scholarly journals The Experiences of Healthcare Providers Regarding Professional Ethics of Front Line Health Workers (A Qualitative Study)

2020 ◽  
Author(s):  
Ghasem Abedi ◽  
Ghader Momeni Rahkola ◽  
Samad Rouhani
Keyword(s):  
Qualitative Study ◽  
Health Services ◽  
Professional Ethics ◽  
Health Workers ◽  
Healthcare Providers ◽  
Health Centers ◽  
Front Line ◽  
Services Delivery ◽  
Comprehensive Health ◽  
And Behavior

Background and purpose: There is a return to rationality and ethics in the approach of current world. After several eras, humanity comes to consider rationality and ethics in addressing its physical and moral needs. From this point of view, ethics could be considered as a center of evolution in the future. This approach mainly influences those practices that are in the lead in serving people. Therefore, in this study, the aim was to investigate stakeholders’ points of view about Phenomenological ethics and professional behavior of auxiliary health workers at first level of health services delivery.  Materials and methods: This qualitative study was conducted through semi-structural interview in 2017. The study population included 9 principals of staff technical unit, 5 physicians in charge of rural comprehensive health centers, and 12 auxiliary health workers of affiliated health houses who were selected purposefully. After conducting the interviews, the data was transferred to paper and analyzed using content analysis with emphasis on core and non-core factors that influence behavior and professional ethics of auxiliary health workers from inter-organization stakeholders’ viewpoints. Findings: The results of this study included two general domains of the main elements (ethical and behavioral), and a total of 12 sub-areas of each of the two main elements, including 3 sub-domains that comprised the moral criterion: (secrecy, censorship, good behavior), as well as three behavioral criteria (accountability, expressive power, motivation), and ultimately 107 basic categories from 3 perspectives, which were all selected by institutional stakeholders: technical units, physicians of comprehensive health centers, as well as healthcare providers.Conclusion: The expressed experiences have shown that the issues surrounding the ethics and behavior of auxiliary health workers who are providing health services at the front line of health system, is inevitable in order to intervene in improving and promoting the quality of morality and behavior of this group of health professionals. 

Politicians in Apron: Case Study of Rebel Health Services in Nepal

2009 ◽  
Vol 21 (4) ◽  
pp. 377-384 ◽  
Author(s):  
Bhimsen Devkota ◽  
Edwin R. van Teijlingen
Keyword(s):  
Health Services ◽  
Rural Areas ◽  
Health Workers ◽  
Health Sector ◽  
National Health System ◽  
Health Centers ◽  
Career Motivation ◽  
Integration Model ◽  
Services Delivery

This article presents the findings of a systematic review on the health consequences of Nepal’s armed conflict waged by the Maoists and the development and trajectory of their health workers. Nepal’s decade-long violent conflict resulted in more than 13 000 deaths, the destruction of more than 1000 health posts and poor health services delivery. At present, most of the former rebel health workers live in remote/rural areas and some are running health centers. The review found that the Maoists had trained more than 2000 health workers, who can be categorized into 4 levels. However, there is little evidence on their competencies and career motivation. The Maoists demand restructuring of the Nepalese health sector and the integration of their health workforce into the national health system. However, there has been no national discussion in Nepal of what kind of health reform and integration model is appropriate for a sustainable peace and improved service delivery.

scholarly journals Community health worker models in South Africa: a qualitative study on policy implementation of the 2018/19 revised framework

2020 ◽  
Author(s):  
Joshua P Murphy ◽  
Aneesa Moolla ◽  
Sharon Kgowedi ◽  
Constance Mongwenyana ◽  
Sithabile Mngadi ◽  
...  
Keyword(s):  
South Africa ◽  
Qualitative Study ◽  
Policy Implementation ◽  
Community Health ◽  
Resource Constraints ◽  
Health Workers ◽  
Healthcare Providers ◽  
Successful Implementation ◽  
Programme Implementation ◽  
Healthcare Facilities

