scholarly journals Testicular torsion: An assessment of knowledge and referral pattern among health care workers in primary health-care facilities in Auchi, Nigeria

2021 ◽  
Vol 2 ◽  
pp. 6
Author(s):  
Friday Emeakpor Ogbetere ◽  
William Omoh Akerele
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Testicular Torsion ◽  
Health Workers ◽  
Health Care Facilities ◽  
Referral Pattern ◽  
Primary Health ◽  
Care Workers ◽  
First Contact

Objectives: Testicular torsion is the twisting of the spermatic cord with attendant loss of the blood supply to the affected testis. It is a common urological emergency and one of the frequent causes of acute scrotum in adolescents and young adults. Prompt diagnosis and immediate surgical intervention are necessary for testicular salvage. Testicular loss is directly linked to delay in presentation, surgery, and the referral patterns at the point of the first contact with health-care providers. The purpose of our study is to assess the knowledge, management methods, and referral pattern among health care workers in the primary health-care facilities in Auchi primary health-care zone, Nigeria. Material and Methods: This was a cross-sectional carried out among primary health care workers in Auchi primary health-care zone between May and October 2020. A structured self-administered questionnaire was given to all the first contact health care workers in this zone. The knowledge, management, and referral pattern of testicular torsion were determined based on responses to the questionnaires. Data were analyzed using SPSS version 21. Results were displayed with frequency distribution tables and charts. Results: Eighty-seven health care workers met the inclusion criteria and were given questionnaires to fill. The mean age of the respondents was 37.74 ± 7.53 years. The majority of the health workers (n = 66, 75.9%) have more than 5 years’ experience with only 12 (13.8%) having a secondary level of education. Most respondents have heard of testicular torsion (n = 77, 88.5%) and know the symptoms (n = 68, 78.2%) but they have a poor knowledge of the age group predominantly affected (n = 36, 41.1%) and testicular survival time following torsion (n= 41, 47.7%). Only about a third (n = 28, 32.2%) had attended to patients with testicular torsion. Of the 28 health workers who had managed patients with testicular torsion, less than half (n = 11, 39.3%) referred almost immediately, while about half treated conservatively (n = 14, 49.9%) keeping the patients under their care for a period of 3–7 days. Conclusion: This study showed that a comprehensive education of all categories of health workers in the primary health-care centers is needed. This is necessary for the early identification and appropriate surgical intervention or prompt referral of patients with testicular torsion to prevent avoidable testicular losses.

Awareness of Social Infrastructures for Victims of Child Abuse Among Primary Health Workers in Ogun State, Nigeria

2019 ◽  
Vol 40 (1) ◽  
pp. 23-28
Author(s):  
Afe Taiwo Opekitan ◽  
Fetuga Bolanle ◽  
Ogunsemi Olawale ◽  
Adeleye Olufunke
Keyword(s):  
Health Care ◽  
Child Abuse ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Social Infrastructure ◽  
Cross Sectional Survey ◽  
Ogun State ◽  
Primary Health ◽  
Care Workers

There is a significant dearth of information on available social infrastructures for helping victims of child abuse among all cadres of primary health-care workers. The aim of this study was to assess the level of awareness of social and legal structures among primary health-care workers, which can help in reducing incidences and taking action. The survey was a cross-sectional survey of 20 primary health-care centers and 86 health workers in Ogun State, Southwest Nigeria. The result showed a low level of awareness among health workers. A large percentage of health workers were unaware of any social infrastructure or hospital protocol for child abuse reporting: 68.4% of medical officers, 54.5% of nurses, and 66.7% of other health workers. There is a need for deliberate training among health workers on social infrastructure, which can help victims of child abuse.

scholarly journals Assessment of Workplace Violence among Primary Healthcare Workers in Enugu Metropolis

2020 ◽  
pp. 21-30
Author(s):  
H. O. Stanley ◽  
O. P. Nwosu
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Workplace Violence ◽  
Health Care Facilities ◽  
Work Place ◽  
Impaired Performance ◽  
Primary Health ◽  
Multi Stage ◽  
Care Workers

