scholarly journals Poor Immunization Data Quality Led to Wrong Decision Making in Pertussis Outbreak Management in Southern Ethiopia: a Cross Sectional Study

2021 ◽  
Author(s):  
Mesele D. Argaw ◽  
Binyam F. Desta ◽  
Zergu T. Tsegaye ◽  
Aychiluhim D. Mitiku ◽  
Afework A Atsa ◽  
...  
Keyword(s):  
Decision Making ◽  
Data Quality ◽  
Household Survey ◽  
Cross Sectional Study ◽  
Health Centers ◽  
District Health ◽  
Cross Sectional ◽  
Outbreak Management ◽  
Accuracy Ratio

Abstract Background: The aim of this study was to investigate the quality of immunization data and monitoring systems in the Dara Malo district (woreda) of the Gamo Administrative Zone, Southern Nations, Nationalities and Peoples Region (SNNPR) of Ethiopia.Method: A cross-sectional study was conducted from August 4 to September 27, 2019 in Dara Malo District. The district was purposively selected during the management of a pertussis outbreak based on the hypothesis ‘there is no difference in reported and recounted immunization status of children 7 to 23 months in Dara Malo District of Ethiopia’. The study used the World Health Organization (WHO)-recommended Data Quality Self-Assessment (DQS) tools. The accuracy ratio was determined using data from the routine Expanded Program of Immunization (EPI) and household survey. Facility data spanning the course of 362 months were abstracted from EPI registers, tally sheets, and monthly routine reports. In addition, household surveys collected data from caretakers or immunization cards or oral reports. Trained DQS assessors collected the data to explore the quality of the monitoring system at health posts, health centers and district health offices. A quality index (QI) and proportions of completeness, timeliness and accuracy ratio of the first and third doses of pentavalent vaccines and the first dose of measles-containing vaccines (MCV) were made.Results: In this study, 336-month facility data were extracted. In addition, 595 children aged 7 - 23 months, with a response rate of 94.3%, were assessed and compared for immunization status using register and immunization cards or caretakers’ oral reports through the household survey. At the district level, the proportion of the re-counted vaccination data on EPI registers for first dose pentavalent was 95.20%, three doses of pentavalent was 104.2% and first dose of measles was 98.6%. However, the ratio of vaccination data compared using tallies against the reports showed evidence of overreporting with 50.8%, 45.1% and 46.5% for first pentavalent, third pentavalent and first dose of measles vaccinations, respectively. The completeness of the third dose of pentavalent vaccinations was 95.3%, 95.6% and 100.0% at health posts, health centers and at the district health office, respectively. The timeliness of the immunization reports was 56.5% and 64.6% at health posts and health centers, respectively, while the district health office does not have timely submitted on time to the next higher level for twelve months. The QI scores ranged between 61.0% and 80.5% for all five categories, namely, 73.0% for recording, 71.4% for archiving and reporting, 70.4% for demographic information, 69.7% for core outputs and 70.4% for data uses and were assessed as suboptimal at all levels.Conclusion: Immunization data completeness was found to be optimal. However, in the study area, the accuracy, consistency, timeliness and quality of the monitoring system were found to be suboptimal. Therefore, poor data quality has led to incorrect decision making during the reported pertussis outbreak management. Availing essential supplies, including tally sheets, monitoring charts and stock management tools, should be prioritized in Daro Malo District. Enhancing the capacity of healthcare providers on planning, recording, archiving and reporting, analyzing, and using immunization data for evidence-based decision making is recommended.

scholarly journals Data Quality on Expanded Programme on Immunization in Pertussis Outbreak Affected District: The Case of Dara Malo woreda, Southern Ethiopia

