Policy Brief : Pengolahan Abu Hasil Pembakaran Limbah Medis sebagai Alternatif Pengganti Bahan Bangunan yang Berasal dari Fasilitas Pelayanan Kesehatan

2021 ◽  
Vol 6 (4) ◽  
Author(s):  
Muhammad Fadli Ramadhansyah ◽  
Arief Nugroho ◽  
Nur Endah Wahyuningsih
Keyword(s):  
Health Care ◽  
Air Pollution ◽  
Local Governments ◽  
Building Materials ◽  
Health Agency ◽  
Health Care Facilities ◽  
Respiratory Disorders ◽  
Starting Point ◽  
Care Facilities ◽  
The Impact

Policy briefs have an important role in solving problems that exist in a health agency, especially during the COVID-19 pandemic. One example of the problems that exist in health care facilities is air pollution that comes from the ashes resulting from the burning of medical waste. The impact of air pollution on humans is that it triggers respiratory disorders which are characterized by a decrease in the elasticity of the lungs to accommodate the volume of air so that this can be associated with the incidence of respiratory disorders. In addition, it has a small particle size and is scattered in the air in large quantities. The purpose of this study is to provide information related to the summary of policy making that is used as a reference to increase the effectiveness of processing ash from combustion based on a review study. This study uses a descriptive method with a literature review approach. The criteria for the articles used have a publication time of the last 10 years, discuss the utilization of combustion ash, and discuss the policy of processing incinerator ash waste. Making a policy brief can be used as a starting point for advocating for local governments to use ash from burning as an alternative to building materials to reduce air pollution and the accumulation of ash waste that accumulates in incinerators in health care facilities.

Assessing the Preparedness of Healthcare Facilities for Disasters and Emergencies in Damghan, Iran

2021 ◽  
pp. 1-7
Author(s):  
Behrad Pourmohammadi ◽  
Ahad Heydari ◽  
Farin Fatemi ◽  
Ali Modarresi
Keyword(s):  
Health Care ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Mitigation Measures ◽  
Health Staff ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Wide Range ◽  
Care Facilities ◽  
The Impact

Abstract Objectives: Iran is exposed to a wide range of natural and man-made hazards. Health-care facilities can play a significant role in providing life-saving measures in the minutes and hours immediately following the impact or exposure. The aim of this study was to determine the preparedness of health-care facilities in disasters and emergencies. Methods: This cross-sectional study was conducted in Damghan, Semnan Province, in 2019. The samples consisted of all the 11 health-care facilities located in Damghan County. A developed checklist was used to collect the data, including 272 questions in 4 sections: understanding threatening hazards, functional, structural, and nonstructural vulnerability of health-care facilities. The data were analyzed using SPSS 21. Results: The results revealed that the health-care facilities were exposed to 22 different natural and man-made hazards throughout the county. The total level of preparedness of the health-care centers under assessment was 45.8%. The average functional, structural, and nonstructural vulnerability was assessed at 49.3%, 31.6%, and 56.4%, respectively. Conclusions: Conducting mitigation measures is necessary for promoting the functional and structural preparedness. Disaster educational programs and exercises are recommended among the health staff in health-care facilities.

Indoor air in healing environments

Facilities ◽  
2019 ◽  
Vol 37 (9/10) ◽  
pp. 600-623 ◽  
Author(s):  
Marco Gola ◽  
Gaetano Settimo ◽  
Stefano Capolongo
Keyword(s):  
Health Care ◽  
Air Quality ◽  
Indoor Air ◽  
Management Strategies ◽  
Health Care Facilities ◽  
Chemical Pollution ◽  
Content Type ◽  
Starting Point ◽  
Care Facilities ◽  
Maintenance Activities

Purpose Several countries have carried out air quality monitoring in professional workplaces where chemicals are used. Health-care spaces have been less investigated. This paper aims to define a protocol, as developed by a research group, for inpatient rooms to understand the state of the art and to suggest design and management strategies for improving process quality. Design/methodology/approach Starting from the ISO-16000 standard and guidelines for monitoring activities, a protocol is defined for a one year investigation, with passive samplers. Through data analysis of the investigations and analysis of the cleaning and finishing products, heating, ventilation and air conditioning and maintenance activities, etc., it is possible to highlight the potential influences of chemical pollution. Findings A methodology is defined for understanding the chemical pollution and the possible factors related to construction materials, cleaning products and maintenance activities. Research limitations/implications The paper analyzes only a limited number of case studies because the monitoring activity is still in progress. Practical implications The investigation offers a starting point for a wide tool for the definition of design, maintenance and management strategies in health-care facilities. Social implications The research project, aimed at improving the knowledge of indoor air quality (IAQ) in inpatient rooms, is a starting point for a supporting tool for future regulations concerning health-care facilities. Originality/value IAQ is an issue on which many governments are focusing. Several health-care researchers have reported studies that aim at improving users’ health. Most investigations are about biological and physical risks, but chemical risks have been less studied. The paper suggests some design and management strategies for inpatient room.

