scholarly journals Health care workers experiences in emergency obstetric care following implementation of an in-service training program: case of 2 Referral Hospitals in Botswana

2021 ◽  
Vol 21 (1) ◽  
pp. 51-58
Author(s):  
Ludo Nkhwalume ◽  
Yohana Mashalla
Keyword(s):  
Health Care ◽  
Maternal Mortality ◽  
Health Care Workers ◽  
Community Involvement ◽  
Negative Attitude ◽  
Emergency Obstetric Care ◽  
Theory Approach ◽  
Care Workers ◽  
Referral Hospitals ◽  
Service Training

Background: Maternal mortality rate remains a challenge in many developing countries. Objectives: This study explored experiences of Health Care Workers on Emergency Obstetrics Care (EMOC) in-service training and its effect on maternal mortality. Methods: Descriptive qualitative study design was conducted using in-depth interviews and focus group discussions. Par- ticipants were EMOC trained midwives and doctors purposively selected from the 2 referral hospitals in the country. Data were transcribed verbatim, coded, and analysed using Grounded Theory approach. Results: Four themes emerged including training, EMOC implementation, maternal death factors and EMOC prioritisation. The duration of training was viewed inadequate but responsiveness to and confidence in managing obstetric emergencies improved post EMOC training. Staff shortage, HCWs non-adherence and negative attitude to EMOC guidelines; delays in instituting interventions, inadequate community involvement, minimal or no health talk to women and their partners and communities on sexual reproductive matters and non-prioritisation of EMOC by authorities were concerns raised. Conclusion: Strengthening health education at health facility levels, stakeholders’ involvement; and prioritising EMOC in-service training are necessary in reducing the national maternal mortality. Keywords: Maternal mortality; health care workers; EMOC, in-service training.

scholarly journals Health care workers experiences in emergency obstetric care following implementation of an in-service training program: case of 2 Referral Hospitals in Botswana

2021 ◽  
Vol 21 ◽  
pp. 51-58
Author(s):  
Ludo Nkhwalume ◽  
Yohana Mashalla
Keyword(s):  
Health Care ◽  
Maternal Mortality ◽  
Health Care Workers ◽  
Community Involvement ◽  
Negative Attitude ◽  
Emergency Obstetric Care ◽  
Theory Approach ◽  
Care Workers ◽  
Referral Hospitals ◽  
Service Training

Background: Maternal mortality rate remains a challenge in many developing countries. Objectives: This study explored experiences of Health Care Workers on Emergency Obstetrics Care (EMOC) in-service training and its effect on maternal mortality. Methods: Descriptive qualitative study design was conducted using in-depth interviews and focus group discussions. Par- ticipants were EMOC trained midwives and doctors purposively selected from the 2 referral hospitals in the country. Data were transcribed verbatim, coded, and analysed using Grounded Theory approach. Results: Four themes emerged including training, EMOC implementation, maternal death factors and EMOC prioritisation. The duration of training was viewed inadequate but responsiveness to and confidence in managing obstetric emergencies improved post EMOC training. Staff shortage, HCWs non-adherence and negative attitude to EMOC guidelines; delays in instituting interventions, inadequate community involvement, minimal or no health talk to women and their partners and communities on sexual reproductive matters and non-prioritisation of EMOC by authorities were concerns raised. Conclusion: Strengthening health education at health facility levels, stakeholders’ involvement; and prioritising EMOC in-service training are necessary in reducing the national maternal mortality. Keywords: Maternal mortality; health care workers; EMOC, in-service training.

scholarly journals Perceptions of health workers on the referral of women with obstetric complications: a qualitative study in rural Sierra Leone

2020 ◽  
Author(s):  
R. Proos ◽  
H. Mathéron ◽  
J. Vas Nunes ◽  
A. Falama ◽  
P. Serry-Kamal ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Maternal Mortality ◽  
Sierra Leone ◽  
Health Care Workers ◽  
Health Workers ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Obstetric Complications ◽  
Care Workers

Abstract BackgroundSierra Leone has one of the highest maternal mortality ratios in the world. Timely and well-coordinated referrals are necessary to reduce delays in providing adequate care for women with obstetric complications. This study describes the perspectives of health workers in rural facilities in Sierra Leone concerning the referral of women with obstetric complications.MethodsWe conducted semi-structured group interviews with health care workers in nine peripheral health units in rural Sierra Leone regarding the referral of women with obstetric complications. Themes discussed were based on an interview guide. The data was analysed by systematic text condensation.ResultsPerspectives were grouped according to the following themes identified: 1) communication between health care workers; 2) underlying influences on decision-making; 3) women’s compliance to referral; 4) logistic constraints.ConclusionSeveral factors in rural Sierra Leone are perceived to complicate timely and adequate referral of women in need of emergency obstetric care. Notable among these factors are fear among women for being referred and fear among health care workers for having maternal deaths or severe obstetric complications at their own facilities. Furthermore, the decision-making of health care workers concerning referral is negatively influenced by an atmosphere of hierarchy between health care workers. Such factors must be considered in efforts to reduce maternal mortality.

