scholarly journals Regional Disparities and Determinants of Caesarean Deliveries in India

2021 ◽  
Vol 07 (04) ◽  
pp. 15-23
Author(s):  
Sherin Raj TP ◽  
Keyword(s):  
Health Care Services ◽  
Family Health ◽  
Regional Disparities ◽  
High Quality ◽  
Quality Health Care ◽  
Care Services ◽  
High Birth Order ◽  
Quality Health ◽  
The Right ◽  
Complicated Pregnancy

Background: The caesarean rate in India has been increased from 8.5% (NFHS-III) during 2005-06 to 17.2% (NFHS-IV) during 2015-16. Objective: The main objective of the study is to assess the regional disparities and determinants of caesarean deliveries in India. Material and Method: It is a descriptive study. The fourth round of National Family Health Survey, India (NFHS-4), conducted in 2015-16 has been analysed for the purpose of this study. Result: The study found that the C-section deliveries are significantly higher in southern region followed by western region in India. Social factors such as higher education of mother, residing in urban area, belong to richest wealth group, mothers belong to non-SC/ST category are more likely to opt for C-section delivery. Evidence also indicates that risk factors like high age of mother, high birth order, complicated pregnancy, multiple births, size of child at birth, weight of child at birth significantly influences the decision of C-section deliveries. Institutional and Individual Behavioural Factors such as number of ANC visit, place of delivery, access to mass media are also significant determinants of opting C-section delivery. Delivering high quality timely care and counselling measures throughout the gestation period as a measure to minimise C-section deliveries is the responsibility of every midwife healthcare provider, is an effective way. There is an urgent need to monitor the deliveries in clinics and hospitals to find out the right balance between demand and provisioning of high quality health care services.

scholarly journals Oranges are not the only fruit:the role of emergency departments in providing care to primary care patients

2000 ◽  
Vol 23 (3) ◽  
pp. 132 ◽  
Author(s):  
Patrick Bolton ◽  
Michael Mira ◽  
Arn Sprogis
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Quality Care ◽  
Poor Quality ◽  
Specialist Care ◽  
High Quality ◽  
Quality Health Care ◽  
Full Spectrum ◽  
Care Services ◽  
Quality Health

Effective and integrated primary health care services are seen world wide as the lynch pin of an equitable,efficient and high quality health care. Health services dominated by specialist care suffer either fromuncontainable costs (USA with 14% of GDP) or poor quality care (Russia and other former members of theSoviet bloc). Ierachi et al. (2000) argue that Australia should take the retrograde step of endorsing a servicewhich aims to "provide rapid, high quality and continuously accessible unscheduled care, for conditions coveringthe full spectrum of acute illness and injury" (emphasis added). They aim to provide care "for conditions", notfor people. General practice provides care for people, not just diseases or injuries.

scholarly journals Assessment of the quality of sexual and reproductive health services delivered to adolescents at Ujala clinics: A qualitative study in Rajasthan, India

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261757
Author(s):  
Radhika Dayal ◽  
Mukta Gundi
Keyword(s):  
Reproductive Health ◽  
Service Delivery ◽  
Health Care Services ◽  
Reproductive Health Services ◽  
Quality Health Care ◽  
Care Services ◽  
Sexual Reproductive Health ◽  
Global Standards ◽  
Quality Health

The Adolescent Friendly Health Clinic (AFHCs), a key component of the Government of India’s National Adolescent Health Programme a.k.a. Rashtriya Kishor Swasthya Karyakram (RKSK), aims to increase the accessibility and utilization of sexual-reproductive health services by adolescents and youth. However, low quality of care provided at AFHCs by counsellors calls for attention. We, thus, explore both the clients’ and providers’ perspectives using the World Health Organization’s (WHO) global standards for quality health-care services for adolescents to assess the quality of the sexual reproductive health service delivery at AFHCs in Rajasthan, India. We conducted a qualitative study, comprising observation of the service delivery using mystery clients (MCs) (n = 12) and in-depth interviews with the counsellors (n = 4) in four AFHCs. Interviews were transcribed in local language and were translated in English. The transcripts were coded thematically. Our study, using five of the eight WHO global standards for quality health-care services for adolescents highlighted several gaps in the quality-of-service delivery at AFHCs. We unearth various intricacies related to the quality of the services provided at the AFHCs by referring to the relevant input, process, and the output criteria of WHO global standards I, III, IV, V and VI. Our study calls for efforts to improve- (i) the counsellors’ competencies to increase adolescents’ health literacy on sensitive topics, (ii) the facilities at the clinic to ensure privacy, comfort and confidentiality of the adolescents seeking services, (iii) the referrals to improve appropriate package of services, and (iv) an overall environment to ensure an equity and non-discrimination for all the adolescents. Our findings unearth the barriers that both the service providers and the adolescents face at the AFHCs and underscore the need for regular monitoring and evaluation of the AFHCs to strengthen the facility-based intervention of the RKSK programme.

Cloud Computing Location-Based Services for Quality Health Care Services Delivery

2014 ◽  
pp. 171-185
Author(s):  
Jalel Akaichi
Keyword(s):  
Cloud Computing ◽  
Health Care Services ◽  
Location Based Services ◽  
Dynamic Changes ◽  
K Nearest Neighbors ◽  
Quality Health Care ◽  
Care Services ◽  
Services Delivery ◽  
Quality Health

This chapter proposes a cloud computing location-based services system able to query points of interest, according to mobile users' preferences and contexts, under dynamic changes of locations. The contribution consists of providing software as a service based on Delaunay Triangulation on road (DTr) able to establish the Continuous k-Nearest Neighbors (CkNNs) on road, while taking into account the dynamic changes of locations from which queries, enhanced by users' preferences and contexts, are issued. The proposed software, implemented on a mobile cloud and exploited by mobile physicians for healthcare institutions localization and selection, considerably improves the quality of services provided for patients in critical situations by permitting real time localization of adequate resources that may contribute to save patients' lives.