scholarly journals (A3) Health Care Facilities Affected by the Earthquake in Chile

2011 ◽  
Vol 26 (S1) ◽  
pp. s1-s2
Author(s):  
C. Bambaren
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Sector ◽  
Health Care Facilities ◽  
Cold Chain ◽  
Care Services ◽  
Biomedical Equipment ◽  
Care Facilities ◽  
Health Care Infrastructure ◽  
The Impact

IntroductionOn February 27, 2010, a 8,8 MW earthquake struck the central and southern coast of Chile, that was followed by a tsunami that destroyed some cities such as Constitution, Ilaco, Talcahuando and Dichato. The national authorities reported 512 dead and 81,444 homes were affected. It was the one of the five most powerful earthquakes in the human modern history. The most affected regions were Maule (VII) and Bio (VIII).ResultsThe impact of the quake in the health sector was enormous especially on the health care infrastructure. The preliminary evaluations showed that 18 hospitals were out of service due severe structural and no-structural damages, interruption of the provision of water or because they were at risk to landslides. Another 31 hospitals had moderate damage. The Ministry of Health lost 4249 beds including 297 (7%) in critical care units. Twenty-two percent of the total number of beds and thirty-nine surgical facilities available in the affected regions were lost in a few minutes due to quake. At least eight hospitals should be reconstructed and other hospitals will need complex repair.ConclusionThe effect of the earthquake was significant on hospital services. It included damages to the infrastructure and the loss of furniture and biomedical equipment. The interruption of the cold chain caused loss of vaccines. National and foreign field hospitals, temporary facilities and the strengthening of the primary health care facilities had been important to assure the continuation of health care services. *Based on information from PAHO – Chile.

Renovation in hospitals: a case study on the use of control cubes for local repairs in health-care facilities

2020 ◽  
Vol 18 (3) ◽  
pp. 247-257
Author(s):  
Ehsan Mousavi ◽  
Vivek Sharma ◽  
Dhaval Gajjar ◽  
Shervin Shoai Naini
Keyword(s):  
Health Care ◽  
Air Quality ◽  
Indoor Air Quality ◽  
Indoor Air ◽  
Health Care Facilities ◽  
Repair Work ◽  
Content Type ◽  
Care Facilities ◽  
Pathogenic Agents ◽  
The Impact

Purpose The purpose of this study is to evaluate the effectiveness of the control cubes for dust control in health-care facilities. Research shows that more than 80% of pathogenic agents in hospitals are spread into the air, where they either remain airborne or deposit on the surface. At the same time, renovation and repair activities, including regular maintenance, are a necessity in active health-care facilities and a multitude of studies have documented their impact on indoor air quality. The dust that is generated by construction activities may potentially carry pathogenic agents, varying from coarse particles (≤10 µm, PM10) to fine particles (≤2.5 µm, PM2.5), including airborne bacteria, and fungal spores linked to high patient mortality in immune-compromised patients. Design/methodology/approach This study measures the impact and effectiveness of one such preventative measure, namely, the control cube (CC), on air quality during renovation and repair. CC is a temporary structure, typically made from stainless steel, around the local repair zone to minimize the spread of dust and potential microorganisms. The current paper presents a comparative analysis to identify the effectiveness of a CC equipped with the high-efficiency particulate filtration (HEPA) filter in a hospital setting by simulating construction renovation and repair work. Findings A baseline was established to measure the effectiveness of CCs and the impact of negative pressure on the indoor air quality in a hospital during simulated renovation work. Results showed that CCs are very effective in minimizing the spread of dust due to construction activities in the hospital. However, it is imperative to ensure that the air inside the CC is cleaned via filtration. Originality/value CCs are very effective, and this paper investigates the best approach for facility managers to implement this strategy.

scholarly journals Exchange of experience in the field of medical services as a form of international cooperation between Ukraine and Poland

2021 ◽  
pp. 53
Author(s):  
Viktoriia Adamyk ◽  
Khrystyna Shcherbiak
Keyword(s):  
Health Care ◽  
Local Governments ◽  
Technical Assistance ◽  
Well Being ◽  
Health Care Facilities ◽  
Medical Services ◽  
Future Research ◽  
Technical Equipment ◽  
Bilateral Relations ◽  
The Impact

