scholarly journals Acceptability of Menstrual Products Interventions for Menstrual Hygiene Management Among Women and Girls in Malawi

2020 ◽  
Author(s):  
Christabel Kambala ◽  
Angela Chinangwa ◽  
Effie Chipeta ◽  
Belen Torondel ◽  
Tracy Morse
Keyword(s):  
Service Providers ◽  
Health Workers ◽  
National Level ◽  
National Standards ◽  
Community Leaders ◽  
Adult Women ◽  
Menstrual Hygiene ◽  
Women And Girls ◽  
Menstrual Products

Abstract BackgroundA key challenge for menstruating girls and women in low-resource countries is the inadequate and unreliable supply of menstrual products. Although development partners are implementing menstrual product interventions to address this challenge in Malawi, there is a paucity of information on the distribution of menstrual products and the acceptability of these interventions among users.MethodsWe conducted in-depth interviews with girls (n=20) and women (n=26) and 4 focus group discussions (FGDs) with women (n=35) and 7 FGDs with girls (n=60) to explore the acceptability of menstrual products interventions in 8 districts. Teachers (n=12), community leaders (n=6), community health workers (n=8) and service providers (n=9) were also interviewed to explore implementation issues and their views regarding the effect of menstrual products interventions on girls and women. Data were analyzed using content analysis.ResultsCommon menstrual products being promoted include locally made reusable pads, commercially made disposable pads and menstrual cups. Overall, adult women preferred reusable pads and young girls preferred disposable pads. Reported benefits of using any type of material distributed included enhanced cleanliness and reduced school absenteeism for girls. While community leaders and teachers applauded the use of disposable menstrual products they expressed concern that they are not affordable for an average Malawian and bemoaned the indiscriminate disposal of used disposable pads. Women and girls highlighted their lack of facilities to effectively wash and dry reusable pads. Service providers bemoaned poor coordination and the lack of national standards to regulate the quality of menstrual products distributed at national level. Improved inclusion of males and health workers could enhance the sustainability of programmes. Conclusion While the available menstrual products interventions are acceptable among participants, we note several challenges including affordability, poor disposal methods, lack of attention on sanitation facilities and the lack of standard protocols to regulate the quality of menstrual products. Recommendations to address these issues are reported.

scholarly journals Acceptability of menstrual products interventions for menstrual hygiene management among women and girls in Malawi

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Christabel Kambala ◽  
Angela Chinangwa ◽  
Effie Chipeta ◽  
Belen Torondel ◽  
Tracy Morse
Keyword(s):  
Service Providers ◽  
Health Workers ◽  
National Level ◽  
National Standards ◽  
Community Leaders ◽  
Adult Women ◽  
Menstrual Hygiene ◽  
Women And Girls ◽  
Menstrual Products

Abstract Background A key challenge for menstruating girls and women in low-resource countries is the inadequate and unreliable supply of menstrual products. Although development partners are implementing menstrual product interventions to address this challenge in Malawi, there is a paucity of information on the distribution of menstrual products and the acceptability of these interventions among users. Methods We conducted in-depth interviews with girls (n = 20) and women (n = 26) and 4 focus group discussions (FGDs) with women (n = 35) and 7 FGDs with girls (n = 60) to explore the acceptability of menstrual products interventions in 8 districts. Teachers (n = 12), community leaders (n = 6), community health workers (n = 8) and service providers (n = 9) were also interviewed to explore implementation issues and their views regarding the effect of menstrual products interventions on girls and women. Data were analyzed using content analysis. Results Common menstrual products being promoted include locally made reusable pads, commercially made disposable pads and menstrual cups. Overall, adult women preferred reusable pads and young girls preferred disposable pads. Reported benefits of using any type of material distributed included enhanced cleanliness and reduced school absenteeism for girls. While community leaders and teachers applauded the use of disposable menstrual products they expressed concern that they are not affordable for an average Malawian and bemoaned the indiscriminate disposal of used disposable pads. Women and girls highlighted their lack of facilities to effectively wash and dry reusable pads. Service providers bemoaned poor coordination and the lack of national standards to regulate the quality of menstrual products distributed at national level. Improved inclusion of males and health workers could enhance the sustainability of programmes. Conclusion While the available menstrual products interventions are acceptable among participants, we note several challenges including affordability, poor disposal methods, lack of attention on sanitation facilities and the lack of standard protocols to regulate the quality of menstrual products. Recommendations to address these issues are reported.