2019 ◽  
Author(s):  
Mesele Damte Argaw ◽  
Binyam Fekadu Desta ◽  
Zergu Taffesse Tsegaye ◽  
Aychiluhim Damtew Mitiku ◽  
Afework Ayele Atsa ◽  
...  
Keyword(s):  
Decision Making ◽  
Data Quality ◽  
Monitoring System ◽  
Southern Ethiopia ◽  
District Health ◽  
Cross Sectional ◽  
Wrong Decision ◽  
Outbreak Management ◽  
Immunization Status

Abstract Background: The aim of this study was to investigate the quality of immunization data and monitoring system in the Dara Malo district (woreda) of Gamo Administrative Zone, Southern Nations, Nationalities and Peoples Region (SNNPR) of Ethiopia. Method: a cross-sectional study was conducted from August 4 to September 27, 2019 in Dara Malo District. The district was purposively selected during the management of a pertussis outbreak based on the hypothesis ‘there is no difference in reported and recounted immunization status of children 7 to 23 months in Dara Malo District of Ethiopia’. A quality index (QI) and proportions of completeness, timeliness and accuracy ratio of the first and third doses of pentavalent vaccines and the first dose of measles-containing vaccines (MCV) were made. Results: in this study 336 month-facility data were extracted. In addition, 595 children aged 7 - 23 months, with a response rate of 94.3%, were assessed and compared for immunization status using register and immunization cards or caretakers’ oral report through the household survey. The ratio of vaccination data compared using tallies against the reports showed evidences of over reporting with 50.8%, 45.1% and 46.5% for first pentavalent, third pentavalent and first dose of measles vaccinations, respectively. Completeness of third dose of pentavalent vaccinations were 95.3%, 956% and 100.0% at health posts, health centers and at the district health office, respectively. The QI scores ranged between 61.0% and 80.5% for all five categories, namely, 73.0% for recording, 71.4% for archiving and reporting, 70.4% for demographic information, 69.7% for core outputs and 70.4% for data uses and were assessed as suboptimal at all levels. Conclusion: The immunization data completeness was found to be optimal. However, in the study area, the accuracy, consistency, timeliness and quality of monitoring system were found to be sub-optimal. Therefore, poor data quality has led to wrong decision making during the reported pertussis outbreak management. Enhancing the capacity of healthcare providers on planning, recording, archiving and reporting, analyzing, and use of immunization data for evidence-based decision making is recommended.

scholarly journals Antenatal counselling- is it adequate? A cross-sectional study from Chandigarh tricity, India

2017 ◽  
Vol 4 (4) ◽  
pp. 1337
Author(s):  
Anupama Dhiman ◽  
Naveen K. Goel ◽  
Dinesh Kumar ◽  
Navpreet . ◽  
Abhiruchi Galhotra
Keyword(s):  
Sampling Technique ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Danger Signs ◽  
Counselling Services ◽  
Significant Difference ◽  
Multistage Sampling

Background: Antenatal care (ANC) provides an important opportunity to improve maternal understanding about pregnancy, childbirth, and care of the newborn. Adequate and quality ANC can help ensure a favourable pregnancy outcome, but the coverage of ANC in India remains inadequate. The present study was conducted with an objective to assess ante natal counselling services at health centers in Chandigarh Tricity.Methods: The cross-sectional study was conducted in the Chandigarh Tricity during April 2012 to September 2013. Stratified multistage sampling technique was used to select health centers in tricity. A total of 345 pregnant women in second and third Trimester were interviewed with the help of pre-designed, structured and pre-tested questionnaire after taking their written informed consent. It was supplemented by observation of ante natal sessions. Data was entered and analyzed using SPSS version 19.Results: Nearly one-fourth (28.1%) participants received counselling regarding diet and rest. Only 26 (07.5%) participants were explained about danger signs during pregnancy. Significant difference was found between counseling given regarding ‘diet and rest’ with respect to city (p=0.03) and health centers (p=0.00). Significant difference was found between counselling for ‘family planning’ with respect to city (p=0.01) and health centers (p=0.00).Conclusions: Findings from our study indicate low level of counselling on various components of ANC. Thus, strategies under National Health Mission to improve quality of antenatal communication as well as maternal understanding should be strengthened.

