scholarly journals KNOWLEDGE OF GOVERNMENT AND PRIVATE PRIMARY HEALTH CARE WORKERS ON NEWBORN CARE COMPONENTS: A QUESTIONNAIRE-BASED CROSS-SECTIONAL COMPARATIVE STUDY

Author(s):  
Pandiamunian Jayabal ◽  
Ishwarya Thaniarasu

ABSTRACTObjective: This study was done to evaluate the knowledge of primary health-care workers about the newborn care components.Methods: The Institutional Ethics Committee approval was obtained, and a cross-sectional study was carried out among the primary health-careworkers of Karaikal using a pretested questionnaire from January 2015 to March 2015. The questionnaire contained questions on various domains ofnewborn care components. The study participants were explained about the study. Verbal informed consent was obtained, and the questionnaire wasintroduced to 383 health-care workers. The answered questionnaires were collected and analyzed.Results: A total of 349 participants (192-government employees; 157-private employees) were willing to take part in the study. Most (54.7%) of thegovernment participants were nurses and auxiliary nurse midwives (43.2%) whereas the private sector participants were predominantly (79%)nurses. The knowledge level about some of the newborn care components, namely, positioning and attachment, advice on discharge, time of follow-upcheckup, bad child rearing practices, and danger signs of newborn were assessed to be predominantly inadequate among a majority of health workersof both sectors. 22.29% and 41.1% of the private health-care workers and government health-care workers respectively, were having an overalladequate knowledge (overall score >75%) on newborn care components. Knowledge of the government health workers was significantly better thanprivate health-care staff (P < 0.001).Conclusion: Knowledge is found to be inadequate among health-care workers on some newborn care components which necessitate measures toimprove.Keywords: Newborn care, Nurses, Midwives, Inadequate knowledge, Training programs. 

2022 ◽  
Vol 75 (1) ◽  
Author(s):  
Luciano Garcia Lourenção ◽  
Jacqueline Flores de Oliveira ◽  
Francisco Rosemiro Guimarães Ximenes Neto ◽  
Carlos Leonardo Figueiredo Cunha ◽  
Sandra Verónica Valenzuela-Suazo ◽  
...  

ABSTRACT Objective: Assess levels of career commitment and career entrenchment among Primary Health Care workers. Methods: This Cross-sectional study addressed 393 workers using the Brazilian versions of the Career Commitment Measure (CCM) and Career Entrenchment Measure (CEM). Results: Levels of Career commitment [75.5-77.5] were higher (p<0.001) than Career Entrenchment [66.7-69.2]. Identity levels [82.7-85.5] were higher (p<0.001) than Investment levels [60.4-65.0]. Career resilience levels [75.1-79.2] were higher (p<0.001) than Emotional costs [69.0-72.1]. Planning levels [64.2-67.1] were lower (p<0.001) than levels of limitedness of career alternatives [68.1-71.0]. Conclusion: The highest scores were obtained in Career commitment, showing the workers’ identification and positive relationship with their careers, that is, these workers remain in Primary Health Care services because they identify themselves with their professions.


Author(s):  
Emem A. Bassey ◽  
Udeme E. Ekrikpo ◽  
Anyiekere M. Ekanem

Background: Safe and appropriate feeding is a key intervention that can prevent mother to child transmission of HIV. This study aimed at determining the level of knowledge, attitude and current practice of primary health care (PHC) workers in Uyo of the recommended infant feeding guidelines for infants of HIV-infected mothers. Methodology: This was an analytical cross-sectional study carried out among 130 primary health care workers in 15 PHCs in Uyo metropolis, Akwa Ibom State, Nigeria. Data was collected using self-administered questionnaires in English and analyzed using the Statistical Package for Social Sciences (SPSS) version 25.0. Results: Nineteen (14.6%) and 111 (85.4%) respondents had a fair and poor level of knowledge of MTCT of HIV and infant feeding options respectively. One hundred and six (81.5%) and 100 (76.9%) respondents had received training on PMTCT of HIV and infant feeding counselling for HIV-infected mothers respectively. The majority of respondents exhibited positive attitude regarding infant feeding options for HIV exposed babies. One hundred and twenty (92.3%) considered it correct for an HIV-infected woman to breastfeed her baby and 125 (96.2%) considered breast milk alone adequate food for babies in the first 6 months of life. Predictor of negative attitude was lack of training on infant feeding counseling (OR 15, P=0.02, 95%CI 1.64-138.07). Most 107 (82.3%) cited exclusive breastfeeding with introduction of complementary feeds at 6 months as the most common method accepted by their clients. Conclusion: Gaps in the knowledge of PHC workers in Uyo on MTCT and Infant feeding options and practice were identified which can be addressed by qualitative training, effective monitoring and supportive supervision.


