scholarly journals Pattern of skin diseases among patients attending Hawassa university comprehensive specialized hospital, Hawassa, Ethiopia

2021 ◽  
Vol 7 (5) ◽  
pp. 261
Author(s):  
Girum T. Assefa ◽  
Adane C. Koster ◽  
Nura K. Nurhussein
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Primary Health Care ◽  
Skin Diseases ◽  
Care Hospital ◽  
Dermatology Clinic ◽  
Primary Health ◽  
Specialized Hospital ◽  
Skin Appendages ◽  
Hawassa University

<p><strong>Background</strong>: Spectrum of skin diseases varies from region to region due to several factors such as genetics, socioeconomic and environmental. This study aimed to determine the pattern of various skin disorders appearing in the dermatology department of a tertiary care hospital.</p><p><strong>Methods</strong>: All patients attending the dermatology clinic of the Hawassa university comprehensive specialized hospital, from January 2017 to December 2018 were included in this retrospective analysis. The medical records of the patients were obtained from registry books. </p><p><strong>Results: </strong>A total of 7727 patients attended the dermatology clinic of HUCSH. Out of these samples, 18.1% of patients repeatedly came to the hospital for a follow up visit related to their diseases, while 81.9% were enrolled as new cases.</p><p>There were more males (51.9%) than females. More than three quarter of the cases were aged above 16 years while less than a quarter were children below 16 years. Eczema was diagnose in 2734 (35.4%), being the most common cause for attendance, followed by infectious disease (23.3%) and disease of the skin appendages (12.1%).</p><p class="abstract"><strong>Conclusions</strong>: Eczema was the most common skin disease seen in our study, followed by infectious disease   and disease of the skin appendages. Concerted effort need to be made to control these conditions and training of the primary health care providers and education of General Practitioners in Dermatology must emphasize these common conditions, with the aim of improving primary health care and alleviating the burden of hospital care.</p>

Seeking Solutions to the Challenges in Health Services in Developing Nations

2015 ◽  
pp. 1-51
Author(s):  
Jessica McCormack ◽  
Patrick Rawstorne ◽  
Mohamud Sheikh
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Primary Health Care ◽  
Cardiovascular Diseases ◽  
Burden Of Disease ◽  
Communicable Disease ◽  
Developing Nations ◽  
Global Burden ◽  
Primary Health ◽  
Non Communicable Disease

The Global Burden of Disease (GBD) study, 2010, confirmed that the world's population is living longer and we are now less likely than a decade earlier to die from an infectious disease but also more likely to live our twilight years with morbidity (Murray et al., 2012). We will also most likely die from a chronic non-communicable disease (NCD) such as cardiovascular diseases, cancers, respiratory diseases, and diabetes (Beaglehole, et al., 2008). However this brief glimpse at the trends in the health of the world's population obscures massive inequalities in the burden of disease as well as variations across the globe. In this piece, we will revisit primary health care, both at its dawn, its contribution to developing nations, and the ills it struggled through over the years. Cuba and Thailand are the key examples of developing nations that have experienced the contribution of primary health care more than most other countries.

scholarly journals Medico-botanical studies of Sandwip island in Chittagong, Bangladesh

2013 ◽  
Vol 20 (1) ◽  
pp. 39-49 ◽  
Author(s):  
Noor Hassan Sajib ◽  
S. B. Uddin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Herbal Medicine ◽  
Medicinal Plant ◽  
Plant Species ◽  
Skin Diseases ◽  
Traditional Herbal Medicine ◽  
Chicken Pox ◽  
Primary Health ◽  
Plant Taxon

A study of the plant diversity of Sandwip Island has been conducted during July 2008 to April 2011 in order to document plant species used as traditional herbal medicine. A total of 111 species under 93 genera of 53 families have been documented which are used for the treatment of 48 diseases/illness. The local people of the island mostly depended on herbal medicine for their primary health care. Twenty one recorded medicinal plant species are used for the treatment of various types of pain, 14 each for dysentery and rheumatism, 8 each for cough and haemorrhages, 7 for skin diseases, 6 for worms, 5 for boils, 4 each for jaundice and fracture, 3 each for chicken pox, fever and diabetes and 54 for other diseases.DOI: http://dx.doi.org/10.3329/bjpt.v20i1.15463Bangladesh J. Plant Taxon. 20(1): 39-49, 2013 (June)

scholarly journals C-Reactive Protein: A New Rapid Assay for Managing Infectious Disease in Primary Health Care

