Impact of Training on Livestock Technology Transfer for Rural Poor Farmers Livelihood Improvement in Bangladesh

2021 ◽  
Vol 19 (1) ◽  
pp. 223-235
Author(s):  
MA Hossain ◽  
MS Islam ◽  
A Akhter ◽  
M Rashiduzzaman
Keyword(s):  
Baseline Survey ◽  
Rural Poor ◽  
Flock Size ◽  
Improvement Project ◽  
Feeding Management ◽  
Livelihood Improvement ◽  
Logistic Support ◽  
The Impact ◽  
Farming Households

The study was conducted to evaluate the impact of training facilitated by Nuton Jibon Livelihood Improvement Project (NJLIP) under Social Development Foundation (SDF) for transfer livestock technologies and livelihood improvement for rural poor farmers in Bangladesh. A total of 650 farming households were selected by baseline survey during January 2018 to June 2018.The training and non-training beneficiaries were primary level educated and their family size (4.52) was little lower than the national average (4.9). Average age was 36.73 and 35.12 years for training and non-training farmers, respectively. The rate and amount of loan was found higher with respondent received training than without training. Adoption rate of technologies was higher than the level of idea on the concept of housing, feeding, breeding and marketing. The training beneficiaries improved knowledge and skill on feeding, management and health care of livestock and poultry. Training and demonstration are considered two strong tools for adoption and dissemination of livestock technology. Herd and flock size was increased by training beneficiaries than non-training beneficiaries. Beneficiaries having training on various IGAs have expanded their land and asset possession to a greater extent compared to non-training beneficiaries. Housing and sanitation condition of training beneficiaries were higher than non-training beneficiaries. Increased annual income of training and non-training households was 19.43% and 13.30% where income from different IGAs of livestock was 32.19% and 14.53%, respectively. Livestock were not extremely price sensitive but more sensitive on non-price factors logistic support like institutional support, quality of input and availability of input. Thus, training was treated as vital tools for transfer livestock technologies to influence the poor farmer’s livelihood improvement of training household than non-training household. SAARC J. Agric., 19(1): 223-235 (2021)

scholarly journals 49 A Quality Improvement Project to Assess and Refine the Handover Process at Morning Trauma Meetings

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
S Sadiq ◽  
M Tahir ◽  
I Nur ◽  
S Elerian ◽  
A Malik
Keyword(s):  
Categorical Variables ◽  
Next Of Kin ◽  
Chi Square ◽  
Neck Of Femur ◽  
Improvement Project ◽  
Handover Process ◽  
Neck Of Femur Fracture ◽  
The Impact ◽  
Standard Operating Protocol

Abstract Introduction Poor handover between shifts can result in patient harm. This study was designed to evaluate the impact of implementing a handover protocol on the quality of information exchanged in the trauma handover meetings in a UK hospital. Method A prospective single-centre observational study was performed at an NHS Trust. Ten consecutive weekday trauma meetings, involving 43 patients, were observed to identify poor practices in handover. This data was used in conjunction with the Royal College of Surgeons’ recommendations for effective handover (2007) to create and implement a standard operating protocol (SOP). Following its implementation, a further 8 consecutive meetings, involving a further 47 patients, were observed. The data was analysed using t-test for quantitative variables and chi-square or Fisher’s exact tests for categorical variables. Results An improvement was demonstrated in multiple aspects of trauma handover including past medical history, injury date, results, diagnosis, consent, mark, and starvation status (all p < 0.001). Subgroup analyses showed that handover of neck-of-femur fracture patients including information on baseline mobility (p = 0.04), Nottingham-Hip-Fracture Score (p = 0.01), next-of-kin discussion (p = 0.075) and resuscitation status (p = 0.001) all improved following the intervention. Conclusions These results demonstrate that the implementation of a well-structured handover protocol can improve the transmission of critical information in trauma meetings.

scholarly journals Improving quality and assessment of referrals to the Enfield Crisis Resolution and Home Treatment Team (ECRHTT)

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S202-S202
Author(s):  
Margarita Kousteni ◽  
John Cousins ◽  
Ajay Mansingh ◽  
Maja Elia ◽  
Yumnah Ras ◽  
...  
Keyword(s):  
Home Treatment ◽  
Absolute Difference ◽  
List Type ◽  
Treatment Team ◽  
Crisis Resolution ◽  
Post Intervention ◽  
Improvement Project ◽  
Consultant Psychiatrist ◽  
The Impact

