scholarly journals Kajian Entomologi dalam Mendukung Pengendalian Malaria melalui Program Flying Health Care (FHC) di Kabupaten Yahukimo, Provinsi Papua

2021 ◽  
pp. 191-204
Author(s):  
Tri Ramadhani ◽  
Amirullah Amirullah ◽  
Rahmat Rahmat
Keyword(s):  
Health Care ◽  
Vector Control ◽  
Secondary Data ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Mosquito Net ◽  
Mosquito Nets ◽  
Malaria Mosquitoes ◽  
Breeding Place

Flying Health Care is one of the programs of the Ministry of Health to accelerate the elimination of malaria in an integrated manner, especially in the Yahukimo Regency. The purpose of this activity is to describe the role of entomological aspects in malaria control efforts. The data includes cases of malaria, mosquitoes and Anopheles larvae, breeding place, and vector control efforts. Data was collected by observation, survey, and secondary data analysis. The results of the study show that malaria cases rank first out of 10 diseases in health facilities. Malaria cases were more common occurred at the age of 10-19 years, male and near to health facilities. Breeding places in the form of swamps and puddles in the environment around patients with water depths ranging from 5-30 cm. There is no entomological data at the district level or at Puskesmas Aplim. Ongoing vector control efforts are in the form of distributing insecticide-treated mosquito nets. Insecticide mosquito nets have not been fully distributed to the community, this is constrained by the existing infrastructure in health care facilities. Vector control efforts should be supported by the results of entomological surveys and it is important to do socialization on how to use and maintain mosquito nets at the time of mosquito net distribution.

Patient satisfaction with the quality of care in Ghana’s health-care institutions

2019 ◽  
Vol 13 (2) ◽  
pp. 160-170 ◽  
Author(s):  
Aaron Asibi Abuosi ◽  
Mahama Braimah
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Service Delivery ◽  
National Survey ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Content Type ◽  
Care Facilities

Purpose The purpose of this study was to examine patient satisfaction with the quality of care in Ghana’s health-care facilities using a disaggregated approach. Design/methodology/approach The study was a cross-sectional national survey. A sample of 4,079 males and females in the age group of 15-49 years were interviewed. Descriptive statistics, principal component analysis and t-tests were used in statistical analysis. Findings About 70 per cent of patients were satisfied with the quality of care provided in health-care facilities in Ghana, whereas about 30 per cent of patients were fairly satisfied. Females and insured patients were more likely to be satisfied with the quality of care, compared with males and uninsured patients. Research limitations/implications Because data were obtained from a national survey, the questionnaire did not include the type of facility patients attended to find out whether satisfaction with the quality of care varied by the type of health facility. Future studies may, therefore, include this. Practical implications The study contributes to the literature on patient satisfaction with the quality of care. It highlights that long waiting time remains an intractable problem at various service delivery units of health facilities and constitutes a major source of patient dissatisfaction with the quality of care. Innovative measures must, therefore, be adopted to address the problem. Originality/value There is a paucity of research that uses a disaggregated approach to examine patient satisfaction with the quality of care at various service delivery units of health facilities. This study is a modest contribution to this research gap.

Selecting an Abortion Clinic: The Role of Social Myths and Risk Perception in Seeking Abortion Care

2021 ◽  
pp. 002214652110444
Author(s):  
Orlaith Heymann ◽  
Tamika Odum ◽  
Alison H. Norris ◽  
Danielle Bessett
Keyword(s):  
Health Care ◽  
Risk Perception ◽  
Health Care Facilities ◽  
Previous Experience ◽  
Care Seeking ◽  
Abortion Care ◽  
Care Facilities ◽  
Abortion Clinic

Recent shifts in the abortion provision landscape have generated increased concern about how people find abortion care as regulations make abortion less accessible and clinics close. Few studies examine the reasons that people select particular facilities in such constrained contexts. Drawing from interviews with 41 Ohio residents, we find that people’s clinic selections are influenced by the risks they associate with abortion care. Participants’ strategies for selecting an abortion clinic included: drawing on previous experience with clinics, consulting others online, discerning reputation through name recognition and clinic type, and considering location, especially perceptions about place (privacy, legality, safety). We argue that social myths inform the risks people anticipate when seeking health care facilities, shaping care seeking in ways that are both abortion-specific and more general. These findings can also inform research in other health care contexts where patients increasingly find their options constrained by rising costs, consolidation, and facility closure.

