Managing Immunisation Waste in a Tertiary Healthcare Facility

2013 ◽  
Vol 2 (1) ◽  
Author(s):  
R. Kumari
Keyword(s):  
Healthcare Facility ◽  
Tertiary Healthcare

scholarly journals The influence of health insurance scheme on the drug prescribing pattern in a Nigerian tertiary healthcare facility

2015 ◽  
Vol 56 (5) ◽  
pp. 344 ◽  
Author(s):  
JosephOlusesan Fadare ◽  
AdekunleOlaitan Adeoti ◽  
Felix Aina ◽  
OlusojiAbidemi Solomon ◽  
JoelOlatunde Ijalana
Keyword(s):  
Health Insurance ◽  
Healthcare Facility ◽  
Health Insurance Scheme ◽  
Drug Prescribing ◽  
Insurance Scheme ◽  
Prescribing Pattern ◽  
Tertiary Healthcare

scholarly journals Diabetes registry and service in Nigerian suburban-based tertiary healthcare facility

2019 ◽  
Vol 7 (1) ◽  
pp. 250
Author(s):  
Fortunatus D. Gbeinbo ◽  
Eunice O. Igumbor ◽  
Otovwe Agofure ◽  
Chinedu O. Obodo ◽  
Emmanuel Olu-Ero ◽  
...  
Keyword(s):  
Data Collection ◽  
Health Facility ◽  
Scale Up ◽  
Healthcare Facility ◽  
Clinical Tool ◽  
Diabetes Registry ◽  
Glucose Levels ◽  
Hospital Patients ◽  
Tertiary Healthcare ◽  
Diabetes Register

Background: Diabetes register is a clinical tool necessary for patient management including follow-up and referral procedures. In the Bringing Research in Diabetes to Global Environments and Systems that is in progress in Delta State, Nigeria; part of focus is establishment of diabetes register at a tertiary health facility. This phase of the project aimed to establish a diabetes register and to assess the baseline data.Methods: This was a clinical observational descriptive study at Eku Baptist Government Hospital. The diabetes register developed as in previous report was adopted as a scale-up study. After due clearance from the hospital, patients’ hospital record files were screened for cases of diabetes and 70 files were identified. Data were analyzed descriptively using Microsoft Excel Data Analysis ToolPak 2010.Results: There was a 2/1 female/male ratio, while 6% were below 40 years. 90% of patients had blood glucose levels results that indicated poor diabetes control. There is problem of incomplete data collection, for instance <25% BMI data was available. Capability and opportunity for standard service, e.g. diabetic foot examination, lipid profile, renal and retinal assessment was available at the tertiary health facility to allow management and referral from other hospitals.Conclusions: This report highlights poor adherence to diabetes care practices by stakeholders. It underscores the need for motivation to improve the quality of clinical data collection vis-à-vis documentation that enables assessment of diabetes epidemiology, especially in a facility that has the capacity.

Incidence and Predictors of Neonatal Malaria among Newborns admitted within the first 28 days of Life to a Tertiary Healthcare Facility in South-East Nigeria

2019 ◽  
Vol 8 (2) ◽  
pp. 96
Author(s):  
ChidiebereD I Osuorah ◽  
Linda Nwokeji-Onwe ◽  
AbrahamB Onwe ◽  
KenechukwuK Iloh ◽  
Uzoamaka Muoneke ◽  
...  
Keyword(s):  
Healthcare Facility ◽  
Tertiary Healthcare

scholarly journals Practices of pica among pregnant women in a tertiary healthcare facility in Ghana

Nursing Open ◽  
2020 ◽  
Vol 7 (3) ◽  
pp. 783-792
Author(s):  
Kennedy Diema Konlan ◽  
Juliana Asibi Abdulai ◽  
Kennedy Dodam Konlan ◽  
Roberta Mensima Amoah ◽  
Abdul‐Razak Doat
Keyword(s):  
Pregnant Women ◽  
Healthcare Facility ◽  
Tertiary Healthcare

scholarly journals Pattern of Congenital Anomalies in Newborn: A 4-Year Surveillance of Newborns Delivered in a Tertiary Healthcare Facility in the South-East Nigeria

