scholarly journals Use of Incident Command System in Health Emergency Management for FDMN’s in Bangladesh: a Qualitative Study

2020 ◽  
Vol 38 (2) ◽  
pp. 53-62
Author(s):  
Mostafa Moin Uddin
Keyword(s):  
Emergency Management ◽  
Health Care Providers ◽  
Care Providers ◽  
District Health Office ◽  
District Health ◽  
Double Burden ◽  
Incident Command System ◽  
Incident Command ◽  
Preparedness Planning ◽  
Field Assessment

Background: Bangladesh bears the double burden of extreme exposure and high vulnerability to both natural and man-made disasters. In 2017, an enormous influx of Forcibly Displaced Myanmar Nationals from Myanmar to Bangladesh created massive humanitarian crisis due to geopolitical conflicts. Objective: The objective of this study was to assess the FDMN’s health situation and to work with the district health office facing the emergency. Another objective was to introduce a proper Incident Command System (ICS) approach in order to achieve system efficiencies and improve management capabilities of the district health office. Materials and Methods: This qualitative, exploratory study was conducted at three Upazilas and two disaster prone coastal civil surgeon offices in Bangladesh over a period of one year from May, 2017 to April, 2018. The target population of the study was FDMN’s, local inhabitants, health care providers, public health managers and administrators at different level. Using non-probability purposive sampling method as data collection procedure, 50 semi-structured interviews were carried out. Results: A rapid field assessment was done followed by detailed field assessment. In rapid field assessment it was observed that gaps in proper leadership created confusion and for that some participants were overlooked, while others were underutilized. There was gap in coordination between different actors in the field. It was observed that in crisis situation, challenges associated with coordination and delegations were almost similar. Interview was taken based on concepts from political and social science approaches. Under each approach emergency health management issues, gaps and constrain were discussed along with proposed solutions. In order to conduct a detailed field assessment incident command system approach were broken down to five major categories. Two ICS orientation workshop were done in Cox’s Bazar and Chittagong civil surgeon office. It was evident that CS offices would not have the entire workforce as ICS structure demand but identifying existing stuffs that could fill in all those roles in ICS structure with how to work and go in operation was done. Conclusion: The study advocates that with limited resources utmost priority should be given to train the existing workforce for emergency preparedness, planning and response. Evidence-based incident command system deployment would be beneficial for health emergency management for vulnerable people in Bangladesh. JOPSOM 2019; 38(2): 53-62

scholarly journals Health workers' views on factors affecting caregiver engagement with bubble CPAP

2020 ◽  
Author(s):  
Sangwani Salimu ◽  
Maggie Woo Kinshella ◽  
Marianne Vidler ◽  
Mwai Banda ◽  
Laura Newberry ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Workers ◽  
Health Management ◽  
Care Providers ◽  
District Health ◽  
Severe Respiratory Distress ◽  
Good Communication ◽  
District Hospitals ◽  
Bubble Cpap

Abstract Background Severe respiratory distress is a leading cause of mortality among neonates in Malawi. Despite evidence on the safety, cost effectiveness and efficacy of bubble continuous positive airway pressure (CPAP) in managing the condition, its use in Malawian health facilities is limited and little is known about caregivers' engagement with perspectives of bubble CPAP. The purpose of this study was to explore caregiver perspectives for bubble CPAP at both central and district hospitals and key factors that enable effective caregiver engagement in Malawi. Methods This was a descriptive qualitative study employing secondary analysis of 46 health care worker in-depth interviews. We interviewed the health workers about their thoughts on caregiver perspectives regarding use of bubble CPAP. We implemented the study at a tertiary facility and three district hospitals in southern Malawi. This was a part of a larger study to understand barriers and facilitators to implementing neonatal innovations in resource-constrained hospitals. Interviews were thematically analysed in NVivo 12 software (QSR International, Melbourne, Australia). Health workers were purposively selected to include nurses, clinicians and district health management involved in the use of bubble CPAP.Results Emerging issues included caregiver fears around bubble CPAP equipment as potentially harmful to their new-borns and how inadequate information provided to caregivers exacerbated knowledge gaps and was associated with refusal of care. However, good communication between health care providers and caregivers was associated with acceptance of care. Caregivers’ decision-making was influenced by relatives and peer advocates were helpful in supporting caregivers and alleviating fears or misconceptions about bubble CPAP.Conclusions Since caregivers turn to relatives and peers for support, there is need to ensure that both relatives and peers are counselled on bubble CPAP for improved understanding and uptake. Health workers need to provide simplified, accurate, up-to-date information on the intervention as per caregivers’ level of understanding. Notably, contextualised comprehensible information will help alleviate caregivers’ fear and anxieties about bubble CPAP.

