scholarly journals Improving maternal nutrition in public health facilities by strengthening the dietary component of Janani Shishu Suraksha Karyakram – A government of India programme

2021 ◽  
Vol 27 (3) ◽  
Author(s):  
Annie Kuruvilla ◽  
◽  
Komal Panchasara ◽  
Nilam Pancha ◽  
◽  
...  
Keyword(s):  
Public Health ◽  
Community Health ◽  
Maternal Nutrition ◽  
Depth Estimation ◽  
Food Composition ◽  
Health Facilities ◽  
Public Health Facilities ◽  
Community Health Centres ◽  
Food Composition Tables ◽  
Health Centres

Introduction: The Janani Shishu Suraksha Karyakram (JSSK) is a government of India initiative for all pregnant women visiting public health facilities, with many free entitlements – free diet being one. After an in-depth study of existing dietary provisions in all community health centres, an elaborate cyclic-weekly nutritious menu was designed taking into consideration the latest recommendations (2019) by the Ministry of Family and Child Welfare, India to improve maternal health nutrition. Methods: The health functionaries from all ten community health centres of rural Vadodara were chosen for an in-depth estimation of the different meals served in the facilities. Standard measuring cups and spoons were used to measure the exact serving sizes for each person. Each meal served was supervised, checked and quantified in triplicate, while macro- and micronutrients were calculated using the Indian Food Composition Tables 2017 (Longvah et al. 2017). To bridge the gap in service delivery, two new models of cyclic-weekly menu were developed, keeping in mind the amount per mother per day as one hundred Indian rupees. Results: On average the foods served in the community health centres provided 69% of recommended energy intake, while mean recommended dietary allowance met for protein was 51%, calcium 18%, iron 50%, and fat 267%. Conclusion: The recommendations specified in this paper would improve the nutritional status of all pregnant and lactating women availing the services in rural health facilities, which would go a long way in ensuring safe and healthy motherhood.

scholarly journals Hospital Preparedness and Resilience in Public Health Emergencies at District Hospitals and Community Health Centres

2020 ◽  
Vol 22 (2) ◽  
pp. 146-156
Author(s):  
Sandesh Kumar Sharma ◽  
Neeraj Sharma
Keyword(s):  
Public Health ◽  
Community Health ◽  
Emergency Preparedness ◽  
Healthcare Workers ◽  
Local Level ◽  
Community Health Centres ◽  
Public Health Emergencies ◽  
District Hospitals ◽  
Health Centres ◽  
Hospital Preparedness

Background: Public health emergencies (PHE) caused by natural hazards spread from one particular locality to adjacent geographic areas and then encompass the entire planet in today’s fast global connectivity mode. Each country, including India, has its own set of potential disasters based on the hazards present as well as the unique vulnerabilities of the community and community’s preparedness to respond to particular disasters. Currently, human history is observing a very critical time fighting an invisible enemy—COVID-19. Therefore, in this study, we seek to understand the standardised measures of public hospital preparedness and resilience at times of health emergencies, including a pandemic, the most current one being COVID-19. Methods: We conducted a descriptive, cross-sectional study among health officials of district hospitals (DHs) and community health centres (CHCs) of Rajasthan using a semi-structured online questionnaire, with COVID-19 in mind, and sending it to those who had attended a training programme on disaster preparedness in hospitals. Results: In all, questionnaires were sent to 80 health officials of DHs and CHCs, of which 58 responded, with a response rate of 72.5 per cent. We collected responses on public health emergency preparedness, training-related issues, the capacity to deal with emergencies and prior experience in managing an emergency. Conclusion: The resilience and preparedness of DHs and CHCs in Rajasthan appear to be limited. From the studies it has been revealed that proper training and education on disasters like the current COVID-19, which is of significant importance for healthcare workers, is limited to only 37.9 per cent of healthcare workers. It also emerges that the staff members whenever required could mark and perform in the triage area, but the Isolation room haven’t got the request facilities and equipped to stabilise a critical patient despite availability of emergency stock of medicine. The stated functional status of DHs and CHCs reveals that the level of emergency preparedness is between low and medium and also varies from hospital to hospital and from CHC to CHC. Hence, it is time to reassess and upgrade emergency preparedness plans, which include mitigation, preparedness, response and recovery. Federal-, state- and local-level emergency management agencies’ functioning has to be effective and well-coordinated with the local level of operation.

