scholarly journals Consumer choice of health facility among the lowest socioeconomic group in newly established demand-side health-financing scheme in Khyber Pakhtunkhwa, Pakistan

2021 ◽  
Author(s):  
Sidra Malik ◽  
Naveed Sadiq ◽  
Saeed Anwar ◽  
Umair Qazi
Keyword(s):  
Health Services ◽  
Private Sector ◽  
Health Facility ◽  
Consumer Choice ◽  
Geographic Location ◽  
Health Facilities ◽  
Health Protection ◽  
Social Health ◽  
Socioeconomic Group ◽  
The Social

Background: The Social Health Protection Initiative was introduced initially in Pakistan in Khyber Pakhtunkhwa Province. The initiative aimed to provide the lowest socioeconomic group of the population with in-patient healthcare services, which otherwise would be financially hard to obtain. It is one of the flagship projects of the Provincial Government to contribute towards the United Nations Sustainable Development Goals and universal health coverage. Aims: To assess consumer choice of health facility and its determinants for public versus private sector health facilities by people enrolled in Social Health Protection Initiative. Methods: We used secondary data of availed health services from February 2016 to September 2017 under the Social Health Protection Initiative. A proxy outcome variable, visit to health facility, was used to determine consumer choice between public and private sector health facilities. The treatment group (health services received by beneficiaries) was used as an independent variable controlled for age groups, cost groups, and geographic location of health facilities. All statistical analyses were performed by SPSS version 20. Results: Most beneficiaries chose private over public health facilities (90.25%). However, adjusted odds of visiting a public sector health facility for surgical and gynaecological services were 0.12 [95% confidence interval (CI): 0.10–0.16] and 0.11 (95% CI: 0.09–0.14) respectively, when compared to medical services. Conclusion: Social Health Protection Initiative beneficiaries have lesser odds of visiting a public hospital over a private one. The choice may be affected by factors such as age of the beneficiary, cost of health services, and geographic location of health facilities.

HARMONISASI POLA PENGELOLAAN KEUANGAN FASKES DI LINGKUNGAN KEMENTERIAN PERTAHANAN DAN TNI DENGAN UU NO. 44 TAHUN 2009 tentang RUMAH SAKIT

2019 ◽  
Vol 19 (2) ◽  
pp. 182
Author(s):  
Sutarno Sutarno
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Social Security ◽  
Health Facility ◽  
Health Facilities ◽  
Fundamental Change ◽  
Legal Research ◽  
Legal Rules ◽  
The Social ◽  
The Government

<em>Since the enactment of Law Number 24 of 2011 concerning the Social Security Organizing Agency, there has been a very fundamental change in terms of Health Services. Health facilities within the Ministry of Defense and TNI which also affect budget governance. This legal research is a normative law with sources of primary and secondary legal materials that aim to review and analyze the legal rules regarding the management of income income received by Health Facilities within the Ministry of Defense and the TNI based on Law Number 44 of 2009; and reviewing and analyzing conflicting norms for the use of the TNI Health Facility as of the enactment of Law Number 24 of 2011 concerning the Health Insurance Administering Body. The results showed that the TNI Hospital which is a health facility owned by the Government should be subject to the rules contained in RI Law No. 44 of 2009 concerning Hospitals.</em>

scholarly journals PEMAHAMAN TENTANG HAK DAN KEWAJIBAN PESERTA BPJS KESEHATAN DI PUSKESMAS GANDING SUMENEP

2019 ◽  
Vol 4 (2) ◽  
pp. 25-27
Author(s):  
Moh. Jonaidy Prasetiawan ◽  
Dr. Eko Mulyadi ◽  
Sugesti Aliftitah
Keyword(s):  
Health Services ◽  
Health Facility ◽  
Consumer Protection ◽  
Emergency Services ◽  
Health Facilities ◽  
Research Report ◽  
Descriptive Research ◽  
To Come

