scholarly journals Determinants of Burden of Disease among Rice Farming Households in Ogun State, Nigeria

2019 ◽  
Vol 9 (2) ◽  
pp. 264-273
Author(s):  
Aboaba K. O ◽  
Oyekale, T. O ◽  
Adewuyi S. A ◽  
Adigbo S. O
Keyword(s):  
Health Care ◽  
Burden Of Disease ◽  
Health Care Services ◽  
Health Facilities ◽  
Health Conditions ◽  
Rice Farming ◽  
Low Level ◽  
Care Services ◽  
Ogun State ◽  
Farming Households

This study was carried out to indicate the factors, which could determine the burden of disease among rice farming households in Ogun state in Nigeria. Multi-stage sampling procedure was used to select 240 rice farming households. The study showed that nearly all households took drugs or medicines without consulting a doctor or pharmacist. Low level of income (85.33%), lack of awareness of health facilities (52.02%), low level of education (58.22%), as well as hindrances in distance and difficult terrains towards health facilities (75.11%) were indicated as the critical problems being faced by the households from using public health facilities. Sex, household size, off-farm income, distance to health care services and dirt floor of home were positively and significantly considered to influence disease burden, while age, cooperative membership, labor used and health conditions had negative effects. The study concluded that increased distance to health care services increased the burden of diseases of the households. It was therefore, recommended that health facilities should be located nearer to the people’s locations to increase its appropriate use. This would gradually improve their health conditions, and thereby reduce the ill-health cost in the long run.

scholarly journals Health and healthcare in the year 2040 – Facts for planning a complex and uncertain future

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
T Funk ◽  
B Forsberg
Keyword(s):  
Health Care ◽  
Burden Of Disease ◽  
Health Care Services ◽  
Disease Burden ◽  
Health Planning ◽  
Health Care Planning ◽  
Care Needs ◽  
Future Health ◽  
Care Services ◽  
Future Health Care

Abstract Background In the Stockholm region, a regional political assembly is responsible for health care services for a population of 2.3 million. In November 2017, the political leadership decided on a programme to project health and healthcare developments in the Stockholm region until 2040 as a basis for a longterm health plan. This presentation aims to describe the methodology used, share some results and raise some questions for further work. Through the presentation we also seek collaboration with European partners involved in similar health planning work. Methodology Six perspectives for analysis were defined and under each a set of areas for deeper analysis identified. It was agreed that the planning should be fact-driven. Under the constraint of availability, data covering the period 2000 to 2017 was collected for around 90 variables. Data was gathered from various publicly available databases and was analysed in Microsoft Excel. Results Stockholm’s population increased continuously since the millennial shift and could increase by another 28% until 2040. Since 2000, life expectancy increased by 2 years for women and 3 years for men. More than 85% of the burden of disease is caused by chronic diseases. However, the overall disease burden per 100 000 population has been decreasing over the years. In 2017, more than 21 million outpatient care visits were done. Extrapolations of these trends show that the disease burden per capita will continue to decrease, but the total burden of disease as well as demand for health care will continue to increase. Discussion A fact-based analysis of future health and healthcare proved to be an efficient base for planning and discussions of future health care services. Results confirmed some well-established perceptions of developments but also pointed to some misconceptions and established “facts” that proved to be false. New digital services make prediction of the future health service mix dynamic and challenging. Key messages To meet future health care needs, future health and health care trends should be planned for and considered in decision making processes. Forecasts and health care planning should be fact-based to have an as accurate picture of future health and health care trends as possible.

scholarly journals Chronic Health Conditions: Changing Prevalence in an Aging Population and Some Implications for the Delivery of Health Care Services

2010 ◽  
Vol 29 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Frank T. Denton ◽  
Byron G. Spencer
Keyword(s):  
Health Care ◽  
Delivery Of Health Care ◽  
Health Care Services ◽  
Aging Population ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Care Services ◽  
Maladies Chroniques ◽  
Pour Cent ◽  
Vieillissement De La Population

RÉSUMÉParce que la prévalence de nombreuses conditions de santé chroniques augmente avec l’âge, nous pourrions anticiper que la proportion montrant une ou plusieurs de ces conditions, ainsi que les frais de traitement, augmenterait comme le vieillissement de la population. Combien la prévalence globale des affections chroniques augmenteraient en un quart de siècle si l’âge spécifiques des taux de prévalence n’ont pas changé? Les taux de prévalence globaux pour presque toutes les conditions qui découlent principalement de la vieillesse augmenteraient de plus de 25 pour cent, et les exigences en matière de santé auraient cru plus rapidement que la population – plus de deux fois plus rapidement dans le cas des séjours hospitaliers – si les taux pour chaque groupe d’âge sont restés constants. Combien serait requise pour l’augmentation des ressources de santé? Quelle différence rendrait-il à ces exigences si les gens avaient moins de maladies chroniques? Même de réductions modestes dans le nombre moyen de conditions à chaque âge pourraient entraîner des économies importantes.

