scholarly journals Need Assessment for an Adolescent Clinic in a Periurban Hospital

1970 ◽  
Vol 29 (3) ◽  
pp. 133-137
Author(s):  
S Tasnim
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Cross Sectional Study ◽  
Health Providers ◽  
Cross Sectional ◽  
Special Services ◽  
Contraceptive Services ◽  
Adolescent Clinic ◽  
Almost All ◽  
The Cost

Background: Adolescents are a heterogeneous group with special reproductive health needs based on their age, sex, marital status and socioeconomic status. Existing health care system is not capable to respond to adolescents’ demands. Objective: To explore the idea regarding specific centre for adolescents and to identify the components of information and health services rendered through the centre. Method: A cross sectional study was conducted with 70 participants in a half day workshop in the Institute of child and mother health (ICMH) on 9th August’ 2006. The respondents filled up a set questionnaire containing both open and closed questions focusing different issues regarding functioning of an adolescent clinic. The responses were analysed using SPSS program Result: Almost all respondents expressed the need for a separate clinic for adolescents, that should serve both boys and girls (84.3%), health providers at the centre should be doctors from both Paediatrics and Gynae & Obstetrics department (42.9%) and nurses (42.1%) and the working schedule should be similar to existing out patient hours. It was suggested that the clinic should provide counseling on sexuality issues, contraceptive services and special services as required in addition to general health care. About 75% opined that the cost of the services should be same as those of existing out patient services while 52.9% thought that the services should be free. Conclusion: The need for an adolescent clinic was commonly felt and it is recommended to establish adolescent friendly services at ICMH. Key words: Adolescent; Reproductive health; Adolescent friendly service DOI: http://dx.doi.org/10.3329/jbcps.v29i3.9433 JBCPS 2011; 29(3): 133-137

scholarly journals Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Staffan Nilsson ◽  
Per O. Andersson ◽  
Lars Borgquist ◽  
Ewa Grodzinsky ◽  
Magnus Janzon ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Chest Pain ◽  
Troponin T ◽  
Point Of Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Increased Risk ◽  
The Cost

Objective. To investigate the diagnostic accuracy and clinical benefit of point-of-care Troponin T testing (POCT-TnT) in the management of patients with chest pain. Design. Observational, prospective, cross-sectional study with followup. Setting. Three primary health care (PHC) centres using POCT-TnT and four PHC centres not using POCT-TnT in the southeast of Sweden. Patients. All patients ≥35 years old, contacting one of the primary health care centres for chest pain, dyspnoea on exertion, unexplained weakness, and/or fatigue with no other probable cause than cardiac, were included. Symptoms should have commenced or worsened during the last seven days. Main Outcome Measures. Emergency referrals, patients with acute myocardial infarctions (AMI), or unstable angina (UA) within 30 days of study enrolment. Results. 25% of the patients from PHC centres with POCT-TnT and 43% from PHC centres without POCT-TnT were emergently referred by the GP (P=0.011 ). Seven patients (5.5%) from PHC centres with POCT-TnT and six (8.8%) from PHC centres without POCT-TnT were diagnosed as AMI or UA (P=0.369). Two patients with AMI or UA from PHC centres with POCT-TnT were judged as missed cases in primary health care. Conclusion. The use of POCT-TnT may reduce emergency referrals but probably at the cost of an increased risk to miss patients with AMI or UA.

scholarly journals Exclusive breastfeeding knowledge and practices among health care workers in northern Tanzania.

