Assessment of cold chain equipments and their management in government health facilities in a District of Delhi: A cross-sectional descriptive study

Objective: To identify the factors responsible for noncompliance of Anti Tuberculous Treatment in TB patients. StudyDesign: Cross Sectional Descriptive Study. Place & Duration: The study was Carried out at Chest diseases and Tuberculosis unit BahawalVictoria Hospital Bahawalpur from 15th May 2007 to 15th August 2007. Subject & Method: The tuberculous patients who abandoned antituberculoustreatment repeatedly were interviewed for determination of their reasons to be defaulter before completing therapy byquestionnaire method. The patients were AFB positive on every non-compliance episodes. Results: The total number of 100 noncompliantpatients were interviewed. It was noted that 63% were males and 37% were females among them. There were 72% married and 28%unmarried from total patients. The treatment source was asked and found that 92% used government health out let only and 8% used privateservices also from them. Conclusion: TB is curable disease so health education should be imparted through electronic media andcommitted field teams stressing to take regular and complete ATT according to the physician advice removing the social belief against TBdrugs. Decentralized government and private sector coordination is essential to give treatment at doorstep to reduce dropout and defaultertendency. Stigma of TB as a disease of the illiterate & poor still persists.

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Assessing vaccine cold chain storage quality: a cross-sectional study of health facilities in three African countries

The Lancet ◽

10.1016/s0140-6736(13)61279-9 ◽

2013 ◽

Vol 381 ◽

pp. S25 ◽

Cited By ~ 4

Author(s):

Roy Burstein ◽

Emily A Dansereau ◽

Ruben O Conner ◽

Brendan M DeCenso ◽

Kristen P Delwiche ◽

...

Keyword(s):

Cross Sectional Study ◽

Health Facilities ◽

Cold Chain ◽

Sectional Study ◽

Storage Quality ◽

African Countries ◽

Cross Sectional

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Knowledge of Family Planning and Access to Sexual and Reproductive Health Services by Immigrant Youth in Hillbrow, South Africa: A Cross-sectional Study.

10.21203/rs.3.rs-1200459/v1 ◽

2022 ◽

Author(s):

Nkechi C. Obisie-Nmehielle ◽

Ishmael Kalule-Sabiti ◽

Martin Palamuleni

Keyword(s):

Family Planning ◽

Sexual And Reproductive Health ◽

Universal Access ◽

Immigrant Youth ◽

Cross Sectional Study ◽

Health Facilities ◽

Sexually Active ◽

Sources Of Information ◽

Cross Sectional ◽

Government Health

Abstract Background: For countries to achieve the Sustainable Development Goals (SDGs) especially SDG3.7- universal access to Sexual and Reproductive Health (SRH) care services including information and education for family planning, immigrant youth must be ensured access to SRH services. This study examines the determinants of knowledge about family planning (KFP) and access to SRH services by sexually active immigrant youth in Hillbrow, South Africa.Methods: This cross-sectional study of 467 immigrant youth aged 18-34 years used a multistage-sampling technique. Data were collected using interviewer-administered questionnaires on socio-demographic, migration, KFP and access to SRH services from government health facilities. Unadjusted and adjusted logistic regression models were used to determine levels of KFP and access to SRH services among 437 sexually active youth. Results: The main sources of information on SRH issues were radio/television (38.7%) and friends (22.8%). Over half of the respondents have adequate KFP, while two out of five indicated a lack of access to SRH services from government health facilities. In the adjusted models, the determinants of having KFP were being a female (AOR= 3.85, CI: 2.33–6.35, belonging to the age groups 25–29 years (AOR=2.13, CI: 1.12–4.04; and 30–34 years (AOR=3.88, CI: 2.00–7.53); belonging to the middle and rich wealth index (AOR=1.84, CI: 1.05–3.20) and (AOR=2.61 (1.34–5.08) respectively. Not having received information about family planning (AOR=0.16, CI=0.09–0.28) and not using a contraceptive at the time of the survey (AOR=0.36, CI: 0.18–0.70) were associated with reduced odds of KFP. The determinants of having access to government health facility for SRH services were being a female (AOR=2.95, CI: 1.87–4.65), being 30–34 years of age (AOR=1.91, CI: 1.08–3.39), and not having received information about family planning (AOR=0.44, CI=0.27–0.73). Conclusion: Majority of the survey respondents lack access to information about family and SRH services provided by government health facilities, which resulted in them depending on unreliable sources of information about SRH issues. There is a need to advocate for universal access to SRH services, inclusive of immigrant youth in South Africa, to curb negative SRH outcomes and to achieve SDG 3.7.

