scholarly journals Get Well Soon Card: Self Help Program to Overcome Hospital Based Financial Barrier

2020 ◽  
Vol 3 (2) ◽  
pp. 140-146
Author(s):  
Sharad Hari Gajuryal ◽  
Narayan Satyal ◽  
Sangita Bidari ◽  
Shristi Panta ◽  
Basant Pant
Keyword(s):  
Developing Countries ◽  
Cultural Revolution ◽  
Health Care Cost ◽  
Developed Countries ◽  
Sample Survey ◽  
Health Issues ◽  
Cross Sectional ◽  
Self Help ◽  
Short Period ◽  
Hidden Cost

Background: The health care cost is increasing not only in developed countries but also in developing countries. Although the modality of treatment has made significant progresses over the years, delivery of treatment is sometimes beyond the expectation of patient as well as inaccessible financially. Citizen from developing countries like Nepal have to pay out of their own pocket for even minor health issues. We initiated a new concept to bridge this gap between treatments and necessity of funds through crowd funding scheme. Methods: This was a cross sectional prospective and observational study conducted at Annapurna Neurological Institute and Allied Sciences from July 2017 to April 2020. This study was conducted on “Get Well Soon “card which was a friendly gesture with monetary value provided by visitors to patients. This card was made available in hospital pharmacy without any hidden cost. A convenient sample survey on 100 participant including admitted patients as well as visitors in the hospital was conducted on their perception about Get well soon card before initiating this program. Results: This innovative self-help scheme has been proven to be quiet successful in a short period of time with many supporters advocating in its favor. Total number of 1012 patients have been benefited from the card which was provided to them by their visitors and relatives during their hospitalization with purchase of card worth NRs. 1144500 (~$11445) during the study period.  Conclusion: Get Well Soon Card can be beneficial to those populations who are financially constrained and lack insurance for the treatment. This Cultural Revolution of crowd funding can be duplicated not only in Nepal, but also in different developing countries where out of pocket system is still prevailing.  

International Economic Assistance in the 1970's — A Critique of Partners in Development (Review Article)

1970 ◽  
Vol 10 (4) ◽  
pp. 469-490
Author(s):  
Nurul Islam
Keyword(s):  
Developing Countries ◽  
Foreign Aid ◽  
International Aid ◽  
Developed Countries ◽  
Armed Conflicts ◽  
Economic Assistance ◽  
Self Help ◽  
Service Charge ◽  
The Developed Countries ◽  
Defence Expenditure

Foreign economic aid is at the cross-roads. There is an atmosphere of gloom and disenchantment surrounding international aid in both the developed and developing countries — more so in the former than in the latter. Doubts have grown in the developed countries, especially among the conservatives in these countries, as to the effectiveness of aid in promoting economic development, the wastes and inefficiency involved in the use of aid, the adequacy of self-help on the part of the recipient countries in husbanding and mobilising their own resources for development and the dangers of getting involved, through ex¬tensive foreign-aid operations, in military or diplomatic conflicts. The waning of confidence on the part of the donors in the rationale of foreign aid has been accentuated by an increasing concern with their domestic problems as well as by the occurrence of armed conflicts among the poor, aid-recipient countries strengthened by substantial defence expenditure that diverts resources away from development. The disenchantment on the part of the recipient countries is, on the other hand, associated with the inadequacy of aid, the stop-go nature of its flow in many cases, and the intrusion of noneconomic considerations governing the allocation of aid amongst the recipient countries. There is a reaction in the developing countries against the dependence, political and eco¬nomic, which heavy reliance on foreign aid generates. The threat of the in¬creasing burden of debt-service charge haunts the developing world and brings them back to the donors for renewed assistance and/or debt rescheduling.

DISEASE PATTERNS;

2014 ◽  
Vol 21 (03) ◽  
pp. 570-574
Author(s):  
Muhammad Ashraf ◽  
Muhammad Zakria
Keyword(s):  
Developing Countries ◽  
Hospital Admission ◽  
Hospital Stay ◽  
Average Duration ◽  
Gastrointestinal Diseases ◽  
Developed Countries ◽  
Communicable Diseases ◽  
Medical Ward ◽  
Cross Sectional ◽  
Common Diagnosis

