scholarly journals Healthcare Utilization of Below Poverty Line Population under Government-Funded Health Protection Scheme in one sub-district in Bangladesh: A Cross-Sectional Study

2021 ◽  
Author(s):  
Md. Zahid Hasan ◽  
Mohammad Wahid Ahmed ◽  
Gazi Golam Mehdi ◽  
Jahangir AM Khan ◽  
Ziaul Islam ◽  
...  
Keyword(s):  
Healthcare Utilization ◽  
Inpatient Care ◽  
Household Survey ◽  
Poverty Line ◽  
Cross Sectional Study ◽  
Hospital Inpatient ◽  
Cross Sectional ◽  
Protection Scheme ◽  
The Government ◽  
Hospital Inpatient Care

Abstract BackgroundThe below poverty line (BPL) population in rural Bangladesh have low access to hospital inpatient-care (IPC) services. The Government of Bangladesh (GoB) launched pilot Shasthyo Suroksha Karmasuchi (SSK) at Kalihati Upazila of Tangail district in 2016 aiming to improve IPC access of the BPL population and financial protection for healthcare. The GoB funded scheme provides IPC for 78 diseases and outpatient consultation through an existing health facility. In this study, we aimed to assess the level of healthcare utilization among the scheme beneficiaries and identify the associated factors with utilization.MethodsThis was an exploratory study with a cross-sectional household survey conducted from July to September 2018 among 806 sampled households using a structured questionnaire. Data on illness and healthcare utilization was collected from the selected households for the last 90 days of the interview date. A logistic regression model was applied to determine the factors associated with healthcare utilization from SSK facility.ResultsOverall, 8% of the ill patients in the last 90 days prior to survey sought healthcare from SSK facilities (n=639; total patients who sought care), 28% from medically trained providers (MTPs), and 64% from non-MTPs. Of the 23 (3.6%) patients who sought inpatient care (IPC), less than half (10 patients) of them utilized IPC under SSK. Individuals with accident/injury, unemployed, having knowledge about SSK, non-BPL status, were more likely to utilize healthcare from SSK facility. Individuals reside more than 15 km away from facility, had 4-5 family members, and above secondary level education were less likely to utilize care from SSK facility.Conclusions It is evident that healthcare utilization of beneficiaries from the SSK scheme was very low. Effective strategies for enhancing knowledge on SSK benefits and precise BPL households targeting can be instrumental in increasing utilization of the scheme. The scheme also has a potential to bring the individuals under its coverage who utilize healthcare from other MTP and non-MTP.

scholarly journals Healthcare Utilization of Below Poverty Line Population under Government-Funded Health Protection Scheme in One Sub-district in Bangladesh: A Cross-Sectional Study

2021 ◽  
Author(s):  
Md. Zahid Hasan ◽  
Mohammed Wahid Ahmed ◽  
Gazi Golam Mehdi ◽  
Jahangir A. M. Khan ◽  
Ziaul Islam ◽  
...  
Keyword(s):  
Healthcare Utilization ◽  
Inpatient Care ◽  
Household Survey ◽  
Poverty Line ◽  
Cross Sectional Study ◽  
Hospital Inpatient ◽  
Cross Sectional ◽  
Protection Scheme ◽  
The Government ◽  
Hospital Inpatient Care

Abstract Background The below poverty line (BPL) population in rural Bangladesh have low access to hospital inpatient-care (IPC) services. The Government of Bangladesh (GoB) launched pilot Shasthyo Suroksha Karmasuchi (SSK) at Kalihati Upazila of Tangail district in 2016 aiming to improve IPC access of the BPL population and financial protection for healthcare. The GoB funded scheme provides IPC for 78 diseases and outpatient consultation through an existing health facility. In this study, we aimed to assess the level of healthcare utilization among the scheme beneficiaries and identify the associated factors with utilization. MethodsThis was an exploratory study with a cross-sectional household survey conducted from July to September 2018 among 806 sampled households using a structured questionnaire. Data on illness and healthcare utilization was collected from the selected households for the last 90 days of the interview date. A logistic regression model was applied to determine the factors associated with healthcare utilization from SSK facility. ResultsOverall, 8% of the ill patients in the last 90 days prior to survey sought healthcare from SSK facilities (n=639; total patients who sought care), 28% from medically trained providers (MTPs), and 64% from non-MTPs. Of the 23 (3.6%) patients who sought inpatient care (IPC), less than half (10 patients) of them utilized IPC under SSK. Individuals with accident/injury, unemployed, having knowledge about SSK, non-BPL status, were more likely to utilize healthcare from SSK facility. Individuals reside more than 15 km away from facility, had 4-5 family members, and above secondary level education were less likely to utilize care from SSK facility. Conclusions It is evident that healthcare utilization of beneficiaries from the SSK scheme was very low. Effective strategies for enhancing knowledge on SSK benefits and precise BPL households targeting can be instrumental in increasing utilization of the scheme. The scheme also has a potential to bring the individuals under its coverage who utilize healthcare from other MTP and non-MTP.

