scholarly journals A Health Care Professionals Training Needs Assessment for Oncology in Uganda

2020 ◽  
Author(s):  
Josaphat Byamugisha ◽  
Ian G Munabi ◽  
Aloysius G. Mubuuke ◽  
Amos D. Mwaka ◽  
Mike Kagawa ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Health Workers ◽  
Training Needs ◽  
Sub Saharan Africa ◽  
Rank Test ◽  
Care Providers ◽  
Incidence And Mortality

Abstract Background Cancer incidence and mortality in sub-Saharan Africa are increasing and do account for significant premature death. The expertise of the health care providers is critical to down staging cancer at diagnosis and improving survival in low- and middle-income countries. We set out to determine the training needs of health care providers for a comprehensive oncology services package in selected hospitals in Uganda, in order to inform capacity development intervention to improve cancer outcomes in the East African region. Methods This was a cross-sectional survey using the WHO Hennessey-Hicks questionnaire to identify the training needs of health workers involved in cancer care, across 22 hospitals in Uganda. Data were captured in real time using the open data kit platform from which the data was exported to Stata Version 15 for analysis using the Wilcoxon sign rank test and Somers-Delta. Results There were 199 respondent health professionals who were predominately female (146/199, 73.37%), with an average age of 38.97 years. There were 158/199 (79.40%) nurses, 24/199 (12.06%) medical doctors and 17/199 (8.54%) allied health professionals. Overall the research and audit domain had the highest ranking for all the health workers (Somers-D=0.60). The respondent’s level of education had a significant effect on the observed ranking (P-value =0.03). Most of the continuing medical education (CME) topic suggested by the participants were in the clinical task related category. Conclusion The “research and audit” domain was identified as the priority area for training interventions to improve oncology services in Uganda. There are opportunities for addressing the identified training needs with an expanded cancer CME program content, peer support networks and tailored training for the individual health care provider.

scholarly journals A Health Care Professionals Training Needs Assessment for Oncology in Uganda

2020 ◽  
Author(s):  
Josaphat Byamugisha ◽  
Ian G Munabi ◽  
Aloysius G. Mubuuke ◽  
Amos D. Mwaka ◽  
Mike Kagawa ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Health Workers ◽  
Training Needs ◽  
Sub Saharan Africa ◽  
Rank Test ◽  
Care Providers ◽  
Incidence And Mortality

Abstract Background Cancer incidence and mortality in sub-Saharan Africa are increasing and do account for significant premature death. The expertise of the health care providers is critical to down staging cancer at diagnosis and improving survival in low- and middle-income countries. We set out to determine the training needs of health care providers for a comprehensive oncology services package in selected hospitals in Uganda, in order to inform capacity development intervention to improve cancer outcomes in the East African region. Methods This was a cross-sectional survey using the WHO Hennessey-Hicks questionnaire to identify the training needs of health workers involved in cancer care, across 22 hospitals in Uganda. Data were captured in real time using the open data kit platform from which the data was exported to Stata Version 15 for analysis using the Wilcoxon sign rank test and Somers-Delta. Results There were 199 respondent health professionals who were predominately female (146/199, 73.37%), with an average age of 38.97 years. There were 158/199 (79.40%) nurses, 24/199 (12.06%) medical doctors and 17/199 (8.54%) allied health professionals. Overall the research and audit domain had the highest ranking for all the health workers (Somers-D = 0.60). The respondent’s level of education had a significant effect on the observed ranking (P-value = 0.03). Most of the continuing medical education (CME) topic suggested by the participants were in the clinical task related category. Conclusion The “research and audit” domain was identified as the priority area for training interventions to improve oncology services in Uganda. There are opportunities for addressing the identified training needs with an expanded cancer CME program content, peer support networks and tailored training for the individual health care provider.

scholarly journals Two Birds with One Stone: Health Care Providers’ Perspectives about Prevention Technologies in Kenya and South Africa