Management of menstrual hygiene, practices and perceptions among vulnerable Bharia women in Madhya Pradesh: A pilot survey

2022 ◽  
Vol 8 (4) ◽  
pp. 169-175
Author(s):  
Dinesh Kumar ◽  
Poonam Vaiyam ◽  
Ravikanta Singh Thakur
Keyword(s):  
Adolescent Pregnancy ◽  
Relevant Information ◽  
Madhya Pradesh ◽  
Adult Women ◽  
Pilot Survey ◽  
Menstrual Hygiene ◽  
Pregnancy And Childbirth ◽  
Education Campaign ◽  
Hygiene Practices

India has the highest proportion of adolescents and the highest adolescent pregnancy and childbirth rate in the tribal segment of the population. Very few studies have focused on the use of sanitary pad and quality of health care as menstrual hygiene practices. The data was collected among ‘Bharia’ women who identified as one of the particularly vulnerable tribal groups (PVTGs) in Madhya Pradesh. Towards comparing the use, source, and components of menstrual hygiene practices among adolescents and adult mothers, the sample included adolescent (10-19 years) and adult women 20-49 years of age. The relevant information was collected by trained female investigator with designed questionnaire from the respondents. Findings revealed that only 22.7% women are using sanitary pad during menstruation period in the studied tribe. It was seen the use of this absorbent (sanitary pad) for menstrual hygiene among the adolescents were found significantly higher (37.5%) than that of adult women (14.3%), whereas, the use of old cotton was found significantly higher (78.6%) among adult women. Awareness on menstrual hygiene about 50% adolescents and 64% adult women believed it is a curse of God. About 25% adolescents and 21.4% adult women believed menstruation is a natural process. The tribe has underprivileged menstrual hygiene practices owing to low awareness, illiteracy, and poverty. The special IEC education campaign with suitable strategy can be forced to optimum hygiene practices.

National standard on heavyweight marine booms: development experience and general requirements

2021 ◽  
pp. 203-213
Author(s):  
Григорий Викторович Зябкин ◽  
Сергей Алексеевич Половков ◽  
Александр Эдуардович Гончар ◽  
Владислав Николаевич Слепнев
Keyword(s):  
Oil Spills ◽  
National Level ◽  
National Standards ◽  
National Standard ◽  
Development Experience ◽  
Production Technologies ◽  
First Time ◽  
Reference Document ◽  
Standard Development

Основными средствами локализации нефтяных разливов в акваториях являются боновые заграждения. Несмотря на их повсеместное использование, в течение долгого времени отсутствовал национальный стандарт, регламентирующий требования к данному виду оборудования. Соответствующий стандарт - ГОСТ Р 58190-2018 - был введен в действие 1 апреля 2019 года. Основой для его создания стал нормативный документ ПАО «Транснефть», доработанный с учетом анализа зарубежного опыта нормирования требований к боновым заграждениям, опыта эксплуатации бонов морских тяжелых, состояния рынка данного вида оборудования, используемых материалов и технологий производства. ГОСТ Р 58190-2018 впервые определил боны морские тяжелые как отдельный класс боновых заграждений, установил и закрепил на национальном уровне требования к ним, что надо расценивать как важный шаг в обеспечении качества данного вида оборудования. В настоящей статье авторы, принимавшие участие в разработке стандарта, представляют анализ итогов разработки и рассматривают возникшие в связи с этим проблемные вопросы. Сформулированы рекомендации с целью повышения качества деятельности в области технического регулирования. Сделан вывод о целесообразности рассмотрения вопроса о создании в перспективе национального стандарта, определяющего основные типы боновых заграждений, требования к ним, рекомендации по применению. Опыт разработки ГОСТ Р 58190-2018 может быть распространен на другие виды оборудования и использован при разработке других национальных стандартов. The basic means for the containment of oil spills in water areas are booms. Despite its common usage, for a long period of time there were no national standard regulating the requirements to this kind of equipment. Such standard, GOST R 58190-2018, became effective on April 1, 2019. The basis for its establishment was Transneft PJSC reference document, which was revised with regard to the analysis of foreign experience in standardizing the requirements for booms, experience in operating heavyweight marine booms, the state of the market for such equipment, materials and production technologies used. GOST R 58190-2018 for the first time determined heavyweight marine booms as a separate group of defense booms, established and consolidated the requirements for such equipment effective on the national level. Within the present article the authors, who took part in the standard development, set forth the analysis of the development results and consider problems related to this issue. The authors present recommendations with the purpose of increasing the quality of measures taken in the field of technical regulation. The conclusion is made whether it is practical to consider the question of creating national standard, which defines basic types of defense booms in general, the requirements and application recommendations. The experience of developing GOST R 58190-2018 can also be applied to other types of equipment and used for the development of other national standards.

