scholarly journals Free Newborn Care Services: A New Initiative in Nepal

2018 ◽  
Vol 16 (3) ◽  
pp. 340-344
Author(s):  
Gambhir Shrestha ◽  
Prajwal Paudel ◽  
Parashu Ram Shrestha ◽  
Shambhu Prasad Jnawali ◽  
Deepak Jha ◽  
...  
Keyword(s):  
Human Resources ◽  
Neonatal Mortality ◽  
Newborn Care ◽  
Public Hospitals ◽  
Significant Progress ◽  
The Public ◽  
Care Services ◽  
Common Causes ◽  
The Status ◽  
The Common

Background: Nepal has made a significant progress in reducing child mortality. However, the annual rate of reduction in neonatal mortality is not satisfactory. As safeguarded by constitution of Nepal and to address neonatal mortality due to poverty and inequity, government has introduced free newborn care (FNC) package. This study aims to assess the status of FNC services in all the public hospitals.Methods: Child Health Division organized 5 workshops region-wise with the theme of newborn care services in March/April 2018 to cover all the public hospitals in the country. A template was designed comprising of duration of FNC implementation, number of newborns admitted since implementation, morbidities pattern, and number of babies served. It was circulated and all hospitals were advised to fill it and present in the review. Later, the data were compiled and analyzed.Results: Only 58 presentations out of 93 participated hospitals were included in this study. The total admitted cases were 8564 newborns. The common causes of admission were neonatal sepsis (44.5%) followed by asphyxia (14.29%) and hyperbilirubinemia (11.4%). A total of 1573 neonates received services of FNC package C, 3722 package B, 3081 received package A. The main challenges faced in implementation reported were lack of infrastructure and human resources to provide services and the reimbursement is not enough.Conclusions: Free newborn care is a new initiative taken to reduce neonatal mortality. This package is very helpful to serve sick newborns. However, the package should be revised taking into consideration the appropriate reimbursement and extra staffs to provide this service.Keywords: Free newborn care; government efforts; health services.

Free Newborn Care Services: A New Initiative in Nepal

2018 ◽  
Vol 16 (3) ◽  
pp. 340-344 ◽  
Author(s):  
Gambhir Shrestha ◽  
Prajwal Paudel ◽  
Parashu Ram Shrestha ◽  
Shambhu Prasad Jnawali ◽  
Deepak Jha ◽  
...  
Keyword(s):  
Human Resources ◽  
Neonatal Mortality ◽  
Newborn Care ◽  
Public Hospitals ◽  
Significant Progress ◽  
The Public ◽  
Care Services ◽  
Common Causes ◽  
The Status ◽  
The Common

Background: Nepal has made a significant progress in reducing child mortality. However, the annual rate of reduction in neonatal mortality is not satisfactory. As safeguarded by constitution of Nepal and to address neonatal mortality due to poverty and inequity, government has introduced free newborn care (FNC) package. This study aims to assess the status of FNC services in all the public hospitals.Methods: Child Health Division organized 5 workshops region-wise with the theme of newborn care services in March/April 2018 to cover all the public hospitals in the country. A template was designed comprising of duration of FNC implementation, number of newborns admitted since implementation, morbidities pattern, and number of babies served. It was circulated and all hospitals were advised to fill it and present in the review. Later, the data were compiled and analyzed.Results: Only 58 presentations out of 93 participated hospitals were included in this study. The total admitted cases were 8564 newborns. The common causes of admission were neonatal sepsis (44.5%) followed by asphyxia (14.29%) and hyperbilirubinemia (11.4%). A total of 1573 neonates received services of FNC package C, 3722 package B, 3081 received package A. The main challenges faced in implementation reported were lack of infrastructure and human resources to provide services and the reimbursement is not enough.Conclusions: Free newborn care is a new initiative taken to reduce neonatal mortality. This package is very helpful to serve sick newborns. However, the package should be revised taking into consideration the appropriate reimbursement and extra staffs to provide this service.

scholarly journals (A212) The 2008 Mumbai Terrorist Attacks and the Changing Pattern of Violent Injuries

2011 ◽  
Vol 26 (S1) ◽  
pp. s58-s59
Author(s):  
Y. Tanwar ◽  
V. Kaushik ◽  
N. Roy ◽  
S. Sinha ◽  
B. Guru
Keyword(s):  
Case Fatality ◽  
Public Hospitals ◽  
Terrorist Attacks ◽  
Financial Loss ◽  
Physical Damage ◽  
The Public ◽  
Case Fatality Ratio ◽  
The Common ◽  
Security Checks ◽  
Violent Events

