implementation plan including technical requirements, cold chain, uptake reporting, and surveillance for adverse events following immunization. All sites distributed communication materials and encouraged their staff to register for vaccination. Following immunization sessions, sites sent reports on uptake and adverse events following immunization. Left-over vaccine was transferred to other sites to maximize vaccine use. Results: The average uptake was 57% for all health care workers, with 11 sites achieving 90% and above. These 11 sites were small with less than 500 staff, including 5 primary hospitals, 3 preventive medicine units, and 2 referral hospitals. Among the six biggest sites with over 1,000 staff, four sites had the lowest uptake (14%-47%). Most of the high-uptake sites were from the central to the south; only one site, a referral hospital, was from the north. After redistribution of left-over vaccine, only 130 vaccine doses (1.2%) were not used and destroyed. Based on factors that affected uptake, including registration levels, differing communication strategies, availability of vaccination, and commitment by health facility leaders, we recommended ways to increase health care worker coverage; recommendations to improve reporting adverse events following immunization were also made.Conclusions: The project demonstrated that it was feasible to conduct influenza vaccination campaigns among health care workers in Vietnam. Improvements in promotion of registration, more intense pre-planning, especially at larger facilities, and wider, more consistent availability of communication materials will result in increased efficiency and coverage in this program’s future expansion.

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