scholarly journals A PROJECT MANAGEMENT GEOINFORMATICS UTILITY FOR HEALTH PROTECTION AND SANITARY DRAWINGS IN GREEN CONSTRUCTIONS - INFRASTRUCTURE WORKS

2019 ◽  
Vol 24 (4) ◽  
Author(s):  
TILEMACHOS KOLIOPOULOS ◽  
SOKRATIS THEOCHARATOS ◽  
PANAGIOTIS KOULOUMPIS ◽  
CRINA RADU ◽  
ION CRISTEA
Keyword(s):  
Public Health ◽  
Project Management ◽  
Community Health ◽  
Research Study ◽  
Waste Treatment ◽  
Sustainable Construction ◽  
Agricultural Resources ◽  
Community Health Centres ◽  
Health Centres ◽  
Management Techniques

<p>This research study analyses the life cycle assessment of different waste management techniques and sanitary drawings in landfilled waste treatment units' biotechnology at Community Health Centres design for the protection of Public Health from biogas emissions, leachate hazardous toxic acids and landfill biomass biodegradation stages. The environmental impact assessment is examined of associative pollution spaces of Community Health Centres minimising the relative public health's risks. Moreover, it examines the significance of phytobioremediation techniques for landfills' heavy metal concentrations and associated risks minimisation. Reclamation works are examined in associated risks minimisation of toxic hazardous concentrations that could enter in water resources, food chain and agricultural resources. A useful geoinformatics utility is presented in this research study for project management of associated infrastructures in green sustainable construction designs; the optimum operation of Health Centres and associated infratructures for the protection of Public Health.</p>

scholarly journals Communication guidelines for the nurses caring for patients diagnosed with tuberculosis

2016 ◽  
Vol 4 (2) ◽  
pp. 155
Author(s):  
Esther Kamenye ◽  
Scholastika Iipinge ◽  
Agnes Van Dyk
Keyword(s):  
Public Health ◽  
Communication Skills ◽  
Health Facilities ◽  
Tuberculosis Treatment ◽  
Contextual Approach ◽  
Public Health Facilities ◽  
Health Centres

The purpose of this article is to describe the communication guidelines for the nurses who are caring for patients diagnosed with tuberculosis. A quantitative, exploratory, descriptive, and contextual approach was conducted to explore and describe how nurses communicate with patients diagnosed with tuberculosis at public health facilities in the Khomas region of Namibia. The findings revealed that the nurses caring for patients diagnosed with tuberculosis at public health facilities in the Khomas Region of Namibia exhibited inadequate communication skills. Based on these findings, the guidelines were developed to enhance the communication skills of the nurses who are caring for patients diagnosed with tuberculosis. These guidelines may be implemented in the health facilities that are providing tuberculosis treatment namely: hospitals, health centres, clinics and DOTs points.

scholarly journals A PROJECT MANAGEMENT GEOINFORMATICS UTILITY FOR HEALTH PROTECTION AND SANITARY DRAWINGS IN GREEN CONSTRUCTIONS - INFRASTRUCTURE WORKS

2018 ◽  
Vol 24 (4) ◽  
pp. 32-37
Author(s):  
TILEMACHOS KOLIOPOULOS ◽  
SOKRATIS THEOCHARATOS ◽  
PANAGIOTIS KOULOUMPIS ◽  
CRINA RADU ◽  
ION CRISTEA
Keyword(s):  
Public Health ◽  
Project Management ◽  
Community Health ◽  
Research Study ◽  
Waste Treatment ◽  
Sustainable Construction ◽  
Agricultural Resources ◽  
Community Health Centres ◽  
Health Centres ◽  
Management Techniques