IntroductionThe 26–29 November 2008, terrorist attacks in Mumbai, have been referred to as “India's 9/11”. Violent events in Mumbai over the past six decades were researched to understand the changing pattern of violent injuries.MethodsA complex, retrospective, descriptive study on terrorist events was performed, using event reports, legal reports, newspaper reports, and police and hospital lists. The distribution of victims to various city hospitals, the critical radius, surge capacity, and nature of interventions required were assessed. The profile of those killed in the attacks was noted by sex, nationality, and occupation. Besides the overall mortality and case-fatality ratio, the critical mortality was calculated based on the death rates among the critically injured.ResultsIn 51 violent events in Mumbai over a 60-year period (1950–2009), 1,582 people were killed and 4,145 were injured. In the Mumbai terrorist attacks of 2008, the financial loss due to direct physical damage was INR 847,612,971 (US$18.5 million). Among those killed, the average age was 33.4 years, 80% were male, and 12% were foreign nationals. The case-fatality ratio for this event was 36.2% and the mortality among the critically injured (critical mortality rate) was 11%. Among the injured, 79% were male and the average age was 33.21 years (three months–85 years); 38.5% of patients arriving at the hospitals required major surgical intervention.ConclusionsThe injuries of violent events in Mumbai have been changing due to the use of heavy firepower and explosives. Strengthening the public hospitals for trauma care is a medical counter-terrorism response for future terrorist attacks. These attacks have affected the lives of the common person in Mumbai, in terms of increased security checks, alerts, and fear of further attacks. These are areas of further research.

scholarly journals Patients’ Satisfactions from Public Hospitals Services in Alkharj and Hotat Bani Tamim: A Comparative Study

2016 ◽  
Vol 12 (5) ◽  
pp. 167
Author(s):  
Mohammad Tariq Intezar ◽  
Khalid Abdullah Alotaibi ◽  
Ahmed Saied Rahama Abdallah
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Care Industry ◽  
Measurement Model ◽  
Public Hospitals ◽  
Primary Data ◽  
The Public ◽  
Patients Satisfaction ◽  
Class A ◽  
Care Services

<p class="a"><span lang="EN-US">Patients’ satisfaction at public hospitals is an integral part to any hospital in the world. In recent times, health care industry has restructured its services to give better health care services to the study on patients. The focus of the study on patient’ satisfaction from public hospitals services in selected cities Alkharj and Hotat Bani Tamim of Riyadh regions, Saudi Arabia. In these two public hospitals from each city, we conducted a sample of two hundred nineteen patients including hospitals representatives selected to collect primary data using Rasch measurement model, the measured items with the goodness fit and misfit of data. In the public hospitals services five items fulfilled the three stipulated criteria for misfit while two diagnosed as minor misfits. Patients’ satisfaction from the two hospitals none of the items fulfilled the three stipulated criteria for misfit is due to varies of response from the respondents. The study shows that public hospitals are not performing well and hospitals services are inappropriate according to the needs of hospital representatives.</span></p>

scholarly journals The Effectiveness of the Policy to Bring Parity in Education between Dalit and non-Dalit in Nepal

2020 ◽  
pp. 22-36
Author(s):  
Shurendra Ghimire ◽  
Keshab Singh Dhami
Keyword(s):  
Public Schools ◽  
Learning Environment ◽  
Educational Quality ◽  
Significant Progress ◽  
Common Assumption ◽  
Achievement Score ◽  
The Status ◽  
The Common ◽  
Culture Of Silence

This article by comparing achievement scores claims that Dalit is equal to non-Dalit despite millennium- long discriminations and suppression. The study was initiated with the common assumption of “the status of learning and learning supporting environment of Dalit students are lower than of the non-Dalit” because of their deprivation of social dignity and culture of silence, and economic poverty. Trends analysis of score across 2004, 2009, and 2015 of the students (N=440) in six different public schools in Gorkha district, and measuring the status of the learning environment- motivation, awareness, investment to education, and indiscrimination in school, for Dalit students (N=42) of three public schools at district headquarters of Gorkha who attempted SLC exam of 2016, through their self-rating on provided opinionnaire form suggest that learning environment for Dalit students is moderately supportive and they have made significant progress in education. Increasing in achievement score and enrollment of Dalit students despite no increase in the educational quality of public schools over 11 years indicates the effectiveness of policies formulated by the state to uplift Dalit in Nepal.

Performance of CEmONC Centres in Public Hospitals of Tamil Nadu

2018 ◽  
Vol 20 (3) ◽  
pp. 363-377
Author(s):  
S. Rajasulochana ◽  
Umakant Dash
Keyword(s):  
Health Care ◽  
Tamil Nadu ◽  
Newborn Care ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Public Hospitals ◽  
Primary Study ◽  
Structured Interviews ◽  
Care Services

