scholarly journals Enhancing Leadership, Management and Governance Competencies for Performance Improvements at Primary Health Care Entities in Ethiopia: A Quasi-Experimental Study Design

2020 ◽  
Author(s):  
Mesele Damte Argaw ◽  
Binyam Fekadu Desta ◽  
Sualiha Abdlkader Muktar ◽  
Nurhan Tewfik ◽  
Bekele Belayhun Tefera ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Performance Improvement ◽  
Health Workers ◽  
Management Systems ◽  
Improvement Project ◽  
Leadership Management ◽  
Primary Health ◽  
Post Test ◽  
Quasi Experimental

Abstract Background Leadership, management, and governance (LMG) interventions play a significant role in improving management systems, enhancing work climate, and creating responsive health systems. The Federal Ministry of Health with the support of USAID Transform: Primary Health Care project, cascaded its basic LMG trainings and interventions to primary health care staff. The purpose of this evaluation was to measure the changes observed on performance improvement at primary health care entities after implementing the interventions for one year. The results of this research will help policy makers, program managers, and implementers to make informed decisions in the area of performance improvement. Methods The study used a quasi-experimental pre-post survey design to assess the changes observed as a result of LMG in performance management at primary health care entities. It was conducted from August 28, 2017 to September 30, 2018 in Amhara, Oromia, Tigray, and Southern Nations, Nationalities and Peoples Regions. The data was collected through document review and interviewer and self-administered questionnaires across 136 health facilities, in which there are 293 health workers who attended the LMG training; and 333 health workers who did not attend the training. In addition, training records were reviewed to capture change in knowledge and skill through pre-post training and, baseline and end-line performance improvement project achievements, respectively. The data were analyzed using SSPS IBM V 20. Results The response rates were 100% for staff who attended the training; and 87% for staff who did not attend the training. Of those who attended the training, 235 (80.9%) and 252 (86%) trainees scored above 70% on post-test, and 80% or more achieved the desired measurable results of their performance improvement projects. Using the above-mentioned criteria, composite scores were compiled from post-test and performance improvement project results. The result showed that 70% (205/293) of basic LMG trainees completed the course. As a result of the LMG trainings, management systems, work climate, and responsiveness of the health system to challenges significantly improved (p<0.001). Because of the leadership projects, an additional 2,290.3 units of health service coverage were gained. Conclusions The performance of the primary health care entities was significantly improved as a result of enhanced knowledge and skills through LMG trainings, and leadership projects implemented at primary health care entities. We recommend providing LMG trainings for more health workers and managers working at primary health care entities to accelerate implementation of prioritized health sector interventions helpful to achieving the Sustainable Development Goals as a global target. Evaluation of effectiveness and efficiency of the basic LMG training package is recommended.

scholarly journals The effectiveness of classic lecture and workshop as interventions to improve primary health care providers knowledge and skill on the management of pediatric emergencies: a case study

2021 ◽  
Vol 5 (1) ◽  
pp. 133
Author(s):  
Ricky Indra Alfaray ◽  
Rahmat Sayyid Zharfan ◽  
Yudhistira Pradnyan Kloping ◽  
Yudith Annisa Ayu Rezkitha ◽  
Rafiqy Sa’adiy Faizun ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Rural Areas ◽  
Health Workers ◽  
Test Results ◽  
Care Providers ◽  
Primary Health ◽  
Significant Difference ◽  
Post Test

Abstract A preliminary study showed that most health workers in primary health care (PHC) claimed that they need a refreshing course because of their lack of updated knowledge and skill. This study enrolled 27 primary healthcare workers recruited from the PHC. The intervention used were classic lectures and workshops. The knowledge was evaluated using a paper-based test and practice, while the skill was evaluated using a practice test. Multiple questions (pre-test and post-test) based on current emergency management for pediatric were used for paper-based evaluation. Semi-structured interviews were conducted to confirm the subject's perspective on the intervention. A paired t-test was used for evaluating the pre- and post-test results, which was confirmed by a triangulation approach. There was a significant difference between the pre- and post-test results (p<0.001), and 8 of 10 subjects can demonstrate the procedure learned correctly after the intervention. A total of 14 interviewed subjects stated great effectiveness of the intervention, with several limitations on applicability in daily clinical practice. Classic lecture and workshop as an intervention in health education effectively increase health workers' knowledge and skill in PHC. This study might help other rural areas PHC apply the same method so the professionalism and quality of health workers in PHC providers can be maintained.Keywords                : primary health care, classic lecture; workshop; knowledge; skillCorrespondence     : [email protected]

Attitudes of primary health care physician managers toward research: a pre-experimental study

2013 ◽  
Vol 19 (2) ◽  
pp. 171 ◽  
Author(s):  
Saulat Jahan ◽  
Basem Henary
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Training Program ◽  
Research Training ◽  
Attitude Score ◽  
Primary Health ◽  
Study Results ◽  
Post Test ◽  
The Mean ◽  
Conducting Research

