Health System Responsiveness and Its Associated Factors Among Outpatients in Primary Health Care Facilities, Asagirt District, NorthShewa Zone, Ethiopia, 2021: Cross Sectional Study Design

2021 ◽  
Author(s):  
Wubshet Debebe Negash ◽  
Chalie Tadie Tsehay ◽  
Lake Yazachew ◽  
Desale Bihonegn Asmamaw ◽  
Dawit Zenamarkos Desta ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Associated Factors ◽  
Health Care Facilities ◽  
Cross Sectional ◽  
Primary Health ◽  
Care Facilities ◽  
System Responsiveness ◽  
Health System Responsiveness ◽  
Primary Health Care Facilities

Abstract Background: Health system responsiveness is defined as the outcome of designing health facility relationships in such a way that they are familiar and respond appropriately to patients’ universally legitimate expectations. Even though different strategies have been implemented to measure responsiveness, only scanty evidence exists in Sub-Saharan Africa. In Ethiopia information about the level of health system responsiveness among outpatients is scant. Assessing responsiveness could help facilities in improving service delivery based on patient expectations. Objective: The study aimed to assess health system responsiveness and associated factors among outpatients in primary health care facilities, Asagirt District, North Shewa Zone, Ethiopia, 2021. Methods: Facility-based cross-sectional quantitative study was implemented between 30th March and April 30/2021. A systematic random sampling technique was employed to select 423 participants, and interviewer-administered data were collected using a structured and pretested questionnaires. Both bivariable and multivariable logistic regressions were employed to identify factors that have an association with health system responsiveness. Adjusted Odds Ratio with their corresponding 95% CI was used to declare factors associated with health system responsiveness. A p-value less than 0.05 was used to declare statistical significance in this study. Results: The overall health system responsiveness was 66.2% (95% CI: 61.4% - 70.7%). Confidentiality and dignity domains were the highest responsiveness score. Health system responsiveness was higher among satisfied outpatients (AOR: 9.9, 95% CI: 5.11-19.46), utilized private clinics (AOR: 8.8, 95% CI: 4.32-18.25), and no transport cost (AOR: 1.7, 95% CI: 1.03-2.92) in the study setting. Conclusion: Overall health system responsiveness was higher as compared to other case-specific study in Ethiopia. The domains of Autonomy, Waiting time, Basic amenities, and Choice were identified as vital areas needing the effort to raise responsiveness of health care service in the District. HSR was higher in private than public healthcare facilities, among satisfied clients and those who didn’t pay for transport on their way to the health facility than their counterparts. Thus, enhancing patient satisfaction, using input from service users, Collaboration, and experience exchange between public and private facilities will be important interventions to improve HSR.

scholarly journals Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh

PLoS ONE ◽  
2017 ◽  
Vol 12 (5) ◽  
pp. e0178121 ◽  
Author(s):  
Sk Masum Billah ◽  
Kuntal Kumar Saha ◽  
Abdullah Nurus Salam Khan ◽  
Ashfaqul Haq Chowdhury ◽  
Sarah P. Garnett ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Health Care Facilities ◽  
Nutrition Services ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

scholarly journals Developmental surveillance in primary health care: absence of child development milestones and associated factors

2020 ◽  
Vol 20 (4) ◽  
pp. 925-934
Author(s):  
Katherine Solís-Cordero ◽  
Claudia Nery Teixeira Palombo ◽  
Luciane Simões Duarte ◽  
Rebeca Ishi Munhoz ◽  
Aurea Tamami Minagawa Toriyama ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Child Development ◽  
Associated Factors ◽  
Health Care Facilities ◽  
Fine Motor ◽  
Developmental Surveillance ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Abstract Objectives: to identify the absence of one or more general child development milestones and by domains, and associated factors. Methods: cross-sectional study with 334 children under three years of age conducted out at Primary Health Care Facilities, São Paulo, Brazil. The dependent variable was the general child development and the fine motor, gross motor, social and psychic domains evaluated using the Developmental Surveillance Instrument of the Brazilian Ministry of Health. Data were obtained by interviewing the mothers and observing children. The chi-square test and logistic regression analyses were used. Results: absence of one or more milestones of general child development was found in 52.1% of children, especially, in the fine motor domain. We found an association between general child development with age (OR = 4.4; CI95%= 2.0-9.9) and the place of stay of the child who does not attend daycare (OR = 3.7; CI95%= 1.3-10.5). Conclusions: the absence of one or more milestones of general child development is high and associated with aspects of the child and the environment. This emphasizes the importance of promoting developmental surveillance in Primary Health Care Facilities among health professionals using the official instrument recommended by the Brazilian Ministry of Health.

scholarly journals Health System Adaptability at Primary Level Care in the Time of COIVD-19: Experiences From Ethiopia

2020 ◽  
Author(s):  
Yared Abebe ◽  
Ismael Ali Beshir ◽  
Zergu Tafese Tsegaye ◽  
Binyam Fekadu Desta ◽  
Mengistu Asnake Kibret ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Health Systems ◽  
Health Care Facilities ◽  
Effective Response ◽  
Primary Health ◽  
Care Facilities ◽  
System Resilience ◽  
Primary Health Care Facilities

Abstract BackgroundCOVID-19 is a global public health emergency, that has had massive implications on the ability of health systems to avail essential services both during and after the emergency. An effective response thus requires an agile health system that can adjust, reorganize, transform or modify in response to shocks and stress, and to recover quickly in the aftermath. This study aims to identify the major attributes that health systems needed to be adaptable in early stages of the COVID-19 pandemic, as observed in selected primary health care facilities in Ethiopia. MethodsThis study employed a retrospective cross-sectional study design based on the ‘ready, willing and able’ framework for health system resilience. The assessment used two independent, concurrently administrated instruments. A total of 163 health centers were visited from April to June 2020. ResultsThe overall mean score for COVID-19 preparedness was 73.1±16.1 standard deviation (SD) and it ranged from 28.9 to 99.9 out of 100. The mean score for the ‘ready’ dimension of preparedness was 75.1±19.1 SD, for the ‘willing’ dimension it was 61.6±24.6 SD and for the ‘able’ dimension the score was 82.8±21.0 SD. Multivariable linear regression analysis showed that levels of functionality of governing, and management systems, integration of emergency responses into the routine system, and prior experience of implementing quality improvement efforts were positively associated with COVID-19 preparedness. ConclusionHealth system resilience is a result of investments made prior to any incidents to ensure that the system is prepared for unpredicted shocks. Early adaptation required to contain the effects of COVID-19 may be considered as a litmus test to understand the capacity of primary health care facilities in Ethiopia to withstand future health system stressors.

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