scholarly journals Community Clinic in Bangladesh: Empowering women through utilization and participation

2021 ◽  
Vol 16 (2) ◽  
pp. 54-64
Author(s):  
Baizid Khoorshid Riaz ◽  
Sk Akhtar Ahmad ◽  
Md Ziaul Islam ◽  
Liaquat Ali
Keyword(s):  
Health Care ◽  
Local Community ◽  
Service Providers ◽  
Development Program ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Community Members ◽  
Cross Sectional ◽  
Face To Face ◽  
Community People

Background: Community Clinics (CC) has been established to provide basic healthcare services at the doorstep of the community people in Bangladesh. Besides health care, government has taken a development program through CC to improve maternal health care with an aim to reduce the maternal mortality. This study was an attempt to find out the role of community women in the utilization and participation of CC management. Methods: This cross-sectional study was carried out in 32 randomly selected CCs from 16 randomly selected districts. A total of 63 service providers, 2238 service users (patients) and 3285 community members were included as the respondents of this study. For data collection respondents were interviewed face to face by using a pretested questionnaire. Results: The majority of the service providers of the CC were from the local community, and a higher proportion of them were female (52.4%). The providers provided healthcare services both in CC and at community level. A total of 2238 patients visited the 32 studied CCs per day for getting treatment and significantly a higher proportion of them were female (71.2%). Most of the patients (83.0%) expressed satisfaction with the services provided in the CCs and most of them were female (83.8%). Of the total 3285 respondents, 60.3% were the women from the catchment communities. The activities of the CC were known by all of them (98.3%) and they participated in the management of CC. Conclusions: The study revealed that because of utilization and participation in the management of CC, the women became an imperative person in the community, thus empowering them in healthcare development.

The Effect of Telemedicine on Patients’ Compliance in Family Medicine Follow-ups in Qatar

Avicenna ◽  
2021 ◽  
Vol 2022 (1) ◽  
Author(s):  
Yaman M. AlAhmad ◽  
Duaa Mahmoud Haggeer ◽  
Abrar Yaser Alsayed ◽  
Mahmoud Y. Haik ◽  
Leen Maen AbuAfifeh ◽  
...  
Keyword(s):  
Health Care ◽  
Family Medicine ◽  
Health Care Services ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Telephone Consultation ◽  
Face To Face ◽  
Primary Health Care Centers

Introduction: Telemedicine is the delivery of health care services to patients distantly. During the Coronavirus Disease 2019 (COVID-19) pandemic, telemedicine has become an essential implement in delivering healthcare services worldwide. Accordingly, in March 2020, the Primary Health Care Centers (PHCCs) in Qatar has started telephone consultation follow-up appointments in Family Medicine (FM) clinics instead of conventional consultation. Given the limited data about telephone consultations in Qatar, our aim of this study is to investigate the possible impact of telemedicine on chronic disease patients’ follow-up compliance. Methods: This study compares the compliance of adult patients with chronic diseases following-up within FM clinics in Qatar's PHCC through telephone consultations with a minimum of three telephone consultations ordered between April to November 2020, in comparison to the compliance of the same group of patients to their prior face-to-face follow-up consultations in FM clinics with a minimum of three face-to-face ordered follow up appointments between April to November 2019. A cross-sectional study will be carried out to investigate the effect of telephone consultation in PHCC on patients’ compliance with reference to conventional face-to-face consultation. Patients’ data will be received from Health Information Management in twenty-seven PHCCs in Qatar. Conclusion: Due to the limited studies on the effectiveness of telemedicine on patient compliance in FM follow-ups within Qatar's PHCC, comparing patients’ follow-up compliance with telephone consultations to their prior face-to-face consultations would be helpful in assessing patients’ quality of care delivering within FM clinics. With telecommunication being easily accessible and time-efficient, it is believed, when used correctly, it might improve compliance and adherence to the management prescribed by the physician and follow-up appointments in Qatar's PHCC. In addition, this study will help in providing recommendations that could guide the organization on forming policies to be applied in PHCCs after the resolution of the COVID-19 pandemic.

scholarly journals Strategies for Re-opening Physiotherapy OPDs Post COVID-19 Lockdown – A Cross-sectional Study

2021 ◽  
Author(s):  
Amarjot Singh Gill ◽  
Nistara Singh Chawla ◽  
Sandeep Singh Saini
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Practice Pattern ◽  
Evidence Based ◽  
Sectional Study ◽  
Cross Sectional Survey ◽  
Exclusion Criteria ◽  
Cross Sectional