scholarly journals “Those women have hope in us and if you explain properly, they understand”: Health workers' views on factors affecting caregiver engagement with bubble CPAP

2020 ◽  
Author(s):  
Sangwani Salimu ◽  
Maggie Kinshella ◽  
Marianne Marianne ◽  
Mwai Banda ◽  
Laura Newberry ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Workers ◽  
Health Management ◽  
Care Providers ◽  
District Health ◽  
Severe Respiratory Distress ◽  
Good Communication ◽  
District Hospitals ◽  
Bubble Cpap

Abstract Background Severe respiratory distress is a leading cause of mortality among neonates in Malawi. Despite evidence on the safety, cost effectiveness and efficacy of bubble continuous positive airway pressure (CPAP) in managing the condition, its use in Malawian health facilities is limited and little is known about health workers engagement with perspectives of bubble CPAP. The purpose of this study was to explore caregiver perspectives for bubble CPAP at both central and district hospitals and key factors that enable effective caregiver engagement in Malawi. Methods This was a descriptive qualitative study employing secondary analysis of 46 health care worker in-depth interviews. We interviewed the health workers about their thoughts on caregiver perspectives regarding use of bubble CPAP. We implemented the study at a tertiary facility and three district hospitals in southern Malawi. This was a part of a larger study to understand barriers and facilitators to implementing neonatal innovations in resource-constrained hospitals. Interviews were thematically analysed in NVivo 12 software (QSR International, Melbourne, Australia). Health workers were purposively selected to include nurses, clinicians and district health management involved in the use of bubble CPAP. Results Emerging issues included caregiver fears around bubble CPAP equipment as potentially harmful to their new-borns and how inadequate information provided to caregivers exacerbated knowledge gaps and was associated with refusal of care. However, good communication between health care providers and caregivers was associated with acceptance of care. Caregivers’ decision-making was influenced by relatives and peer advocates were helpful in supporting caregivers and alleviating fears or misconceptions about bubble CPAP. Conclusions Since caregivers turn to relatives and peers for support, there is need to ensure that both relatives and peers are counselled on bubble CPAP for improved understanding and uptake. Health workers need to provide simplified, accurate, up-to-date information on the intervention as per caregivers’ level of understanding. Notably, contextualised comprehensible information will help alleviate caregivers’ fear and anxieties about bubble CPAP. Key words : bubble CPAP, neonates, caregiver, perspectives, peers, Malawi

scholarly journals Kajian Praktik Kefarmasian Apoteker pada Tatanan Rumah Sakit

2013 ◽  
Vol 7 (8) ◽  
pp. 365 ◽  
Author(s):  
Max Joseph Herman ◽  
Rini Sasanti Handayani ◽  
Selma Arsit Siahaan
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Government Regulation ◽  
Hospital Pharmacist ◽  
Standard Operating Procedure ◽  
Care Providers ◽  
District Health ◽  
Cross Sectional ◽  
The Government

Undang-undang Republik Indonesia No. 36 tahun 2009 tentang kesehatan dan peraturan pemerintah No. 51 tahun 2009 menyatakan bahwa tenaga kesehatan harus mempunyai kualifikasi minimum yang ditetapkan oleh pemerintah. Studi kualitatif secara potong lintang pada tahun 2010 untuk mengidentifikasi kualifikasi apoteker rumah sakit dalam memenuhi persyaratan tersebut di Bandung, Yogyakarta dan Surabaya. Data dikumpulkan dengan wawancara mendalam terhadap 10 orang apoteker dari enam rumah sakit dan empat orang direktur/wakil direktur rumah sakit, masing-masing satu orang apoteker dari enam perguruan tinggi farmasi, tiga pengurus Ikatan Apoteker Indonesia, tiga dinas kesehatan provinsi dan kabupaten/kota. Observasi praktek kefarmasian dengan menggunakan daftar tilik dilakukan pada tiap rumah sakit dan data sekunder terkait dokumentasi pemantauan dan evaluasi obat, kepuasan pasien, standar operasional prosedur dan kurikulum perguruan tinggi farmasi juga dikumpulkan. Analisis dilakukan dengan metode triangulasi dan hasil menunjukkan bahwa pengelolaan obat dalam hal pengadaan, distribusi dan penyimpanan dilaksanakan dengan baik oleh apoteker rumah sakit. Praktek farmasi klinik dan keselamatan pasien masih sangat terbatas karena alasan sumber daya manusia dan dokumentasi yang memadai. Informasi obat dan konseling kadang dilakukan tanpa fasilitas yang cukup dan apoteker juga terlibat dalam berbagai tim di rumah sakit seperti penanggulangan infeksi nosokomial dan komite farmasi dan terapi.The Indonesian Health Law No. 36 in 2009 and the Government Regulation No. 51 in 2009 state that health-care providers, including pharmacist, shall have minimum qualification set by the government. A qualitative cross sectional was conducted to to identify hospital pharmacist qualification as health care professionals in meeting the requirements was done in 2010 in Bandung, Yogyakarta and Surabaya. Data were collected through indepth interviews with pharmacists involving ten hospital pharmacists and four hos- pital directors/vice directors, six pharmacy colleges, three regional pharmacist associations, three provincial health offices and district health offices and observation of pharmacy practices using check list in each hospital was also conducted. Secondary data concerning documentation of drug monitoring and evaluation, patient satisfaction, standard operating procedure and pharmacy college curricula were collected too. Qualitative analysis was done descriptively using triangulation method. The study shows that drug procurement, distribution and storage, was well-managed by pharmacist. Practice in clinical pharmacy and patient safety was still limited for the reason of human resources and appropriate documentation. Drug information and counseling was sometimes conducted without adequate facilities and pharmacist was involved in various hospital teams like nosocomial infection control and pharmacy and therapy committee.