scholarly journals Improving the quality of childbirth services in Zambia through introduction of the Safe Childbirth Checklist and systems-focused mentorship

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244310
Author(s):  
Sandra Mudhune ◽  
Sydney Chauwa Phiri ◽  
Marta R. Prescott ◽  
Elizabeth A. McCarthy ◽  
Aaron Banda ◽  
...  
Keyword(s):  
Health Workers ◽  
National Level ◽  
Safe Childbirth Checklist ◽  
Positive Statements ◽  
Average Proportion ◽  
Trained Staff ◽  
Evidenced Based ◽  
Context Specific ◽  
Safe Childbirth

Although strong evidence exists about the effectiveness of basic childbirth services in reducing maternal and newborn mortality, these services are not provided in every childbirth, even those at health facilities. The WHO Safe Childbirth Checklist (SCC) was developed as a job aide to remind health workers of evidenced-based practices to be provided at specific points in the childbirth process. The Zambian government requested context-specific evidence on the feasibility and outcomes associated with introducing the checklist and related mentorship. A study was conducted on use of the SCC in four facilities in Nchelenge District of Zambia. Observations of childbirth services were conducted just before and six months after the introduction of the intervention. Observers used a structured tool to record adherence to essential services indicated on the checklist. The primary outcome of interest was the change in the average proportion of essential childbirth practices completed. Feedback questionnaires were administered to health workers before and six months after the intervention. At baseline and endline, 108 and 148 pause points were observed, respectively. There was an increase from 57% to 76% of tasks performed (p = 0.04). Considering only these cases where necessary supplies were available, health workers completed 60% of associated tasks at baseline compared to 84% at endline (p<0.01). Some tasks, such as taking an infant’s temperature and hand washing, were never or rarely performed at baseline. Feedback from the health workers indicated that nearly all health workers agreed or strongly agreed with positive statements about the intervention. The performance of health workers in Zambia in completing essential practices in childbirth was low at baseline but improvements were observed with the introduction of the SCC and mentorship. Our results suggest that such interventions could improve quality of care for facility-based childbirth. However, national-level commitment to ensuring availability of trained staff and supplies is essential for success. Trial registration Clinical Trials.gov (NCT03263182) Registered August 28, 2017 This study adheres to CONSORT guidelines.

Analisis Kualitas Pelayanan Posyandu Camar Kelurahan Poris Plawad Utara Kecamatan Cipondoh Kota Tangerang

2018 ◽  
Vol 1 (2) ◽  
pp. 203
Author(s):  
Toddy Aditya
Keyword(s):  
Public Health ◽  
Public Service ◽  
Health Workers ◽  
Community Leaders ◽  
Public Knowledge ◽  
The Public ◽  
Northern District ◽  
Optimal Health ◽  
The Village