Essential Professional Nursing Practices in mental health: A cross-sectional study of hospital inpatient care

2018 ◽  
Vol 27 (5) ◽  
pp. 1490-1500
Author(s):  
Julie Frechette ◽  
Catherine Pugnaire Gros ◽  
Barbara B. Brewer ◽  
Marlene Kramer ◽  
Geneviève Lavigne ◽  
...  
Keyword(s):  
Mental Health ◽  
Inpatient Care ◽  
Cross Sectional Study ◽  
Hospital Inpatient ◽  
Sectional Study ◽  
Cross Sectional ◽  
Professional Nursing ◽  
Hospital Inpatient Care

scholarly journals Institutional delivery and its associated factors: A community based cross-sectional study in Kavre district

2017 ◽  
Vol 6 (1) ◽  
pp. 22-26
Author(s):  
Sushila Shrestha ◽  
Geeta Kamal Shrestha
Keyword(s):  
Institutional Delivery ◽  
Family Members ◽  
Sampling Technique ◽  
Household Survey ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Safe Motherhood ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Government

Background:  Health facility delivery is considered a critical strategy to improve maternal health. The Government of  Nepal is promoting institutional delivery through different incentive programs and the establishment of birthing centers.  The objective of this study was to identify utilization of institutional delivery and its associated factors.Method:  A descriptive cross-sectional study was carried out among the mothers of under five children in Dhungkharka.  Pre-tested questionnaire was administered to 170 mothers between 15-45 years of age group. Household survey was done by using purposive sampling technique and face to face interview technique was used to collect the data from 1st Julyto 30 th December 2014. Data was analyzed using simple descriptive statistic with SPSS version 16. Association with  institutional delivery was assessed by using chi-square test.Results: Among the total participants, 90.0% of them had institutional delivery. The higher proportions of institutional  delivery were found in both literate mothers (p=0.001), and literate husband (p=0.023). The proportion of institutional  delivery among the mothers decided by their relatives (husband, father/mother-in-laws and other family members) for  institutional delivery had higher portion (p=0.048) of  institutional delivery than participants who decide themselves.Conclusion: Utilization of institutional delivery was much higher than national figure. Institutional delivery was associated  with both educational status of mothers and their husband. Decision made by husband, mother in-law, father in-law and other family members were also associated with institutional delivery. So, to increase institutional delivery, family members need to be encouraged for safe motherhood program.Journal of Kathmandu Medical College Vol. 6, No. 1, 2017, page: 22-26

scholarly journals Indicators of health behavior of drivers and riders in the countryside of Northeastern Brazil

10.3823/2443 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Ellany Gurgel Cosme do Nascimento ◽  
Marília Abrantes Fernandes Cavalcanti ◽  
João Mário Pessoa Júnior ◽  
Niedja Cibegne da S. Fernandes ◽  
Rafael Tavares Silveira Silva ◽  
...  
Keyword(s):  
Traffic Safety ◽  
Health Workers ◽  
Public Health Problem ◽  
Household Survey ◽  
Cross Sectional Study ◽  
Northeastern Brazil ◽  
Safety Equipment ◽  
Cross Sectional ◽  
The Government ◽  
And Behavior

Objective: to verify habits and behavior of the drivers and their correlation to the usage of safety equipment.  Method: cross-sectional study using a household survey of an explanatory nature. Community health workers conducted interviews in 3,482  of Caraúbas, state of Rio Grande do Norte.  Results: there is a low adherence to wearing traffic safety equipment, specifically seatbelt and helmet, and the population does not understand the continuous usage as a healthy behavior. The association with socioeconomic variables shows the evidence of groups possibly more vulnerable to accidents than others. Stands out the low adherence of safety equipment while moving around the city, possibly due to the misunderstanding of the risks, justified by the short distances of the rides and the not policed streets.  Conclusion: The increase of the powered mobility due to the improvement of the population’s income, the low adherence of the seatbelt and helmet and the ineffectiveness of the government oversight make the situation a serious public health problem.

