scholarly journals Developing Regional Healthcare Facilities in Maldives through Mudharabah Perpetual Sukuk

2019 ◽  
Vol 6 (2) ◽  
pp. 81-96 ◽  
Author(s):  
Fathimath Badeeu ◽  
Aminath Nafiz ◽  
Aishath Muneeza
Keyword(s):  
Healthcare System ◽  
Compliant Mechanism ◽  
Financial Burden ◽  
Healthcare Providers ◽  
Health Facilities ◽  
Healthcare Facilities ◽  
Term Basis

The purpose of this paper is to identify the underlying issues of healthcare system in Maldives in order to provide an understanding of the challenges facing healthcare providers in islands and atolls in a wider context. The paper scrutinizes the financial burden faced by the current healthcare system in Maldives. It also proposes shariah compliant mechanism that can be utilized to minimize financial burden in a long-term basis. It is hoped that the outcome of the research will assist the policymakers of Maldives to devise a shariah compliant mechanism to finance the development of atoll and island health facilities in a sustainable manner.

Baseline assessment of therapeutic injection practices in Pakistan in 2020: a cross-sectional study

2021 ◽  
pp. 16-21
Author(s):  
Syed Sharaf Ali Shah ◽  
Safdar Pasha ◽  
Nikhat Iftikar ◽  
Altaf Ahmed Soomro ◽  
Nazia Farrukh ◽  
...  
Keyword(s):  
Public Sector ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Cross Sectional ◽  
Injection Equipment ◽  
Public And Private ◽  
Healthcare Facilities ◽  
The Public ◽  
Injection Safety

Objective: To assess the magnitude of the problem of injection safety in public and private health facilities in two districts of Sindh and Punjab provinces of Pakistan. Methods: A cross-sectional observational study was conducted between October and December 2020 among public and private health facilities of two districts of Pakistan: Gujarat in Punjab and Larkana in Sindh provinces. A convenient sample size of 60 healthcare facilities (30 from each district) was taken due to time and resource constraint. Six data collection tools were used which included structured observations and interviews with injection prescribers and providers based on WHO Revised Tool C, which were finalised after piloting. Results: Reuse of injection equipment was not observed in any of the 60 health facilities. In exit interviews of 120 patients, it was found that 27 (22.5%) patients reported receiving an injection, while 11 (9.2%) were prescribed intravenous (IV) drips. More injections and drips were prescribed in the private sector (n=15; 25.0%) in comparison with the public sector (n=12; 20.0%). Slightly higher proportion of IV drips were prescribed by the private providers when compared to public sector healthcare providers: 6 (10.0%) vs 5 (8.3%) respectively. Most of the prescribers (n=58; 96.7%) reported that patients who attended public and private health facilities demanded injectable medicines. Used syringes and drips were noted to be visible in open containers and buckets for final disposal in 20 (33.3%) assessed health facilities. Continuou...

“It's Mainly the Fear of Getting Hurt”: Experiences of LGBT Individuals with the Healthcare System in Lebanon

2020 ◽  
Vol 1 (3) ◽  
pp. 165-185
Author(s):  
Sarah Abboud ◽  
Hady Naal ◽  
Amanda Chahine ◽  
Samy Taha ◽  
Omar Harfouch ◽  
...  
Keyword(s):  
Healthcare System ◽  
Healthcare Providers ◽  
Secondary Data ◽  
Healthcare Facilities ◽  
Legal Challenges ◽  
Healthcare Experiences ◽  
Parent Project ◽  
Qualitative Descriptive ◽  
Lgbt People ◽  
Lgbt Individuals

LGBT people face significant discrimination, social pressures, and legal challenges in Lebanon, yet little is known about their experiences with the healthcare system. We conducted a secondary data analysis study using a qualitative descriptive design and data from the parent project, LebGuide (2016–2017). The data consisted of de-identified one-on-one interviews with 13 LGBT individuals and seven community-based organizations (CBOs). Data were analyzed using content analysis. Themes related to LGBT individuals’ healthcare experiences overlapped between the two groups of participants (LGBT participants and CBO participants) and centered around: anticipation of discrimination, experiences with healthcare providers, experiences with healthcare systems, transgender-specific experiences, and role of CBOs. This study highlights the need for LGBT-inclusive curricula in healthcare educational and training programs. Since most positive healthcare experiences reported by participants were at CBOs, it is important for CBOs to partner with healthcare institutions to introduce an LGBT-affirming culture into the healthcare workplace and the institutional culture of healthcare facilities and systems.

