scholarly journals Planning and Budgeting of Medical Devices among Ethiopian Public Hospitals

2021 ◽  
Author(s):  
Tadesse Waktola Gamessa ◽  
Regassa Bayisa Obse ◽  
Mahdi Abdella Ibrahim ◽  
Gizeaddis Lamesgin Simegn
Keyword(s):  
Service Delivery ◽  
Medical Devices ◽  
Quantitative Data ◽  
Spare Parts ◽  
Health Care Facilities ◽  
Public Hospitals ◽  
World Health ◽  
Qualitative Approaches ◽  
Development Plans ◽  
Technical Specifications

Abstract BackgroundPlanning and budgeting of medical devices allow a healthcare institution to properly utilize funds, acquire quality and efficient medical devices, and improve service delivery. Planning and budgeting help to control technology development direction and obtain the right balance within the budget between various needs. Developing countries including Ethiopia have very limited resources for procurement and management of medical devices. Lack of proper policy in the procurement and management of medical devices causes inappropriate utilization of funds and impedes the quality of a product. In this study, a survey was conducted in all regional public hospitals of Ethiopia to assess the current status of the medical devices management system, identify the gaps, and provide suggestions for areas of improvement. MethodsA descriptive cross-sectional design and qualitative approaches were used for the assessment. The qualitative assessment components were structured based on the life cycle of medical devices as recommended by World Health Organization. The quantitative data assessment was used to explore the availability of medical devices policies, guidelines, strategies, development plans, annual plans, and budgets in public hospitals. The involvements of Biomedical Engineers/Technicians in medical devices planning and technical specifications were also explored using the quantitative data collection method. ResultsAccording to this assessment, the availability of medical equipment development plans, budgeting, and spare parts were found to be below 50% in public hospitals. Moreover, this assessment showed that there is no proper medical devices procurement plan and technical specification preparations trend in Ethiopian public hospitals. ConclusionsDeveloping policies, directives, and strategies for proper use of funds in the procurement of medical devices at the national level, involving Biomedical Engineering professionals in the planning, procurement, management, and utilization of medical devices could help to improve the quality, fair distribution, and efficiency of medical devices and ultimately to improve the service delivery in health care facilities.

PP03 Development Of A Medical Device Maintenance Management System

2019 ◽  
Vol 35 (S1) ◽  
pp. 37-38
Author(s):  
Ronald Alexis Rivas ◽  
Benicio Grossling ◽  
Pedro Galvan
Keyword(s):  
Medical Devices ◽  
Management System ◽  
Spare Parts ◽  
Maintenance Management ◽  
World Health ◽  
Medical Laboratory ◽  
Laboratory Equipment ◽  
Health Technologies ◽  
Computerized Maintenance Management System ◽  
Technical Specifications

IntroductionHealth technologies are fundamental in an operational health system. Medical devices, in particular, are crucial for disease prevention, diagnosis, treatment and rehabilitation. Recognizing this important role of health technologies, the World Health Assembly adopted, in May 2007, resolution WHA60.29, which addresses issues arising from inadequate installation and use of health technologies, as well as the need to formulate national strategies for the implementation of evaluation, planning, procurement and management systems for health technologies, in collaboration with personnel dedicated to the evaluation of health technologies and biomedical engineering. Maintenance management computer systems and software have evolved to help maintain medical equipment and control associated costs. A Computerized Maintenance Management System contains a database about an organization's maintenance operations.MethodsThe pilot study of observational and descriptive design will include all the medical/laboratory equipment that the Research Institute of Health Sciences (IICS) has that meets the inclusion criteria. The work will be carried out at the IICS, which aims to develop a computerized system for the maintenance of equipment that allows the linking of Quick Response (QR) codes to an application (WebApp) by means of cameras in smartphones, able to relate each QR code (attached to a medical/laboratory equipment) to its corresponding URL, and thus able to access all the technical information of each IICS team and therefore monitor their maintenance (preventive, corrective, predictive), history, spare parts, budgets, and technical specifications.ResultsWe have a database of all medical devices installed in the research center; we look forward to developing the program to include the data. The project focuses on the effective tool for decision making regarding the evaluation of the installed sanitary technology and those that will be installed.ConclusionsThe study proposes an effective solution for maintenance management, using data that supports administrative decisions regarding the acquisition of equipment in the future; that is, the system can contribute when it comes to evaluating installed and acquired sanitary technology.

scholarly journals HEARTS in the Americas Regulatory Pathway to the Exclusive Use of Validated Blood Pressure Measuring Devices

