STUDY OF AWARENESS ABOUT POSTPARTUM INSERTION OF INTRAUTERINE DEVICE AMONG ANTENATAL CASES IN RAIGARH

2021 ◽  
pp. 62-64
Author(s):  
Amarawatin Kurre ◽  
Santoshi Gupta
Keyword(s):  
Service Providers ◽  
Intrauterine Device ◽  
Family Welfare ◽  
Contraceptive Device ◽  
The Public ◽  
Medical College ◽  
Health Service Providers ◽  
Unplanned Pregnancies ◽  
Study Population ◽  
Knowledge And Acceptance

Background: In spite of many available contraceptives numerous unwanted and unplanned pregnancies occur. Though the couples desire contraception but are not able to accept it due to their ignorance and misconceptions. Ministry of Health & Family Welfare, Government of India has taken initiative for provision of IUCD in immediate postpartum period. Several training programs and awareness camps are conducted by NHM for health service providers and also for the public. The study was corresponding to nd out the choices about contraception after delivery and awareness about postpartum insertion. Methods: The present observational study was conducted in LSLAMMC Raigarh hospitals. The study population included 400 women who planned to deliver at Government Medical College, RAIGARH during the study period including vaginal and caesarean section. Their choice of contraception after delivery and awareness was determined through a questionnaire. Reasons for refusal of postpartum insertion were recorded. Results: 400 cases were included in the study, a large number had decided about contraception; mainly breast feeding supplemented by barrier contraceptive. 78 of 400 were willing for insertion of contraceptive device but not immediately after delivery due to apprehension in general and fear of side effects. Conclusion: The results of this study showed Knowledge and acceptance of postpartum insertion is very low among antenatal women; probably because the concept is new in the community. There is a strong need to increase the knowledge and awareness about this by health education and counseling.

scholarly journals PPIUCD: awareness and reasons for non-acceptance

2018 ◽  
Vol 7 (2) ◽  
pp. 582 ◽  
Author(s):  
Anila Tresa Alukal ◽  
Resmy C. Raveendran ◽  
Lissiamma George
Keyword(s):  
Service Providers ◽  
Public Awareness ◽  
Acceptance Rate ◽  
Common Reason ◽  
Family Welfare ◽  
Contraceptive Device ◽  
Government Medical College ◽  
Medical College ◽  
Study Population ◽  
Long Action

Background: The recommended interval between pregnancies is at least 24 months in order to reduce the risk of adverse maternal, perinatal and infant outcomes. Ministry of Health & Family Welfare, Government of India has taken initiative for provision of IUCD in immediate postpartum period. Several training programs and awareness camps are conducted by NHM for health service providers and also for the public.  The aim of the study was to determine proportion of women accepting post placental intrauterine Contraceptive Device insertion, and to describe the factors associated with acceptability and non-acceptance.Methods: The study was conducted at the Government Medical College Thrissur, Kerala, India and study period was 1 year (2014-2015). The study population included women who planned to deliver at Government Medical College, Thrissur during the study period including vaginal and caesarean section.Results: The awareness regarding PPIUCD was only 11.1% whereas for interval IUCD it was 94.9%. The acceptance rate of PPIUCD was very low (10.5%). The most common reason to accept was its long action (68.5%) The most common reason for rejection was that they wanted permanent sterilisation. The other reasons for non-acceptance include unwillingness of husband, fear of complications etc.Conclusions: The acceptance rate was very low even though majority of the study population were well educated. The most common reason for acceptance was long action followed by reversibility.The reasons for refusal like unwillingness of husband, fear of complications etc. can be overcome by proper counselling and public awareness programs.

scholarly journals Identifying executive challenges of performance-based payment from medical and educational hospitals managers’ perspective and offering solutions in Isfahan (2018)

2019 ◽  
Author(s):  
Alireza Jabbari ◽  
Nasrin Shaarbafchi Zadeh ◽  
Behrooz Maddahian
Keyword(s):  
Financial Incentives ◽  
Service Providers ◽  
Public Hospitals ◽  
Structured Interviews ◽  
Educational Support ◽  
The Public ◽  
Health Service Providers ◽  
Research Population ◽  
Information And Communication ◽  
Correct Implementation

