scholarly journals Implementation of the PIERS on the Move mHealth Application From the Perspective of Community Health Workers and Nurses in Rural Mozambique

2021 ◽  
Vol 2 ◽  
Author(s):  
Helena Boene ◽  
Anifa Valá ◽  
Mai-Lei Woo Kinshella ◽  
Michelle La ◽  
Sumedha Sharma ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Community Health ◽  
Community Health Workers ◽  
Health Care Workers ◽  
Self Efficacy ◽  
Health Workers ◽  
Perceived Usefulness ◽  
Care Workers ◽  
The Impact

Background:mHealth is increasingly regarded as having the potential to support service delivery by health workers in low-resource settings. PIERS on the Move (POM) is a mobile health application developed to support community health workers identification and management of women at risk of adverse outcomes from pre-eclampsia. The objective of this study was to evaluate the impact of using POM in Mozambique on community health care workers' knowledge and self-efficacy related to caring for women with pre-eclampsia, and their perception of usefulness of the tool to inform implementation.Method: An evaluation was conducted for health care workers in the Mozambique Community Level Intervention for Pre-eclampsia (CLIP) cluster randomized trial from 2014 to 2016 in Maputo and Gaza provinces (NCT01911494). A structured survey was designed using themes from the Technology Acceptance Model, which describes the likelihood of adopting the technology based on perceived usefulness and perceived ease of use. Surveys were conducted in Portuguese and translated verbatim to English for analysis. Preliminary analysis of open-ended responses was conducted to develop a coding framework for full qualitative analysis, which was completed using NVivo12 (QSR International, Melbourne, Australia).Results: Overall, 118 community health workers (44 intervention; 74 control) and 55 nurses (23 intervention; 32 control) were surveyed regarding their experiences. Many community health workers found the POM app easy to use (80%; 35/44), useful in guiding their activities (68%; 30/44) and pregnant women received their counseling more seriously because of the POM app (75%; 33/44). Almost a third CHWs reported some challenges using the POM app (30%; 13/44), including battery depletion after a full day's activity. Community health workers reported increases in knowledge about pre-eclampsia and other pregnancy complications and increases in confidence, comfort and capacity to advise women on health conditions and deliver services. Nurses recognized the increased capacity of community health workers and were more confident in their clinical and technological skills to identify women at risk of obstetric complications.Conclusions: Many of the community health workers reported that POM improved knowledge, self-efficacy and strengthened relationships with the communities they serve and local nurses. This helped to strengthen the link between community and health facility. However, findings highlight the need to consider program and systematic challenges to implementation.

scholarly journals Cost Comparison Model: Blended eLearning versus traditional training of community health workers

2014 ◽  
Vol 6 (3) ◽  
Author(s):  
Mysha Sissine ◽  
Robert Segan ◽  
Mathew Taylor ◽  
Bobby Jefferson ◽  
Alice Borrelli ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Care Workers ◽  
Health Workers ◽  
Cost Comparison ◽  
Community Health Care ◽  
Training Approach ◽  
Care Workers ◽  
Training Community

Objectives: Another one million community healthcare workers are needed to address the growing global population and increasing demand of health care services. This paper describes a cost comparison between two training approaches to better understand costs implications of training community health workers (CHWs) in Sub-Saharan Africa.Methods: Our team created a prospective model to forecast and compare the costs of two training methods as described in the Dalburge Report - (1) a traditional didactic training approach (“baseline”) and (2) a blended eLearning training approach (“blended”). After running the model for training 100,000 CHWs, we compared the results and scaled up those results to one million CHWs.Results: A substantial difference exists in total costs between the baseline and blended training programs. Results indicate that using a blended eLearning approach for training community health care workers will provide a total cost savings of 42%. Scaling the model to one million CHWs, the blended eLearning training approach reduces total costs by 25%.Discussion: The blended eLearning savings are a result of decreased classroom time, thereby reducing the costs associated with travel, trainers and classroom costs.  Additional savings can be achieved if the blended eLearning program elects to use a tablet or feature phone with Wi-Fi rather than a smartphone with data plan.Conclusion: The results of this cost analysis indicate significant savings through using a blended eLearning approach in comparison to a traditional didactic method for CHW training by as much as 67%. These results correspond to the Dalberg publication which indicates that using a blended eLearning approach is an opportunity for closing the gap in training community health care workers. 

scholarly journals Disability Training for Health Care Workers: A Global Narrative Systematic Review

2021 ◽  
Author(s):  
Sara Rotenberg ◽  
Danae Rodriguez Gatta ◽  
Azizia Wahedi ◽  
Rachelle Loo ◽  
Emily McFadden ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Workers ◽  
Self Efficacy ◽  
Health Workers ◽  
Continuing Professional Development ◽  
People With Disabilities ◽  
Care Workers ◽  
The World ◽  
Training Community

Objective: To conduct a systematic review of the literature on disability training to improve knowledge, confidence, self-efficacy and competence among health care workers around the world. Methods: We searched five databases for relevant peer-reviewed articles published between January 2012 and January 2021. Studies that focused on training health care workers to improve knowledge, confidence, self-efficacy, and competence to support people with physical, sensory, or intellectual impairments were included. Data about the details of the intervention (setting, participants, format, impact assessments, etc.) and its effects were extracted. Findings: There is an array of highly local tools to train health workers across stages of their training and careers (pre-service, in-service, and continuing professional development). Studies involving people with disabilities in the training, community placements, simulations, or interactive sessions were found to be most effective in improving knowledge, confidence, competency, and self-efficacy. Conclusion: As part of initiatives to build inclusive health systems and improve health outcomes for people with disabilities, health workers around the world need to receive appropriate and evidence-based training that combine multiple methods and involve people with disabilities.

