scholarly journals Knowledge and attitude of primary healthcare workers towards rational prescription of Artemisinin-based combination therapy in the treatment of uncomplicated malaria in Ondo State, southwestern Nigeria

2021 ◽  
Author(s):  
Baba Oyinaka ◽  
Nura Umar ◽  
Nafiu Aminu ◽  
Calistus Akinleye ◽  
Tanko Nuhu
Keyword(s):  
Combination Therapy ◽  
Primary Healthcare ◽  
Uncomplicated Malaria ◽  
Healthcare Workers ◽  
Southwestern Nigeria ◽  
Ondo State ◽  
Knowledge And Attitude

scholarly journals Hand Hygiene Compliance Study at a Large Central Hospital in Vietnam

2019 ◽  
Vol 16 (4) ◽  
pp. 607 ◽  
Author(s):  
Cam Le ◽  
Erik Lehman ◽  
Thanh Nguyen ◽  
Timothy Craig
Keyword(s):  
Quality Assurance ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Medical Center ◽  
Compliance Rate ◽  
World Health ◽  
Limiting Factors ◽  
Cultural Attitudes ◽  
Knowledge And Attitude ◽  
Hygiene Compliance

Lack of proper hand hygiene among healthcare workers has been identified as a core facilitator of hospital-acquired infections. Although the concept of hand hygiene quality assurance was introduced to Vietnam relatively recently, it has now become a national focus in an effort to improve the quality of care. Nonetheless, barriers such as resources, lack of education, and cultural norms may be limiting factors for this concept to be properly practiced. Our study aimed to assess the knowledge and attitude of healthcare workers toward hand hygiene and to identify barriers to compliance, as per the World Health Organization’s guidelines, through surveys at a large medical center in Vietnam. In addition, we aimed to evaluate the compliance rate across different hospital departments and the roles of healthcare workers through direct observation. Results showed that, in general, healthcare workers had good knowledge of hand hygiene guidelines, but not all believed in receiving reminders from patients. The barriers to compliance were identified as: limited resources, patient overcrowding, shortage of staff, allergic reactions to hand sanitizers, and lack of awareness. The overall compliance was 31%; physicians had the lowest rate of compliance at 15%, while nurses had the highest rate at 39%; internal medicine had the lowest rate at 16%, while the intensive care unit had the highest rate at 40%. In summary, it appears that addressing cultural attitudes in addition to enforcing repetitive quality assurance and assessment programs are needed to ensure adherence to safe hand washing.

scholarly journals ‘The nurse did not even greet me’: how informed versus non-informed patients evaluate health systems responsiveness in South Africa

2021 ◽  
Vol 6 (4) ◽  
pp. e004360
Author(s):  
Dumisani MacDonald Hompashe ◽  
Ulf-G Gerdtham ◽  
Carmen S Christian ◽  
Anja Smith ◽  
Ronelle Burger
Keyword(s):  
Health Systems ◽  
Primary Healthcare ◽  
Healthcare Workers ◽  
Quality Care ◽  
Public Healthcare ◽  
Health Coverage ◽  
Access To Health Services ◽  
Healthcare Provision ◽  
Healthcare Facilities ◽  
Patients Experience

Introduction Universal Health Coverage is not only about access to health services but also about access to high-quality care, since poor experiences may deter patients from accessing care. Evidence shows that quality of care drives health outcomes, yet little is known about non-clinical dimensions of care, and patients’ experience thereof relative to satisfaction with visits. This paper investigates the role of non-clinical dimensions of care in patient satisfaction. Methods Our study describes the interactions of informed and non-informed patients with primary healthcare workers at 39 public healthcare facilities in two metropolitan centres in two South African provinces. Our analysis included 1357 interactions using standardised patients (for informed patients) and patients’ exit interviews (for non-informed patients). The data were combined for three types of visits: contraception, hypertension and tuberculosis. We describe how satisfaction with care was related to patients’ experiences of non-clinical dimensions. Results We show that when real patients (RPs) reported being satisfied (vs dissatisfied) with a visit, it was associated with a 30% increase in the probability that a patient is greeted at the facilities. Likewise, when the RPs reported being satisfied (vs dissatisfied) with the visit, it was correlated with a 15% increase in the prospect that patients are pleased with healthcare workers’ explanations of health conditions. Conclusion Informed patients are better equipped to assess health-systems responsiveness in healthcare provision. Insights into responsiveness could guide broader efforts aimed at targeted education and empowerment of primary healthcare users to strengthen health systems and shape expectations for appropriate care and conduct.

scholarly journals Risk factors of the stigma towards psychiatric patients among primary healthcare workers in China: a county study

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Yang Wang ◽  
Xiaohua Wang ◽  
Weijun Zhang ◽  
Xiaoyun Liang ◽  
Donghua Tian ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary Healthcare ◽  
Healthcare Workers ◽  
Psychiatric Patients

scholarly journals Epidemiology of COVID-19 infection amongst workers in Primary Healthcare in Qatar

2021 ◽  
Author(s):  
Mohamed Ghaith Al-Kuwari ◽  
Mariam AbdelMalik ◽  
Asma Ali Al-Nuaimi ◽  
Jazeel Abdulmajeed ◽  
Hamad Eid Al-Romaihi ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Attack Rate ◽  
Healthcare Workers ◽  
Safety Training ◽  
P Value ◽  
Risk Environment ◽  
Cross Sectional ◽  
Staff Support ◽  
Preventative Measures ◽  
Risk Of Exposure