2019 ◽  
Vol 18 ◽  
pp. 232595821984136 ◽  
Author(s):  
Alexandra Lutnick ◽  
Mary Kate Shapley-Quinn ◽  
Kgahlisho Nozibele Manenzhe ◽  
Jacob Onyango ◽  
Kawango Agot ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Care Providers ◽  
Qualitative Interviews ◽  
Training Needs ◽  
Health Needs ◽  
Sub Saharan Africa ◽  
Care Providers ◽  
Single Product ◽  
Sub Saharan

To meet the reproductive health needs of women, especially those in sub-Saharan Africa, multipurpose prevention technologies (MPTs) that combine pregnancy and HIV prevention into a single product could be highly beneficial. This qualitative study with health care providers in Kenya and South Africa examined health system factors that may facilitate or inhibit the delivery of these MPTs. Twelve qualitative interviews were conducted with health care providers at each site (24 interviews total). Providers were presented with pictures and actual placebo prototypes of 4 MPTs: a vaginal ring, an oral pill, an injectable, and an implant. Four themes emerged related to health care providers’ reported interest in offering the proposed MPTs: (1) perceptions of young women’s interest in the MPTs, (2) considerations about product administration, (3) feedback about product attributes, and (4) providers’ training needs. Overwhelmingly, health care providers are eager to offer a product that prevents both HIV and unintended pregnancy in young women.

The moral challenges of health care providers brain drain phenomenon

2020 ◽  
pp. 147775092094661
Author(s):  
Faith Atte
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Brain Drain ◽  
Health Care Professionals ◽  
Global Justice ◽  
Health Workers ◽  
Work Environments ◽  
Care Providers ◽  
Policy Makers ◽  
Left Behind

The migration of health-care professionals has often produced morally charged discussions among ethicists, politicians, and policy makers in the migrant-sending and migrant-receiving countries because of its devastating effects on the health of those left behind in the countries of origin.This movement of skilled professionals – their decision to leaving their countries of origin in search of better work environments – has created a phenomenon that has been described as brain drain. Although the migration of health workers continue to bring prosperity to millions of people around the world, they have also evoked hopelessness in many more people. Thus, questions of global justice manifest themselves when it comes to the matters of brain drain and the just distribution of health and healthcare professionals.

scholarly journals Knowledge, Attitudes, Practices, and Perceived Risk of Cervical Cancer Among Kenyan Women: Brief Report

2013 ◽  
Vol 23 (5) ◽  
pp. 895-899 ◽  
Author(s):  
Staci L. Sudenga ◽  
Anne F. Rositch ◽  
Walter A. Otieno ◽  
Jennifer S. Smith
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Health Care Providers ◽  
Perceived Risk ◽  
Sub Saharan Africa ◽  
Eastern Africa ◽  
Care Providers ◽  
Incidence And Mortality

ObjectivesEastern Africa has the highest incidence and mortality rates from cervical cancer worldwide. It is important to describe the differences among women and their perceived risk of cervical cancer to determine target groups to increase cervical cancer screening.MethodsIn this cross-sectional study, we surveyed women seeking reproductive health services in Kisumu, Kenya to assess their perceived risk of cervical cancer and risk factors influencing cervical cancer screening uptake. χ2 statistics and t tests were used to determine significant factors, which were incorporated into a logistic model to determine factors independently associated with cervical cancer risk perception.ResultsWhereas 91% of the surveyed women had heard of cancer, only 29% of the 388 surveyed women had previously heard of cervical cancer. Most had received their information from health care workers. Few women (6%) had ever been screened for cervical cancer and cited barriers such as fear, time, and lack of knowledge about cervical cancer. Nearly all previously screened women (22/24 [92%]) believed that cervical cancer was curable if detected early and that screening should be conducted annually (86%). Most women (254/388 [65%]) felt they were at risk for cervical cancer. Women with perceived risk of cervical cancer were older (odds ratio [OR], 1.06; 95% confidence interval [CI], 1.02–1.10), reported a history of marriage (OR, 2.08; CI, 1.00–4.30), were less likely to feel adequately informed about cervical cancer by health care providers (OR, 0.76; CI, 0.18–0.83), and more likely to intend to have cervical cancer screening in the future (OR, 10.59; CI, 3.96–28.30). Only 5% of the women reported that they would not be willing to undergo screening regardless of cost.ConclusionsCervical cancer is a major health burden for women in sub-Saharan Africa, yet only one third of the women had ever heard of cervical cancer in Kisumu, Kenya. Understanding factors associated with women’s perceived risk of cervical cancer could guide future educational and clinical interventions to increase cervical cancer screening.

