Perception of facility readiness and health worker willingness to participate in the COVID-19 pandemic response in a treatment centre in Nigeria

2021 ◽  
Vol 9 (1) ◽  
pp. 30-43
Author(s):  
J. Okoeguale ◽  
E.A. Tobin ◽  
R.A. Efediyi ◽  
A. Njoku ◽  
C. Erameh ◽  
...  
Keyword(s):  
Health Workers ◽  
Willingness To Participate ◽  
Health Providers ◽  
Outbreak Response ◽  
Ethical Considerations ◽  
Management Commitment ◽  
Treatment Centre ◽  
Chisquare Test ◽  
Edo State ◽  
Facility Readiness

Objectives: The study aimed to investigate health workers’ knowledge, self - preparedness and willingness to volunteer for outbreak response and perceived institutional readiness to manage confirmed or suspected cases of COVID-19.Methods: Across-sectional study was carried out among 300 consenting healthcare workers in a COVID19 treatment facility in Edo  state, Nigeria. Data were collected between April and May 2020 using selfadministered questionnaires. Analysis was done using  Statistical Package for Social Sciences, with Chisquare test and logistic regression applied with a 95% confidence interval. All ethical considerations were met.Results: One hundred and seventeen (39.0%) respondents were willing to volunteer in the response, with respondents who were confident in their ability to suspect a case, communicate risk effectively and who believed the facility should be a treatment centre being 3.55, 2.07 and 2.30 times more likely to volunteer respectively (P< 0.001, P = 0.04 and P = 0.02 respectively). Two hundred and seven (69.0%) respondents felt the facility was ready to manage confirmed cases. Management commitment 255 (85.0%) was the factor acknowledged as most indicative that the facility was ready to handle cases, with availabiltiy of personal protective wears as the least mentioned 166 (55.3%).Conclusion: Many health workers who should be in the frontline were unwilling to volunteer to manage cases, though perceived facility readiness was high. Health managers should take steps to address identified barriers and provide conducive work  environments. Keywords: COVID-19, Health providers, Willingness

scholarly journals Perspectives of policymakers and health providers on barriers and facilitators to skilled pregnancy care: findings from a qualitative study in rural Nigeria

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ogochukwu Udenigwe ◽  
Friday E. Okonofua ◽  
Lorretta F. C. Ntoimo ◽  
Wilson Imongan ◽  
Brian Igboin ◽  
...  
Keyword(s):  
Health System ◽  
Rural Areas ◽  
Health Workers ◽  
Community Support ◽  
Health Providers ◽  
Negative Experience ◽  
Pregnancy Care ◽  
Key Stakeholders ◽  
Distinct Level ◽  
Edo State

Abstract Background The uptake of skilled pregnancy care in rural areas of Nigeria remains a challenge amid the various strategies aimed at improving access to skilled care. The low use of skilled health care during pregnancy, childbirth and postpartum indicates that Nigerian women are paying a heavy price as seen in the country’s very high maternal mortality rates. The perceptions of key stakeholders on the use of skilled care will provide a broad understanding of factors that need to be addressed to increase women’s access to skilled pregnancy care. The objective of this study was therefore, to explore the perspectives of policymakers and health workers, two major stakeholders in the health system, on facilitators and barriers to women’s use of skilled pregnancy care in rural Edo State, Nigeria. Methods This paper draws on qualitative data collected in Edo State through key informant interviews with 13 key stakeholders (policy makers and healthcare providers) from a range of institutions. Data was analyzed using an iterative process of inductive and deductive approaches. Results Stakeholders identified barriers to pregnant women’s use of skilled pregnancy care and they include; financial constraints, women’s lack of decision-making power, ignorance, poor understanding of health, competitive services offered by traditional birth attendants, previous negative experience with skilled healthcare, shortage of health workforce, and poor financing and governance of the health system. Study participants suggested health insurance schemes, community support for skilled pregnancy care, favourable financial and governance policies, as necessary to facilitate women’s use of skilled pregnancy care. Conclusions This study adds to the literature, a rich description of views from policymakers and health providers on the deterrents and enablers to skilled pregnancy care. The views and recommendations of policymakers and health workers have highlighted the importance of multi-level factors in initiatives to improve pregnant women’s health behaviour. Therefore, initiatives seeking to improve pregnant women’s use of skilled pregnancy care should ensure that important factors at each distinct level of the social and physical environment are identified and addressed.