The large number of BPJS Kesehatan participants who do not understand the rights and responsibilities of BPJS Kesehatan participants, make medical workers in health facilities often conflict with patients and families of patients. This research was conducted to describe the understanding about the rights and obligations of BPJS Kesehatan participants. The method in this research is qulitative descriptive research, this research is intended to investigate the condition, condition or other matters, which result presented in the form of research report. Lack of understanding of BPJS Kesehatan participants due to the absence of clear, correct, detailed and detail information regarding regulations, financing, rights and obligations, sanctions if late dues, health facility destinations, tiered referral, emergency services, how to submit complaints, or concerning health services anything that can and can not be obtained. BPJS Kesehatan socializes passively, which is only doing socialization if invited to come by interested parties. According to Law No. 08 of 1999 on Consumer Protection, BPJS Kesehatan as a business actor is obliged to provide information and socialization that is clear, true and honest about the product of goods or and services to be provided, should not cause the interpretation, must be clear, detailed, and detail. Keyword: Rights, Responsibilities, Socialization, BPJS Kesehatan.

scholarly journals Geographic location of health facility and immunization program performance in Hoima district, western Uganda: a health facility level assessment

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Nicholas Kwikiriza Magambo ◽  
Francis Bajunirwe ◽  
Fred Bagenda
Keyword(s):  
Health Facility ◽  
Urban Areas ◽  
Health Workers ◽  
Geographic Location ◽  
Health Facilities ◽  
Urban Setting ◽  
World Health ◽  
Program Performance ◽  
Immunization Program ◽  
Western Uganda

Abstract Background Globally, immunization coverage for childhood vaccines is below the immunization target of achieving at least 90% coverage with the pentavalent vaccine. In Uganda, a recent survey shows 80% of districts had poor immunization program performance. However, there is significant variation in performance within and between districts. We hypothesized that geographic location of a health facility may influence performance of its immunization programs. Therefore, the purpose of this study was to examine whether geographical location of a health facility within a district is associated with performance of the immunization program in Hoima district, western Uganda. Methods We conducted a cross sectional study using a mixed methods approach. The main study unit was a health center and we also interviewed health workers in-charge of the facilities and reviewed their health facility records. We reviewed the Uganda Health Management Information System (HMIS) 105 reports of six months to obtain data on immunization program performance. Performance was categorized using World Health Organization’s Reach Every District (RED) criteria and classified as poor if a facility fell in category 3 or 4 and good if 1 or 2. We also conducted key informant interviews with immunization focal persons in the district. We examined the association between dependent and independent variables using Fisher’s exact test. Results We collected data at 49 health facilities. Most of these facilities (55.1%) had poor immunization program performance. Proximal location to the central district headquarters was significantly associated with poor immunization program performance (p < 0.05). Attitudes of health workers in the more urban areas, differences in strategies for outreach site selection and community mobilization in the rural and urban areas were suggested as possible explanations. Conclusions Proximal location to the urban setting near district headquarters was strongly associated with poor immunization program performance. To be able to reach larger numbers of children for vaccination, interventions to improve performance should target health facilities in urban settings.

scholarly journals Effectiveness of Essential Health Care Services Delivery in Nepal

1970 ◽  
Vol 6 (2) ◽  
pp. 74-83 ◽  
Author(s):  
B Devkota
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Services ◽  
Health Facility ◽  
Health Care Services ◽  
Health Facilities ◽  
Care Services ◽  
Services Delivery ◽  
Equity And Efficiency

Background: Ensuring delivery of quality health services in a sustainable and equitable manner is a challenge in Nepal. A host of factors may have impeded the access, quality and utilization of the health services particularly by the marginalized and disadvantaged sections of the population. Review essential health care services (EHCS) provided by the public health facilities, level of progress, effectiveness, sustainability, equity and efficiency, quality of care and inclusion of marginalized and disadvantaged populations in health care servicesMethods: A total of 40 VDCs from 10 districts representing five regions and three eco-zones were covered. Altogether 800 mothers with under two year children, 40 health service providers, 145 key informants and 40 exit clients were interviewed. Forty focused group discussions were also conducted. From each district, health records of one hospital, PHCC, HP, SHP and Ayurvedic health facility each were collected.Results: More than two-third (68.2%) of the mothers received antenatal checks, highest in hills (85%) followed by terai (64.5%) and mountain districts (52.8%).Tetanus vaccine coverage (80.7%) seems higher compared to Nepal Demographic Health Survey 2001 (45%). FP use rate in mountain, hill and terai are 57.6%, 54.1% and 49.7%, higher than in DoHS 2003/2004 statistics, which were 26.8%, 36.4% and 45.3% respectively. Nine out of ten patients visiting the health facilities were outpatients. The coverage of DPT 3, Polio 3, BCG and measles are 92.8%, 93.4%, 95.2% and 90.7% respectively. From the service utilization perspective, disparities in terms of gender, ecological regions, season of the year and health facility were revealed.Conclusion: Health sector services are yet to be made responsive to the ecological and district specific health problems, and be made more inclusive linking with doable safety nets.  Key words: Essential health care services; Effectiveness; Sustainability; Equity and efficiency; Quality of care and inclusion  doi: 10.3126/jnhrc.v6i2.2188Journal of Nepal Health Research Council Vol. 6 No. 2 Issue 13 Oct 2008 Page: 74-83 

