scholarly journals Explaining Challenges Experienced and Evaluation of the Working Condition of Midwives: A Mixed-method Study Protocol

2022 ◽  
Author(s):  
azita Fathnezhad kazemi ◽  
Nasibeh Sharifi
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Working Conditions ◽  
Health Care Services ◽  
Working Condition ◽  
Nominal Group Technique ◽  
Nominal Group ◽  
Cluster Sampling ◽  
Second Phase ◽  
Cross Sectional

Abstract BackgroundMidwifery is one of the most important jobs in maintaining community health. Various factors can reduce job productivity and cause physical and psychological complications in midwives. The present study aims to: a) explain challenges experienced by midwives; b) evaluate the working condition in midwifery working settings. MethodsThis mixed-methods study consists of three phases. The first phase is a qualitative study explaining challenges experienced by midwives. In this phase, the subjects will be selected through purposive sampling; moreover, in-depth individual interviewing will be used for data collection. Then, the conventional content analysis approach will be employed for data analysis. The second phase will be used a cross-sectional approach for evaluating the working condition in midwifery working settings. In this regard, a multistage cluster sampling method will be used to select 293 subjects who work in the hospital and health care centers. Finally, using findings of the qualitative and quantitative phases and nominal group technique some strategies will be given to reduce challenges of the midwifery working settings.DiscussionThe present research is the first study to investigate the challenges experienced and working conditions among midwives in working settings. For the purposes of the study, a mixed-methods approach will be used which aims to develop strategies for creating suitable working conditions. It is hoped that the strategy proposed in the current study could lead to improvements in midwife’s satisfaction and health care services.Ethical codeIR.TBZMED.REC.1400.113.

scholarly journals Verbal autopsy to determine the timing and causes of infant deaths in the northern state of India

2017 ◽  
Vol 4 (2) ◽  
pp. 591
Author(s):  
Anupam Parashar ◽  
Deepesh Barall ◽  
Anmol Gupta ◽  
Tripti Chauhan ◽  
Devender Kumar ◽  
...  
Keyword(s):  
Health Care ◽  
Verbal Autopsy ◽  
Health Care Services ◽  
Neonatal Period ◽  
Care Delivery ◽  
Severe Infection ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Infant Deaths

Background: Data on timing and probable causes of infant deaths are very important for the design of intervention to reduce mortality because of very limited study in the state. This study was undertaken to determine the timing and causes of infant deaths in our state using verbal autopsy. The suggestions and recommendations can be used to strengthen and improve the existing facilities and services for the better outcome of life in the early childhood.Methods: A cross sectional study was conducted in 180 selected clusters by WHO cluster sampling method, using validated verbal autopsy tool for timing and causes of infant deaths.Results: Verbal autopsy was done for 45 infant deaths. 37.8% infant deaths were early neonatal, 15.5% in late neonatal and 46.7% in post neonatal period with mean age of 5.79±6.35 days in neonatal period while it was 5.07±3.38 months in post neonatal period. Of all the infants 57.78% were females. The major causes of death were severe infection (15.5%) in neonates, pneumonia (13.3%) in post neonates followed by LBW with prematurity (11.1%) and diarrhea (11.1%). No specific cause could be determined in 13.3% cases.Conclusions: The major causes of infant deaths are preventable. It emphasizes for the robust reporting mechanism to determine the exact causes of all infant mortality, strengthening of comprehensive health care delivery and ensuring the accessibility to the health care services to have a healthy infanthood.

scholarly journals Availability of dental treatment is associated with satisfaction derived from Primary Health Care Services accessed by elderly

2016 ◽  
Vol 45 (6) ◽  
pp. 344-350 ◽  
Author(s):  
Aline Blaya MARTINS ◽  
Creta SEIBT ◽  
Matheus NEVES ◽  
Juliana Balbinot HILGERT ◽  
Fernando Neves HUGO
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Health Care Services ◽  
Dental Treatment ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Unified Health System ◽  
Primary Health

Abstract Objective This research evaluated whether having dental treatment available in the primary health care centers of the Brazilian Unified Health System was associated with greater satisfaction with the services accessed. The offering of dental care within the health service that elders usually access may improve their satisfaction with the services as a whole. Material and method In this cross-sectional study, 401 elders living in the districts of Lomba do Pinheiro and Partenon in Porto Alegre, Brazil were interviewed. Elders were selected using a cluster sampling design process from census tract drawings. Result Poisson Regression revealed that age and dental treatment supply were associated with outcome, and age, number of teeth, and the presence of dental treatment were associated with a higher prevalence of satisfaction with health services. Conclusion These results provide new contributions for health system qualification because this study demonstrated the importance of having dental treatment available to improve the satisfaction of older people with the Primary Health Care (PHC) services accessed.