Recruitment Policies of Non-EU/EEA Nurses and Ethical Issues

2018 ◽  
Author(s):  
Angèle Flora Mendy
Keyword(s):  
Public Opinion ◽  
Health Professionals ◽  
Ethical Issues ◽  
Health Workers ◽  
Ethical Considerations ◽  
Host Countries ◽  
Ethical Argument ◽  
The Past ◽  
The United Kingdom ◽  
Institutional Legacies

By examining policies of recruiting non-EU/EEA health workers and how ethical considerations are taken into account when employing non-EU/EEA nurses in the United Kingdom, France, and Switzerland, this chapter intends to show that the use of the so-called ‘ethical’ argument to convince national public opinion of the relevance of restrictive recruitment policies is recent (since the 1990s). The analysis highlights the fact that in addition to the institutional legacies, qualification and skills—through the process of their recognition—play an important role in the opening or restriction of the labour market to health professionals from the Global South. The legacy of the past also largely determines the place offered to non-EU/EEA health professionals in the different health systems of host countries.

The Impact of Social Mobilization on Health Service Delivery and Health Outcomes

2018 ◽  
Author(s):  
Xavier Giné ◽  
Salma Khalid ◽  
Mansuri Ghazala
Keyword(s):  
Health Services ◽  
Service Delivery ◽  
Health Outcomes ◽  
Health Workers ◽  
Health Service Delivery ◽  
Health Providers ◽  
Child Health Outcomes ◽  
Rural Pakistan ◽  
Post Natal Care ◽  
The Impact

This chapter uses a randomized community development programme in rural Pakistan to assess the impact of citizen engagement on public service delivery and maternal and child health outcomes. The programme had a strong emphasis on organizing women, who also identified health services as a development priority at baseline. At midline, we find that the mobilization effort alone had a significant impact on the performance of village-based health providers. We detect economically large improvements in pregnancy and well-baby visits by female health workers, as well as increased utilization of pre- and post-natal care by pregnant women. In contrast, the quality of supra-village health services did not improve, underscoring the importance of community enforcement and monitoring capacity for improving service delivery.

scholarly journals Conflict affected, parallel health systems: challenges to collaboration between ethnic and government health systems in Kayin State, Myanmar

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Colette Pang Biesty ◽  
Aung Ja Brang ◽  
Barry Munslow
Keyword(s):  
Health System ◽  
Health Systems ◽  
Health Workers ◽  
Health Providers ◽  
Peace Accord ◽  
Government Health ◽  
Peace Processes ◽  
Post Conflict ◽  
Observation Methods ◽  
Minority Ethnic Groups

Abstract Background Myanmar has had a long history of civil wars with its minority ethnic groups and is yet to see a sustainable peace accord. The conflicts have had a significant impact on health in Myanmar, with ethnic populations experiencing inequitable health outcomes. Consequently, to meet the health needs of ethnic people, Ethnic Health Organisations and Community-Based Health Organisations (EHO/CBHOs) created their own health system. The EHO/CBHO and Government health systems, provided by the Myanmar Ministry of Health and Sports (MoHS), remain parallel, despite both stakeholders discussing unification of the health systems within the context of ongoing but unresolved peace processes. EHO/CBHOs discuss the ‘convergence’ of health systems, whilst the MoHS discuss the integration of health providers under their National Health Plan. Methods A qualitative study design was used to explore the challenges to collaboration between EHO/CBHOs and the MoHS in Kayin state, Myanmar. Twelve health workers from different levels of the Karen EHO/CBHO health system were interviewed. Semi-structured, in-depth interviews were digitally recorded, transcribed, and coded. Data was analysed thematically using the Framework method. Topic guides evolved in an iterative process, as themes emerged inductively from the transcripts. A literature review and observation methods were also utilised to increase validity of the data. Results The challenges to collaboration were identified in the following five themes: (1) the current situation is not ‘post conflict’ (2) a lack of trust (3) centralised nature of the MoHS (4) lack of EHO/CBHO health worker accreditation (5) the NHP is not implemented in some ethnic areas. Conclusions Ultimately, all five challenges to collaboration stem from the lack of peace in Myanmar. The health systems cannot be ‘converged or ‘integrated’ until there is a peace accord which is acceptable to all actors. EHO/CBHOs want a federal political system, where the health system is devolved, equitable and accessible to all ethnic people. External donors should understand this context and remain neutral by supporting all health actors in a conflict sensitive manner.

