scholarly journals Rajasthan: Health professionals supply and demand

2021 ◽  
Vol 7 (2) ◽  
pp. 98-103
Author(s):  
J. P. Pankaj ◽  
Prithvi Raj

: Till recently the government is planning for national level availability of doctors. However, to improve health care service delivery, robust regional planning for production and supply of health professionals is need of hour. The study aims to understand the demand and supply of trained doctors and tertiary care facilities in different regions of Rajasthan.: Data of undergraduate medical entrance were used to adjust against the voluntary attrition rate, superannuation rate, natural death rate and external additions to define the pool of available practicing doctors. The estimates were generated by forecasting the population and expected supply of doctors till the year 2035 by projecting the data by Average Exponential Growth Rate (AEGR).: The study suggests that in 2018 the density of doctors was 0.32 per thousand population in Rajasthan than that of 0.7 in India. At the current AEGR of 5.53 %, density of doctors will only improve to 0.73 in year 2035. There are 16 districts with 41.1 % of the population of Rajasthan have no medical school or any tertiary health care institution. Similarly, undergraduate enrollment varies in different regions from 1.5 to 13.5 students per 100000 population.: The challenge of availability of qualified doctors in Rajasthan will persist even in year 2035. There is an urgent need to ensure regionally balanced production and supply of skilled doctors.

2020 ◽  
Author(s):  
maggie evans ◽  
Amira Shaheen ◽  
gene feder ◽  
loraine bacchus ◽  
manuela colombini ◽  
...  

Abstract Background Violence against women (VAW) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of VAW have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women. Methods In-depth interviews were carried out with 20 women who had experienced violence from their husbands. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically. Results Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about VAW. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence. Conclusions Palestinian women’s agency to be proactive in help-seeking for VAW is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between VAW and many common presentations such as depression, to ask sensitively about VAW in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in VAW.


Author(s):  
Zildo Alves da Silva ◽  
Luiz Faustino dos Santos Maia ◽  
Iris Maria de Pádua ◽  
Janaina Esser Inácio ◽  
Thaís Macedo Pio

Este artigo tem por objetivo descrever as intervenções do enfermeiro na prevenção para diminuir as infecções relacionadas com a assistência à saúde por meio de uma revisão da literatura. As infecções tendem a ser um risco muito alto a saúde dos usuários, pois acarreta um maior tempo de tratamento, e possíveis complicações a saúde dos pacientes. A disseminação de infecções em ambiente hospitalar e na assistência do serviço de saúde, com frequência e proveniente da infecção cruzada, é a via de contaminação mais comum ocorre entre as mãos. A educação permanente entre profissionais de saúde, pacientes, familiares e visitantes, é de extrema necessidade para contribuir no controle de infecção.Descritores: Enfermagem, Infecção, Assistência. Infection related to health care: a literature reviewAbstract: This article aims to describe the interventions of nurses in prevention to reduce infections related to health care through a literature review. Infections tend to be a very high risk the health of users since it involves a longer time of treatment, possible complications and patient health. The spread of infection in hospitals and health care service often and from the cross-infection is the most common route of infection is in his hands. The continuing education of health professionals, patients, families and visitors is of extreme necessity to contribute to the control of infection. Descriptors: Nursing, Infection, Assistance. Infección relacionada con la atención de salud: una revisión de la literaturaResumen: Este artículo tiene como objetivo describir las intervenciones de las enfermeras en la prevención para reducir las infecciones relacionadas con la atención de la salud a través de una revisión de la literatura. Las infecciones tienden a ser un muy alto riesgo la salud de los usuarios, ya que implica un tratamiento más largo, y las posibles complicaciones de la salud de los pacientes. La propagación de la infección en los hospitales y servicios de salud a menudo y de la infección cruzada es la vía más común de infección está en sus manos. La formación continuada de los profesionales de salud, los pacientes, las familias y los visitantes es de extrema necesidad de contribuir al control de la infección. Descriptores: Enfermería, Infección, Asistencia.


2020 ◽  
Author(s):  
Amira Shaheen ◽  
Suzy Ashkar ◽  
Abdulsalam Alkaiyat ◽  
Loraine Bacchus ◽  
Manuela Colombini ◽  
...  

Abstract Background Domestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women.Methods In-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically.Results Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence.Conclusions Palestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.


2013 ◽  
Vol 3 (1) ◽  
pp. 22-32 ◽  
Author(s):  
Vasumathi Sriganesh

Health information, both professional as well as consumer oriented, is an important component of the health care service. Professionals constantly need information for academics, research, preventive care, treatment and also to stay updated and to create and update health policies. Consumers need health information to stay healthy and to manage diseases and conditions. Generic search engines like Google and Yahoo answers are utilized extensively for getting health information (Akerkar & Bichile, 2004). However while utilizing these engines information seekers most often have to sift through volumes of data that often includes questionable sources of information. Health professionals face lacunae in receiving training about information resources and databases, and structured approach to searching these. Both consumers and health professionals spend far too much time searching for information, time that could be utilized much better in the actual health care delivery process. This article describes a medical librarian’s journey from being a health information consumer to a health information provider both to health professionals and consumers.