AimsTriaging referrals to crisis resolution and home treatment teams is a significant undertaking requiring experienced and dedicated staff. We observed that the volume of inappropriate referrals to ECRHTT was high, and that staff processing these often felt inexperienced or lacking in confidence to discharge them back to the referrers and signpost them to appropriate services.The aims of this quality improvement project (QIP) were: a)to reduce the number of inappropriate referrals received by the teamb)to reduce the number of inappropriate referrals accepted by the teamThis would significantly improve access and flow to the service and facilitate better patient care.MethodA pilot study was first completed of the quality (appropriateness/ inappropriateness) and source of all referrals to ECRHTT in January 2019 (n = 177).Subsequently, the consultant psychiatrist for ECRHTT based himself within the assessment team. He was able to closely monitor the referrals, at the same time as providing medical input to patients at their first point of contact. To evaluate the impact of this intervention, the percentage of inappropriate referrals accepted pre- and post-change was compared by re-auditing all referrals received in February 2019 (n = 175).Further interventions were instigated to improve referral quality. These included continuation of psychiatric medical input to the assessment team, teaching sessions for GPs and the crisis telephone service, and weekly meetings with psychiatric liaison and community mental health teams (CMHTs). Change was measured by reassessing the quality of all referrals made to ECRHTT in February 2020 (n = 215).Result46.9% of inappropriate referrals to ECRHTT were accepted in January 2019 compared to 16.9% in February 2019 following the addition of medical input to the assessment team. The absolute difference was 30% (95% CI: 14%–44%, p < 0.001).71% of referrals from GPs were inappropriate in January 2019 compared to 36% in February 2020 post-intervention (difference 35%, 95% CI: 8.84%–55.4%, p < 0.05). Inappropriate referrals from CMHTs decreased from 55.5% to 12% (difference 43.5%, 95% CI: 9.5%–70.3%, p < 0.05). Overall, the percentage of inappropriate referrals fell from 38% to 27.4%, a difference of 10.6% (95% CI: 1.3%–19.8%, p < 0.05). The percentage of inappropriate referrals from liaison teams did not change significantly.ConclusionThis piece of work shows that better engagement with referral sources significantly improved the quality of referrals made to ECRHTT. Interventions included medical input at the point of referral, teaching sessions for general practitioners as well as ongoing liaison with referring teams.

Analysis of an intervention on discharge summary quality and timeliness

2015 ◽  
Vol 3 (3) ◽  
pp. 362 ◽  
Author(s):  
Natalie Rose Mourra ◽  
Jason S Fish ◽  
Michael Adam Pfeffer
Keyword(s):  
Hospital Discharge ◽  
Discharge Summary ◽  
Monetary Incentive ◽  
Regression Modeling ◽  
Improvement Project ◽  
Patient Demographics ◽  
Time To Completion ◽  
The Impact ◽  
Discharge Summaries

Objective: Deficits in communication between inpatient and outpatient physicians in the post-hospital discharge period are common and potentially detrimental to person-centered doctor-patient relationships and to patient health. This study assesses the impact of a hospital discharge improvement project implemented at an urban academic hospital, aimed at improving the timeliness and quality of discharge summaries using a standardized discharge template, education and a small monetary incentive. Methods: A random sample of 624 charts from an academic, urban hospitalist medicine service was analyzed from the pre- and post-project implementation time periods: 2009-2010 and 2010-2011. The sampling was evenly distributed throughout the months of the year. Ordinary linear regression modeling was used to evaluate the impact of the intervention on time to completion; logistic regression modeling was used to assess the impact on the quality of the discharge summaries. Both models control for patient characteristics, hospitalization acuity and in-hospital continuity of care.Results: Unadjusted time to discharge summary completion rates decreased by 2.4 days (p<0.001) between the pre- and post-implementation times. Controlling for patient demographics, acuity of hospitalization and hand-offs between physicians, time to completion of discharge summaries was decreased by 2.17 days (p< 0.001). The odds of including at least 50% of the recommended information into a discharge summary post-intervention was 6.44 (p<0.001) compared to the odds before the intervention, controlling for patient demographics, acuity of hospitalization and hand-offs between physicians. Conclusion: The use of education, a simple formatted recommended discharge template and a small monetary incentive improved both the timeliness and quality of the information exchanged between inpatient and outpatient providers and contributes significantly to a person-centered healthcare.