Prevalence and predictors of underweight and stunting among children under 2 years of age in Eastern Kenya

2020 ◽  
Vol 23 (9) ◽  
pp. 1599-1608
Author(s):  
Helen Guyatt ◽  
Florence Muiruri ◽  
Peter Mburu ◽  
Ann Robins
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Social Protection ◽  
Significant Risk ◽  
Household Survey ◽  
Anthropometric Data ◽  
Cross Sectional ◽  
Protection Scheme ◽  
The Government

AbstractObjective:To investigate key risk factors associated with undernutrition in the first few years of life.Design:A cross-sectional household survey was conducted in January 2018 collecting anthropometric data and other information on household, caregiver and child characteristics. Crude and adjusted odds ratios were calculated to assess the association of these characteristics with stunting and underweight outcomes.Setting:Kitui and Machakos counties in south-east Kenya.Participants:Caregivers and their children aged 0–23 months in 967 beneficiary households of the Government of Kenya’s cash for orphans and vulnerable children (CT-OVC) social protection scheme.Results:Twenty-three per cent of the 1004 children with anthropometric data were stunted, 10 % were underweight and 6 % experienced wasting. The strongest predictors of stunting and underweight were being in the second year of life and being born with a low birth weight. Residing in a poor household and having more than one child under 2 years of age in the household were also significant risk factors for being underweight. Although 43 % of children did not receive the minimal acceptable diet, this was not a significant factor associated with undernutrition. When age was removed as a covariate in children aged 12–23 months, being male resulted in a significantly higher risk of being stunted.Conclusions:While only 9 % of children were born with a low birth weight, these were four to five times more likely to be stunted and underweight, suggesting that preventive measures during pregnancy could have significant nutrition and health benefits for young children in this study area.

scholarly journals Awareness and readiness of health care workers in implementing Pradhan Mantri Jan Arogya Yojana in a tertiary care hospital at Rishikesh

2020 ◽  
Vol 10 (2) ◽  
pp. 865-870
Author(s):  
Navuluri Kranthi Kumar Reddy ◽  
Yogesh Bahurupi ◽  
Surekha Kishore ◽  
Mahendra Singh ◽  
Pradeep Aggarwal ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Protection Scheme ◽  
Care Workers ◽  
The Government

Background: Right to health is one among the important components of basic human rights. The Government of India had announced “Ayushman Bharat for a new India-2022”, during 2018-19 parliament budget sessions with two components namely, Health and wellness centers for strengthening primary care and national health protection scheme now known as Pradhan Mantri Jan Arogya Yojana (PMJAY) for enabling access to secondary and tertiary health care by giving health (6). Current study was conducted to assess awareness and readiness of the health care workers in implementation of Pradhan Mantri Jan Arogya Yojana in tertiary care hospital, in Rishikesh. Material and Methods: A hospital based cross sectional study was conducted with estimated sample size calculated of 236, with treating consultants and residents as study participants. Participants filled a self-administered pretested semi structured questionnaire by which their awareness and readiness in implementing PMJAY was assessed. Data was entered and analyzed using EPI Info 7 software. Result: Total number of respondents was 181. Mean awareness score was 4.5±1.96 and mean readiness score was 16±5. Mean awareness and readiness score among medical and surgical branches was not statistically significant. There was significantly high awareness score among faculty compared to senior residents. Relation between awareness and readiness was found to be correlated with Pearson’s correlation of 0.206 and was statistically significant. Linear regression model demonstrated an increase of 0.531 units in readiness for every unit increase in awareness score. Conclusion: Mean awareness score of the doctors was just around half of maximum possible score. Awareness is more among the faculty members than residents. With increase in awareness there is an increase in readiness among the study population. There is a need to organize workshops on PMJAY for stakeholders.

