scholarly journals Guyana’s paediatric training program: a global health partnership for medical education

2017 ◽  
Vol 8 (2) ◽  
pp. e11-17
Author(s):  
Lita Cameron ◽  
Julie Johnston ◽  
Arnelle Sparman ◽  
Leif D Nelin ◽  
Narendra Singh ◽  
...  
Keyword(s):  
Public Hospital ◽  
Unmet Need ◽  
Northern Coast ◽  
Master's Program ◽  
Web Conferencing ◽  
Middle Income ◽  
Innovative Strategies ◽  
The Public ◽  
Health Partnership ◽  
Faculty Presence

Guyana is a low-middle income country on the northern coast of South America between Venezuela and Suriname. Guyana has relatively high child mortality and a notable gap in health care provision. As of 2011, there were no paediatricians in the public sector where approximately 90% of the population seek care. In response to this unmet need, Guyanese diaspora living in Canada, in partnership with Canadian paediatricians and the main teaching hospital, Georgetown Public Hospital Corporation (GPHC), developed a Master’s program in paediatrics. The postgraduate program was designed with adapted training objectives from the Royal College of Physicians and Surgeons of Canada and the American Board of Paediatrics. Innovative strategies to overcome the lack of qualified paediatric faculty in Guyana included web-conferencing and a volunteer North American paediatric faculty presence at GPHC with a goal of 1-2 weeks every month. By November 2016, 10 graduates will have passed through a rigorous program of assessment including a two-day final examination with an objective structured clinical examination (OSCE) component. 

scholarly journals Costing of Cesarean Sections in a Government and a Non-Governmental Hospital in Cambodia—A Prerequisite for Efficient and Fair Comprehensive Obstetric Care

2020 ◽  
Vol 17 (21) ◽  
pp. 8085
Author(s):  
Eva Glaeser ◽  
Bart Jacobs ◽  
Bernd Appelt ◽  
Elias Engelking ◽  
Ir Por ◽  
...  
Keyword(s):  
Health Care Services ◽  
Public Hospital ◽  
Average Length ◽  
Unit Cost ◽  
Obstetric Care ◽  
Hospital Staff ◽  
Activity Based Costing ◽  
Middle Income ◽  
The Public ◽  
The Cost

Knowing the cost of health care services is a prerequisite for evidence-based management and decision making. However, only limited costing data is available in many low- and middle-income countries. With a substantially increasing number of facility-based births in Cambodia, costing data for efficient and fair resource allocation is required. This paper evaluates the costs for cesarean section (CS) at a public and a Non-Governmental (NGO) hospital in Cambodia in the year 2018. We performed a full and a marginal cost analysis, i.e., we developed a cost function and calculated the respective unit costs from the provider’s perspective. We distinguished fixed, step-fixed, and variable costs and followed an activity-based costing approach. The processes were determined by personal observation of CS-patients and all procedures; the resource consumption was calculated based on the existing accounting documentation, observations, and time-studies. Afterwards, we did a comparative analysis between the two hospitals and performed a sensitivity analysis, i.e., parameters were changed to cater for uncertainty. The public hospital performed 54 monthly CS with an average length of stay (ALOS) of 7.4 days, compared to 18 monthly CS with an ALOS of 3.4 days at the NGO hospital. Staff members at the NGO hospital invest more time per patient. The cost per CS at the current patient numbers is US$470.03 at the public and US$683.23 at the NGO hospital. However, the unit cost at the NGO hospital would be less than at the public hospital if the patient numbers were the same. The study provides detailed costing data to inform decisionmakers and can be seen as a steppingstone for further costing exercises.

scholarly journals Practical Pharmacist-Led Interventions to Improve Antimicrobial Stewardship in Ghana, Tanzania, Uganda and Zambia

Pharmacy ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 124
Author(s):  
Frances Kerr ◽  
Israel Sefah ◽  
Darius Essah ◽  
Alison Cockburn ◽  
Daniel Afriyie ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
International Health ◽  
World Health Organisation ◽  
Mobile App ◽  
World Health ◽  
Infection Prevention And Control ◽  
Middle Income ◽  
Train The Trainer ◽  
Partnership Model ◽  
Health Partnership

The World Health Organisation (WHO) and others have identified, as a priority, the need to improve antimicrobial stewardship (AMS) interventions as part of the effort to tackle antimicrobial resistance (AMR). An international health partnership model, the Commonwealth Partnerships for Antimicrobial Stewardship (CwPAMS) programme, was established between selected countries in Africa (Ghana, Tanzania, Zambia and Uganda) and the UK to support AMS. This was funded by UK aid under the Fleming Fund and managed by the Commonwealth Pharmacists Association (CPA) and Tropical Health and Education Trust (THET). The primary aims were to develop local AMS teams and generate antimicrobial consumption surveillance data, quality improvement initiatives, infection prevention and control (IPC) and education/training to reduce AMR. Education and training were key components in achieving this, with pharmacists taking a lead role in developing and leading AMS interventions. Pharmacist-led interventions in Ghana improved access to national antimicrobial prescribing guidelines via the CwPAMS mobile app and improved compliance with policy from 18% to 70% initially for patients with pneumonia in one outpatient clinic. Capacity development on AMS and IPC were achieved in both Tanzania and Zambia, and a train-the-trainer model on the local production of alcohol hand rub in Uganda and Zambia. The model of pharmacy health partnerships has been identified as a model with great potential to be used in other low and middle income countries (LMICs) to support tackling AMR.

