scholarly journals Recommendations On The Fight Against Nosocomial Infections Compliance In Health Facilities Of Yaounde (Cameroon)

2019 ◽  
Vol 7 (08) ◽  
Author(s):  
Georgette Ndongo Ekanga ◽  
Hortense Gonsu Kamga ◽  
Albert Same Ekobo ◽  
William Baiye ◽  
Godswill Ntsomboh-Ntsefong ◽  
...  
Keyword(s):  
Infection Control ◽  
Health Facility ◽  
Assessment Tool ◽  
Control Program ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
National Guidelines ◽  
Cross Sectional ◽  
Infection Control Program ◽  
Recommended Practices

Background: Nosocomial infection’s (NIs) data are scarce in developing countries. In some of these countries, national guidelines for its prevention by health facilities have introduced surveillance recommendations including Infection Control Assessment Tool (ICAT). The aim of our study was to evaluate the compliance levels of NIs recommendations. Methodology: We conducted a cross-sectional study from September to December 2018 in 10 health facilities in Yaounde. A checklist with two modules from the ICAT (Health Facility information and Infection Control Program) was used to determine the degree of compliance towards the recommendations by performing interviews, observations and consultation of documents. Results: Sixty (60) % of health facilities are aware of the national guidelines and regulation on the fight against NIs but only 30% have adopted them.  Accreditation standards applicable to health facilities are not known by any of the health facilities. The recommendations concerning demographic characteristics, water supply and the general characteristics on rooms were generally respected (more than 50%) in 90% of the health facilities. 100% of health facilities had less than fifty (50)% compliance level for the fight against NIs recommendations with compliance levels below 15% for 50% of them. This worst compliance (less than 15%) was especially observed with recommended practices concerning responsibilities and authorities (40% of health facilities), functionality of infection and control committees (50% of health facilities), key personnel responsible for fight against NIs (30% of health facilities) and study of outbreaks and surveillance of NIs (100% of health facilities). Training programs on fight against NIs had better scores (30% of health facilities with more than 50% of compliance levels). The Fischer test shows that there is a significant relationship between the compliance with all these recommended practices and the health facility capacity (P= 0, 0476) . Conclusion: NIs control programs in Yaounde health facilities are insufficient. Awareness, training, promotion and follow-up actions are necessary for the understanding and adoption of recommendations on the monitoring of NIs.  

scholarly journals Pregnant women’s retention and associated health facility characteristics in the prevention of mother-to-child HIV transmission in Indonesia: cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e034418
Author(s):  
Christina Lumbantoruan ◽  
Margaret Kelaher ◽  
Michelle Kermode ◽  
Endang Budihastuti
Keyword(s):  
Antenatal Care ◽  
Health Facility ◽  
Hiv Transmission ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Hiv Positive ◽  
Pmtct Programme ◽  
Cross Sectional ◽  
Hiv Epidemic ◽  
Mother To Child

ObjectivesDespite the national effort to integrate the Prevention of Mother-to-Child Transmission (PMTCT) programme into antenatal care clinics in Indonesia, the rate of mother-to-child HIV transmission remains high. This national study was conducted to describe PMTCT programme performance and to identify health facility characteristics associated with this performance in order to inform programme planning and policy development.DesignA retrospective cross-sectional study in December 2017.SettingAll health facilities providing PMTCT programmes in Indonesia.ParticipantsAll health facilities registering at least one woman in antenatal care in 2017.InterventionPMTCT data extraction from the national reporting system on HIV/AIDS and government reports.OutcomesWomen retention in the PMTCT programme for at least 3 months and associated health facility characteristics.ResultsA total of 373 health facilities registering 6502 HIV-positive women in antenatal care were included in the analysis. One-third of women (2099) never started antiretroviral treatment. Of the 4403 women who started, 2610 (57%) were retained; 462 (10%) were not retained; and the retention status of 1252 (28%) women referred out of the health facilities was unknown. Compared with primary health centres, hospitals were more likely to retain women (OR=2.88, 95% CI 2.19 to 3.79). The odds of retention were higher in hospital types A and B (OR=3.89, 95% CI 3.19 to 4.76), located within concentrated HIV epidemic areas (OR=2.09, 95% CI 1.83 to 2.38) and a high-priority area for the HIV programme (OR=1.83, 95% CI 1.60 to 2.09). We observed no differential retention between women who initiated PMTCT under different options (B+/non-B+).ConclusionsWe observed low retention of HIV-positive pregnant women in the PMTCT programme in Indonesia in 2017. Additional efforts are needed to improve women’s retention in the PMTCT programme. Retention could be increased through the delivery of PMTCT programmes by replicating strategies implemented at hospital types A and B located in concentrated HIV epidemic areas where an HIV programme is a high priority.