Community Health Workers: Who they are and What they do

1997 ◽  
Vol 24 (4) ◽  
pp. 510-522 ◽  
Author(s):  
Mary Beth Love ◽  
Kristen Gardner ◽  
Vicki Legion
Keyword(s):  
Health Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Health Workers ◽  
Care Providers ◽  
High School Degree ◽  
Bay Area ◽  
Annual Salary

Community health workers (CHWs) are community members who serve as frontline health care professionals. They generally work with the underserved and are indigenous to the community in which they work—ethnically, linguistically, socioeconomically, and experientially. This article presents the results of a survey of 197 systematically selected health care providers in eight Bay Area counties. The authors found that 25% of the health care providers in these eight counties hire CHWs. The hiring projections indicate that opportunities are expanding for these frontline professionals; the majority of growth is in public health departments and community-based organizations. The majority of CHWs are women (66%) of color (77%) with a high school degree or less (58%). A total of 44% earn an annual salary of $20,00 to $25,000; 30% make more than $25,001. AIDS and maternal and child health are the two major content foci of CHW work.

Functioning in lymphoedema from the health professionals’ perspective using the international classification of functioning, disability and health as a reference

2016 ◽  
Vol 31 (8) ◽  
pp. 554-563
Author(s):  
Peter B Viehoff ◽  
Lianne Pelzer ◽  
Yvonne F Heerkens ◽  
Dorine C van Ravensberg ◽  
Martino Neumann
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Mail Survey ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Care Providers ◽  
Disability And Health

Purpose To capture the views of different health care providers involved in the treatment of patients with lymphoedema from various countries around the world on the functioning of lymphoedema patients and the factors influencing functioning of these patients using the international classification of functioning, disability and health (ICF). Method A worldwide e-mail survey with questions based on components of the ICF. Results In total, 142 health professionals from seven different health professions and 20 different countries answered the questions. The aspects of functioning that were named by the health professionals could be linked to 359 different ICF categories. Of these categories, 109 belonged to body functions (30.4%), 55 to body structures (15.3%), 121 to activities and participation (33.7%) and 74 to environmental factors (20.6%). Overall, the most mentioned items were health services, systems and policies, immunological system functions, looking after one’s health, products and technology for personal use in daily life and dressing. Conclusions The ICF provided a valuable reference for identifying concepts in statements from international health care professionals experienced in the treatment of lymphoedema patients. The results of this research will be used in the development of ICF core sets for lymphoedema.

scholarly journals Smoking as a method of coping for medical workers

2021 ◽  
Vol 64 (3) ◽  
pp. 16-24
Author(s):  
Lilia Grati ◽  
◽  
◽  
Keyword(s):  
Health Care ◽  
Harm Reduction ◽  
Perceived Stress ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Role Models ◽  
Health Workers ◽  
Action Plan ◽  
Entire Group ◽  
Care Providers