scholarly journals Performance, Policy, And The Public Hospital

1989 ◽  
Vol 8 (4) ◽  
pp. 190-192
Author(s):  
Michael L. Millman
Keyword(s):  
Public Hospital ◽  
The Public

scholarly journals Ergonomics Study of Public Hospital Signage

2013 ◽  
Vol 10 ◽  
pp. 263-271 ◽  
Author(s):  
Ahmad Qadri Basri ◽  
Ruhaizin Sulaiman
Keyword(s):  
Incomplete Information ◽  
Public Hospital ◽  
Emergency Services ◽  
Hospital Management ◽  
Public Buildings ◽  
The Public ◽  
Standard Measuring ◽  
Measuring Tape ◽  
The Mean ◽  
Level Height

Background: Signage provides information and direction. It is important as a medium to show direction in offices and public buildings. It is more crucial for emergency services, specifically hospitals. Incomplete information and confusion of signage are among common issues being raised by the public to hospital management. Objective:This study is carried out to determine user height preferencesof Hospital Kajangs signage and to proposean appropriate height forits future signage. Approach: Thirty five respondents (20male and 15 female) participated in this study. They are aged between 18 to 60 years old with the mean of age at39years old. Their stature height and eye-level height are measured using SECA Stable Stadiometer.They are asked to give a rating using 1-10 scaleon threequestions to measure their preferences towards the present signage.The studied signage is also measured using standard measuring tape. The data is analyzed using SPSS.Results:It is found that 25 respondents (71.43%) agree to say that the height of signage in Hospital Kajang is too highwhile10 of them (28.57%) disagree. The signage should be10.5 cm lower from present height in order to optimize its function for both groups. The proposed signage height should be 187.5 cmfrom the floor. Conclusion:The present signage in Hospital Kajang requires necessaryheight readjustment to satisfythe majority of its staffs and visitors. The improvement is vital to ensure the signage meet the directional purpose.

scholarly journals Guidelines for the public on how to provide mental health first aid: narrative review

BJPsych Open ◽  
2018 ◽  
Vol 4 (6) ◽  
pp. 427-440 ◽  
Author(s):  
Anthony F. Jorm ◽  
Anna M. Ross
Keyword(s):  
Mental Health ◽  
First Aid ◽  
Narrative Review ◽  
Mental Health First Aid ◽  
Mental Health Crisis ◽  
Middle Income ◽  
Health Crisis ◽  
The Public ◽  
For Profit ◽  
Wide Range

BackgroundExpert-consensus guidelines have been developed for how members of the public should assist a person with a mental health problem or in a mental health crisis.AimsThis review aimed to examine the range of guidelines that have been developed and how these have been implemented in practice.MethodA narrative review was carried out based on a systematic search for literature on the development or implementation of the guidelines.ResultsThe Delphi method has been used to develop a wide range of guidelines for English-speaking countries, Asian countries and a number of other cultural groups. The primary implementation has been through informing the content of training courses.ConclusionFurther work is needed on guidelines for low- and middle-income countries.Declaration of interestA.F.J. is an unpaid member of the Board of Mental Health First Aid International (trading as Mental Health First Aid Australia), which is a not-for-profit organisation.

scholarly journals Longitudinal Evaluation on the Operation Index Applied to Public Hospitals in Pudong New District of Shanghai, China

2018 ◽  
Vol 55 ◽  
pp. 004695801879059
Author(s):  
Shanshan Liu ◽  
Jiaoling Huang ◽  
Yanting Li ◽  
Jincheng Fan ◽  
Hong Liang ◽  
...  
Keyword(s):  
Financial Risk ◽  
Public Hospital ◽  
Risk Index ◽  
Condition Index ◽  
Public Hospitals ◽  
Operating Index ◽  
The Public ◽  
Management Condition ◽  
Service Operation ◽  
Public Hospital Reform

The public hospital reform has lasted 5 years in China; however, the operation development status and trends of public hospitals have not been systematically evaluated in Pudong New District. We first applied the technology of longitudinal index to assess the development of public hospitals there. The quantitative data were mainly gathered by taking health statistics database from 2009 to 2014. The results showed that overall operating index presented a down-up trend, with the highest point in 2014 and the lowest point in 2012. Overall operating index, development foundation index, and management condition index were found to be statistically different ( P = .010, P = .016, P = .031) in different years, whereas the service operation index and financial risk index were not so ( P = .543, P = .228). Moreover, the results demonstrated that no obvious difference was observed in the overall operating index between the general and specialized hospitals ( P = .327), which was the same in the 4 first-class indexes. However, there were statistical differences in the overall operating index and development foundation index among these 5 years ( P = .018, P = .036), but none in the service operation index, management condition index, and financial risk index ( P = .503, P = .062, P = .177). No interaction effects were discovered between year and hospital categories in the current study ( P = .673, P = .375, P = .885, P = .152, P = .288).

