scholarly journals Women Experience Respect and Disrespect during Childbirth in Tertiary Teaching Hospital. Southwest Part of Ethiopia: Participant Observation, qualitative study

2021 ◽  
Author(s):  
Hirut Megersa ◽  
Lisbeth Thoresen ◽  
Belayneh Lulseged ◽  
Anne Karin Lindahl
Keyword(s):  
Health Care ◽  
Health System ◽  
Teaching Hospital ◽  
Participant Observation ◽  
Health Care Facilities ◽  
Teaching Hospitals ◽  
Disrespect And Abuse ◽  
Negative Experience ◽  
Tertiary Teaching ◽  
Southwest Part

Abstract Background: Disrespect and abuse during facility-based childbirth is a negative experience for women in developed and developing regions. Types and drivers of disrespect and abuse vary based on study settings. Few studies have explored disrespect and abuse in tertiary teaching hospitals settings. Therefore, the aim of this study was to explore women experience of disrespect and abuse in one of tertiary teaching hospitals in southwest part of Ethiopia. Method: Qualitative participant observation was used as a data collection method. Fieldwork was conducted in the labour ward, the normal postnatal ward, and the maternity recovery room for three consecutive months in Jimma University specialized teaching hospital. The participant observation units were selected purposively, and 53 episodes of women in labour and 33 episodes of post-partum women were observed. The data were organized and analysed using NVIVO qualitative analysis software.and we used the thematic analysis method.Results: Three categories of themes were identified: disrespect and abuse, contributor themes, and respectful themes. Disrespect and abuse themes were physical abuse, poor communication, non-consented care, lack of privacy, lack of confidentiality , neglected care, loss of autonomy and lack of companion,. Contributor themes for disrespect and abuse were provider-related, health system-related, and women-related themes. Provider-related themes were lack of respect among providers and lack of collaboration and communication. Health-system related themes were poor human resource management, scarcity of equipment and supplies, and wastage of supplies. A women-related contributor was women passivity. Respectful care themes were in two categories: respectful provider and respectful facility cultures. Respectful provider practice includes: timely evaluation at admission, being with women, supportive care, and teamwork during emergency. Respectful facility culture included postpartum companion and free delivery service.Conclusion: The findings of this study indicate that women experienced disrespect and abuse at a teaching health care facility. Policy makers, administrators, and quality improvement initiative activities need to address the identified contributors to improve women’s experience in health care facilities.

scholarly journals Pattern of childhood malignant tumours in two tertiary teaching hospitals in Nigeria: Comparative study

2013 ◽  
Vol 40 (2) ◽  
pp. 175-178
Author(s):  
UA Shehu ◽  
SA Adegoke ◽  
U Abdulsalam ◽  
M Ibrahim ◽  
OA Oyelami ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Public Health Problem ◽  
Bone Tumours ◽  
Teaching Hospitals ◽  
Malignant Tumours ◽  
Acute Leukemias ◽  
Female Ratio ◽  
Hospital Unit ◽  
Tertiary Teaching ◽  
Male To Female