scholarly journals Implementation of infection control in health facilities in Arua district, Uganda: a cross-sectional study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Peter Wasswa ◽  
Christine K. Nalwadda ◽  
Esther Buregyeya ◽  
Sheba N. Gitta ◽  
Patrick Anguzu ◽  
...  
Keyword(s):  
Infection Control ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Implementation of maternal and perinatal deaths surveillance and response system among health facilities in Rural Tanzania: Analytical cross-sectional study

2021 ◽  
Author(s):  
Christina Kashililika ◽  
Fabiola Vincent Moshi
Keyword(s):  
Health Facility ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Cross Sectional ◽  
Perinatal Deaths ◽  
Rural Tanzania ◽  
Surveillance And Response ◽  
The Status ◽  
Bivariate Logistic Regression ◽  
Implementation Status

Abstract BackgroundMaternal and Perinatal Deaths Review and Surveillance (MPDSR) system when used effectively has the power to bring into reality, a revolutionary victory in the fight against maternal and perinatal mortality from avoidable causes. This study aimed at determining the status of implementation of the system among health facilities in rural settings of Tanzania.MethodThis study was conducted among 38 health facilities from three districts of Morogoro region, Tanzania from April 27, 2020 to May 29, 2020. Quantitative data was collected through document review for MPDSR implementation status. The outcome was determined by using special scoring sheet with a total 30 points. Facilities that scored 10 points or above were considered to have satisfactory status of MPDSR implementation while the facilities that scored below 10 points were considered to have unsatisfactory status of MPDSR implementation. Bivariate logistic regression analyses were used to determine the predictors of implementation status among health facilities.ResultsMajority of health facilities 20(52.6%) had satisfactory MPDSR implementation status. The predictors of MPDSR implementation in a facility were level of health facility [Hospital (AOR = 11.945 at 95% CI = 1.133 – 125.942, P = 0.039)] and ownership of the facility [Public (AOR = 0.133 at 95% CI = 0.019 – 0.920, P = 0.041)].ConclusionMPDSR implementation status among health facility is on average not satisfactory. More efforts are needed to raise the status of MPDSR implementation in the country so that the maximum benefit of MPDSR is obtained.

scholarly journals Hepatitis C virus risk factors in blood donors from Sohag governorate, Egypt

2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Mohamad Abdelaziz ◽  
Mohamed Abdullah
Keyword(s):  
Risk Factors ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Blood Donors ◽  
Significant Contribution ◽  
Control Program ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Infection Control Program ◽  
Hbs Ag

Egypt has the highest prevalence of hepatitis C virus (HCV) worldwide. Most of data came from lower Egypt regions (Cairo and northern to it). So, we decided to study risk factors and prevalence of HCV transmission in our governorate. In this cross sectional study, we recruited 631 blood donors from April, 2011 to March 2012 who were tested for anti-HCV, HBs Ag, anti- HBc and anti-HIV. Fifty seven donors were excluded as they are HBs Ag and anti-HBc positive. We found 138 (24%) HCV seropositive participants. Logistic regression final model demonstrated that endoscopy, hospital admission, socioeconomic status, IV drug use and age made a significant contribution to prediction (P=0.0001). The level of education also made significant contribution to prediction (P=0.014). In conclusion, it is wise to determine high HCV prevalence areas and risk factors for its seropositivity then build up a governorate suitable infection control program concentrating upon prevention more than treatment of HCV patients. Also, the introduction of pre-test and post-test counseling in blood banks will help in better donor selection and early detection of patients.

scholarly journals Nursing Home Infection Control Program Characteristics, CMS Citations, and Implementation of Antibiotic Stewardship Policies: A National Study