The purpose of this study is to describe how the quality of service in integrated health in Tangerang City, which is one form of power Sourced Public Health Efforts (UKBM) are managed and organized from, by, for and with the community and in this case carried out by cadres posyandu with technical support from health workers with the object of research in North Village Poris Plawad Cipondoh districts Tangerang. The method used to answer the problem in this study is to use qualitative methods, research instrument using direct observation and interview means to the community, health posts and cadres of health workers, who are in the territory of the village gulls Poris Plawad Cipondoh Northern District of Tangerang. The results showed that the service at Posyandu Camar Kelurahan Poris Plawad Utara Cipondoh Sub-district, Tangerang City, still needs to be improved. In order for the public to get more optimal health services, therefore it is necessary also in complete facilities. There needs to be guidance and coordination of Posyandu cadres role, with community leaders, Government employee in Poris Plawad Utara Village Cipondoh sub-district, Tangerang City, in order to improve the quality of health and public knowledge optimally.Keyword: Service, Public Service, Posyandu

scholarly journals Areas of Concern of the Tourism Activities Implementation

2020 ◽  
pp. 95-100
Author(s):  
Valentyna Boiko ◽  
Alina Myroshnychenko ◽  
Anna Kolodiazhna
Keyword(s):  
National Level ◽  
State Regulation ◽  
Tourism Industry ◽  
International Standards ◽  
National Standards ◽  
Industry Development ◽  
Tourism Management ◽  
Tourism Product ◽  
Local Levels

Current condition, problems and prospects for the domestic tourism industry development are studied. The main aspects hindering the tourism industry development in the country are considered and require further solutions. The current normative legal acts regulating issues in the field of tourism are considered and the attention is focused on the lack of correlation between the normative regulation of the branch and the share of revenues from the provision of tourist services in the country's GDP. It is determined that further reorganization and development of tourism in our country is not possible without the active support and direct intervention of the state. The authors proposed the measures, the implementation of which will help harmonize national standards in the field of tourism and resorts with international standards and help improve the quality of the national tourism product. It is proved that the development of the tourism industry directly depends not only on strengthening state regulation of tourism at the national level, but also at the regional level, especially since the tourism management system at the regional and local levels in decentralization in Ukraine is far from perfect. Emphasis is placed on the need to implement EU legislation in the field of tourism and resorts, which contributes to the improvement of tourism legislation and developed recommendations for the implementation of mechanisms for tourism development in the country.

scholarly journals Idikator Kinerja Pendidikan Akupunktur Pada Prodi D-III Akupunktur Jurusan Akupunktur Politeknik Kesehatan Kemenkes Surakarta

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Joko Tri Haryanto ◽  
Purwanto Purwanto ◽  
Jatmiko Rinto Wahyudi
Keyword(s):  
Teaching And Learning ◽  
Health Workers ◽  
Learning Experience ◽  
Academic Culture ◽  
National Standards ◽  
Department Of Health ◽  
Qualified Personnel ◽  
Professional Health ◽  
Competency Based

Abstract: Curriculum, Teaching, and Learning (PBM), Educator and Education Personnel, Academic Culture, Prodi D-III Acupuncture. Professional health workers produced by the Health Education institutions qualified personnel. Quality of learning experience can be good when it managed to change attitudes, behaviors, and skills of students in accordance with the purpose of education. Weakness in improving the quality of education in Indonesia for this is that these programs apart is done partially and not comply with the quality system is easily understood by all program managers in education. Methods This study used a qualitative approach to the type of case studies. Informants are citizens and academics Prodi D-III Acupuncture Acupuncture Department of Health Polytechnic Surakarta which is determined by the proportion of samples. Data were collected through orientation, observation, interviews, and documentation. Interactive data analysis and data validity based on triangulation from various data sources. The results of this study found that aspects of the curriculum have been adapted to the progress of science and technology, and merupakan competency-based curriculum and national standards on Health Manpower Education.

The Activities of Risk Management

2009 ◽  
Vol 76 (3) ◽  
pp. 185-191
Author(s):  
G. Marino ◽  
O.G. Di Primio ◽  
F.C. Cortese ◽  
M. Pedalino ◽  
R. Vella ◽  
...  
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Adverse Events ◽  
Health Workers ◽  
National Level ◽  
Common Denominator ◽  
Urological Procedures ◽  
Successful Approach