scholarly journals Metropolitan Vision, Stakeholder Action and Community Involvement in Regeneration of Seaside Cities: Innovative Strategies from New York City for the Gulf of Naples

2014 ◽  
Vol 11 ◽  
pp. 232-240 ◽  
Author(s):  
Massimo Clemente
Keyword(s):  
New York ◽  
New York City ◽  
Community Involvement ◽  
Best Practice ◽  
Research Council ◽  
National Research Council ◽  
Common Interest ◽  
Innovative Strategies ◽  
The Public ◽  
Gulf Of Naples

This paper suggests to reflect on the waterfront in a nontraditional way, referring to theoretical and methodological assumptions, developed in recent years about “Cities from the Sea” by our research group in the National Research Council of Italy. So the first step is to move from cognitive analysis to proposals and projects. We can refer to the positive experience of New York that is a best practice in approach, strategies and results. The key of this success is a synthesis of the metropolitan vision favored by the public government, the activation of stakeholders to get results of common interest, the involvement of local communities. People was informed and motivated to put a position, they were encouraged to participate and to give a significant contribute to the achievement of results.

scholarly journals Status of drowning in Nepal: A study of central police data

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 576
Author(s):  
Bhagabati Sedain ◽  
Puspa Raj Pant
Keyword(s):  
Descriptive Analysis ◽  
Epidemiological Studies ◽  
Water Bodies ◽  
Limited Data ◽  
Middle Income ◽  
The Public ◽  
Middle Income Countries ◽  
Police Data ◽  
The Status ◽  
Data Source

Background:  Drowning is a serious and mostly preventable injury-related cause of death. Low-and-middle income countries represent 90% of total drowning deaths worldwide. There is lack of epidemiological studies of drowning in Nepal. The aim of this paper is to describe the status of drowning in Nepal. Methods: Cases of drowning, occurring between January 2013 and December 2015 were extracted from the Daily Incident Recording System of Nepal Police. Variables on age, sex of the deceased, types of water bodies, places, season when drowning occurred and activities of deceased were extracted and descriptive analysis was done. Results: A total of 1,507 drowning cases were recorded over a 3 year period. The rate of drowning was 1.9 per 100,000 (2.95 for males and 0.92 for females). Majority of drowning occurred among males (76%) and more than half were (53%) under 20 years of age. Mostly drowning occurred in rivers (natural water bodies). The findings provide strong indication that drowning occurs throughout the year in Nepal. Children were highly vulnerable to drowning. The magnitude of drowning was found to be lower than estimated by global burden of disease (GBD) study. Conclusion: The burden of drowning in Nepal is considerable, but mostly unknown to the public. Despite only having access to a limited data source, this study provides useful evidence that comprehensive research in Nepal is needed urgently.

scholarly journals Adherence Improvement of Five Moments Hand Hygiene with Increasing Motivation of Nurses

2018 ◽  
Vol 1 (1) ◽  
pp. 12
Author(s):  
Menik Kustriyani ◽  
Ivana Probo Kaeksi ◽  
Tamrin Tamrin
Keyword(s):  
Hand Hygiene ◽  
Random Sampling ◽  
Public Hospital ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
The Public ◽  
Joint Commission International ◽  
R Value ◽  
Spearman Test

Joint Commission International ( JCI ) required the achievement of 100% five moment hand hygiene for the nurses who have provided care to patients. The adherence of five moments hand hygiene has been done to reduce the incidence of nosocomial infections. The adherence of five moments hand hygiene has been determined by inside and outside factors, and one of the inside factors is the motivation. The research is a qualitative research with cross sectional approach. The number of sample is 153 nurses with the proportionate random sampling technique at the Public Hospital of Loekmono Hadi Kudus. The research instruments used the questionaire and observation sheet. The research showed the result of Rank Spearman test p value = 0,000 with r value = 0.296, positive correlation means that the higher the nurse motivation, the higher the nurse aderence of five moment hand hygiene.

scholarly journals Change in store? An investigation into the impact of the book superstore environment on use, perceptions and expectations of the public library as a space, place and experience

2009 ◽  
Vol 28 (88) ◽  
pp. 13-26
Author(s):  
Helen Cartwright
Keyword(s):  
Young People ◽  
Focus Group ◽  
Public Library ◽  
Focus Group Interviews ◽  
Community Resource ◽  
Middle Income ◽  
The Public ◽  
Group Interviews ◽  
Perceptions And Expectations ◽  
The Impact

The book superstore is promoted not just as a place to buy books but also as a community resource in which to read, learn and socialise: traits that have in combination traditionally been the preserve of the public library. This study investigates the impact of the bookstore environment on public library space. The attitudes and behaviours of library and bookstore users were examined through focus group interviews and a self-completed questionnaire. Clear areas of overlap in the functions of the two sites were found, as was evidence of age and income-related splits in use and perception of bookstores and libraries. Results suggest attention should be paid to the beliefs and behaviours of young people and middle-income earners (the groups most noticeably increasing their use of the bookstore) and to the desired balance of education and recreation in the image and nature of the public library.

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