scholarly journals The Impact Of Health Card On Citizens’ Quality Of Life: Evidence In Bangladesh

2016 ◽  
Vol 12 (6) ◽  
pp. 369
Author(s):  
Md. Rakibul Hoque ◽  
Ramiz Uddin ◽  
Mohammad Mostafizur Rahman Khan ◽  
Farzana Rahman Shumi ◽  
Fahmida Sarwar
Keyword(s):  
Quality Of Life ◽  
Rural Areas ◽  
Service System ◽  
Medical Services ◽  
Poor People ◽  
Rural Poor ◽  
Health Card ◽  
The Government ◽  
The Impact

People living in the rural areas in developing countries are deprived of the basic needs including health. In Bangladesh, the rural poor people are facing difficulties to be facilitated from the enhanced medical services, mostly because of the increased medical expenses, and the time required to complete the whole process. Henceforth, it is necessary for the government to enhance the medical facilities to its rural citizens for proper development. It has been argued that the health card service system in Bangladesh can enhance the medical services. However, no studies have been conducted to investigate the impact of health card on the quality of life of rural people in Bangladesh. This study attempts to investigate this issue from actual beneficiary perspective. The main objective of this study is to provide a synopsis of the roles of health card on rural citizen of Bangladesh. The data were collected through telephone and face to face interview from a purposive sample in rural community, Bangladesh. The findings show that by using health card service system, rural poor people can get the facilities to visit the doctor directly whereas previously they had to buy ticket and wait for a long time in front of the doctors’ room. The result of this study suggests that, by using health card the quality of medical service can be enhanced as well as the time, cost and number of visit can be minimized. The findings of this research will be very useful for policy maker in Bangladesh.

Impact Of Training On Transferring Livestock Technology For Improvement Of Livelihoods Of The Rural Farmers

1970 ◽  
Vol 37 (2) ◽  
pp. 106-115
Author(s):  
M Akteruzzaman ◽  
MAM Miah ◽  
MM Hossain ◽  
KA Fattah ◽  
R Rahman
Keyword(s):  
Flock Size ◽  
Land Area ◽  
Primary Level ◽  
Feeding Management ◽  
Input Quality ◽  
Rural Farmers ◽  
The Family ◽  
Working Age ◽  
Positive Feature ◽  
The Impact

The study was carried out to examine the impact of training conducted by Micro- Finance and Technical Support (MFTS) project under Palli Karma Shohayak Foundation (PKSF) for transferring livestock technologies and improving livelihoods of the rural poor in Bangladesh. A total of 632 households were surveyed during April to September 2006 following a multistage stratified random sampling. Evidence showed that both project and non-project beneficiaries were under the primary level of education and their family size was slightly higher (5.3) than the national average. The family members mostly belonged in the working age group (>15 years) indicated a positive feature of engaging in different income generating activities (IGAs). It is evident that the rate and amount of loan was higher with the respondent received training than without training. The rate of adoption of technologies was higher than the level of idea on the concept of housing, feeding, treatment, breeding and marketing. The training beneficiaries improved knowledge on feeding, management and health care of livestock and poultry. Training and demonstration are suggested two strong tools for adoption and dissemination of livestock technology. The herd and flock size increased to the project beneficiaries than non-project beneficiaries. Beneficiaries having training on various IGAs have increased their land area and asset possession to a greater extent in compare to non-project beneficiaries. The housing and sanitation condition of the training beneficiaries was found higher than non-project beneficiaries. The annual income of the training and non-training households increased to 31.22% and 18.20% respectively where the income from different IGAs of livestock was 56.04% and 68.20%. Livestock IGAs were not necessarily price sensitive but more sensitive on nonprice factors such as institutional support, input quality and availability of input. The training thus contributed transferring livestock technologies which ultimately influenced in improving livelihood of the project beneficiaries than the non-project beneficiaries. DOI: http://dx.doi.org/10.3329/bjas.v37i2.9888 BJAS 2008; 37(2): 106-115

Abstract 234: Participation in a Virtual Community and Its Impact on Quality of Life and Perceived Support