2018 ◽  
Vol 55 ◽  
pp. 004695801877863
Author(s):  
Patricia W. Stone ◽  
Carolyn T. A. Herzig ◽  
Mansi Agarwal ◽  
Monika Pogorzelska-Maziarz ◽  
Andrew W. Dick
Keyword(s):  
Infection Control ◽  
Antibiotic Stewardship ◽  
Control Program ◽  
National Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Infection Control Program ◽  
Final Rule ◽  
Infection Control Committee ◽  
Program Characteristics

Recently, the Centers for Medicare & Medicaid Services (CMS) final rule required that nursing homes (NHs) develop an infection control program that includes an antibiotic stewardship component and employs a trained infection preventionist (IP). The objectives of this study were to provide a baseline assessment of (1) NH facility and infection control program characteristics associated with having an infection control deficiency citation and (2) associations between IP training and the presence of antibiotic stewardship policies, controlling for NH characteristics. A cross-sectional survey of 2514 randomly sampled US NHs was conducted to assess IP training, staff turnover, and infection control program characteristics (ie, frequency of infection control committee meetings and the presence of 7 antibiotic stewardship policies). Responses were linked to concurrent Certification and Survey Provider Enhanced Reporting data, which contain information about NH facility characteristics and citations. Descriptive statistics and multivariable regression analyses were conducted to account for NH characteristics. Surveys were received from 990 NHs; 922 had complete data. One-third of NHs in this sample received an infection control deficiency citation. The NHs that received deficiency citations were more likely to have committees that met weekly/monthly versus quarterly ( P < .01). The IPs in 39% of facilities had received specialized training. Less than 3% of trained IPs were certified in infection control. The NHs with trained IPs were more likely to have 5 of the 7 components of antibiotic stewardship in place (all P < .05). The IP training, although infrequent, was associated with the presence of antibiotic stewardship policies. Receiving an infection control citation was associated with more frequent infection control committee meetings. Training and support of IPs is needed to ensure infection control and antibiotic stewardship in NHs. As the CMS rule becomes implemented, more research is warranted. There is a need for increase in trained IPs in US NHs. These data can be used to evaluate the effectiveness of the CMS final rule on infection management processes in US NHs.

scholarly journals Pengaruh Fasilitas Kesehatan Dan Motivasi Kerja Terhadap Kepuasan Pasien Melalui Kualitas Pelayanan Pada Unit Rawat Inap Di RSUD Haji Makassar Provinsi Sulawesi Selatan

2021 ◽  
Vol 2 (1) ◽  
pp. 55-68
Author(s):  
Aznira Nurul Hidayah ◽  
Nurmuati Muchlis ◽  
Rasyidin Abduallah
Keyword(s):  
Patient Satisfaction ◽  
Service Quality ◽  
Health Facility ◽  
Work Motivation ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Cross Sectional ◽  
South Sulawesi

Background: Measurement of customer satisfaction is an important element in providing better, efficient and more effective service. This study aims to determine the effect of health facilities and work motivation on patient satisfaction through service quality in inpatient units at Haji Makassar Hospital, South Sulawesi Province. Method: The research design used in this study was an analytic survey with a Cross Sectional Study approach. Sampling was done by total sampling method with a total sample of 68 people. Methods of data analysis using statistical analysis calculations using the SPSS program using path analysis. Results: The results showed that from the Sobel test there was a significant and positive effect of the health facility variable at t count 3.984> 1.987 and work motivation t count of 3.011> 1.987 on patient satisfaction through service quality, there was a significant effect of the health facility variable 0.000 <0.005 on satisfaction, no there is a significant effect of work motivation variable 0.155> 0.000 on patient satisfaction, there is a significant influence of the health facility variable 0.000 <0.005 and the work motivation variable 0.001 <0.005 on service quality, and there is a significant effect of the service quality variable 0.000 <0.005 on patient satisfaction.Conclusion: The conclusion of the study shows that there is an effect of health facilities and work motivation on patient satisfaction through the quality of service at Haji Makassar Hospital, South Sulawesi Province. So it is suggested to the hospital to maintain the quality of its service.