scholarly journals Geographic location of health facility and immunization program performance in Hoima district, western Uganda: A health facility level assessment

2020 ◽  
Author(s):  
Nicholas Magambo Kwikiriza ◽  
Francis Bajunirwe ◽  
Fred Bagenda
Keyword(s):  
Health Facility ◽  
Urban Areas ◽  
Health Workers ◽  
Geographic Location ◽  
Health Facilities ◽  
Urban Setting ◽  
World Health ◽  
Program Performance ◽  
Immunization Program ◽  
Western Uganda

Abstract Background: Globally immunization coverage for childhood vaccines is below the immunization target of achieving at least 90% coverage with the pentavalent vaccine. In Uganda, a recent survey shows 80% of districts had poor immunization program performance. However, there is significant variation in performance within and between districts. We hypothesized that geographic location of health facility may influence performance of their immunization programs. Therefore, the purpose of this study was to examine whether geographical location of health facility within a district is associated with performance of the immunization program in Hoima district, western Uganda.Methods: We conducted a cross sectional study using a mixed methods approach. The study unit was a health center and we interviewed health workers in-charge of the facilities and reviewed their health facility records. We reviewed the Uganda Health Management Information System (HMIS) 105 reports of six months to obtain data on immunization program performance. Performance was categorized using World Health Organization’s Reach Every District (RED) criteria and classified as poor if a facility fell in category 3 or 4 and good if 1 or 2. We also conducted key informant interviews with immunization focal persons in the district. We examined the association between dependent and independent variables using Fisher’s exact test. Results: We collected data at 49 health facilities. Most of the health units (55.1%) had poor immunization program performance. Proximal location to the central district headquarters was significantly associated with poor immunization program performance (p<0.05). Attitudes of health workers in the more urban areas, differences in strategies for outreach site selection and community mobilization in the rural and urban areas were suggested as possible explanations.Conclusions: Proximal location to the urban setting near district headquarters was strongly associated with poor immunization program performance. To be able to reach larger numbers of children for vaccination, interventions to improve performance should target health facilities in urban settings.

scholarly journals Implementation research on sustainable electrification of rural primary care facilities in Ghana and Uganda

2020 ◽  
Vol 35 (Supplement_2) ◽  
pp. ii124-ii136
Author(s):  
Dena Javadi ◽  
John Ssempebwa ◽  
John Bosco Isunju ◽  
Lucy Yevoo ◽  
Alberta Amu ◽  
...  
Keyword(s):  
Health Services ◽  
Rural Health ◽  
Health Facility ◽  
Health Systems ◽  
Implementation Research ◽  
Health Facilities ◽  
Service Availability ◽  
Community Satisfaction ◽  
Energy Infrastructure ◽  
Implementation Factors