Background: The practices of various health-care professionals have been improvised to accommodate the on-going covid-19 pandemic situation. Different guidelines have been set in place to ease the process of re-opening of non-elective healthcare services like out-patient physiotherapy clinics. Although the measures taken should be guided by evidence based information, major consensus amongst practicing therapists needs to guide the India physiotherapy clinics. Objective: To identify and present the opinions of different physiotherapists about the various strategies for re-opening the out-patient physiotherapy clinics. Methods: An online cross-sectional survey was conducted. Over 169 participants were selected to participate in the survey according to the pre-decided inclusion and exclusion criteria. The data was collected and saved via google forms. Result and conclusion: A majority of respondents had a consensus over different strategies for re-opening the physiotherapy OPDs. These were regarding different measures to be adapted including modifications in the clinic infrastructure and the practice pattern. This would help in smoothly re-instating the physiotherapy services post the covid-19 lockdown.

scholarly journals Seroprevalence of SARS-CoV-2 (COVID-19) among Health Care Workers in Three Health Facilities of Yaounde, Center Region of Cameroon

2021 ◽  
Vol 3 (6) ◽  
pp. 89-94
Author(s):  
Philippe Salomon Nguwoh ◽  
Akenji Blaise Mboringong ◽  
Joseph Fokam ◽  
Christian Ngounouh Taheu ◽  
Ibrahima Halilou ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Clinical Signs ◽  
Rapid Test ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Cross Sectional ◽  
Face To Face ◽  
Care Workers ◽  
History Of

Introduction: Coronavirus Disease 2019 (COVID-19) caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) first appeared in December 2019 in Wuhan, China and has subsequently become a worldwide pandemic. During the pandemic, health care workers (HCWs) were very exposed to COVID-19 infected patients. The aim of this study was to determine seroprevalence of SARS-CoV-2 (COVID-19) among HCWs in three health facilities of Yaounde. Methods: A cross-sectional study involving 368 HCWs was conducted from January 18th to February 13th, 2021, in three health facilities located in city of Yaounde. Data of study participants were collected by face-to-face interviews using standard questionnaire. Blood samples were collected in labelled dry tubes and analyzed using Rapid Diagnostic Test (RDT) cassettes (Abbott PanbioTMCOVID-19 IgG/IgM Rapid Test Device). The data collected was analyzed using Epi info version 7. Any value of p <0.05 was considered statistically significant. Results: The average age was 30.25 (SD±10.43) years old, range from 21 to 72 years old. Overall, the positivity rates of IgM, IgG and IgM+IgG were 6.79% (n=25), 17.93% (n=66) and 1.09% (n=4) respectively. Multivariate analysis showed that, the rate of IgM positivity was highest in laboratory personnel (χ2= 7.99, p=0.3) and IgG (χ2= 8.50, p=0.29), IgM+IgG (χ2= 1.92, p=0.26) respectively in pharmacy and clinical personnel. The clinical signs such as fever (˃38°C) or history of fever was statistically significant with IgM (χ2=11.71, p= 0.0006) while, sore throat was statistically significant associated with IgM (χ2= 14.3, p= 0.0008) and IgG (χ2= 6.33, p= 0.04). Conclusion: The results of this study reveal a high seroprevalence of circulation of the virus in hospital milieu in Yaounde suggesting the continuation of the COVID-19 « Track-Test-Treat » system to break the chain of transmission.

scholarly journals Perception of Dental Faculty on Face-to-Face and Virtual Programs of Faculty Development; A Cross-Sectional Study

2021 ◽  
Vol 12 (01) ◽  
pp. 35-40
Author(s):  
Shaur Sarfaraz ◽  
Muhammad Kashif Nisar ◽  
Samira Adnan ◽  
Sabeen Masood ◽  
Zohaib Khurshid
Keyword(s):  
Faculty Development ◽  
Development Program ◽  
Teaching Experience ◽  
Cross Sectional Study ◽  
Faculty Members ◽  
Teaching Skills ◽  
Development Programs ◽  
Sectional Study ◽  
Cross Sectional ◽  
Face To Face