Introduction. The development of bilateral relations in the context of globalization and European integration involves expanding the range of forms of cooperation, as well as those areas covered by cooperation. The implementation of medical reform in Ukraine necessitates the intensification of the exchange of experience in the medical field with other countries, including Poland. The rapid processes of digitalization against the background of the Kovid-19 pandemic determine the modernization of communication tools and cooperation in the field of health services.The purpose of the article is to study the state and prospects of exchange of experience in the field of medical services between Ukraine and Poland.Research methods. To achieve the goal set in the article, general scientific and special methods were used, namely: analysis and synthesis, induction and deduction, abstraction and concretization, systematization, as well as elements of comparative analysis. The methodological basis for the study are national and international regulations of Ukraine and Poland, which regulate the functioning of health care and bilateral relations in the field of medical services, scientific works of domestic and foreign researchers, statistical reports and more.Results. The exchange of experience in the provision of medical services between Ukraine and Poland is carried out in a slightly different state of health care and taking into account Ukraine’s integration intentions using tools such as conferences, seminars, webinars, academic mobility of scientists and students, bilateral agreements between medical institutions with the support of local governments and self-government, etc. Digitalization, on the one hand, expands opportunities for collaboration, and on the other - necessitates the need to improve the quality of technical equipment of hospitals and makes new demands on human capital. Improving the exchange of experience in the field of  medical services is enhanced by receiving technical assistance from Polish partners, including under the auspices of international institutions, such as the EU, WHO, UNICEF, etc. Perspective areas are the introduction of the eHealth system in Ukraine, as well as the involvement of Polish specialists to modernize the management system in domestic health care facilities. The article details the recommendations for intensifying the exchange of experience between Ukraine and Poland in areas and tools.Perspectives. Future research is important to focus on an interdisciplinary analysis of the consequences of health care reform in Ukraine and Poland in the context of the impact on the well-being of citizens.

Impact of Training to Improve Knowledge on Blood Transfusion among Health Care Providers from Tertiary Hospitals in Tanzania

2020 ◽  
Vol 31 (2) ◽  
pp. 59-69
Author(s):  
Abdu J. Bhombo ◽  
Oscar Mwashiuya ◽  
Wilhellmuss I. Mauka ◽  
Elineema Meda ◽  
Iragi Ngerageza ◽  
...  
Keyword(s):  
Health Care ◽  
Blood Transfusion ◽  
Health Care Providers ◽  
Transfusion Practice ◽  
Health Care Facilities ◽  
Basic Knowledge ◽  
Care Providers ◽  
Care Facilities ◽  
Post Test ◽  
The Impact

Background: Blood transfusion is a lifesaving therapy which is linked to the adverse outcome when given inappropriately. Inadequate knowledge and skills among health care providers have been reported to contribute to safety issues for recipients and wastage of the precious resource. This study was conducted to determine the impact of training of health care providers in Tanzania on improving the knowledge regarding the transfusion of blood and blood components.Methodology: This was a cross-sectional study which used secondary data from pre and post training assessment questionnaire whereby trainees answered the same set of questions before training (pre-test) and after training (post-test). The questionnaire consisted of two Likert scale questions and eight YES/NO questions which assessed the perception of clinicians, nurses and Laboratory personnel on blood transfusion practices. Moreover, there were thirty multiple-choice questions for assessment of basic knowledge related to usage of blood and blood components.Results: One hundred and eleven (111) health care providers who attended training on blood transfusion were recruited into this study, out of which 72.1% (80/111) were from secondary health care facilities and 6.3% (7/111) were from tertiary health care facilities. The pre-test mean percent score was 32.8% (SD ±12.9%), while the post-test mean percent score was 56.6% (SD ±12.9%). The mean percentage of knowledge gain was 26.6% (SD±13.0%) and 27.1% (SD±12.5%) for health care providers and National Blood Transfusion Service staff respectively. It was observed that only 25.8% (24/93) and 19% (19/100) of participants were aware of the transfusion timing of various blood components and principles of platelet transfusion, respectively. Regarding bedside blood handling practices, only 52.9% (46/87) responded, ‘warm whole blood unit and packed red blood by putting under room temperature for 30 minutes and the majority of participants 63.1% (65/103) reported not to ask for consent before blood transfusion.Conclusion: There was a modest improvement in the knowledge on blood transfusion practice among participants. The overall performance of participants increased from 33% in the pre-test to 57% in the post-test. Therefore, this study has shown the positive impact of training for health care providers in improving their knowledge. We recommend regular on job training courses and mentorship program for health care providers for proficiency in clinical transfusion practice. Key words: Blood Transfusion, Training and Health care providers.

