Characteristics of HIV-related stigma among health facility staff in Shenzhen, China

2021 ◽  
Vol 19 ◽  
Author(s):  
Wei Wang ◽  
Liling Wang ◽  
Jun Wang ◽  
Naling Zhu ◽  
Yali Luo ◽  
...  
Keyword(s):  
Influence Factors ◽  
Hospital Staff ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Individual Level ◽  
Global Challenge ◽  
Hiv Therapy ◽  
Related Stigma

Background: HIV-related stigma poses a crucial barrier to HIV therapy and prevention worldwide. Stigma taking place in healthcare settings has also been a global challenge for years. Objective: To measure HIV-related stigma among health care facilities in Baoan, Shenzhen to inform decision making regarding stigma-reduction intervention. Methods: We conducted a cross-sectional survey in Baoan Maternal and Child Health Hospital, Shenzhen, China in February 2019. We collected data on HIV-related stigma from 207 hospital staff randomly selected for anonymous survey online by a standardized questionnaire. We analyzed the influence factors on HIV-related stigma taking place in health facilities using the statistical method. Results: The percentages of worry expressed when touching clothing, dressing wound, and drawing blood for PLWH were 60.9%, 84.5% and 82.6%, respectively. 76.3% of respondents reported at least one form of extra precautions taken during service provision to PLWH. Younger hospital employees with less working experience were more likely concerned about occupation risk of HIV infection (P<0.05). Single workers with lower education and none experience of training on HIV-related stigma were prone to discriminatory opinions against PLWH (P<0.05). Conclusion: HIV-related stigma in health facilities remains a significant challenge, and evidence-based interventions at both systematic and individual level are needed for improvements.

scholarly journals 1102Assessing variability among health care facilities in delivering chronic disease management in Kenya

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Welcome Mkhululi Wami ◽  
Gershim Asiki ◽  
Catherine Kyobutungi Kyobutungi ◽  
Peter Otieno
Keyword(s):  
Health Care Facilities ◽  
Chronic Illnesses ◽  
Health Facilities ◽  
Mental Illnesses ◽  
Essential Medicines ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Or Management ◽  
Levels Of Care ◽  
Trained Staff

Abstract Background Non-communicable diseases (NCDs) account for an estimated 71% of global deaths. In Kenya, 31% of mortality is attributed to chronic illnesses and half of these are premature deaths. The study aimed to assess variation in the capacity of health facilities in Kenya in delivering NCDs diagnosis or management: diabetes, cardiovascular disease, chronic respiratory disease, and cervical cancer screening. Methods A cross-sectional survey of 258 facilities was conducted between June–December 2019. Service-specific indicators: basic equipment, diagnostics, trained staff and guidelines, and essential medicines were captured using a structured questionnaire and summarised as domain scores. All results were weighted to account for the national distribution of facilities. Results More than half of the facilities (60%; 95% CI: 51-70%) had all basic functioning equipment, and only 29% (95% CI: 25-33%) had trained staff and guidelines for diagnosis or management of mental illnesses. Despite this, 54% (95% CI: 46-53%) of all facilities had diagnostic capacity to detect these NCDs. Furthermore, 53% (95% CI: 49-56%) of the facilities across all levels of care had medicines for managing hypertension and diabetes. The overall readiness score for NCDs diagnosis or management was 47% (95% CI: 43–51%) and varied significantly across the levels of care. Conclusions A wide variation in basic resource capacity to diagnose or manage NCDs was noted between levels of care. A gap in the capacity of health facilities to manage chronic illnesses exists across all levels of care in Kenya. Key messages To meet the recommended chronic illnesses management targets, there is a need to strengthen the existing capacity of the health system and bridge the gap across levels of care.

Quality of Life in People Living With HIV: An Exploratory Cross-Sectional Survey in Belgium

2021 ◽  
Vol 33 (3) ◽  
pp. 249-264
Author(s):  
Gert Scheerder ◽  
Sandra Van den Eynde ◽  
Patrick Reyntiens ◽  
Ria Koeck ◽  
Jessika Deblonde ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Sexual Life ◽  
People Living With Hiv ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Related Stigma ◽  
Living With Hiv ◽  
The Impact

This cross-sectional survey explored the quality of life in 505 people living with HIV in Belgium. Several domains of quality of life were impaired: 26% had been diagnosed with depression and 43% had weak social support. HIV-related stigma is still widespread, with 49% believing most people with HIV are rejected and 65% having experienced discrimination due to HIV. The impact of HIV was limited on professional life, but 40% experienced a negative impact on life satisfaction and 41% a negative impact on sexual life. For several domains, people with a recent diagnosis of HIV and long-term survivors had significantly worse scores. This survey also uncovered strengths of people living with HIV, such as positive coping and HIV self-image. Expanding the scope of quality of life in people living with HIV may provide a more complete picture of relevant life domains that may be impacted by living with HIV, but this needs further validation.