scholarly journals Prevalence and associated factors of malaria in Pushparajgarh block of district Anuppur, Madhya Pradesh, India

2021 ◽  
Vol 8 (3) ◽  
pp. 1221
Author(s):  
Manish Kumar Dwivedi ◽  
Sanjeev Bakshi ◽  
Birjhu Singh Shyam ◽  
Ravindra Shukla ◽  
Prashant Kumar Singh ◽  
...  
Keyword(s):  
Community Health Centers ◽  
District Hospital ◽  
Household Survey ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Madhya Pradesh ◽  
Health Centers ◽  
Age Group ◽  
Cross Sectional ◽  
Primary Health

Background: The current study aimed to determine the prevalence of malaria and its association with seasonality of malaria and socio-demographic variables in a tribal dominated district Anuppur (Madhya Pradesh).Methods: This cross-sectional study was based on blood films for malaria parasites (BFMP) data obtained from primary health centers, sub-health centers, community health centers and district hospital. This study was also based on household survey for information on malaria awareness and type of treatment preferred for malaria. From 2014-2016, a household survey was conducted regarding the type of treatment available, assessment of the influence of demographic factors, knowledge, awareness and education on malaria occurrence. Odds ratio were used to analyse the association between the gender, age group, season and types of malaria infection.Results: Annual blood examination rate (11.81%) and slide vivax rate (0.66%) was highest in 2016. There was decrease in slide falciparum rate in 2016 (1.52%). Slide positivity rate was 3.78%, 3.73% and 2.74% in the years 2014-16. Annual parasite incidence rate was 3.20%, 3.82% and 3.07% in the years 2014-16. Plasmodium falciparum positivity rate was 78.13%, 78.17% and 54.49% in the study years and was highest among the females and in the age group of 26 years and above. Distinct seasonality was observed correlating with population dynamics of the vector and climatic and socio-demographic conditions.Conclusions: The prevalence of malaria in tribal dominated Pushparajgarh area showed seasonality that was governed by mosquitogenic factors, their transmission and socio-demographic status of the population.

scholarly journals Surveing the Quality of life in Employees health centers of Yazd Province in 2011

2020 ◽  
Author(s):  
Seyed Saeed Mazloomi Mahmodabad ◽  
Mohammad Reza Aalaei ◽  
RaZyeh Zolghadr ◽  
Aghdas Hajirezaei ◽  
Tayebeh Nik ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Data Collection ◽  
Work Experience ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Cross Sectional ◽  
Climate Conditions ◽  
Life Score ◽  
Life Styles

Introduction: Quality of life is a subjective and multidimensional concept that in recent years has been noticeable by researcher due to multilateral widespread of technology and industrialization process. Quality of life, was  is individuals understanding of their status in the context of physical, mental and social impacts and to indicate the status of a resident in a country or region. The purpose of this study was determination the quality of life in employees health centers of Yazd province about healthy life styles in 2011. Methods : This research was a cross - sectional study in which 501 staff employed  in 12 central areas of health centers of Yazd  as census method were enrolled . Data collection tool was WHO Quality of Life-BREF questionnaire (WHOQOL-BREF) including 26 questions,). After  data collection , it was analyzed  by using SPSS software as well as statistical t-test and ANOVA. Results: The results shown that the employees health centers of Yazd province were acquired 67.9% of the quality of life score. The way in which the dimensions of physical, psychological, social relationships and environment were obtained 72.9, 65.5, 70.2 and 63.15 ​​percent from the maximum score; Respectively. The quality of life score based on age, gender, type of employment, work experience and climate conditions were significant (p≤ 0.05). Conclusions: Therefore it was suggested to improve the quality of life of employees health centers, officials with proper planning includes considering educational , cultural, recreational and sport programs ,, providing healthy nutrition, installing motivation and responsibility in them as well as paying  proper salary and benefits, take effective steps in this way.