Communicable and gastrointestinal diseases followed by respiratory diseasesare the main reasons of admission in medical ward of developing countries. This is different fromthe developed countries where non communicable diseases are the main reasons of hospitaladmission. In developing countries the data of hospital admission are still lacking. Therefore thisstudy will help us to assess the common patterns of diseases admitted in a medical ward, theaverage length of hospital stay etc. Objective: The objectives of this study are to assess thepatterns and prevalence of diseases, the most common diagnosis and average duration ofpatient’s hospital stay. Design: Observational retrospective cross-sectional study. Patients andmethods: The record of 327 hospitalized patients in medical ward was analyzed for the period ofthirteen months from Mar 2013 to Mar 2014. Patient’s medical records were retrieved and dataanalysis was done to obtain age, sex, common diagnosis, the affected system and the duration ofthe hospital stay. The data was analyzed by using SPSSV 16. Results: After reviewing the data,the most common age of patients being admitted were between 46-65 yrs (37.6%), followed bybetween 26-45yrs (33%), < 25yrs (15.9 %) , between 66-85 yrs (12.5 % )and > 85 yrs were only1% . Among the admitted patients females were more than the males except in case of liverdiseases. The most affected system was gastrointestinal ( 22.63 % ) and the most commondiagnosis was Diabetes Mellitus (12.84 %). The next common system involved wascardiovascular (15.29 %), respiratory (14.37 %), endocrine / DM (10.70 %), neurology (9.48 %),heamatology (3.36 %), renal (2.45 %) , rheumatology (1.84 %) and others ( including pyschiarty ,poisoning, infectious , electric shock etc ) (5.81 %). The cause for hospital admission by infectionin different system was (20.48%) The average duration of hospital stay of the patients was 4 days.Conclusions: The gastrointestinal diseases and the infectious diseases are the most commondiseases. The communicable diseases still hold a greater position in developing countries, whilenon communicable diseases are main reasons for admission to the medical wards in developedcountries.

scholarly journals PhD Students’ Background and Program Characteristics as Related to Success in Kenyan Universities

10.28945/4467 ◽  
2020 ◽  
Vol 15 ◽  
pp. 057-074
Author(s):  
Hyrine Mueni Matheka ◽  
Ellen E.P.W.A. Jansen ◽  
Adriaan W.H.A Hofman
Keyword(s):  
Developing Countries ◽  
Success Factors ◽  
Well Being ◽  
Developed Countries ◽  
Future Research ◽  
Full Time ◽  
Success Rates ◽  
Cross Sectional ◽  
Program Characteristics ◽  
Students Success

Aim/Purpose: Kenya plans to be a middle-income country by the year 2030. To achieve this development target, the country has rapidly expanded its university sub-sector in order to produce the requisite skilled professionals. This has put a strain on the available PhD holders thus heightening the pressure on universities to produce more PhD graduates to meet the required larger pool of highly qualified professionals to service the academia and other sectors of the economy. However, the PhD graduation rate per year is very low and unexplained. This study sought to explain the factors influencing PhD success rates in Kenyan universities. Background: This cross-sectional study set out to establish how PhD students’ background and program characteristics are related to their success. This knowledge will inform policies and strategies to enhance PhD training and success in Kenya. Methodology: Data on 1,992 PhD students was collected from 10 universities by using the Microsoft Excel data tool to collect administrative data. The researchers utilized the data collection to construct a quantitative research design. The PhD students were enrolled in the following program domains/clusters: Humanities and Social Sciences, Business and Economics, Physical and Life Sciences, Applied Sciences and Medical Sciences. Contribution: PhD success factors have been extensively studied in developed countries. This paper builds on this body of knowledge with a specific focus on developing countries like Kenya. Findings: Students’ background characteristics (age, nationality, gender, financial support and marital statuses) were not related to PhD students’ success, however, full-time employed PhD students had better progression than their part-time colleagues. Program characteristics (program cluster and mode of study) were significantly related to students’ success. Students who had delayed for two years or more years had limited chance to graduate. Recommendations for Practitioners: To improve the PhD education system, practitioners should endeavor to monitor and track the progress of their PhD students. To do this, the researchers recommend that the universities collect and keep good records of these types of data. Universities should come up with strategies to build on or mitigate against the factors that have been identified to influence PhD success. Recommendation for Researchers: The researchers recommend further research, especially in developing countries, to understand the PhD study systems and inform effective interventions. Impact on Society: To identify, conceptualize or mitigate against the factors which influence PhD success lead to higher success in PhD training in order to enhance knowledge to solve societal problems. Future Research: Further research is recommended especially in the context of developing countries to establish how supervisor–student interactions, availability of infrastructural resources, and students’ motivation, efficacy and well-being relate to PhD success in Kenyan universities

