scholarly journals HEALTH FACILITIES (BHUS)

2005 ◽  
Vol 12 (04) ◽  
pp. 357-363
Author(s):  
MOHAMMAD AYAZ BHATTI ◽  
SHABBIR AHMAD KHAN

Objective: To measure the distance of villagesfrom the facility (BHU) and to analyze the geographical location, Pattern of Access and health facility utilization. StudyPurpose: To improve the health status of community, by improving the geographical patterns of access and healthfacility utilization in Pakistan and to provide necessary information to policy makers, planners and health care providersfor improvement of health facility utilization in Pakistan. Study Design: A cross sectional study. Setting: At UnionCouncil Gali Jagir, Tehsil Fateh Jang, District Attock. Period: From 15 Nov 1999 to 31 Dec 2000. Material & Method:Measurement of the distance from the villages to the health facility and the facility record was reviewed to assess theutilization pattern by the village population. Information about mode of travel, time for travel and cost of traveling wascollected by the key informers. Results: 22% of villages and 23% of population was situated at a distance of 3km fromthe BHU. 33% of villages and 30% of population were living within 5km. 67% of villages and 70% of population wassituated at a distance of more than 5km from BHU.The overall health facility utilization of BHU Gali Jagir is 8.34%.Discussion: The health facility utilization decreases as the distance increases. Geographical accessibility up to adistance of 3km is a new finding in the study. We have noted that majority of the villages and populations, 67% villagesand 70% population is uncovered and 33% villages’ and 30%population is under served. Conclusion: The study hasidentified the gaps in the geographical access patterns that an accessible distance is 3km instead of 5km (as acceptedby world health organization). Distance of 3km was accessible for seeking care from a public health care facility. Theover all health facility utilization was 8.32 %, which was alarmingly low.

Author(s):  
Manisha Arora ◽  
George Koshy ◽  
Vandana Gangadharan

Background: Health care in India is a complex amalgam involving various stakeholders. For decades it has been a neglected area with reluctance in increasing the inputs such as finance or infrastructure required to drive this system. Utilization and access to this health system is a key indicator and major determinant of health seeking behaviour.Methods: This community based cross sectional study was conducted from January-February 2016 in, the urban slum located in a metro city using a pretested, semi-structured questionnaire. The data was analyzed using SPSS 22.Results: More than half of the participants preferred to seek treatment from a public health care facility compared to a private. One of the most predominant determining factors on choosing a particular health facility was affordability. Main barriers perceived in utilization of health services were long waiting time at the health facility and expenditure on treatment.Conclusions: The key for ensuring adequate and appropriate utilization of health care services is in having an efficient government health care delivery system which can offer quality and affordable medical care to one and all. 


Author(s):  
Vinita Shukla ◽  
Pratibha Gupta

Background: Population is increasing rapidly so with the limited resources government alone cannot cater the health of whole population. Private health sector is equally important for the improvement of health of the people. In view of these facts the present study was planned to assess the utilization of health care services (both public and private) and to assess the reasons for visiting that particular health facility (public or private).Methods: Study was cross sectional for 1 year period. Total sample size was 1024. In the present study only rural area was taken. By using multistage stratified random sampling 6 villages were selected and sample came out as 516. Data was analyzed by stata software version -12 for windows and chi square test.Results: 50% respondents visited public, 38% private and 10% visited others (charitable, pharmacies etc.). 62% respondents belonged to lower socio economic status preferred public health care facility. The main reason for visiting public health facility was free services and for private was got cure earlier from that heath facility. Majority of people visited any health facility for illness. (344 out of 516) and 50% of them visited for respiratory diseases. For chronic illness majority (60%) preferred public health care facility.Conclusions: Both public and private health care facilities should be made well equipped and affordable so that people can make choices and not forced to choose particular health facility.


