Preventing attacks on health facilities and health professionals by terrorist groups or conflicting parties: An urgent need

Author(s):  
SaurabhRamBihariLal Shrivastava ◽  
PrateekSaurabh Shrivastava ◽  
Jegadeesh Ramasamy
2021 ◽  
Author(s):  
Dereje Alemayehu ◽  
Shimeles Ololo ◽  
Yibeltal Siraneh

Abstract Background: Organizational commitment is the relative strength of an individual’s identification with and involvement in a particular organization. It is an important predictor of absenteeism, turnover, organizational performance and success. Even though organizational commitment has a paramount importance for health care organizations, very few studies were done so far in Ethiopia particularly among health professionals. Therefore, the aim of this study was to measure level of organizational commitment and associated factors among health professionals working in public health facilities of Bench Sheko zone southwest Ethiopia. Methods: Facility based cross-sectional study was conducted in 14 Public health facilities found in randomly selected districts of Bench Sheko zone. Structured self-administered questioner was used to collect data from a total of 610 Health professionals from 10th of March – 30th of April. Data were entered into Epi-data manager Version 3.1 and exported to SPSS version 24 for further analysis. Factor analysis was done to create factor scores. Simple and multiple linear regression were done. Variables with p- value ≤ 0.25 in simple linear regression were candidate for multiple linear regression. Independent sample t-test and one-way ANOVA were done. Statistical significance was declared at p-value ≤ 0.05. Results: The response rate of the study was 96.8%. The percentages mean score of organizational commitment of health professionals’ was 74.6%. Perceived recognition of employees (B 0.806 [95% CI: 0.711 - 1.00, p=0.000], perceived conducive work climate (B: 0.421 [95%CI: .322 - 0.520], perceived transformational leadership style (B 0.749 [95%CI: .604 - .894, p=0.000], perceived transactional leadership styles (B: 0.294 [95%CI: .198 - .390 p=0.000] and not having managerial position(B:-.293 [95%CI:-.559 -0.028] were predictors of organizational commitment. Conclusion: Overall level of organization commitment of health professionals’ was higher than what is reported in many other studies. Organizational commitment was affected by job satisfaction, leadership styles and managerial position of health professionals. Hence, policy makers and human resource managers need to pay special attention to intervene on these factors.


2018 ◽  
pp. 286-302
Author(s):  
Sangeeta Rege ◽  
Padma Bhate-Deosthali

Women often approach health facilities to seek treatment for health consequences emerging out of violence. Health facilities are also mandated by several laws in India to play a therapeutic and forensic role in responding to women facing violence. Despite India being a signatory to international treaties, health professionals are unable to respond to violence owing to their own biases and misconceptions related to the issue. The chapter discusses the prevalence of violence against women, the resultant health consequences, and perceptions of health professionals towards this violence. While doing so the chapter raises concerns about the lack of institutionalised health care response and draws attention to the policy gaps that keeps the government from committing itself to ending all forms of violence against women.


2016 ◽  
Vol 4 (1) ◽  
pp. 46
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo

This article describe the process followed by the researcher in the development of the conceptual framework for a quality improvement training programme for health professionals in the Ministry of Health and Social Services in Namibia. The conceptual framework of this study was based on the Practice Orientated Theory of Dickoff (1968) that assisted with explaining the concepts used in developing the quality improvement training programme for health professionals at the health facilities. Dickoff’ s (1968) practice orientated theory consists of the agent, recipients, context, procedure, dynamics, and the terminus. In this study, the agent was a quality specialist, the recipients were health professionals, the context was the health facilities, the dynamics were challenges that health professionals were experiencing; the procedure was the training programme, while the terminus was knowledgeable and skillful health professionals in quality health care delivery.


2021 ◽  
Author(s):  
Samuel Mekuria ◽  
Hassen Abdi Adem ◽  
Behailu Hawulte Ayele ◽  
Ibsa Musa ◽  
Daniel Berhanie