Objective: To compare the perception of dental faculty regarding face-to-face and virtual faculty development programs (FDPs) in dental institutes of Karachi. Study design and Setting: A descriptive cross-sectional study was conducted at multiple dental colleges of Karachi.(January to April 2020). Methodology: The study was carried out among 161 faculty members teaching in private dental institutes, using a modified, validated questionnaire with convenient sampling. Data was analyzed on SPSS version 21. Results: The mean age of study participants was 32.31±8.09 years, and teaching experience was 5.01 ± 6.34 years. Majority of the participants had not received any faculty development training (p-value of 0.001). Most of the faculty reported no established faculty development program available either face-to-face or virtually in their respective institute. Majority (28.8 %) of participants perceived that the main barrier for FDPs was the lack of administrative support. However, the facultydesired to enhance their teaching skills, recommending that faculty development programs be made compulsory for all faculty members. The majority of participants (35.43 +ve mean rank) were in favour of face-to-face sessions (p=0.001) but were reluctant towards virtual sessions. Most (49.2 %) of the faculty perceived the foremost benefit of attending FDPs to be improvement in teaching skills and MCQs /EMQs writing. Conclusion: Dental faculty were more inclined towards face-to-face sessions than virtually conducted sessions however, their perception of the utility of FDPs were found to be limited . Moreover, it was that some of the barriers to attend FDPs was faculty determinants like deficient time and dearth of commitment

scholarly journals Telemedicine in Malignant and Nonmalignant Hematology: Systematic Review of Pediatric and Adult Studies (Preprint)

2021 ◽  
Author(s):  
Aashaka C Shah ◽  
Linda C O’Dwyer ◽  
Sherif M Badawy
Keyword(s):  
Health Care ◽  
Pediatric Population ◽  
Controlled Trial ◽  
Study Participant ◽  
Cross Sectional Study ◽  
Medical Subject Headings ◽  
Cross Sectional ◽  
Face To Face ◽  
Study Results ◽  
Meta Analyses

BACKGROUND Telemedicine, including video-, web-, and telephone-based interventions, is used in adult and pediatric populations to deliver health care and communicate with patients. In the realm of hematology, telemedicine has recently been used to safely and efficiently monitor treatment side-effects, perform consultations, and broaden the reach of subspecialty care. OBJECTIVE We aimed to synthesize and analyze information regarding the feasibility, acceptability, and potential benefits of telemedicine interventions in malignant and nonmalignant hematology, as well as assess the recognized limitations of these interventions. METHODS Studies were identified through a comprehensive Medical Subject Headings (MeSH) search on the PubMed MEDLINE, Controlled Register of Clinical Trials (Cochrane CENTRAL from Wiley), Embase, and CINAHL (EBSCO) databases on February 7, 2018. A second search, utilizing the same search strategy, was performed on October 1, 2020. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines in the reporting of included evidence. Included studies were original articles researching the feasibility, acceptability, and clinical outcomes of telemedicine or telehealth interventions in pediatric or adult populations with malignant or nonmalignant hematological conditions. Data items in the extraction form included first author name, publication year, country, malignant or nonmalignant hematological condition or disease focus of the study, participant age, participant age subgroup (pediatric or adult), study design and setting, telemedicine intervention type and description, study purpose, and main study outcomes. RESULTS A total of 32 articles met the preset criteria and were included in this study. Most (25/32) studies were conducted in adults, and the remaining (7/32) were conducted in the pediatric population. Of the 32 studies, 12 studied malignant hematological conditions, 18 studied nonmalignant conditions, and two studied both malignant and nonmalignant conditions. Study types included pilot study (11/32), retrospective study (9/32), randomized controlled trial (6/32), cross-sectional study (2/32), case study (1/32), pre-post study (1/32), noncomparative prospective study (1/32), and prospective cohort study (1/32). The three main types of telemedicine interventions utilized across all studies were video-based (9/32), telephone-based (9/32), and web-based interventions (14/32). Study results showed comparable outcomes between telemedicine and traditional patient encounter groups across both pediatric and adult populations for malignant and nonmalignant hematological conditions. CONCLUSIONS Evidence from this review suggests that telemedicine use in nonmalignant and malignant hematology provides similar or improved health care compared to face-to-face encounters in both pediatric and adult populations. Telemedicine interventions utilized in the included studies were well received in both pediatric and adult settings. However, more research is needed to determine the efficacy of implementing more widespread use of telemedicine for hematological conditions.

scholarly journals Postnatal Care in Rural Egypt: Perspectives of Women and Health Care Providers

2021 ◽  
Vol 9 (E) ◽  
pp. 328-335
Author(s):  
Ghada Wahby Elhady ◽  
Tarek Amin Tawfik ◽  
Eman Aly Hussein ◽  
Sherry Magdy ◽  
Marwa Rashad Salem
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Postnatal Care ◽  
Family Income ◽  
Service Providers ◽  
Care Program ◽  
Cross Sectional Study ◽  
Care Providers ◽  
High Coverage ◽  
Cross Sectional

