scholarly journals Trend of health worker’s strike at a Tertiary Health Institution in North Central Nigeria

2021 ◽  
Vol 2 ◽  
pp. 1
Author(s):  
Dalyop Davou Nyango ◽  
Josiah Turi Mutihir
Keyword(s):  
Health Workers ◽  
Health Sector ◽  
Residency Training Program ◽  
University Teaching ◽  
Main Concern ◽  
Decimal Point ◽  
North Central ◽  
Labor Ward ◽  
Joint Health ◽  
Nurse Midwives

Objectives: Workers’ strike is a global phenomenon since antiquity. In Nigeria, health-care sector has been rocked by series of strikes spanning variable periods with immeasurable losses. Ethical consideration and inter-professional rivalry are the main concern attracting much debate in the health sector. The objectives of the study were to determine the trend of health worker’s strike actions, the main agitators, and to make some recommendations. Material and Methods: This was a retrospective study of the labor ward records of the Jos University Teaching Hospital from January 1, 1985, to December 31, 2019, duration of 35 years. The data were collated and analyzed using simple percentages and the figures corrected to the nearest decimal point. Results: A total of 42 strike actions, about 2 strikes/year. The trend shows a multi-modal pattern, with the highest peak of 5 strikes in 2004 and 2013. There were cumulatively 58.5 months of strikes out of the 442 months of the period of study, giving a percentage of 13.2%. While doctors had more frequent strikes (52.3%), non-doctors under the umbrella of Joint Health Sector Union and nurse/midwives accounted for over half (58.1%) of the duration of the strikes. The resident doctors are the main agitators of doctors’ strike accounting for about half (45.2%) of the total health workers’ strikes, while NMA accounted for only 3 (9.4.%). Most strike actions occur at the end of the year, with spill into the first quarter of the following year. Conclusion: Health workers’ strike remains a perennial problem. Inter-professional rivalry is a major challenge in the health sector with far reaching implication without immediate government intervention. Addressing challenges in the residency training program will go a long way in reducing doctors’ unrest in the health sector.

Patterns of Corruption in Ahmadu Bello University Teaching Hospital Shika, Zaria, Kaduna State, Nigeria

2020 ◽  
Vol 18 (1) ◽  
pp. 99-113
Author(s):  
Simiat Bidemi Abdulkareem
Keyword(s):  
Teaching Hospital ◽  
Health Workers ◽  
Health Sector ◽  
Public Hospitals ◽  
University Teaching ◽  
Group Discussions ◽  
Scarce Resources ◽  
Personal Use ◽  
Medical Materials ◽  
The Government

In Nigeria, corruption is the obstacle preventing the country from achieving its enormous potential.Corruption in the health sector is a concern in Nigeria where public resources are already scarce. Corruption in the health sector has made various health institutions to be ineffective while scarce resources invested in the sector are wasted. It weakens the social contract between the government and its people, and drains billions of dollars annually from the country’s economy. The deplorable condition of thehealth sector in Nigeria, in spite of government spending raises serious concerns. Theseconcerns include mismanagement, embezzlement, poor funding, shortage of drugs and medicalequipment in public hospitals etc. This paper therefore examines how corruption has impeded on theservice delivery in Ahmadu Bello University Teaching Hospital (ABUTH) Shika, Zaria. The main objective of this study is toinvestigate the effect of corruption on service delivery and how it affects patients in the study area. Data were collected from the targeted populations through in-depth interviews and focus group discussions. The findings revealed that there is diversion of drugs, injections and other materials for personal use and sales, also money meant for fuel and diesel diverted to personal pocket. It is recommended that any health workers caught in one corrupt act or the other should be dealt with severely to serve as deterrent to others and also Federal Ministry of Health should procure and distribute drugs and other medical materials needed in the hospital and the public must be aware of the drugs that are free.