The Impact of Management and Leadership Roles in Building Competitive Healthcare Units

2018 ◽  
pp. 13-30
Author(s):  
Aleksandra Rosiek-Kryszewska ◽  
Anna Rosiek
Keyword(s):  
Health Care ◽  
Competitive Advantage ◽  
Healthcare Facility ◽  
Health Care Facilities ◽  
Leadership Roles ◽  
Care Facilities ◽  
High Level ◽  
Innovative Culture ◽  
The Impact

This chapter discusses the leadership features that support the creation of an innovative culture of the organization, with particular emphasis on the attributes that are essential to building a competitive advantage in the medical services market. According to the concept of new management, managers are the initiators of change and development within the healthcare facility where they work. They require professionalism and a high level of competence which allows them to create and implement creative management solutions. Thus, the influence of management and the role of the leader in building competitive health care units is undisputed. Due to the specific nature of health care facilities, the ability to build trust, as well as the clear and precise communication of plans and visions, is gaining importance, in addition to knowledge and experience.

scholarly journals Identification of the source of a Listeria monocytogenes outbreak by investigational tracing

2021 ◽  
Author(s):  
Natalie Becker ◽  
Thomas Schewe ◽  
Frauke K. Setzer ◽  
Mandy Schröder ◽  
Claudia Reckzeh ◽  
...  
Keyword(s):  
Health Care ◽  
Data Analysis ◽  
Listeria Monocytogenes ◽  
Meat Products ◽  
Health Care Facilities ◽  
Product Recall ◽  
Outbreak Strain ◽  
Starting Point ◽  
Care Facilities ◽  
Outbreak Investigations

AbstractThe number of identified listeriosis outbreaks has increased since the sequence typing of Listeria monocytogenes isolates was established in Germany. Due to the nature of the disease, listeriosis outbreaks are difficult to solve. We present investigational tracing as a simple and rapid method to conduct outbreak investigations. The method was applied in 2019 to stop a prolonged listeriosis outbreak in Germany. The starting point for the investigational tracing was nine health care facilities (HCF). Single cases developed listeriosis while they were staying at the nine facilities. Data were collected from companies that delivered foods to HCF and from ready-to-eat (RTE) foods that were consumed there. Following a step-wise approach, data analysis identified similarities in the food supply of the HCF. Food data were heterogeneous and needed to be standardised. Own brands and changing article numbers were challenging aspects during the identification of manufacturers. The analysis of the delivering companies revealed no similarities. Detailed information about the consumed risk foods for Listeria contamination became available for six HCF. All facilities served a wide variety of cold cut meat products to their in-patients. Investigational tracing revealed that only meat products from one out of 29 food business operators had been consumed in all six HCF. Further activities of the authorities enabled the identification of the outbreak strain on food products and in the processing environment of this company. A product recall and the measures taken stopped the listeriosis outbreak. Thus, investigational tracing can be crucial for the clarification of listeriosis outbreaks.

scholarly journals A Ground Level Study of Health Problems of Domestic Workers During Covid 19 Pandemic

2021 ◽  
Vol 16 (4) ◽  
pp. 243-250
Author(s):  
Dimpal Vij ◽  
Anjana Singh
Keyword(s):  
Health Care ◽  
Adverse Effects ◽  
Circular Economy ◽  
Health Expenditure ◽  
Ground Level ◽  
Domestic Workers ◽  
Health Care Facilities ◽  
Care Facilities ◽  
The Impact ◽  
Second Wave

The pandemic of COVID19 laid various adverse effects and made a mark on domestic workers' lives. The ground report shows evidence of a drastic downfall in their income due to raised unemployment, increase in health expenditure, shortage of health care facilities, etc. The second wave of COVID19 has created havoc in their life as their work leaves no savings for them. This article based on a field study argues the health complexities that have arisen in domestic workers' lives during pandemics. It has subjected struggles of domestic workers for health and medication facilities during and after pandemics. It also suggests the corrective measures that government can take to bring out these workers from these drudgeries and the impact of circular economic concepts to sustain their lives comfortably. (*The paper was presented at the AICTE International Conference on Circular Economy, Management and Industry, Bharati Vidyapeeth’s Institute of Management Studies and Research, Navi Mumbai and Apeejay School of Management, Dwarka, Delhi, India. October 2021)

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