Introduction: Performance-based payment is a payment model that attempts to reward the measured dimensions of performance and encourages health service providers to achieve predetermined goals by financial incentives. This study aimed to identify executive challenges of performance-based payment from medical and educational hospitals managers’ perspective and offering solutions in Isfahan 2018. Methods: This study was a qualitative study. Semi structured interviews were used to collect data. The research population was 11 people (the managers of educational and medical hospitals in Isfahan) who were selected purposefully. All interviews were recorded and then written on a paper. The duration of the interviews varied between 45 to 60 minutes. The data were analyzed using MAXQDA120 software and based on thematic analysis. Results: In this study, , regarding executive challenges, seven themes and fifteen sub-themes were obtained, including the weakness of the performance-based payment project, weakness in education and educational support, low employee participation, weakness of information and communication technology, weakness of laws and regulations, unfavorable economic conditions of the public sector, and special conditions governing public hospitals.   Conclusion: performance-based payment, if implemented correctly, can lead to the improvement of quantitative and qualitative indicators related to employees’ performance. Correct implementation requires identifying challenges and obstacles and then corrective actions. This study was able to identify and present some of the operational challenges of the performance-based payment from the viewpoint of hospital managers.

scholarly journals A cross sectional study to assess the operationalization of national tobacco control program in a tertiary level hospital of central India

2018 ◽  
Vol 6 (1) ◽  
pp. 119
Author(s):  
Rupali Saroshe ◽  
Satish Saroshe ◽  
Sanjay Dixit
Keyword(s):  
Health Care ◽  
Tobacco Control ◽  
Health Effects ◽  
Service Providers ◽  
Medical College Hospital ◽  
Health Care Personnel ◽  
Family Welfare ◽  
Tertiary Level ◽  
College Hospital ◽  
Medical College

Background: To implement the Anti- Tobacco laws and to sensitize all stakeholders, The National Tobacco Control Programme (NTCP) was launched by the Ministry of Health and Family Welfare (MoHFW), Government of India in 2007- 08, during the 11th five year plan. This study aims to identify the level of the awareness of ill health effects of tobacco, the basic tenets of NTCP and COTPA among the hospital staff of the tertiary level medical college hospital (M.Y Hospital Indore) involved in the process.Methods: An analytical study. Was carried out in tertiary level medical college hospital among service providers involved in anti-tobacco cell using inter-personal interview of the service providers (Medical Officers, Staff Nurses, Health Care Personnel) using pre-designed pretested semi structured questionnaire based on the salient features of NTCP and provisions of COTPA- cigarettes and other tobacco products act, 2003.Results: Regarding the ill health effects of tobacco doctors had slightly better knowledge awareness than nurses. However, it was ironical that nurses had a slightly better awareness when it comes to NTCP. Doctors were better aware of new COTPA guidelines as compared to nurses. Thus, nurses had less knowledge about ill effects of tobacco consumption and new COTPA guidelines as compared to doctors.Conclusions: Although most of the health care personnel involved in operationalization of NTCP are aware of the basic tenets of NTCP, COTPA and ill health effects of tobacco there is a dire need of the refresher training of both the doctors and the nurses. Also this type of the present study should be contemplated on multi-centric basis on a larger scale for better data results. 

scholarly journals Job Satisfaction of Health Service Providers Working in a Public Tertiary Care Hospital of Pakistan

2018 ◽  
Vol 11 (1) ◽  
pp. 17-27 ◽  
Author(s):  
Saima Tasneem ◽  
Ayse Seyer. Cagatan ◽  
Mehmet Zeki. Avci ◽  
Ahmet Celal. Basustaoglu
Keyword(s):  
Job Satisfaction ◽  
Health System ◽  
Service Providers ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Public Health Care ◽  
Care Hospital ◽  
The Public ◽  
Job Satisfaction Survey ◽  
Health Service Providers

Background: An effectively working health system is not possible without a satisfied workforce. Each year many dis-satisfied professionals either quit their profession or leave jobs in search of better opportunities. This is why the subject of job satisfaction has gained attention in the public health care sector and human resources in Pakistan in the recent past. This particular study was done to assess the job satisfaction of healthcare employees in the public tertiary hospital to identify the various underlying factors. Methods: The data was collected using Job Satisfaction Survey (JSS) questionnaire & analyzed using SPSS18. Results and Discussion: The results of the study showed that majority of the employees were satisfied with their supervisors, nature of job and colleagues but showed dissatisfaction for the rest of the factors like salaries, benefits, communication and conditions at work. Conclusion: If we want to improve the quality of health services that are provided to the consumers of health system i.e. patients then we cannot ignore the significance of satisfied health workforce.

scholarly journals Assessing knowledge, attitudes, and practice of health providers towards the provision of postpartum intrauterine devices in Nepal: a two-year follow-up

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Lucy Stone ◽  
Mahesh C. Puri ◽  
Muqi Guo ◽  
Iqbal H. Shah
Keyword(s):  
Ectopic Pregnancy ◽  
Service Providers ◽  
Intrauterine Device ◽  
Descriptive Analysis ◽  
Rank Test ◽  
Health Providers ◽  
Health Service Providers ◽  
Signed Rank Test ◽  
The Impact