Actions beyond regulatory compliances: perceived climate strategy proactivity in Indian companies

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nikhil Kant
Keyword(s):  
Developing Countries ◽  
Online Survey ◽  
Developed Countries ◽  
Decision Makers ◽  
Cross Sectional ◽  
Content Type ◽  
Analytical Research ◽  
Climate Crisis ◽  
The Impact ◽  
Structured Questionnaire

Purpose This paper aims to assess the perceptions of stakeholders as regards the practices of Indian companies vis-à-vis climate change seeking underpinnings from stakeholder theory and collecting data using a structured questionnaire. Design/methodology/approach This paper used a descriptive analytical research design based on the data collected from a diverse sample of stakeholders of Indian companies through a cross-sectional, self-administered online survey questionnaire. Findings The study attaching significance to the stakeholders’ perception as a useful tool underscores that Indian companies have started to engage in preventive measures to minimize the externalities of climate crisis taking cognizance of the stakeholders’ interests amidst their increased awareness, also underlining that their perceptions substantially determine climate strategy proactivity (CSP) in their quest of competitive advantage beyond regulatory compliances. The study finds that incessant growth in the stakeholder awareness has not left companies to remain reluctant from analyzing effects and adopting suitable strategies in India also which, as a fast growing developing country, has witnessed immense growth in the post-liberalization era. Research limitations/implications This study would help decision-makers in businesses, policymakers, practitioners and standard-setters by providing further insights on the relevance of stakeholders’ perspectives in CSP in the developing countries. Stakeholders’ perceptions though representing varied categories hint that the actions beyond regulatory compliances need to be in focus in future studies. Originality/value The paper elaborates the significance of CSP in developing countries to eliminate the impact of inadequacies that previous studies undertook primarily in developed countries have failed in contextualizing these issues of developing countries.

World Bank Directives, Domestic Interests, and the Politics of Human Capital Investment in Latin America

2000 ◽  
Vol 33 (1) ◽  
pp. 113-143 ◽  
Author(s):  
WENDY HUNTER ◽  
DAVID S. BROWN
Keyword(s):  
Developing Countries ◽  
Human Capital ◽  
World Bank ◽  
Latin American ◽  
Capital Investment ◽  
Developed Countries ◽  
Cross Sectional ◽  
Education And Health ◽  
The World Bank ◽  
The World

Recent studies underscore the importance of international organizations in transmitting norms, ideas, and values to developing countries. But has this diffusion influenced government policy in less developed countries? During the past two decades, the World Bank has emphasized the need for Third World governments to increase the stock of human capital by investing in education and health. Specifically, it has encouraged developing countries to shift an increasing share of their resources toward primary education. The authors examine 13 Latin American countries between 1980 and 1992 to establish the relationship between World Bank project lending and government investment in human capital. They combine time-series cross-sectional analysis with field research to evaluate the World Bank's influence on government spending on education and health. Although the World Bank may be successful in convincing developing country technocrats to “invest in people,” this research suggests that it is less successful in convincing the politicians who control the purse strings.

scholarly journals The Epidemiology, Etiology, and Pathophysiology of Acute Necrotizing Ulcerative Gingivitis Associated with Malnutrition

2004 ◽  
Vol 5 (3) ◽  
pp. 28-41 ◽  
Author(s):  
M.O. Folayan
Keyword(s):  
Developing Countries ◽  
Nutritional Status ◽  
Developed Countries ◽  
Health Issues ◽  
Global Pandemic ◽  
Poor Nutritional Status ◽  
Acute Necrotizing ◽  
Severe Immunodeficiency ◽  
Acquired Immunodeficiency ◽  
Immunodeficiency Syndrome