Abstract South Africa has a long history of community health workers (CHWs). It has been a journey that has required balancing constrained resources and competing priorities. CHWs form a bridge between communities and healthcare service provision within health facilities and act as the cornerstone of South Africa’s Ward-Based Primary Healthcare Outreach Teams. This study aimed to document the CHW policy implementation landscape across six provinces in South Africa and explore the reasons for local adaptation of CHW models and to identify potential barriers and facilitators to implementation of the revised framework to help guide and inform future planning. We conducted a qualitative study among a sample of Department of Health Managers at the National, Provincial and District level, healthcare providers, implementing partners [including non-governmental organizations (NGOs) who worked with CHWs] and CHWs themselves. Data were collected between April 2018 and December 2018. We conducted 65 in-depth interviews (IDIs) with healthcare providers, managers and experts familiar with CHW work and nine focus group discussions (FGDs) with 101 CHWs. We present (i) current models of CHW policy implementation across South Africa, (ii) facilitators, (iii) barriers to CHW programme implementation and (iv) respondents’ recommendations on how the CHW programme can be improved. We chronicled the differences in NGO involvement, the common facilitators of purpose and passion in the CHWs’ work and the multitude of barriers and resource limitations CHWs must work under. We found that models of implementation vary greatly and that adaptability is an important aspect of successful implementation under resource constraints. Our findings largely aligned to existing research but included an evaluation of districts/provinces that had not previously been explored together. CHWs continue to promote health and link their communities to healthcare facilities, in spite of lack of permanent employment, limited resources, such as uniforms, and low wages.

scholarly journals How does performance-based financing affect the availability of essential medicines in Cameroon? A qualitative study

2019 ◽  
Vol 34 (Supplement_3) ◽  
pp. iii4-iii19 ◽  
Author(s):  
Isidore Sieleunou ◽  
Anne-Marie Turcotte-Tremblay ◽  
Manuela De Allegri ◽  
Jean-Claude Taptué Fotso ◽  
Habakkuk Azinyui Yumo ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Services ◽  
Healthcare Providers ◽  
Study Data ◽  
Essential Medicines ◽  
Middle Income ◽  
Middle Income Countries ◽  
Performance Based Financing ◽  
Low And Middle Income

Abstract Performance-based financing (PBF) is being implemented across low- and middle-income countries to improve the availability and quality of health services, including medicines. Although a few studies have examined the effects of PBF on the availability of essential medicines (EMs) in low- and middle-income countries, there is limited knowledge of the mechanisms underlying these effects. Our research aimed to explore how PBF in Cameroon influenced the availability of EMs, and to understand the pathways leading to the experiential dimension related with the observed changes. The design was an exploratory qualitative study. Data were collected through in-depth interviews, using semi-structured questionnaires. Key informants were selected using purposive sampling. The respondents (n = 55) included health services managers, healthcare providers, health authorities, regional drugs store managers and community members. All interviews were recorded, transcribed and analysed using qualitative data analysis software. Thematic analysis was performed. Our findings suggest that the PBF programme improved the perceived availability of EMs in three regions in Cameroon. The change in availability of EMs experienced by stakeholders resulted from several pathways, including the greater autonomy of facilities, the enforced regulation from the district medical team, the greater accountability of the pharmacy attendant and supply system liberalization. However, a sequence of challenges, including delays in PBF payments, limited autonomy, lack of leadership and contextual factors such as remoteness or difficulty in access, was perceived to hinder the capacity to yield optimal changes, resulting in heterogeneity in performance between health facilities. The participants raised concerns regarding the quality control of drugs, the inequalities between facilities and the fragmentation of the drug management system. The study highlights that some specific dimensions of PBF, such as pharmacy autonomy and the liberalization of drugs supply systems, need to be supported by equity interventions, reinforced regulation and measures to ensure the quality of drugs at all levels.

scholarly journals PENGARUH PROMOSI KESEHATAN DENGAN METODE CERAMAH DAN METODE CERAMAH DENGAN MEDIA VIDEO TERHADAP PERILAKU IBU HAMIL TENTANG PERSALINAN AMAN DI WILAYAH KERJA PUSKESMAS BATUNADUA PADANGSIDEMPUAN TAHUN 2015

2018 ◽  
Vol 11 (3) ◽  
pp. 208-212
Author(s):  
Restu Yuliani ◽  
Evawany Y Aritonang ◽  
Syarifah Syarifah
Keyword(s):  
Health Promotion ◽  
Pregnant Women ◽  
Health Workers ◽  
Health Centers ◽  
Third Trimester ◽  
Knowledge And Attitudes ◽  
Work Area ◽  
Quasi Experimental ◽  
And Behavior ◽  
Safe Childbirth