2017 ◽  
Vol 64 (4) ◽  
pp. 304-311 ◽  
Author(s):  
Uchenna Ekwochi ◽  
Isaac Nwabueze Asinobi ◽  
Donatus Chidiebere Ignatius Osuorah ◽  
Ikenna Kingsley Ndu ◽  
Christain Ifediora ◽  
...  
Keyword(s):  
Congenital Anomalies ◽  
Healthcare Facility ◽  
The South ◽  
Tertiary Healthcare

Cost and time savings of subcutaneous trastuzumab (SC-T) in a public health system in Mexico.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e18387-e18387
Author(s):  
Cynthia Villarreal-Garza ◽  
Cristel De la O-Maldonado ◽  
Héctor Díaz-Pérez ◽  
Fernanda Mesa-Chavez ◽  
Marisol García-García ◽  
...  
Keyword(s):  
Public Health ◽  
Cost Estimation ◽  
Cost Savings ◽  
Healthcare Facility ◽  
Fixed Dose ◽  
Her2 Positive ◽  
Palliative Intent ◽  
Tertiary Healthcare ◽  
Patient Weight ◽  
The Cost

e18387 Background: The subcutaneous presentation of trastuzumab has been recently incorporated into the treatment regimen of HER2-positive breast cancer (BC). Its use has been associated with cost savings and reduced chair time, being especially suitable for public health systems. Aim: To estimate the cost savings of the use of SC-T compared to intravenous trastuzumab (IV-T) according to patient weight, and calculate the infusion time of SC-T in a tertiary healthcare facility at TecSalud from Feb 2018 - Jan 2019. Methods: From a total of 2068 oncological treatments, 756 corresponded to SC-T, either alone or concomitantly with chemotherapy (CT). For cost estimation, we considered $1,103 USD per SC-T vial, $1,162 USD per IV-T vial and $2.6 USD per mg of IV-T, as per governmental rates. We compared the actual treatment cost of 600 mg fixed SC-T dose with the hypothetical cost of administering IV-T at a dose of 6 mg/kg, considering its price per vial and per mg. The total time of SC-T infusion was reported. Results: Median patient weight for the 756 reported SC-T treatments was 72 kg (45 - 127 kg). Of these, 561 consisted of SC-T alone; and 56% had adjuvant, 34% neoadjuvant and 10% palliative intent. The estimated cost of the 756 doses of SC-T was $833,500 USD. Considering patients’ weight, 46% of the infusion treatments would have required 2 IV-T vials, with a total of 1105 vials and an absolute cost of $1,282,374 USD. Likewise, if cost per mg of IV-T is examined, we would have used 338,744 mg of IV-T, with an estimated cost of $894,284 USD. Approximate savings of SC-T use would reach $448,874 USD per vial payment and $60,784 USD per mg payment. The median time of SC-T only infusion was of 3 minutes (1 - 20 minutes); and no adverse effects were documented during its administration. Conclusions: The SC-T fixed dose (irrespectively of patients’ weight) results in significant practical and financial advantages as weight-adjusted dosing is not required. This is specially relevant in countries like Mexico, where > 70% of BC patients are overweight/obese, requiring higher doses of IV-T and resulting in greater expenses. Thus, the use of SC-T not only offers greater convenience to patients, but also reduces overall healthcare costs compared to standard IV infusion.

scholarly journals Occurrence of Surgical Site Infections at a Tertiary Healthcare Facility in Abuja, Nigeria: A Prospective Observational Study

2018 ◽  
Vol 6 (3) ◽  
pp. 60 ◽  
Author(s):  
Ahmed Olowo-okere ◽  
Yakubu Ibrahim ◽  
Ali Sani ◽  
Busayo Olayinka
Keyword(s):  
Kirschner Wire ◽  
Surgical Site Infections ◽  
Exploratory Laparotomy ◽  
Healthcare Facility ◽  
The United States ◽  
Multivariate Logistic Regression Model ◽  
P Value ◽  
Surgical Interventions ◽  
Co Morbidity ◽  
Tertiary Healthcare

