Perceptions of Eye Health and Eye Health Services among Adults Attending Outreach Eye Care Clinics in Papua New Guinea

2015 ◽  
Vol 22 (6) ◽  
pp. 361-369 ◽  
Author(s):  
Anthea Burnett ◽  
Mitasha Yu ◽  
Prakash Paudel ◽  
Thomas Naduvilath ◽  
Tim R Fricke ◽  
...  
Keyword(s):  
Health Services ◽  
Papua New Guinea ◽  
New Guinea ◽  
Eye Care ◽  
Eye Health

Health services in Papua New Guinea

Public Health ◽  
1989 ◽  
Vol 103 (3) ◽  
pp. 161-169
Author(s):  
Doug Campos-Outcalt
Keyword(s):  
Health Services ◽  
Papua New Guinea ◽  
New Guinea

Case Management Quality Assessment in Rural Areas of Papua New Guinea

1995 ◽  
Vol 25 (2) ◽  
pp. 69-74 ◽  
Author(s):  
Elvira Beracochea ◽  
Rumona Dickson ◽  
Paul Freeman ◽  
Jane Thomason
Keyword(s):  
Health Services ◽  
Case Management ◽  
Rural Health ◽  
Papua New Guinea ◽  
Health Workers ◽  
Health Centre ◽  
New Guinea ◽  
History Taking ◽  
Primary Health ◽  
Tract Infections

A study was carried out to assess the quality of case management of malaria, malnutrition, diarrhoea and acute respiratory tract infections in children in rural primary health services in Papua New Guinea. In particular, the study focused on the knowledge and skills of different categories of rural health workers (HW) in history taking, examination, diagnosis, treatment and patient education. Quality criteria were defined and health centre (HCW) and aidpost workers' (APWs) knowledge and practices were assessed. Primary health workers' (PHW) knowledge of case management was weak, but in all cases better than their actual practice. History taking and examination practices were rudimentary. HWs tended not to make or record diagnoses. Treatment knowledge was often incorrect, with inappropriate or insufficient drugs prescribed, being worst at aidpost level. These findings raise serious questions about the effectiveness of providing health services through small, isolated health units. Far greater attention must now be directed to focus on the institutionalization of problem-based training, continuous supportive supervision and maintenance of clinical skills and provision of essential drugs, supplies and equipment to ensure that rural health workers (RHW) can provide sound care.

User charges for rural health services in Papua New Guinea

1994 ◽  
Vol 39 (8) ◽  
pp. 1105-1115 ◽  
Author(s):  
Jane Thomason ◽  
Navy Mulou ◽  
Caroline Bass
Keyword(s):  
Health Services ◽  
Rural Health ◽  
Papua New Guinea ◽  
New Guinea ◽  
Rural Health Services ◽  
User Charges

scholarly journals Knowledge among the rural parents about the vaccinations and vaccination coverage of children in the first year of life in Papua New Guinea – analysis of data provided by Christian health services

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ewelina Gowin ◽  
Jerzy Kuzma ◽  
Danuta Januszkiewicz-Lewandowska
Keyword(s):  
Health Services ◽  
Papua New Guinea ◽  
Vaccination Coverage ◽  
New Guinea ◽  
Coverage Rate ◽  
First Year ◽  
Measles Vaccine ◽  
Pentavalent Vaccine ◽  
First Year Of Life ◽  
Rural Parents