Building Local Capacity in Hand-Rub Solution Production during the 2014-2016 Ebola Outbreak Disaster: The Case of Liberia and Guinea

2018 ◽  
Vol 33 (6) ◽  
pp. 660-667 ◽  
Author(s):  
Frederique A Jacquerioz Bausch ◽  
Olivia Heller ◽  
Loséni Bengaly ◽  
Béatrice Matthey-Khouity ◽  
Pascal Bonnabry ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Facilities ◽  
Health Facilities ◽  
World Health ◽  
Infection Prevention And Control ◽  
Political Commitment ◽  
Publication Type ◽  
Implementation Phase ◽  
Local Capacity ◽  
Chemical Products

AbstractBackgroundDuring the 2014-2015 Ebola outbreak in West Africa, the lack of infection prevention and control (IPC) measures in health care facilities amplified human-to-human transmission and contributed to the magnitude of this humanitarian disaster.Case ReportIn the summer of 2014, the Geneva University Hospitals (HUG; Geneva, Switzerland) conducted an IPC assessment and developed a project based on the local needs and their expertise with the support of the Swiss Agency for Development and Cooperation and the Humanitarian Aid Unit (SDC/HA; Bern, Switzerland). The project consisted of building local capacity in the production of alcohol-based hand-rub solution (ABHRS) based on the World Health Organization (WHO; Geneva, Switzerland) formula in non-Ebola health facilities at the peak of the outbreak in Liberia (Fall 2014) and during recovery in Guinea (September 2015) to promote safer care. Twenty-one pharmacists in Liberia and 22 in Guinea were trained and one years’ worth of laboratory equipment, chemical products, containers for personal use, and bioethanol were delivered to 10 hospitals per country with more than 8,000 100 ml bottles of solution produced at the end of the project.DiscussionHand hygiene using hand-rub solution is a critical component of safer care, especially in health care settings lacking runnable water. Throughout the Ebola outbreak, it was a timely moment to promote hand-rub solution and to reinforce IPC measures in non-Ebola health facilities. During the project implementation, a substantial challenge was the unavailability of bioethanol in Liberia and Guinea. In the long run, sustainability of the production can become an issue as it depends heavily on the local government’s financial and political commitment, the capacity to create an on-going demand for hand-rub solution in health facilities, the local purchase and replacement of the materials and chemical products, as well as the availability of continuous local partners’ support.Conclusion:The project demonstrated that it was feasible to build local capacity in ABHRS production during an emergency and in limited-resource settings when materials and training are provided. Future programs in similar contexts should identify and address the factors of sustainability during the implementation phase and provide regular, long-term technical support.Jacquerioz BauschFA, HellerO, BengalyL, Matthey-KhouityB, BonnabryP, TouréY, KervillainGJ, BahEI, ChappuisF, HagonO. Building local capacity in hand-rub solution production during the 2014-2016 Ebola outbreak disaster: the case of Liberia and Guinea.. Prehosp Disaster Med. 2018;33(6):660–667.

The psychiatrist as a manager

2012 ◽  
pp. 39-46
Author(s):  
Juan J. López-Ibor Jr. ◽  
Costas Stefanis
Keyword(s):  
Health Care ◽  
Professional Education ◽  
Core Curriculum ◽  
Deep Understanding ◽  
Health Care Facilities ◽  
Leadership Qualities ◽  
Clinical Background ◽  
Academic Units ◽  
Managerial Knowledge

It is clear that the modern role of both the physicians, in general, and psychiatrists, in particular, requires intensive decision-making which is helped by management principles. Psychiatrists, in addition to their clinical qualifications and skills are asked to occupy positions and undertake responsibilities as clinical executives, directors of health care facilities, administrators of Academic units and even Mental Health Commissioners, all of them requiring managerial knowledge and leadership qualities. Increased pressure by patients for improved quality of services and access to new and innovative treatments needs to be balanced against the expectation of the health care system of the physician to act ‘economically’, following cost containment guidelines and staying within expenditure ceilings. Such decisions require specialized knowledge and a deep understanding of the principles and the functions of management and health economics. Such knowledge is only gained through specialized training by introducing management teaching, either at the undergraduate level or preferably at the residency level, as part of the core curriculum or as an elective which may include items such as administration principles, quality assurance, budgeting, resource allocation, accreditation procedures and what is close to the psychiatrist's clinical background the personnel management. This may be extended to ongoing professional education programmes for psychiatrists who are already active in the field.

