Extent of medicines wastage and its contributing factors in public health facilities of south west Shoa Zone, Oromia Regional State, Ethiopia: a cross-sectional survey

2019 ◽  
Vol 34 (2) ◽  
pp. 143 ◽  
Author(s):  
Esayas Tadesse Gebremariam ◽  
Dawit Teshome Gebregeorgise ◽  
Teferi Gedif Fenta
Keyword(s):  
Public Health ◽  
Health Facilities ◽  
Contributing Factors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Public Health Facilities ◽  
South West ◽  
Regional State

scholarly journals Missed Opportunities in Tuberculosis Investigation and Associated Factors at Public Health Facilities in Uganda 

2020 ◽  
Author(s):  
Keith Kakame ◽  
Noel Namuhani ◽  
Andrew Kazibwe ◽  
Felix Bongomin ◽  
Joseph Baluku ◽  
...  
Keyword(s):  
Public Health ◽  
Health Workers ◽  
Health Facilities ◽  
World Health ◽  
Cross Sectional Survey ◽  
Prevalence Survey ◽  
Cross Sectional ◽  
Missed Opportunities ◽  
Public Health Facilities ◽  
Factors Associated

Abstract BackgroundThe incidence of tuberculosis (TB) is high in Uganda; yet, TB case detection is low. A recent national TB prevalence survey revealed that only 16% of presumptive TB patients seeking care at health facilities were offered sputum microscopy or chest-X ray (CXR). The objective of this study was to determine the magnitude of, and patient factors associated with missed opportunities in TB investigation at public health facilities of Wakiso District in Uganda.MethodsA facility-based cross-sectional survey was conducted at 10 high volume public health facilities offering comprehensive TB services in Wakiso, Uganda, among adults (≥18 years) with at least one symptom suggestive of TB predefined according to World Health Organisation criteria. Using exit interviews, data on demographics, TB symptoms, and clinical data relevant to TB were collected. A missed opportunity in TB investigation was defined as a patient with symptoms suggestive of TB who did not have sputum and/or CXR evaluation to rule out TB. Poisson regression analysis was performed to determine factors associated with missed opportunities in TB investigation using STATA 14.ResultsTwo hundred forty seven presumptive TB patients were recruited into this study exiting at antiretroviral therapy (ART) clinics (n=132) or general outpatient clinics (n=115) at public health facilities. Majority of participants were females (161/247, 65.2%) and the mean +SD age was 35.1 + 11.5 years. Sputum and/or CXR were not requested from 138 (55.9%) patients with symptoms suggestive of TB disease. Patients who did not inform health workers about TB related symptoms were more likely to miss a TB investigation (adjusted prevalence ratio: 1.68, 95%CI; 1.36-2.08, P<0.001). Conclusion; A large proportion of patients with symptoms suggestive of TB did not have sputum and/ or CXR requested for investigation. Patients who did not inform health workers about their TB related symptoms were more likely to miss having sputum and/ or CXR requested. We recommend studies to explore barriers and facilitators of disclosure of TB symptoms to enable formulation of effective interventions to empower people to improve likelihood of disclosing TB related symptoms.

scholarly journals Missed opportunities in tuberculosis investigation and associated factors at public health facilities in Uganda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Keith Twirire Kakame ◽  
Noel Namuhani ◽  
Andrew Kazibwe ◽  
Felix Bongomin ◽  
Joseph Baruch Baluku ◽  
...  
Keyword(s):  
Public Health ◽  
Health Workers ◽  
Prevalence Ratio ◽  
Health Facilities ◽  
World Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Missed Opportunities ◽  
Public Health Facilities ◽  
Factors Associated

Abstract Background The incidence of tuberculosis (TB) is high in Uganda; yet, TB case detection is low. The population-based survey on the prevalence of TB in Uganda revealed that only 16% of presumptive TB patients seeking care at health facilities were offered sputum microscopy or chest-X ray (CXR). This study aimed to determine the magnitude of, and patient factors associated with missed opportunities in TB investigation at public health facilities of Wakiso District in Uganda. Methods A facility-based cross-sectional survey was conducted at 10 high volume public health facilities offering comprehensive TB services in Wakiso, Uganda, among adults (≥18 years) with at least one symptom suggestive of TB predefined according to the World Health Organisation criteria. Using exit interviews, data on demographics, TB symptoms, and clinical data relevant to TB diagnosis were collected. A missed opportunity in TB investigation was defined as a patient with symptoms suggestive of TB who did not have sputum and/or CXR evaluation to rule out TB. Poisson regression analysis was performed to determine factors associated with missed opportunities in TB investigation. Results Two hundred forty-seven (247) patients with presumptive TB exiting at antiretroviral therapy (ART) clinics (n = 132) or general outpatient clinics (n = 115) at public health facilities were recruited into this study. Majority of participants were female (161/247, 65.2%) with a mean + SD age of 35.1 + 11.5 years. Overall, 138 (55.9%) patients with symptoms suggestive of TB disease did not have sputum and/or CXR examinations. Patients who did not inform health workers about their TB related symptoms were more likely to miss a TB investigation (adjusted prevalence ratio (aPR): 1.68, 95%CI; 1.36–2.08, P < 0.001). However, patients who reported duration of cough of 2 weeks or more were less likely to be missed for TB screening (aPR; 0.69, 95%CI; 0.56–0.86, p < 0.001). Conclusion There are substantial missed opportunities for TB diagnosis in Wakiso District. While it is important that patients should be empowered to report symptoms, health workers need to proactively implement the WHO TB symptom screen tool and complete the subsequent steps in the TB diagnostic cascade.