scholarly journals Working Conditions and Sick Building Syndrome among Health Care Workers in Vietnam

2020 ◽  
Vol 17 (10) ◽  
pp. 3635 ◽  
Author(s):  
Cuong Hoang Quoc ◽  
Giang Vu Huong ◽  
Hai Nguyen Duc
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Working Conditions ◽  
Health Care Workers ◽  
Working Condition ◽  
Cross Sectional Survey ◽  
Large Hospital ◽  
Cross Sectional ◽  
Care Workers ◽  
Sick Building

Background: Little is known about risk factors for sick building symptoms (SBS) among health care workers (HCWs) who often face the workload, exposure to chemicals, and biological contaminants in the workplace. This study aims to evaluate the correlation between SBS and the symptoms among HCWs. Methods: A total of 207 HCWs were recruited in a large hospital-based cross-sectional survey between March and June 2017, southern Vietnam. Face-to-face interviews were conducted for collecting data on demographics, SBS-related symptoms, working environments, and conditions. Indoor environmental conditions were measured. SBS scores, ranging from 0 to 24, were determined by a sum of the scores of general symptoms, mucosal irritation, and skin symptoms; multivariate regression analyses and the Lindeman, Merenda, and Gold (LMG) test were used to investigate the predictors and its impact on the SBS. Results: A mean SBS score was 9.7 (range: 1–21). Compared with males, females were more likely to report higher SBS scores (10.2 vs. 7.9, p < 0.001). Being female, atopy, varying temperature room, stuffy “bad” air dust, and dirt had higher SBS scores of 2.0; 1.8; 1.7; 1.9; 3.8, respectively. LMG test showed that dust and dirt, and stuffy “bad” air were the predominant risk factors for SBS. Conclusions: Our study reveals that working conditions are important and significantly associated with SBS. Taken together with our findings, the working condition criteria approach trained for architects, builders, owners, and maintenance of the building is highly recommended for indoor air quality improvement. Furthermore, larger-sample studies about working condition are urgently needed to better manage SBS.

scholarly journals Perceived Needs Among Asylum Seekers in Sweden: A Mixed Methods Study

2020 ◽  
Vol 17 (14) ◽  
pp. 4983
Author(s):  
Karin Hugelius ◽  
Maya Semrau ◽  
Marie Holmefur
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Asylum Seekers ◽  
Health Care Services ◽  
Health Care Systems ◽  
Well Being ◽  
Mixed Methods Study ◽  
Cross Sectional ◽  
Humanitarian Emergency ◽  
Perceived Needs

The health and well-being of asylum seekers in high-income countries is a concern from both individual and community perspectives. This study aims to describe the perceived needs of adult asylum seekers in Sweden. A mixed methods study was conducted that combined a non-randomized descriptive cross-sectional assessment of perceived serious needs using the Humanitarian Emergency Settings Perceived Needs Scale (HESPER) Web with 85 adult asylum seekers and focus group discussions with 14 adult asylum seekers in Sweden. Descriptive and comparative statistics were used for the quantitative part, and thematic analysis for the qualitative part. The total number of perceived serious needs reported by respondents ranged from zero to 13 needs per person with a mean of four needs (SD 2.71). The most commonly perceived serious needs were related to income or livelihood, separation from loved ones, being displaced from home, distress, and concerns about accessing adequate health care services. Many of the perceived needs appeared to be related to experiences of being dependent, in limbo, and vulnerable. Addressing people’s current perceived needs can contribute to resilience and well-being and therefore should be considered in health care systems that cater to immigrants.

Telemedicine During A Crisis: Challenges, Opportunities & Way Forward At A Tertiary Care Hospital (Preprint)

2021 ◽  
Author(s):  
Sadia Masood ◽  
Zanaib Samad ◽  
Sarah Nadeem ◽  
Unzela Ghulam
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cost Effective ◽  
Successful Implementation ◽  
Care Hospital ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Innovative Strategy

BACKGROUND Telemedicine is utilized to deliver health care services remotely. Recently, it is well established due to pandemics because it can help the patients get required supportive care while minimizing their hospital exposure. In the future, it will continue to be used as a convenient, cost-effective patient care modality. OBJECTIVE The objectives were to identify physicians' challenges during teleconsultations and recognize the opportunities and strengths of this modality during the pandemic in a lower-income country. METHODS This cross-sectional study was conducted in a tertiary care hospital. The self-made questionnaire was filled through an online medium and responses were recorded on a five-point Likert scale. RESULTS A total of 83 participants were enrolled in this study. Most of them were Associate professors (29.8%), Assistant professors (26.2%), the ratio of the females was (52.4%) greater than males (,47.6%). 46 (54.8%) have laid between the age group 30-40 years. Pediatricians and senior instructors faced more difficulty in using telemedicine. The ones having clinical experience of fewer than 15 years or categorized in the age of 50-60 years faced challenges while using this modality. CONCLUSIONS During the current pandemic, situation telemedicine is the only glimmer of light to provide better quality health care. Telemedicine is an innovative strategy and it is important to understand the perception of physicians about it. Incomplete and inadequate infrastructure and attitude of the physicians is the main obstacle toward successful implementation of telemedicine. Successful installation and deployment of this technology require a complete grasp of the process among physicians.