scholarly journals The Quality of Tuberculosis Services in Health Care Centres in a Rural District in Uganda: The Providers’ and Clients’ Perspective

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Lilian Bulage ◽  
Juliet Sekandi ◽  
Omar Kigenyi ◽  
Ezekiel Mupere
Keyword(s):  
Health Care ◽  
Health Workers ◽  
Data Entry ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Control Measures ◽  
District Health ◽  
Cross Sectional ◽  
Infection Control Measures

Quality of care plays an important role in the status of tuberculosis (TB) control, by influencing timely diagnosis, treatment adherence, and treatment completion. In this study, we aimed at establishing the quality of TB service care in Kamuli district health care centres using Donabedian structure, process, and outcomes model of health care. A cross-sectional study was conducted in 8 health care facilities, among 20 health care workers and 392 patients. Data was obtained using face-to-face interviews, an observation guide, a check list, and record review of the TB unit and laboratory registers. Data entry and analysis were done using EPI INFO 2008 and STATA 10 versions, respectively. A high number 150 (87.21%) of TB patients were not aware of all the signs to stop TB medication, and 100 (25.51%) patients received laboratory results after a period of 3–5 working days. The major challenges faced by health workers were poor attitude of fellow health workers, patients defaulting treatment, and fear of being infected with TB. One of the worst performance indicators was low percentage of cure. Comprehensive strengthening of the health system focusing on quality of support supervisions, patient follow up, promoting infection control measures, and increasing health staffing levels at health facilities is crucial.

scholarly journals What role do patients prefer in medical decision-making?: a population-based nationwide cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e048488
Author(s):  
Micaela Gregório ◽  
Andreia Teixeira ◽  
Teresa Henriques ◽  
Rosália Páscoa ◽  
Sofia Baptista ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Decision Making ◽  
Problem Solving ◽  
Educational Level ◽  
Representative Sample ◽  
Population Based ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

ObjectiveTo assess patients’ preferred roles in healthcare-related decision-making in a representative sample of the Portuguese population.DesignPopulation-based nationwide cross-sectional study.Setting and participantsA sample of Portuguese people 20 years or older were interviewed face-to-face using a questionnaire with the Problem-Solving Decision-Making scale.OutcomesThe primary outcome was patients’ preferred role for each vignette of the problem-solving decision-making scale. Sociodemographic factors associated with the preferred roles were the secondary outcomes.Results599 participants (20–99 years, 53.8% women) were interviewed. Three vignettes of the Problem-Solving Decision-Making scale were compared: morbidity, mortality and quality of life. Most patients preferred a passive role for both the problem-solving and decision-making components of the scale, particularly for the mortality vignette (66.1% in the analysis of the three vignettes), although comparatively more opted to share decision in the decision-making component. For the quality of life vignette, a higher percentage of patients wanted a shared role (44.3%) than with the other two vignettes. In the problem-solving component, preferences were significantly associated with area of residence (p<0.001) and educational level (p=0.013), while in the decision-making, component preferences were associated with age (p=0.020), educational level (p=0.015) and profession (p<0.001).ConclusionsIn this representative sample of the Portuguese mainland population, most patients preferred a practitioner-controlling role for both the problem-solving and decision-making components. In a life-threatening situation, patients were more willing to let the doctor decide. In contrast, in a less serious situation, there is a greater willingness to participate in decision-making. We have found that shared decision-making is more acceptable to better-educated patients in the problem-solving component and to people who are younger, higher educated and employed, in the decision-making component.

scholarly journals Quality of Services in Health Centers in Western Suburbs of Ahvaz by Examining the Gap Between Expectations and Perceptions

2021 ◽  
Author(s):  
Nastaran Rostami Borujeni ◽  
Saham Sarahi ◽  
Mohammad Hosein Haghighizadeh ◽  
Nayeb Fadaei Dehcheshmeh
Keyword(s):  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Quality Of Services ◽  
Cross Sectional ◽  
Five Dimensions ◽  
Significant Difference ◽  
The Mean ◽  
The Relationship