scholarly journals Towards understanding vaccine hesitancy and vaccination refusal in Austria

2020 ◽  
Author(s):  
Anja Bauer ◽  
Daniel Tiefengraber ◽  
Ursula Wiedermann
Keyword(s):  
Health Care ◽  
Disease Prevention ◽  
Health Information ◽  
Health Care Workers ◽  
Communicable Disease ◽  
Negative Attitude ◽  
Vaccine Hesitancy ◽  
Care Workers ◽  
Coverage Rates ◽  
Mandatory Vaccination

SummaryIn Austria, data on vaccine hesitancy is scarce. Available studies suggest around 1-11% of parents refuse vaccination, while many more are hesitant and consider refraining from some but not all of the recommended vaccinations. However, the key drivers for vaccine hesitancy in Austria are largely unknown. To learn more about vaccination coverage, attitude towards and knowledge around immunization as well as views on mandatory vaccination, we conducted a survey in a rural Austrian lay population including adults and children. Two paper-based questionnaires, one for adults 16 years or older and one for children aged 6-15 years, were developed, then sent to all houses of a rural community in Austria as well as handed out at the local primary and middle school, respectively. Self-reported coverage rates of children and adults were found to be low. Within the surveyed population 3% of children had never been or do not get vaccinated. More than half (57%) of the survey participants had a positive attitude towards vaccines, 21% were without reserves, 16% were found skeptical and 5% had a generally negative attitude. Knowledge about immunization in general was poor. Younger adults and people with secondary education appear to be most skeptical and negative towards vaccination. Children’s attitudes were closely linked to those of their parents. The major concern around vaccination in adults was fear of side effects. In adults, 54.2% support mandatory vaccination for Health Care Workers and 20.7% are against it. 39% of adults and 37% of children wanted more information on vaccination, preferably provided by physicians. Knowledge about disease prevention by vaccination should be improved and children could also benefit from an early age-appropriate vaccine education to strengthen health literacy. Physicians are the most trusted source of health information. Medical doctors should be aware of their very important role in transmitting trusted health information. This should include an up-to-date education in communicable disease prevention and immunization during their whole medical career. Furthermore, the curricula of health-care workers may need to be improved and harmonized concerning prevention and vaccination.

scholarly journals Experiences of registered nurses on communication with Deaf patients at Katutura state hospital, Namibia

2017 ◽  
Vol 5 (1) ◽  
pp. 82
Author(s):  
Simasiku Lunza ◽  
Emma Maano Nghitanwa
Keyword(s):  
Health Care ◽  
Registered Nurses ◽  
Sign Language ◽  
Health Care Workers ◽  
Sampling Technique ◽  
Educational Institutions ◽  
Sign Languages ◽  
Care Workers ◽  
Interview Guide ◽  
Service Training

The purpose of this study was to explore the experience of registered nurses on communication with Deaf patients. Data was collected using an interview guide. Random sampling technique was employed. Data was transcribed and keywords were identified representing the major categories. Data was analysed using a systematic process in order to deduce themes and sub-themes. During data analysis similar ideas or keywords were coded and similar topics were grouped together into categories. The study concluded that registered nurses lack sign language skills hence their communication with Deaf patients is also challenged. It is recommended that registered nurses needs to be provided with the training in sign language at educational institutions and provision of in-service training on sign language should made available for all health care workers. The study also recommends that Deaf people should be trained in sign languages for effective communication when seeking health care.

scholarly journals Barriers in Adult Vitamin D Service Provision by Health Care Workers: a Qualitative Study in Three Ecologies of Ethiopia

2021 ◽  
Author(s):  
Wubegzier Mekonnen ◽  
Yeweyenhareg Feleke ◽  
Wubetsh Asnake ◽  
Jemal Haidar ◽  
Biruk Lambisso ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Vitamin D ◽  
Qualitative Study ◽  
Vitamin D Deficiency ◽  
Health Care Workers ◽  
Public Health Problem ◽  
Health Facilities ◽  
Care Workers ◽  
Service Training