2021 ◽  
Keyword(s):  
Blood Pressure ◽  
Medical Devices ◽  
Regulatory System ◽  
World Health ◽  
Middle Income ◽  
Medical Products ◽  
Measuring Devices ◽  
World Health Assembly Resolution ◽  
Technical Specifications ◽  
Health Organization

Cardiovascular disease (CVD) is the leading cause of disease burden globally. According to the 2017 Global Burden of Disease estimates, there were 14 million new cases of CVD, 80 million people living with this condition, and nearly 1 million deaths attributed to CVD in the Americas. Hypertension is the major risk factor for CVD, causing half of the cases, and is highly prevalent, affecting one in four adults, including 40% of those over age 25 years.To appropriately detect hypertension, accurate measurement of blood pressure is critical, and inaccurate measurement of BP has important consequences for policies to address hypertension, as well as for patient safety and quality of care. The Fourth World Health Organization (WHO) Global Forum on Medical Devices identified several critical issues related to medical devices. Among those issues were recommendations for increased regulation of medical devices in low- and middle-income countries and development of technical specifications to optimize procurement of priority medical devices. World Health Assembly Resolution 67.20 (Regulatory system strengthening for medical products) stresses the importance of regulation of medical devices for better public health outcomes and to increase access to safe, effective, and quality medical products. This publication seeks to contribute to meeting these recommendations by providing a practical tool for governments to improve their national regulatory frameworks to improve accuracy of blood pressure measuring devices (BPMDs), in turn contributing to the exclusive use of accuracy validated automated BPMDs in primary health care (PHC) facilities by 2025. This publication can also guide the development of procurement mechanisms that will ensure exclusive availability of BPMDs in PHC facilities. Specifically, this publication will provide a brief background on the importance of using validated BPMDs and highlight key elements of regulations related to pre-market approvals to promote accurate BPMDs.

scholarly journals Conundrum of bureaucratic processes and healthcare service delivery in government hospitals in Nigeria

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Owolabi Lateef Kuye ◽  
Olusegun Emmanuel Akinwale
Keyword(s):  
Health Care ◽  
Quality Of Service ◽  
Service Delivery ◽  
Healthcare Service ◽  
Health Care Facilities ◽  
Public Hospitals ◽  
Quality Service ◽  
Content Type ◽  
Government Hospitals

Purpose Bureaucracy to a large extent entrenches orderliness and productive means of achieving goals in both public and private organisations across the world. However, bureaucracy is not suitable in the management of hospitals due to its peculiar nature of operations. This study investigates the conundrum of bureaucratic processes and health-care service delivery in government hospitals in Nigeria. Design/methodology/approach The study surveyed 600 outpatients and attendees visiting tertiary and government hospitals in Nigeria using descriptive design to obtained data from the respondents. A research instrument, questionnaire, was used to gather data. Out of the 600 outpatients visiting the 20 hospitals in government and tertiary hospitals, 494 responses were returned from the attendees. The study employed random sampling strategy to collect the information. Findings The findings of this study were that service delivery in government hospitals were in adverse position on all the four constructs of bureaucratic dimensions as against quality of service delivery in hospitals in Nigeria. It discovered that bureaucratic impersonality cannot impact on the quality of service delivery in government hospitals in Nigeria. Separation and division of labour among health workers have no significant effect on quality service delivery in government hospitals. Formal rules and regulations (administrative procedure, rules, and policies) prevent quality service delivery in government hospitals in Nigeria. Also, patient’s waiting time was not significant to the quality of service delivery in government hospitals. Research limitations/implications The results are constrained with dimensions of bureaucratic processes. Thus, the implication of this study is that bureaucracy in the Nigerian public hospitals is an unnecessary marriage which should be carefully separated and de-emphasised for quality service delivery in the hospitals to thrive. Practical implications Largely, this study is practical essential as it unearths the irrelevant operations procedure that hinder progress in Nigerian hospitals. Originality/value The study accomplishes recognised importance to survey how bureaucracy impedes quality service delivery in government hospitals. This study has provided a vital clue to elements that will bring rapid attention to patients’outcome in Nigerian hospitals and health-care facilities which hitherto has not been emphasised. The study has contributed to the existing body of knowledge associated to healthcare service quality in developing country.