scholarly journals EFFECT OF EDUCATION ON STIGMA AND DISCRIMINATION TOWARDS MENTAL ILLNESS: A MULTIVARIATE ANALYSIS OF COVARIANCE

2021 ◽  
Vol 21 (2) ◽  
pp. 329-337
Author(s):  
Mariana Tumin ◽  
Md Mizanur Rahman ◽  
Zulkifli Jantan
Keyword(s):  
Mental Illness ◽  
Mentally Ill ◽  
Education Level ◽  
Analysis Of Covariance ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Linear Effect ◽  
Stigma And Discrimination ◽  
Significant Difference ◽  
Related Stigma

People with mental illness often encounter stigma and discrimination. Mental illness-related stigma and discrimination represent the enormous obstacles that stand in the way of delivering mental health care. Little is known about stigma and discrimination toward mental illness in rural Sarawak. Thus, this study aimed to identify the stigma and discrimination towards mental illness among Sarawak’s rural community and the factors affecting them. A cross-sectional survey was carried out on 840 respondent adults aged 21 and above. A validated Community Attitude towards Mental Illness (CAMI) and Discrimination towards Mental Illness questionnaire was used for data collection. A Two-way Multiple Analysis of Covariance (Two-way MANCOVA) test was carried out to determine how much gender and education level influence stigma and discrimination towards mentally ill patients. Analysis showed that there was a statistically significant difference of standardised stigma and discrimination scores with education level (p<.001), but not with gender (p>.05). Age had a positive linear effect on both stigma and discrimination, whereas experience with mentally ill patients negatively affected both stigma and discrimination. Individuals with a lower level of education, older in age, and lesser experience in dealing with the mentally ill would have a higher level of stigma and discrimination towards mental illness. Thus, targeted and practical strategies need to be organised and implemented to combat mental illness-related stigma and discrimination.

scholarly journals The Maternal and Child Health Handbook for Improving the Continuum of Care and Other Maternal and Child Health Indicators in Angola: An Implementation Study Protocol

2021 ◽  
Vol 2 ◽  
Author(s):  
Ai Aoki ◽  
Keiji Mochida ◽  
Michiru Kuramata ◽  
Toru Sadamori ◽  
Helga Reis Freitas ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Intervention Group ◽  
Health Indicators ◽  
Continuum Of Care ◽  
Health Facilities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Implementation Status ◽  
And Child Health

Background: Reducing maternal, neonatal, and infant mortality tops the health targets of sustainable development goals. Many lifesaving interventions are being introduced in antenatal, delivery, and postnatal care. However, many low- and middle-income countries (LMICs) have not reached maternal and child health targets. The Maternal and Child Health Handbook (MCH-HB) is recommended as a home-based record to promote a continuum of care from pregnancy to early childhood, and is gaining increasing attention among LMICs. Several countries have adopted it as national health policy. To effectively utilize the MCH-HB in LMICs, implementation needs to be considered. Angola is an LIMC in Sub-Saharan Africa, where maternal and child health indicators are among the poorest. The Angolan Ministry of Health adopted the MCH-HB program in its national health policy and is currently conducting a cluster randomized controlled trial (MCH-HB RCT) to evaluate its impact on the continuum of care. This study aimed to evaluate implementation status, and barriers and facilitators of MCH-HB program implementation in Angola.Methods: To evaluate implementation status comprehensively, the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework will be used. Four components other than effectiveness will be investigated. A cross-sectional survey will be conducted targeting all health facilities and officers in charge of the MCH-HB at the municipality health office in the intervention group after the MCH-HB RCT. Data from the cross-sectional survey, secondary MCH-HB RCT data, and operational MCH-HB RCT records will be analyzed. Health facilities will be classified into good-implementation and poor-implementation groups using RE-AIM indicators. To identify barriers to and facilitators of MCH-HB implementation, semi-structured interviews/focus group discussions will be conducted among health workers at a sub-sample of health facilities and all municipality health officers in charge of MCH-HB in the intervention group. The Consolidated Framework for Implementation Research will be adopted to develop interview items. Thematic analysis will be performed. By comparing good-implementation and poor-implementation health facilities, factors that differ between groups that contribute to successful implementation can be identified.Discussion: This study's findings are expected to inform MCH-HB implementation policy and guidelines in Angola and in other countries that plan to adopt the MCH-HB program.

scholarly journals Nutritional status of adolescent girls in Bangladesh: findings of a community based survey

2016 ◽  
Vol 6 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Kabir Hossen ◽  
Fazlur Rahman ◽  
Saidur Rahman Mashreky
Keyword(s):  
Nutritional Status ◽  
Adolescent Girls ◽  
Large Population ◽  
Population Data ◽  
Health Care Facilities ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Household Level ◽  
Under Nutrition