scholarly journals Translation, adaptation and validation of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) for use in Japan: a multicentre cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e040240
Author(s):  
Takuya Aoki ◽  
Yosuke Yamamoto ◽  
Tomoaki Nakata
Keyword(s):  
Healthcare Providers ◽  
Internal Consistency Reliability ◽  
Cross Sectional Study ◽  
Hospital Inpatient ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hospital Consumer Assessment ◽  
Hospital Inpatient Care ◽  
Patients Experience ◽  
Consumer Assessment

ObjectivesThe Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a well-established and internationally recognised scale for measuring patients’ experience with hospital inpatient care. This study aimed to develop a Japanese version of the HCAHPS and to examine its structural validity, criterion-related validity and internal consistency reliability.DesignMulticentere cross-sectional study.SettingA total of 48 hospitals in Japan.Participants6522 patients aged ≥16 years who were discharged from the participating hospitals.ResultsConfirmatory factor analysis showed excellent goodness of fit of the same factor structure as that of the original HCAHPS, with the following composites: communication with nurses, communication with doctors, responsiveness of hospital staff, hospital environment, communication about medicines and discharge information. All hospital-level Pearson correlation coefficients between the Japanese HCAHPS composites and overall hospital rating exceeded the criteria. Results of inter-item correlations indicated adequate internal consistency reliability.ConclusionsThe Japanese HCAHPS has acceptable psychometric properties for assessing patients’ experience with hospital inpatient care. This scale could be used for quality improvement based on the assessment of patients’ experience with hospital care and for health services research in Japan.

scholarly journals Association between participation in the government subsidy programme for domestic travel and symptoms indicative of COVID-19 infection in Japan: cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e049069
Author(s):  
Atsushi Miyawaki ◽  
Takahiro Tabuchi ◽  
Yasutake Tomata ◽  
Yusuke Tsugawa
Keyword(s):  
Sore Throat ◽  
Fixed Effects ◽  
Cross Sectional Study ◽  
High Fever ◽  
Internet Survey ◽  
Government Subsidy ◽  
Sampling Weights ◽  
Cross Sectional ◽  
Taste Disorder ◽  
The Government

ObjectiveTo investigate the association between participation in government subsidies for domestic travel (subsidise up to 50% of all travel expenses) introduced nationally in Japan on 22 July 2020 and the incidence of symptoms indicative of COVID-19 infections.DesignCross-sectional analysis of nationally representative survey data.SettingInternet survey conducted between 25 August and 30 September 2020 in Japan. Sampling weights were used to calculate national estimates.Participants25 482 survey respondents (50.3% (12 809) women; mean (SD) age, 48.8 (17.4) years).Main outcome measuresIncidence rate of five symptoms indicative of the COVID-19 infection (high fever, sore throat, cough, headache, and smell and taste disorder) within the past month of the survey, after adjustment for characteristics of individuals and prefecture fixed effects (effectively comparing individuals living in the same prefecture).ResultsAt the time of the survey, 3289 (12.9%) participated in the subsidy programme. After adjusting for potential confounders, we found that participants in the subsidy programme exhibited higher incidence of high fever (adjusted rate, 4.7% for participants vs 3.7% for non-participants; adjusted OR (aOR) 1.83; 95% CI 1.34 to 2.48; p<0.001), sore throat (19.8% vs 11.3%; aOR 2.09; 95% CI 1.37 to 3.19; p=0.002), cough (19.0% vs 11.3%; aOR 1.96; 95% CI 1.26 to 3.01; p=0.008), headache (29.2% vs 25.5%; aOR 1.24; 95% CI 1.08 to 1.44; p=0.006) and smell and taste disorder (2.6% vs 1.8%; aOR 1.98; 95% CI 1.15 to 3.40; p=0.01) compared with non-participants. These findings remained qualitatively unaffected by additional adjustment for the use of 17 preventative measures (eg, social distancing, wearing masks and handwashing) and fear against the COVID-19 infection.ConclusionsThe participation of the government subsidy programme for domestic travel was associated with a higher probability of exhibiting symptoms indicative of the COVID-19 infection.

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