Background: This article analyzes the professional stress at healthcare professionals (HCP), related to their job. Health care providers can serve as role models in promoting healthy lifestyles; however, HCP commitment to help individuals to quit smoking may be influenced by their own smoking behavior. Material and methods: In order to determine the level of perceptual stress, the Perceived Stress Questionnaire (PSQ) was applied, PSQ developed by Levenstein et al. In order to determine the level of addiction to smoking, the Fagerstorm nicotine addiction test was applied. The research was attended by 210 subjects from 5 medical institutions: doctors, nurses, and resident doctors. Confidentiality is maintained. Results: The doctors accumulated 32% on the scale of severe dependence, 8% moderate dependence and only 9% mild dependence, after calculating the score and interpreting the data. The resident doctors have accumulated the maximum score on the scale of mild dependence, 7% moderate dependence and only 3% severe dependence, which speaks of the fact that they are the youngest category of medical workers at the beginning of their careers and still do not have good defense mechanisms. The nurses, who represent 9% of the entire group of subjects, accumulated 0% on the scale of severe dependence, 8% moderate dependence and 1% mild dependence. Conclusions: Comparative data on smoking dependence levels in doctors of 32% according to the perceived stress level 71% confirm this. Stressed health workers are more likely to smoke, have different social problems and are males. The results of research have shown that the prevalence of smokers among health care professionals is high (51%), implying the ineffectiveness of the current government anti-tobacco strategy. Introducing new pillar – Harm Reduction in National Antismoking Action Plan, along with prevention, cessation and protection from second-hand smoking, can improve current smoking situation in general. It would be helpful to implement training programs about Tobacco Harm Reduction for healthcare workers to improve their ability in smoking cessation counselling techniques to provide active support to their patients.

scholarly journals Mobile Health Adoption in Mental Health: User Experience of a Mobile Health App for Patients With an Eating Disorder (Preprint)

2018 ◽  
Author(s):  
Dimitra Anastasiadou ◽  
Frans Folkvord ◽  
Eduardo Serrano-Troncoso ◽  
Francisco Lupiañez-Villanueva
Keyword(s):  
Health Care ◽  
Eating Disorder ◽  
Focus Group ◽  
Health Care Providers ◽  
Mobile Health ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Daily Practice ◽  
Care Providers ◽  
The Web

BACKGROUND Despite the worldwide growth in mobile health (mHealth) tools and the possible benefits for both patients and health care providers, the overall adoption levels of mHealth tools by health professionals remain relatively low. OBJECTIVE This study aimed (1) to investigate attitudes of health care providers and mHealth experts toward mHealth tools in the health context in general, and this study aimed (2) to test the acceptability and feasibility of a specific mHealth tool for patients with an eating disorder (ED), called TCApp, among patients and ED specialists. METHODS To this purpose, we conducted an explorative qualitative study with 4 in-depth group discussions with several groups of stakeholders: our first focus group was conducted with 11 experts on mHealth from the Catalan Association of Health Entities; the second focus group included 10 health care professionals from the Spanish College of Doctors of Barcelona; the third focus group involved 9 patients with an ED who had used the TCApp over a 12-week period, and the fourth and last focus group involved 8 ED specialists who had monitored such ED patients on the Web. RESULTS The focus groups showed that health care providers and mHealth experts reported barriers for mHealth adoption more often than facilitators, indicating that mHealth techniques are difficult to obtain and use. Most barriers were attributed to external factors relating to the human or organizational environment (ie, lack of time because of workload, lack of direct interest on a legislative or political level) rather than being attributed to internal factors relating to individual obstacles. The results of the mHealth intervention study indicate that the TCApp was considered as easy to use and useful, although patients and the ED specialists monitoring them on the Web reported different adoption problems, such as the inability to personalize the app, a lack of motivational and interactive components, or difficulties in adhering to the study protocol. CONCLUSIONS In general, this paper indicates that both health professionals and patients foresee difficulties that need to be addressed before comprehensive adoption and usage of mHealth techniques can be effectively implemented. Such findings are in line with previous studies, suggesting that although they acknowledge their possible benefits and cost-effectiveness, health care providers are quite resistant and conservative about integrating mHealth technologies in their daily practice.

scholarly journals Public Disclosure on Social Media of Identifiable Patient Information by Health Professionals: Content Analysis of Twitter Data