scholarly journals Commitment Levels of Health Care Providers in Using the District Health Information System and the Associated Factors for Decision Making in Resource-Limited Settings: Cross-sectional Survey Study

10.2196/23951 ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. e23951
Author(s):  
Shuma G Kanfe ◽  
Berhanu F Endehabtu ◽  
Mohammedjud H Ahmed ◽  
Nebyu D Mengestie ◽  
Binyam Tilahun
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Providers ◽  
Data Use ◽  
Health Information System ◽  
Evidence Based ◽  
Care Providers ◽  
District Health ◽  
Cross Sectional ◽  
Evidence Based Decision Making

Background Changing the culture of information use, which is one of the transformation agendas of the Ministry of Health of Ethiopia, cannot become real unless health care providers are committed to using locally collected data for evidence-based decision making. The commitment of health care providers has paramount influence on district health information system 2 (DHIS2) data utilization for decision making. Evidence is limited on health care providers’ level of commitment to using DHIS2 data in Ethiopia. Therefore, this study aims to fill this evidence gap. Objective This study aimed to assess the levels of commitment of health care providers and the factors influencing their commitment levels in using DHIS2 data for decision making at public health care facilities in the Ilu Aba Bora zone of the Oromia national regional state, Ethiopia in 2020. Methods The cross-sectional quantitative study supplemented by qualitative methods was conducted from February 26, 2020 to April 17, 2020. A total of 264 participants were approached. SPSS version 20 software was used for data entry and analysis. Descriptive and analytical statistics, including bivariable and multivariable analyses, were performed. Thematic analysis was conducted for the qualitative data. Results Of the 264 respondents, 121 (45.8%, 95% CI 40.0%-52.8%) respondents showed high commitment levels to use DHIS2 data. The variables associated with the level of commitment to use DHIS2 data were found to be provision of feedback for DHIS2 data use (adjusted odds ratio [AOR] 1.85, 95% CI 1.02-3.33), regular supervision and managerial support (AOR 2.84, 95% CI 1.50-5.37), information use culture (AOR 1.92, 95% CI 1.03-3.59), motivation to use DHIS2 data (AOR 1.80, 95% CI 1.00-3.25), health needs (AOR 3.96, 95% CI 2.11-7.41), and competency in DHIS2 tasks (AOR 2.41, 95% CI 1.27-4.55). Conclusions In general, less than half of the study participants showed high commitment levels to use DHIS2 data for decision making in health care. Providing regular supportive supervision and feedback and increasing the motivation and competency of the health care providers in performing DHIS2 data tasks will help in promoting their levels of commitment that can result in the cultural transformation of data use for evidence-based decision making in health care.

An application of PCA-DEA with the double-bootstrap approach to estimate the technical efficiency of New Zealand District Health Boards

2021 ◽  
pp. 1-25
Author(s):  
Antony Andrews
Keyword(s):  
New Zealand ◽  
Technical Efficiency ◽  
Health Care Providers ◽  
Average Length ◽  
Principal Component ◽  
Care Providers ◽  
District Health ◽  
Bootstrap Approach ◽  
Double Bootstrap ◽  
Health Boards

Abstract Using yearly panel data from 2011 to 2017 on New Zealand District Health Boards (DHBs), this study combines principal component analysis and data envelopment intertemporal analysis with the double-bootstrap approach to estimate the technical efficiency of health care providers along with the trend of efficiency performances. The results show that although most large DHBs have improved their level of technical efficiency between 2011 and 2017, the majority of medium- and small-sized DHBs have not seen any noticeable improvement in their level of technical efficiency. The results also show that large and tertiary DHBs operate at a high level of technical efficiency. In contrast, most of the medium- and small-sized DHBs posted some of the lowest technical efficiency scores. Furthermore, the results show that medium- and small-sized DHBs have a higher average length of hospital stays which is found to be associated with decreasing levels of technical efficiency scores.