Health promotion is basically a process of communication and behavior change process through health education. Health promotion activities can achieve maximum results, if the methods and media health promotion is of great concern and must be adapted to the target.         The type of research was a quasi experimental (quasi experimental) with a pretest-posttest design, The population in this study, all pregnant women are entering the third trimester gestational age 37-39 weeks, in the region of 40 health centers Padangsidempuan Batunadua pregnant women. Samples numbered 40 pregnant women are 20 pregnant women group lecture and 20 pregnant women media group lecture with video media. The data were analyzed by using univariat and bivariat analysis with paired sample t-test pairs. The results showed that there are significant health promotion with a lecture and lecture with video media to change knowledge and attitudes of pregnant women on safe childbirth and health promotion methods most influential in improving knowledge, attitudes and actions of pregnant women in conducting safe childbirth in the work area Padangsidempuan Batunadua health centers is a lecture with video media. Need to improve knowledge and attitudes about safe childbirth so as to provide encouragement and support to pregnant women who give birth safely, health workers Batunadua Health Center suggested to use a lecture with video media in delivering health promotion to pregnant mothers because of a lecture with video media can portray a moving object together with natural sounds or sound accordingly.

scholarly journals Nurses’ Feelings and Perspectives of the COVID-19 Pandemic: A Qualitative Study in a Developing Country

2021 ◽  
Vol 9 (G) ◽  
pp. 71-80
Author(s):  
Restuning Widiasih ◽  
Ermiati Ermiati ◽  
Etika Emaliyawati ◽  
Sri Hendrawati ◽  
Raini Diah Susanti ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Workers ◽  
Social Stigma ◽  
Structured Interview ◽  
Health Awareness ◽  
Referral Hospitals ◽  
Qualitative Descriptive ◽  
The Government ◽  
Perceptions And Expectations ◽  
And Behavior

BACKGROUND: Nurses’ duties and responsibilities related to the risk of transmitting COVID-19. Studies that explore nurses’ feelings and perspectives in providing health services at COVID-19 referral hospitals, especially in developing countries like Indonesia, are limited. AIM: This study aims to explore nurses’ feelings, perceptions, and expectations of the COVID-19 pandemic. METHODS: This qualitative study applied the qualitative descriptive design that involved 17 nurses from different hospitals in Indonesia. The semi-structured interview gathered their views of COVID-19, and the comparative analysis for interviews technique was chosen to analyze the data. RESULTS: Three themes emerged from the data analysis. The themes were nurses’ express psychological responses in facing the COVID-19 pandemic such as fear, surrender, panic, and calmness. Other two themes included the COVID 19 pandemic enhances nurses’ health awareness and behavior, and the government protect nurses from the COVID-19 transmission and social stigma. CONCLUSION: The feelings reported dominantly by the nurse, in addition to information about health awareness, behavior, the government’s actions, and their expectations. Mental health assistance would be useful to prevent depression in nurses, and the government’s comprehensive approaches in dealing with the COVID-19 pandemic would increase the protection and productivity of health workers, including nurses.

scholarly journals Perceptions and experiences of men and women towards acceptability and use of contraceptives in underserved areas of Karachi, Pakistan: A Midline Qualitative Assessment of Sukh Initiative, Karachi Pakistan

2020 ◽  
Author(s):  
Sarah Saleem ◽  
Narjis Rizvi ◽  
Anam Feroz ◽  
Sayyeda Reza ◽  
Saleem Jessani ◽  
...  
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Contraceptive Use ◽  
Health Workers ◽  
Healthcare Providers ◽  
Reproductive Age ◽  
Qualitative Assessment ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Men And Women

Abstract Background: Family planning (FP) is an essential component of Sustainable Development Goals (SDG) and contributes directly to SDG targets 3.7 and 5.6. In Pakistan, contraceptive use has remained stagnant over the past 5 years. This change has been very slow when compared to the FP2020 pledge. The Sukh initiative project was conceived and implemented to alleviate these challenges by providing access to quality contraceptive methods in some underserved areas of Karachi, Pakistan. A qualitative study was been conducted to understand the perceptions and experiences of men and women towards acceptability and contraceptive use.Methods: A qualitative study was conducted at ten Sukh stations located in four towns of Karachi. Focus group discussions (FGDs) were conducted with Married Women of Reproductive Age (MWRA) and married men who received FP services through the Sukh initiative. Study participants were purposively sampled for focus group discussions (FGDs). Interview data was manually transcribed and analyzed using thematic analysis.Results: A total of 20 FDGs(Men=10 FGDs; MWRA=10 FGDs) were conducted. Three overarching themes were identified: (I) Appropriateness and means to promote contraceptive use; (II) Equity and Accessibility to contraceptives; and (III) Perspective on available FP services. Generally, both men and women were informed about FP methods but women were more cognizant of FP information. The Door to Door services by community health workers in Sukh initiative areas was largely appreciated both by women and men as it has made the accessibility and availability of the information and services easy. Women suggested that the Sukh initiative should bring some strategies that can help men broaden their perspective towards FP. The study informed that the men feel left out from the FP programs. Therefore, male participants expressed keen interest in initiatives for men in their communities that would cater to their FP needs.Conclusions: This qualitative study provided a unique opportunity to understand the perceptions of men and women towards the phenomena of contraceptive use. The study identified the need for trained and qualified female and male healthcare providers and well-established health facilities alongside door-to-door services.