Eliminating Hepatitis B from Bangladesh by the Year 2030

2020 ◽  
Vol 38 (3) ◽  
pp. 145-149
Author(s):  
Md Golam Mustafa ◽  
Md Shahinul Alam ◽  
Md Golam Azam ◽  
Md Mahabubul Alam ◽  
Md Saiful Islam ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Health Workers ◽  
Health Sector ◽  
Public Health Problem ◽  
Integrated System ◽  
Hbv Infection ◽  
Diagnosis And Treatment ◽  
Major Public Health Problem ◽  
Medical Institutions ◽  
The Government

Worldwide, hepatitis B virus (HBV) infection is still a major public health problem. Bangladesh having a large burden of HBV infection, should be a major contributor towards it’s elimination by 2030. The country has been making progress in reducing incidence of HBV infection during the past decades. The progresses are mainly due to large vaccination coverage among children and large coverage of timely birthdose vaccine for prevention of mother-to-child transmission of HBV. However, Bangladesh still faces challenges in achieving target of reduction in mortality from HBV. On the basis of targets of the WHO’s Global health sector strategy on viral hepatitis 2016–2021, we highlight priorities for action towards HBV elimination. To attain the target of reduced mortality we propose that, the service coverage targets of diagnosis and treatment should be prioritized along with vaccination. Firstly, improvements are needed in the diagnostic and treatment abilities of medical institutions and health workers. Secondly, the government needs to reduce the costs of health care. Thirdly, better coordination is needed across existing national program and resources to establish an integrated system for prevention, screening, diagnosis and treatment of HBV infection. In this way, we can make progress towards achieving the target of eliminating HBV from Bangladesh by 2030 J Bangladesh Coll Phys Surg 2020; 38(3): 145-149

scholarly journals PERSEPSI DOKTER TERHADAP PERAN APOTEKER DALAM PELAYANAN KEFARMASIAN DI RUMAH SAKIT ROBERT WOLTER MONGISIDI MANADO

PHARMACON ◽  
2020 ◽  
Vol 9 (3) ◽  
pp. 357
Author(s):  
Ni Nengah S. Indiyani ◽  
Widya A. Lolo ◽  
Gerald Rundengan
Keyword(s):  
Pharmaceutical Care ◽  
Health Workers ◽  
Therapeutic Process ◽  
Health Sector ◽  
Care Physician ◽  
Data Collection Tool ◽  
Average Value ◽  
Quantitative Descriptive ◽  
Physician Perception

ABSTRACTServices in the health sector are one of the services that are needed by the community, one of them is service in the field of pharmacy. The therapeutic process of a patient needs collaboration between the pharmacist, physician and other health workers. In some hospitals in Indonesia, they have not implementing all pharmaceutical care activities as regulated in Permenkes No. 72 of 2016. This studied aims to know the opinions and expectations of physician to the role of pharmacist in pharmaceutical care. This research was a quantitative descriptive study and data collection tool used was a questionnaire about the opinions and expectations given to 63 physician. Based on the research results obtained, it was known that the perception of physician tend to agree with an average value of 94,55% for the opinion and for the expectation of 91,78%. So that can be concluded that physician had good opinions and expectation to the role of pharmacists in accordance with Pharmaceutical Care Standards.Key words : Pharmaceutical Care, Physician Perception, Pharmacists.ABSTRAK Pelayanan dalam bidang kesehatan merupakan salah satu pelayanan yang banyak di butuhkan oleh masyarakat, salah satunya adalah pelayanan dalam bidang kefarmasian. Proses terapi seorang pasien perlu adanya kerjasama antara apoteker, dokter dan tenaga kesehatan lainnya. Pada beberapa rumah sakit di Indonesia belum melakukan seluruh kegiatan pelayanan farmasi sebagaimana yang sudah di atur dalam Permenkes No. 72 Tahun 2016. Penelitian ini bertujuan untuk mengetahui pendapat dan harapan dokter terhadap peran apoteker dalam pelayanan kefarmasian. Penelitian ini merupakan penelitian deskriptif kuantitatif dan alat pengumpulan data yang digunakan berupa kuesioner tentang pendapat dan harapan yang diberikan kepada 63 dokter. Berdasarkan hasil penelitian yang diperoleh, diketahui bahwa  persepsi dokter cenderung setuju dengan nilai rata-rata untuk pendapat sebesar 94,55% dan untuk harapan sebesar 91,78%. Sehingga dapat disimpulkan bahwa dokter memiliki pendapat dan harapan yang baik terhadap peran apoteker sesuai dengan Standar Pelayanan Kefarmasian. Kata kunci : Pelayanan Kefarmasian, Persepsi Dokter, Apoteker.