Patient Knowledge, Experience and Preferences towards HIV Differentiated Care Service in Kiambu County, Kenya

2021 ◽  
Vol 6 (01) ◽  
pp. 1-12
Author(s):  
Beatrice May Onyango ◽  
Joseph Wang‘ombe ◽  
Collins O. Odhiambo
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Quantitative Data ◽  
Care Service ◽  
Differentiated Services ◽  
Hiv Treatment ◽  
Health Care Facilities ◽  
Hiv Positive ◽  
Patient Knowledge ◽  
Differentiated Service

Background: Differentiated service delivery, a model fashioned to address the specific requirements of the continuum of HIV prevention, care and treatment for a sub-type of clients, was rolled out in Kenya in 2016. Objective: The aim of the study was to determine patient knowledge, experience and preference towards differentiated service delivery for the category of patients who had completed a year of HIV treatment and were considered to be doing well and enrolled in differentiated services in facilities implementing the model in Kiambu County. Method: The study used mixed method descriptive cross-sectional survey to identify the determinants of satisfaction among stable HIV positive patients enrolled in differentiated service delivery. In the qualitative arm, a structured questionnaire was administered to 404 participants across six health care facilities who were HIV positive male or female patients above 20 years had been enrolled in differentiated service delivery. Analysis for quantitative data was two pronged; exploratory analysis to get preliminary patterns followed by inferential statistics to analyse relationship between variables of interest. Qualitative data was collected concurrently through Focused Group Discussions (FGDs) randomly selected from the same pool of patients involved in quantitative arm. On completion, triangulation was done to identify prevailing themes in qualitative and significant values in quantitative data. Results: High levels of patient satisfaction were reported. 99% of participants reported being either satisfied (45%) or being Very satisfied (54%) n=404. Knowledge in HIV condition and treatment, Knowledge of differentiated services, waiting time, savings in time and cost as well as health care worker respect had the strongest associations to satisfaction with differentiated services. Conclusion: Patients enrolled in differentiated service are satisfied with the services offered under the model.

scholarly journals Perilaku Kesehatan Reproduksi Pasangan Usia Subur (PUS) Pada Komunitas Samin Di Kabupaten Blora

2020 ◽  
Vol 1 (1) ◽  
pp. 17-26
Author(s):  
Jarot Sugiharta ◽  
Suhardono Suhardono ◽  
Agus Prasetyo
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Reproductive Health ◽  
Odds Ratio ◽  
Quantitative Data ◽  
Health Care Facilities ◽  
Childbearing Age ◽  
Qualitative Approaches ◽  
Post Natal Care ◽  
Natal Care

ABSTRACTBackground : Reproductive health problems in the community Samin especially couples of childbearing age is still a concern, they generally do not utilize reproductive health care facilities, have not followed the family planning program, do not follow government rules on health care, they are more trusting bewitched by the teachings Saminisme background.Objective : The aim of this study was to describe reproductive health behavior on fertile age couple (PUS) Samin Communities In The District of Blora.Methods : This research is descriptive quantitative and qualitative approaches, the draft through Exploration Research (explanatory research) The research sample comprised a total population of couples of reproductive age (PUS) Samin community in Blora, as many as 130 people. Sample Qualitative 12 people consisting of family (EFA) and 6 community leaders, and 6 health workers who are in the Samin community.The collection of quantitative data with structured interviews, and in-depth interviews for the qualitative data.The quantitative data in the descriptive analysis, while qualitative data analysis with deskrepsi contents.Result : The results showed that 98.5% of respondents are knowledgeable both about the ante natal care, 96.2% of respondents are knowledgeable both about post natal care, 92.3% of respondents good knowledge about family planning. 97.7% of respondents are supportive of the ante natal care, 97.7% of respondents are supportive of the post natal care services, 97.7% of respondents are supportive of the KB and the ante natal care 95.4% of respondents, 92.3% of respondents do post-natal care , 76.2% of respondents planning. Variable knowledge has a very close relationship with a significance value of 0.003 to the magnitude of the possible influence of Odds Ratio (OR) was 14.881 (Exp (B), variable age with a significance value of 0.027 to the magnitude of the possible influence of Odds Ratio (OR) was 10.601 (Exp( B).Conclusion : reproductive health knowledge Samin community largely understand the importance of reproductive health, especially in pregnancy, labor and birth, and yet people still believe Samin once with myths about reproductive health, and so maintain Saminisme cultural customs. For Blora District Health Office, the results of this study can be used as inputs in delivering the program - the EFA program, while for health centers in the region Samin can be input in the improvement of reproductive health care.Keywords: Behavior, Reproductive Health, EFA, Samin

The Great Awakening - Digitalization in Dental Healthcare during the pandemic COVID-19