2020 ◽  
Author(s):  
Melina Mgongo ◽  
Bertha Mlay ◽  
Damian Jeremia Damian ◽  
Caroline Amour ◽  
Beatrice John Leyaro ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Child Survival ◽  
Cross Sectional Study ◽  
Health Providers ◽  
Care Providers ◽  
Cross Sectional ◽  
Northern Tanzania

Abstract Background Exclusive breastfeeding (EBF) practice is one of the interventions improving child survival. Health workers have been shown to be vital in influencing EBF practices. Objectives To assess the level of knowledge and supportive practices on EBF among healthcare workers Kilimanjaro region, northern Tanzania. Methods A cross sectional study was conducted between April - June 2011 health care providers working in 36 randomly selected health facilities of Hai and Siha districts. A questionnaire was used to obtain information. Observation of health worker-client interaction was conducted using a check list. Results A total of 250 health workers participated in this study. The majority (80%) had adequate knowledge of EBF. However, 36% of providers believed light porridge should be introduced after 4 months and 43% believed infants will feel thirsty on breast- milk alone. Only 7% of providers answered correctly on skills of support, positioning and attachment. Fifty percent of the facilities with labour/maternity wards gave breastfeeding lessons to post delivery women. The majority (90%) gave theoretical information, without practical demonstration with positioning and/or attachment of the baby to the breast. Conclusion Providers had adequate theoretical knowledge of EBF but lacked important skills to support women in breastfeeding practices. Few labor/maternity facilities used the opportunity to educate women on EBF. Pre- and in-service health providers’ training on breastfeeding should target improved practical skills.

scholarly journals Contraceptive User’s Profile

2016 ◽  
Author(s):  
Eka R Gunardi
Keyword(s):  
Obstet Gynecol ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Study Population ◽  
The Mean ◽  
The Difference ◽  
Almost All ◽  
The Cost

Objective: To obtain informations regarding the profile of contraceptive users in Raden Saleh Clinic, Jakarta. Method: A cross-sectional study was conducted in June 2012, at Raden Saleh Clinic, Jakarta. The study population was the patient who came to Raden Saleh Clinic from 2008 until 2011. Results: The mean age of the contraception users was 34.06 and the mean of their husband’s age was 38.91 years old. Most of the patients were graduated from senior high school (43.2%) and university (37.9%). More than half of the patients (55.2%) were not working and more than a half of their husband (53.2%) were private employee. Almost all (92.6%) of the patient were married. Most of the patient (38.8%) came with no prior contraception. After consultation, all patients had chosen their preferred contraceptive methods, namely IUD (61.4%), injectable contraception (20.9%), pill (13.7%), sterilization (3.4%), and implant (0.6%). Conclusion: Family planning reduces maternal mortality and the best method is different for each patient because of the difference in their own condition and the consideration of the cost and benefit. [Indones J Obstet Gynecol 2013; 1-4:179-82] Keywords: contraception, contraceptive users profile

scholarly journals Survey of knowledge for diagnosing and managing prediabetes in Latin-America: cross-sectional study

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Jennifer Garay ◽  
Paul A. Camacho ◽  
Jose Lopez-Lopez ◽  
Juliana Alvernia ◽  
Marcela Garcia ◽  
...  
Keyword(s):  
Health Care ◽  
Latin America ◽  
Risk Factor ◽  
Latin American ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Health Providers ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background Prediabetes has been proposed as a risk factor for the development of type 2 diabetes mellitus (DM2) and cardiovascular disease (CVD). Despite the clinical importance of prediabetes, little is known about the level of knowledge, beliefs and barriers to screening and treating prediabetes amongst care health providers in Latin America. The aim of the present survey was to evaluate the knowledge and beliefs about prediabetes amongst in Latin American health care providers. Methodology In a cross-sectional study, we adapted the written survey designed by the Johns Hopkins University group, and applied it to health care providers across Latin America during three meetings, in 2017, and with physicians from primary care centers in Bucaramanga, Colombia convened in 2017. The survey consisted of questions under four headings, diabetes screening, management of prediabetes, pharmacological treatment—metformin use, and demographic information. We perform a descriptive analysis to determine the differences in responses between different medical specialties. Results The majority of the care providers that answered the survey were Colombian physicians, 54.5% of respondents had 10 years or more since completing their training and more women responded. Only 9.5% identified the 12 prediabetes risk factors described in the literature. The most common risk factor identified was a family history of diabetes, followed by overweight, a sedentary lifestyle and dyslipidemia, while ethnicity was the risk factor least commonly. 47.1% answered that laboratory tests to detect prediabetes are fasting glucose and HbA1C, 82.5% correctly identified fasting plasma glucose as the best test, 35.9% correctly responded that to the recommended weight loss goal is 5 to 7% and 49.1% that 150 min is considered the minimum level of physical activity per week. 78% agreed that the identification and treatment of prediabetes is important. 56% believed that patients with prediabetes progress more rapidly to diabetes and 40.6% considered that metformin could reduce the risk of diabetes in patients already diagnosed with prediabetes. Conclusion These results demonstrate that there are important gaps in the knowledge of the diagnosis, clinical implications and management of prediabetes amongst Latin America health providers.