Abstract Knowledge among the rural parents about the vaccinations and vaccination coverage of children in the first year of life in Papua New Guinea – analysis of data provided by Christian Health Services. Background This analysis aimed to assess rural parents’ knowledge about the diseases prevented by vaccinations and establish vaccination coverage in PNG. Methods Knowledge of vaccinations was checked through a standard questionnaire (five closed questions). We analyzed data on vaccination coverage from 2016 to 2018 from all Catholic health facilities. Analyzed vaccinations were the pentavalent vaccine (DTaP-HiB-HepB) and measles vaccine given in the first year of life. Coverage was calculated based on the number of vaccines used compared to the number of eligible children. Analyzed vaccinations were the pentavalent vaccine (DTaP-HiB-HepB) and measles vaccine given in the first year of life. Results Fifty-six parents, including 52 mothers and four fathers, participated in the interview. Many parents (46%) understood that the vaccine prevents diseases. During the analyzed period, 25,502 doses of measles vaccine were given, 31,428 children were vaccinated with the pentavalent vaccine. In 2016, the measles vaccine coverage rate was 26.6 and 33.4% for the pentavalent vaccine. In 2017, measles and pentavalent vaccines’ coverage rate was 12.5 and 16.6%, respectively. There were significant differences in immunization coverage between provinces. A decreasing trend in the number of administered vaccinations was observed. Conclusion The results of this analysis demonstrate that in PNG, the majority of children are not fully immunized. There are significant differences in the vaccination coverage between provinces. As protection from diseases is low, there is a very high risk of an outbreak of the vaccine-preventable disease in the community. Delivery of vaccinations in PNG encounters many barriers, from access to healthcare services to natural disasters and inter-tribial conflicts.

scholarly journals Strengthening routine immunization in Papua New Guinea: implications for post-polio renewal from a cross-sectional provincial assessment of front-line services

2019 ◽  
Author(s):  
Christopher Morgan ◽  
Olga PM Saweri ◽  
Nicholas Larme ◽  
Elizabeth Peach ◽  
Pele Melepia ◽  
...  
Keyword(s):  
Health Services ◽  
Papua New Guinea ◽  
New Guinea ◽  
Population Characteristics ◽  
Routine Immunization ◽  
World Health ◽  
National Strategy ◽  
Cross Sectional ◽  
Immunization Service ◽  
World Health Organization Quality

Abstract Background Routine immunization programs face challenges in settings such as Papua New Guinea: dispersed rural populations, rugged geography, and limited resources for transport and health. Low routine coverage contributes to outbreaks such as measles and the polio that re-appeared in 2018. Diversion of resources to the necessary emergency response can risk further weakening of the routine system. We report on an in-depth local assessment that documented immunization service provision so as to review new national strategy, and consider how emergency polio responses could simultaneously strengthen routine immunization. Methods In East New Britain Province, over 2016 and 17, we carried out a cross-sectional assessment of 12 rural health facilities, staff and clients. The study was timed to follow implementation of a new national strategy for strengthening routine immunization. We used interview, structured observation, and records review, informed by theory-based evaluation, a World Health Organization quality checklist, and other health services research tools. Results We documented strengths and weaknesses across six categories of program performance relevant to national immunization strategy and global standards. We found a functional immunization service with an operational level of staff, equipment and procedures in place; but one that could reach only half to two thirds of its target population. Stronger routine services require improvement in: understanding of population catchments, tracking the unvaccinated, reach and efficiency of outreach visits, staff knowledge of vaccination at birth and beyond the first year of life, handling of multi-dose vials, and engagement of community members. Many local suggestions to enhance national plans, including more reliable on-demand services, integration of other family health services and increased involvement of men. Conclusions The national strategy addresses most local gaps, but implementation and resourcing was insufficient. Emergency polio campaigns could support a stronger routine program by building local planning capacity, identifying new outreach sites, sharing intelligence on local population characteristics, integrating high-demand services and other vaccines, distributing educational materials, and modelling better involvement of trained lay health workers. Long-term strengthening requires a major increase in centrally-allocated resources, however there are immediate locally feasible steps within current resources that could boost coverage and quality of routine immunization.

scholarly journals Access to school-based eye health programs: a qualitative case study, Bogotá, Colombia

2021 ◽  
Vol 45 ◽  
pp. 1
Author(s):  
Aryati Yashadhana ◽  
Nina Serova ◽  
Ling Lee ◽  
Luisa Casas Luque ◽  
Leonardo Ramirez ◽  
...  
Keyword(s):  
Public Schools ◽  
Health Services ◽  
Qualitative Case Study ◽  
A Priori ◽  
Health Programs ◽  
Structural Factors ◽  
Eye Care ◽  
School Based ◽  
Eye Health