2017 ◽  
Vol 10 (suppl_3) ◽  
Author(s):  
Yosef Khan ◽  
Kathleen Grady ◽  
Lynne Braun ◽  
Allison Groom ◽  
Katie Bahn
Keyword(s):  
Quality Of Life ◽  
Virtual Community ◽  
Support Network ◽  
Baseline Survey ◽  
Stroke Patients ◽  
Post Test ◽  
Perception Of Support ◽  
Virtual Support ◽  
The Impact

Background: Patients with cardiovascular disease (CVD) and stroke can experience poor outcomes, including poor quality of life (QOL). Support of CVD and stroke patients is often associated with improved QOL. Support is typically provided ‘face-to-face’ by loved ones who often function as caregivers and need support related to the burden of providing care. Receiving support through an online “virtual community” is novel with promising effects on endpoints, yet it is unclear if participants experience enhanced QOL and support. The American Heart Association/American Stroke Association has developed an online virtual Support Network (SN) dedicated to serving patients, loved ones and caregivers and enabling them to meet others, share their stories, and find and give support. The purpose of this study is to evaluate and determine if patients, loved ones, and caregivers who participate in the SN increase their QOL and perception of support. Methods: Using a longitudinal matched pre-test/post-test design study, we asked CVD and stroke patients, loved ones, and caregivers to complete an online QOL and support survey at time of the SN network registration and 6 months after. Inclusion criteria included being > 21 years and the ability to read and understand English. The baseline survey included self-reported demographic data, clinical data related to comorbidities, the PROMIS Perception of Support and Global Health Scale. The post test survey additionally examined satisfaction with the SN. Results: We report here results from the baseline QOL and support surveys along with the 6 months follow up support survey. At baseline the SN had a total of 10, 948 members. We surveyed a total of 1076 participates including 802 patients, 175 caregivers, and 99 loved ones. Most participants were white (73%), female (80%), with a median age range from 50-59, and married (59%). Participants’ QOL was overall found to be good or better (68%). A statically significant increase of perception for emotional support in having someone to confide in and being listened to was found (p = .03 and .025), while 51% of patients were satisfied or extremely satisfied with the SN, compared to 78% caregivers and 85% loved ones. Most patients (75%), caregivers (85%), and loved ones (73%) were likely to continue participating in the SN, with 68% patients,75% caregivers and 81% loved ones likely to recommend the SN to others. Conclusions: Virtual networks are an evolving and a useful way to engage people. Understanding whether patients, loved ones, and caregivers perceive support, experience improved QOL after participation in, and are satisfied with a virtual community experience may provide evidence to inform ongoing development of the SN and confirm its value to these individuals. We found significant improvement in support and broad satisfaction with such an experience. More research is needed on the impact of virtual support networks.

scholarly journals Comparison of boiling and chlorination on the quality of stored drinking water and childhood diarrhoea in Indonesian households

2017 ◽  
Vol 145 (15) ◽  
pp. 3294-3302 ◽  
Author(s):  
K. FAGERLI ◽  
K. K. TRIVEDI ◽  
S. V. SODHA ◽  
E. BLANTON ◽  
A. ATI ◽  
...  
Keyword(s):  
Drinking Water ◽  
Water Treatment ◽  
Baseline Survey ◽  
Brand Name ◽  
Treatment Methods ◽  
E Coli ◽  
Binomial Regression ◽  
Households With Children ◽  
The Impact

SUMMARYWe compared the impact of a commercial chlorination product (brand name Air RahMat) in stored drinking water to traditional boiling practices in Indonesia. We conducted a baseline survey of all households with children <5 years in four communities, made 11 subsequent weekly home visits to assess acceptability and use of water treatment methods, measured Escherichia coli concentration in stored water, and determined diarrhoea prevalence among children <5 years. Of 281 households surveyed, boiling (83%) and Air RahMat (7%) were the principal water treatment methods. Multivariable log-binomial regression analyses showed lower risk of E. coli in stored water treated with Air RahMat than boiling (risk ratio (RR) 0·75, 95% confidence interval (CI) 0·56–1·00). The risk of diarrhoea in children <5 years was lower among households using Air RahMat (RR 0·43, 95% CI 0·19–0·97) than boiling, and higher in households with E. coli concentrations of 1–1000 MPN/100 ml (RR 1·54, 95% CI 1·04–2·28) or >1000 MPN/100 ml (RR 1·86, 95% CI 1·09–3·19) in stored water than in households without detectable E. coli. Although results suggested that Air RahMat water treatment was associated with lower E. coli contamination and diarrhoeal rates among children <5 years than water treatment by boiling, Air RahMat use remained low.

