scholarly journals What is stopping primary health centers to go digital? Findings of a mixed-method study at a district level health system in Southern India

2021 ◽  
Vol 46 (1) ◽  
pp. 97
Author(s):  
Sibasis Hense ◽  
Ravi Barigela ◽  
PrakashBabu Kodali
Keyword(s):  
Health System ◽  
Mixed Method ◽  
District Level ◽  
Health Centers ◽  
Southern India ◽  
Mixed Method Study ◽  
Primary Health

scholarly journals A Mixed-Method Study of Practitionersʼ Perspectives on Issues Related to EHR Medication Reconciliation at a Health System

2019 ◽  
Vol 28 (2) ◽  
pp. 84-95 ◽  
Author(s):  
Pavani Rangachari ◽  
Kevin C. Dellsperger ◽  
David Fallaw ◽  
Ian Davis ◽  
Michael Sumner ◽  
...  
Keyword(s):  
Health System ◽  
Mixed Method ◽  
Medication Reconciliation ◽  
Mixed Method Study

scholarly journals Measuring Technical Efficiency of Health Centers in Greece: A Data Envelopment Analysis Application for the Primary Health System of Greece

2021 ◽  
Vol XXIV (Special Issue 1) ◽  
pp. 1333-1353
Author(s):  
Trakakis Anastasios ◽  
Nektarios Miltiadis ◽  
Tziaferi Styliani ◽  
Prezerakos Panagiotis
Keyword(s):  
Data Envelopment Analysis ◽  
Health System ◽  
Technical Efficiency ◽  
Health Centers ◽  
Data Envelopment ◽  
Primary Health ◽  
Analysis Application ◽  
Of Greece

scholarly journals Acceptability of contact management and care of simple cases of COVID-19 at home: a mixed-method study in Senegal

2021 ◽  
Author(s):  
Mouhamadou Faly Ba ◽  
Valéry Ridde ◽  
Amadou Ibra Diallo ◽  
Jean Augustin Diégane Tine ◽  
Babacar Kane ◽  
...  
Keyword(s):  
Health System ◽  
Mixed Method ◽  
National Level ◽  
Mixed Method Study ◽  
Quantitative Survey ◽  
Modes Of Transmission ◽  
Home Based ◽  
The Government ◽  
Home Based Care ◽  
At Home

ABSTRACTIntroductionIn mid-2020, due to the health system challenges from increased COVID-19 cases, the Ministry of Health and Social Action in Senegal opted for contact management and care of simple cases at home. The study’s objective was to determine the acceptability of contact management, home care of simple cases of COVID-19, and its associated factors.MethodThis was a sequential mixed-method study. We collected data from June 11, 2020, to July 10, 2020, for the quantitative survey (N=813) and from August 24 to September 16, 2020, for the qualitative survey (N=30). We carried out a sampling strategy using marginal quotas at the national level. We collected data using a structured questionnaire in a telephone interview for the quantitative survey and using an interview guide formulated from the quantitative survey’s initial results for the qualitative data. We assessed acceptability using binomial logistic regression combined with content analysis.ResultsThe care of simple cases of COVID-19 at home was well accepted (78.5%). This result was justified for some (saturation of the health system) but not for others (risk of contamination). The use of home contact management was less accepted (51.4%), with risk limitation as the main reason given. The acceptability of home-based care for simple cases was positively associated with knowledge of the modes of transmission of the virus (ORaj: 1.55 [95%CI: 1.04,2.28]), regular research into COVID-19 (ORaj: 2.12 [95%CI: 1.45,3.12]), belief in the existence of treatment (ORaj: 1.82 [95%CI: 1.19,2.83]), and confidence in institutional information (ORaj: 2.10 [95%CI: 1.43,3.10]). The acceptability of home-based contact management was positively associated with knowledge of the modes of transmission of the virus (ORaj: 1.77 [95%CI: 1.27,2.48]), regular research for information on COVID-19 (ORaj: 2.39 [95%CI: 1.76,3.26]), and confidence in the government in the fight against the epidemic (ORaj: 1.51 [95%CI: 1.10,2.08]).ConclusionRegular information on the disease, knowledge of its mode of transmission and trust in institutions are factors in accepting COVID-19 management at the community level. Authorities should take these factors into account for better communication to improve the acceptability of home-based care.

scholarly journals Career mobility of maternal care providers in Mali: a mixed method study on midwives and obstetric nurses

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Cheick Sidya Sidibé ◽  
Ousmane Touré ◽  
Laurence Codjia ◽  
Assa Sidibé Keïta ◽  
Jacqueline E. W. Broerse ◽  
...  
Keyword(s):  
Public Sector ◽  
Mixed Method ◽  
Rural Areas ◽  
Urban Areas ◽  
Qualitative Data ◽  
Career Mobility ◽  
Civil Servant ◽  
Health Centers ◽  
Mixed Method Study ◽  
Obstetric Nurses

Abstract Background An important strategy to reduce maternal and child mortality in Mali is to increase the number of deliveries assisted by qualified personnel in primary care facilities, especially in rural areas. However, placements and retention of healthcare professionals in rural areas are a major problem, not only in Mali but worldwide, and are a challenge to the health sector. The purpose of this study was to map the mobility of midwives and obstetric nurses during their work lives, in order to better understand their career paths and the role that working in rural areas plays. This article contributes to the understanding of career mobility as a determinant of the retention of rural health professionals. Methods A mixed method study was conducted on 2005, 2010, and 2015 cohorts of midwives and obstetric nurses. The cohorts have been defined by their year of graduation. Quantitative data were collected from 268 midwives and obstetric nurses through questionnaires. Qualitative data had been gathered through semi-structured interviews from 25 midwives and stakeholders. A content analysis was conducted for the qualitative data. Results Unemployment rate was high among the respondents: 39.4% for midwives and 59.4% for obstetric nurses. Most of these unemployed nurses and midwives are working, but unpaid. About 80% of the employed midwives were working in urban facilities compared to 64.52% for obstetric nurses. Midwives were employed in community health centers (CSCom) (43%), referral health centers (CSRef) (20%), and private clinics and non-governmental organizations (NGO) (15%). The majority of midwives and obstetric nurses were working in the public sector (75.35%) and as civil servants (65.5%). The employment status of midwives and obstetric nurses evolved from private to public sector, from rural to urban areas, and from volunteer/unpaid to civil servants through recruitment competitions. Qualitative data supported the finding that midwives and obstetric nurses prefer to work as civil servant and preferably in urban areas and CSRef. Conclusion The current mobility pattern of midwives and obstetric nurses that brings them from rural to urban areas and towards a civil servant status in CSRef shows that it is not likely to increase their numbers in the short term in places where qualified midwives are most needed.

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