Abstract Background Health service providers play a key role in addressing women’s need for postpartum pregnancy prevention. Yet, in Nepal, little is known about providers’ knowledge, attitudes, and practice (KAP) on providing postpartum family planning (PPFP), particularly the immediate postpartum intrauterine device (PPIUD). This paper assesses providers KAP towards the provision of PPIUDs in Nepal prior to a PPIUD intervention to gain a baseline insight and analyzes whether their KAP changes both 6 and 24 months after the start of the intervention. Methods Data come from a randomized trial assessing the impact of a PPIUD intervention in Nepal between 2015 and 2017. We interviewed 96 providers working in six study hospitals who completed a baseline interview and follow-up interviews at 6 and 24 months. We used descriptive analysis, McNemar’s test and the Wilcoxon signed-rank test to assess KAP of providers over 2 years. Results The PPIUD KAP scores improved significantly between the baseline and 6-month follow-up. Knowledge scores increased from 2.9 out of 4 to 3.5, attitude scores increased from 4 out of 7 to 5.3, and practice scores increased from 0.9 out of 3 to 2.8. There was a significant increase in positive attitude and practice between 6 and 24 months. Knowledge on a women’s chance of getting pregnant while using an IUD was poor. Attitudes on recommending a PPIUD to different women significantly improved, however, attitudes towards recommending a PPIUD to unmarried women and women who have had an ectopic pregnancy improved the least. Practice of PPIUD counseling and insertion improved significantly from baseline to 24 months, from 10.4 and 9.4% to 99% respectively. Conclusions Although KAP improved significantly among providers during the PPIUD intervention, providers’ knowledge on a women’s chance of getting pregnant while using an IUD and attitudes towards recommending a PPIUD to unmarried women and women who have had an ectopic pregnancy improved the least. Provider KAP could be improved further through ongoing and more in-depth training to maintain providers’ knowledge, reduce provider bias and misconceptions about PPIUD eligibility, and to ensure providers understand the importance of birth spacing.

scholarly journals Knowledge and awareness about cervical Cancer and its Prevention among Women Attending at Out patient Department of Dhaka Medical College Hospital

2018 ◽  
Vol 10 (1) ◽  
pp. 36-41
Author(s):  
Lutfa Begum Lipi ◽  
Afroza Kutubi ◽  
Mohammed Mizanur Rahman ◽  
Nebedita Shaha ◽  
Nazma Haque ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Service Providers ◽  
Medical College Hospital ◽  
College Hospital ◽  
Socioeconomic Condition ◽  
Face To Face ◽  
Highly Educated ◽  
Medical College ◽  
Health Service Providers ◽  
Patient Department

The purpose of this study was to assess the knowledge and awareness regarding cervical cancer and its prevention among women attending at out patient department of Dhaka Medical College Hospital. A qualitative study was undertaken using face to face in depth interviews from January 2015 to July 2015 .Among 229 women mean age 34.07±7.92 ,from 18 to 60 years were observed. Awareness and knowledge about cervical cancer was very poor which was about 25.3%. Knowledge was high among women coming from high socioeconomic condition which was 31.5% (p=0.03). Participants who were highly educated had more knowledge about 83.3% (<0.001). Most of the participants about 72.22% got the information from doctors and health service providers. The findings highlights the importance of awareness creation about cervical cancer and its risk factors, screening through utilization of the services of media like television, newspaper and radio which have massive impact in improving the knowledge.J Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 36-41

scholarly journals Principal-agent problems in implementation of Ghana’s health insurance scheme

2018 ◽  
Vol 11 (2) ◽  
pp. 59 ◽  
Author(s):  
Daniel Dramani Kipo-Sunyehzi
Keyword(s):  
Health Insurance ◽  
Health Service ◽  
Health Services ◽  
Service Providers ◽  
Diagnosis Related Groups ◽  
Principal Agent ◽  
Fee For Service ◽  
The Public ◽  
Health Service Providers ◽  
Profit Maximisation

<p>Principal-agent relationship exists between health service providers and their authority and clients. It asserts that health service providers as ‘imperfect agents’ of the authority and clients will take actions that aim to maximise profits at the expense of authority and clients (principal). The situation is possible when reimbursement is based on fee-for-service or a diagnosis-related groups. It looks at relationships between health service providers as agents and health insurance authority, and clients as principals in areas of provision of health services, supply of drugs, medicines and reimbursement. Results showed the private health service providers prescribed more drugs and medicines for clients towards profit maximisation (agency) than their public counterparts. Also, it was found that the public health service providers continued to provide health services and drugs despite health insurance authority indebtedness to them exhibiting more stewardship towards health insurance authority. It recommends strict regulations in tariffs/vetting claims and prompt reimbursement.</p>

scholarly journals Endoscopic Management of Epistaxis in Lumbini Medical College

2015 ◽  
Vol 3 (2) ◽  
pp. 38
Author(s):  
Anup Acharya ◽  
Madan Mohan Singh ◽  
Arati Shrestha
Keyword(s):  
Service Providers ◽  
Nasal Packing ◽  
Descriptive Statistics ◽  
Endoscopic Management ◽  
Endoscopic Intervention ◽  
Medical College ◽  
Management Interventions ◽  
Health Service Providers ◽  
Standardized Practice ◽  
Idiopathic Epistaxis