Abstract Access to energy is essential for resilient health systems; however, strengthening energy infrastructure in rural health facilities remains a challenge. In 2015–19, ‘Powering Healthcare’ deployed solar energy solutions to off-grid rural health facilities in Ghana and Uganda to improve the availability of maternal and child health services. To explore the links between health facility electrification and service availability and use, the World Health Organization (WHO), in partnership with Dodowa Health Research Centre and Makerere University School of Public Health, carried out an implementation research study. The objectives of this study were to (1) capture changes in service availability and readiness, (2) describe changes in community satisfaction and use and (3) examine the implementation factors of sustainable electrification that affect these changes. Data were collected through interviews with over 100 key informants, focus group discussions with over 800 community members and health facility assessment checklist adapted from the WHO’s Service Availability and Readiness Assessment tool. Implementation factors were organized using Normalization Process Theory constructs. The study found that access to energy is associated with increased availability of health services, access to communication technologies, appropriate storage of vaccines and medicines, enhanced health worker motivation and increased community satisfaction. Implementation factors associated with improved outcomes include stakeholder engagement activities to promote internalization, provision of materials and information to encourage participation, and establishment of relationships to support integration. Barriers to achieving outcomes are primarily health systems challenges—such as drug stockouts, lack of transportation and poor amenities—that continue to affect service availability, readiness and use, even where access to energy is available. However, through appropriate implementation and integration of sustainable electrification, strengthened energy infrastructure can be leveraged to catalyze investment in other components of functioning health systems. Improving access to energy in health facilities is, therefore, necessary but not sufficient for strengthening health systems.

scholarly journals Perceptions on adolescents’ friendly health services concepts and the use of health services by adolescents in Kavango region, Namibia

2021 ◽  
Vol 8 (4) ◽  
pp. 1632
Author(s):  
Taimi Amakali-Nauiseb ◽  
Joan M. Kloppers
Keyword(s):  
Health Services ◽  
Health Facility ◽  
Health Facilities ◽  
Drop Out ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Qualitative Approaches ◽  
School Drop Out ◽  
Transition Into Adulthood ◽  
Use Of Health Services

Background: The objective of this study was to determine the perceptions on adolescents’ friendly health services concepts and the use of health services by adolescents in Kavango region, Namibia.Methods: A cross-sectional analytical study was conducted using mixed methods - quantitative and qualitative approaches among 350 school learners and 150 school drop-out adolescents. In total a sample of 540 was utilized. The stratified random sampling techniques were used in the selections of the circuit and the schools. Structured questionnaires were used in face-to-face interviews, and in depth interviews were conducted among the key informants (25 teachers) and as well with 15 school learners.Results: Illustrated the following: there was a statistically highly significant association between adequate confidentiality, last visit at the health facility and both sexually transmitted infections and visited health facility (p=0.004 respectively). A statistically significant association was found between all visits to health facilities, pamphlets and talks on contraceptives; visit to health facilities, comfortable and contraceptives talks (p=0.001 respectively). Additionally, there was a statistically significant association respectively between both contraceptives used and number of times services sought and between services, pamphlets and contraceptives with a (p 0.010<0.05).Conclusions: The youth need health services that are sensitive to their unique stage of biological, cognitive, and psychosocial transition into adulthood. Health services that are more accessible and acceptable to adolescents and made more youth-friendly.  

scholarly journals Geographic location of health facility and immunization program performance in Hoima district, western Uganda, a Health Facility level assessment

2020 ◽  
Author(s):  
Nicholas Magambo Kwikiriza ◽  
Francis Bajunirwe ◽  
Fred Bagenda
Keyword(s):  
Health Facility ◽  
Urban Areas ◽  
Health Workers ◽  
Geographic Location ◽  
Health Facilities ◽  
Urban Setting ◽  
World Health ◽  
Program Performance ◽  
Immunization Program ◽  
Western Uganda

Abstract Background: Globally immunization coverage for childhood vaccines is below the immunization target of achieving at least 90% coverage with the pentavalent vaccine. In Uganda, a recent survey shows 80% of districts had poor immunization program performance. However, there is significant variation in performance within and between districts. We hypothesized that geographic location of a health facility may influence performance of its immunization programs. Therefore, the purpose of this study was to examine whether geographical location of a health facility within a district is associated with performance of the immunization program in Hoima district, western Uganda.Methods: We conducted a cross sectional study using a mixed methods approach. The study unit was a health center and we interviewed health workers in-charge of the facilities and reviewed their health facility records. We reviewed the Uganda Health Management Information System (HMIS) 105 reports of six months to obtain data on immunization program performance. Performance was categorized using World Health Organization’s Reach Every District (RED) criteria and classified as poor if a facility fell in category 3 or 4 and good if 1 or 2. We also conducted key informant interviews with immunization focal persons in the district. We examined the association between dependent and independent variables using Fisher’s exact test. Results: We collected data at 49 health facilities. Most of these facilities (55.1%) had poor immunization program performance. Proximal location to the central district headquarters was significantly associated with poor immunization program performance (p<0.05). Attitudes of health workers in the more urban areas, differences in strategies for outreach site selection and community mobilization in the rural and urban areas were suggested as possible explanations.Conclusions: Proximal location to the urban setting near district headquarters was strongly associated with poor immunization program performance. To be able to reach larger numbers of children for vaccination, interventions to improve performance should target health facilities in urban settings.