scholarly journals Clients’ satisfaction with HIV care and treatment centres in Dar es Salaam, Tanzania: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247421
Author(s):  
Salome E. Buluba ◽  
Neema E. Mawi ◽  
Edith A. M. Tarimo
Keyword(s):  
Public Health ◽  
Health Facility ◽  
Cross Sectional Study ◽  
Dar Es Salaam ◽  
Health Facilities ◽  
Hiv Care ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care And Treatment ◽  
Hiv Aids

Background HIV is a major global public health challenge, claiming the lives of over 32 million people so far. The satisfaction of HIV-affected clients with the quality of their HIV services at treatment centres is crucial for quality improvement. This article assesses clients’ satisfaction with different aspects of the overall care experience and seeks to determine if the type of health facility ownership is a predictor of satisfaction. Methods A cross-sectional study involving 430 respondents was conducted between September and October 2019. Purposeful and convenient sampling techniques were used to select health facilities and potential respondents, respectively. A pre-tested, interviewer-administered questionnaire was used to collect data. Binary logistic regression was used to assess the association between type of health facility and clients’ satisfaction based on the six assessed aspects of care, and p˂0.05 was considered statistically significant. Results The general clients’ satisfaction with HIV/AIDS services at care and treatment centres was 92.3%. Respondents from public health facilities were most satisfied with privacy and confidentiality (100%), physical environment (100%), counseling (99.5%) and drug availability (99.5%); respondents from private health facilities were most satisfied with the time spent in the facility (95.9%); while respondents from faith-based health facilities were most satisfied with staff-patient communication (99.2%). However, after adjusting for confounders, only one aspect of care, that of “time spent in the facility,” showed significant association with the type of health facility. Conclusion Generally, clients’ satisfaction with HIV/AIDS services at care and treatment centres in the Ubungo District, Dar es Salaam was high. This finding should encourage health care providers to maintain high-quality services to sustain clients’ satisfaction.

Prevalence and Associated Factors of Disrespectful and Abusive Care During Childbirth Among Women who Gave Birth in Health Facilities in Hawassa city, Southern Ethiopia. A Cross - Sectional Study

2020 ◽  
Author(s):  
Bethel Tagesse ◽  
Alemu Tamiso ◽  
Kaleb Mayisso ◽  
Andualem Zenebe
Keyword(s):  
Health Facility ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Public Hospitals ◽  
Southern Ethiopia ◽  
Disrespect And Abuse ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background: There is growing evidence that shows phenomena of disrespect and abuse (D&A) occurs globally even though the degree and severity is different across countries. The problem is getting attention in recent years especially in developing countries like Ethiopia. However, there is a paucity of studies assessing the magnitude of disrespect and abuse. This study was undertaken to determine the prevalence and associated factors of disrespectful and abusive care during childbirth in health facilities of Hawassa city, Southern Ethiopia.Methodology: A facility-based cross-sectional study was conducted in Hawassa city from February 8 - April 27, 2018. A total of 577 mothers from both public and private health facilities were randomly selected. Domains of D&A that were assessed were; physical abuse, verbal abuse, stigma and discrimination, failure to meet professional standards of care and poor rapport between women and providers. Multivariable binary logitmodel was used to examine the relationship between exposure and outcome variables. Adjusted odds ratio (AOR) with 95% confidence intervals (CI) is used for summarizing the findings of the analysis.Result: The mean age of the respondents was 26.8 (SD± 4.4) years. Overall 46.9% [95% CI: (42.8-51)] reported experiencing three or more forms of disrespect and abusive care during childbirth in health facilities. In the logit model; the adjusted odds of D&A among births in public health facility is 12.9 times higher than birth those in private facilities [AOR=12.94 (95% CI: 5.87, 28.50)],mothers who had total delivery four and above had 4.7 times increased odds of encountering D&A [AOR=4.67 95% CI: 1.69, 12.89)].In contrast to mothers who had spontaneous vaginal delivery mothers who had instrumental delivery had 2.6 times increased chance of encountering D&A [AOR =2.63 (95% CI: 1.05, 6.59)].Conclusion: The prevalence of disrespect and abusive care in Hawassa health facilities during labor and delivery is high. Factors associated with D&A include the type of health facility, mode of delivery and parity. Therefore, national health strategies and policies should focus on combating D&A during maternal care. It is also recommended to give intensive training focusing on respectful maternity care especially in public hospitals by involving more female health care providers.

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