scholarly journals Dentists in Nepal: A Situation Analysis

2017 ◽  
Vol 15 (2) ◽  
pp. 187-192 ◽  
Author(s):  
Rabindra Man Shrestha ◽  
Sujita Shrestha ◽  
Nischal Kunwar

Background: Human resource data is essential for planning and implementation of health care delivery system. However, very few information is available on dental health human resource in the country. The aim of study was to assess the number of dentists in the country and to explore their distribution according to demographic and professional characteristics.Methods: A census was performed during July 2015 to July 2016 about the Nepali dentists. The study assessed demographic and professional characteristics of dentists including age, gender, ethnicity, education attainment, university, country/year of graduation, and work place using data collection sheet by trained data collectors. For those not accessible for direct contact, the information was obtained through secondary data. Data entry was done in CSPro software application and was analyzed in SPSS 20. Results: The total number of registered Nepali dentists was 1803 with 419 specialists until June 2015. The male to female ratio was 1:1.46. Among all; 1318 (73%) were present in the country, 1047 (58%) were professionally active, and 1366 (76%) were below the age of 35 years. Among the professionals; 831 (79%) were employed in private sector and 601 (57%) worked in Kathmandu valley.Conclusions: The dentist-population ratio is decreasing exponentially in capital and major cities of Nepal however it remains very high in rural areas. Compared to other provinces,Province 6 and Province 7 lack service of dentists.

2017 ◽  
Vol 11 (3-4) ◽  
pp. 163-167
Author(s):  
Alexandra Rajczi ◽  
Péter Vörös ◽  
Krisztina Dajnoki

Over the past decades, the agrarian policy has tried to contribute to the catching-up of the rural areas with varying dynamism and aid scheme. However, its result is significantly below expectations. Nowadays, the age composition of the population living in rural areas reveals an unfavourable picture; the rate of the elderly, deprived persons and people being inactive from the aspect of employment is high and it is also combined with the low educational levels. The young generations and intellectuals leave the rural areas and, consequently, the rate of the active population continues to grow narrow as well as the proportion of young and skilled employees decreases. As a consequence of changes in the past decades, the rate of agricultural employment has not led to an intensive change but a failing change in extensive direction which lays off jobs. Nowadays, this process also determines the Hungarian rural society. In the sector, the need for employment diminishes as a result of the development in technology and due to the expansion of services sector. The purpose of our study is to present and analyse the human resources of our country’s agriculture by skill level and age group and compare it with the needs of companies, by doing this we try to compare supply and demand. In details, based on secondary data source, we investigate the agricultural labour force and try to confront it with the advertisements of job search portals (three of our job search portals based on our predefined criteria), by which we achieve a current picture of the agricultural human resource circumstances. JEL Code: J43


2019 ◽  
Vol 3 (9) ◽  
pp. 303-313
Author(s):  
Insha Nissar ◽  
Bhuvandeep Gupta ◽  
Priyanka Kotia ◽  
Kirti Raina ◽  
Akansha Monga

BACKGROUND: Access to dental health services refers not only to utilization but also to the extent by which the utilization is judged as per the professional norms using five independent dimensions of accessibility, availability, accommodation, affordability and acceptability. AIM: The aim of the study is to assess the dental services utilization among population of Greater Noida using Five A’s model. MATERIALS AND METHOD: The study was conducted in Dental College in Greater Noida. This cross-sectional study was carried out on the 200 subjects using convenient sampling on the patients visiting dental OPD.A self-administered structured questionnaire in English and Hindi language was used. Data was entered in the Microsoft excel sheet and analysed using SPSS (version 20.0).RESULTS: Mean level of access to dental services in the study population was 60.3.Corresponding figures for affordability, availability, accessibility, accommodation and acceptability were 55.2 ± 12.1,57.1± 12.8,60.75 ± 14.7,61.75 ± 8.7,58.65± 11.4 respectively.CONCLUSION: According to the results of our study , the level of access to dental care services is not very good with family income, location and level of education being the determinants of this access.


1980 ◽  
Vol 23 (1) ◽  
pp. 29-36 ◽  
Author(s):  
Takarinda Samuel Agere

[ ABSTRACT: This paper examines how an African country, Zambia, reproduces patterns of health care delivery system of the West characterized by U.S. The replication of pattern of health discriminates against the poor, and rural in habitants. First, a brief theoretical analysis of underdevelopment is provided. Secondly, the structure of the present U.S health care delivery system is provided high lighting t'he role of the academic-medical component. The analysis shows how health care resources are distributed among socio- economic, racial groups and between urban and rural areas. 'The major part of the paper examines health care delivery system in Zambia, outlining those areas that are replicated. The paper emphasizes that this should serve as lessons for Africa. This replication is made possible by the indigenous African middle class through which Western values are transmitted. This class (elites) is in control of state machinery and makes decisions on the distribution, and consumption of health resources. In conclusion, I recommend a radical economic and political transforma tion of these societies if resources have to be distributed equitably.]