scholarly journals Exclusive breastfeeding knowledge and practices among health care workers in Northern Tanzania.

2020 ◽  
Author(s):  
Melina Mgongo ◽  
Bertha Mlay ◽  
Damian Jeremia Damian ◽  
Caroline Amour ◽  
Beatrice John Leyaro ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Child Survival ◽  
Cross Sectional Study ◽  
Health Providers ◽  
Care Providers ◽  
Cross Sectional ◽  
Northern Tanzania

Abstract Background: Exclusive breastfeeding (EBF) practice is one of the interventions improving child survival. Health workers have been shown to be vital in influencing EBF practices.Objectives: To assess the level of knowledge and supportive practices on EBF among healthcare workers Kilimanjaro region, northern Tanzania.Methods: A cross sectional study was conducted between April - June 2011 health care providers working in 36 randomly selected health facilities of Hai and Siha districts. A questionnaire was used to obtain information. Observation of health worker-client interaction was conducted using a check list.Results: A total of 250 health workers participated in this study. The majority (80 %) had adequate knowledge of EBF. However, 36 % of providers believed light porridge should be introduced after 4 months and 43 % believed infants will feel thirsty on breast- milk alone. Only 7 % of providers answered correctly on skills of support, positioning and attachment. Fifty percent of the facilities with labour/maternity wards gave breastfeeding lessons to post delivery women. The majority (90 %) gave theoretical information, without practical demonstration with positioning and/or attachment of the baby to the breast.Conclusion: Providers had adequate theoretical knowledge of EBF but lacked important skills to support women in breastfeeding practices. Few labor/maternity facilities used the opportunity to educate women on EBF. Pre- and in-service health providers’ training on breastfeeding should target improved practical skills.

scholarly journals Workplace sexual harassment in sexual and reproductive services: a preliminary cross-sectional study

2021 ◽  
Author(s):  
Italo Costanzo
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Sexual Harassment ◽  
Sexual And Reproductive Health ◽  
Protective Factor ◽  
Cross Sectional Study ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Reproductive Health Care ◽  
Reproductive Services

ABSTRACTINTRODUCTIONSexual harassment at the workplace in health care is most prevalent in Anglo regions, although is an emerging problem globally. No research has yet focused on the prevalence of the phenomenon within the area of sexual and reproductive health care in Anglo regions. The aim of this study is therefore to measure the prevalence of sexual harassment in sexual and reproductive health care setting and compare it with other clinical areas.METHODA web survey to health care workers of various NHS Trusts in the United Kingdom was carried out and a cross-sectional study was conducted to measure observed counts, expected frequencies and prevalence from a total of 90 questionnaires received.RESULTSThe prevalence of workplace sexual harassment within the sexual and reproductive health services is lower compared to other clinical areas.CONCLUSIONSWorking in sexual and reproductive services could be a protective factor for workplace sexual harassment, therefore this study originates a new line of research aiming to identify the protective factors against sexual harassment at the workplace in sexual and reproductive health and the ways they could be used to protect every health care worker from sexual harassment in the workplace.KEY POINTSThe prevalence of workplace sexual harassment in sexual and reproductive health services is lower compared to other clinical areas.Working in sexual and reproductive services could be a protective factor for workplace sexual harassment.

scholarly journals Communication mediums used by patients and health professionals during access and provision of healthcare in low resource settings: A cross-sectional study