Introduction: Work place violence in health-care facilities are on the rise and are routinely underreported. Objective: This study investigated the prevalence of workplace violence among primary health-care workers in Enugu metropolis. Materials and Methods: The participants were selected via multi–stage sampling method. A total of 117 out of 135 questionnaires from primary health-care workers in Enugu metropolis were collated and analyzed with the aid of frequency tables and charts. Results: The results showed that the primary health-care workers are exposed to verbal and non-verbal harassment when working alone in shifts as a contributing factor to workplace violence, subjected to their type of work. This violence most times not reported owing to fear, stigmatization and mistrust of the workers that management will not take their cases serious, this, ultimately impinge on the overall job performance, revenue generation as well as job integrity. Based on the influence of workplace violence on work and life of primary health-care workers about 61.5% of primary health-care workers agrees that workplace violence experience leads to fear and impaired performance and majority agrees that workplace violence does not depends on tribe and religion. Based on predictors of workplace violence, about 69.4%, 69% and 69.1% of primary health-care workers agrees that level of education, work cadre and years of experience influences workplace violence respectively. Conclusion: The study shows that primary health-care workers are exposed to different workplace violence: physical, threat, verbal and sexual harassment. Also, primary health-care workers agree that patient relatives (31.9%) and colleague (17.4%) are the main sources of workplace violence mostly due to misunderstanding. Out of 75 victims of workplace violence 66.7% reported their cases while about 53.6% did not report. Victims of workplace violence should be encouraged to speak up.

scholarly journals Knowledge and Attitudes of Health Care Workers from the Primary Health Centre in Inđija, Serbia on Professional Exposures to Blood-borne Infections

2013 ◽  
Vol 64 (1) ◽  
pp. 145-151
Author(s):  
Zdenko Gajić ◽  
Smiljana Rajčević ◽  
Predrag Đurić ◽  
Svetlana Ilić ◽  
Tihomir Dugandžija
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Health Centre ◽  
Basic Knowledge ◽  
Health Care Centre ◽  
Knowledge And Attitudes ◽  
Primary Health ◽  
Care Workers

Exposure to blood-borne infections (HIV, hepatitis B, hepatitis C) poses a serious risk to health care workers (HCWs). The aim of this cross-sectional study was to determine the level of knowledge and attitudes on occupational exposure in primary health care. In 2009, a total of 100 health care workers from the Primary Health Care Centre in Inđija, Autonomous Province of Vojvodina, Serbia were included in the study. The results suggested that the health care workers who participated in the survey possess basic knowledge about blood-borne virus transmission routes. Most incorrect answers were related to the transmission of blood-borne viruses by tears, saliva, urine and stool. This study also demonstrated that health workers tend to unrealistically estimate the risk of HIV infections. As for the level of education about the prevention and control of blood-borne infections, 49 % of the participants had never had any education on this topic, while 22 % had been educated during the last five years. Around 75 % consider education on blood-borne infection and protective measures at work unnecessary.

scholarly journals Comparison of Lassa fever prevention practices between public and private primary health care facilities in Jos, Plateau state, Nigeria

2020 ◽  
Vol 2 ◽  
pp. 79-90
Author(s):  
JC Daboer ◽  
OY Sodipo ◽  
L Okoro ◽  
IC Maimagani ◽  
JM Dogo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Lassa Fever ◽  
Health Care Facilities ◽  
Care Providers ◽  
Primary Health ◽  
Care Workers ◽  
Care Facilities ◽  
Primary Health Care Facilities