scholarly journals Promotion Of Primary Health Care In Pakistan: A Case Study Of The Role Of Non-Governmental Organizations In Promoting Primary Health Care In Karachi

2014 ◽  
Vol 8 (1) ◽  
pp. 51-74
Author(s):  
Fateh Muhmmad Burfat ◽  
Muhammad Yaqub ◽  
Naima Saeed ◽  
Misbah B. Qureshi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Facilities ◽  
Governmental Organizations ◽  
Primary Health ◽  
Non Governmental Organizations ◽  
Care Facilities ◽  
The Masses

The present study “Promotion of Primary Health Care in Pakistan: A Case Study of the Role of Non-Governmental Organizations (NGOs) in Promoting Primary Health Care in Karachi” is aimed at determining the role of NGOs in the promotion of primary health Care sector in Pakistan with special reference to Karachi. The primary objective of this research is to evaluate the role and performance of relevant NGOs working in Karachi in the health sector. It is a quantitative research. A questionnaire based to obtain the opinions of respondents. The health care is the basic responsibility of the state. However, the NGOs play their role in promoting the health care facilities. It was noted that the primary health care system is still not working properly. NGO sector was given a wide room and finances but unfortunately they did not make the required contribution. Their lack of technical knowledge and accountability was a factor in their failure. The prevailing attitude towards health care among the masses has not changed despite the efforts of the NGO sector. Therefore the basic health conditions of the masses at the grass roots level continue to be poor. The stake holders in the health care sector should rethink about their strategies to improve health care facilities in Karachi.

scholarly journals Modelo comboio para suporte familiar pelo enfermeiro na atenção básica: estudo descritivo

2016 ◽  
Vol 15 (1) ◽  
pp. 52
Author(s):  
Lucilane Maria Sales da Silva ◽  
Marcelo Costa Fernandes ◽  
Sarah De Sá Leite ◽  
Mariana Correia Cadete Nogueira ◽  
Weverson De Abreu Lima ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Medical Model ◽  
Descriptive Study ◽  
Health Problems ◽  
Health Facilities ◽  
Secondary Source ◽  
The Family ◽  
Convoy Model

Aim:  investigate  the  exchange  of  related  support  health  care between the family, inserted in the center of the convoy model, and nurses of primary care.   Method:   descriptive   study,   conducted   with   30   users   of   Primary   Care   of Maracanaú/CE in July 2014. Appealed to the Collective Subject Discourse to organize the data  and  the  convoy  model  for  visualization  of  the  support  exercised  by  the  nurse. Results:  the  nurse  is  a  secondary  source  of  support  to  families;  their actions  are restricted to health facilities, demonstrating the mistaken role of their duties, and have focused on the orientation activities. Discussion: There are nurse's detachment regarding the  assisted  families,  as  well  as  influences  of  the  hegemonic  medical  model,  which distances  the  nurse  from  the  carrying  out  of  their  real  duties.  Conclusion:  nurses  are undervalued and pointed as a secondary reference in relation to families solving health problems.

scholarly journals Evaluation of Health Facilities Capacity for the Management of Severe Preeclampsia and Eclampsia in Bayelsa State, Nigeria

2021 ◽  
pp. 78-86
Author(s):  
O. M. Alabintei ◽  
P. W. Alabrah ◽  
I. J. Abasi
Keyword(s):  
Health Care ◽  
Low Income ◽  
Care Delivery ◽  
Data Entry ◽  
Sampling Technique ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Low Income Countries ◽  
Multi Stage ◽  
Interview Guide

Background: The lack of properly-stocked facilities with basic and essential equipment and supplies as well as clinical guidelines required to successfully manage Pre-eclampsia/eclampsia (PE/E) has been reported in developing, low-income countries. It is necessary to ensure properly stocked health facilities for effective health care delivery. This study set out to assess the capacity of the health facilities in Bayelsa, Nigeria for the management of cases of eclampsia. Methods: A descriptive design was used in the conduct of this research in which 155 workers were recruited. A multi-stage sampling technique was employed to select health facilities for the study. The study instruments included a self-administered structured questionnaire, an interview guide, and an inventory checklist. Data entry, cleaning and analysis were done using the Statistical Package for Social Sciences (SPSS) version 22. Descriptive and inferential statistics were generated using the data. Results: It was found in this study that though MgSO4 was present in one (8.33%) primary and two (66.6%) secondary health facilities visited, no guide on how to administer and monitor the patients was available. The majority of the workforce in the primary health facility were the CHEW/CHO (48%), followed by midwives (16.9%) and then nurses (12.3%).Doctors constituted 7.7% while  pharmacists and pharmacist technicians constituted 6.2% and 9.2% respectively. Conclusion: In conclusion, this study revealed that facilities assessed lacked most of the basic and essential equipment, supplies and drugs, required for the successful management of PE/E. For effective management of cases of eclampsia, it is very essential that there should be a continuous supply of necessary tools, drugs and functioning equipment needed for the management of PE/E in all health care facilities.