Background: Cancer is a public health problem worldwide affecting all categories of persons. It is the second common cause of death in developed countries and among the three leading causes of death in developing countries.Objective: To compare the patterns of malignant childhood tumours intwo tertiary hospitals in the north- Western and South western Nigeria.Methods: Retrospective studies of childhood malignancies diagnosedat Aminu Kano Teaching Hospital (AKTH), Kano and Obafemi Awolowo University Teaching Hospital Complex (OAUTHC) (Ife Hospital Unit, Ile-Ife and Wesley Guild Hospital Unit, Ilesa, Osun state) were undertaken from January, 2001 to December, 2010. The patterns of childhood cancers inthese hospitals were compared.Results: Four hundred and ten children aged 7 months to 15 years were admitted at AKTH with malignancies of which 236 were males and 174 females with male to female ratio of 1.4:1. At OAUTHC, 568 children aged two months to 15 years were admitted with malignancies over the ten year period. There were 401 males and 167 females, with male to female ratio of 2.4:1. Lymphomas were the commonest type of malignancy in both centers, which accounted for 47.3% and 59.7% at AKTH and OAUTHCrespectively. Retinoblastoma was the second commonest tumour atAKTH constituting 14.9% of all malignancies followed by nephroblastomaand acute leukemias. In contrast, acute leukemias were the second commonest malignancy at OAUTHC accounting for 12.7% of all malignancies followed by retinoblastoma and nephroblastoma. Tumoursof central nervous system were observed to be commoner at AKTH, while bone tumours were commoner at OAUTHC.Conclusion: The pattern of childhood cancer varies rather little betweendifferent regions in Nigeria, with malignant lymphomas being the most common as is the case in most developing countries. However, the findings in this study suggest that there is variation in prevalence of leukemia, CNS and bone tumours in northern and southern Nigeria.Key words: Childhood, malignant tumours, pattern, teaching hospitals,Nigeria

scholarly journals Swedish health care system – some trends of its reforming

2010 ◽  
Vol 1 (1) ◽  
pp. 151-164 ◽  
Author(s):  
Marcin Moks
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care System ◽  
Service Providers ◽  
Diagnosis Related Groups ◽  
Health Care Facilities ◽  
System Reform ◽  
Swedish Health Care ◽  
Care Facilities ◽  
Care System

The constant increase in public health expenditure, which is being observed from the 60s, initiated research into way to optimize it. The aim the article is to show concepts of the health reforms which have been applied in the Swedish health service. In the article are presented main proposals of changes in the system financing and service provision. Article characterizes patient participation in costs of services, private health insurance, privatisation of health care facilities, purchase-provider split and providers reimbursement. The articles begins with the overview of concepts related to health care system reform. Next, the health system in Sweden is shortly presented. The main part of the article presents the reforms which has been implemented in the financing and services provision. Patients’ participation in financing of the health system has been extended by fees for service. The importance of private medical insurance is marginal. Purchaser-provider split has been introduced in most of counties. In general primary care facilities have been privatised. In regard to service providers reimbursement is generally used global budgeting, feed for service or diagnosis-related groups.

scholarly journals 2017 Annual Report of the University of Kansas Health System Poison Control Center

2019 ◽  
Vol 12 (3) ◽  
pp. 70-79
Author(s):  
Lisa K Oller ◽  
Stephen L Thornton
Keyword(s):  
Health Care ◽  
Health System ◽  
Human Exposure ◽  
Annual Report ◽  
The United States ◽  
Health Care Facilities ◽  
Poison Control ◽  
University Of Kansas ◽  
Control Center ◽  
Route Of Exposure