2018 ◽  
Vol 29 (2) ◽  
pp. 11-15
Author(s):  
Sharmin Razzaque ◽  
Nazmun Nahar ◽  
Sahela Jesmin ◽  
Hasina Akhter

Urogenital fistulas, majority of which are of vesicovaginal fistulas are commonly caused by prolong obstructed labor and is one of the worst complications of childbirth and poor obstetric care. With the advancement of health care delivery system aetiology of urogenital fistula is also changing in our country. The objective of this study is to create awareness about urogenital fistula, to evaluate the aetiology, profile of the patients and outcome of surgical repair in RMCH. It was a cross-sectional type of observational study having descriptive component of a total 68 cases of urogenital fistula admitted in the department of Obstetrics and Gynaecology, RMCH over a period of one year and six months from January 2009 to July 2010. The incidence among patients admitted in Obstetrics and Gynae was 0.45% and among Gynae patient’s incidence was 1.1%. Majority of the patients were young primipara, short stature and malnourished, coming from lower socio-economic condition of rural areas. Obstructed labour 21(30.8%) was the most common cause of urogenital fistula, followed by gynecological surgeries mainly hysterectomies 19 (27.3%), corrosive application 7 (10%) a rare cause but was found in high rate in this study. A total no of 50 patients underwent surgery. Overall success rate was 46 (92%) and functionally failed with a failure in 4 (8%) cases. The etiology urogenital fistula is preventable and all types of urinary fistula can be repair. Improvement in maternity care in rural areas, easy approach to specialist care and better training of staff in instrumental deliveries may help to decrease the incidence of these fistulas.TAJ 2016; 29(2): 11-15


2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Anthony Vipin Das ◽  
Shravani Mididoddi ◽  
Priyanka Kammari ◽  
Navya Deepthi Davara ◽  
Abhinav Loomba ◽  
...  

Purpose. The study aims to describe a novel method of utilization of the eyeSmart EMR (electronic medical record) app. It describes the demographic distribution, clinical presentation, query requested by the vision technician, and management advised to the patients by using “eyeSmart EMR” app from the vision centers located across a three-tier eye care network in India. Methods. This is a retrospective review of all patients who required a tele-ophthalmology consultation from January 2017 to August 2018. The demographic, clinical details, and the impact of teleophthalmology using eyeSmart app, in the vision centers of a three-tier eye care network, was analyzed in detail. Results. A total of 15,001 tele-ophthalmology consults were included which is from January 2017 to August 2018. The mean age was 38 ± 19 years and male to female ratio was 1 : 2. Video calls were performed for 6191 (41.27%) consults and the impact was measured. Additional clinical information was received in 65.61% consults through video call. Medical management was advised in 47.07% of patients and 30.30% were referred to higher centers for medical intervention and 0.59% were referred for surgical intervention, 16.23% were prescribed glasses. No intervention required for 0.69% of cases. Hence nil intervention was advised. Conclusion. The combination of using tablet and video calls with the help of eyeSmart EMR app is a novel method in teleophthalmology. It helps in connecting the patients at rural areas and the ophthalmologists in higher centers. The use of technology plays a vital role in the appropriate medical management of the patient.


Author(s):  
Qun Wang ◽  
Shuo Zhang ◽  
Yaling Wang ◽  
Xichun Zhang ◽  
Ying Zhang

In large proportions of rural areas in many developing countries, health care delivery system is less developed and is less likely to be equipped to conduct sophisticated treatment for coronary heart disease (CHD) patients locally. This study aims at describing the status quo of and exploring factors associated with hospitalization costs of CHD in township hospitals where only drug therapy was available for CHD conditions. We collected data of inpatients with CHD from discharge records from 10 township hospitals in rural Liaoning from December 2013 to December 2014. We used multilevel linear regression to analyze the factors associated with CHD hospitalization costs. A total of 4635 inpatients were included in the analysis. We found that the average hospitalization costs were 6249.97 RMB (US$1012.47) with the average of 8.89 days of hospitalization in township hospitals in Liaoning. Age, gender, length of stay, the number of times of admissions, by which route was hospitalized, and type of CHD were all the factors significantly associated with hospitalization costs of CHD in township hospitals. The factors associated with hospitalization costs of CHD in township hospitals in rural China showed some different features from the existing studies. When the government designs the related policy, the policy makers need to consider the specific feature of hospitalization costs of CHD in township hospitals in rural areas.