Abstract Acute Necrotizing Ulcerative Gingitivitis (ANUG) is a distinct and specific disease. This disease entity has been described as far back as the days of Hippocrates and is known by many synonyms. With the advent of antibiotics and with improved nutritional status, the incidence has decreased and even become extinct in developed countries. However, with the increasing incidence of severe immunodeficiency states such as seen in Acquired Immunodeficiency Syndrome (AIDS) the lesion has once more, become a well recognized and often encountered clinical entity in developed countries. In developing countries, however, the condition is still a commonly diagnosed clinical lesion because of the persistently poor nutritional status. Because of the current campaign for increased focus on global health issues, ANUG, a lesion of significant interest for the developing countries where malnutrition is high and for developing countries because of the AIDS, a global pandemic has resurfaced as a topic for discussions and study. This literature review will provide a better understanding of the epidemiology, etiology, and pathophysiology of ANUG associated with malnutrition. Citation Folayan MO . The Epidemiology, Etiology, and Pathophysiology of Acute Necrotizing Ulcerative Gingivitis Associated with Malnutrition. J Contemp Dent Pract 2004 August;(5)3:028-041.

scholarly journals A study of efficacy and feasibility of laparoscopic surgery in a tertiary care center, Pokhara, Nepal

2021 ◽  
Vol 14 (2) ◽  
pp. 141-145
Author(s):  
Anuj Shrestha ◽  
Sunil Man Bijukchhe ◽  
Anand Bhattarai ◽  
Bhojraj Neupane ◽  
Ketki Kaushal
Keyword(s):  
Developing Countries ◽  
Laparoscopic Surgery ◽  
Complication Rate ◽  
Conversion Rate ◽  
Care Center ◽  
Tertiary Care ◽  
Operation Time ◽  
Developed Countries ◽  
Cross Sectional ◽  
Operative Complication

Introduction: Laparoscopic surgery is the gold standard technique for most of the gastrointestinal surgeries in developed countries. However, challenges in developing countries, apart from cost of instrumentation, include lack of awareness. Therefore, the aim of this study is to determine the efficacy and feasibility of laparoscopic surgeries in our part of the world. Methods: Retrospective, cross-sectional study was carried out from January 1, 2018 to June 30, 2019. Patient’s information on demographic details, type of laparoscopic surgery, operation time, length of hospital stay, reasons for conversion to open surgery, and intra-operative and post-operative complication details were retrieved from the operation log book and patient’s chart. Results: A total of 380 patients that underwent laparoscopic surgeries were included in the study. Out of 193 patients that underwent laparoscopic cholecystectomy, there were 144 (74.61%) females and 49 (25.38%) males with conversion rate of 4.66% and post-operative complication rate of 8.80%. Similarly, among 136 patients that underwent laparoscopic appendectomy, there were 68 (50%) females and 68 (50%) males with conversion rate of 4.41% and post-operative complication rate of 14.70%. Finally, amid 51 patients who underwent trans-abdominal pre-peritoneal approach, post-operative seroma collection was seen in three cases and port site hematoma formation was seen in two cases only. Conclusions: Our results were comparable with various literature demonstrating that laparoscopic surgeries are safe and effective. However, evolution of laparoscopic surgery in developing countries is still slow. Therefore, effective training and availability of required instruments is needed.  

scholarly journals Diabetes Prevention in Nepal: Assessment of Knowledge and Attitude of the 40+ Patients

2015 ◽  
Vol 1 (1) ◽  
pp. 46-52
Author(s):  
Saraswati Sharma
Keyword(s):  
Developing Countries ◽  
Academic Research ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Rapid Urbanization ◽  
The People ◽  
Control And Prevention ◽  
Knowledge And Attitude ◽  
Sedentary Life Style

Introduction: Diabetes was once thought to be a problem exclusively of developed countries and the wealthy. Now diabetes has imposed a heavy burden on both the developed and developing countries. Urbanization, with the adoption of “western lifestyles”, has been identified as the main reason.The objective of this study is to explore demographic details of diabetes patients and assess the knowledge and attitude regarding preventive measures on diabetes mellitus among the people above 40 years old in Nepal.Method: Descriptive cross-sectional study involving 100 people measure was used to carry out this research.Result: About 20.54% of the respondents responded that sedentary life style is the main cause of diabetes, 18.98% pointed out frequent urination as the major symptom. 84% responded that diabetes could be prevented. 19.04 % considered diet control could help in the treatment of diabetes. 100% respondent responded that smoking and drinking alcohol should be avoided while 18.98% took kidney disease and eye problem as the major complications of diabetes. Majority of the respondents (88%) responded that exercise could help in the control and prevention of diabetes.Conclusion: The risk of diabetes continued to increase worldwide due to population growth, aging, urbanization and increasing prevalence of physical inactivity and obesity. Most of the studies have proved that the number will increase more in developing countries due to rapid urbanization, dietary pattern and sedentary life.Journal of Advanced Academic Research Vol.1(1) 2014: 46-52

scholarly journals Knowledge, Attitude and Practice About Use of Antibiotic by Medical Students : A Cross Sectional Pilot Study on Para-clinical Students in HFRCMC