1991 ◽  
Vol 9 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Per Hjortdahl ◽  
Sverre Landaas ◽  
Petter Urdal ◽  
Martin Steinbakk ◽  
Per Fuglerud ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Primary Health Care ◽  
Protein A ◽  
C Reactive Protein ◽  
Rapid Assay ◽  
Reactive Protein ◽  
Primary Health

scholarly journals Reorganizacija službe na primarnem nivoju zdravstvene dejavnosti v času epidemije COVID-19

2021 ◽  
Author(s):  
Tatjana Kitić jaklić ◽  
Jože Prestor ◽  
Matjaž Maletič
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Daily Life ◽  
Good Practice ◽  
Health Centre ◽  
Health Care Sector ◽  
The Past ◽  
Primary Health

The COVID-19 epidemic caused by the SARS-Co-V2 virus has dramatically affected the daily life of society as a whole and almost without exception the functioning of various institutions. The first and hardest have been institutions falling under the health care sector. Over the past several decades, the functioning of health care institutions has retained a more or less type of fragile balance that has been further shaken by the COVID-19 epidemic. This has served to inadevertently reveal some shortcomings in the health care sector. In this article, we outline the reorganization and adaptation of the primary health care sector as seen in the example of the Community Health Centre Kranj. Particulary highlighted are challenges faced within the health care institution as well as examples of good practice that should be maintained in the event of any future infectious disease epidemic outbreaks.

scholarly journals Perceptions and Experiences of Frontline Health Managers and Providers on Accountability in a South African Health District

2019 ◽  
Author(s):  
Fidele Kanyimbu Mukinda ◽  
Sara Van Belle ◽  
Helen Schneider
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
South African ◽  
Collective Responsibility ◽  
Care Hospital ◽  
Culture Of Learning ◽  
Primary Health ◽  
African Health ◽  
South African Health ◽  
Health Managers

Abstract Objective This study explored and described accountability as perceived and experienced by frontline health managers and providers of maternal, newborn and child health (MNCH) services in a South African health district.Methods This was a qualitative study involving in-depth interviews with a purposive sample of 58 frontline health managers and providers in the district office and in two sub-districts, examining the meanings of accountability and related lived experiences.Results Accountability was described by respondents as both an organisational mechanism of answerability and responsibility and an intrinsic professional virtue. Accountability relationships were understood to be multidirectional - upwards and downwards in hierarchies, outwards to patients and communities, and inwards to the “self”. The practice of accountability was challenged in organisational environments where impunity and unfair punishment existed alongside each other, where political connections constrained the ability to sanction and by climates of fear and blame. Accountability was enabled by open management styles, teamwork, good relationships between primary health care, hospital services and communities, investment in knowledge and skills development and responsive support systems. The interplay of these enablers and constraints varied across the facilities and sub-districts studied.Conclusions and Recommendations Providers and managers have well-established ideas about, and a language of, accountability. The lived reality of accountability by frontline managers and providers varies and is shaped by micro-configurations of enablers and constraints in local accountability ecosystems. Fairness, open leadership styles, teamwork and collaboration between primary health care and hospitals and community participation were seen as promoting accountability, enabling collective responsibility and a culture of learning rather than blame.

scholarly journals Model Pengendalian Faktor Risiko Stunting pada Anak Bawah Tiga Tahun

2015 ◽  
Vol 9 (3) ◽  
pp. 249 ◽  
Author(s):  
Erna Kusumawati ◽  
Setiyowati Rahardjo ◽  
Hesti Permata Sari
Keyword(s):  
Infectious Disease ◽  
Risk Factors ◽  
Health Care ◽  
Primary Health Care ◽  
Family Income ◽  
Control Sample ◽  
Control Model ◽  
Normal Children ◽  
Environmental Sanitation ◽  
Primary Health