scholarly journals Research in Consumer Preferences Selecting the Services of Wellness-Fitness Centres in Kaunas

2018 ◽  
Vol 2 (89) ◽  
Author(s):  
Vilma Tamulienė
Keyword(s):  
Standard Deviation ◽  
Consumer Choice ◽  
Questionnaire Survey ◽  
Information Technologies ◽  
Consumer Preferences ◽  
Geographic Location ◽  
Customer Relationship ◽  
The Social ◽  
Research Findings ◽  
Political Economic

Research background and hypothesis. Competition among wellness-fitness centre companies is quite high. Each company which provides services to sport, in order to effectively carry out its activities, must take into account not only the political, economic, social, cultural, technological environment to follow current and potential competitors and their actions, but also consumer needs and priorities in selecting services. In addition, wellness-fitness centre managers must know the key criteria of consumer choice, especially when preparing strategic marketing plans for future company activities. Hypothesis – the most important keys of consumers selecting fitness centres services are geographic location, the quality of services and price. Research aim was to determine consumer preferences in selecting fitness and wellness services at the largest health centres in Kaunas. Research methods. The methods of quantitative questionnaire survey and observation were used, as well as the comparison of the conducted research findings with Euro barometer (2009), “Rait” (2007), KTU representatives investigating  the  customers  in  “Impuls”  sports  and  entertainment  parks  (2009),  Lithuanian  Union  of  Sports Federations (LSFS) in 2010.The questionnaire survey was conducted in March-April of 2011. A random probability sampling method was used with visitors (n = 170) from four largest wellness-fitness centres in Kaunas and the e-version of the questionnaire was uploaded into the social network profiles of wellness-fitness centres. The data were analysed and processed using statistical package for social sciences (SPSS 17.0 version).Research results. Results of the present research allow concluding that respondents’ opinions concerning the following service assessment of wellness-fitness centres in Kaunas were very scattered and very unequal (standard deviation of the motivator assessment >1). However, only one provided service coincided. It was the service of sauna and sauna area (standard deviation of the motivator assessment = 0.996 < 1). The research hypothesis was proved partially. Discussion and conclusions. Having executed the research it was determined that there were very versatile consumer priorities in selecting the service provided by wellness-fitness centres in Kaunas and it was impossible to distinguish predominant ones proving that wellness-fitness centres had to focus on the personalized service packages and modern information technologies for the customer relationship management.Keywords: consuming sports services, companies of sports services, package of services.

Provisioning of Education and Health in Public–Private Partnership (PPP) Mode

2019 ◽  
pp. 113-123
Author(s):  
Kuldeep Mathur
Keyword(s):  
Health Services ◽  
Private Sector ◽  
Single Mode ◽  
Regulatory Mechanisms ◽  
Public Private Partnerships ◽  
Social Sector ◽  
Private Partnership ◽  
Education And Health ◽  
The Social ◽  
Physical Infrastructure

This chapter illustrates the consequences of privatization and public–private partnerships in delivering education and health services in India. The reasons for using PPPs in providing physical infrastructure are very different from the ones for their use in the social sector. In both kinds of services, no single mode of PPP is implemented and experimentation has been widely undertaken. PPPs pose challenges of inclusion and affordability in the health and education sectors. Significantly, the chapter also underlines that the private sector hesitates to enter partnerships where profitability is low. It concludes that the regulatory mechanisms are ineffective as conceived at present.

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