2016 ◽  
pp. 15-19
Author(s):  
M Nasir ◽  
R A Perveen ◽  
N Farha ◽  
M Ahmed
Keyword(s):  
Developing Countries ◽  
Antibiotic Resistance ◽  
Medical Students ◽  
Adverse Effects ◽  
Developed Countries ◽  
Self Medication ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice ◽  
Individual Role

The prevalence of self -medication with antibiotics is quite high in developing countries as opposed to developed countries due to easy availability and poor regulatory controls for selling these drugs. Antibiotics are often taken erroneously for certain ailments, without having the appropriate knowledge of their use. This carries potential risks for the individual as well as the community, in form of several side effects such as antibiotic resistance. Therefore the prevalence of self-medicated antibiotics in developing countries needs to be studied. To assess knowledge, attitude and practice of antibiotic usage among undergraduate medical students, a descriptive cross-sectional study was carried out in Holy Family Red Crescent Medical College, Dhaka. Total 150 students of third and fourth year MBBS were included in the study. Data was collected using self-administered pre-tested questionnaires ensuring before the teaching sessions on antibiotics in MBBS curriculum to evaluate the unbiased response of the participants. Almost 90% of the respondents wrongly believed to treat common cold most of the time by antibiotic. About 77% students were uncertain about the treatment outcome due to injudicious use of antibiotics. Almost 70% respondents strongly disagreed about development of antibiotic resistance due to skipping 1-2 doses. About 62% students believed that more than one antibiotic combination might reduce the adverse effects of single antibiotic. Only 46% participants think they had individual role in antibiotic resistance. The prevalence of self-medication with antibiotics among the medical students was high despite the awareness of adverse effects. The study showed remarkable lack of awareness of medical students at para-clinical phase regarding individual role and use of antibiotic in development of resistance. The academic input of knowledge and course content of Pharmacology may contribute in the improvement of attitude and practice, which should be evaluated in follow up studies.

scholarly journals Knowledge, Attitude and Practice About Use of Antibiotic by Medical Students : A Cross Sectional Pilot Study on Para-clinical Students in HFRCMC

2016 ◽  
Vol 25 (Number 1) ◽  
pp. 15-19
Author(s):  
M Nasir ◽  
R A Perveen ◽  
N Farha ◽  
M Ahmed
Keyword(s):  
Developing Countries ◽  
Antibiotic Resistance ◽  
Medical Students ◽  
Adverse Effects ◽  
Developed Countries ◽  
Self Medication ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice ◽  
Individual Role

The prevalence of self -medication with antibiotics is quite high in developing countries as opposed to developed countries due to easy availability and poor regulatory controls for selling these drugs. Antibiotics are often taken erroneously for certain ailments, without having the appropriate knowledge of their use. This carries potential risks for the individual as well as the community, in form of several side effects such as antibiotic resistance. Therefore the prevalence of self-medicated antibiotics in developing countries needs to be studied. To assess knowledge, attitude and practice of antibiotic usage among undergraduate medical students, a descriptive cross-sectional study was carried out in Holy Family Red Crescent Medical College, Dhaka. Total 150 students of third and fourth year MBBS were included in the study. Data was collected using self-administered pre-tested questionnaires ensuring before the teaching sessions on antibiotics in MBBS curriculum to evaluate the unbiased response of the participants. Almost 90% of the respondents wrongly believed to treat common cold most of the time by antibiotic. About 77% students were uncertain about the treatment outcome due to injudicious use of antibiotics. Almost 70% respondents strongly disagreed about development of antibiotic resistance due to skipping 1-2 doses. About 62% students believed that more than one antibiotic combination might reduce the adverse effects of single antibiotic. Only 46% participants think they had individual role in antibiotic resistance. The prevalence of self-medication with antibiotics among the medical students was high despite the awareness of adverse effects. The study showed remarkable lack of awareness of medical students at para-clinical phase regarding individual role and use of antibiotic in development of resistance. The academic input of knowledge and course content of Pharmacology may contribute in the improvement of attitude and practice, which should be evaluated in follow up studies.

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