2019 ◽  
Author(s):  
Mathias Dongyele ◽  
Daniel Ansong ◽  
Francis Osei Adjei ◽  
Evans Xamuzu ◽  
Nicholas Karikari Mensah ◽  
...  
Keyword(s):  
Social Media ◽  
Health Professionals ◽  
Health Workers ◽  
Hospital Staff ◽  
Cross Sectional Study ◽  
Health Providers ◽  
Cross Sectional ◽  
Reminder System ◽  
Face To Face ◽  
Almost All

Abstract Background: The issue of mediums to communicate to make enquiries to a hospital in finding out the type of services available, availability of physicians and beds at the receiving hospitals, and a reminder system remains a challenge for patients and providers of the health service in the Sub-Sharan Africa. This present study sought to review the existing healthcare communication mediums from the perspectives of patients and health professionals at the Komfo Anokye Teaching Hospital, KumasiMethod A cross-sectional design was employed with a multilevel sampling method to select a total of 651 participants consisting of 304 patients, 303 health workers and 44 hospital directorate managers for the study. A well-structured survey questionnaire was used to collect data from respondents.Results Most hospital staff (66.4%) used a blend of social media and direct means (face-to-face medium) for communicating among themselves whereas 89.8% only communicates with management through meetings sections. Predominantly, 97.4% of the staff communicated by direct means (face-to-face medium) with patients. Almost all the management of the hospital communicated with the general public using mediums like letters and official memos.Conclusions There is evidence of combination of both traditional mediums (face-to-face) and the technological mediums (social media) for communications by health providers and health consumers. However there is a dissatisfaction with delayed information flow and poor feedback with the use of these available mediums. Therefore, a digital mobile application communication system is recommended to offer efficient communication within and outside the Ghanaian health facilities.

scholarly journals How do private practitioners in Pakistan manage children suspected having tuberculosis?

2020 ◽  
Author(s):  
Aashifa Yaqoob ◽  
Sven Hinderaker ◽  
Razia Fatima ◽  
Hina Najmi ◽  
Anwar Haq
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Failure To Thrive ◽  
Cross Sectional Study ◽  
Private Health Care ◽  
Health Providers ◽  
Care Providers ◽  
Cross Sectional ◽  
Private Providers ◽  
Childhood Tb

Abstract Background: Private providers provide a large portion of health care in Pakistan, including tuberculosis (TB). All TB patients are supposed to be reported to the National Tuberculosis Program (NTP), which provides drugs free of charge in addition to monitoring, supervision and support. It is difficult to confirm the diagnosis of TB in children. We aimed to assess the private health care provider investigation practices and management of childhood TB. Methods: This cross sectional study was based on a national survey that measured under-reporting of children with TB in 12 selected districts in Pakistan from Apr-Jun, 2016. We explored the practices of private health care providers involved in the diagnosis of TB in children under 15 years for investigating and managing children suspected having TB, like general practitioners, pediatricians, pulmonologists and chest specialists. Results: Among 6519 presumptive child TB cases, a total of 5193(79.7%) children under the age of 15 years were diagnosed as TB by private health care providers during second quarter, 2016. Out of all diagnosed TB cases, only 187(3.6%) were notified to NTP. The majority of presumptive child TB cases reported cough, fever, and failure to thrive; few had TB contacts with pulmonary TB patients. For further diagnostic tests, private providers relied on chest X-ray in 41.7% of 0-4 years and 48.2% of 5-14 years. Utilization of Tuberculin skin test and Gene-Xpert MTB/RIF testing was very low. Bacteriological confirmation was present in 9.6%, and clinical assessment was the only basis for diagnosis in 39.3%. Of children with presumptive TB, 3121(47.9%) cases were referred for diagnosis and 2443(37.5%) were referred after diagnosis for treatment; among all the referred, 3812(68.5%) were sent for investigations to District TB Centre(NTP). Conclusion: This study showed that many private providers referred children suspected having TB to laboratories for further diagnosis, but cases identified in investigations were often not notified to the NTP. This problem needs to be resolved by strengthening the referral linkages between private health providers, NTP laboratories and treatment centres through capacity building and training of their staff.