scholarly journals PENGARUH KOMITMEN MANAJEMEN, PERILAKU POSITIF TENAGA KESEHATAN DAN DUKUNGAN DINKES TERHADAP KUALITAS LAYANAN PADA UPTD PUSKESMAS DI KABUPATEN BARITO SELATAN PROVINSI KALIMANTAN TENGAH

KINDAI ◽  
2021 ◽  
Vol 17 (2) ◽  
pp. 227-241
Author(s):  
Setia Lestari
Keyword(s):  
Quality Of Service ◽  
Service Quality ◽  
Health Workers ◽  
Hypothesis Test ◽  
Positive Behavior ◽  
Central Kalimantan ◽  
Management Commitment ◽  
Study Population ◽  
Behavior Health

Abstrak: Setia Lestari,  Npm.1911.32202.5182, Pengaruh Komitmen Manajemen, Perilaku Positif Tenaga Kesehatan Dan Dukungan Dinkes Terhadap Kualitas Layanan Pada UPTD Puskesmas Di Kabupaten Barito Selatan Provinsi Kalimantan Tengah, Dibawah Bimbingan Lanny Purnama Kosasi Dan H.M. Zaid Abdurakhman, 2021. Tujuan penelitian ini adalah Untuk mengetahui dan menganalisi pengaruh komitmen manajemen, perilaku positif tenaga kesehatan dan dukungan Dinkes berpengaruh  secara simultan terhadap kualitas layanan, Untuk mengetahui dan menganalisi pengaruh komitmen manajemen, perilaku positif tenaga kesehatan dan dukungan Dinkes berpengaruh  secara parsial terhadap kualitas layanan dan untuk mengetahui dan menganalisis diantara komitmen manajemen, perilaku positif tenaga kesehatan dan dukungan Dinkes yang berpengaruh dominan terhadap kualitas layanan pada UPTD Puskesmas di Kabupaten Barito Selatan Provinsi Kalimantan Tengah.Populasi penelitian adalah tenaga kesehatan di UPTD Puskesmas di Kabupaten Barito Selatan Provinsi Kalimantan Tengah 685 sedangkan sampel 87 responden dengan analisis regresi berganda. Hasi uji hipotesis pertama diketahui bahwa komitmen manajemen, perilaku positif tenaga kesehatan dan dukungan Dinkes berpengaruh signfikan secara simultan terhadap kualitas layanan, uji hipotesis kedua diketahui bahwa komitmen manajemen, perilaku positif tenaga kesehatan dan dukungan Dinkes berpengaruh signfikan secara parsial terhadap kualitas layanan dan hasi uji hipotesis ketiga diketahui bahwa komitmen manajemen, berpengaruh signfikan secara dominan terhadap kualitas layanan pada UPTD Puskesmas di Kabupaten Barito Selatan Provinsi Kalimantan Tengah.   Kata Kunci : Komitmen Manajemen, Perilaku Positif, Dukungan Dinkes dan  Kualitas Layanan     Abstract: Setia Lestari, Npm.1911.32202.5182, The Effect Of Management Commitment, Positive Behavior Of Health Personnel And Dhopping Support On Quality Of Service At The UPTD Puskesmas In Barito Selatan District Province Kalimantan, Tengah. Under The Guidance Lanny Purnama Kosasi And Zaid Abdurakhman, 2021. The purpose of this study was to determine and analyze the effect of management commitment, positive behavior of health workers and the support of the Health Office simultaneously influence the quality of service, to determine and analyze the effect of management commitment, positive behavior of health workers and support from the Health Office partially affect service quality and to determine and analyze between management commitment, positive behavior of health workers and support from the Health Office which have a dominant influence on service quality at UPTD Puskesmas in South Barito Regency, Central Kalimantan Province. The study population was health workers at the UPTD Puskesmas in South Barito Regency, Central Kalimantan Province, 685 while the sample was 87 respondents with multiple regression analysis. The results of the first hypothesis test are known that management commitment, positive behavior of health workers and support from the Health Office have a significant simultaneous effect on service quality, the second hypothesis test is known that management commitment, positive behavior of health workers and support from the Health Office have a partially significant effect on service quality and the results of hypothesis testing Third, it is known that management commitment has a dominant significant effect on service quality at the UPTD Puskesmas in South Barito Regency, Central Kalimantan Province.   Keywords: Management Commitment, Positive Behavior, Health Office Support and Service Quality

scholarly journals Staff recognition and its importance for surgical service delivery: a qualitative study in Freetown, Sierra Leone