Background: Due to the health sector’s serious mission in maintaining the health and care of the community, the quality of provided health services is of particular prominence. Objectives: This study aims to assess the quality of services in health centers in western suburbs of Ahvaz by examining the gap between expectations and perceptions. Methods: This was a cross-sectional study and conducted in 2018. The sample size included 291 people visiting health centers in western suburbs of Ahvaz. The data were collected through the SERVQUAL standard questionnaire for assessing the quality. This questionnaire assesses five dimensions of the quality of the provided services. These five dimensions include tangible factors, reliability, responsiveness, assurance, and empathy. Pearson correlation coefficient test was used to investigate the relationship between the variables. Independent t-test was used to compare the means. Data analysis was performed through SPSS version 22. Results: Overall, 89.55% of the subjects were female. In all the five dimensions of quality, there was a significant difference between the ideal status and the observed status (P < 0.001). The lowest gap was related to empathy (r = 0.25), and the highest gap was reported for tangible factors (r = -0.99). There was a significant positive correlation between each of the dimensions of expectations and the same dimension in the perceptions section (P < 0.001). Conclusions: Expectations in all the dimensions, except for empathy, were higher than perceptions, and health centers were far from ideal. Among these dimensions, expectations and perceptions in the area of reliability were higher than in other cases, and the mean scores were at a higher level. In the area of increasing the quality of care in health centers in suburbs of Ahvaz, some measures should be taken to promote the quality.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS KERJA PETUGAS PEMBERANTASAN PENYAKIT DIARE

2020 ◽  
Vol 5 (1) ◽  
pp. 502-509
Author(s):  
Mohammad Sadli ◽  
Wawan Anwar K
Keyword(s):  
Diarrheal Disease ◽  
Control Program ◽  
Monitoring And Evaluation ◽  
Health Centers ◽  
P Value ◽  
District Health ◽  
Cross Sectional ◽  
Quality Work ◽  
Quality Of Work