scholarly journals Effectiveness of Essential Health Care Services Delivery in Nepal

1970 ◽  
Vol 6 (2) ◽  
pp. 74-83 ◽  
Author(s):  
B Devkota
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Services ◽  
Health Facility ◽  
Health Care Services ◽  
Health Facilities ◽  
Care Services ◽  
Services Delivery ◽  
Equity And Efficiency

Background: Ensuring delivery of quality health services in a sustainable and equitable manner is a challenge in Nepal. A host of factors may have impeded the access, quality and utilization of the health services particularly by the marginalized and disadvantaged sections of the population. Review essential health care services (EHCS) provided by the public health facilities, level of progress, effectiveness, sustainability, equity and efficiency, quality of care and inclusion of marginalized and disadvantaged populations in health care servicesMethods: A total of 40 VDCs from 10 districts representing five regions and three eco-zones were covered. Altogether 800 mothers with under two year children, 40 health service providers, 145 key informants and 40 exit clients were interviewed. Forty focused group discussions were also conducted. From each district, health records of one hospital, PHCC, HP, SHP and Ayurvedic health facility each were collected.Results: More than two-third (68.2%) of the mothers received antenatal checks, highest in hills (85%) followed by terai (64.5%) and mountain districts (52.8%).Tetanus vaccine coverage (80.7%) seems higher compared to Nepal Demographic Health Survey 2001 (45%). FP use rate in mountain, hill and terai are 57.6%, 54.1% and 49.7%, higher than in DoHS 2003/2004 statistics, which were 26.8%, 36.4% and 45.3% respectively. Nine out of ten patients visiting the health facilities were outpatients. The coverage of DPT 3, Polio 3, BCG and measles are 92.8%, 93.4%, 95.2% and 90.7% respectively. From the service utilization perspective, disparities in terms of gender, ecological regions, season of the year and health facility were revealed.Conclusion: Health sector services are yet to be made responsive to the ecological and district specific health problems, and be made more inclusive linking with doable safety nets.  Key words: Essential health care services; Effectiveness; Sustainability; Equity and efficiency; Quality of care and inclusion  doi: 10.3126/jnhrc.v6i2.2188Journal of Nepal Health Research Council Vol. 6 No. 2 Issue 13 Oct 2008 Page: 74-83 

scholarly journals Determinants of utilization of maternal health care services among mothers in Harare, Zimbabwe

2019 ◽  
Author(s):  
Eunice Nyarambi ◽  
Paddington Tinashe Mundagowa ◽  
Prosper Chonzi ◽  
Elizabeth Chadambuka
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Maternal Health Care ◽  
Health Facilities ◽  
Related Factors ◽  
Care Services ◽  
Maternal Health Care Services

Abstract Background: Provision of quality maternal health care services is an essential component in ensuring a healthy mother-baby dyad both pre- and post-delivery. In Africa, antenatal care, postnatal care, and skilled birth attendances are very low when compared to high-income countries. The continent has a high burden of maternal and infant morbidity as well as mortality rates. According to the Harare Annual Report of 2016, the number of women seeking maternal health care services was gradually declining from 2014 and pregnant women reported various challenges in accessing health care services. Methods: A 1 to 1 case-control study was conducted in Harare West South Western District using pretested interviewer-administered questionnaires. The study was carried out at all three clinics in the district and a total of 73 cases and 73 controls were selected using a systematic random sampling method. Quantitative data were analyzed using Epi Info statistical package and qualitative data was analyzed thematically. Results: The median ages for cases and controls were 29 and 24 years, respectively and the age-group 19 to 24 years constituted the majority of participants (41%). Predictors of utilization of services were young age ( < 24 years), birth order of < 2, maternal and paternal occupation, and religion. Enabling factors included: asking for permission to seek care, absence of transport challenges, a shorter distance to the health facility, affordability of health services, and a higher household income. Besides the shortage of skilled staff at the clinics, mothers endured long waiting hours to be served. The majority of the cases (78.1 %) and controls (72.6%) preferred to be attended by male nurses. Mothers were required to pay a $25 fee for booking and city medical staff rarely visited the clinics. Conclusion: The utilization of maternal health care services in Harare is dependent on the individual, household, and system-related factors. There was a need to articulate policies and design maternal health care programs that target socially and economically marginalized women. Creating women-friendly health facilities with extended hours for the antenatal care, delivery care and post-natal care services for mothers can help to decongest the health facilities.