scholarly journals Antidepressant and Anxiolytic Effects of Medicinal Cannabis Use in an Observational Trial

2021 ◽  
Vol 12 ◽  
Author(s):  
Erin L. Martin ◽  
Justin C. Strickland ◽  
Nicolas J. Schlienz ◽  
Joel Munson ◽  
Heather Jackson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Sleep Quality ◽  
Cannabis Use ◽  
Baseline Survey ◽  
Product Use ◽  
Medicinal Cannabis ◽  
The Impact

Background: Anxiety and depressive disorders are highly prevalent. Patients are increasingly using medicinal cannabis products to treat these disorders, but little is known about the effects of medicinal cannabis use on symptoms of anxiety and depression. The aim of the present observational study was to assess general health in medicinal cannabis users and non-using controls with anxiety and/or depression.Methods: Participants (368 Cannabis Users; 170 Controls) completed an online survey assessing anxiety and depressive symptoms, cannabis product use, sleep, quality of life, and comorbid chronic pain. Participants that completed this baseline survey were then invited to complete additional follow-up surveys at 3-month intervals. Baseline differences between Cannabis Users and Controls were assessed using independent-samples t-tests and generalized linear mixed effects models were used to assess the impact of initiating cannabis product use, sustained use, or discontinuation of use on anxiety and depressive symptoms at follow-up.Results: Medicinal cannabis use was associated with lower self-reported depression, but not anxiety, at baseline. Medicinal cannabis users also reported superior sleep, quality of life, and less pain on average. Initiation of medicinal cannabis during the follow-up period was associated with significantly decreased anxiety and depressive symptoms, an effect that was not observed in Controls that never initiated cannabis use.Conclusions: Medicinal cannabis use may reduce anxiety and depressive symptoms in clinically anxious and depressed populations. Future placebo-controlled studies are necessary to replicate these findings and to determine the route of administration, dose, and product formulation characteristics to optimize clinical outcomes.

scholarly journals “Relax City Homecare team; protocols are ready for you” – A Quality Improvement Project Conducted on Behalf of the City Homecare Unit Team at the Trivandrum Institute of Palliative Sciences

2021 ◽  
Vol 27 ◽  
pp. 204-210
Author(s):  
M. M. Sunilkumar ◽  
Amirtha Thampi ◽  
S. Lekshmi ◽  
Stephanie M. Harman ◽  
Nandini Vallath
Keyword(s):  
Quality Improvement ◽  
Satisfaction Score ◽  
Improvement Project ◽  
Pareto Chart ◽  
Registration Process ◽  
Total Satisfaction ◽  
Key Drivers ◽  
The Impact ◽  
The City

Context: The city homecare unit (CHU) of the Trivandrum Institute of Palliative Sciences was dissatisfied with the quality of care provided to their patient population. Aims: This study aims to improve the average satisfaction score of CHU during their daily homecare services. Settings and Design: The improvement project for the CHU activities was conducted with a prospective plan-do-study-act design, with stepwise application of improvement tools. Materials and Methods: The A3 quality improvement (QI) methodology, which uses tools for (i) analysing contributors (process mapping, cause-effect diagram); (ii) to derive key drivers (Pareto chart) and (iii) for measuring impact of interventions and sustainability (annotated run chart) was applied. The project was conducted as a mentored activity of the PC-PAICE program. The team’s weekly average satisfaction score was recorded prospectively as the outcome parameter, with 0 representing total dissatisfaction and 10 representing total satisfaction. Accuracy of triaging and appropriateness of registration process were the process parameters selected. These were recorded as run charts across the project period of 9 months. Analysis and Results: The cause-effect tool and the impact effort tool were used to analyse the mapped CHU processes. Even though we identified 22 contributors to the problem, eight of them were found to be significant. Key drivers were determined based on these eight and applied to the CHU processes. Over the project period, the satisfaction scores of the CHU improved significantly from 5.82 to 7.6 that is, satisfaction levels were high on most days. The triaging and registration goals were achieved. The team also built its own capacity for QI. Conclusion: The application of the A3 methodology simplified and streamlined efforts and achieved the quality goal for the CHU team.

Sign in / Sign up

Export Citation Format

Share Document