Introduction This is the 2017 Annual Report of the University of Kansas Health System Poison Control Center (PCC). The PCC is one of 55 certified poison control centers in the United States and serves the state of Kansas 24-hours a day, 365 days a year. The PCC receives calls from the public, law enforcement, health care professionals, and public health agencies, which are answered by trained and certified specialists in poison information with the immediate availability of medical toxicology back up. All calls to the PCC are recorded electronically in the Toxicall® data management system and uploaded in near real-time to the National Poison Data System (NPDS), which is the data repository for all poison control centers in the United States. Methods All encounters reported to the PCC from January 1, 2017 to December 31, 2017 were analyzed. Data recorded for each exposure included caller location, age, weight, gender, substance exposed to, nature of exposure, route of exposure, interventions, medical outcome, disposition and location of care. Encounters were classified further as human exposure, animal exposure, confirmed non-exposure, or information call (no exposure reported). Results The PCC logged 21,431 total encounters in 2017, including 20,278 human exposure cases. Cases came from every county in Kansas. Most of the human exposure cases (51.4%, n = 10,430) were female. Approximately 66% (n = 13,418) of human exposures involved a child (defined as age less than 20 years). Most encounters occurred at a residence (94.0%, n = 19,018) and most calls (69.5%, n = 14,090) originated from a residence. Almost all human exposures (n = 19,823) were acute cases (exposures occurring over eight hours or less). Ingestion was the most common route of exposure documented (80.5%, n = 17,466). The most common reported substance in pediatric encounters was cosmetics/personal care products (n = 1,255), followed by household cleaning products (n = 1,251). For adult encounters, analgesics (n = 1,160) and sedatives/hypnotics/antipsychotics (n = 1,127) were the most frequently involved substances. Unintentional exposures were the most common reason for exposures (78.6%, n = 15,947). Most encounters (69.4%, n = 14,073) were managed in a non-health care facility (i.e., a residence). Among human exposures, 14,940 involved exposures to pharmaceutical agents, while 9,896 involved exposure to non-pharmaceuticals. Medical outcomes were 28% (n = 5,741) no effect, 18% (n = 3,693) minor effect, 9% (n = 1,739) moderate effect, and 2% (n = 431) major effect. There were 16 deaths in 2017 reported to the PCC. Number of exposures, calls from health care facilities, cases with moderate or major medical outcomes, and deaths increased in 2017 compared to 2016, despite a decrease in total exposures. Conclusions The results of the 2017 University of Kansas Health System Poison Control annual report demonstrated that the center continues to receive calls from the entire state of Kansas, totaling over 20,000 human exposures per year. While pediatric exposures remain the most common, a trend of increasing number of calls remains from health care facilities and for cases with serious outcomes. The 2017 PCC data reflected current national trends. This report demonstrated the continued importance of the PCC to both the public and health care providers in the state of Kansas.

Seeking help chaow baan ways in southern Thailand

2012 ◽  
Vol 18 (2) ◽  
pp. 105 ◽  
Author(s):  
Dusanee Suwankhong ◽  
Pranee Liamputtong ◽  
Bruce Rumbold
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Participant Observation ◽  
Well Being ◽  
Traditional Healers ◽  
Health Care Facilities ◽  
Modern Health Care ◽  
Southern Thailand ◽  
Seeking Help ◽  
The One

Although modern health care facilities exist in rural areas, Thai people continue to seek help from traditional healers. This paper explores the perceptions and experiences of patients of traditional healers in southern Thailand. An ethnographic method was used comprising participant observation and in-depth interviews with 23 patients of traditional healers. Fieldwork data showed that patients sought help from traditional healers for both common and emergency illnesses, and for treatment of localised symptoms as well as chronic health conditions. The participants believed that there was no single healing system that could promote total well-being: they looked for the one that could best help them to return to normal health. Individuals expected that any healing form would be complementary or an alternative to another. The findings of this study have implications for the provision of health care to local people. They add weight to arguments that health policymakers could increase choice within the Thai health care system by formally incorporating and promoting the role of traditional healers, recognising them as an important resource in primary health care.

INFECTION CONTROL: STANDARD PRECAUTION MEASURES KNOWLEDGE, ATTITUDE AND PRACTICE OF MEDICAL DOCTORS AND NURSES IN SUDAN

2021 ◽  
Author(s):  
Ali Awadallah Saeed
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Peer Review ◽  
Teaching Hospital ◽  
Teaching Hospitals ◽  
Standard Precautions ◽  
Port Harcourt ◽  
Care Workers ◽  
Knowledge And Practice ◽  
Knowledge Attitude And Practice