2019 ◽  
Vol 53 (1) ◽  
pp. 61-77
Author(s):  
Alana Cattapan

AbstractThe recognition of a health care service as medically necessary under the Canada Health Act is contingent on a variety of practical and political factors. This article examines how in vitro fertilization (IVF) came to be understood as a medically necessary service in Ontario, focusing on the establishment of public funding for one cycle of treatment. The article argues that the legitimacy of medical necessity in the contemporary period is tied to three interrelated factors: the recognition of a service as sufficiently “medical,” as efficient and as urgent—that is, something to be funded now and not later. By applying this framework to the case of IVF in Ontario, the article demonstrates not only the ongoing malleability of medical necessity but also how the government of Ontario has mobilized the three aspects of medical necessity to make a case for the public funding of a highly contested health care service.


2020 ◽  
Author(s):  
Amira Shaheen ◽  
suzy ashkar ◽  
abdulsalam alkaiyat ◽  
loraine bacchus ◽  
manuela colombini ◽  
...  

Abstract Background Domestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women. Methods In-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically. Results Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence. Conclusions Palestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.


Author(s):  
Zildo Alves da Silva ◽  
Luiz Faustino dos Santos Maia ◽  
Iris Maria de Pádua ◽  
Janaina Esser Inácio ◽  
Thaís Macedo Pio

Este artigo tem por objetivo descrever as intervenções do enfermeiro na prevenção para diminuir as infecções relacionadas com a assistência à saúde por meio de uma revisão da literatura. As infecções tendem a ser um risco muito alto a saúde dos usuários, pois acarreta um maior tempo de tratamento, e possíveis complicações a saúde dos pacientes. A disseminação de infecções em ambiente hospitalar e na assistência do serviço de saúde, com frequência e proveniente da infecção cruzada, é a via de contaminação mais comum ocorre entre as mãos. A educação permanente entre profissionais de saúde, pacientes, familiares e visitantes, é de extrema necessidade para contribuir no controle de infecção.Descritores: Enfermagem, Infecção, Assistência. Infection related to health care: a literature reviewAbstract: This article aims to describe the interventions of nurses in prevention to reduce infections related to health care through a literature review. Infections tend to be a very high risk the health of users since it involves a longer time of treatment, possible complications and patient health. The spread of infection in hospitals and health care service often and from the cross-infection is the most common route of infection is in his hands. The continuing education of health professionals, patients, families and visitors is of extreme necessity to contribute to the control of infection. Descriptors: Nursing, Infection, Assistance. Infección relacionada con la atención de salud: una revisión de la literaturaResumen: Este artículo tiene como objetivo describir las intervenciones de las enfermeras en la prevención para reducir las infecciones relacionadas con la atención de la salud a través de una revisión de la literatura. Las infecciones tienden a ser un muy alto riesgo la salud de los usuarios, ya que implica un tratamiento más largo, y las posibles complicaciones de la salud de los pacientes. La propagación de la infección en los hospitales y servicios de salud a menudo y de la infección cruzada es la vía más común de infección está en sus manos. La formación continuada de los profesionales de salud, los pacientes, las familias y los visitantes es de extrema necesidad de contribuir al control de la infección. Descriptores: Enfermería, Infección, Asistencia.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Amira Shaheen ◽  
Suzy Ashkar ◽  
Abdulsalam Alkaiyat ◽  
Loraine Bacchus ◽  
Manuela Colombini ◽  
...  

Abstract Background Domestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 months' period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women. Methods In-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically. Results Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence. Conclusions Palestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.


Author(s):  
Reshma Raj A. R. ◽  
M. J. Sudha ◽  
S. Viveka

Background: With skyrocketing health care costs, even the essential care provided by the health care service providers need to be evaluated under the lens. The development of nationwide awareness of cost-benefit, cost-utility and cost-effectiveness of services is the need of the hour. The objectives of the present study were to assess the knowledge about pharmacoeconomics among resident doctors and to assess the clinical application of pharmacoeconomics among them.Methods: A cross sectional questionnaire-based survey was conducted among resident doctors involving both interns and post-graduates of a teaching medical college. There were 20 questions; initial ten were for knowledge assessment and next ten questions assessed practical applications. Questions assessed the knowledge regarding components of pharmacoeconomics, direct and indirect medical costs, and application of pharmacoeconomics, local cost-effectiveness decisions and advantages of pharmacoeconomics.Results: Of the 118 participants who took part in the study, 42 were clinicians working in medical college hospital, 12 were clinicians working in dental college hospital, 24 medial postgraduates, 30 dental postgraduates and 10 interns. Nearly 90% of the respondents opine that concepts of pharmacoeconomics are not followed in every teaching hospital in India. Many participants (90%) opined that health economics and pharmacoeconomic are different. Nearly 94% of participants have not under gone any training regarding pharmacoeconomics. More than 95% respondents have opined that principles of pharmacoeconomics has to be introduced into current medial undergraduate curriculum.Conclusions: This study shows light on the knowledge and practices of resident doctors regarding principles of pharmacoeconomics. This study has revealed the level of awareness of younger generation regarding pharmacoeconomics.


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