Surgical site infection (SSI) is one of the most frequent complications of surgical interventions. Several factors have been identified as major determinants of occurrence of SSIs. The present study determined the occurrence and possible risk factors associated with SSIs at a tertiary healthcare facility in Abuja, Nigeria. All patients scheduled for operation in the hospital during the study period and who consented to participate willingly in the study were observed prospectively for the occurrence of SSI based on criteria stipulated by the United States Centre for Disease Control and Prevention (CDC). Data on sociodemographic characteristics, lifestyle, surgical procedure and co-morbidity were collected into a pre-tested data collection tool and analysed using IBM SPSS Statistics software v.24. Predictors of SSIs were identified using multivariate logistic regression model and p-value less than 0.05 was considered statistically significant. Of the 127 surgical patients that met the inclusion criteria comprising 65 (51.2%) females and 62 (48.8%) males between 1 and 83 years with mean age of 25.64 ± 1.66 years, 35 (27.56%; 95% Confidence Interval (CI): 0.205–0.360) developed SSIs. Prolonged post-operative hospital stays (p < 0.05), class of wound (p < 0.0001) and some comorbid conditions were found to be significantly associated with higher SSI rate. The SSI rate was highest among patients that had Kirschner-wire insertion (75.0%), followed by an unexpectedly high infection rate among patients that had mastectomy (42.9%), while lower percentages (33.3%) were recorded among patients that had exploratory laparotomy and appendicectomy. The overall magnitude of SSIs in this facility is high (27.6%; 95% CI: 0.205–0.360). Several factors were found to be independent predictors of occurrence of SSI. The findings thus highlight the need for improved surveillance of SSIs and review of infection control policies of the hospital.

scholarly journals A qualitative focus group study concerning perceptions and experiences of Nigerian mothers on stillbirths

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
R. Milton ◽  
F. I. Alkali ◽  
F. Modibbo ◽  
J. Sanders ◽  
A. S. Mukaddas ◽  
...  
Keyword(s):  
Focus Group ◽  
Social Dynamics ◽  
Healthcare Facility ◽  
Healthcare Services ◽  
Northern Nigeria ◽  
Health Seeking ◽  
Focus Group Study ◽  
Major Barrier ◽  
Societal Factors ◽  
Tertiary Healthcare

Abstract Objective To explore the experiences and perceptions of stillbirth among mothers from a tertiary medical centre in Kano, Northern Nigeria. Design Qualitative, interpretative. Setting Tertiary healthcare facility, Murtala Muhammad Specialist Hospital (MMSH), Kano, Northern Nigeria. Sample Mothers who had given birth to a liveborn baby at the MMSH in the prior 6 months (n = 31). In order to capture the experiences and perception of stillbirth within this cohort we approached mothers who had in a previous pregnancy experienced a stillbirth. Of the 31 who attended 16 had a previous stillbirth. Methods Semi-structured Focus Group Discussions, consisting of open-ended questions about stillbirth, beliefs, experiences and influences were held in MMSH, conducted over 1 day. Results Our findings highlight that this is a resource-poor tertiary facility serving an ever-growing population, increasing strain on the hospital and healthcare workers. Many of the participants highlighted needing permission from certain family members before accessing healthcare or medical treatment. We identified that mothers generally have knowledge on self-care during pregnancy, yet certain societal factors prevented that from being their priority. Judgement and blame was a common theme, yet a complex area entwined with traditions, superstitions and the pressure to procreate with many mothers described being made to feel useless and worthless if they did not birth a live baby. Conclusions As access to healthcare becomes easier, there are certain traditions, family and social dynamics and beliefs which conflict with scientific knowledge and act as a major barrier to uptake of healthcare services. The findings highlight the need for investment in maternity care, appropriate health education and public enlightenment; they will help inform appropriate interventions aimed at reducing stigma around stillbirth and aide in educating mothers about the importance of appropriate health seeking behaviour. Stillbirths are occurring in this area of the world unnecessarily, globally there has been extensive research conducted on stillbirth prevention. This research has highlighted some of the areas which can be tackled by modifying existing successful interventions to work towards reducing preventable stillbirths.

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