scholarly journals Comorbidities among infertile women at NKST hospital Mkar-Gboko, North-Central Nigeria

2020 ◽  
Vol 9 (10) ◽  
pp. 3922
Author(s):  
Jonathan A. Karshima ◽  
Victor C. Pam ◽  
Charles U. Anyaka ◽  
Iornum H. Shambe ◽  
Maryam J. Ali ◽  
...  
Keyword(s):  
Adverse Outcomes ◽  
University Teaching ◽  
Microsoft Excel ◽  
North Central ◽  
Infertile Women ◽  
Obesity And Diabetes ◽  
Genital Tract Infections ◽  
Tract Infections ◽  
Routine Assessment ◽  
Significant Statistical Association

Background:  Infertility, a common, non-fatal ailment, is sometimes associated with substantial comorbidity that can add adverse outcomes during treatment or pregnancy and increase costs of care. This study aims to assess the magnitude and pattern of comorbidities in infertile Nigerian women.Method: This descriptive retrospective study was undertaken at NKST Hospital Mkar-Gboko, Nigeria, from 1st January 2005 to 31st July 2013. Clinic records of patients who attended the gynaecological outreach clinic were retrieved and analyzed using descriptive statistics and test of associations with Microsoft Excel 2013.  Jos University Teaching Hospital gave ethical clearance.Results: 1,926 women seen during the study period, 1030 (53.5%) presented for infertility care. 941 (91.4%) women had complete records, among them, 476 (50.5%) met the inclusion criteria, and their records were analyzed. The mean age of the women was 32.6±6.0 years with a range of 20 to 53 years, see Table1. There were 52 comorbid conditions among the 476 women. The comorbidities included uterine myoma, previous appendectomy/pelvic surgeries, genital tract infections/retroviral disease, hypertension, obesity and diabetes, among others, see Table 4. Table 2 and 3 shows there is a significant statistical association between comorbidity type, age, parity, duration of infertility and symptoms complex between infertile women and comorbidities (p<0.05).Conclusion: Comorbidities that can influence treatment and pregnancy outcomes are common among infertile women in central Nigeria. This finding strongly supports the routine assessment of women for comorbidities during infertility care for appropriate multidisciplinary management and counselling.

scholarly journals PROBLEMS OF BASIC HEALTH SERVICES IN THE BORDER AREAS OF INDONESIA’S NUSA TENGGARA TIMUR PROVINCE

2021 ◽  
Vol 20 (1) ◽  
pp. 25-33
Author(s):  
Posma Sariguna Johnson Kennedy
Keyword(s):  
Health Service ◽  
Human Resources ◽  
Community Health Centers ◽  
Health Sector ◽  
Health Centers ◽  
The Other ◽  
Health Policies ◽  
North Central ◽  
Border Regions ◽  
Border Areas

This study aims to learn about the implementation of health policies dealing with malnutrition, as well as the factors that drive and hinder the application of these policies, in the Nusa Tenggara Timur (NTT) Province of Indonesia (East Nusa Tenggara, in English). The results show that the border regions, specifically the Kupang and Timor Tengah Utara (North Central Timor) Regencies, suffer the worst conditions and have the greatest need for priority attention. Areas with better conditions are the Alor and Malaka Regencies, which should be given second priority. The Belu Regency produces better results than the other regencies and should be given third priority. Some programs and health service improvements must be carried out, such as the development and empowerment of Human Resources in the health sector, and improvement of the facilities and infrastructure of Community Health Centers (Puskemas) with their networks.