scholarly journals Current situation of health workers' knowledge and practice on safe motherhood at public health facilities of Ninh Binh province in 2019

2021 ◽  
Vol 62 (2) ◽  
Author(s):  
Phạm Văn Dậu ◽  
Phạm Cẩm Kỳ ◽  
Bùi Thị Hương
Keyword(s):  
Public Health ◽  
Health Workers ◽  
Blood Pressure Measurement ◽  
Health Facilities ◽  
Safe Motherhood ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Public Health Facilities ◽  
Danger Signs ◽  
Breast Examination

Objective: To assess knowledge and practices on safe motherhood of mothers giving birth at public health facilities of Ninh Binh province in 2019. Subjects: Health workers working at public health facilities of the province. Rearch method: Descriptive cross-sectional survey. Results:When asked about the danger signs of mothers after giving birth that need to be monitored, the highest percentage is prolonged bleeding (94.3%), the lowest is prolonged abdominal pain (70.7%). In full body examination, the percentage of health workers who  practiced correctly was found the lowest for cardiopulmonary examination (49.0%), breast examination (58.0%), and the highest for blood pressure measurement (91.7%). Conclusion: The rate of health workers having correct knowledge on safe motherhood was not high. The rate of health workers having correct practice on prenatal check-up steps and asking steps ranged from 68.2% to 94.3%.

scholarly journals KNOWLEDGE AND PRACTICE ON SAFE MOTHERHOOD OF MOTHERS GIVING BIRTH AT PUBLIC HEALTH FACILITIES OF NINH BINH PROVINCE IN 2019

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Văn Dậu Phạm ◽  
Cầm Kỳ Phạm ◽  
Thị Hương Bùi
Keyword(s):  
Public Health ◽  
Antenatal Care ◽  
Health Facilities ◽  
Safe Motherhood ◽  
Care Needs ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Public Health Facilities ◽  
Survey Results ◽  
Knowledge And Practice

Objective: To assess knowledge and practice on safe motherhood of mothers giving birth at public health facilities of Ninh Binh province in 2019. Subjects: Mothers giving birth at public health facilities in the province. Rearch method: Descriptive cross-sectional survey. Results: The percentage of mothers who understood correctly about safe motherhood was 38,4%; 97,5% of mothers answered that it was necessary to have health check-up before pregnancy; 86,1% of mothers reported necessity to be vaccinated before becoming pregnant; 60,2% of mothers had correct knowledge that antenatal care needs ultrasound check, blood test and urine test; 19,5% of mothers performed antenatal care 3 times or less, 80,5% of mothers performed antenatal care more than 4 times. Conclusion: The rate of mothers with correct and full knowledge of safe motherhood was very low, the rate of those who had at least 4 times of antenatal care during their pregnancy was quite high.

scholarly journals Factors contributing to medicines wastage in public health facilities of South West Shoa Zone, Oromia Regional State, Ethiopia: a qualitative study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Esayas Tadesse Gebremariam ◽  
Dawit Teshome Gebregeorgise ◽  
Teferi Gedif Fenta
Keyword(s):  
Public Health ◽  
Supply Chain ◽  
Qualitative Study ◽  
Structured Interview ◽  
Health Facilities ◽  
Key Informants ◽  
Public Health Facilities ◽  
South West ◽  
Regional State ◽  
Objective Evidence

Abstract Background Medicines wastage is one of the challenges of health supply chain management in developing countries including Ethiopia. However, there is lack of objective evidence on the detailed underlying causes of medicines wastage. Therefore, the aim of this study is to explore factors contributing for medicines wastage in selected public health facilities of South West Shoa Zone, Oromia Regional State, Ethiopia. Methods A qualitative study was conducted in 10 public health facilities (1 General hospital and 9 health centers). An in-depth interview with flexible probing techniques was employed to collect the data from 20 key informants from May 2, 2016 to May 27, 2016. A semi structured interview guide was prepared to explore key informants’ idea about current situation of contributing factors and efforts made to reduce medicines wastage in public health facilities. A thematic analysis was then used to analyze the data. Results Almost all key informants felt that medicines wastage is increasing from time to time in their health facility due to supplier’s issuing of medicines without health facilities’ needs and request, failure to follow first expired first out principle in issuing medicines from stores to different dispensing units, lack of communication between supplier and health facilities, inadequate number of pharmacy personnel and weak monitoring system of supply chain in the health facilities. They also revealed budget constraint, stock out of medicines and congested store are of the major challenge that are compromising their service provision. Conclusion Medicine wastage is an ever-increasing problem in public health facilities of South West Shoa Zone. The problem is exacerbated due to absence of mechanisms to minimize the wastage. Health facilities, therefore, should place a mechanism to exchange medicines from overstocked facilities to under stocked ones; has to improve store management capacity by employing competent professionals, equipping the store with necessary technology and introducing a monitoring and evaluating health supply chain performance system in the health facilities.

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