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Care Seeking Pattern, Knowledge and Response of Caregivers to Childhood Diarrhoea in a Sub-urban Community in Lagos, Nigeria

Journal of Basic and Social Pharmacy Research ◽

10.52968/27457987 ◽

2019 ◽

Vol 1 (1) ◽

pp. 1-11

Author(s):

P.U. Ogbo ◽

◽

R.O. Soremekun ◽

B.A. Aina ◽

◽

...

Keyword(s):

Urban Community ◽

Child Survival ◽

Educational Status ◽

Health Facilities ◽

Care Seeking ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Government Health ◽

Number Of Children ◽

Response Method

Background: Diarrhoea remains one of the leading causes of morbidity and mortality among children under 5 years old in spite of availability of effective treatment. Families and communities have been identified as key stakeholders to the improvement of child survival in diarrhoea. Objective: This study was set to determine caregivers’ knowledge and response to diarrhoea within the first 24 hours, evaluate their care-seeking pattern and identify determinants of response. Method: A descriptive cross-sectional survey of 1,236 caregivers of children under five years was carried out in a sub-urban community in Lagos. Pretested, structured questionnaire was administered to caregivers whose children had experienced diarrhoea within one month of survey. Data were analyzed using descriptive and inferential statistics with Statistical Package for the Social Sciences (SPSS) Version 23.0. Results: The mean age of caregivers was 30.2 years ±5.305 with 1,201 (97.2%) being biological mothers of the children. Majority, 848 (68.6%) correctly recognized diarrhoea as passage of three or more watery stools within a 24-hour period. Knowledge of correct cause of diarrhoea was poor (332; 26.8%) and 797 (64.5%) perceived diarrhoea as a serious condition. While 48.9% opted for home treatment, 35.3% offered no care to the child. Only 119 (9.9%) respondents sort care in government health facilities. Conclusion: Majority of caregivers kept the child at home either treating them or not rendering care. Care seeking at government health facilities was low. Age category of child, educational status of caregiver, number of children being cared for by caregiver and overall knowledge of diarrhoea were significantly associated with response within the first 24 hours.

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Prevalence and causes of visual impairment and blindness among adults with diabetes mellitus aged 40 years and older receiving treatment at government health facilities in the Mopani District, South Africa

African Vision and Eye Health ◽

10.4102/aveh.v73i1.2 ◽

2014 ◽

Vol 73 (1) ◽

Author(s):

R.G. Mabaso ◽

O.A. Oduntan

Keyword(s):

Diabetes Mellitus ◽

South Africa ◽

Visual Impairment ◽

Economic Status ◽

Health Care Facilities ◽

Health Facilities ◽

Cross Sectional ◽

Government Health ◽

The Government ◽

The Right

This article presents part of the findings of a study conducted to assess the prevalence and causes of visual impairment (VI) and blindness among adults with diabetes mellitus (DM) receiving treatment at the government health facilities in the Mopani District, South Africa. This health facility-based cross-sectional study was conducted among 225 Black South African diabetics (161 females and 64 males) aged 40-90 years (mean= 61.50 ± 10.49) years at seven different health care facilities. All the participants were examined for VI using an auto-refractor, pinhole disc, an ophthalmoscope, and a logMAR chart. Visual impairment was defined as visual acuity (VA) of worse than 6/9.5 but better and equal to 3/60, and blindness as VA of worse than 3/60 to no light perception. The prevalence of uncompensated VI and blindness in the right eyes was 70.6 and 3.6%, respectively. In the left eyes, the prevalence was 72 and 3.1% for VI and blindness respectively. The prevalence of blindness remained the same after optical compensation. The leading causes of uncompensated VI and blindness in both eyes were uncorrected refractive error (RE) (49.5%), cataract (24.7%), diabetic retinopathy (3.8%) and glaucoma (2.2%). Following optical compensation, the prevalence of compensated VI and blindness in the right eyes was 41.3 and 3.6%, respectively and in the left eyes, the prevalence was 42.2 and 3.1%, respectively. Uncompensated RE and cataract were the common causes of VI and blindness in this sample. The socio-economic status of this population might have contributed to these findings. These results indicate the need for affordable vision examination and spectacles provision as well as cataract surgery services in this population.

