How does the public perceive healthcare workers in Lagos? A comparison of health workers in public and private health facilities

2018 ◽  
Vol 25 (3) ◽  
pp. 177 ◽  
Author(s):  
ModupeRebekah Akinyinka ◽  
OlumuyiwaOmotola Odusanya ◽  
EstherOluwakemi Oluwole ◽  
BabatundeAdeniran Odugbemi ◽  
OmowunmiQubrat Bakare ◽  
...  
Author(s):  
Syed Sharaf Ali Shah ◽  
Safdar Pasha ◽  
Nikhat Iftikar ◽  
Altaf Ahmed Soomro ◽  
Nazia Farrukh ◽  
...  

Objective: To assess the magnitude of the problem of injection safety in public and private health facilities in two districts of Sindh and Punjab provinces of Pakistan. Methods: A cross-sectional observational study was conducted between October and December 2020 among public and private health facilities of two districts of Pakistan: Gujarat in Punjab and Larkana in Sindh provinces. A convenient sample size of 60 healthcare facilities (30 from each district) was taken due to time and resource constraint. Six data collection tools were used which included structured observations and interviews with injection prescribers and providers based on WHO Revised Tool C, which were finalised after piloting. Results: Reuse of injection equipment was not observed in any of the 60 health facilities. In exit interviews of 120 patients, it was found that 27 (22.5%) patients reported receiving an injection, while 11 (9.2%) were prescribed intravenous (IV) drips. More injections and drips were prescribed in the private sector (n=15; 25.0%) in comparison with the public sector (n=12; 20.0%). Slightly higher proportion of IV drips were prescribed by the private providers when compared to public sector healthcare providers: 6 (10.0%) vs 5 (8.3%) respectively. Most of the prescribers (n=58; 96.7%) reported that patients who attended public and private health facilities demanded injectable medicines. Used syringes and drips were noted to be visible in open containers and buckets for final disposal in 20 (33.3%) assessed health facilities. Continuou...


2018 ◽  
Author(s):  

At the request of the Ghana Health Service (GHS), the Evidence Project, through the Population Council and with funding from USAID/Ghana, is studying the feasibility and acceptability of Sayana® Press self-injection, and by extension, informing its introduction in Ghana. The primary objectives of the seven-month study are to assess the feasibility of introducing Sayana® Press self-injection and its acceptability among both health workers and injectable clients. Results from the study are expected to inform the national strategy, including procurement and scale-up of Sayana® Press in the public and private sectors. | The Ghana Health Service has a strong commitment to task shifting to accelerate access to modern contraceptive methods. GHS’s commitment to engaging all relevant stakeholders in the public, private and NGOs sectors in the study process provides an excellent model for maximizing research utilization.


2020 ◽  
Author(s):  
Ndubuisi . Akpuh ◽  
Ajayi Ikeoluwapo ◽  
Adebowale Ayo ◽  
Idris H Suleiman ◽  
Patrick Nguku ◽  
...  

Abstract Background Rivers State is among the states with high HIV prevalence in Nigeria. Occupational exposure to HIV through blood or body fluids of HIV/AIDS patients is a recognised risk factor of HIV infections among healthcare workers. We identified the determinants of occupational exposures to HIV among healthcare workers in Prevention of Maternal to Child Transmission (PMTCT) sites within Port Harcourt metropolis in Rivers State. Methods A descriptive cross-sectional study was conducted and multi-stage sampling technique was used to select 341 healthcare providers from 22 public and 22 private health facilities in PMTCT sites in Port Harcourt metropolis. The data collected were analysed using descriptive statistics, Chi-square and logistic regression models (p-value = 0.05). Results Respondents’ mean age was 35.9±SD8.4 years, 270 (80.1%) and 171(50.7%) were females, and from public health facilities respectively. Prevalence of occupational exposure of healthcare workers to HIV in the past 12 months was 153 (45.0%), and 96 (63.3%) experienced such exposure more than once. Contacts with potentially infectious body fluid accounted for the largest proportion 51 (33.3%); followed by needle stick prick 49 (32.6%). About 189 (56.1%) had safety information at their disposal and this serves as a reminder on safety precautions. The likelihood of occupational exposure was significantly higher among doctors (AOR=2.22, 95% C.I=1.16-4.25,) but lower among environmental health workers (AOR=0.10, 95% C.I=0.02-0.46,) than nurses/midwives when other factors were included in the model. Conclusion Occupational exposure to blood and body fluids remains a frequent occurrence among healthcare workers; highest among doctors in PMTCT sites in the study area. Provision of protective safety materials, training and enforcement of adherence to universal precaution strategies are highly recommended.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maxwell Tii Kumbeni ◽  
Paschal Awingura Apanga ◽  
Mary-Ann Wepiamo Chanase ◽  
John Ndebugri Alem ◽  
Nana Mireku-Gyimah

Abstract Background Early essential newborn care is one of the important interventions developed by the World Health Organization to reduce morbidities and mortalities in neonates. This study investigated the role of the public and private sector health facilities on factors associated with early essential newborn care practices following institutional delivery in Ghana. Methods We used data from the 2017/2018 multiple indicator cluster survey for our analysis. A total of 2749 mothers aged 15–49 years were included in the study. Logistic regression analysis was used to assess the factors associated with early essential newborn care in both public and private health sectors. Results The prevalence of good early essential newborn care in the public sector health facilities was 26.4 % (95 % CI: 23.55, 29.30) whiles that of the private sector health facilities was 19.9 % (95 % CI: 13.55, 26.30). Mothers who had a Caesarean section in the public sector health facilities had 67 % lower odds of early essential newborn care compared to mothers who had a vaginal delivery [adjusted prevalence odds ratios (aPOR) = 0.33, 95 % CI: 0.20, 0.53]. Mothers without a health insurance in the public sector health facilities had 26 % lower odds of early essential newborn care compared to mothers with a health insurance (aPOR = 0.74, 95 % CI: 0.56, 0.97). However, these associations were not observed in the private sector health facilities. Conclusions The findings suggest that the prevalence of good early essential newborn care in the public sector health facilities was higher than that reported in the private sector health facilities. Child health programs on early essential newborn care needs to be prioritized in the private healthcare sector. The Government of Ghana may also need to increase the coverage of the national health insurance scheme for women in reproductive age.