Abstract Background: Adult vitamin D deficiency, a public health problem in low-income countries, is correlated with increased mortality. Although health care workers (HCWs) in Ethiopia are educated on minerals counseling on the benefits of vitamin D and its sources is not witnessed since their knowledge is low. The main aim of this study is to explore barriers to good knowledge, positive attitude, and practice of health care providers on adult vitamin D.Methods: An exploratory qualitative study is done in three ecologies covering highland, midland, and lowland. The size of 27 participants was fixed by saturation of ideas. In-depth interviews were conducted among leaders and HCWs of different professional groups in health centers and hospitals. Moderators were Ph.D. holders. An interview guide was developed after reviewing research that was translated into the local language. Interviews were audio-taped, transcribed and, translated. Open Code software was used to code and categorize the data. Thematic analysis is presented using themes and sub-themes.Result: The main barriers are related to health systems, HCWs’ understandings, health facilities, and the educational system. Lack of attention by the health systems’ leadership, missing adult vitamin D as a priority in health programs, and the absence of adult vitamin D management and treatment guidelines are barriers related to the health system. On the other hand, health care professionals believed that the prevalence of adult vitamin D deficiency is insignificant and vitamin D deficiency is only an issue related to children. Besides, the inadequacy of laboratory investigation and limited in-service training are barriers related to health facilities while the absence of studies and the focus of the medical curriculum on child vitamin D are barriers related to the education system. Conclusion: Adult vitamin D deficiency is a neglected public health problem with many barriers related to diagnosis and treatment. Barriers are related to the professionals themselves, their leadership, health facilities, and the education system. The government should give attention to adult vitamin D management and treatment, continuous on the job training, development of guidelines, purchase of laboratory equipment, the inclusion of adult vitamin D in pre-service and, in-service training curriculums.

scholarly journals A description of the influenza vaccination program for health care workers in Vietnam

2020 ◽  
Author(s):  
Nga Ha ◽  
Thoa Thi Minh Nguyen ◽  
Tung Xuan Nguyen ◽  
Phu Dac Tran ◽  
Hang Minh Nguyen ◽  
...  
Keyword(s):  
Health Care ◽  
Influenza Vaccination ◽  
Health Care Workers ◽  
Cold Chain ◽  
The North ◽  
Technical Requirements ◽  
Care Workers ◽  
Distributed Communication ◽  
Referral Hospitals ◽  
Uptake Sites

Abstract Background In 2017, the Vietnam Ministry of Health conducted a demonstration project to introduce seasonal influenza vaccination to health care workers (HCWs). A total of 11,000 doses of influenza vaccine, single-dose prefilled syringes, were provided free to HCWs at 29 selected hospitals, clinics, and research institutes in four provinces: Hanoi, Khanh Hoa, Dak Lak and Ho Chi Minh City. Methods Before the campaign, a workshop was organized to discuss an implementation plan including technical requirements, cold chain, uptake reporting, and surveillance for adverse events following immunization (AEFIs). All sites distributed communication materials and encouraged their staff to register for vaccination. Following immunization sessions, sites sent reports on uptake and AEFI cases. Left-over vaccine was transferred to other sites to maximize vaccine use. Results The average uptake was 57% for all HCWs, with 11 sites achieving 90% and above. These 11 sites were small with less than 500 staff, including 5 primary hospitals, 3 preventive medicine units, and 2 referral hospitals. Among the six biggest sites with over 1,000 staff, four sites had the lowest uptake (14%-47%). Most of the high-uptake sites were from the central to the south; only one site, a referral hospital, was from the north. After redistribution of left-over vaccine, only 130 vaccine doses (1.2%) were not used and destroyed. Based on factors that affected uptake, including registration levels, differing communication strategies, availability of vaccination, and commitment by health facility leaders, we recommended ways to increase HCW coverage; recommendations to improve AEFI reporting also were made. Conclusions The project demonstrated that it was feasible to conduct influenza vaccination campaigns among HCWs in Vietnam. Improvements in promotion of registration, more intense pre-planning, especially at larger facilities, and wider, more consistent availability of communication materials will result in increased efficiency and coverage in this program’s future expansion.

scholarly journals A description of the influenza vaccination program for health care workers in Vietnam

2020 ◽  
Author(s):  
Nga Ha ◽  
Thoa Thi Minh Nguyen ◽  
Tung Xuan Nguyen ◽  
Phu Dac Tran ◽  
Hang Minh Nguyen ◽  
...  
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Influenza Vaccination ◽  
Health Care Workers ◽  
Cold Chain ◽  
The North ◽  
Technical Requirements ◽  
Care Workers ◽  
Distributed Communication ◽  
Referral Hospitals