scholarly journals Intracranial suppurations surgically managed at Jos, North Central Nigeria: a nine-years retrospective review

2021 ◽  
Author(s):  
Danaan J. Shilong ◽  
Gyang M. Bot
Keyword(s):  
Positive Culture ◽  
Descriptive Statistics ◽  
University Teaching ◽  
Common Symptom ◽  
Common Site ◽  
Radiological Findings ◽  
North Central ◽  
Common Cause ◽  
High Index Of Suspicion ◽  
Contiguous Spread

Background: Intracranial suppurations are rare but can be fatal entities consisting of pus collection within the intracranial cavity.  The aim of the study was to document the clinical and radiological findings in our patients and the outcome of treatment.Methods: A retrospective analysis of all consecutive patients presenting to the Jos University Teaching Hospital from January 2012 to December 2019. Data of interest were retrieved from their folders and entered into SPSS version 22 and descriptive statistics run on the variables.Results: There were 33 patients within this period, but only 21 had complete records and thus used for the analysis. The median age was 18 years (IQR=29), males accounted for 81% of the patients. The median time to presentation was 14 days (IQR=23). The most common cause of abscess in our series was trauma (surgical and non-surgical) in 38.1%, followed by contiguous spread from the ear or paranasal sinuses (23.8%). The most common symptom was fever occurring in 61.9%, followed by headache 42.8%. In two thirds of the patients, the abscess was intra-axial (the frontal lobe being the most common site). Patients were managed surgically with either a craniotomy (28.6%) or a burr whole (71.4%). A positive culture was obtained in 33.3% of cases.Conclusions: Intracranial suppurations are uncommon, but can occur in the setting of predisposing factors. A high index of suspicion is required to clinch the diagnosis.

scholarly journals The Role of The Community in Combating The Covid-19 Pandemic in Indonesia

2021 ◽  
Vol 1 (1) ◽  
pp. 159-168
Author(s):  
Djufri Nurachman ◽  
Goddess Purnamawati
Keyword(s):  
Health Education ◽  
Small Businesses ◽  
Teaching And Learning ◽  
Health Workers ◽  
Health Sector ◽  
Economic Downturn ◽  
The Government ◽  
Curriculum Policies ◽  
Global Threat

Corona Virus Diseases 19 (Covid-19) has become a global threat. The role of the community is very much needed to break the chain of transmission of Covid-19. This study aims to determine the role of the Indonesian people in overcoming the Covid-19 pandemic in general, health, education, and the economy. Research method: using SLR. Data is collected from Scopus and indexed journals through a science direct and Garuda-based data system. Data were analyzed using content analysis techniques. Research Results: Indonesian people have implemented health protocols in the form of using masks outside the home, complying with PSBB policies, washing hands regularly. In the health sector, supporting health workers by helping to raise funds for PPE, conducting regional quarantine. In supporting education policies during the Covid-19 period, the context of which is the government, teachers, and parents, have been with all their might and dedication to provide facilities for students in the form of data packages, relaxation of curriculum policies, elimination of National Examinations, the effectiveness of teaching and learning activities in Indonesia. during the pandemic. To respond to the economic downturn itself, the community supports the return of the Indonesian economy, such as opening small businesses online, supporting policies for providing assistance and relaxing MSME loans by submitting small businesses, supporting government policies on tax relaxation. while still paying taxes. Conclusion: In general, the Indonesian people have been quite disciplined in trying to prevent the spread of COVID-19, both in the fields of health, education, and the economy.