scholarly journals MATERNITY CARE SERVICES

2016 ◽  
Vol 23 (06) ◽  
pp. 721-726
Author(s):  
Sadaf Faiz ◽  
Zahira Batool ◽  
Sana Ejaz ◽  
Abid Rashid
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Rural Women ◽  
Rural Areas ◽  
Maternity Care ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Family Type ◽  
Bivariate Analysis ◽  
Care Services

Introduction: Maternal health care refers to high quality health care providedto a pregnant woman during pregnancy, delivery and postnatal period. The maternal mortalityratio is quite high in the rural areas of Pakistan. Rural society is highly associated with itstraditions and cultural values. There are some cultural and social barriers for women. Theyare being considered negligible part of the population and are facing a number of hardshipsin availing health facilities. Objective: The aim of the study was to find out the socioeconomic,cultural and demographic factors affecting the access of rural women to maternity care services.Study Design: A cross-sectional study was conducted in the rural areas of District Faisalabad.Quantitative research method was used to get meaningful, detailed information. Material andMethods: A sample of 205 pregnant women aged 18-38 was taken, purposively to explore theresearch objectives through pre-designed interviewing schedule with open and closed endedquestions. Results: Univariate and bivariate analysis reveal the factors associated with theutilization of maternity care services such as education of the respondents and their husbands,family type, household income, age at marriage, attitudes towards health care facilities werefound to be associated with the utilization of maternity care service. Conclusion: The studyreveals that a number of reproductive problems occurred among pregnant women in the ruralareas of Pakistan due to the limited health facilities, socio-demographic and cultural barricadeswhich restricted them to utilize maternity care services

scholarly journals Combined assessment of tuberculosis case notification rate and infection control at health facilities of Dale districts, Sidama Zone, Southern Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0242446
Author(s):  
Makka Adam Ali ◽  
Ermias Sissay Balcha ◽  
Adugna Abdi Woldesemayat ◽  
Lopisso Dessalegn Tirore
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Southern Ethiopia ◽  
Notification Rate ◽  
Pulmonary Tb ◽  
Care Facilities ◽  
Case Notification ◽  
Tb Infection Control

Background Mycobacterium tuberculosis (TB) is the deadliest disease that claims millions of deaths globally. Ethiopia is among the countries heavily hit by the disaster. Despite the effective directly observed treatment and TB infection control (TBIC) measures provided by the world health organization (WHO), the rate of new cases increased daily throughout the country. Healthcare workers (HCWs) are at highest risk serving without having the necessary facility in place while overcrowding of patients exacerbated TB transmission. The study aimed to assess TBIC implementation and analyze case notification rate (CNR) of smear-positive pulmonary TB in the selected health facilities at Dale district, Sidama Zone, Southern Ethiopia. Methods Seven health care facilities have been visited in the study area and smear-positive pulmonary TB notification rate was determined retrospectively during the years 2012 to 2014. Data on smear positive test results and demographic characteristics were collected from the TB unit registries. A structured questionnaire, facility survey, and observation checklists were used to assess the presence of TBIC plans at the health care facilities. Results The overall case notification rate of smear-positive pulmonary tuberculosis was 5.3% among all 7696 TB suspected patients. The odds of being diagnosed with smear-positive TB were 24% more in males than in females (adj OR = 1.24, 95% CI: (1.22, 1.55). Moreover, in the study area, only 28% of the facilities have been practiced TB infection control and 71% of the facilities assigned a focal person for the TBIC plan. The implementation of environmental control measures in the facilities was ranged between 16–83%. N95 particulate respirators were found only in 14% of the facilities. Conclusion TB CNR in Dale district was low. Moreover, implementations of TBIC in Dale district health facilities were poor when the survey was done. Hence, urgent measures should be taken to reverse the burden of TB.

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