Introduction: Epistaxis is one of the commonest Ear Nose Throat (ENT) emergency. Proper guidelines for its management are lacking; on the other hand, the management is mostly done by the junior health service providers which has invited non-standardized practice of epistaxis management. Thereby this study was much inclined towards assessment of the effectiveness of endoscopic management of epistaxis.   Methods: This prospective study included patients above 16 years who were diagnosed with idiopathic epistaxis visiting Out Patient of ENT Department or in the Emergency Department of Lumbini Medical College from 1st of July 2014 to 30th of June 2015. ENT examination was done to find the cause and site of bleeding. Thereafter different epistaxis management interventions were done depending on the bleeding condition. The data were collected, entered and then analyzed using SPSS version 21. The descriptive statistics were applied.   Results: Of the total 116 patients, 53 (45.69%) were male and 63 (54.31%) were female showing no gender preponderance with epistaxis in our study. Majority (49%) of the patients were managed with cauterization with silver nitrate or electrocautery in out-patient clinic. Second most common (18%) procedure was endoscopic sphenopalatine artery cauterization. Nasal packing was done only in three cases with zero posterior pack.   Conclusion: Endoscopic intervention of epistaxis seems to be safe, simple, fast, and effective for the management of epistaxis with low rates of morbidity and complications. Thereby it can be preferred over the conservative nasal packing and considered as immediate second-line management.

scholarly journals Comparing Public and Provider Preferences for Setting Healthcare Priorities: Evidence from Kuwait

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 552
Author(s):  
Abdullah M. Alsabah ◽  
Hassan Haghparast-Bidgoli ◽  
Jolene Skordis
Keyword(s):  
Health Insurance ◽  
Health Service ◽  
Health Services ◽  
General Public ◽  
Private Health Insurance ◽  
Service Providers ◽  
Health Resources ◽  
The Public ◽  
Health Funding ◽  
Health Service Providers

As attempts are made to allocate health resources more efficiently, understanding the acceptability of these changes is essential. This study aims to compare the priorities of the public with those of health service providers in Kuwait. It also aims to compare the perceptions of both groups regarding key health policies in the country. Members of the general public and a sample of health service providers, including physicians, dentists, nurses, and technicians, were randomly selected to complete a structured, self-administered questionnaire. They were asked to rank health services by their perceived importance, rank preferred sources of additional health funding, and share their perceptions of the current allocation of health resources, including current healthcare spending choices and the adequacy of total resources allocated to healthcare. They were also asked for their perception of the current local policies on sending patients abroad for certain types of treatments and the policy of providing private health insurance for retirees. The response rate was above 75% for both groups. A higher tax on cigarettes was preferred by 73% of service providers as a source of additional funding for healthcare services, while 59% of the general public group chose the same option. When asked about the sufficiency of public sector health funding, 26.5% of the general public thought that resources were sufficient to meet all healthcare needs, compared with 40% of service providers. The belief that the public should be offered more opportunities to influence health resource allocation was held by 56% of the general public and 75% of service providers. More than half of the respondents from both groups believed that the policy on sending patients abroad was expensive, misused, and politically driven. Almost 64% of the general public stated that the provision of private health insurance for retirees was a ‘good’ policy, while only 34% of service providers agreed with this statement. This study showed similarities and differences between the general public and health service providers’ preferences. Both groups showed a preference for treating the young rather than the old. The general public preferred more expensive health services that had immediate effects rather than health promotion activities with delayed benefits and health services for the elderly. These findings suggest that the general public may not accept common allocative efficiency improvements in public health spending unless the challenges in this sector and the gains from reallocation are clearly communicated.

Health service providers in psychology: Results of the 1978 APA Human Resources Survey.

1981 ◽  
Vol 36 (11) ◽  
pp. 1395-1418 ◽  
Author(s):  
Gary R. VandenBos ◽  
Joy Stapp ◽  
Richard R. Kilburg
Keyword(s):  
Health Service ◽  
Human Resources ◽  
Service Providers ◽  
Health Service Providers
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