scholarly journals Hand hygiene practice and determinant factors among Community Health Care Providers in Community Clinic: an observational study in Bangladesh

2021 ◽  
Author(s):  
Md Hafizur Rahman ◽  
Md. Nazmul Hassan ◽  
Md Shafiqul Islam Khan ◽  
Md Hasanuzzaman ◽  
Nurullah Awal
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Community Health ◽  
Health Care Providers ◽  
Community Health Care ◽  
Care Providers ◽  
Structured Interviews ◽  
Continuous Training ◽  
Cross Sectional ◽  
Determinant Factors

Abstract Background Healthcare-associated infections caused by poor hand hygiene (HH) practices can affect both the care seekers and the health care providers (HCPs) while providing primary health care. No study has been conducted on the compliance of HH practices among the primary level HCPs in Bangladesh. Objective The study aimed to assess the compliance rates of HH and its determinant factors among Community Health Care Providers (CHCPs) in Community Clinics (CC). Methods A cross-sectional study was conducted from September 2019 to February 2020 among 150 randomly selected CHCPs with functional HH facilities in Patuakhali district, Bangladesh. Structured interviews and observation tools were used to collect data. Results Good HH compliance among CHCPs was found to be 16.7% (95% CI: 11.3–21.3). Out of all 1218 possible HH opportunities, only 255 (20.9%) resulted in any HH action. Presence of 70% alcohol-based hand sanitizer at the point of care (aOR: 6.4, 95% CI: 1.1–38.3), HH training (aOR: 4.6, 95% CI: 1.1–18.9), displayed visual cues (aOR: 4.4, 95% CI: 1.1–17.7), knowledge about HH (aOR: 3.8, 95% CI: 1.1–13.6, p = 0.04), and number of HH opportunities (aOR: 0.6, 95% CI: 0.4–0.8) were factors associated with HH compliance. Discussion Overall HH compliance among CHCPs was quite low. It was recommended to implement multimodal HH improvement strategies including a continuous training program, supply of alcohol-based hand rub, reminder, provision of five moments of HH in the training modules, and feedback on HH performance.

Mobile E-Health

2007 ◽  
pp. 155-170 ◽  
Author(s):  
Norm Archer
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Providers ◽  
Home Health Care ◽  
Risk Mitigation ◽  
Community Health Care ◽  
Care Providers ◽  
Health Care Environment ◽  
Medical Practitioners ◽  
Critical Issues

Health care is an industry with a diverse set of stakeholders: governments, private health care providers, medical practitioners (physicians, nurses, researchers, etc.), home health care providers and workers, and last but not least, clients/patients and their families. Overlapping and interacting environments include hospitals, clinics, long-term care facilities, primary care providers, homes, and so forth, involving acute, emergency, chronic, primary, and outpatient care. Patient transitions between these environments are often unnecessarily dif?cult due to an inability by providers to access pre-existing patient records. Mobile/wireless solutions can play an important role in supporting health care by providing applications that access health care records and reduce paperwork for clinical physicians, nurses, and other workers, community health care practitioners and their patients, or mobile chronically ill patients such as diabetics. This chapter makes the case for mobile health care and its solutions in the non-acute community health care environment, where critical issues include usability, adoption, interoperability, change management, risk mitigation, security and privacy, and return on investment. A proposed community health care application demonstrates how these issues are addressed.

scholarly journals Exploring the lived experiences of pregnant women and community health care providers during the pandemic of COVID-19 in Bangladesh through a phenomenological analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sadika Akhter ◽  
Feroza Akhter Kumkum ◽  
Farzana Bashar ◽  
Aminur Rahman
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Community Health ◽  
Lived Experience ◽  
Health Care Providers ◽  
Health Workers ◽  
Maternal And Newborn Health ◽  
Community Health Care ◽  
Care Providers ◽  
The Government

