scholarly journals TO ASSESS THE LEVEL OF CLEANLINESS, HYGIENE, AND INFECTION CONTROL PRACTICES IN PUBLIC HEALTH CARE FACILITIES.

Author(s):  
Dr. Vasundhara Aras

Method: This study is conducted at Primary, Secondary and Tertiary level of health care delivery centre of Indore district. Doctors, Staff Nurses, Housekeeping Staff, Staff Members, Beneficiaries (patient/relative). One year July 2010 - June 2011 Doctor Staff and Personnel involved in all selected centers were interviewed. 120 doctors, 56 nurses, 23 Housekeeping staff and 80 patients were selected for interviews & by method of Observation. Records view Hospital staff and patients interview record. Result: IMCHRC, BSBH, Manpur, Sanwer, Simrol, & Hatod has 80% of hospital cleanliness with 72% of segregation collection, storage & transportation of BMW. DH Indore has 70% of cleanliness and 72% of segregation collection, storage & transportation of BMW, whereas Depalpur has 70% & 68%, respectively. Total number of doctors in all facilities is 120. 75% &70% of Cleanliness and hygiene in procedure area and ambulatory & auxiliary area, respectively at IMCHRC, DH, BSBH Mhow. Sanwer & Hatod with 75% in both the areas by Depalpur 50%. Only Manpur and Simrol are with 100%. Conclusion: Knowledge attitude and practices regarding Infection Control, benefits of hand wash & 6 steps of Hand wash correct method of wearing and removing hand gloves, when to use & its types, making Chlorine Solution, Decontamination & Cleaning of Instruments, standard Precautions, Knowledge about Personal Protective Equipment (PPE) and its practice among nurse and staff among all health care personnel is satisfactory. Keywords: Cleanliness, Public Health, Care & Infection.

2019 ◽  
Vol 6 (2) ◽  
pp. 564
Author(s):  
Anjana Bose ◽  
Agniva Ghosh Dastidar

Background: Public health care delivery is inadequate and as a result the demand supply gap is large, this is specially so in rural India. Even with so many hospitals in the peripheries still there is overcrowding in the urban Medical Colleges. Overcrowding is when hospitals operate beyond a safe level of 85% bed occupancy. This leads to delay in treatment and subsequent medical complications. Furthermore, quality of the treatment is jeopardised as its effects physician’s effectiveness, causing frustration among medical staff and may even contribute to violence. The objective was to identify the elective/non-emergency operations that could have been done in rural hospitals but were done in a tertiary Medical College and to find out the cause for avoiding the local government hospitals nearer to their residence. This study suggested some remedies to correct this disparity.Methods: This was an observational and descriptive study where patient’s type of operation, distance travelled and cause for coming to an urban Medical College was noted.Results: Majority of the patients did not have any idea as to why they chose this hospital, other reasons are lack of infrastructure in their rural hospital, bad reputation, lack of cleanliness, malpractice by the hospital staff etc.Conclusions: Health care facilities in different locations should be based on utilization rates and also proper and efficient management of these established facilities should be done.


2021 ◽  
Vol 26 (2) ◽  
pp. 251-253
Author(s):  
Nandini Jayakumar

Sanjeev Kelkar, India’s Public Health Care Delivery, Policies for Universal Health Care. Singapore: Palgrave Macmillan, 2021, xix + 496 pp., Ä 93.08. ISBN: 9789813341791 (Hardback).


2020 ◽  
Vol 66 (4) ◽  
pp. 387-399
Author(s):  
Anand Kumar ◽  
◽  
Dhiraj Kumar Sharma ◽  
Satya Prakash ◽  
Ram Sakal Yadava ◽  
...  

At this critical juncture of time when the whole world is facing a health care emergency due to the occurrence of (SARS-CoV-2) pandemic. It becomes necessary to critically evaluate public health care facilities and their availability to common people to tackle the ongoing crisis rationally. In this regard, this paper tries to study the spatial distribution of public health care facilities and their availability in rural areas of Nalanda district. Location quotient, Lorenz curve and Gini's coefficient have been worked out to find unequal concentration, availability and distribution of public health care facilities across the study area. To show the concentration and distribution of health care facilities over space maps have been drawn on ArcGIS. MS Excel and Word have been used for showing the availability of health care facilities through graphical representation and for tabulation purposes. This paper concludes that community development blocks surrounding district headquarter have a higher concentration and larger availability of rural public health care facilities in comparison to peripheral community development blocks of the study area.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ngoako Solomon Marutha ◽  
Olefhile Mosweu

Purpose This study sought to investigate a framework for ensuring the confidentiality and security of information at the public health-care facilities to curb HIV/AIDS trauma among patients in Africa. In most instances, trauma to HIV/AIDS patients accelerate because of their personal information relating to the state of illness leaks to public people. Design/methodology/approach This qualitative study used literature to study confidentiality and security of information at the public health-care facilities to curb HIV/AIDS trauma among patients in Africa. Findings The study revealed that confidentiality and security of information has been neglected, in most instances, at the health-care facilities, and this has, to some extent, affected HIV/AIDS patients negatively, leading to trauma, stigma and skipping of treatment by patients resulting in accelerated mortality among chronic patients. The study recommends that patients’ information be always strictly controlled and kept confidential and secured at all the times, especially that of HIV/AIDS patients. Practical implications The proposed framework can be used by health-care facilities to guide the management and promotion of the confidentiality and security of information in the public health-care facilities to curb additional trauma to HIV/AIDS patients in the context of Africa, and even beyond. Originality/value The study provides a framework to ensure the confidentiality and security of information at the public health-care facilities to curb additional trauma to HIV/AIDS patients.


Author(s):  
Robinson Oyando ◽  
Martin Njoroge ◽  
Peter Nguhiu ◽  
Fredrick Kirui ◽  
Jane Mbui ◽  
...  

2020 ◽  
Vol 117 (50) ◽  
pp. 31760-31769
Author(s):  
Giacomo Falchetta ◽  
Ahmed T. Hammad ◽  
Soheil Shayegh

Achieving universal health care coverage—a key target of the United Nations Sustainable Development Goal number 3—requires accessibility to health care services for all. Currently, in sub-Saharan Africa, at least one-sixth of the population lives more than 2 h away from a public hospital, and one in eight people is no less than 1 h away from the nearest health center. We combine high-resolution data on the location of different typologies of public health care facilities [J. Maina et al., Sci. Data 6, 134 (2019)] with population distribution maps and terrain-specific accessibility algorithms to develop a multiobjective geographic information system framework for assessing the optimal allocation of new health care facilities and assessing hospitals expansion requirements. The proposed methodology ensures universal accessibility to public health care services within prespecified travel times while guaranteeing sufficient available hospital beds. Our analysis suggests that to meet commonly accepted universal health care accessibility targets, sub-Saharan African countries will need to build ∼6,200 new facilities by 2030. We also estimate that about 2.5 million new hospital beds need to be allocated between new facilities and ∼1,100 existing structures that require expansion or densification. Optimized location, type, and capacity of each facility can be explored in an interactive dashboard. Our methodology and the results of our analysis can inform local policy makers in their assessment and prioritization of health care infrastructure. This is particularly relevant to tackle health care accessibility inequality, which is not only prominent within and between countries of sub-Saharan Africa but also, relative to the level of service provided by health care facilities.


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