Dari data laporan yang dilaporkan oleh seluruh puskesmas angka kesakitan diare sebanyak 28648 penderita dengan golongan umur < 1 Tahun : 4316 penderita, 1 - 4 Tahun : 8703 Penderita , > 5 Tahun : 15196 penderita. Masih tingginya angka incident diare di Kabupaten Cirebon. Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan kualitas kerja petugas pemberantasan penyakit diare. Penelitian ini adalah jenis penelitian Analitik deskriptif dengan menggunakan desain penelitian cross sectional yaitu mempelajari semua individu yang berada taraf umurnya dan titik waktu yang sama atau pendekatan yang sifatnya sesaat pada satu waktu dan tidak diikuti dalam kurun waktu tertentu.yang menggambarkan tentang pelaksanaan program pemberantasan penyakit diare serta faktor-faktor yang mempengaruhi kualitas kerja petugas P2 Diare yang berhubungan dengan pelaksanaan program pemberantasan penyakit diare. Dalam penelitian ini, populasi adalah semua petugas P2 Diare di 37 Puskesmas yang ada di Kabupaten Cirebon. Besar sempel adalah sebesar 37 orang petugas P2 Diare di wilayah Dinas Kesehatan Kabupaten Cirebon yang diambil secara keseluruhan.Hasil Penelitian menujukan bahwa dari hasil uji statistik diketahui P Value pendidikan 0.928 dan 0.100 untuk pelatihan dengan a = 0.05 maka Pvalue >a menujukkan bahwa kedua faktor tersebut tidak ada hubungan dengan kualitas kerja petugas diare Puskesmas, menujukan bahwa P Value Keterampilan 0.568, dan Monev 0.121, ternyata untuk keterampilan dan monev Pvalue >a (0.05) , maka tidak terdapat hubungan faktor keterampiian dan monev dengan kualitas kerja petugas Diare puskesmas.Sedangkan untuk keterampilan walaupun tidak terdapat hubungan yang erat namun ada kecendrungan dalam memberikan pengaruh terhadap kuaiitas kerja hal ini dapat dilihat dari adanya kenaikan rata-rata sebesar 0.31 poin, menunjukan bahwa P value sarana yang tersedia 0.019, Kepemimpinan 0.037 ternyata untuk Sarana dan kepemimpinan P value <a (0.05) maka terdapat hubungan antara faktor sarana dan kepemimpinan dengan kualitas kerja petugas Diare Puskesmas.Kata Kunci : Kualitas Kerja, Pemberantasan Penyakit Diare ABSTRACTFrom the report data reported by all health centers diarrhea morbidityas as 28 648 patients with go (Onganaged<1 Year: 4316 Patients, 1-4 years: 8703 patients, > 5 Years: 15196 patients. Stillhigh number ofincidents of diarrheain Cirebon. The purpose of this study was to determine the factors associated with quality work diarrheal desease control officer. Thisstudyis adescriptivetype of research Analytical using cross-sectional research designis to learnall the individuals who are ageleveland the same time point orapproach that character for a momentat a time and not followed within. describethe implementation of diarrheal disease eradication programand the factors that affect the quality of work P2 officer diarrhea associated with diarrheal disease control program implementation. In this study, the population is all Diarrhoea P2 officersin 37 health centers in Cirebon. Sampel large amount P2 Diarrhea 37 officersin The District Health Office Cirebon takenas a whole. Research address ingthat of the statistical test known Pvalue education 0928 and 0100 for training with a=0.05 then the PValue>a address that both factors had no connection withthe workquality of PHC diarrhea officer, directing that Pvalue Skills 0568, and M & E 0121, turned outto skills and M & E Pvalue>a(0.05), then there is no relationship keterampilan factors and monitoring and evaluation officer with quality work Diarrhea clinic.As for skills although there is noclose relationship, but there isa tendency to give effect to work quality this can be seen from the average increase of 0.31 points, showed that Pvalue meansavailable 0019, 0037 Leadership and leadership turns outto Suppor tthe Pvalue<a(0.05) then there is acorrelation between the means and leadership with quality work Diarrhea health center personnel.Keywords: Quality of Work, Diarrhea Disease Implementation

scholarly journals Correlations of Body Mass Index, Quality of Life, and Severity of Menopausal Symptoms in Women During the Transition to Menopause

2021 ◽  
Vol 25 (2) ◽  
Author(s):  
Mansoureh Refaei ◽  
Farideh Kazemi ◽  
Rafat Bakht ◽  
Moloud Hosseini ◽  
Soraya Mardanpour
Keyword(s):  
Quality Of Life ◽  
Body Mass Index ◽  
Body Mass ◽  
Cross Sectional Study ◽  
Influential Factors ◽  
Menopausal Symptoms ◽  
Health Centers ◽  
Cross Sectional ◽  
Sexual Symptoms

Background: The recognition of the influential factors in the reduction of quality of life and health status in women is essential to their empowerment. Objectives: The present study aimed to investigate the correlations between body mass index (BMI), quality of life, the severity of menopausal symptoms in women during menopause. Methods: This cross-sectional study was conducted on 136 women transiting to menopause, who referred to the main health centers in Javanrood city, Iran. The subjects were selected via random sampling. MEN-QOL was used to measure the specific quality of life of the women, and the severity of menopausal symptoms was determined using the MRS questionnaire. Results: BMI could significantly predict the severity of menopausal symptoms, dimensions of quality of life (vasomotor, psychosocial, physical, and sexual symptoms), and total score of quality of life during the transition to menopause (P < 0.05). In addition, a significant correlation was observed between the severity of menopausal symptoms and BMI during menopause (P = 0.002). Conclusions: According to the results, BMI could predict the quality of life and severity of menopausal symptoms in women during menopause.

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