Impact of restricting access to health care services on Syrian refugees in Jordan: evidence from cross-sectional surveys

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ibraheem Khaled Abu Siam ◽  
María Rubio Gómez
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Care Cost ◽  
Syrian Refugees ◽  
Cross Sectional ◽  
Content Type ◽  
Care Access ◽  
Care Services

Purpose Access to health-care services for refugees are always impacted by many factors and strongly associated with population profile, nature of crisis and capacities of hosing countries. Throughout refugee’s crisis, the Jordanian Government has adopted several healthcare access policies to meet the health needs of Syrian refugees while maintaining the stability of the health-care system. The adopted health-care provision policies ranged from enabling to restricting and from affordable to unaffordable. The purpose of this paper is to identify the influence of restricted level of access to essential health services among Syrian refugees in Jordan. Design/methodology/approach This paper used findings of a cross-sectional surveys conducted over urban Syrian refugees in Jordan in 2017 and 2018 over two different health-care access policies. The first were inclusive and affordable, whereas the other considered very restricting policy owing to high inflation in health-care cost. Access indicators from four main thematic areas were selected including maternal health, family planning, child health and monthly access of household. A comparison between both years’ access indicators was conducted to understand access barriers and its impact. Findings The comparison between findings of both surveys shows a sudden shift in health-care access and utilization behaviors with increased barriers level thus increased health vulnerabilities. Additionally, the finding during implementation of restricted access policy proves the tendency among some refugees groups to adopt negative adaptation strategies to reduce health-care cost. The participants shifted to use a fragmented health-care, reduced or delayed care seeking and use drugs irrationally weather by self-medication or reduce drug intake. Originality/value Understanding access barriers to health services and its negative short-term and long-term impact on refugees’ health status as well as the extended risks to the host communities will help states that hosting refugees building rational access policy to protect whole community and save public health gains during and post crisis. Additionally, it will support donors to better mobilize resources according to the needs while the humanitarian actors and service providers will better contribute to the public health stability during refugee’s crisis.

scholarly journals Pharmaceutical care in Brazil’s primary health care

2017 ◽  
Vol 51 (suppl.2) ◽  
Author(s):  
Patricia Sodré Araújo ◽  
Ediná Alves Costa ◽  
Augusto Afonso Guerra Junior ◽  
Francisco de Assis Acurcio ◽  
Ione Aquemi Guibu ◽  
...  
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Pharmaceutical Care ◽  
Health Care Services ◽  
Cross Sectional ◽  
Educational Activities ◽  
Health Team ◽  
Care Services ◽  
Primary Health

OBJECTIVE: To characterize the activities of clinical nature developed by pharmacists in basic health units and their participation in educational activities aiming at health promotion. METHODS: This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015), a cross-sectional and exploratory study, of evaluative nature, consisting of a survey of information in a representative sample of cities, stratified by the Brazilian regions that constitute domains of study, and a subsample of primary health care services. The interviewed pharmacists (n=285) were responsible for the delivery of medicines and were interviewed in person with the use of a script. The characterization of the activities of clinical nature was based on information from pharmacists who declared to perform them, and on participation in educational activities aiming at health promotion, according to information from all pharmacists. The results are presented in frequency and their 95% confidence intervals. RESULTS: From the interviewed subjects, 21.3% said they perform activities of clinical nature. Of these, more than 80% considered them very important; the majority does not dispose of specific places to perform them, which hinders privacy and confidentiality in these activities. The main denominations were “pharmaceutical guidance” and “pharmaceutical care.” The registration of activities is mainly made in the users’ medical records, computerized system, and in a specific document filed at the pharmacy, impairing the circulation of information among professionals. Most pharmacists performed these activities mainly along with physicians and nurses; 24.7% rarely participated in meetings with the health team, and 19.7% have never participated. CONCLUSIONS: Activities of clinical nature performed by pharmacists in Brazil are still incipient. The difficulties found point out to the professionals’ improvisation and effort. The small participation in educational activities of health promotion indicates little integration of pharmacists with the health team and of pharmaceutical services with other health actions

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