scholarly journals Janani Suraksha Yojana : Its utilization and perception among mothers and health care providers in a rural area of North India

2015 ◽  
Vol 5 (2) ◽  
pp. 165 ◽  
Author(s):  
Vikas Kumar ◽  
SunilKumar Misra ◽  
SuneelKumar Kaushal ◽  
SubhashChand Gupta ◽  
KhanAmir Maroof
Keyword(s):  
Health Care ◽  
Rural Area ◽  
Health Care Providers ◽  
North India ◽  
Care Providers ◽  
Janani Suraksha Yojana

Family Expenditure on Sickness Episodes of Pre-School Children in Urban Slums of Lucknow, North India

1998 ◽  
Vol 28 (3) ◽  
pp. 141-146 ◽  
Author(s):  
Shally Awasthi ◽  
Vinod Kumar Pande
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Health Care Providers ◽  
School Children ◽  
Care Provider ◽  
Financial Burden ◽  
Respiratory Illness ◽  
Urban Slums ◽  
North India ◽  
Care Providers

This study investigated family expenditure on the sickness episodes of pre-school children in 32 urban slums of Lucknow, North India. Between July 1995 and January 1996, 396 children between the ages of 1.5 to 3.5 years were contacted. The main objective was to discover the direct medical cost of illness incurred by their families in the preceding months. Point prevalence of major morbidities, in the preceding month, were as follows: 17.2% respiratory and 6.3% diarrhoeal. A health care provider saw 31.4% [95% confidence interval (CI): 26.9–36.01] children. In >95% of the cases, the health care provider was a self-employed, non-governmental dispenser (NGD). More than half of NGDs did not have a recognized medical degree. The mean family expenditure on sickness in 1 month was RS 12.27 [standard deviation (SD): RS 23.81], approximately 1% of their income (1 US$ = RS 32). Respiratory illness was the primary cause of financial burden to the community. The isolated symptom of fever was the most expensive to treat, with diarrhoea and dysentery costs being similar. Immunizing a child saved money. We conclude that since the NGDs are the predominant health care providers in the urban slums, and since neither the nature of medicines dispensed by them nor their additional costs can be ascertained, steps must be taken to monitor their dispensing practices and to educate them about rational drug therapy.

scholarly journals Utilization of antenatal health care services and its impact on birth weight of newborn in rural area of Western Rajasthan, India

2017 ◽  
Vol 4 (3) ◽  
pp. 680 ◽  
Author(s):  
Sandeep Kumar Uppadhaya ◽  
Neha Agrawal ◽  
Suman Bhansali ◽  
Kapil Garg ◽  
Mahendra Singh
Keyword(s):  
Health Care ◽  
Birth Weight ◽  
Antenatal Care ◽  
Rural Area ◽  
Health Care Providers ◽  
Health Care Services ◽  
Nuclear Family ◽  
Care Providers ◽  
Care Services ◽  
Antenatal Visits

Background: Antenatal care is an important component of reproductive and child health but has not been utilized to the full extent in India. The study is aimed to assess the utilization of antenatal health care services by mothers and its impact on birth weight of their newborn.Methods: A community based cross sectional study was conducted in a rural area of Jodhpur, Rajasthan. A total of 198 women of study area who have delivered between 1st July 2013 to 30thJune 2014 (12 months period) were interviewed by pre-designed and semi-structured questionnaire by door to door approach.Results: Present study showed that 100% of mothers registered their pregnancy in any health facility and 56.6% were registered in 2nd trimester. Only 32.8% mothers had received four or more antenatal visits. Only 26.26% mothers had utilized full antenatal care (minimum four antenatal visits, minimum one TT and minimum 100 IFA tablet taken) during pregnancy. The prevalence of low birth weight was 12.6%. Proportion of LBW babies was more (15.9%) in mothers who had not availed of full antenatal care. This difference was statistically significantly (P<0.05).Conclusions: The important factors related to low utilization of Antenatal services were lower socioeconomic status, lower literacy of mothers, working mothers, parity and nuclear family. The findings of this study may be utilized by the health managers and health care providers to address the problem of low ANC coverage.

scholarly journals Trends in practice intentions and preferences of clinical associate students: Implications for training and health services in South Africa

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Saiendhra V. Moodley ◽  
Jacqueline E. Wolvaardt ◽  
Jakobus M. Louw ◽  
Jannie Hugo
Keyword(s):  
South Africa ◽  
Health Care ◽  
Rural Area ◽  
Health Care Providers ◽  
Rural Areas ◽  
Rural Practice ◽  
Care Providers ◽  
Cross Sectional ◽  
District Hospitals ◽  
Health Need