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 380-384
Author(s):  
Priyanka Paul Madhu ◽  
Yojana Patil ◽  
Aishwarya Rajesh Shinde ◽  
Sangeeta Kumar ◽  
Pratik Phansopkar
Keyword(s):  
Health Care ◽  
Task Force ◽  
Care Service ◽  
Health Care Service ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
World Health ◽  
Record System ◽  
The World

disease in 2019, also called COVID-19, which has been widely spread worldwide had given rise to a pandemic situation. The public health emergency of international concern declared the agent as the (SARS-CoV-2) the severe acute respiratory syndrome and the World Health Organization had activated significant surveillance to prevent the spread of this infection across the world. Taking into the account about the rigorousness of COVID-19, and in the spark of the enormous dedication of several dental associations, it is essential to be enlightened with the recommendations to supervise dental patients and prevent any of education to the dental graduates due to institutional closure. One of the approaching expertise that combines technology, communications and health care facilities are to refine patient care, it’s at the cutting edge of the present technological switch in medicine and applied sciences. Dentistry has been improved by cloud technology which has refined and implemented various methods to upgrade electronic health record system, educational projects, social network and patient communication. Technology has immensely saved the world. Economically and has created an institutional task force to uplift the health care service during the COVID 19 pandemic crisis. Hence, the pandemic has struck an awakening of the practice of informatics in a health care facility which should be implemented and updated at the highest priority.

Gendered Impact of Corruption in Healthcare Service Delivery in Nigeria

2013 ◽  
Vol 11 (1) ◽  
Author(s):  
Yetunde A. Aluko
Keyword(s):  
Service Delivery ◽  
Public Hospitals ◽  
Public Health Care ◽  
Women's Voices ◽  
Medical Supplies ◽  
Poor Women ◽  
Level Information ◽  
Life Threatening ◽  
Threatening Situation ◽  
The Impact

This paper supports the hypothesis that corruption and non-delivery of services in key sectors such as health have gender-specific poverty consequences. The study utilized qualitative micro-level information about the structures of corruption and its impact on poor women. Respondents expressed their perceptions on the occurrence of corrupt practices in public health care system and its wider impact on society. The findings revealed that the impact of corruption is felt disproportionately by women and the poor, who are most dependent on public services, and have no alternative even when facing corrupt practices in a life threatening situation, such as complicated birth delivery. Pregnant women denied access to doctors tended to deliver at home, which increased the likelihood of complications and maternal and child mortality. Medical supplies meant for public hospitals are sold to private clinics who charge more for drugs and supplies. There is need to strengthen sectoral oversight mechanisms and transparency as well as increase women’s voices in service delivery.

scholarly journals Chlorhexidine for facility-based umbilical cord care: EN-BIRTH multi-country validation study

2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Sojib Bin Zaman ◽  
◽  
Abu Bakkar Siddique ◽  
Harriet Ruysen ◽  
Ashish KC ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Health Management ◽  
Qualitative Interviews ◽  
Public Hospitals ◽  
World Health ◽  
Health Management Information System ◽  
Cord Care ◽  
National Policies ◽  
Exit Survey ◽  
Umbilical Cord Care

Abstract Background Umbilical cord hygiene prevents sepsis, a leading cause of neonatal mortality. The World Health Organization recommends 7.1% chlorhexidine digluconate (CHX) application to the umbilicus after home birth in high mortality contexts. In Bangladesh and Nepal, national policies recommend CHX use for all facility births. Population-based household surveys include optional questions on CHX use, but indicator validation studies are lacking. The Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) was an observational study assessing measurement validity for maternal and newborn indicators. This paper reports results regarding CHX. Methods The EN-BIRTH study (July 2017–July 2018) included three public hospitals in Bangladesh and Nepal where CHX cord application is routine. Clinical-observers collected tablet-based, time-stamped data regarding cord care during admission to labour and delivery wards as the gold standard to assess accuracy of women’s report at exit survey, and of routine-register data. We calculated validity ratios and individual-level validation metrics; analysed coverage, quality and measurement gaps. We conducted qualitative interviews to assess barriers and enablers to routine register-recording. Results Umbilical cord care was observed for 12,379 live births. Observer-assessed CHX coverage was very high at 89.3–99.4% in all 3 hospitals, although slightly lower after caesarean births in Azimpur (86.8%), Bangladesh. Exit survey-reported coverage (0.4–45.9%) underestimated the observed coverage with substantial “don’t know” responses (55.5–79.4%). Survey-reported validity ratios were all poor (0.01 to 0.38). Register-recorded coverage in the specific column in Bangladesh was underestimated by 0.2% in Kushtia but overestimated by 9.0% in Azimpur. Register-recorded validity ratios were good (0.9 to 1.1) in Bangladesh, and poor (0.8) in Nepal. The non-specific register column in Pokhara, Nepal substantially underestimated coverage (20.7%). Conclusions Exit survey-report highly underestimated observed CHX coverage in all three hospitals. Routine register-recorded coverage was closer to observer-assessed coverage than survey reports in all hospitals, including for caesarean births, and was more accurately captured in hospitals with a specific register column. Inclusion of CHX cord care into registers, and tallied into health management information system platforms, is justified in countries with national policies for facility-based use, but requires implementation research to assess register design and data flow within health information systems.