Objectives: Postnatal care (PNC) is an essential component of maternal care program. However, gap exists between high coverage with antenatal and natal care and low coverage with PNC in Egypt. Consequently, the current study was conducted to explore pattern of early PNC (after first day following delivery) among rural mothers. Methods: An exploratory cross-sectional study was done in four Primary Health Care (PHC) centers related to one district in rural Egypt. Mothers who had delivered in the previous year were invited to a structured exit interview. Focus group discussions and in-depth interviews were done with mothers and health care providers (HCPs). Results: Out of the total mothers (n=600), 34.2% received PNC. Multivariate analysis showed that low family income was a significant negative predictor for receiving PNC (P=0.000), while utilization of ANC (P=0.00), delivery at public (P=0.004) or private health facility (P=0.00) were significant positive predictors for receiving PNC. Qualitative data identified barriers for seeking PNC as shortage in HCPs, especially nurses, poor communication by HCPs, mothers perceived HCPs as incompetent in PNC service delivery. Lack of knowledge among women about the importance of PNC and unavailability of female physicians formed social barriers. Conclusion: Inadequate knowledge about the importance and components of PNC among service providers and served community reduces the demand for PNC.

scholarly journals Telemedicine in Malignant and Nonmalignant Hematology: Systematic Review of Pediatric and Adult Studies

10.2196/29619 ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. e29619
Author(s):  
Aashaka C Shah ◽  
Linda C O’Dwyer ◽  
Sherif M Badawy
Keyword(s):  
Health Care ◽  
Pediatric Population ◽  
Controlled Trial ◽  
Study Participant ◽  
Cross Sectional Study ◽  
Medical Subject Headings ◽  
Cross Sectional ◽  
Face To Face ◽  
Study Results ◽  
Meta Analyses

Background Telemedicine, including video-, web-, and telephone-based interventions, is used in adult and pediatric populations to deliver health care and communicate with patients. In the realm of hematology, telemedicine has recently been used to safely and efficiently monitor treatment side-effects, perform consultations, and broaden the reach of subspecialty care. Objective We aimed to synthesize and analyze information regarding the feasibility, acceptability, and potential benefits of telemedicine interventions in malignant and nonmalignant hematology, as well as assess the recognized limitations of these interventions. Methods Studies were identified through a comprehensive Medical Subject Headings (MeSH) search on the PubMed MEDLINE, Controlled Register of Clinical Trials (Cochrane CENTRAL from Wiley), Embase, and CINAHL (EBSCO) databases on February 7, 2018. A second search, utilizing the same search strategy, was performed on October 1, 2020. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines in the reporting of included evidence. Included studies were original articles researching the feasibility, acceptability, and clinical outcomes of telemedicine or telehealth interventions in pediatric or adult populations with malignant or nonmalignant hematological conditions. Data items in the extraction form included first author name, publication year, country, malignant or nonmalignant hematological condition or disease focus of the study, participant age, participant age subgroup (pediatric or adult), study design and setting, telemedicine intervention type and description, study purpose, and main study outcomes. Results A total of 32 articles met the preset criteria and were included in this study. Most (25/32) studies were conducted in adults, and the remaining (7/32) were conducted in the pediatric population. Of the 32 studies, 12 studied malignant hematological conditions, 18 studied nonmalignant conditions, and two studied both malignant and nonmalignant conditions. Study types included pilot study (11/32), retrospective study (9/32), randomized controlled trial (6/32), cross-sectional study (2/32), case study (1/32), pre-post study (1/32), noncomparative prospective study (1/32), and prospective cohort study (1/32). The three main types of telemedicine interventions utilized across all studies were video-based (9/32), telephone-based (9/32), and web-based interventions (14/32). Study results showed comparable outcomes between telemedicine and traditional patient encounter groups across both pediatric and adult populations for malignant and nonmalignant hematological conditions. Conclusions Evidence from this review suggests that telemedicine use in nonmalignant and malignant hematology provides similar or improved health care compared to face-to-face encounters in both pediatric and adult populations. Telemedicine interventions utilized in the included studies were well received in both pediatric and adult settings. However, more research is needed to determine the efficacy of implementing more widespread use of telemedicine for hematological conditions.

Sexual Activity, Interest and Satisfaction in Older Women in Iran

2019 ◽  
Author(s):  
Afrouz Mardi ◽  
Zahra Behboodi Moghadam ◽  
Faezeh Ghafoori ◽  
Soheila Refahi
Keyword(s):  
Health Care ◽  
Sexual Activity ◽  
Older Women ◽  
Health Care Providers ◽  
Sexual Satisfaction ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Northern Iran ◽  
Cross Sectional