Impact of the carbon dioxide on the health care workers during the use of respirators

2021 ◽  
pp. 22-31
Author(s):  
Valeriy Aleksandrovich Kaptsov
Keyword(s):  
Carbon Dioxide ◽  
Health Care ◽  
Air Pollution ◽  
Health Care Workers ◽  
Health Workers ◽  
Skin Irritation ◽  
Respiratory Protection ◽  
Exposure Limits ◽  
Care Workers ◽  
The Impact

Relevance of the problem. The incidence of infectious diseases among health care workers is higher than the population. Better protection of workers from inhalation of bioaerosols will reduce the risk of their disease. The purpose of the study.The goal is to establish how and to what extent the use of personal respiratory protection equipment (PPE) worsens the gas exchange during breathing, and preventing their timely and proper use in the polluted atmosphere. Materials and methods. Available publications from NIOSH, Taylor & Francis, Oxford University Press and other sourceshave been used. Results. The respirator’s usage increases the «dead space», reducing the concentration of oxygen and increasing the concentration of carbon dioxide in the inhaled air. The concentration of CO2may exceed the Occupational Exposure Limits many times. The degree of exposure depends on the type of RPD and the tidal volume; in case of a light work the exposure increases. The requirements for certification of respirators cover only the case of heavy work. Therefore, meeting these requirements does not allow for an adequate assessment of the impact of the respirator on the employee when performing light work. Excessive exposure to carbon dioxide, combined with reduced oxygen concentration in the inhaled air, discomfort and skin irritation, prevents the use of the respirator and can lead to disability. Conclusion. The article gives recommendations on how to improve the protection of medical workers from inhalation of bioaerosols: reducing air pollution with the medical masks and ventilation; use the filtering Powered Air Purifying Respirators (PAPR); changing requirements to respiratory containment. There are recommendations to improve the protection of health workers from inhalation of bioaerosols — reduction of air pollution by masks and ventilation; use of PPE with air supply to the front part; changing requirements for certification of respirators.

scholarly journals IMPACT OF A SINGLE TUTORIAL SESSION ON THE TECHNIQUE OF USING PERSONAL PROTECTIVE EQUIPMENT BY HEALTH CARE WORKERS

2020 ◽  
Vol 70 (6) ◽  
pp. 1765-70
Author(s):  
Jamal Azfar Khan ◽  
Asif Ali ◽  
Farzana Muneer
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Personal Protective Equipment ◽  
Health Workers ◽  
Protective Equipment ◽  
Cross Sectional ◽  
Tutorial Session ◽  
Care Workers ◽  
Surgical Masks ◽  
The Impact

Objective: To determine the impact of a single tutorial session on the technique of donning and doffing the personal protective equipment by health care workers. Study Design: Cross-sectional comparative study. Place and Duration of Study: CMH Landi Kotal Cantt, from 1st March 2020 to 10th June 2020. Patients and Methods: The study was conducted on 62 health workers, working in CMH Landi Kotal Cantt. They were asked to demonstrate donning and doffing surgical masks, gowns and gloves and the steps were evaluated as per a standardized checklist. Then, the participants were given a single tutorial of the donning and doffing technique of personal protective equipment. They were asked to demonstrate their technique of personal protective equipment use one week, one month and three months after the tutorial. Any improvement was recorded in the checklist used earlier. Results: The correct donning and doffing technique of personal protective equipment were demonstrated by 22 and 14 participants respectively before the tutorial. When evaluated one week after the tutorial, this number increased to 48 and 38 respectively, showing significant improvement (p<0.05). The technique of personal protective equipment use deteriorated significantly one month of the tutorial and deteriorated further after three months (p<0.05). The most common fault while donning and doffing the equipment was the incorrect donning sequence, and self-contamination while taking off the gloves, respectively. Conclusion: A single tutorial session results in significant improvement in the technique of using personal protective equipment by health care workers but the effect is lost over time.

scholarly journals Impact of the COVID-19 pandemic on clinical research activities: Survey of study participants and health care workers participating in a hypertension trial in Vietnam

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0253664
Author(s):  
Hoa L. Nguyen ◽  
Oanh T. Tran ◽  
Duc A. Ha ◽  
Van H. Phan ◽  
Cuc T. Nguyen ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Workers ◽  
Health Research ◽  
Intervention Group ◽  
Future Health ◽  
Research Activities ◽  
Care Workers ◽  
The Impact ◽  
Research Studies