Background: Lassa fever is endemic in Nigeria and health care workers are at a high risk of contracting and transmitting the infection. This study compares Lassa fever prevention practices among health care providers in public and private Primary Health Care facilities in Jos.Methods: The study used a comparative cross-sectional design to study health care workers in 29 Primary Health Care facilities selected using a two-stage sampling technique. All health care workers who attended to patients were interviewed using a semistructured interviewer-administered questionnaire. Data were analysed using Statistical Package for Social Sciences version 23 and a p-value of ≤ 0.5 was considered statistically significant.Results: Majority of the respondents had neither received on-the-job training on Lassa fever prevention (91.9%) nor Universal Standard Precautions (88.7%). Private Primary Health Care facilities had better supplies and equipment for Lassa fever prevention compared to their public counterparts. Majority (65.8%) of respondents had poor Lassa fever prevention practices and this was worse in the private (75.4%) than the public (55.6%) facilities. No facility met all the requirements for Lassa fever prevention. Training had a statistically significant association with good practice among public Primary Health Care facilities. Conclusion: Noncompliance with Lassa fever prevention practice is still common in Primary Health Care facilities. This is worse in private facilities. Continuous training and improved supplies of materials and equipment are necessary for effective Lassa fever prevention among these health care providers.

scholarly journals The capability of early detection of eye diseases in the community by primary health facility worker

2020 ◽  
Vol 3 (3) ◽  
pp. 203
Author(s):  
Doni Widyandana ◽  
Muhammad Eko Prayogo ◽  
Suhardjo Suhardjo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Early Detection ◽  
Health Care Workers ◽  
Medical Records ◽  
Health Care Facilities ◽  
Primary Health ◽  
Care Workers ◽  
Care Facilities ◽  
Primary Health Care Facilities

Cataract is one of the biggest causes of blindness in the world. As many as 2.4 million people suffered from cataracts in Indonesia in 2013. Therefore, early detection needs to be done to prevent further complications. However, health workers' limited ability in primary health care facilities has resulted in high cataract diagnosis rates. The purpose of this study was to determine the ability of early detection of eye diseases, especially cataracts by primary health care workers. This study was conducted using a quantitative descriptive method analyzing 158 medical records as a result of early detection of primary health care facilities in Sleman Regency, which were sent to the ophthalmologist team of the Department of Eye Health FKKMK UGM to be re-examined. The re-examination results by a team of ophthalmologists received 141 medical records that fulfilled the inclusion criteria, consisting of 61 patients confirmed by cataract diagnosis (43.3%) and 80 patients with a diagnosis of not cataract (56.7%). According to the study, primary health care workers' ability towards early detection of cataracts in Sleman Regency needed to be enhanced (4.3%).

scholarly journals Assessment of Health Workers’ Concern about COVID-19 Pandemic: Implication for Surveillance Activities among Primary Health Care Workers in Oyo State, South-Western Nigeria

2021 ◽  
Vol 11 (02) ◽  
pp. 189-206
Author(s):  
Olaniyan Akintunde Babatunde ◽  
Muideen Babatunde Olatunji ◽  
Akande Roseline Oluyemisi ◽  
Joseph Muyiwa Olumoyegun ◽  
Adekunbi Mofoyeke Babatunde
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Primary Health ◽  
Care Workers

scholarly journals Assessment of health workers’ concern about COVID-19 pandemic: implication for surveillance activities among Primary Health Care workers in Oyo State, South-Western Nigeria

2020 ◽  
Author(s):  
Olaniyan Akintunde Babatunde ◽  
Muideen Babatunde Olatunji ◽  
Roseline Oluyemisi Akande ◽  
Joseph Muyiwa Olumoyegun
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Primary Health ◽  
Care Workers

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.

scholarly journals Indicators of burnout in Primary Health Care workers

2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2334-2342 ◽  
Author(s):  
Gracielle Pereira Aires Garcia ◽  
Maria Helena Palucci Marziale
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Workplace Violence ◽  
Health Workers ◽  
Review Of The Literature ◽  
Inclusion Criteria ◽  
Primary Health ◽  
Health Area ◽  
Care Workers

ABSTRACT Objective: to analyze the indicators of burnout peculiar to health workers from units of Primary Health Care. Method: integrative review of the literature structured in the stages: guiding question; search; categorization of studies; assessment; discussion; and interpretation of results, and synthesis of knowledge. Search for original articles and reviews published from 2000 to 2016, in Portuguese, English and Spanish, in the main databases of the health area. Descriptors used: Nursing, Burnout and Primary Health Care. Results: 14 articles met the proposed inclusion criteria, six (42.85%) presented a sample of nurses and eight (57.15%) health professionals. Conclusion: Primary Health Care workers are exhausted due to inadequate working conditions characterized by the lack of human and physical resources that leads to work overload, workplace violence and difficulty with teamwork, despite being satisfied with the work environment.