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Salwa Attia Mohamed

Organization justice refers to the extent to which employees perceive workplace procedure, interactions, and outcomes to be fair in nature. So, this study aimed to investigate the relationship between organizational justice and quality performance among health care workers. The study was conducted at the Public Hospital in Fayoum, Egypt. The study included a convenience sample of 100 healthcare workers (60 nurses and 40 physicians) that were recruited. Tools used for data collection included (1) questionnaire sheet which is used to measure health workers’ perception of organizational justices. It includes four types: distributive, procedural, interpersonal, and informational justice. (2) Quality performance questionnaire sheet: this tool was used to examine health workers’ perception regarding their quality performance. It contained three types: information, value, and skill. The results revealed that a positive correlation was found between organizational justice components and quality performance among the various categories of health workers’ perception(P≤0.05). It has been recommended to replicate the study on a larger probability sample from different hospital settings to achieve more generalizable results and reinforce justice during organization of ministry centers in Egypt.


Author(s):  
Jeff Clyde G Corpuz

Abstract During the current COVID-19 pandemic, several forms of stigma and discrimination have been reported worldwide mainly from toward Asian descent, those with international travel history, and frontline health workers. In response to the situation of stigmatization and discrimination against frontline healthcare workers, the author proposes several ways on how the public and the Philippine government might create safety guidelines by revisiting the international and local laws. Thus, there is an urgent need to end the stigma, discrimination and other forms of inhumane treatment against our frontline health workers. They are not the virus.


Author(s):  
Pamela Mwansa ◽  
Ebenezer Obi Daniel ◽  
Ubong Akpan ◽  
Hope Mwansa

Preeclampsia (PE) is the leading cause of maternal and perinatal morbidity/mortality. A study in Lusaka estimated Preeclampsia/Eclampsia prevalence at 18.9%. The aim of the study was to assess knowledge and readiness for the diagnosis and management of Preeclampsia among healthcare workers from selected healthcare facilities in Lusaka, Zambia. An observational cross-sectional study was used to assess healthcare workers knowledge and adherence to diagnosis and management of PE in the selected facilities. Semi-structured interviewer administered questionnaires and an observational checklist were used amongst the respondents. Health facility data was available from a total of 5 public health facilities (PHCs), 1 higher public and 4 Level one facilities. Of all the 41 interviewed health personnel, all (100%) agreed they checked for blood pressure in assessment for preeclampsia. The lowest responses, 1(7%) and 1(4.8) between specialists and nurses was recorded in assessment of consciousness as most did not respond to it. staff nurses had poorer knowledge related to management of preeclampsia and most of the differences were statistically highly significant (p < 0.001). in terms of readiness for PE diagnosis and management, drugs and supplies were found to be good in all health facilities with more than 70% except Chipata clinic (57%) which indicated readiness to be poor. The facility audits revealed gaps in the availability of certain key equipment, drugs and supplies as well as lack of proper infrastructure especially at Chipata clinic. The study revealed that knowledge gaps exist among health workers especially the nurses in the initial assessment for preeclampsia such as checking for consciousness by health personnel. Most drugs were readily available but some equipment and infrastructure were lacking in the facilities. In terms of PE/E management, the correct dosage of magnesium sulphate and maintenance dosage were administered.


2020 ◽  
Author(s):  
Ndubuisi . Akpuh ◽  
Ajayi Ikeoluwapo ◽  
Adebowale Ayo ◽  
Idris H Suleiman ◽  
Patrick Nguku ◽  
...  

Abstract Background Rivers State is among the states with high HIV prevalence in Nigeria. Occupational exposure to HIV through blood or body fluids of HIV/AIDS patients is a recognised risk factor of HIV infections among healthcare workers. We identified the determinants of occupational exposures to HIV among healthcare workers in Prevention of Maternal to Child Transmission (PMTCT) sites within Port Harcourt metropolis in Rivers State. Methods A descriptive cross-sectional study was conducted and multi-stage sampling technique was used to select 341 healthcare providers from 22 public and 22 private health facilities in PMTCT sites in Port Harcourt metropolis. The data collected were analysed using descriptive statistics, Chi-square and logistic regression models ( p-value = 0.05 ). Results Respondents’ mean age was 35.9±SD8.4 years, 270 (80.1%) and 171(50.7%) were females, and from public health facilities respectively. Prevalence of occupational exposure of healthcare workers to HIV in the past 12 months was 153 (45.0%), and 96 (63.3%) experienced such exposure more than once. Contacts with potentially infectious body fluid accounted for the largest proportion 51 (33.3%); followed by needle stick prick 49 (32.6%). About 189 (56.1%) had safety information at their disposal and this serves as a reminder on safety precautions. The likelihood of occupational exposure was significantly higher among doctors (AOR=2.22, 95% C.I=1.16-4.25,) but lower among environmental health workers (AOR=0.10, 95% C.I=0.02-0.46,) than nurses/midwives when other factors were included in the model. Conclusion Occupational exposure to blood and body fluids remains a frequent occurrence among healthcare workers; highest among doctors in PMTCT sites in the study area. Provision of protective safety materials, training and enforcement of adherence to universal precaution strategies are highly recommended.


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