BioMed_Central_Tex_Template_v1.06 Exploration of Workplace violence experience among nurses at a selected University teaching Hospital in Rwanda

2019 ◽  
Author(s):  
Valens MUSENGAMANA ◽  
Oluyinka Adejumo ◽  
Gilbert BANAMWANA ◽  
Marie Josée MUKAGENDANEZA ◽  
Thimothée Shahidi TWAHIRWA
Keyword(s):  
Teaching Hospital ◽  
Workplace Violence ◽  
Health Sector ◽  
University Teaching ◽  
World Health ◽  
Research Approach ◽  
International Labor Organization ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Organization

Abstract Background Workplace violence is a global problem in the health sector especially in the hospitals affecting healthcare works’ job satisfaction and performance. Workplace violence is present in different forms associated with various factors and the nurses are the most affected. The aim of this study was to explore workplace violence experience among nurses working at a selected University Teaching Hospital in Rwanda.Method The research approach used was quantitative descriptive cross-sectional design. The stratified random sampling was used to recruit 195 participants among 379 nurses. The data was collected using a structured, validated, and self-administered questionnaire that was adapted from the International Labor Organization, International Council of Nurses, World Health Organization and Public Services International. Descriptive statistics were used for analyzing frequencies and percentages. Chi-square test was used for evaluating the association between variables.Results The findings revealed that (58.5%, n=114) of nurses have experienced some types of WPV in the twelve months preceding the study, among them (44.6%, n=108) of nurses were verbally abused. The nurses providing emergency care, the nurses working at the emergency department and nurses working with vulnerable patients like HIV/AIDS patients were associated with workplace violence Chi-square (1, n=195), P=<0.001). The psychological problems has been found as the first consequences of workplace violence.Conclusions Based on the study findings, it was concluded that the hospital management needs to be aware of workplace violence, develop and implement appropriate policies and strategies. These strategies will strengthen nurses’ concentration towards their and will resulting in service delivery improvement.

scholarly journals “My work? Well, I live it and breathe it”: The seamless connect between the professional and personal/community self in the Aboriginal and Torres Strait Islander health sector

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Michelle Dickson
Keyword(s):  
Health Worker ◽  
Health Professionals ◽  
Torres Strait Islander ◽  
Health Workers ◽  
Health Sector ◽  
Indigenous Research ◽  
Indigenous Australian ◽  
Team Members ◽  
Torres Strait ◽  
Torres Strait Islander Health

Abstract Background Australian Aboriginal and Torres Strait Islander health professionals often juggle the challenges of working and living in the same community in ways that are positive for both themselves and their clients. This study specifically examines the strategies Aboriginal and Torres Strait Islander health professionals have developed to enable them to feel empowered by the sense of being always visible or perceived as being always available. Findings provide examples of how participants (Team Members) established a seamless working self, including how they often held different perspectives to many work colleagues, how Team Members were always visible to community and how Team Members were comfortable to be seen as working when not at work. Methods This qualitative study engages an Indigenous research methodology and uses an Indigenous method, PhotoYarning, to explore lived experiences of a group (n = 15) of Aboriginal and Torres Strait Islander health workers as they worked in the Australian health sector. Results The analysis presented here comes from data generated through PhotoYarning sessions. Team Members in this study all work in health care settings in the communities in which they also live, they manage an extremely complex network of interactions and relationships in their daily working lives. They occupy an ambivalent, and sometimes ambiguous, position as representing both their health profession and their community. This article explores examples of what working with seamlessness involved, with findings citing four main themes: (1) Being fellow members of their cultural community, (2) the feeling of always being visible to community as a health worker, (3) the feeling of always being available as a health worker to community even when not at work and (4) the need to set an example. Conclusions While creating the seamlessness of working and living in the same community was not easy, Team Members considered it an important feature of the work they did and vital if they were to be able to provide quality health service to their community. However, they reported that the seamless working self was at odds with the way many of their non-Indigenous Australian colleagues worked and it was not well understood.

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