Poverty, large population, socio- economic inequalities and inadequate access to proper health care facilities are the key causes of under nutrition in Bangladesh. Adolescents are the most vulnerable group for under nutrition and having great consequence as they will be parent in future. Studies on nutritional status of adolescent girls are fewer in number and have great effect for intervention. The objective of this study was to assess the nutritional status and predisposing factors of under nutrition among the adolescent girls in Bangladesh. A community-based cross-sectional survey was carried out from July to December 2013. Adolescent girls were the study population. Data was collected by face to face interview at household level. According to BMI category (kg/m2) the prevalence of under-weight (BMI<18.5) was found 65.9% and as per Gomez Classification (Weight for age), the prevalence of malnutrition was 48.2% (mild), 23.5% (moderate) and 2.8% (severe) categories and finally, as per Water Low Classification wasting found 16.6% (mild), 3.5%(moderate) and 0.2% severe categories. On the other hand, stunting found 39.6 % (mild), 9.2% (moderate) and 2.3% (severe) categories. Prevalence of under nutrition was found much higher (82.3%) among younger age group (?12 years). Higher prevalence of under-nutrition also found among the functionally illiterate adolescent girls, it was 75.8% and 51.3% among illiterate and literate group respectively. In both of the cases difference was statistically significant (p<0.001). The prevalence of illness found higher among under-weight adolescent girls in last two weeks compare to healthy adolescent girls both in rural and urban settings. This difference also found statistically significant (p<0.001). Under nourishment found higher among younger and low literate girls. Prevalence of other symptoms is also found higher among them.South East Asia Journal of Public Health Vol.6(1) 2016: 3-7

scholarly journals Assessing the readiness of health facilities for diabetes and cardiovascular services in Bangladesh: a cross-sectional survey

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e022817 ◽  
Author(s):  
Tuhin Biswas ◽  
M Moinuddin Haider ◽  
Rajat Das Gupta ◽  
Jasim Uddin
Keyword(s):  
Health Facilities ◽  
Diagnosis And Treatment ◽  
Secondary Outcome ◽  
Cross Sectional Survey ◽  
Readiness Assessment ◽  
Cross Sectional ◽  
Trained Staff ◽  
Facility Survey ◽  
Cardiovascular Services ◽  
Medicine Supply

ObjectiveThe objective of this study was to assess the readiness of health facilities for diabetes and cardiovascular services in Bangladesh.DesignThis study was a cross-sectional survey.SettingThis study used data from a nationwide Bangladesh Health Facility Survey conducted by the Ministry of Health and Social Welfare in 2014.ParticipantsA total of 319 health facilities delivering services focused on diabetes and cardiovascular diseases (CVD) were included in the survey. Some of these facilities were run by the public sector while others were managed by the private sector and non-governmental organisations. It was a mix of primary and secondary care facilities.Primary and secondary outcome measuresThe primary outcome was readiness of health facilities for diabetes and cardiovascular services. We analysed relevant data following the Service Availability and Readiness Assessment manual of the WHO to assess the readiness of selected health facilities towards services for diabetes and CVD.Results58% and 24.1% of the facilities had diagnosis and treatment services for diabetes and CVD, respectively. Shortage of trained staff (18.8% and 14.7%) and lack of adequate medicine supply (23.5% and 43.9%) were identified to be factors responsible for inadequate services for diabetes and CVD. Among the facilities that offer services for diabetes and CVD, only 0.4% and 0.9% had all the four service readiness factors (guideline, trained staff, equipment and medicine).ConclusionsThe study suggests that health facilities suffered from numerous drawbacks, such as shortage of trained staff and required medicine. Most importantly, they lack effective guidelines on the diagnosis and treatment for diabetes and CVD. It is, therefore, essential now to ensure that there are trained staff, adequate medicine supply, and appropriate guidelines on the diagnosis and treatment for diabetes and CVD in Bangladesh.

DETERMINANTS OF INDUCED ABORTION: AN ANALYSIS OF INDIVIDUAL, HOUSEHOLD AND CONTEXTUAL FACTORS IN RAJASTHAN, INDIA

2010 ◽  
Vol 43 (1) ◽  
pp. 1-17 ◽  
Author(s):  
BATYA ELUL
Keyword(s):  
Rural Women ◽  
Health Behaviours ◽  
Induced Abortion ◽  
Reproductive Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Individual Level ◽  
Attitudes And Practices ◽  
Individual Household ◽  
Socio Demographic Factors