Pengalaman Perempuan Bekerja Dalam Melaksanakan Tugas Kesehatan Keluarga di Wilayah Jakarta, Bogor, Tangerang, Bekasi

2008 ◽  
Vol 12 (1) ◽  
pp. 21-28
Author(s):  
Henny Permatasari ◽  
Achir Yani S. Hamid ◽  
Setyowati Setyowati
Keyword(s):  
Health Care ◽  
Gender Discrimination ◽  
Health Care Services ◽  
Family Health ◽  
Working Women ◽  
Study Data ◽  
Health Providers ◽  
Care Services ◽  
Professional Health ◽  
The Right

AbstrakPenelitian fenomenologi yang berperspektif perempuan ini bertujuan mendapatkan gambaran pengalaman perempuan bekerja berkeluarga dalam melaksanakan perawatan keluarga. Partisipan ditetapkan dengan metode purposif berjumlah enam orang. Data dikumpulkan melalui wawancara mendalam dan dianalisis dengan metode Collaizz’s. Hasil penelitian mengidentifikasi delapan tema utama dan satu tema tambahan yaitu alasan perempuan bekerja, kekhususan perempuan bekerja, kemampuan manajerial perempuan bekerja, dukungan sosial, kemampuan melaksanakan tugas kesehatan keluarga, kesenjangan antara harapan pekerja dan dukungan institusi kerja, diskriminasi gender, kebutuhan pekerja terhadap pelayanan kesehatan. Penelitian ini menyimpulkan bahwa perempuan bekerja mampu melaksanakan tugas kesehatan keluarga dengan dipengaruhi pengetahuan tentang masalah kesehatan, dukungan dari keluarga dan tenaga kesehatan profesional serta hak pekerja untuk mendapatkan jaminan pelayanan kesehatan. Perempuan bekerja juga memiliki kebutuhan khusus terhadap pelayanan kesehatan. Perawat kesehatan kerja diharapkan dapat meningkatkan pelayanan keperawatan yang bersifat promotif untuk memelihara dan meningkatkan derajat kesehatan perempuan bekerja. AbstractThere is evident that the working women experience numerous problems. The purpose of this feminine perspective phenomenological research was to describe the experience of married working women in carrying out family’s health tasks. There were six women purposively selected to participate in this study. Data was collected using in-depth-interview, exploring the experience of working women in carrying out family’s health tasks and issues related to the experience. Collaizz’s method was utilized to analyse the corrected qualitative data. The result of this study revealed nine themes were the reason for women to work, specification of social support, ability to carry out family health tasks, gap between expectation and insitution’s supporting, working women perception of gender discrimination, women’s need to health care. The research concluded that the working women were capable to carry family health taks which is influenced by their knowledge on health problems, the support of family and professional health providers and the right of providers to have health insurance. The working women also have the special needs of health care services. It is recommended that occupational health nurses should provide nursing care including health promotion and maintenance of health status of working women.

Cloud Computing Location-Based Services for Quality Health Care Services Delivery

2016 ◽  
pp. 779-794
Author(s):  
Jalel Akaichi
Keyword(s):  
Cloud Computing ◽  
Health Care Services ◽  
Location Based Services ◽  
Dynamic Changes ◽  
K Nearest Neighbors ◽  
Quality Health Care ◽  
Care Services ◽  
Services Delivery ◽  
Quality Health

This chapter proposes a cloud computing location-based services system able to query points of interest, according to mobile users' preferences and contexts, under dynamic changes of locations. The contribution consists of providing software as a service based on Delaunay Triangulation on road (DTr) able to establish the Continuous k-Nearest Neighbors (CkNNs) on road, while taking into account the dynamic changes of locations from which queries, enhanced by users' preferences and contexts, are issued. The proposed software, implemented on a mobile cloud and exploited by mobile physicians for healthcare institutions localization and selection, considerably improves the quality of services provided for patients in critical situations by permitting real time localization of adequate resources that may contribute to save patients' lives.

Community-Centered Health Homes: Bridging Health Care Services and Community Prevention

2019 ◽  
pp. 291-300
Author(s):  
Leslie Mikkelsen ◽  
Rea Pañares ◽  
Larry Cohen
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Rental Housing ◽  
Active Role ◽  
Septic Systems ◽  
Quality Health Care ◽  
Care Services ◽  
Quality Health ◽  
Reducing Costs ◽  
Health Homes

This chapter looks at prevention and public health. Preventing illness and injury in the first place has the potential to be a powerful component of a country's strategy to improve population health while strengthening access to quality health care and reducing costs. The chapter looks at the Community-Centered Health Home (CCHH) term, which is used to describe health care organizations that take an active role, in partnership, to improve community conditions that impact patients' health (for example, supporting rental housing code enforcement, building septic systems, and improving community access to healthy food and places for physical activity). The chapter looks at ways to test the CCHH initiative. The chapter concludes by stating that CCHH contributes to the US's journey toward a system of health by highlighting the value of health care in partnering with its surrounding community and offering a systematic approach to partnering with community groups to improve community conditions, while continuing to meet the daily priority of delivering high-quality health care.

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