Abstract Background Like many countries, the government of Bangladesh also imposed stay-at-home orders to restrict the spread of severe acute respiratory syndrome coronavirus-2 (COVID-19) in March, 2020. Epidemiological studies were undertaken to estimate the early possible unforeseen effects on maternal mortality due to the disruption of services during the lockdown. Little is known about the constraints faced by the pregnant women and community health workers in accessing and providing basic obstetric services during the pandemic in the country. This study was conducted to explore the lived experience of pregnant women and community health care providers from two southern districts of Bangladesh during the pandemic of COVID-19. Methods The study participants were recruited through purposive sampling and non-structured in-depth interviews were conducted. Data was collected over the telephone from April to June, 2020. The data collected was analyzed through a phenomenological approach. Results Our analysis shows that community health care providers are working under tremendous strains of work load, fear of getting infected and physical and mental fatigue in a widely disrupted health system. Despite the fear of getting infected, the health workers are reluctant to wear personal protective suits because of gender norms. Similarly, the lived experience of pregnant women shows that they are feeling helpless; the joyful event of pregnancy has suddenly turned into a constant fear and stress. They are living in a limbo of hope and despair with a belief that only God could save their lives. Conclusion The results of the study present the vulnerability of pregnant women and health workers during the pandemic. It recognizes the challenges and constraints, emphasizing the crucial need for government and non-government organizations to improve maternal and newborn health services to protect the pregnant women and health workers as they face predicted waves of the pandemic in the future.

Mobile E-Health

2010 ◽  
pp. 446-457 ◽  
Author(s):  
Norm Archer
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Providers ◽  
Home Health Care ◽  
Risk Mitigation ◽  
Community Health Care ◽  
Care Providers ◽  
Health Care Environment ◽  
Medical Practitioners ◽  
Critical Issues

Health care is an industry with a diverse set of stakeholders: governments, private health care providers, medical practitioners (physicians, nurses, researchers, etc.), home health care providers and workers, and last but not least, clients/patients and their families. Overlapping and interacting environments include hospitals, clinics, long-term care facilities, primary care providers, homes, and so forth, involving acute, emergency, chronic, primary, and outpatient care. Patient transitions between these environments are often unnecessarily difficult due to an inability by providers to access pre-existing patient records. Mobile/wireless solutions can play an important role in supporting health care by providing applications that access health care records and reduce paperwork for clinical physicians, nurses, and other workers, community health care practitioners and their patients, or mobile chronically ill patients such as diabetics. This chapter makes the case for mobile health care and its solutions in the non-acute community health care environment, where critical issues include usability, adoption, interoperability, change management, risk mitigation, security and privacy, and return on investment. A proposed community health care application demonstrates how these issues are addressed.

scholarly journals Cancer related knowledge, attitude, and practice among community health care providers and health assistants in rural Bangladesh

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nazirum Mubin ◽  
Redwan Bin Abdul Baten ◽  
Sayeeda Jahan ◽  
Fatema Tuz Zohora ◽  
Naim Mahmud Chowdhury ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Providers ◽  
Rural Areas ◽  
Cancer Control ◽  
Community Health Care ◽  
Care Providers ◽  
Rural Bangladesh ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Abstract Background Cancer remains one of the primary causes of death in Bangladesh. The success of cancer control in rural areas depends on the ability of the health care system and workforce to identify and manage cases properly at early stages. Community Health Workers (CHW) can play a vital role in this process. The present study aims to assess cancer related Knowledge, Attitude, and Practice (KAP) among 2 categories of CHWs - Community Health Care Providers (CHCP) and Health Assistants (HA) in rural Bangladesh. Methods A descriptive cross-sectional study was conducted using a self-administered questionnaire from July 2019 to June 2020. Multi-stage sampling technique was used to determine the sample. One Upazilla Health Complex (UHC) from each of the eight administrative divisions of Bangladesh were randomly chosen as study sites, from which 325 CHCPs and HAs were in the final sample. Multivariate logistic regression models were developed to determine the association between KAP scores and demographic variables. Results Our study shows that a modest number of respondents scored above average in the knowledge (54.15%), attitude (58.15%), and practice (65.54%) sections. Majority CHCPs (90.91%) and HAs (96.06%) did not receive govt. training on cancer. Only 20.71% HAs and 25.2% CHCPs knew about the availability of cancer treatment options in Bangladesh. Uncertainty about the availability of relevant treatments or vaccinations at public facilities was also high. Having cancer in the family, income, duration of employment and workplace locations were important predictors of cancer related KAP scores. Conclusion Healthcare workforce’s knowledge gap and unfavorable attitude towards cancer may result in poor delivery of care at the rural level. For many people in rural areas, CHCPs and HAs are the first point of contact with the healthcare system and thus effective cancer control strategies must consider them as key stakeholders. Targeted training programs must be adopted to address the cancer related KAP gaps among CHCPs and HAs.

scholarly journals ROME: a tool to train under graduate medical students as community health care providers