Introduction: The world's population is aging and the issue of sexual activity in elderly people is still a taboo in many cultures. The purpose of this study was to examine the sexual activity, interest and satisfaction in older women attended the Health Care Centers in the city of Ardabil-Northern Iran. Method This Cross-sectional study was conducted on 380 married women over 60 years old who had been selected by convenient sampling method. Data were gathered anonymously by three questionnaires (Goldberg general health, FSFI and demographic information Questionnaires) and analyzed using SPSS software. Results: This study indicated that the mean age of participants was 71±6.8 years, 60% of the studied women had sexual activity and about half of them had interest in sex. Sexually active women were significantly younger (p<0.05) and more educated (p<0.001) than sexually inactive women. The participants’ sexual activity, interest in sex, emotional intimacy and sexual satisfaction with their husbands were significantly affected by the presence of children at home regardless of whether they are single or married (p<0.05).. Conclusion: This study approved that despite misconceptions, older age and sexuality do not contradict each other and high education and having a private environment facilitate the intimate relationships and elevate their sexual satisfaction. The result of this study could help health care providers to provide appropriate and effective sexual healthcare services to older women.

Awareness and Practice of Weaning : A Cross Sectional Survey Among the Mothers Attending Secondary Health Care Center in Bangladesh

2016 ◽  
Vol 25 (Number 1) ◽  
pp. 29-35
Author(s):  
K S Anwar ◽  
N Haque ◽  
S Ahmed ◽  
A Nasreen
Keyword(s):  
Health Care ◽  
Care Center ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Care Center ◽  
Face To Face ◽  
Secondary Health Care ◽  
Rural Mothers ◽  
Structured Questionnaire

This was a description type of cross sectional study conducted among 210 rural mothers having 0-6 months child, attending the out patient department of Sirajdikhan Upazilla Heath Complex, Munshigonj. Total 210 women were selected by purposive sampling method. Data were collected through structured questionnaire by face to face interview Out of 210 respondents, majority (59.52%) was in the age group 18-27 years and only 0.48% was above 47 years. Mean age of the respondents was 26.29 years. Most of the respondents (43.33%) completed SSC and only 3.8% were uneducated. Among the respondents 83.33% were house wives. Monthly incomes of the respondents (39.05%) were more than 12000 taka. Most of the mother (80.95%) had children of age 1-3 years. Majority of mothers (77.14%) had conception about requirement of initiation of weaning at 6 months and 15.24% had at 5 months. Maximum respondents (44.76%) had given khichury, 44.29% Shuji and rest of them (10.95%) had given home made food. Mothers (78.57%) continued breast feeding with weaning. About 74.76% respondents complained of occasional vomiting with weaning. Majority (62.38%) of children had given food on time, those children who were provided complementary feeding was physically normal. Majority (57.14%) of mothers had no complained during weaning period. Registered physicians (76.19%) were the health care provider when the children were sick. Although most of the mothers started weaning at appropriate times, we cannot consider it satisfactory. As we must think about all the children and keep all of them healthy, we need to improve this rate up to 100%. Unless we achieve this level we can't achieve our goals of health for all.

Herbal Therapy in Primary Health Care in Maracanaú, Ceará, Brazil

2005 ◽  
Vol 39 (7-8) ◽  
pp. 1336-1341 ◽  
Author(s):  
Maria IG Silva ◽  
Francisca CF Sousa ◽  
Ana PS Gondim
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Herbal Medicines ◽  
Family Health ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Herbal Therapy ◽  
Cross Sectional ◽  
Therapeutic Benefits ◽  
Primary Health

BACKGROUND The public health system in Brazil is insufficient to provide basic pharmaceutical and medical care to the population. Currently, some herbal therapy programs are being developed in primary healthcare services to supply the communities lacking basic medicines. OBJECTIVE To investigate the use of herbal medicines in primary health care in Maracanaú, a northeast Brazilian city. METHODS A descriptive cross-sectional study was conducted in family health care units in Maracanaú during August and September of 2002. Two hundred twenty-six patients were interviewed via structured questionnaire. Descriptive statistical analysis was accomplished using sample size and proportions. χ 2 And Student's t-tests were used to compare percentages and means, respectively. RESULTS Among the 226 patients interviewed, 144 (63.7%) reported previous use of herbal medicines. Among those, 131 (90.9%) observed therapeutic benefits from herbal medicines. We identified 10 types of herbal medicines in the prescriptions, including syrups, dyes, capsules, and ointments, for the treatment of respiratory problems (63.8%), skin conditions (15.3%), diabetes mellitus (11.4%), and other illnesses. Further, we observed that some herbal medicines were not being produced during the study period and that several patients were not aware of the fact that they were receiving herbal medicine. CONCLUSIONS Data support the use of herbal therapy in primary health care in Maracanaú. However, there is a need to conduct further study on the efficacy and safety of these herbal medicines, as well as on their quality control.

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