Introduction The activities of Risk Management at a department of urology involve specialist health workers, technical and administrative staff as the common denominator is communication, simplification of processes and the quality of health care provision. The Authors present their experience on the management of risk in urology and an attempted classification of adverse events with possible dysfunction in the clinical management in urology department. Materials and Methods Our analysis included those adverse events that occurred from January to December 2008. A total of 18 adverse events were identified from 638 urological procedures divided according to diagnosis, treatment and type of hospitalization. Results The following events were assessed: number of cases with wound infection: 5 (4.7%), diastasis of the surgical wound: 3 (0.47%), catheter obstructions that required therapeutic endoscopic or surgical haemostatic procedures: 5 (0.78%), delayed administration of treatment: 3 (0.47%) and accidental fall out of bed: 2 (0.31%). Conclusions The transition from a reactive to a preventive system remains the key to provide the citizen with the best health care in safety conditions. The involvement of different organizational and managerial levels in an optimal atmosphere in the absence of stress appears to be the most balanced and successful approach, especially putting aside the attitude of assigning error culpability. The transmission of individual experiences at a regional and national level will allow refining the project, which foresees the identification and classification of possible events and especially the ways and preventive procedures to achieve them.

scholarly journals Actively engaging women is helping solve the global water crisis

2018 ◽  
Vol 8 (4) ◽  
pp. 632-639 ◽  
Author(s):  
E. Allen ◽  
I. Maria Morazan ◽  
E. Witt
Keyword(s):  
Community Planning ◽  
Community Leaders ◽  
Water Crisis ◽  
Water And Sanitation ◽  
Holistic View ◽  
Gender Parity ◽  
Participation Of Women ◽  
Women And Girls ◽  
Global Water

Abstract Water For People's programs strive to improve the quality of life for Everyone – every family, clinic, and school – Forever. However, women and girls are disproportionately affected by lack of access to safe water and adequate sanitation. This is due to having to spend time fetching water, looking for a toilet, or caring for sick family members instead of going to school and working. Actively striving for gender parity in community planning and decision-making brings a more holistic view to water and sanitation and encourages more women to become community leaders and water professionals. In Water For People's experience, the active participation of women increases understanding of community water and sanitation issues and enhances solutions to help end the global water crisis.

scholarly journals Pengaruh Motivasi Intrinsik, Motivasi Ekstrinsik dan Komitmen Pelayanan Tenaga Kesehatan Terhadap Kualitas Pelayanan BPJS Kesehatan

2020 ◽  
Vol 19 (1) ◽  
pp. 19-26
Author(s):  
Much. Riyadus Solichin ◽  
Kabul Trifiyanto
Keyword(s):  
Health Services ◽  
Intrinsic Motivation ◽  
Extrinsic Motivation ◽  
Service Providers ◽  
Health Workers ◽  
Medical Personnel ◽  
Public Hospitals ◽  
Quality Of Services ◽  
Private Hospitals

The author of this paper aims to increase the delivery of health workers in private hospitals in serving patients using BPJS health. As for the background of this writing because now BPJS patients' views on health services are not good especially in private hospitals, marked by the issue of electronic media issues about public complaints that there are differences in health services provided by public hospitals compared to BPJS patients where parties public hospitals prioritize public patients more than patients participating in the health BPJS. This research is a quantitative study conducted through surveys and questionnaires. In this study involved 90 respondents in 9 private hospitals which are service providers in collaboration with BPJS in Kebumen Regency. For intrinsic motivation variable of 2,292 is greater than t table 1,198 with a significance value of 0.024 <0.05 so it can be concluded that the hypothesis is accepted. the t value for the extrinsic motivation variable is 0.029 smaller than t table 1.198 with a significance value of 0.977> 0.05 so it can be concluded that the hypothesis is rejected. t value for the commitment variable of 2.470 is greater than t table 1.198 with a significance value of 0.015 <0.05 so it can be concluded that the hypothesis is accepted. The results obtained are intrinsic motivation influencing the quality of labor services in private hospitals. So if the motivation of medical personnel services increases, the quality of services provided will increase. Extrinsic motivation does not affect the quality of labor services in private hospitals. So if the extrinsic motivation of medical personnel services increases / decreases, it cannot stimulate the quality of services provided. Commitment affects the quality of labor services in private hospitals. So if the commitment of medical personnel services increases, the quality of services provided increases. Intrinsic motivation, extrinsic motivation and commitment together affect the quality of labor services in private hospitals. So that the motivation of medical personnel services can stimulate the quality of services provided.

Sign in / Sign up

Export Citation Format

Share Document