Abstract Background: Using reliable evidence from routine health information over time is an important aid to improve the health outcome, tackling disparities, enhancing efficiency, and encouraging innovation. In Ethiopia, the utilization of routine health data for improving the performance and quality of care was not well-studied in primary and secondary health facilities. This study assessed the level of routine health information utilization and associated factors among health professionals in public health facilities of Dire Dawa, eastern Ethiopia.Method: An institution-based cross-sectional study was conducted among 378 randomly selected health professionals from June 10 to July 20, 2020. A self-administered pretested structured questionnaire was used to collect data from participants. Data were entered using EpiData version 3.1 and analyzed using Stata version 16.0. Descriptive statistics were used to characterize the participants and binary logistic regression analysis was conducted to identify factors associated with the utilization of routine health information. Adjusted Odds Ratio (AOR) with 95% confidence interval was used to report association and significance was declared at P-value<0.05.Results: Good utilization of routine health information among health professionals was 57.7% (95% CI: 52.6%, 62.6%). Good organizational support (AOR=3.91, 95% CI: 2.01, 7.61), the low perceived complexity of the reporting formats (AOR=2.20, 95% CI: 1.23, 3.97), good self-efficacy (AOR=2.52, 95% CI: 1.25, 5.10), and good decision making autonomy (AOR=3.97, 95% CI: 2.12, 7.43) were important factors associated with good utilization of routine health information.Conclusion: Good utilization of routine health information among health professionals was low. Lack of self-confidence and empowerment of health professionals, the complexity of routine health information system format, and poor organizational support were significantly reducing the level of routine health information utilization. Therefore, improving the self-efficacy and decision-making capacity of health professionals through comprehensive training, empowerment and organizational support would be essential to increase the level of routine health information utilization.


2020 ◽  
Author(s):  
Amare Kassie ◽  
Adamu Jemere ◽  
Atsede Shiferaw

BACKGROUND Background: The improved telecommunication infrastructure and reduced device costs in developing countries, including in Ethiopia increases the mobile phone penetration significantly. Nowadays, digitization of information to improve the access, quality and equity of health services becomes increasing important. However, resistance to use mobile technology for improving the health service among health professionals remains the problem in the health care system. OBJECTIVE Objective: This study aimed to determine the attitude and willingness to use mobile health technology and its associated factors among health professional in Dessie town public health facilities northeast, Ethiopia. METHODS Methods: A facility based cross-sectional study was conducted from March to April, 2016 in Dassie town of public health facilities, Northeast Ethiopia. A total of 422 health professionals who were working at public health facilities were selected using the proportionate probability sampling technique. Data collected using a standard structured and self-administered questionnaire, and an observational checklist were cleaned, coded, and entered into Epi-info version 7.2.1, and transferred into SPSS version 20 for further statistical analysis. Variables with a p-value of less than 0.05 at the multiple logistic regression analysis were considered as statistically significant. RESULTS Result: In this study, attitude and willingness to use mHealth among health professionals were found to be76.5% and 80.1%, respectively. In multivariable logistic regression analysis, health professionals’ age ranged from 20-29 years [AOR= 2.50, 95% CI: 1.22, 5.12], being male [AOR = 2.73, 95% CI: 1.46, 5.09], had access to internet [AOR=3. 51, 95% CI: 1.55, 7.96], and prior use of mobile phone for expected date of delivery (EDD) and for pulse rate monitoring were significantly associated with the attitude to use mHealth. While, willingness to use the technology was significantly associated with access to the internet [AOR=3. 92, 95% CI: 1.67, 9.16], prior mobile phone use of for diagnosis [AOR= 2.84, 95%CI: 1.35, 5.95], EDD calculation [AOR =2. 72, 95% CI: 1.23, 6.03] and pulse rate monitoring [AOR=2. 68, 95% CI: 1.28, 5.59]. CONCLUSIONS Conclusions: Health professional’s attitude and willingness to use mHealth were low when compared to previous studies. Access to internet, previous use of mobile phone for health services such as for pulse rate monitoring and for calculating date of delivery, younger age (20-29 years) and being male were among the reported significant variables. Therefore, motivating health professional to use the mobile phone to improve health services and working to access free internet at the health facilities are highly recommended.


2021 ◽  
pp. 58-85
Author(s):  
Neve Gordon

Based on ninety-nine interviews carried out with health professionals, this chapter briefly describes how the Syrian government transformed medical units into strategic targets. It then turns to discuss the legal advocacy strategy used by human rights and humanitarian organizations, claiming that while the law provides medical units with a series of protections, it also introduces crucial exceptions, setting out conditions under which warring parties can legally unleash violence against health facilities and staff. Even as accountability for the violation of international humanitarian law has been the primary rallying cry for NGOs seeking justice in Syria, the chapter argues that invoking the law to seek relief from violence is not necessarily the best strategy since the law itself sows doubt on the validity and solidity of the moral injunction to protect medical units.


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