Sustainable Design of Smart Health Facilities in Seismically Prone Areas

2013 ◽  
Vol 569-570 ◽  
pp. 278-285 ◽  
Author(s):  
Carlo Rainieri ◽  
Giovanni Fabbrocino
Keyword(s):  
Objective Assessment ◽  
Field Measurements ◽  
Health Facilities ◽  
Ease Of Use ◽  
Structural Members ◽  
Structural Components ◽  
Term Basis ◽  
Smart Health ◽  
Supply Systems

Safety ofhealth facilities (hospitals) is only partially related to the performance ofprimary structural members. Modern seismic codes provide strict requirements toboth structural and non-structural components, since the latterare alsocritical to ensure that the system remains fully operational in the case offrequent earthquakes. Thus, performance and safety checks apply also to electro-mechanicaland medical equipment,elevators, tanks, power supply systems, distributionsystems, heating, ventilation and air-conditioning systems.In the present paperattention is focusedon the analysis of the factors which make health facilities vulnerable and onthe issues related to a rational and objective assessment of performance andhealth state of structural and non-structural components. This is not a trivialtask, since functions and resilience of the system as a whole depend also onthe ability of inspectors and managers to integrate theoretical evaluationswith field measurements and their physical meaning.In this context, strategies and recommendations for a sustainableimplementation of Smart Health Facilities, which fulfilAtoE characteristics (Accuracy, Budget compliance, Computational burden,Durability, Ease of use)on a long term basis, are discussed, taking into account the specific requirementsand characteristics of the different subsystems in a hospital.

scholarly journals Referral of sick children and levels of adherence by carers: implications on quality health care in the middle belt of Ghana

2021 ◽  
Vol 55 (1) ◽  
pp. 43-51
Author(s):  
Mathilda Tivura ◽  
Samuel Afari-Asiedu ◽  
Martin Adjuik ◽  
Frank Baiden ◽  
Seth Owusu-Agyei
Keyword(s):  
Healthcare Providers ◽  
Health Facilities ◽  
Quality Health Care ◽  
Healthcare Facilities ◽  
District Hospitals ◽  
Adherence Assessment ◽  
Quality Health ◽  
Sick Children ◽  
Adequate Management

Introduction: Severely sick-children presenting at primary healthcare facilities need referral to higher level facilities for better care. Adherence to referrals and quality of care received by those referred could serve as critical steps towards their survival.Objective: To describe experiences with severely sick children referred to higher-level health facilities for care and reasons for non-adherence to referral; to explore healthcare provider’s perspectives to referral.Methods: Referrals among 3046 young children were followed for adherence. Assessment of children referred from a PHC facility adhering to referral advice and reasons for non-adherence to referral was determined. Agreement on reported diagnoses at PHC centres and health-facilities receiving patients was assessed. Perspectives of healthcare providers were assessed.Results: 212 children were referred from PHC centres to various hospitals with 14.2% non-adherence. Reasons given: 48.3% of carers adhering felt child’s condition was severe; 43.3% complied with healthcare provider directive. The main reasons for non-adherence to referral were no money for transport (50%) and child condition not serious (30.0%). 69.0% of anaemia cases diagnosed at PHC facilities and hospitals. 65.7% fever diagnosed at a PHC centres were confirmed as malaria at the hospitals. Healthcare providers referred patients for severity, perceivedcomplication and non-response to treatment.Conclusion: Adherence was generally good. The level of agreement in diagnosis of common diseases such as malaria and anaemia at PHC centres and district hospitals was high and low for rarer diseases. Capacity should be provided at PHC levels for adequate management of cases presented to reduce referrals carers have to make

scholarly journals Understanding healthcare provider absenteeism in Kenya: a qualitative analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Katherine Tumlinson ◽  
Margaret W. Gichane ◽  
Siân L. Curtis ◽  
Katherine LeMasters
Keyword(s):  
Healthcare Providers ◽  
Health Service Delivery ◽  
Poor Quality ◽  
Health Facilities ◽  
Child Health Service ◽  
Structured Interviews ◽  
Contributing Factors ◽  
Public And Private ◽  
Healthcare Facilities ◽  
Private And Public