SummaryIn the developing world, little is known about the risk and precipitating factors for abortion, due to a dearth of community-based surveys. Most analyses of determinants of induced abortion consider only a small set of household and individual socio-demographic factors and treat abortion as an isolated outcome, which ignores its relationship with prior reproductive health behaviours and experiences. In this paper, data from a cross-sectional survey of abortion knowledge, attitudes and practices among 2571 currently married women of reproductive age in Rajasthan, India, were used to examine contextual-, household- and individual-level determinants of abortion. Bivariate probit models, which jointly determine the probability of pregnancy and the conditional probability of abortion, were used to reflect the probability of abortion as a result of interrelated and sequential events. Increased socioeconomic status and life-cycle factors were associated with both the probability of pregnancy and with the conditional likelihood of abortion. Women who reported personal networks were also more likely to terminate pregnancies, particularly if their network members purportedly had abortion experience. Community knowledge of sex-selective abortion also exerted a significant positive effect on the propensity to terminate a pregnancy. For rural women only, community beliefs regarding spousal consent requirements pre-abortion were also significantly associated with abortion.

scholarly journals Genotypic glucose-6-phosphate dehydrogenase (G6PD) deficiency protects against Plasmodium falciparum infection in individuals living in Ghana

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257562
Author(s):  
Linda Eva Amoah ◽  
Kwame Kumi Asare ◽  
Donu Dickson ◽  
Joana Abankwa ◽  
Abena Busayo ◽  
...  
Keyword(s):  
G6pd Deficiency ◽  
Malaria Prevalence ◽  
Health Care Facilities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Length Polymorphisms ◽  
G6pd Gene ◽  
High Prevalence ◽  
Care Facilities ◽  
Glucose 6 Phosphate Dehydrogenase

Introduction The global effort to eradicate malaria requires a drastic measure to terminate relapse from hypnozoites as well as transmission via gametocytes in malaria-endemic areas. Primaquine has been recommended for the treatment of P. falciparum gametocytes and P. vivax hypnozoites, however, its implementation is challenged by the high prevalence of G6PD deficient (G6PDd) genotypes in malaria endemic countries. The objective of this study was to profile G6PDd genotypic variants and correlate them with malaria prevalence in Ghana. Methods A cross-sectional survey of G6PDd genotypic variants was conducted amongst suspected malaria patients attending health care facilities across the entire country. Malaria was diagnosed using microscopy whilst G6PD deficiency was determined using restriction fragment length polymorphisms at position 376 and 202 of the G6PD gene. The results were analysed using GraphPad prism. Results A total of 6108 subjects were enrolled in the study with females representing 65.59% of the population. The overall prevalence of malaria was 36.31%, with malaria prevalence among G6PDd genotypic variants were 0.07% for A-A- homozygous deficient females, 1.31% and 3.03% for AA- and BA- heterozygous deficient females respectively and 2.03% for A- hemizygous deficient males. The odd ratio (OR) for detecting P. falciparum malaria infection in the A-A- genotypic variant was 0.0784 (95% CI: 0.0265–0.2319, p<0.0001). Also, P. malariae and P. ovale parasites frequently were observed in G6PD B variants relative to G6PD A- variants. Conclusion G6PDd genotypic variants, A-A-, AA- and A- protect against P. falciparum, P. ovale and P. malariae infection in Ghana.

scholarly journals Leader Empowering Behaviors and Psychological Empowerment as Perceived by Young Hospital Staff Nurses: A Pilot Study

Jurnal NERS ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 47
Author(s):  
Ryan Michael Flores Oducado
Keyword(s):  
Work Experience ◽  
Psychological Empowerment ◽  
Survey Design ◽  
Rank Correlation ◽  
Hospital Staff ◽  
Positive Influence ◽  
The Philippines ◽  
Staff Nurses ◽  
Cross Sectional Survey ◽  
Cross Sectional

Introduction: Empowerment has become an important concept in nursing that has gained acknowledgment in theories and practice of leadership and management. A positive organization espouses empowerment to attract and retain employees. While it is not new to nursing, there is little published research on empowerment among nurses in the Philippines. This study aimed to measure young staff nurses’ perception of leader empowering behaviors and psychological empowerment.Methods: This study used a cross-sectional survey design participated by 44 conveniently chosen staff nurses in a private teaching and training hospital in Iloilo City, Philippines. The participants were asked to answer 5-point Likert scale questions utilizing adopted instruments. Descriptive and non-parametric statistical stools were used with Mann-Whitney U test to determine differences and Spearman’s rank correlation to establish relationship between variables.Results: Overall, young staff nurses perceived their leaders’ behaviors to be highly empowering (M=3.89). Staff nurses also had a high level of psychological empowerment (M=4.07). Leader empowering behaviors was significantly related to staff nurses’ perception of psychological empowerment (p=.001). Staff nurses’ level of psychological empowerment were significantly different in terms of employment status (p=.020) and years of work experience (p=.014).Conclusion: This study highlights the positive influence of the empowering behaviors of leaders in enhancing staff nurses’ level of psychological empowerment. It is vital for nurse managers to continually demonstrate leadership behaviors that empower staff nurses at the unit level.

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