This case study examines the performance of public hospitals in Tamil Nadu in delivering emergency obstetric care services over a period of 8 years as well as to investigate from provider’s perspective the issues and constraints that affect performance. A mixed method approach has been adopted, integrating the descriptive analysis of administrative data on performance reports (2006–2007 to 2013–2014) of emergency obstetric and newborn care services in 46 public hospitals, along with primary study comprising of semi-structured interviews of 27 health personnel across selected public hospitals. Examination of trends in selected performance indicators shows that utilization of public hospitals for emergency obstetric and newborn care services has improved; a number of complicated and critical cases revived in the comprehensive emergency obstetric and newborn care (CEmONC) centres of public hospitals have gone up. The capability to treat complicated maternal and neonatal cases, however, is limited by inadequacy of specialist doctors, equipment maintenance issue and lack of hospital management. This case study is of interest to both public hospital administrators and health care policymakers who want to improve and develop strategies for better management in public hospitals. Specifically, there is an urgent need to (a) readdress human resource policy for health care personnel, (b) devise appropriate mechanisms for periodic inspection and preventive maintenance of hospital equipment and (c) develop management capabilities and leadership skills within public health system.

scholarly journals A Endocrinologia em Portugal - Censo 2016. Direção do Colégio de Endocrinologia e Nutrição da Ordem dos Médicos

2017 ◽  
Vol 30 (9) ◽  
pp. 642
Author(s):  
Joana Guimarães ◽  
António Afonso ◽  
Davide Carvalho ◽  
Ana Paula Marques ◽  
Teresa Martins ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Medical Association ◽  
Human Resources ◽  
National Health ◽  
National Survey ◽  
Public Hospitals ◽  
The Other ◽  
European Countries ◽  
The Public

Introduction: On September 2016, the Board of the College of Endocrinology and Nutrition of the Portuguese Medical Association carried out a national survey, about all Endocrinology, Diabetes and Metabolism Departments of the public hospitals included in the Portuguese National Health Service and a simplified version of this survey was sent to all endocrinologists working in Portugal and registered with the Portuguese Medical Association.Material and Methods: Data related to organizational and human resources were collected, reporting the situation by the end of year 2015. The census registered 107 individuals and 27 Departments.Results: The ratio of endocrinologists-population was 1.4, much lower than in the other European countries (varies between 2 to 4), resulting in alarming shortages of services in some areas of Portugal and in worse quality indicators.Discussion: These data suggest that actions should be taken to increase the number of endocrinologists and departments in the country.Conclusion: In recent years, the number of residents has significantly increased, which will make it possible to correct this situation.

scholarly journals CHARACTERISTICS OF HUMAN RESOURCES MANAGEMENT MODEL IN PUBLIC ADMINISTRATION OF REPUBLIC OF SERBIA: CONTEMPORARY TRENDS AND CHALLENGES

2019 ◽  
pp. 033
Author(s):  
Igor Vukonjanski
Keyword(s):  
Public Sector ◽  
Human Resources ◽  
Public Administration ◽  
Central Government ◽  
Transition Period ◽  
Human Resources Management ◽  
Resources Management ◽  
The Public ◽  
Public Servant ◽  
The Status

Human resources management in the public administration of the Republic of Serbia is a combined model of good practices from the European administrative area and the remaining stereotypes from pre-transition period. Introduction of the public servant system with all features of contemporary public servant related legislation was a necessity that accompanied overall reform of the public administration in Serbia. The process of introducing human resources management function in the Serbian public administration has been encumbered with application of two different legal models that define the status of public servants: public servant related legislation is applied to employees in executive branches of the central government (ministries, government departments and offices), and the status of employees in city and municipal administrations is stipulated in obsolete laws, adopted over 20 years ago. It should be noted that employees in public sector are still prone to old habits in their work, which altogether reduces successful reforms in this area. This paper provides a description of the current state of affairs and opens certain questions: whether the modern human resources (HR) management in Serbia’s public sector is understood and accepted in the right way; and whether it is possible, by means of applying specific methods, to strengthen awareness of public employees concerning their actual position and responsibility to establish a new public administration, adjusted to the citizens’ needs, requirements and expectations. Relying on a decade-long personal engagement in this field, the author analyzes the current circumstances and provides critical remarks and recommendations.

scholarly journals The status of maternal and newborn care services in Sierra Leone 8 years after ceasefire

2011 ◽  
Vol 114 (2) ◽  
pp. 168-173 ◽  
Author(s):  
Koyejo Oyerinde ◽  
Yvonne Harding ◽  
Philip Amara ◽  
Rugiatu Kanu ◽  
Rumishael Shoo ◽  
...  
Keyword(s):  
Sierra Leone ◽  
Newborn Care ◽  
Care Services ◽  
The Status ◽  
Maternal And Newborn Care ◽  
Maternal And Newborn

An economist in the public space

2017 ◽  
pp. 42-55 ◽  
Author(s):  
J. Tirole
Keyword(s):  
Public Space ◽  
Common Good ◽  
Public Intellectuals ◽  
The Public ◽  
The Common Good ◽  
Public Debates ◽  
The Status ◽  
The Common

This third chapter of the book “The economy of the common good” considers the status of academic economists as public intellectuals. It discusses the pitfalls economists face when engaging in public debates, in providing expertise for businesses or governments. It also makes some normative claims as to the socially best form of interaction between economics and practice.

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