This research study analyses the life cycle assessment of different waste management techniques and sanitary drawings in landfilled waste treatment units' biotechnology at Community Health Centres design for the protection of Public Health from biogas emissions, leachate hazardous toxic acids and landfill biomass biodegradation stages. The environmental impact assessment is examined of associative pollution spaces of Community Health Centres minimising the relative public health's risks. Moreover, it examines the significance of phytobioremediation techniques for landfills' heavy metal concentrations and associated risks minimisation. Reclamation works are examined in associated risks minimisation of toxic hazardous concentrations that could enter in water resources, food chain and agricultural resources. A useful geoinformatics utility is presented in this research study for project management of associated infrastructures in green sustainable construction designs; the optimum operation of Health Centres and associated infratructures for the protection of Public Health.

scholarly journals Performance of primary care in different healthcare facilities: a cross-sectional study of patients’ experiences in Southern Malawi

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029579
Author(s):  
Luckson Dullie ◽  
Eivind Meland ◽  
Øystein Hetlevik ◽  
Thomas Mildestvedt ◽  
Stephen Kasenda ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Facilities ◽  
Cross Sectional ◽  
Public Health Facilities ◽  
Quality Of Primary Care ◽  
Care Assessment ◽  
Health Centres ◽  
Care Performance

ObjectiveIn most African countries, primary care is delivered through a district health system. Many factors, including staffing levels, staff experience, availability of equipment and facility management, affect the quality of primary care between and within countries. The purpose of this study was to assess the quality of primary care in different types of public health facilities in Southern Malawi.Study designThis was a cross-sectional quantitative study.SettingThe study was conducted in 12 public primary care facilities in Neno, Blantyre and Thyolo districts in July 2018.ParticipantsPatients aged ≥18 years, excluding the severely ill, were selected to participate in the study.Primary outcomesWe used the Malawian primary care assessment tool to conduct face-to-face interviews. Analysis of variance at 0.05 significance level was performed to compare primary care dimension means and total primary care scores. Linear regression models at 95% CI were used to assess associations between primary care dimension scores, patients’ characteristics and healthcare setting.ResultsThe final number of respondents was 962 representing 96.1% response rate. Patients in Neno hospitals scored 3.77 points higher than those in Thyolo health centres, and 2.87 higher than those in Blantyre health centres in total primary care performance. Primary care performance in health centres and in hospital clinics was similar in Neno (20.9 vs 19.0, p=0.608) while in Thyolo, it was higher at the hospital than at the health centres (19.9 vs 15.2, p<0.001). Urban and rural facilities showed a similar pattern of performance.ConclusionThese results showed considerable variation in experiences among primary care users in the public health facilities in Malawi. Factors such as funding, policy and clinic-level interventions influence patients’ reports of primary care performance. These factors should be further examined in longitudinal and experimental settings.

scholarly journals Who is not linked to primary care public health facilities for cardiovascular disease prevention, and why-not: A community based follow up study from urban slums in India

2020 ◽  
Author(s):  
Abhijit P Pakhare ◽  
Ankur Joshi ◽  
Rasha Anwar ◽  
Khushbu Dubey ◽  
Sanjeev Kumar ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Treatment Initiation ◽  
Health Centre ◽  
Health Facilities ◽  
Community Based ◽  
Public Health Facilities

We designed and conducted a community based longitudinal study in 16 urban slum clusters in context of a community health worker (CHW) led screening and preventive therapy initiation initiative for CVD prevention. Linkage to public health systems primary care facilities was a key outcome indicator for this initiative. In this paper, we have investigated predictors and barriers to non-linkage. CHWs screened all adults aged 30 years through for hypertension as well as diabetes. Referrals were advised and facilitated to nearby Urban Primary Health Centre (PHC) clinic for either treatment initiation or continuation or optimization. CHWs screened a total of 6174 individuals, and physicians identified 1449 participants (23.46%; 95% CI 22.42-24.54) as high-risk who required linkage to public-health facilities for pharmacotherapy . Out of these, 943(65%) attended health facilities with 801(55.2 %) being adherent to pharmacotherapy. Those who were not linked were young men belonging to low socio-economic position, living farther from UPHC, engaged late by CHW and identified to be in denial mode and reported lack of family support. This study highlights importance of early engagement through CHWs after positive screening, necessity to address denial of newly diagnosed and increase male participation in order to reduce detection to treatment initiation gap. Keywords- hypertension, diabetes, adherence, community health worker, cardio vascular diseases, population-based screening