2020 ◽  
Author(s):  
Olaniyan Akintunde Babatunde ◽  
Muideen Babatunde Olatunji ◽  
Roseline Oluyemisi Akande ◽  
Joseph Muyiwa Olumoyegun

Abstract Background: The outbreak of COVID-19 has continued to threaten the existence of human race. The novelty and unstable epidemiologic pattern of the virus had generated so much concern among the global health experts. These concerns were found to be escalated among frontline health care workers to the extent of impeding the timeliness of the response activities. To slow down the spread of the already established community transmission through the surveillance activities, the concern of the health workers at the community level needs to be addressed. Therefore, this study assessed the concern about COVID-19 pandemic among the primary health workers in Oyo State, Nigeria.MethodsThis was an online cross-sectional survey conducted among primary health care workers in Oyo State between March and April 2020. Using a two-stage sampling technique, we recruited 284 respondents. A semi-structured questionnaire linked to the Google form was used to collect data. Data were analyzed using IBM SPSS version 25; bivariate analysis was done using Chi-square and binary logistic regression was used to identify the predictors of health workers’ concern at 5% level of significance.ResultsThe mean age of respondents was 45.0 + 9.0 years. About 52.5% had goodk knowledge of COVID-19. In the domains of concern, 66.9%, 53.2%, 51.4%, and 46.5% of the respondents expressed government-related concern, self-satisfaction related concern, work-related concern and social status related concern respectively. Male respondents were less likely to express concern about COVID-19 compared with their female counterparts (aOR= 0.39, 95% CI = 0.20 – 0.76). Nurses/midwives (aOR= 0.21, 95% CI = 0.05 – 0.85) had lesser likelihood of expressing concern about COVID-19 while middle staff (aOR= 2.5, 95% CI = 1.18 – 5.39) and income earner of ≥ N200, 000 (aOR= 2.3, 95% CI = 1.34 – 3.92) had higher likelihood of expressing concern about COVID-19.ConclusionThe study revealed an average knowledge of COVID-19 among the respondents. Government-related and self-satisfaction related concerns were majorly expressed by the majority of the PHC workers. Therefore, holistic policy that addresses the welfare and training of the HCWs is recommended.


Author(s):  
Zarei ◽  
Ahmadi ◽  
Sial ◽  
Hwang ◽  
Thu ◽  
...  

: Burnout, which is an emerging challenge in health systems, is very common among primary health care (PHC) workers. The aim of this study was to investigate the level of burnout among PHC workers, and its predictive factors, in a region in the west of Iran.In this cross-sectional study, all the health network staff (n = 539) were enrolled. The data collection instrument was the Maslach Burnout Inventory (MBI), which consists of 22 items and the three subscales of emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA). High scores in EE and DP and low scores in PA are indicative of high burnout. Logistic regression was used to determine the predictors of high burnout. The data were analyzed using SPSS version 16. The findings showed that 90.5% of the staff had high DP, 55.3% had high EE, and 98.9% had low PA scores. Also, 52.9% (277 people) of the staff suffered from high burnout. Single people (OR = 3.33), less experienced employees (OR = 9.09), people aged over 35 years (OR = 2.35), physicians (OR = 1.72), and staff with permanent employment (OR = 5.0) were more likely to suffer high levels of burnout. We conclude that burnout is a common problem in PHC workers. Less experienced, younger, single employees and physicians were more at risk of suffering from high burnout. Preventive measures, such as strengthening social skills, communication competencies, and coping strategies, and reduction of risk factors such as job stress, are suggested for reducing employees’ risk of burnout.


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