10.2196/19746 ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. e19746 ◽  
Author(s):  
Wasim Ahmed ◽  
Reshma Jagsi ◽  
Thomas G Gutheil ◽  
Matthew S Katz
Keyword(s):  
Health Care ◽  
Social Media ◽  
Content Analysis ◽  
Health Care Providers ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Care Providers ◽  
Patient Privacy ◽  
Data Set ◽  
Intercoder Reliability

Background Respecting patient privacy and confidentiality is critical for doctor-patient relationships and public trust in medical professionals. The frequency of potentially identifiable disclosures online during periods of active engagement is unknown. Objective The objective of this study was to quantify potentially identifiable content shared on social media by physicians and other health care providers using the hashtag #ShareAStoryInOneTweet. Methods We accessed and searched Twitter’s API using Symplur software for tweets that included the hashtag #ShareAStoryInOneTweet. We identified 1206 tweets by doctors, nurses, and other health professionals out of 43,374 tweets shared in May 2018. Tweet content was evaluated in January 2019 to determine the incidence of instances where names or potentially identifiable information about patients were shared; content analysis of tweets in which information about others had been disclosed was performed. The study also evaluated whether participants raised concerns about privacy breaches and estimated the frequency of deleted tweets. The study used dual, blinded coding for a 10% sample to estimate intercoder reliability using Cohen κ statistic for identifying the potential identifiability of tweet content. Results Health care professionals (n=656) disclosing information about others included 486 doctors (74.1%) and 98 nurses (14.9%). Health care professionals sharing stories about patient care disclosed the time frame in 95 tweets (95/754, 12.6%) and included patient names in 15 tweets (15/754, 2.0%). It is estimated that friends or families could likely identify the clinical scenario described in 242 of the 754 tweets (32.1%). Among 348 tweets about potentially living patients, it was estimated that 162 (46.6%) were likely identifiable by patients. Intercoder reliability in rating the potential identifiability demonstrated 86.8% agreement, with a Cohen κ of 0.8 suggesting substantial agreement. We also identified 78 out of 754 tweets (6.5%) that had been deleted on the website but were still viewable in the analytics software data set. Conclusions During periods of active sharing online, nurses, physicians, and other health professionals may sometimes share more information than patients or families might expect. More study is needed to determine whether similar events arise frequently and to understand how to best ensure that patients’ rights are adequately respected.

scholarly journals A Teledermatology Pilot Programme for the Management of Skin Diseases in Primary Health Care Centres: Experiences from a Resource-Limited Country (Mali, West Africa)

2018 ◽  
Vol 3 (3) ◽  
pp. 88 ◽  
Author(s):  
Ousmane Faye ◽  
Cheick Bagayoko ◽  
Adama Dicko ◽  
Lamissa Cissé ◽  
Siritio Berthé ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Skin Diseases ◽  
Health Workers ◽  
Sub Saharan Africa ◽  
Care Providers ◽  
Pilot Programme ◽  
Primary Health ◽  
Wide Range ◽  
Health Centres

In sub-Saharan Africa, in particular in rural areas, patients have limited access to doctors with specialist skills in skin diseases. To address this issue, a teledermatology pilot programme focused on primary health centres was set up in Mali. This study was aimed at investigating the feasibility of this programme and its impact on the management of skin diseases. The programme was based on the store-and-forward model. Health care providers from 10 primary centres were trained to manage common skin diseases, to capture images of skin lesions, and to use an e-platform to post all cases beyond their expertise for dermatologists in order to obtain diagnosis and treatment recommendations. After training, the cases of 180 patients were posted by trained health workers on the platform. Ninety-six per cent of these patients were properly managed via the responses given by dermatologists. The mean time to receive the expert’s response was 32 h (range: 13 min to 20 days). Analysis of all diseases diagnosed via the platform revealed a wide range of skin disorders. Our initiative hugely improved the management of all skin diseases in the targeted health centres. In developing countries, Internet accessibility and connection quality represent the main challenges when conducting teledermatology programmes.

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