scholarly journals Cross-Sectional Study of Clients’ Satisfaction With Outpatient and Inpatient Services of Public Health Facilities of a North Indian State

2020 ◽  
Vol 13 ◽  
pp. 117863292092996 ◽  
Author(s):  
Manmeet Kaur ◽  
Abu Bashar ◽  
Tarundeep Singh ◽  
Rajesh Kumar
Keyword(s):  
Public Health ◽  
Health Care ◽  
Waiting Time ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Hospital Environment ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public Health Facilities ◽  
Health Centres

Satisfaction with health care services is a desired outcome of health care delivery. Nonetheless, there is scant information on client satisfaction with services provided in public health facilities in India. A cross-sectional study of persons attending public health facilities in Punjab, North India, was carried out in 2016. All district hospitals, subdistrict hospitals, 2 community health centres (CHCs), and 6 primary health centres (PHCs) were randomly selected from each of the 22 districts. A 60-item pre-tested and validated questionnaire was used to collect data. Participants (3278 outpatient department [OPD] and 1614 inpatient department [IPD]) visiting health care facilities were interviewed. Majority of OPD participants were satisfied with registration process, care providers, and personal issues like safety and security at the health facilities. Major domains of dissatisfaction were long waiting time and concern shown for patients during lab tests and x-rays. Most IPD participants were satisfied with care received from nurses and doctors, availability of medicines, and hospital environment. Domains of dissatisfaction were cleanliness of rooms and bathrooms and quietness at night. Varying levels of satisfaction were observed for experiences during stay, information about new medicine being given, pain control, and locomotion to bathroom or using bedpan. Around 71% were likely to recommend the health facility to others. Satisfaction with public health facilities is context dependent. Lack of drugs and supplies, poor information about medicines, long waiting time, poor cleanliness, lack of privacy, and peace were the major reasons for dissatisfaction in our study.

Exploration of Mothers’ Expectations of Care during Childbirth in Public Health Facilities in Kumasi, Ghana

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Veronica Dzomeku ◽  
Brian Van Wyk ◽  
Lucia Knight ◽  
Jody R. Lori
Keyword(s):  
Public Health ◽  
Clinical Care ◽  
Health Facilities ◽  
Individual Interviews ◽  
Midwifery Education ◽  
Health Centres ◽  
Adequate Communication ◽  
Safe Care ◽  
Respectful Care ◽  
Childbirth Care

It is well established that clients’ past healthcare experiences influence their further use of that particular service, as well as their recommendations of that service. This also applies to the use of facility-based childbirth services which contribute to reducing maternal and infant mortality rates. This paper explores what mothers’ want from care in public health centres during childbirth. Knowing mothers’ expectations will contribute to improving their future childbirth care experiences. In this explorative qualitative study, 56 women were recruited from four public health centres. In-depth individual interviews were digitally recorded and transcribed in full, and subjected to content analysis. Themes emerged, revealing participants’ desire for both “respectful care” and “safe care”. From our findings, we posit that respectful care should be characterised by adequate communication between the healthcare provider and patient, and involvement of the patient in care decisions. Participants expected safe care, which results from health facilities with adequate resources. Health services generally concentrate on clinical care which aligns with mothers’ expectations of respectful and safe care. However, soft skills need much attention in nursing and midwifery education. There is also a need to orient midwives to a patient-centred approach to care that meets mothers’ expectations for childbirth care.

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