Background The COVID-19 pandemic has had a profound worldwide impact. Vietnam, a lower middle-income country with limited resources, has successfully slowed this pandemic. The objectives of this report are to explore the impact of the COVID-19 pandemic on the research activities of an ongoing hypertension trial using a storytelling intervention in Vietnam. Methods Data were collected in a mixed-methods study among 86 patients and 10 health care workers participating in a clinical trial designed to improve hypertension control. Several questions related to the impact of COVID-19 on patient’s daily activities and adherence to the study interventions were included in the follow-up visits. A focus group discussion was conducted among health care workers to discuss the impact of COVID-19 on research related activities. Results Fewer patients in the intervention group reported that they faced difficulties in adhering to prescribed study interventions, wanted to receive a call from a dedicated hotline, or have a visit from a community health worker as compared with those in the comparison group. Most study patients are willing to participate in future health research studies. When asked about the potential use of mobile phones in health research studies, fewer patients in the intervention group felt comfortable using a mobile phone for the delivery of intervention and interviews compared with those in the comparison condition. Community health workers shared that they visited patient’s homes more often than previously due to the pandemic and health care workers had to perform more virus containment activities without a corresponding increase in ancillary staff. Conclusions Both patients and health care workers in Vietnam faced difficulties in adhering to recommended trial interventions and procedures. Multiple approaches for intervention delivery and data collection are needed to overcome these difficulties during future health crises and enhance the implementation of future research studies. Trial registration ClinicalTrials.gov. Registration number: https://clinicaltrials.gov/ct2/show/NCT03590691 (registration date July 17, 2018).

A Study On Impact Of Work Life Related Factors On Employee Engagement In Health Care Sector Workers In Dindigul District.

2019 ◽  
Vol 118 (7) ◽  
pp. 20-26
Author(s):  
S. JAYARAMAN ◽  
R. Sindhya ◽  
P. Vijiyalakshmi
Keyword(s):  
Health Care ◽  
Path Analysis ◽  
Employee Engagement ◽  
Health Care Workers ◽  
Health Care Sector ◽  
Work Life ◽  
Primary Data ◽  
Related Factors ◽  
Care Workers ◽  
The Impact

this research aims to find out the intensity of Employee Engagement of the health care sector workers and the relationship between the Work life factors and Employee Engagement of Health care sector workers in Dindigul District. Primary data were used in this research, were collected from 298 Health care workers from Dindigul District. Questionnaire was the major tool used to gather the primary data from the selected sample respondents. For this purpose, a well structured questionnaire was constructed with the help of professionals and the practiced employees of various health care units in Dindigul District. The health care employees were chosen by simple random sampling method. The investigative measures of regression Path analysis, and simple percentage analysis were utilized to find the impact of work life related factors with the Employee Engagement. The maximum Health care workers were generally satisfied with their jobs. The analytical procedure of path analysis multiple regressions was utilized to determine the predicting strength among Work life factors and the employee engagement. This study provides an another view about the importance of Work life factors and Employee engagement for organizational effectiveness and performance .

Self-assessment by medical workers of the degree of influence of working conditions on the development of occupational diseases

2019 ◽  
pp. 463-467 ◽  
Author(s):  
N. N. Petrukhin ◽  
O. N. Andreenko ◽  
I. V. Boyko ◽  
S. V. Grebenkov
Keyword(s):  
Health Care ◽  
Working Conditions ◽  
Occupational Diseases ◽  
Health Workers ◽  
Medical Personnel ◽  
Long Term Memory ◽  
Self Assessment ◽  
Medical Institutions ◽  
Care Workers ◽  
The Impact

Introduction. The activities of health workers are associated with the impact of many harmful factors that lead to loss of health. Compared with other professional groups, health care workers are ill longer and harder, which may be due to polymorbidity pathology.The aim of the study based on the survey data to study the representation of health workers about working conditions and to identify their impact on the formation of occupational diseases.Materials and methods. In order to get a real idea of the attitude of medical workers to their working conditions in 2018, an anonymous survey was conducted of 1129 doctors and 776 employees of secondary and junior medical personnel working in health care institutions in St. Petersburg, Moscow, Krasnoyarsk, Vologda and Orel.Results. Research of working conditions and health of physicians allowed to establish that work in medical institutions imposes considerable requirements to an organism of working, its physical condition and endurance, volume of operational and long-term memory, ability to resist to mental, moral and ethical overloads.Conclusions: The most important method of combating the development of occupational diseases is their prevention. Organizational and preventive measures should be aimed primarily at monitoring the working conditions and health of medical staff .

Bringing Community Health Workers into the Mainstream of U.S. Health Care

2015 ◽  
Vol 5 (2) ◽  
Author(s):  
Mary Pittman ◽  
Anne Sunderland ◽  
Andrew Broderick ◽  
Kevin Barnett
Keyword(s):  
Health Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers
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