Background and objectives: The emergence of life-threatening infections has highlighted the need for effective infection control programs in all health care settings. These programs are used to support hospitals in reducing the risk of healthcare-associated infection or nosocomial infection, and this study describes the knowledge, attitude, and practice (KAP) of standard infection control precautions among Health Care Workers in 3 teaching hospitals in Sudan. Methods: A cross-sectional study was conducted between March and August 2018 among healthcare workers in 3 teaching hospitals: Omdurman Teaching Hospital, Khartoum Bahri Teaching Hospital and Khartoum Teaching Hospital in Sudan. Data for 254 nurses and 283 working physicians were collected via a self-structured questionnaire to assess the KAP core components of standard precautions. The percentage of professional knowledge and practice scores was calculated and occupational differences in the average professional knowledge and practice scores were ascertained. Result: A total of 429 out of 537 participating healthcare workers completed the questionnaire with a response rate of (79.9%), of whom (52.9%) were physicians and (47.1%) were nurses. (39.6%) of doctors and (53.5%) of nurses have a good level of knowledge, about (96%) of doctors and (97%) of nurses wash their hands after handling any bodily fluids, and this indicates that nearly And the doctors have a similar level of practice as well as a positive attitude. (91.1%) of doctors and (85.6%) of nurses think that they can be the source of transmission. Conclusion: Based on the findings of our study, the majority of nurses had good knowledge compared to fair knowledge physicians, with positive attitudes and practices of both physicians and nurses towards the infection control program. Policies that promote training of health care workers in standard precautions and ensure that infection control and prevention resources in health facilities are regularly provided are required in Sudan.                     Peer Review History: Received: 7 September 2021; Revised: 9 October; Accepted: 28 October, Available online: 15 November 2021 Academic Editor:  Dr. A.A. Mgbahurike, University of Port Harcourt, Nigeria, [email protected] UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency.  Received file:                Reviewer's Comments: Average Peer review marks at initial stage: 6.0/10 Average Peer review marks at publication stage: 7.0/10 Reviewers: Prof. Dr. Hassan A.H. Al-Shamahy, Sana'a University, Yemen, [email protected] Dr. Bilge Ahsen KARA, Ankara Gazi Mustafa Kemal Hospital, Turkey, [email protected] Dr. A.A. Mgbahurike, University of Port Harcourt, Nigeria, [email protected] Similar Articles: SURVEY OF SAFETY PRACTICES IN DIARRHEAL TREATMENT CENTERS: CHOLERA TREATMENT CENTERS IN YEMEN PREVALENCE OF CYTOMEGALOVIRUS IGG ANTIBODIES, POTENTIAL RISK FACTORS AND AWARENESS OF CONGENITAL CYTOMEGALOVIRUS AMONG FEMALE DOCTORS

scholarly journals Academic Health System in West Java in Strengthening Primary Health Care

2021 ◽  
Vol 5 (1) ◽  
pp. 71
Author(s):  
Yoni Fuadah Syukriani
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Medical Students ◽  
Health System ◽  
Primary Healthcare ◽  
Policy Development ◽  
Provincial Government ◽  
Teaching Hospitals ◽  
West Java ◽  
Academic Health

Academic Health System (AHS) has been developed in many countries to strengthen the relationship between medical education and health professions with the health care system, which is essential to improve health outcome. Indonesia has chosen to establish AHS in several provinces, each with the autonomy to develop the system in accord with regional needs. Health cluster faculties in Universitas Padjadjaran, with its two main teaching hospitals, the West Java provincial government strived to develop AHS to overcome health services problem and medical education in the province that has enormous geographical and demographic challenges. The strategy used focuses on two things: distributed medical education (DME) and the development of a more effective referral system. The goals are dividing the province into seven regionals, upscaling one local hospital in each to become a regional referral hospital, expanding learning opportunities for medical students, and endorsing research to strengthen the primary healthcare services. Activities were carried out through the distribution of medical students and residents to local hospitals and primary healthcare facilities along with the education of local medical professionals as supervisors. Grants were provided for research that focus on quality primary healthcare, construction of data portal for patient management referral systems, telemedicine, and tele-education. The challenges faced are mainly related to the different mindset between institutions that have different work cultures and the wide variance of situations between regions. It is therefore recommended to build a more straightforward AHS system with addition of sub-networks, besides continue to maintain close communication and policy development.

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