2020 ◽  
Author(s):  
Chris Willott ◽  
Nick Boyd ◽  
Haja Wurie ◽  
Isaac Smalle ◽  
T B Kamara ◽  
...  
Keyword(s):  
Health Care ◽  
Sierra Leone ◽  
Health Care Providers ◽  
Health Workers ◽  
Tertiary Hospital ◽  
Health Providers ◽  
Care Providers ◽  
Access And Quality ◽  
Frontline Healthcare Workers ◽  
Surgical System

Abstract We examined the views of providers and users of the surgical system in Freetown, Sierra Leone on processes of care, job and service satisfaction and barriers to achieving quality and accessible care, focusing particularly on the main public tertiary hospital in Freetown and two secondary and six primary sites from which patients are referred to it. We conducted interviews with health care providers (N = 66), service users (n = 24) and people with a surgical condition who had chosen not to use the public surgical system (N = 13), plus two focus groups with health providers in primary care (N = 10 and N = 10). The overall purpose of the study was to understand perceptions on processes of and barriers to care from a variety of perspectives, to recommend interventions to improve access and quality of care as part of a larger study. Our research suggests that providers perceive their relationships with patients to be positive, while the majority of patients see the opposite: that many health workers are unapproachable and uncaring, particularly towards poorer patients who are unable or unwilling to pay staff extra in the form of informal payments for their care. Many health care providers note the importance of lack of recognition shown to them by their superiors and the health system in general. We suggest that this lack of recognition underlies poor morale, leading to poor care. Any intervention to improve the system should therefore consider staff–patient relations as a key element in its design and implementation, and ideally be led and supported by frontline healthcare workers.

Impact of Indigenous Language Media on Safe Motherhood Practices

2020 ◽  
pp. 78-95
Author(s):  
Funmi Falobi
Keyword(s):  
Health Workers ◽  
Safe Motherhood ◽  
Indigenous Language ◽  
Health Providers ◽  
Radio Stations ◽  
Lagos State ◽  
Nursing Mothers ◽  
Professional Health ◽  
The Media

This chapter examines the role of indigenous language media and how it has impacted safe motherhood practices in Lagos State. The objectives are to know how the media using indigenous languages have been able to reach more women and inform them on best practices on safe motherhood practices and whether professional health providers communicate in indigenous language to women during ante natal sessions. A questionnaire was administered on pregnant women and nursing mothers at a public general hospital in the state while nurses were interviewed on the use of indigenous language. The research was also carried out in three indigenous radio stations in Lagos. The study found that for Nigeria in general, and Lagos State in particular, to reduce maternal mortality rate and advance in safe motherhood practices, involvement of indigenous language media is imperative in giving women necessary information. The majority of the respondents answered that they would prefer health workers to speak in the local language.

scholarly journals A Dialogue-Building Pilot Intervention Involving Traditional and Biomedical Health Providers Focusing on STIs and HIV/AIDS Care in Zambia

2008 ◽  
Vol 13 (2) ◽  
pp. 110-126 ◽  
Author(s):  
Berthollet Bwira Kaboru ◽  
Phillimon Ndubani ◽  
Torkel Falkenberg ◽  
Anastasia Pharris ◽  
Maureen Muchimba ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Health Workers ◽  
Peer Group ◽  
Intersectoral Collaboration ◽  
Health Providers ◽  
Care Providers ◽  
Group Discussions ◽  
Positive Attitudes ◽  
Stis And Hiv ◽  
Hiv Aids

Collaboration between traditional and biomedically trained health workers is regarded as key in HIV/AIDS control. However, few studies have focused on exploring ways of enhancing this collaboration. Using a pre- and postintervention questionnaire, the authors assessed changes in attitudes to and practices of collaboration among 19 biomedical and 28 traditional health care providers following a 12-month dialogue-building intervention in Ndola, Zambia. The intervention consisted of peer group discussions, interactive group discussions, training sessions, and peer-influenced networking. The results show that although both groups of providers had fairly positive attitudes toward each other before the intervention, further improvements in attitudes were observed after the intervention. Referrals between the two sectors and cross visits increased. However, some attitudes to collaboration became more negative and cautious after the intervention. Dialogue-building interventions involving traditional and biomedical providers are not only feasible but also complex. Intersectoral collaboration needs time and coordination between all relevant actors in the community.

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