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Evaluation of Cold Chain Management Performance for Temperature-Sensitive Pharmaceuticals at Public Health Facilities Supplied by the Jimma Pharmaceuticals Supply Agency Hub, Southwest Ethiopia: Pharmaceuticals Logistic Management Perspective Using a Multicentered, Mixed-Method Approach

Advances in Pharmacological and Pharmaceutical Sciences ◽

10.1155/2021/5167858 ◽

2021 ◽

Vol 2021 ◽

pp. 1-13

Author(s):

Diriba Feyisa ◽

Awol Jemal ◽

Temesgen Aferu ◽

Fikadu Ejeta ◽

Alem Endeshaw

Keyword(s):

Public Health ◽

Assessment Tool ◽

Health Facilities ◽

Cold Chain ◽

Temperature Sensitive ◽

Management Performance ◽

Cross Sectional ◽

Southwest Ethiopia ◽

Chain Management ◽

Public Health Facilities

Background. Effective and efficient cold chain management maximizes utilization of healthcare resources, reduces cold chain products wastage, and improves the quality of health services. It eventually guarantees that clients receive cold chain products they need at service delivery points. The objective of this study was to evaluate cold chain management performance for temperature-sensitive medicines at public health facilities in Southwest Ethiopia supplied by the Jimma Pharmaceuticals Fund and Supply Agency hub. Method and Materials. The study used an institution-based cross-sectional study design. Forty-seven (47) public health facilities in Southwest Ethiopia were evaluated using checklists adopted from the Logistic Indicators Assessment Tool, Vaccine Management Assessment Tool, and Logistic System Assessment Tool. Results. The study revealed that the mean availability of essential cold chain products was 72.1 ± 14.8% while the average stock-out rate was 26.2 ± 8.6%. The median stock-out duration was 23 ± 21 days for all visited public health facilities. Two hundred and sixty-three (43.06 ± 15.3%) of the public health facilities’ stock records were found accurate, and the wastage rate due to expiration was 9.2 ± 7.8% for all visited health facilities. Thirty public health facilities (63.8 ± 36.2%) had acceptable storage conditions. Conclusions and Recommendations. Supply chain performance at the study facilities was not adequate overall, and focused efforts need to be directed at managing the availability of critical cold chain medicines. Some cold chain management challenges demand the attention of the top management, while the rest can be addressed by operational management at the facilities through provision of appropriate training and supervision of the cold chain pharmaceutical handlers.

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Utilization of Health Facilities by Pregnant Women at Pekauman Community Health Center, Banjarmasin, Indonesia

Tropical Health and Medical Research ◽

10.35916/thmr.v0i0.33 ◽

2021 ◽

Author(s):

Vonny Khresna Dewi ◽

Rita Kirana ◽

Muhammad Mukhtar

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Community Health ◽

Self Efficacy ◽

Social Groups ◽

Health Facilities ◽

Cross Sectional ◽

Government Health ◽

The Relationship ◽

Antenatal Services

The purpose of this study is to analyze the relationship between the use of government health facilities with predisposing factors (preference and self-efficacy) and reinforcing factors (support) in pregnant women. This survey research with a cross-sectional study design was conducted in the Pekauman Community Health Center's working area in Banjarmasin, Indonesia, with 125 respondents who had babies aged ? six months who lived in the Pekauman Community Health Center's working area who visited the integrated service post in August 2017. The analysis was performed using the Chi-Square test. The results of the study 89 respondents (71.2%) made use of antenatal care facilities; 92 respondents (73.6%) chose health facilities; 88 respondents (70, 4%) have high self-efficacy; 78 respondents (62.4%) received support (family, friends, social groups). This research concludes that there is a relationship between the preferences of pregnant women (p= 0.025) with the use of antenatal services in government health facilities; There was no relationship between self-efficacy (p= 0.096); there is no relationship between family support, friends, social groups (p= 0.227) with the use of antenatal care for pregnant women in government health facilities. It is suggested to conduct further research on the relationship between antenatal services for pregnant women in government health facilities with the completeness of health facilities and the level of respondent satisfaction.