Abstract Background: In 2017, the Vietnam Ministry of Health conducted a demonstration project to introduce seasonal influenza vaccination to health care workers. A total of 11,000 doses of influenza vaccine, single-dose prefilled syringes, were provided free to HCWs at 29 selected hospitals, clinics, and research institutes in four provinces: Hanoi, Khanh Hoa, Dak Lak and Ho Chi Minh City. Methods: Before the campaign, a workshop was organized to discuss an implementation plan including technical requirements, cold chain, uptake reporting, and surveillance for adverse events following immunization. All sites distributed communication materials and encouraged their staff to register for vaccination. Following immunization sessions, sites sent reports on uptake and adverse events following immunization. Left-over vaccine was transferred to other sites to maximize vaccine use. Results: The average uptake was 57% for all health care workers, with 11 sites achieving 90% and above. These 11 sites were small with less than 500 staff, including 5 primary hospitals, 3 preventive medicine units, and 2 referral hospitals. Among the six biggest sites with over 1,000 staff, four sites had the lowest uptake (14%-47%). Most of the high-uptake sites were from the central to the south; only one site, a referral hospital, was from the north. After redistribution of left-over vaccine, only 130 vaccine doses (1.2%) were not used and destroyed. Based on factors that affected uptake, including registration levels, differing communication strategies, availability of vaccination, and commitment by health facility leaders, we recommended ways to increase health care worker coverage; recommendations to improve reporting adverse events following immunization were also made.Conclusions: The project demonstrated that it was feasible to conduct influenza vaccination campaigns among health care workers in Vietnam. Improvements in promotion of registration, more intense pre-planning, especially at larger facilities, and wider, more consistent availability of communication materials will result in increased efficiency and coverage in this program’s future expansion.

scholarly journals Analysis of COVID-19 Prevention Practices on Health Care Workers in Three Hospitals in Palembang

2021 ◽  
Vol 12 (3) ◽  
pp. 205-216
Author(s):  
Tamarakha Yumna ◽  
Nur Alam Fajar ◽  
Rico Januar Sitorus
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Positive Attitude ◽  
Influencing Factor ◽  
Good Practice ◽  
Negative Attitude ◽  
P Value ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Care Workers

The COVID-19 pandemic is a global concern. In this case, Health Care Workers (HCW) are at the front lines in dealing with the pandemic as they provide diagnosis, care, and treatment. However, their duties have directly placed them at the most at risk of infection. Mitigation and risk reduction are crucial for safeguarding HCWs' health as it prevents the spread of COVID-19. This research aimed to find out the practice of COVID-19 prevention and the correlation among practice and knowledge, attitudes, and personality traits of HCW in Palembang. A cross-sectional study was conducted between May and July 2021 on 255 HCW who have direct contact with patients. The number of respondents per hospital is taken proportionally according to the portion of HCW in each selected hospital. The instrument consisted of demographic variables, knowledge, attitudes, and practices. It proves that it is reliable with Cronbach's alpha value of 0.7. The researchers used descriptive statistics, chi-square, and logistic regression. Overall, 65.2% of participants had good knowledge, 60% had a positive attitude, and 53.3% had good practice. Education (p-value 0.022) and attitude (p-value 0.000) of HCW were all influencing factor in practice. HCW who have a negative attitude are 5.413 times more to have bad practices than those who have a positive attitude (p-value<0.001;PR=5.413). However, training for HCW and further research are recommended to analyze the availability of personal protective equipment, adequate facilities, hospital policies, or other factors that can influence and motivate the practice of HCW.

scholarly journals Attitude of Jordanian Health Care Workers Toward Surrogacy

2020 ◽  
Author(s):  
Rami Saadeh ◽  
Nancy Abdulrahim ◽  
Mahmoud Alfaqih ◽  
Yousef Khader
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Healthcare Workers ◽  
Negative Attitude ◽  
Public Hospitals ◽  
University Hospital ◽  
Cultural Changes ◽  
Commercial Surrogacy ◽  
Care Workers ◽  
Job Titles

Materials and methods: Three municipalities in Jordan were randomly selected, one from each region: north, south and central of Jordan. A total of: four public hospitals, three private hospitals, one university hospital, 40 health centers and 40 private clinics were included in the study. Healthcare workers in the selected facilities were randomly approached using a self– administered questionnaire to collect data. Distributions of attitude by gender, job title, and physician’s specialty were used to describe participants’ attitude toward surrogacy. Results: Responses of 382 participants were reported, of whom, 230 (60.2%) were females. Three in every four participants didn’t support legalizing surrogacy in Jordan. Majority reported negative attitude toward commercial surrogacy (85.1%) and noncommercial surrogacy (76.4%). Religious considerations were the main reason (71.1%) for the attitude toward surrogacy. Most items describing attitude toward surrogacy were significantly distributed across different job titles: nurses, medical doctors, and other healthcare workers (p < 0.05). Conclusion: Negative attitude among health care workers toward surrogacy was mainly driven by religious beliefs. However, there are core cultural changes in the community which might alter the attitude toward surrogacy in the future.

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