Author(s):  
Sudhir Chandra Joshi ◽  
Rita Joshi

Background: Health care work place violence (HCWPV) is four times higher compared to violence against other professions. The problem remains under-reported and under-researched. Qualitative perception studies among junior doctors have not been paid due attention hitherto.Methods: Six individual face-to-face-indepth-interviews and six focus-group-discussions were conducted during December 2017 and January 2018 among 41 young doctors (interns, resident doctors i.e. post graduate students and young clinical faculty members). Thematic (content) analysis method was used for analysis of the data (texts).Results: Relevance, causes as well as consequences of HCWPV and measures for its prevention and control were brought up and discussed. Four themes emerged in thematic analysis. Almost all of the participants believed that it is an extremely important topic. Causation is multifactorial whereby all stakeholders are responsible. Consequences are affecting the whole society not merely the victims. Measures suggested were related to - in view of the causes - medical profession; patients and society; behavior and process; system and administration.Conclusions: Increasing materialism and eclipse of humanitarian values, media-created-violence, negative image of medical profession, patient-physician-distrust, zero-protection for doctors, apathetic governments and deficiencies in the process of justice are among the main causes of HCWPV. Junior doctors were not much optimistic of any improvement in near future in their safety and security as this would require more probity and unity among doctors and a clientele, a Health Care Delivery System, the Governments and a Judiciary much different from what it is today.


2020 ◽  
pp. 192-199
Author(s):  
Opatola Mustapha Olayiwola

Herbal medicine and their preparations from plants, herbs, and animals both in parts and whole forms have been used since the early days of humankind and are still used throughout the world for health promotion and treatment of disease. The study identified the usefulness of Entrepreneurial Women Indigenous Herb Sellers (EWIHSs) in health care delivery system in Nigeria. It also identified the nature, classification and categorization of EWIHSs at Bode/Ibuko Market, Oyo State, Nigeria and it consequently, examined the groups that have knowledge of treatment of human illnesses and diseases. The study was conducted using both primary and secondary data. The primary data was collected through observation and oral interview of 18 EWIHSs at the Bode/Ibuko herbal market in Ibadan, Oyo state. The study utilized thematic analysis for the qualitative data collected. The study identified two major classifications of EWIHSs (Herbs and roots sellers’ category and those that deal with sales of animals in whole form and parts such as Lion heads, Chameleon, bats, monkeys, owls, vulture and so on) which was noted to be sub-divided into five categories of EWIHSs as follows: (i) Those that sell both plants and animals parts and in whole form whether dead or alive; (ii) those that sell purely plants parts or in whole form, (iii) those that sell purely animal parts or in whole form and (iv) those that sell mineral materials dug from the ground such as camphor, kafura (Naphthalene), Kanafuru (Clove) and so forth and finally (v) those that sell the combinations of one to four (i to iv) above. Others that were attached to EWIHSs in terms of providing herbal materials for the public sales are being called different names such as: Iya Oko (Village women); Oni Taba Juku (snuff sellers or powdered tobacco); Oni Iyere (Black pepper sellers), and Alubosa Ayu (Allium sativum - Garlic); Oni Poroporo (Solanum aviculare sellers), Bara (Bitter melon); Isude; Baka, Epa ikun (belongs to the family Solanaceae) and finally Oni Yari (indigenous comb sellers - the women in this category sell indigenous combs, mirrors and so on). All of them together with EWIHSs are being called different names such as Lekuleja, Alagbo Omo, Oniwosiwosi, Alate, Elewe Omo and so forth. It was observed from the study that not all these categories of EWIHSs have the knowledge of treatment in terms of combination of materials for treatment of human illnesses and diseases, as a result public need to be cautious as regards receiving prescription and treatment from them. This is a dangerous development that may have adverse consequences on the unsuspecting customers who may not be able to distinguish between sellers or healers. The study recommended that public need to be cautious on who is to approach when they go for indigenous herbal treatment. It is suggested that the intending customers of EWIHSs must first see guidance from officers of the herbal sellers especially the secretary or the president in the herbal market. Finally, Policy implications include the need for government to improve the knowledge of the sellers in health care and also encourage the sellers through improved access to loan so as to enable the sellers contribute positively to the broader health objectives of Nigerian society.


Author(s):  
Austin-Egole, Ifeyinwa Stella ◽  

The novel coronavirus, COVID-19 pandemic, has caused numerous unprecedented changes recorded globally in all spheres of life especially in the work place. This has implications and influences on the companies and human resource management (HRM). Organizations have had to respond speedily by reviewing many operational matters and strategies so as to be able to manage the effects of the pandemic. Human resource management (HRM) plays the essential role of helping organisations navigate through both the iffy present and unpredictable future caused by the pandemic lockdown by managing people to cope with stress and to continue working, even remotely, when applicable, so that businesses can go on with their operations. This paper embraced analytical discussion of secondary data and using self-determination theory as its theoretical framework, it assessed the implication of HRM; having knowledge of the effects of autonomy, competence, and interrelatedness in their dealings with employees on sustained HRM development in the pandemic era. The aim of this research is to look into notable human resource management practices developed in the quest to accommodate and tackle the magnitude of HRM challenges faced by organizations during the COVID-19 pandemic and the challenges encountered by employers and employees in imbibing them. The research recommended that HRM should help employees in their quest to develop their competences through trainings, consulting, and coaching as this will help in accomplishing the organizations’ goals and vision in the post COVID-19 pandemic era. An empirical research in this area is advocated to aid long-term HR policy.


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