AbstractBackgroundCOVID-19 transmission was significant amongst Healthcare workers worldwide.AimThis study aims to estimate the risk of exposure for COVID-19 across Primary Healthcare workers in the State of Qatar. Methods: A cross-sectional descriptive study was conducted to study the burden of COVID-19 among staff working at PHCC during the COVID-19 pandemic from March 1 to October 31, 2020.Results1,048 (87.4%)of the infected HCWs belonged to the age group below 45 years, and 488 (40.7%) HCWs were females. 450 (37.5%) were HCWs clinical staff working in one of the 27 PHCC HCs; Despite the increased patient footfall and risk environment, the COVID HCs had an attack rate of 10.1%, which is not significantly different from the average attack rate of 8.9% among staff located in other HCs (p-value =0.26). Storekeepers, engineering & maintenance staff, housekeeping staff, support staff, and security staff (outsourced positions) had the highest positivity rates, 100%, 67.2%, 47.1%, 32.4%, and 29.5% respective positivity rates.ConclusionsThe elevated risk of infection amongst outsourced healthcare workers can be explained by environmental factors such as living conditions. On the other hand, better containment within clinical healthcare workers can be attributed to strict safety training and compliance with preventative measures which is recommended to be implemented across all settings.

scholarly journals Compositional and industrial assessment of Isua-Akoko, Akure, Ayadi and Lafe (Ode Aye) clay deposits of Ondo state, Nigeria

1970 ◽  
Vol 21 (1) ◽  
pp. 41-49
Author(s):  
O Adegbuyi ◽  
GP Ojo ◽  
AJ Adeola ◽  
MT Alebiosu
Keyword(s):  
Chemical Properties ◽  
Fine Sand ◽  
Coarse Sand ◽  
Grain Size Analysis ◽  
Size Analysis ◽  
Medium Sand ◽  
Southwestern Nigeria ◽  
Firing Test ◽  
Clay Deposits ◽  
Ondo State

The physical and chemical properties of clay deposits around Isua-Akoko, Akure, Lafe and Ayadi in Ondo State southwestern Nigeria have been examined. The results have shown that Isua-Akoko, Akure and Lafe Clays are plastic fire clays while Ayadi clay is kaolinite. Grain size analysis reveals that Isua Akoko Clay contains 45% of clay, 18% silt, 12% fine sand,14% medium sand and 11% coarse sand and no gravel; Akure clay contains 42% clay, 14% silt, 13% fine sand, 20% medium sand and 8% coarse sand with 1% gravel. Lafe Clay contains 21% clay, 8% silt, 25% fine sand, 37% medium sand and 8% coarse sand with 1% gravel while Ayadi clay contains 83% clay and 17% silt. The liquid limits of these clay samples range from 41% to 73%% and plastic limits range from 18% to 26% respectively. The chemical analysis reveals that the most abundant mineral is silica (60.97%) and aluminum was next in abundance (23.69%) while other oxides are low. The results show that Isua-Akoko and Akure are residual while Lafe and Ayadi are sedimentary and transported Clays. The firing test, PH, and bleaching tests of the clays are also discussed. The chemical and physical characteristics of the clay deposits are strongly indicative of their industrial importance in the production of ceramics, refractories, paving bricks, paint and pharmaceutical products.KEYWORDS: Kaolinite, fire clay, gravel, ceramics and alumina.

scholarly journals Knowledge and Attitude Regarding Child Abuse Among Primary Healthcare Physicians and Interns in Al Qassim, Saudi Arabia

Cureus ◽  
2020 ◽  
Author(s):  
Abdulrhman Aldukhayel ◽  
Emad Aljarbou ◽  
Fatima M Alturki ◽  
Nouf S Almazyad ◽  
Ohud M Alsaqer ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Child Abuse ◽  
Primary Healthcare ◽  
Knowledge And Attitude

scholarly journals Occupational exposure to blood and body fluids among primary healthcare workers in Johannesburg health district: High rate of underreporting

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Collins C.E. Mbah ◽  
Zuberu B. Elabor ◽  
Olufemi B. Omole
Keyword(s):  
South African ◽  
Primary Healthcare ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Body Fluids ◽  
High Rate ◽  
Chi Square ◽  
Cross Sectional ◽  
Bloodborne Infections ◽  
Contaminated Blood

Background: Healthcare workers (HCWs) are at risk of bloodborne infections from sharp instrument injuries and skin and mucous membrane exposures to contaminated blood and body fluids (BBF). While these have clinical and occupational health implications, little is known about BBF exposure and its reporting pattern in South African primary healthcare (PHC). The aim of this study was to determine the rate of BBF exposure, the extent of reporting and the reasons for not reporting among HCWs in PHC facilities in Johannesburg, South Africa.Methods: In a cross-sectional study involving 444 participants, an 18-item, self-administered questionnaire was used to collect information on socio-demographic characteristics, HCWs’ exposures to BBF in the last year, whether the exposure was reported and the reasons for not reporting. Analysis included descriptive statistics and chi-square test.Results: Most participants were nurses (87.4%) and female (88.1%). About a quarter of participants (112) reported having at least one BBF exposure in the last year. Overall, there were 355 exposures, resulting in 0.8 BBF exposure per HCW per year. Of these exposures, 291 (82.0%) were not reported. Common reasons for not reporting include lack of time (42.72%), perception that the source patient was at low risk for human immunodeficiency virus (24.7%) and concerns about confidentiality (22.5%). Blood and body fluids exposures involving nurses (p 0.001), sharp instrument (p 0.001) and HCWs aged 50 years (p = 0.02) were significantly more likely to be reported.Conclusion: This study found a high rate of underreporting of BBF exposures among HCWs in PHC facilities in Johannesburg, suggesting an urgent need for interventions to improve reporting.

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