Abstract Background Healthcare worker absenteeism is common in resource limited settings and contributes to poor quality of care in maternal and child health service delivery. There is a dearth of qualitative information on the scope, contributing factors, and impact of absenteeism in Kenyan healthcare facilities. Methods In-depth semi-structured interviews were conducted between July 2015 and June 2016 with 20 healthcare providers in public and private healthcare facilities in Central and Western Kenya. Interviews were audio-recorded, transcribed, coded, and analyzed using an iterative thematic approach. Results Half of providers reported that absenteeism occurs in both private and public health facilities. Absenteeism was most commonly characterized by providers arriving late or leaving early during scheduled work hours. The practice was attributed to institutional issues including: infrequent supervision, lack of professional consequences, limited accountability, and low wages. In some cases, healthcare workers were frequently absent because they held multiple positions at different health facilities. Provider absences result in increased patient wait times and may deter patients from seeking healthcare in the future. Conclusion There is a significant need for policies and programs to reduce provider absenteeism in Kenya. Intervention approaches must be cognizant of the contributors to absenteeism which occur at the institutional level.

scholarly journals Smoking behaviour among adult patients presenting to health facilities in four provinces of Vietnam

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wan-Chun Huang ◽  
Ngoc Yen Pham ◽  
Thu Anh Nguyen ◽  
Van Giap Vu ◽  
Quy Chau Ngo ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Smoking Behaviour ◽  
Health Facilities ◽  
Healthcare Delivery System ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
District Hospitals ◽  
Quit Attempts

Abstract Background Attendance at healthcare facilities provides an opportunity for smoking cessation interventions. However, the smoking behaviours of patients seeking healthcare in Vietnam are not well-understood. We aimed to evaluate behaviours related to smoking among patients presenting to health facilities in Vietnam. Methods We conducted a cross-sectional study in 4 provinces of Vietnam. Consecutive patients aged ≥15 years presenting to 46 health facilities were assessed. Current smokers were randomly selected to complete a full survey about smoking behaviour, quit attempts, and preparedness to quit. Results Among 11,245 patients who sought healthcare, the prevalence of current smoking was 18.6% (95% CI: 17.8–19.4%) overall, 34.6% (95% CI: 33.2–36.0%) among men and 1.1% (95% CI: 0.8–1.3%) among women. Current smokers who were asked about smoking by healthcare providers in the last 12 months were more likely to make quit attempts than those not asked (40.6% vs 31.8%, p = 0.017). Current smokers who attempted to quit in the past 12 months made limited use of cessation aids: counselling (1.9%) and nicotine replacement therapy (10%). A higher proportion of patients wanted to quit in the next month at national/provincial hospitals (30.3%) than those visiting district hospitals (11.3%, p < 0.001) and commune health centres (11.1%, p = 0.004). Conclusions Smoking is common among male patients presenting to healthcare facilities in Vietnam. Formal smoking cessation supports are generally not used or offered. This population is likely to benefit from routine smoking cessation interventions that are integrated within the routine healthcare delivery system.

scholarly journals The Comorbidity of HIV, Hypertension and Diabetes: A Qualitative Study Exploring the Challenges Faced by Healthcare Providers and Patients in Selected Urban and Rural Health Facilities where the ICDM Model is Implemented in South Africa

2020 ◽  
Author(s):  
Motlatso Godongwana ◽  
Nicole De Wet Billings ◽  
Minja Milovanovic
Keyword(s):  
South Africa ◽  
Financial Burden ◽  
Healthcare Providers ◽  
Health Facilities ◽  
People Living With Hiv ◽  
Access To Treatment ◽  
Increased Risk ◽  
Economic Barriers ◽  
Living With Hiv ◽  
Chronic Comorbidities

Abstract BackgroundPeople living with HIV (PLWH) are living longer as a result of advancement and adherence to antiretroviral therapy. As the life expectancy of PLWH increases, they are at increased risk of hypertension. MethodsWe conducted 24 in-depth interviews to understand the challenges faced by healthcare providers and PLWH with chronic comorbidities under the Integrated Chronic Disease Management (ICDM) model implemented in health facilities in South Africa. Thematic content analysis was conducted. ResultsThe challenges experienced included lack of staff capacity, unclear guidelines on the delivery of integrated care for patients with HIV chronic comorbidities, pill burden, non-disclosure, financial burden, poor knowledge of treatments, relocation of patients and access to treatment. Lack of support and integrated chronic programmes including minimal information regarding the management of HIV chronic comorbidities were another concern. ConclusionStandardised guidelines and training, increasing staff capacity and addressing socio-economic barriers is critical to achieving the outcomes of the ICDM.