scholarly journals Perspectives and engagement of caregivers in the care of babies under on Bubble CPAP

2020 ◽  
Author(s):  
Sangwani Salimu ◽  
Maggie Kinshella ◽  
Marianne Marianne ◽  
Mwai Banda ◽  
Laura Newberry ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Workers ◽  
Health Management ◽  
Care Providers ◽  
District Health ◽  
Severe Respiratory Distress ◽  
Good Communication ◽  
District Hospitals ◽  
Bubble Cpap

Abstract Background Severe respiratory distress is a leading cause of mortality among neonates in Malawi. Despite evidence on the safety, cost effectiveness and efficacy of bubble continuous positive airway pressure (CPAP) in managing the condition, its use in Malawian health facilities is limited and little is known about health workers engagement with perspectives of bubble CPAP. The purpose of this study was to explore caregiver perspectives for bubble CPAP at both central and district hospitals and key factors that enable effective caregiver engagement in Malawi. Methods This was a descriptive qualitative study employing secondary analysis of 46 health care worker in-depth interviews. We interviewed the health workers about their thoughts on caregiver perspectives regarding use of bubble CPAP. We implemented the study at a tertiary facility and three district hospitals in southern Malawi. This was a part of a larger study to understand barriers and facilitators to implementing neonatal innovations in resource-constrained hospitals. Interviews were thematically analysed in NVivo 12 software (QSR International, Melbourne, Australia). Health workers were purposively selected to include nurses, clinicians and district health management involved in the use of bubble CPAP. Results Emerging issues included caregiver fears around bubble CPAP equipment as potentially harmful to their new-borns and how inadequate information provided to caregivers exacerbated knowledge gaps and was associated with refusal of care. However, good communication between health care providers and caregivers was associated with acceptance of care. Caregivers’ decision-making was influenced by relatives and peer advocates were helpful in supporting caregivers and alleviating fears or misconceptions about bubble CPAP. ConclusionsSince caregivers turn to relatives and peers for support, there is need to ensure that both relatives and peers are counselled on bubble CPAP for improved understanding and uptake. Health workers need to provide simplified, accurate, up-to-date information on the intervention as per caregivers’ level of understanding. Notably, contextualised comprehensible information will help alleviate caregivers’ fear and anxieties about bubble CPAP. Key words : bubble CPAP, neonates, caregiver, perspectives, peers, Malawi

scholarly journals Study on the Prevalence and Associated Factors of Perceived Stress on COVID-19 Among Healthcare Providers in Rupandehi District Health Institutions, Western Nepal

2021 ◽  
Vol 9 (02) ◽  
pp. 19-23
Author(s):  
Sreya Paudyal ◽  
Sailaja Ghimire ◽  
Yudhisthir Raj Khadka ◽  
Manoj Dhungana
Keyword(s):  
Perceived Stress ◽  
Health Care Providers ◽  
Stress Level ◽  
Associated Factors ◽  
Demographic Data ◽  
Healthcare Providers ◽  
Work Place ◽  
Care Providers ◽  
District Health ◽  
Health Institutions

INTRODUCTION: Healthcare providers (HCPs) though stood as front-liners during the crisis situation were not themselves immune to the psychological consequences due to COVID-19. The present study aimed to find the prevalence of perceived stress on COVID-19 pandemic and its associated factors among health care providers in Rupandehi district health institutions. MATERIAL AND METHODS: This  cross- sectional study was conducted among the HCPs in the institutions of Rupandehi district in Western  Nepal, from August to November, 2020. Total 126 subjects were included and probability sampling technique was applied for sample collection. After written consent from participants socio-demographic data were collected and Perceived Stress Scale (PSS-10) was applied. RESULTS: The study showed the prevalence of perceived stress in COVID-19 HCPs found to be 65.1% considering score 20 as cut-off. Age, work place, precaution measures taken and staying with family were statistically significant with the perceived stress level (p<0.05). Multivariate logistic regression showed perceived stress level had statistically significant association with precaution means and work place of HCPs. Healthcare providers who had unsatisfactory precaution means followed at work were 2.66 times more likely to have perceived stress as compared to satisfactory precaution means as adjusted odds ratio (AOR) = 2.66 (1.09-6.51). Healthcare providers who stayed with family members were 2.28 times more likely to have perceived stress level as AOR=2.28 (0.94-5.52). CONCLUSION: The study showed increased prevalence of perceived stress among HCPs during the initial stage of COVID‐19 pandemic in Nepal. Considering the findings, there is urgent need to develop and implement appropriate stress management and coping strategies to the target group.

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