2018 ◽  
Vol 5 (3) ◽  
pp. 1181
Author(s):  
Rajesh Kumar Konduru ◽  
Amit Kumar Mishra ◽  
Manikandan M. ◽  
Joy Bazroy
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Community Health ◽  
Health Care Providers ◽  
Data Entry ◽  
Community Health Care ◽  
Care Providers ◽  
Undergraduate Medical Students ◽  
Effective Community ◽  
Teaching Learning

Background: Re-Orientation of Medical Education (ROME) program is relatively a new teaching and learning method for undergraduate medical students which enables them to achieve the knowledge and skills to provide effective community health care. Objective of this study was to find out which of the various activities that were carried out during the ROME posting helped them to achieve the required knowledge and skills to provide effective Community Health Care.Methods: A descriptive study was conducted among 101 undergraduate MBBS students who participated in the ROME posting under the Department of Community Medicine of a medical college in Puducherry. Predesigned and pretested questionnaire was used to get the feedback regarding the various teaching-learning methods applied during this ROME posting which was carried out for one full month and about various activities that were carried out by the students such as clinical examination, data collection, data entry and analysis, development of IEC materials and their administration, organizing medical camps, maintaining drug inventory, sanitation campaign and report writing under the supervision of Intern, PG and faculty.Results: “Learning through performing individual tasks” was the most popular teaching-learning method. “Conducting survey” and “data entry” were the most sought after activities by the students.Conclusions: ROME posting helps in motivating undergraduate medical students to apply the principles of comprehensive approach towards various medical problems and thereby fulfill the ultimate aim of creating efficient Community Health Care Providers. 

scholarly journals Knowledge of hand hygiene among healthcare providers in a tertiary care hospital, Bengaluru

2018 ◽  
Vol 5 (10) ◽  
pp. 4433
Author(s):  
Karavadi Sri Sai Vidusha ◽  
Margaret Menzil
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Health Care Providers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
World Health ◽  
Care Hospital ◽  
Care Providers ◽  
Cross Sectional

Background: Healthcare providers (HCPs) have been identified as the most common vehicle for transmission of hospital acquired infections (HAIs) from patient to patient and within the healthcare environment. Hand hygiene has been identified as the single most important, simplest and least expensive means of preventing HAIs. This study was conducted to assess the knowledge of hand hygiene among healthcare providers in a tertiary care hospital in Bengaluru.Methods: A cross sectional descriptive study was conducted among all the health care providers who have been working in the hospital for more than one year. Total 122 health care providers were included in the study. A semi-structured, self-administered questionnaire was developed and used to obtain information on respondent’s socio-demographic characteristics, and knowledge of hand hygiene. For collecting data in this study, the World Health Organization (WHO) "Hand Hygiene Knowledge Questionnaire "revised 2009 edition was used. Descriptive statistics was used as necessary.Results: A total of 122 health care providers participated in the study. Among them 78 (63.9%) have received formal training in hand washing. The mean age of the study participants was 29.11±8.6 years. Majority opined that hand rubbing is required before palpation of the abdomen (86.9%) knowledge about hand hygiene was found to be moderate in majority of the study subjects (144 out of 200, 74%).Conclusions: In the present study the knowledge on hand hygiene among health care providers is moderate it highlights the importance of improving the current training programs targeting hand hygiene practices among health care providers.

Mobile E-Health

2011 ◽  
pp. 95-106
Author(s):  
Norm Archer
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Providers ◽  
Home Health Care ◽  
Risk Mitigation ◽  
Community Health Care ◽  
Care Providers ◽  
Health Care Environment ◽  
Medical Practitioners ◽  
Critical Issues

Health care is an industry with a diverse set of stakeholders: governments, private health care providers, medical practitioners (physicians, nurses, researchers, etc.), home health care providers and workers, and last but not least, clients/patients and their families. Overlapping and interacting environments include hospitals, clinics, long-term care facilities, primary care providers, homes, and so forth, involving acute, emergency, chronic, primary, and outpatient care. Patient transitions between these environments are often unnecessarily difficult due to an inability by providers to access pre-existing patient records. Mobile/wireless solutions can play an important role in supporting health care by providing applications that access health care records and reduce paperwork for clinical physicians, nurses, and other workers, community health care practitioners and their patients, or mobile chronically ill patients such as diabetics. This chapter makes the case for mobile health care and its solutions in the non-acute community health care environment, where critical issues include usability, adoption, interoperability, change management, risk mitigation, security and privacy, and return on investment. A proposed community health care application demonstrates how these issues are addressed.

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