scholarly journals Adverse Drug Reactions in Norway: A Systematic Review

Pharmacy ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 102 ◽  
Author(s):  
Vaismoradi ◽  
Logan ◽  
Jordan ◽  
Sletvold
Keyword(s):  
Systematic Review ◽  
Healthcare System ◽  
Adverse Drug Reactions ◽  
Hospital Admissions ◽  
Financial Burden ◽  
Healthcare Providers ◽  
Drug Reactions ◽  
Adr Reporting ◽  
Psychotropic Medicines ◽  
Comprehensive Picture

Prescription medicines aim to relieve patients’ suffering but they can be associated with adverse side effects or adverse drug reactions (ADRs). ADRs are an important cause of hospital admissions and a financial burden on healthcare systems across the globe. There is little integrative and collective knowledge on ADR reporting and monitoring in the Norwegian healthcare system. Accordingly, this systematic review aims to investigate the current trends in ADR reporting, monitoring, and handling in the Norwegian healthcare system and describe related interventions. Appropriate keywords, with regard to ADRs in both English and Norwegian languages, were used to retrieve articles published from 2010 to 2019. Six articles met the inclusion criteria. The findings offer a comprehensive picture of ADR reporting and monitoring in the Norwegian healthcare system. Psychotropic medicines were most commonly implicated by patients, while professionals most commonly reported ADRs associated with anticoagulants. The current ADR systems were compiled with the involvement of both patients and healthcare providers to record all types of drugs and ADRs of various severities, and aimed at improving ADR tracking. However, there is a need to improve current initiatives in terms of feedback and quality, and more studies are needed to explore how ADR profiles, and the associated vigilance, can improve the safety of medicines management in Norway.

scholarly journals The Current Status in Obstetrics in North Korea and Strategies for Establishing a Better Healthcare System

2021 ◽  
Vol 9 ◽  
Author(s):  
Joseph J. Noh
Keyword(s):  
Healthcare System ◽  
North Korea ◽  
Maternal Mortality Ratio ◽  
Current Status ◽  
Journal Articles ◽  
Healthcare Facilities ◽  
Current State ◽  
Mortality Ratio ◽  
Obstetrical Emergency

The women's healthcare in North Korea is in poor condition. The present study explored the current state of women's healthcare, especially in the field of obstetrics, in the region with a number of considerations in regards to establishing a better healthcare system. Peer-reviewed journal articles and reports from intergovernmental organizations were reviewed. Data show that many healthcare facilities suffer from shortages of basic amenities. The maternal mortality ratio was 82 deaths per 100,000 live births. The leading cause of maternal death was postpartum hemorrhage. It was also found that many hospitals were unable to provide adequate obstetrical emergency care such as anticonvulsants, antibiotics, and blood products. A long-term roadmap that is sustainable with clear principles and that is not disturbed by political tensions should be established.

scholarly journals Supporting Family Caregivers of Seniors Within Acute and Continuing Care Systems

2018 ◽  
Vol 21 (4) ◽  
pp. 292-296 ◽  
Author(s):  
Jasneet Parmar ◽  
Jacqueline Torti ◽  
Suzette Brémault-Phillips ◽  
Lesley Charles ◽  
Karenn Chan ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Healthcare System ◽  
Financial Burden ◽  
Healthcare Providers ◽  
Well Being ◽  
Healthcare Team ◽  
Policy Makers ◽  
Care Systems ◽  
Policies And Programs

BackgroundFamily caregivers who provide care to seniors at no cost to the healthcare system are an integral part of the healthcare system. Caregiving, however, can cause significant emotional, physical and financial burden. We held a one-day symposium on how to best involve and support family caregivers in the healthcare system. The symposium brought together caregiv-ers, healthcare providers, administrators and policy-makers to identify needs and make recommendations to address these issues.MethodsParticipants engaged in conversation circles which were audio-recorded and transcribed. Data were qualitatively analyzed alongside written notes provided by participants.ResultsSymposium participants identified a lack of both orientation and education for healthcare providers about family caregivers and standardized processes for assessing caregiver burden. They highlighted a need to ensure that the family experience is captured and included as an essential component of care, foster a culture of collaboration, expand the notion of the healthcare team to include family caregivers, provide more integrated palliative care, and enhance policies and programs to acknowledge family caregivers.ConclusionThere is a need to recognize the essential role of family caregivers in seniors’ health and well-being, and to take on a more comprehensive approach to patient care.

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