Stunting merupakan masalah gizi, terbukti data pemantauan status gizi Kabupaten Banyumas 2012 prevalensi stunting sebesar 28,37% dan prevalensi tertinggi (41,6%) di Puskesmas Kedungbanteng. Tujuan penelitian untuk menganalisis faktor risiko terkait faktor anak, ibu, lingkungan terhadap stunting bawah tiga tahun (batita) agar dapat dikembangkan model pengendaliannya. Penelitian menggunakan desain kasus kontrol, populasi adalah seluruh anak usia 6 sampai 36 bulan di Puskesmas Kedungbanteng Kabupaten Banyumas selama enam bulan tahun 2013. Sampel kasus adalah 50 batita stunting, sampel kontrol adalah 50 batita status normal. Teknik pengambilan sampel kasus diambil dari tujuh desa yang terbanyak stuntingnya, sedangkan kontrol adalah batita normal tetangga terdekat kasus dengan usia yang disamakan. Pengumpulan data dengan wawancara dan pengukuran. Analisis data univariat, bivariat (uji kai kuadrat), dan multivariat (uji regresi logistik ganda). Hasil penelitian menemukan karakteristik batita stunting terkena penyakit infeksi (82%), riwayat panjang badan lahir < 48 centimeter (66%), riwayat pemberian ASI dan makanan pendamping ASI kurang baik (66%), riwayat berat badan lahir rendah (8%). Pada penelitian ini, faktor risiko stunting adalah penyakit infeksi, pelayanan kesehatan, immunisasi, pengetahuan ibu, pendapatan keluarga, ketersediaan pangan keluarga, dan sanitasi lingkungan. Faktor yang paling dominan adalah penyakit infeksi. Model pengendalian stunting melalui peningkatan pemberdayaan keluarga terkait pencegahan penyakit infeksi, memanfaatkan pekarangan sebagai sumber gizi keluarga dan perbaikan sanitasi lingkungan.  Model of Stunting Risk Factor Control among Children under Three Years OldStunting is a nutritional problem, proved by the evidence of nutritional status monitoring at Banyumas District in 2012, the prevalence of stunting was 28.37% and the highest prevalence 41.6% at Kedungbanteng Primary Health Care. This study aimed to analyze risk factors related to child, maternal, and environmental factors toward stunting among children under three year old in 2013 in order to develop the control model. This study used case control design, the population was all children aged of six to 36 months at Kedungbanteng Primary Health Care, Banyumas District. Sample was 50 stunting children, while the control sample was 50 normal children. Sampling technique was taken from seven villages with the highest stunting number, meanwhile the control was normal children living closest to the case with similar age. Data was collected through interview and measurement. Data analysis was conducted in univariate, bivariate (chi-square test), and multivariate analyze (multiple logistic regression test). The results found that characteristics of stunting children under three years old were often suffering infectious diseases (66%), having body length record < 48 centimeter (66%), bad records of breastfeeding and comlementary feeding (66%), and record of low birth weight (8%).Stunting risk factors in this study were infectious disease, health services, immunization, maternal knowledge, family income, family food availability, and environmental sanitation. The most dominating factor was infectious disease. The stunting control model through enhancement of family empowerment related to infectious disease prevention, utilization yard as a family nutrition source and environmental sanitation repair.

An Approach to the Patient with Skin Disease

1992 ◽  
Vol 22 (1_suppl) ◽  
pp. 7-14 ◽  
Author(s):  
Yetunde Mercy Olumide
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Skin Disease ◽  
Skin Diseases ◽  
Health Workers ◽  
Family Health ◽  
Integrated Approach ◽  
Sexually Transmitted ◽  
Primary Health ◽  
Laboratory Investigations

We practise an integrated approach to the management of skin diseases, leprosy and sexually transmitted diseases because the latter diseases are still stigmatized and patients are unwilling to attend clinics so labelled. When approached by a patient with skin disease it is advisable to see the patient promptly, because any further delay encourages the use of assorted remedies which may lead to undesirable complications, physically, emotionally and financially. Since there is no health insurance scheme, it is also prudent to manage the patient as much as possible without admission to hospital and with minimal laboratory investigations, to save cost, so that the patient still has sufficient money to buy the required drugs. Family health workers treat patients at the primary health care (PHC) level. At this level, patients are managed by the use of specially prepared standing orders (SO), where checklists and flow charts are grouped by problems or complaints, to facilitate usage by an individual with minimal training in morphology. The SO presents, so far as is possible, the best treatment available for each condition, but which cannot be misused by the primary health care personnel. Before discussing the management of individual diseases, it is important for the reader to appreciate the milieu in which we practise which determines our approach to the patient with skin disease. Some of its features will be highlighted before the management of individual disorders is discussed.

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