Objectives. To identify barriers and enablers to accessing school-based eye health programs in Bogotá, Colombia. Methods. We undertook a qualitative case study that explored how structural factors, and social and cultural norms influence access to school-based eye health programs. We conducted focus groups discussions and interviews with a purposive sample of 37 participants: government stakeholders (n = 4), representatives from nongovernmental organizations (n = 3), and an eye-care practitioner, as well as teachers (n = 7), a school nurse, parents (n = 7), and children (n = 14) from private and public schools. Data were analyzed using a priori themes from the availability, accessibility, acceptability and quality framework. Results. Routine vision screening in schools is not currently provided nor is there a budget to support it. Lack of collaboration between the health and education ministries and the absence of national planning affected the delivery of eye care in schools. Factors related to acceptability of school-based eye health programs included: poor acceptance of training teachers as vision screeners; stigma related to wearing spectacles; and distrust of health services. The cost of spectacles and poor access to eye health information were identified as barriers to positive child eye health outcomes by socioeconomically disadvantaged parents and children. Conclusion. Our findings suggest the need for a national school eye health plan and improved cooperation between health and education ministries. Interventions to improve trust in health services, tackle the lack of human resources while respecting professional qualifications, and raise awareness of the importance of eye health are recommended.

scholarly journals Knowledge among the rural parents about the vaccinations and vaccination coverage of children in the first year of life in Papua New Guinea – analysis of data provided by Christian Health Services

2020 ◽  
Author(s):  
Ewelina Gowin ◽  
Jerzy Kuzma ◽  
Danuta Januszkiewicz-Lewandowska
Keyword(s):  
Health Services ◽  
Papua New Guinea ◽  
Vaccination Coverage ◽  
New Guinea ◽  
Coverage Rate ◽  
First Year ◽  
Measles Vaccine ◽  
Pentavalent Vaccine ◽  
First Year Of Life ◽  
Rural Parents

Abstract Knowledge among the rural parents about the vaccinations and vaccination coverage of children in the first year of life in Papua New Guinea – analysis of data provided by Christian Health Services.BackgroundThe aim of this analysis was to establish knowledge among the rural parents about the vaccinationsvaccination coverage of children in the first year of life in Papua New Guinea (PNG).Methods56 parents including 52 mothers and 4 fathers from 2 areas Simbu Province (Kervagi district) and Morobe Province (Finschhafen district). We analysed knowledge among the rural parents about the diseases prevented by vaccinations. data on vaccination coverage from 2016 to 2018 from all Catholic health facilities. Analysed vaccinations were the pentavalent vaccine (DTaP-HiB-HepB) and measles vaccine given in the first year of life.ResultsDuring the analysed period a total of 25,502 doses of measles vaccine was given, 31,428 children were vaccinated with the pentavalent vaccine. In 2016, the coverage rate for the measles vaccine was 26.6% and 33.4% for the pentavalent vaccine. In 2017, the coverage rate for measles and pentavalent vaccines was 12.5% and 16.6%, respectively. There were big differences in immunization coverage between provinces. In 2016, greater than 80% coverage was noted in one province for measles vaccine and in four provinces for pentavalent vaccine. In 2017, in none of the provinces, the coverage rate, neither for pentavalent nor for measles vaccine, was higher than 80%. A decreasing trend in the number of administered vaccinations was observed.ConclusionThe results of this analysis demonstrate that in PNG, the majority of children are not fully immunised. There are big differences in the vaccination coverage between provinces. As protection from diseases is low, there is a very high risk of an outbreak of the vaccine-preventable disease in the community.Delivery of vaccinations in PNG encounters many barriers from access to healthcare services to natural disasters and inter-tribial conflicts.Trial registration NA

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