scholarly journals The unnecessary suffering and abuse caused by healthcare professionals needs to stop: A study regarding experiences of abuse among female patients in a general psychiatric setting

2017 ◽  
Vol 5 (4) ◽  
pp. 59 ◽  
Author(s):  
Karin Örmon ◽  
Ulrica Hörberg
Keyword(s):  
Health Care ◽  
Health Services ◽  
Healthcare Professionals ◽  
Well Being ◽  
Cross Sectional Study ◽  
Psychiatric Clinic ◽  
Design Data ◽  
Cross Sectional ◽  
Female Patients ◽  
Almost All

Objective: Healthcare, from a caring science perspective, aims to support the patients’ health processes. All healthcare is, however, not experienced as being caring by the patients. Consequences of abuse in healthcare (AHC) services have effects on the patients’ health and well-being. The aim of this study was to explore experiences of abuse from healthcare professionals among female patients in a general psychiatric clinic.Methods: In the cross-sectional study design, data from female patients receiving outpatient or inpatient care at a general psychiatric clinic about their experiences of abuse were gathered by using the NorVold Abuse Questionnaire (NorAQ) Descriptive statistics were used to describe experiences of abuse in the health care sector.Results: Fifty-six women reported abuse by healthcare professionals. Being offended or grossly degraded while visiting health services, was experienced by almost all the women (n = 50). Experiences that a “normal” event while visiting health services suddenly became a really terrible and insulting experience, without fully knowing how this could happen was experienced by 38 women in the study. During their current care episode at the general psychiatric clinic a majority of the female patients chose not to reveal their experiences of abuse in the health care sector (n = 34).Conclusions: The fact that patients experience suffering and abuse from healthcare professionals is a serious problem that needs to be highlighted and discussed within all healthcare contexts. Attention needs to be paid to the suffering and abuse that is related to encounters and relationships between patients and healthcare professionals.

scholarly journals Effect of COVID-19 Pandemic on Provision of Sexual and Reproductive Health Services in Primary Health Facilities in Nigeria: a Cross-sectional Study

2021 ◽  
Author(s):  
Babatunde Adelekan ◽  
Erika Goldson ◽  
Zubaida Abubakar ◽  
Ulla Mueller ◽  
Audu Alayande ◽  
...  
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Facilities

Abstract BackgroundNigeria, like many other countries, has been severely affected by the COVID-19 pandemic. While efforts have been devoted to curtailing the disease, a major concern has been its potential effects on the delivery and utilization of reproductive health care services in the country. The objective of the study was to investigate the extent to which the COVID-19 pandemic and related lockdowns had affected the provision of essential reproductive health, maternal and child health, and adolescent health services in primary health care facilities across the Nigerian States.MethodsThis was a cross-sectional study of 307 primary health facilities in 30 Local Government Areas in 10 States, representing the six geopolitical regions of the country. A semi-structured interviewer-administered questionnaire was used to obtain data on issues relating to access and service provision before, during and after COVID-19 lockdowns from the head nurses/midwives in the facilities. The questionnaire was entered into Open Data Kit mounted on smartphones. Data were analysed using non-parametric statistics.ResultsThe results show that a large proportion of the primary health facilities in the selected states opened for the provision of essential sexual and reproductive health and rights services during the COVID-19 pandemic lockdown. However, there was a significant reduction in clients’ utilization of services due to challenges experienced in service implementation such as stock-outs, and low demand for services by clients. Although the health facilities reported identifying cases of COVID-19, there was limited provision for primary protective equipment and other special offers that would motivate the health workers to optimize services for clients. ConclusionsWe conclude that efforts made to address these challenges by governments, non-governmental agencies, the private sector, and donor agencies working in low resource settings would reduce the health and social burden posed by COVID-19 in Nigeria.

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