Research in primary health care (PHC) is underdeveloped and scarce, especially in developing countries. It is important to understand the attitudes and aspirations of PHC physicians for the promotion of research. The aim of this study was to determine the attitudes of PHC physician managers toward research in Qassim province and to identify barriers that impede performing research in the PHC system. The study was based on social cognitive theory framework, and was pre-experimental with a ‘one-group pre-test–post-test’ design. The study participants were physician managers in PHC administration, Qassim. The participants’ attitudes were measured by adapting statements from the Attitude Towards Research scale. The intervention was the 1-day training program ‘Introduction to Research in Primary Health Care’. A total of 23 PHC physicians participated in the study. The mean age of the participants was 45.4 (±1.6) years, and the mean years of work experience was 16.2 (±2.2) years. Only one participant had an article published in a peer-reviewed journal. The results of the study showed that PHC physicians had a baseline positive attitude toward research that was further enhanced after participating in an introductory research-training program. During the pre-test, out of the total score of 63, the mean score on attitude toward research was 48.35 (±6.8) while the mean total attitude score in the post-test was 49.7 (±6.6). However, the difference was not statistically significant at P < 0.05. The item with the highest score regarded the role of research in the improvement of health care services, while the lowest-scoring item was about support from administration to conduct research. The participants recognised lack of skills, lack of training and inadequate resources as major barriers in conducting research. Our study results suggest that the PHC physicians’ positive attitudes toward research can be further improved through in-service training. To promote research in PHC in Qassim, regular research-training programs and incentives for conducting research should be provided to the PHC physicians.

Childhood Mental Disorders in Primary Health Care: Results of Observations in Four Developing Countries

PEDIATRICS ◽  
1981 ◽  
Vol 68 (5) ◽  
pp. 677-683
Author(s):  
R. Giel ◽  
M. V. de Arango ◽  
C. E. Climent ◽  
T. W. Harding ◽  
H. H. A. Ibrahim ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Health Workers ◽  
Health Care Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Research Procedure ◽  
Primary Health Care Facilities

To ascertain the frequency of mental disorders in Sudan, Philippines, India, and Colombia, 925 children attending primary health care facilities were studied. Rates of between 12% and 29% were found in the four study areas. The range of mental disorders diagnosed was similar to that encountered in industrialized countries. The research procedure involved a two-stage screening in which a ten-item "reporting questionnaire" constituted the first stage. The study has shown that mental disorders are common among children attending primary health care facilities in four developing countries and that accompanying adults (usually the mothers) readily recognize and report common psychologic and behavioral symptoms when these are solicited by means of a simple set of questions. Despite this, the primary health workers themselves recognized only between 10% and 22% of the cases of mental disorder. The results have been used to design appropriate brief training courses in childhood mental disorders for primary health workers in the countries participating in the study.

Village Health Workers and Primary Health Care

1983 ◽  
Vol 13 (3) ◽  
pp. 105-108 ◽  
Author(s):  
J Patrick Vaughan ◽  
Gill Walt
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Workers ◽  
Primary Health ◽  
Village Health Workers ◽  
Village Health

scholarly journals Epidemiology of non-exclusive breastfeeding behavior (study in the working area of primary health care Margorejo Pati regency)

2020 ◽  
Vol 202 ◽  
pp. 12028
Author(s):  
Emawati Fatima ◽  
Lintang Dian Saraswati ◽  
Praba Ginandjar ◽  
Dwi Sutiningsih
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Exclusive Breastfeeding ◽  
Control Method ◽  
Health Workers ◽  
Negative Attitude ◽  
Bivariate Analysis ◽  
Maternal Knowledge ◽  
Low Level ◽  
Primary Health

Non-exclusive breastfeeding is defined as the provision of food or fluids in addition to drugs, vitamins, and minerals to infants before the age of 6 months. Exclusive breastfeeding for infants is seen to prevent and cure stunting and other forms of malnutrition. Primary Health Care (PHC) Margorejo is the health center with the lowest exclusive breastfeeding coverage in Pati Regency in 2017 and 2018. The purpose of this study was to analyze the factors related to the behavior of non-exclusive breastfeeding in the working area of the PHC Margorejo in Pati Regency. This study uses a case control method. The research sample consisted of 70 consisting of 35 cases and 35 controls. The research targets were mothers who have 6-11 months old infants in the working area of the PHC Margorejo. Bivariate analysis showed a low level of maternal knowledge (p = 0.008), negative maternal attitudes (p = 0.022), and the absence of support from health workers (p = 0.002) related to non-exclusive breastfeeding behavior. Low level knowledge of mothers, negative attitude of mothers, and the absence of support from health workers are all factors related to the behavior of non-exclusive breastfeeding in the working area of PHC Margorejo in Pati Regency.

scholarly journals HIV testing and counseling: some aspects of the problem

Medicina ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 89-99
Author(s):  
S. T. Agliullina ◽  
◽  
L. M. Mukharyamova ◽  
G. R. Khasanova ◽  
L. A. Sitdikova ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Hiv Testing ◽  
High Quality ◽  
Hiv Testing And Counseling ◽  
Primary Health ◽  
Post Test ◽  
The City ◽  
Prevention Of Hiv ◽  
Testing And Counseling

The aim of the study was to analyze the attitude of the population to HIV testing and counseling and the frequency of testing-related counseling in a sample of the population of Kazan. Materials. An anonymous survey of various groups of the population permanently residing in the city of Kazan (n=301) was conducted using a questionnaire developed by us. The study involved 58.1% of women (175/301), 41.9% of men (126/301). Results. Most of the respondents had experience of undergoing HIV testing (95%, 286/301). Only 92 people out of 286 (32.2%) were examined on their own initiative. HIV testing was mainly carried out in the polyclinic at the place of residence/stay (66.8%, 191/286), while counseling, according to respondents, was carried out only in 16.20% of respondents (31/191). Conclusions. It is important to conduct a high-quality procedure of pre-and post-test counseling in the conditions of primary health care. It is necessary to train the medical staff of the polyclinic level in the skills of counseling on epidemiology and prevention of HIV infection.

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