The Relationship Between Sociodemographic Characteristics, Work Conditions, and Level of “Mobbing” of Health Workers in Primary Health Care

2016 ◽  
Vol 32 (3) ◽  
pp. 373-398 ◽  
Author(s):  
Metin Picakciefe ◽  
Gulcihan Acar ◽  
Zehra Colak ◽  
Ibrahim Kilic
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Interpersonal Violence ◽  
Health Workers ◽  
Work Conditions ◽  
Sociodemographic Characteristics ◽  
Cross Sectional ◽  
Primary Health ◽  
Care Workers

Mobbing is a type of violence which occurs in workplaces and is classified under the community violence subgroup of interpersonal violence. The aim of this study is to examine health care workers who work in primary health care in the city of Mugla and to determine whether there is a relationship between sociodemographic characteristics, work conditions, and their level of mobbing. A cross-sectional analysis has been conducted in which 130 primary health care workers were selected. Of the 130, 119 health workers participated, yielding a response rate of 91.5%; 83.2% of health workers are female, 42.9% are midwives, 27.7% are nurses, and 14.3% are doctors. In all, 31.1% of health workers have faced with “mobbing” in the last 1 year, and the frequency of experiencing “mobbing” of those 48.6% of them is 1 to 3 times per year. A total of 70.3% of those who apply “mobbing” are senior health workers, and 91.9% are female. The frequency of encountering with “mobbing” was found significantly in married health workers, in those 16 years and above according to examined total working time, in those who have psychosocial reactions, and in those who have counterproductive behaviors. It has been discovered that primary health care workers have high prevalence of “mobbing” exposure. To avoid “mobbing” at workplace, authorities and responsibilities of all employees have to be clearly determined.

scholarly journals Factors affecting health care users’ first contact with primary health care facilities in north eastern China, 2008–2018

2021 ◽  
Vol 6 (2) ◽  
pp. e003907
Author(s):  
Ran Liao ◽  
Yaqian Liu ◽  
Shunzhuang Peng ◽  
Xing Lin Feng
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Eastern China ◽  
Medical System ◽  
Health Care Facilities ◽  
Factors Affecting ◽  
Primary Health ◽  
North Eastern ◽  
First Contact ◽  
Hierarchical Medical System

BackgroundChina set out the vision to establishing a hierarchical medical system, with primary health care (PHC) facilities serving health care users’ first contact. Common ailments were listed, supported by a series of auxiliary policy measures. We aim to assess whether these policies were effective to prompt users’ preference to PHCs within these contexts.MethodsUsing data from three waves of National Health Service Survey, we examined trends in care users’ first contact with PHC facilities in Jilin, a north eastern province, during 2008–2018. We analysed trends and factors affecting care users’ choices, stratified by type of diseases and urban–rural settings.ResultsFrom 38 823 respondents, the survey identified 3302 health care users who sought outpatient care. 54.92% and 82.49% with diseases recommended to PHC, in urban and rural Jilin, respectively, contacted PHC facilities first. While 33.51% and 61.19% with diseases not recommended to PHC did so. Care users’ first contact with PHC facilities followed an inverse U shape during 2008–2018. Such trends were more profound among care users with hypertension and/or diabetes. Neither social health insurance coverage nor contracting with family doctors was associated with care users’ first contacts. Only 1.25% care users had referral experiences. Low perceived quality was the main barrier to choose PHC facilities.ConclusionHealth care users sought PHC in a chaotic manner in Jilin. None of the recent efforts seemed effective in prompting their preference to PHC facilities. Without levering quality of PHC, an effective hierarchical medical system could be hardly forged in China.

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