scholarly journals LOW LEVEL LASER THERAPY (LLLT) FOR ELDERLY RESIDENTS IN FACILITIES OF HEALTH CARE SERVICES

LASER THERAPY ◽  
2010 ◽  
Vol 19 (2) ◽  
pp. 97-100 ◽  
Author(s):  
Yasuo Ito ◽  
Ikuko Ohkuni ◽  
Nobuyuki Ushigome ◽  
Takashi Harada ◽  
Hiroshi Tsuruoka ◽  
...  
Keyword(s):  
Health Care ◽  
Laser Therapy ◽  
Health Care Services ◽  
Low Level Laser Therapy ◽  
Low Level ◽  
Low Level Laser ◽  
Care Services ◽  
Level Laser

scholarly journals Determinants of utilization of maternal health care services among mothers in Harare, Zimbabwe

2019 ◽  
Author(s):  
Paddington Tinashe Mundagowa ◽  
Eunice Nyarambi ◽  
Elizabeth Chadambuka
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Maternal Health Care ◽  
Health Facilities ◽  
Related Factors ◽  
Care Services ◽  
Maternal Health Care Services

Abstract Background: Provision of quality maternal health care services is an essential component in ensuring a healthy mother-baby dyad both pre- and post-delivery. In Africa, antenatal care, postnatal care, and skilled birth attendances are very low when compared to high-income countries. The continent has a high burden of maternal and infant morbidity as well as mortality rates. According to the Harare Annual Report of 2016, the number of women seeking maternal health care services was gradually declining from 2014 and pregnant women reported various challenges in accessing health care services. Methods: A 1 to 1 case-control study was conducted in Harare West South Western District using pretested interviewer-administered questionnaires. The study was carried out at all three clinics in the district and a total of 73 cases and 73 controls were selected using a systematic random sampling method. Quantitative data were analyzed using Epi Info statistical package and qualitative data was analyzed thematically. Results: The median ages for cases and controls were 29 and 24 years, respectively and the age-group 19 to 24 years constituted the majority of participants (41%). Predictors of utilization of services were young age ( < 24 years), birth order of < 2, maternal and paternal occupation, and religion. Enabling factors included: asking for permission to seek care, absence of transport challenges, a shorter distance to the health facility, affordability of health services, and a higher household income. Besides the shortage of skilled staff at the clinics, mothers endured long waiting hours to be served. The majority of the cases (78.1 %) and controls (72.6%) preferred to be attended by male nurses. Mothers were required to pay a $25 fee for booking and city medical staff rarely visited the clinics. Conclusion: The utilization of maternal health care services in Harare is dependent on the individual, household, and system-related factors. There was a need to articulate policies and design maternal health care programs that target socially and economically marginalized women. Creating women-friendly health facilities with extended hours for the antenatal care, delivery care and post-natal care services for mothers can help to decongest the health facilities.

scholarly journals Accessibility of Public Healthcare Services in Mysore City- A GIS Approach

2021 ◽  
Vol 11 (5) ◽  
pp. 290-298
Author(s):  
Minutha. V
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Health Facilities ◽  
Public Healthcare ◽  
Main Theme ◽  
Location Quotient ◽  
Care Services ◽  
Health Infrastructure ◽  
The Impact

The main theme of healthcare is to provide complete health facilities, to protect every one for physical, social, and mental health, to decrease the death rate, to increase the life expectancy of human being. The accessibility of healthcare centers is one of the most important indicators for measuring the efficiency of a healthcare system. Accessibility is a complex indicator that reflects the number of health care institutions, their geographical distribution and the impact of different types of barriers social, Economic and culture [1]. Geographers are mainly concerned with geographical accessibility for the calculation. GIS is a technique which provide a set of tools for describing and understanding the spatial distribution of healthcare facilities, evaluating accessibility and barriers to health care delivery of health facilities and Creating a map of health infrastructure. In this paper an attempt has been made to analyze the functioning of health care services and its infrastructure facilities in Mysore city using GIS techniques. To identify the gap between the availability and the accessibility of health infrastructure services in terms of prescribed norms. The present study is based on both Primary and Secondary Data. The Base Map of Study area has been Geo-referenced and digitized using GIS Software. Location of healthcare centres will be mapped with the help of Global Position System (GPS). Data is analyzed though simple quantitative techniques and the spatial disparity of health centers were measured by applying location quotient. Various Maps have been generated to show the health care services in the study area. The results show that the availability of healthcare center is unequally distributed and there is scarcity in the availability of infrastructure and workforce among the study area. Key words: Healthcare, Accessibility, Location quotient, GIS, GPS.

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