scholarly journals Heat Emergencies: Perceptions and Practices of Community Members and Emergency Department Healthcare Providers in Karachi, Pakistan: A Qualitative Study

2021 ◽  
Vol 18 (9) ◽  
pp. 4736
Author(s):  
Uzma Rahim Khan ◽  
Naveed Ahmed ◽  
Rubaba Naeem ◽  
Umerdad Khudadad ◽  
Sarwat Masud ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Healthcare Professionals ◽  
Health Workers ◽  
Heat Waves ◽  
Healthcare Providers ◽  
Community Members ◽  
Home Based ◽  
Facility Level ◽  
Training Community ◽  
Access And Quality

Heat waves are the second leading cause of weather-related morbidity and mortality affecting millions of individuals globally, every year. The aim of this study was to understand the perceptions and practices of community residents and healthcare professionals with respect to identification and treatment of heat emergencies. A qualitative study was conducted using focus group discussions and in-depth interviews, with the residents of an urban squatter settlement, community health workers, and physicians and nurses working in the emergency departments of three local hospitals in Karachi. Data was analyzed using content analysis. The themes that emerged were (1) perceptions of the community on heat emergencies; (2) recognition and early treatment at home; (3) access and quality of care in the hospital; (4) recognition and treatment at the health facility; (5) facility level plan; (6) training. Community members were able to recognize dehydration as a heat emergency. Males, elderly, and school-going children were considered at high risk for heat emergencies. The timely treatment of heat emergencies was widely linked with availability of financial resources. Limited availability of water, electricity, and open public spaces were identified as risk factors for heat emergencies. Home based remedies were reported as the preferred practice for treatment by community members. Both community members and healthcare professionals were cognizant of recognizing heat related emergencies.

scholarly journals Community perceptions on demand-side incentives to promote institutional delivery in Oyam district, Uganda: a qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e026851
Author(s):  
William Massavon ◽  
Calistus Wilunda ◽  
Maria Nannini ◽  
Caroline Agaro ◽  
Simon Amandi ◽  
...  
Keyword(s):  
Maternal Health ◽  
Qualitative Study ◽  
Health Services ◽  
Low Income ◽  
Health Workers ◽  
Qualitative Content Analysis ◽  
Community Support ◽  
Maternal Health Services ◽  
Health Seeking ◽  
Team Members

ObjectiveTo examine the perceptions of community members and other stakeholders on the use of baby kits and transport vouchers to improve the utilisation of childbirth services.DesignA qualitative study.SettingOyam district, Uganda.ParticipantsWe conducted 10 focus group discussions with 59 women and 55 men, and 18 key informant interviews with local leaders, village health team members, health facility staff and district health management team members. We analysed the data using qualitative content analysis.ResultsFive broad themes emerged: (1) context, (2) community support for the interventions, (3) health-seeking behaviours postintervention, (4) undesirable effects of the interventions and (5) implementation issues and lessons learnt. Context regarded perceived long distances to health facilities and high transport costs. Regarding community support for the interventions, the schemes were perceived to be acceptable and helpful particularly to the most vulnerable. Transport vouchers were preferred over baby kits, although both interventions were perceived to be necessary. Health-seeking behaviours entailed perceived increased utilisation of maternal health services and ‘bypassing’, promotion of collaboration between traditional birth attendants and formal health workers, stimulation of men’s involvement in maternal health, and increased community awareness of maternal health. Undesirable effects of the interventions included increased workload for health workers, sustainability concerns and perceived encouragement to reproduce and dependency. Implementation issues included information gaps leading to confusion, mistrust and discontent, transport voucher scheme design; implementation; and payment problems, poor attitude of some health workers and poor quality of care, insecurity, and a shortage of baby kits. Community involvement was key to solving the challenges.ConclusionsThe study provides further insights into the implementation of incentive schemes to improve maternal health services utilisation. The findings are relevant for planning and implementing similar schemes in low-income countries.

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