Background: The University of Pretoria (UP) had its first intake of Bachelor of Clinical Medical Practice (BCMP) students in 2009. The objectives of this study were to examine the trends in geographical practice intentions and preferences of the first nine cohorts of BCMP students. We also assessed sector and level of care preferences of six BCMP cohorts.Methods: Cross-sectional studies were conducted 2011, 2014 and 2017. First-, second- and third-year UP BCMP students were invited to complete a electronic questionnaire. Our analyses consisted of calculating proportions for the practice intentions and preferences for each surveys, and performing multiple logistic regression on the aggregated date to determine their associations with sociodemographic and training characteristics.Results: The proportion of participants intending to practise as a clinical associate in a rural area in South Africa directly after graduating was 62.5% in the 2014 survey and 69.7% in the 2017 survey, compared to 59.6% in the 2011 survey. The majority in all three surveys (53.4% in 2011, 56.6% in 2014 and 59.8% in 2017) indicated a preference for rural practice. Both rural practice intention and rural practice preference were found to be significantly associated with respondent’s self-description of having lived most of her/his life in a rural area, and rural district hospital exposure during training. In 2014 and 2017, approximately two-thirds of the participants selected a public sector option as their most preferred work setting. District hospitals were the most preferred setting of 30.3% participants in 2014 and 32.0% in 2017.Conclusion: Most participants across the three surveys intended to work in rural settings. Considering that this could provide a sustainable solution to the shortage of health care workforce in rural areas, policy makers in both higher education and health need to promote and ensure the viability of the training of this category of health care providers.

scholarly journals Opinion of Health Care Providers on Birth Companions in Obstetrics Department of a Tertiary Care Hospital in North India

2021 ◽  
Author(s):  
Tanvi Sarwal ◽  
Yamini Sarwal ◽  
Shakun Tyagi ◽  
Rakesh Sarwal
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Tertiary Care ◽  
North India ◽  
World Health ◽  
Respectful Maternity Care ◽  
Care Hospital ◽  
Care Providers ◽  
Labour Room ◽  
Birth Companion

Background Despite impressive improvements in institutional births and a fall in maternal mortality, satisfaction of women with birthing experience in public health institutions is low (68%). Birth Companion is an important part of the Labour room Quality Improvement (LaQshya) programme introduced by the Government of India in 2017. Despite mandates, implementation of the concept has been unsatisfactory (9%), even though the importance of Birth Companion has increased due to enhanced risk posed by COVID-19. Little is known about awareness among health care providers on Birth Companions, perceived barriers or their suggestions. Methods We canvassed a 15-question instrument using ordinal scales on 151 health care providers comprising consultants, post graduates, residents, and nurses (response rate 69%) in the department of Obstetrics & Gynecology, Lok Nayak Hospital, Delhi, India to gauge their awareness and opinions about Birth Companions. Results Most health care providers across all categories were aware of the concept (93%), World Health Organization recommendation (83%) and Government instructions for its hospitals (68%) that every woman should be accompanied by a Birth Companion of her choice during labour. Birth Companions of choice suggested by them were the mother (70%), husband (69%). sister (46%) or nurse (43%). Most health care providers agreed that a Birth Companion should wear clean clothes (95%), be free from any communicable disease (91%), stay with the pregnant woman throughout the process of labour (74%) and should have herself gone though labour (42%). Almost all providers (95%) agreed that the presence of a Birth Companion during labour will be beneficial, as they would provide emotional support (99%), boost the confidence of the woman (98%), provide comfort measures like massage (95%), early initiation of breastfeeding (93%), reduce post-partum depression (91%), humanize labour (83%), reduce need for analgesia (70%) and increase spontaneous vaginal births (69%). Yet support for its introduction in their hospital was low (59%). Staff nurses had reservations (62%) with only 40% of those who believed Birth Companion to be beneficial approving of its introduction in their hospital. Over-crowding in labour room and privacy concerns for other women were identified as key barriers. Conclusion Even though most health care providers were aware of and convinced of multiple benefits of Birth Companion during labour, lack of adequate infrastructure in the labour room prevented them from supporting its introduction. Government should provide adequate funding to upgrade labour rooms in a way that provides privacy to the delivering women and frame guidelines and train Birth Companions to perform their role appropriately. Keywords: Birth Companion, Delivery, Respectful Maternity Care, Privacy, Health Care Providers, COVID-19

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

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