Patient satisfaction with the quality of care in Ghana’s health-care institutions

2019 ◽  
Vol 13 (2) ◽  
pp. 160-170 ◽  
Author(s):  
Aaron Asibi Abuosi ◽  
Mahama Braimah
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Service Delivery ◽  
National Survey ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Content Type ◽  
Care Facilities

Purpose The purpose of this study was to examine patient satisfaction with the quality of care in Ghana’s health-care facilities using a disaggregated approach. Design/methodology/approach The study was a cross-sectional national survey. A sample of 4,079 males and females in the age group of 15-49 years were interviewed. Descriptive statistics, principal component analysis and t-tests were used in statistical analysis. Findings About 70 per cent of patients were satisfied with the quality of care provided in health-care facilities in Ghana, whereas about 30 per cent of patients were fairly satisfied. Females and insured patients were more likely to be satisfied with the quality of care, compared with males and uninsured patients. Research limitations/implications Because data were obtained from a national survey, the questionnaire did not include the type of facility patients attended to find out whether satisfaction with the quality of care varied by the type of health facility. Future studies may, therefore, include this. Practical implications The study contributes to the literature on patient satisfaction with the quality of care. It highlights that long waiting time remains an intractable problem at various service delivery units of health facilities and constitutes a major source of patient dissatisfaction with the quality of care. Innovative measures must, therefore, be adopted to address the problem. Originality/value There is a paucity of research that uses a disaggregated approach to examine patient satisfaction with the quality of care at various service delivery units of health facilities. This study is a modest contribution to this research gap.

Content of antenatal care and perception about services provided by primary hospitals in Nepal: a convergent mixed methods study

2021 ◽  
Vol 33 (2) ◽  
Author(s):  
Yubraj Acharya ◽  
Nigel James ◽  
Rita Thapa ◽  
Saman Naz ◽  
Rishav Shrestha ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Mixed Methods ◽  
Antenatal Care ◽  
Quality Care ◽  
National Level ◽  
Poor Quality ◽  
Public Hospitals ◽  
World Health ◽  
Outcome Variable

Abstract Background Nepal has made significant strides in maternal and neonatal mortality over the last three decades. However, poor quality of care can threaten the gains, as maternal and newborn services are particularly sensitive to quality of care. Our study aimed to understand current gaps in the process and the outcome dimensions of the quality of antenatal care (ANC), particularly at the sub-national level. We assessed these dimensions of the quality of ANC in 17 primary, public hospitals across Nepal. We also assessed the variation in the ANC process across the patients’ socio-economic gradient. Methods We used a convergent mixed methods approach, whereby we triangulated qualitative and quantitative data. In the quantitative component, we observed interactions between providers (17 hospitals from all 7 provinces) and 198 women seeking ANC and recorded the tasks the providers performed, using the Service Provision Assessments protocol available from the Demographic and Health Survey program. The main outcome variable was the number of tasks performed by the provider during an ANC consultation. The tasks ranged from identifying potential signs of danger to providing counseling. We analyzed the resulting data descriptively and assessed the relationship between the number of tasks performed and users’ characteristics. In the qualitative component, we synthesized users’ and providers’ narratives on perceptions of the overall quality of care obtained through focus group discussions and in-depth interviews. Results Out of the 59 tasks recommended by the World Health Organization, providers performed only 22 tasks (37.3%) on average. The number of tasks performed varied significantly across provinces, with users in province 3 receiving significantly higher quality care than those in other provinces. Educated women were treated better than those with no education. Users and providers agreed that the overall quality of care was inadequate, although providers mentioned that the current quality was the best they could provide given the constraints they faced. Conclusion The quality of ANC in Nepal’s primary hospitals is poor and inequitable across education and geographic gradients. While current efforts, such as the provision of 24/7 birthing centers, can mitigate gaps in service availability, additional equipment, infrastructure and human resources will be needed to improve quality. Providers also need additional training focused on treating patients from different backgrounds equally. Our study also points to the need for additional research, both to document the quality of care more objectively and to establish key determinants of quality to inform policy.

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