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Knowledge, attitude and practice of vaccinators and vaccine handlers on vaccine cold chain management in public health facilities, Ethiopia: Cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0247459 ◽

2021 ◽

Vol 16 (2) ◽

pp. e0247459

Author(s):

Solomon Ahmed Mohammed ◽

Birhanu Demeke Workneh ◽

Mesfin Haile kahissay

Keyword(s):

Public Health ◽

Good Practice ◽

Cross Sectional Study ◽

Health Facilities ◽

Cold Chain ◽

Cross Sectional ◽

Chain Management ◽

Public Health Facilities ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

Background Effective management of the vaccine cold chain system at all levels is one of the crucial factors for maintaining vaccine potency. Vaccines require more complex handling and storage requirements due to increased temperature sensitivity and complicated immunization schedules. This urges adequate knowledge, attitude, and practice. This study assessed the knowledge, attitude, and practice of vaccinators and vaccine handlers’ in public health facilities. Methodology An institutional-based cross-sectional study design was used to assess the knowledge, attitude, and practice of 127 vaccinators and vaccine handlers in public health facilities of Oromia Special Zone, from September 1 to 30, 2019. Data were collected using self-administered questionnaires and a structured observation checklist. Descriptive and inferential statistics were made using the statistical package for social sciences version 20. Variables with a p-value <0.05 were taken as statistically significant. Result The response rate was (96.94%). Sixty-eight (53.5%; 95% CI: 46.5%, 61.4%), 58 (45.7%; 95% CI: 37.8%, 53.5%) and 62 (48.8%: 95% CI; 41.7%, 56.7%) vaccinators and vaccine handlers had satisfactory knowledge, positive attitude and good practice respectively. Receiving training on cold chain management had a statistically significant association with the level of knowledge on cold chain management (AOR = 3.04, 95% CI: 1.04–8.88). Conclusions More than half of vaccinators and vaccine handlers had satisfactory knowledge, while below half of vaccinators and vaccine handlers had a positive attitude and good practice. The determinants of knowledge in cold chain management were receiving training on cold chain management. Providing regular technical support and on the job training on vaccine cold chain management will improve the knowledge, attitude, and practice of vaccinators and vaccine handlers.

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Assessment of Strengths and Weaknesses of Inactivated Polio Vaccine Practices in Qasimabad, Pakistan

10.25259/gjmpbu_19_2021 ◽

2021 ◽

Vol 16 ◽

pp. 10

Author(s):

Imdad Ali Channa ◽

Khalida Naz Memon ◽

Nimra Zaman

Keyword(s):

Descriptive Analysis ◽

Health Facilities ◽

Cold Chain ◽

Survey Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Missed Opportunities ◽

Inactivated Polio Vaccine ◽

Polio Vaccine ◽

Service Training

Objectives: The objectives of the study were to assess the strengths and weaknesses of inactivated polio vaccine (IPV) practices in Qasimabad, Pakistan. Material and Methods: This cross-sectional survey study was conducted in Hyderabad, Sindh, from June 22, 2017, to September 22, 2017. It included seven expanded programs on immunization (EPI) centers in Taluka Qasimabad, as well as outreach settings. Data were collected through convenience sampling with the help of an EPI Monitoring Checklist and a pre-designed questionnaire. Statistical Package for the Social Sciences version 23.0 was used for the descriptive analysis. Results: Six of the seven health facilities were found to be screening for missed opportunities. During power outages or load shedding, the majority of EPI centers (85.7%) had a backup plan in place. However, the major shortcoming was the failure to obtain parental consent before vaccination by vaccinators at all 7 (100%) EPI centers. At 5 (71.9%) of the centers, outreach activities to vaccinate children were organized, and IPV was only given to infants at 1 (19.2%) of the sessions. The vaccinator opened the vial before using it, and the used IPV vial was not discarded at the end of the outreach session. Because one center’s vaccinator was female (19.2%), and another center’s vaccinator was single (19.2%), no outreach activity was planned at those two locations. Conclusion: This research highlights the benefits and drawbacks of the current EPI program for the IPV vaccine. The presence of EPI centers at all health facilities, as well as the availability of IPV and cold chain equipment, as well as permanent and fully-trained employees, are some of the most important strengths. Lack of pre-service training and adverse events following immunization vaccine training were identified as weaknesses. There are a lack of IPV refresher training, as well as improper arrangements for outreach vaccination sessions, and a lack of transportation for vaccinators.

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