Author(s):  
Souvik Banerjee ◽  
Rakesh Kumar ◽  
Debasis Basu

Background: With about 425 million patients globally and 72.9 million patients in India, diabetes mellitus (DM) is one of the global health emergency of 21st century. Perioperative hyperglycaemia is reported in 20-40% of patients undergoing general surgery. A substantial body of literature demonstrates a clear association between perioperative hyperglycaemia and adverse clinical outcomes. This study aims to find out the frequency of preoperative hyperglycaemia and factors influencing it among patients undergoing surgery at a tertiary health care hospital of Eastern India.Methods: This Institution based, cross-sectional, observational study was conducted among study subjects who were operated at IQ City Medical College and Multispecialty Hospital, Durgapur, India during January-February 2019. Relevant medical records were reviewed to collect data regarding clinic-social data. Estimation of fasting plasma glucose (FPG) has been done as per World Health Organization (WHO) guidelines. Hyperglycaemia was defined and classified as per American Diabetes Association (ADA). Anthropometric measurements were taken as per standard WHO protocols.Results: A total 158 study subjects participated in study. The mean age and mean FPG of the study subjects was 42.63±12.95 years and 103.3±17.37 mg/dl respectively. As per the ADA criteria, 58.9% had normal FPG, 24.0% had impaired fasting glucose (IFG) and 17.1% had diabetes. Out of total 27 T2DM patients, 22 (13.9%) were known cases of T2DM and 5 (3.2%) were undiagnosed. The frequency of preoperative hyperglycaemia i.e. sums of IFG and diabetes was found to be 41.1%. Increasing age, male gender and overweight and obesity significantly influenced the occurrence of preoperative hyperglycaemia.Conclusions: The prevalence of preoperative hyperglycaemia among patients undergoing surgery is higher than the prevalence of hyperglycaemia among non surgical patients. Routine HbA1C should be done in all surgical patients to differentiate between chronic undiagnosed hyperglycaemia and stress hyperglycaemia.


Author(s):  
Sara Roohen ◽  
Kenche Bhavani ◽  
Jyothi Lakshmi Naga Vemuri ◽  
Shabnam Anjum

Background: Biological hazards and health safety issues are a special concern in laboratory technicians who handle blood, body fluids, and tissues which may contain infectious agents. Lack of knowledge of standard precautions has been noted to influence the practice and behaviour change in relation to these precautions requires knowledge. This study therefore aims to study the awareness and practice of universal precautions (U.P) in lab technicians.Methods: Cross sectional type of study was conducted in the tertiary health care facility (Osmania General Hospital) in Hyderabad district among laboratory technicians of various departments from 1-20/11/18. Random sampling was done and data was collected using a self-administered questionnaire.Statistical analyses were performed using Microsoft excel 07. Descriptive analysis was done and Chi-square tests were used for establishing association.Results: The mean age of the respondents was 32.37 years, all of them were graduates by education and the mean length of experience was 5.45 yrs. The mean score for knowledge was 14 (41.1%).In the domain of practice, the responses were quite satisfactory with majority of the responses being “always” for all the practices, wearing eye shields and face masks was only “sometimes” followed and majority of “not applicable” were for wearing glovesConclusions: Although standard and isolation precautions are introduced, the overall performance of respondents was unsatisfactory. 


2016 ◽  
Vol 03 (02) ◽  
pp. 133-137 ◽  
Author(s):  
Sridevi A Naaraayan ◽  
S Sundari ◽  
C Subbulakshmi ◽  
S Geethalakshmi ◽  
R Geetha ◽  
...  

Author(s):  
Mahbooba Rasool ◽  
Taha Ayub ◽  
Sheema Samreen

Background: Gynaecological disorders are quite frequent in the community but still mortality is an indicator of maternal health. Treatment seeking behaviour depends upon the individual perceptions and attitudes towards health care. Methods: A community based cross sectional study in which 419 eligible women in the age group of 15-45 were enrolled and interviewed for the study. A semi structured pretested questionnaire was used. The questionnaire included information about the socio demographic characteristics of the students. Data was analysed using percentages. Results: The prevalence came out to be 20.28% which was percentage of women reporting one or more gynaecological disorders. 52.94% did not seek anywhere care or visited any health care facility. Conclusions: The study found a good percentage of women who self-reported one or more gynaecological disorder, which prompts one to find out various factors associated with this problem. 


Author(s):  
Visweswara Rao Guthi ◽  
A. Sreedevi

Background: One of the challenges in NLEP-3 is need assessment as well as establishment of well-coordinated services with capacity building for prevention and care of disabilities due to leprosy at primary, secondary and tertiary levels in the country. There is very little data on the types of problems faced by people with leprosy-related disabilities (PLD) and the resulting needs. Aim of the study is to assess the health care needs of study subjects.Methodology: This is a community based cross–sectional study conducted in Kurnool district. There were 296 registered persons affected by leprosy between May 2012 to October 2013 out of which 276 registered persons affected by leprosy were available for the study. Information collected was place of registration for availing MDT, treatment status, mode of detection, health care provider consulted first etc.Results: 48.55% of all the registered cases reported voluntarily. (36/276) 13.05% of cases were detected during consultation for other general ailments and 8.69% were detected by health worker during routine field visit. Health worker provided MDT to the persons affected by leprosy at their houses in 14.49% of the cases, 85.51% of the persons obtained MDT from the treatment centre themselves.Conclusions: This study concluded that there was encouraging to note that public health system was the predominant health system for seeking health care. Most of the cases reported voluntarily to the health care facility. Majority was aware that leprosy causes deformities but did not know that deformities can be prevented.


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