scholarly journals RELUCTANCE TO SERVE IN RURAL AREAS: DOCTORS' PERSPECTIVE

1970 ◽  
Vol 7 (3) ◽  
pp. 157-162 ◽  
Author(s):  
Tamkeen Nishat Jaffry ◽  
Samiha Mirza ◽  
Shehla Farheen ◽  
Sadaf Khalid

Background: Pakistan's health care system has been adversely affected by the non-availability of doctors in its rural and remote areas. It is the high time to realize that the improvement in the standard of health care services can be achieved with willingness and dedication of doctors to work in these areas which is only possible by providing them with suitable working environment. Methods: This was a descriptive cross-sectional study conducted on 200 doctors working in public and private hospitals/clinics of Islamabad, Pakistan. Data was collected through a questionnaire and processed in SPSS software version 16. Results: 200 doctors comprising of 113 males and 87 females were recruited for the study. The mean age was 30 years (0.65 SD). Majority (86.5 %) of the doctors were of the view; that indeed it was the non-availability of doctors at rural health care centres for poor health services in such areas. 83.9 % agreed that basic facilities were lacking in rural areas. Regarding transportation, 74.5 % had the opinion that these facilities were inadequate in rural areas. Nevertheless, 84.5 % agreed that by improving the basic facilities of life, working conditions could be improved. However, 72.5 % supported the idea of extra hard area grant to improve doctors' motivation towards serving rural areas. Conclusion: Doctors were reluctant to serve in rural areas because of the difficulties affecting their social, professional and family life. By developing the infra-structure of health centres and by providing some special incentives to the serving doctors, this issue can be resolved to a considerable extent.

Author(s):  
Ernawaty ◽  
Kendra Wardhani K ◽  
Stefanus Supriyanto ◽  
Nuzulul Kusuma Putri ◽  
Yeni Rahmah Husniyawati

Background: Health care utilization is one of the key indicators in measuring performance of health care services. Strong brand equity suggests positive correlation with great attraction for consumers to use a product. Design and Methods: A cross-sectional study was conducted to identify the effects of brand equity to health care utilization. 381 students were selected by simple random sampling. Multiple logistic regression tests were used to analyze the influence between variables. Results: Findings showed that there was an influence between brand equity and health care utilization (P=0.001). In the three attributes, brand equity was known to have an influence to the utilization of health care. The highest influence of the three attributes was brand association (Exp (B) = 2.501). Conclusions: It can be concluded that brand equity affects patient visits to AHCC showing that the brand equity significantly influence patient visits. Promotion to create familiarity and good impression was required to enhance brand equity and increase health care utilization.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Firaol Dandena ◽  
Berhanetsehay Teklewold ◽  
Dagmawi Anteneh

Abstract Background Health systems around the world are being challenged by an on-going COVID-19 pandemic. The COVID-19 pandemic and associated response can have a significant downstream effect on access to routine health care services, and indirectly cause morbidity and mortality from causes other than the disease itself, especially in resource-poor countries such as Ethiopia. This study aimed to explore the impact of the pandemic on these services and measures taken to combat the effect. Methods The study was conducted at St. Paul’s hospital millennium medical college (SPHMMC) from December 15, 2020 to January 15, 2021 using a comparative cross-sectional study design. We collected data on the number of clients getting different essential health care services from May to October 2019 (Pre COVID) and the same period in 2020 (during a COVID-19 pandemic) from the patient registry book. The analysis was done with SPSS version 24 software. Result Overall, the essential services of SPHMMC were affected by the COVID-19 pandemic. The most affected service is inpatient admission, which showed a 73.3% (2044 to 682) reduction from the pre-COVID period and the least affected is maternal service, which only decreased by 13% (3671 to 3177). During the 6 months after the COVID-19 pandemic, there was a progressive increment in the number of clients getting essential health services. Conclusion and recommendation The establishment of a triple setup for fighting against COVID-19, which encompasses non-COVID services, an isolation center and a COVID-19 treatment center, played a vital role in preserving essential health services.


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