scholarly journals An application of indian public health standard for evaluation of primary health centers of an EAG and a Non-EAG state

2010 ◽  
Vol 54 (1) ◽  
pp. 36
Author(s):  
NasrinBanu Laskar ◽  
ForhadAkhtar Zaman
Keyword(s):  
Public Health ◽  
Health Centers ◽  
Primary Health ◽  
Public Health Standard

scholarly journals A study on prescription analysis of referral dog bite cases to anti rabies clinic of M.K.C.G. Medical College, Berhampur, India

2017 ◽  
Vol 7 (1) ◽  
pp. 51-54
Author(s):  
Tapas Ranjan Behera ◽  
Gurukrushna Mohapatra ◽  
Biswabara Rout
Keyword(s):  
Public Health ◽  
Rural Areas ◽  
Community Health Centers ◽  
Drug Prescription ◽  
Specific Treatment ◽  
Public Health Problem ◽  
Health Centers ◽  
Dog Bite ◽  
Medical College ◽  
Primary Health

Dog bites in human are a serious public health problem and have been well documented worldwide. As rabies is not a notifiable disease in India and most deaths occur in rural areas where surveillance is poor. The objective of this study to assess the drug prescription patterns of referral cases of dog bite attending in the anti-rabies clinic (ARC) of Department of Community Medicine at MKCG Medical College. For this particular study 606 prescriptions were collected over a six months period. Suspected referred dog bite cases to ARC and willing to participate in the study were included as study subjects. Prescriptions Patients’ identity (name, age, sex) and date of prescription were present in all cases, address was written correctly in only 30% cases. 88% of the prescriptions were legible. Majority prescriptions (44%) were referred from of primary health centers and community health centers. Nearly one third of referred patients had not received anti rabies vaccine. Only 5% cases were administered with rabies immune globulin and about 30% had taken oral antibiotics which were referred from PHCs/CHCs. Specific treatment to dog bite (i.e. use of vaccine & RIG) was lacking in the prescription whereas Co-prescription of other drugs (i.e. antibiotics, pain killers, vitamins) were mentioned in the prescription. Regular prescription auditing with training of Medical Officers on essential drug availability should be undertaken by the Govt. of Odisha in order to give rationality to all prescriptions.South East Asia Journal of Public Health Vol.7(1) 2017: 51-54

Assessment of Indian Public Health Standards in the Primary Health Centers in a District of Uttar Pradesh, India

2017 ◽  
Vol 2 (2) ◽  
pp. 53-60
Author(s):  
Arshiya Masood ◽  
Anil K Singh ◽  
DS Martolia ◽  
Tanu Midha
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Rural Areas ◽  
Uttar Pradesh ◽  
Health Centers ◽  
Care Providers ◽  
Cross Sectional ◽  
Primary Health ◽  
Health Standards

ABSTRACT Introduction Primary health center (PHC) is a first port of call to a qualified doctor of the public sector in rural areas. Standards are the main driver for continuous improvement in quality. The performance of PHCs can be assessed against the Indian Public Health Standards (IPHS) recommended for PHCs in early 2007. The overall objective of IPHS for PHCs is to provide health care, i.e., quality oriented and sensitive to the needs of the community. These standards would also help monitor and improve the functioning of the PHCs. Aims and objectives This study was carried out to assess (1) the infrastructure, equipments, instruments, staffing, and other facilities; (2) the services being provided at PHCs; (3) to find out the reasons for nonutilization of health services and suggest remedial measures for the same. Material and methods This was a cross-sectional study at two PHCs, namely Thatiya and Umerda of Tirwa block of Kannauj District selected randomly for assessment. Health care providers, mainly medical officers, were interviewed using pretested, precoded pro forma. Descriptive analysis was used as per study requirements. Results It has been found that only outpatient department services were being provided with many missing components, such as one of the most important ones like maternal and child health and family planning. Physical infrastructure and facilities were inadequate at both the PHCs. Both of them were grossly underequipped and understaffed. Medical officers face their own problems; even basic amenities of life like water, electricity, canteen, etc., are lacking there. Conclusion Both the PHCs were not performing up to the expectations and standards of the Indian Public Health. How to cite this article Masood A, Singh AK, Martolia DS, Midha T. Assessment of Indian Public Health Standards in the Primary Health Centers in a District of Uttar Pradesh, India. Int J Adv Integ Med Sci 2017;2(2):53-60.

scholarly journals Physicians’ Behavior in Referring National Health Insurance Patients to Hospital

2022 ◽  
Vol 6 (2) ◽  
Author(s):  
Natalia Natalia ◽  
Haerawati Idris
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Qualitative Method ◽  
Severe Disease ◽  
Health Centers ◽  
Referral System ◽  
Primary Health ◽  
Icd 10

Physicians’ decision to refer patients in primary health care is vital in supporting the referral system. The increase of referral cases impacted the claims cost and hospital workload. This study aimed to analyze the physicians’ behavior in referring National Health Insurance (NHI) patients to hospitals. This study employed a qualitative method; 18 informants were selected using purposive sampling and analyzed using content analysis. The data were validated by triangulating method, source, and data. Physicians referred patients when the cases could not be handled; there were indications of severe disease and required further examination. The obstacles in the referral system were pressure from NHI patients that wanted to be referred and diagnosed differently from ICD 10. In referring NHI patients, physicians had followed referral procedures and criteria. High referrals were caused by patients being forced to be referred, coming with complaints of severe disease, having examined in a hospital, and some cases should not be referred to but still referred by entering a similar diagnosis into the ICD 10. It is expected that public health centers will educate NHI patients related to tiered referral procedures in health services.

scholarly journals Should We Judge PHCs by Only IPHS Guidelines or Probe Further?

2020 ◽  
Vol 32 (2) ◽  
pp. 464-467
Author(s):  
Rupa Sarkar ◽  
Mahesh E
Keyword(s):  
Public Health ◽  
Health Centers ◽  
The Other ◽  
Performance Standard ◽  
Supply Side ◽  
Demand Side ◽  
Behavioral Compliance ◽  
Primary Health ◽  
Inferential Analysis ◽  
Ease Of Access

Background: Indian Public Health Standards (IPHS) evaluates supply side compliance of Primary Health Centers (PHCs). Patient Satisfaction (PS) on the other hand, assesses the demand side. Objective: Examining the supply side compliance and relating it to PS in the domain of Reproductive Health (RH). Methods: Using multistage stratified sampling, six rural and three urban PHCs in sub-districts, Ramanagara and Channapatna, in District Ramanagara, state of Karnataka, India, were chosen. Information collected using IPHS proforma for PHCs was compared with PS questionnaire (PSQ 18) data, collected from 398 patients visiting these facilities. Results: Using descriptive and inferential analysis, sub-optimal compliance levels in ease of access, physical & human infrastructure, patient data and usage of untied funds was found. Existing behavioral compliance was found to be optimal. These findings were in alignment with PS findings. Conclusion: Results call for PHC capacity building, incentivization and a crucial need to look into PS side, before passing judgement about performance standard.

Sign in / Sign up

Export Citation Format

Share Document