scholarly journals Quality of Basic Care During Neonatal Resuscitation Among Health Care Providers at Three District Hospitals in Kigali

2020 ◽  
Vol 3 (2) ◽  
pp. 225-237
Author(s):  
Kellen Muganwa ◽  
Alice Muhayimana ◽  
Joella Mukashyaka ◽  
Pamela Meharry
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Work Experience ◽  
Neonatal Resuscitation ◽  
Care Providers ◽  
Cross Sectional ◽  
Basic Care ◽  
District Hospitals ◽  
One Year

Background Globally, about 10% of neonates require extra respiratory support to initiate breathing at birth. Over a million neonatal deaths could be prevented with quality basic care during neonatal resuscitation. Objective To determine the quality of care (QoC) of basic NR at birth among health care providers (HCPs) at three district hospitals in Kigali. Methods A descriptive cross-sectional study was conducted. Thirty-six HCPs were observed 2-3 times using a structured checklist. Descriptive and inferential statistics were used to analyze the data.  Results The majority had ‘good’ QoC scores for drying and stimulation (74.7%), and fair scores for airway clearance (85.1%). Some had poor scores for advanced bag and mask ventilation (BMV) (13%). Maternity work experience (1-5 years) was significantly associated with good quality drying and stimulation (p = 0.03), initial BMV (p = 0.02), and advanced BMV (p = 0.03), than HCPs with less than one-year experience.  Conclusion Maternity work experience of more than one year significantly improved the QoC during neonatal resuscitation. More NR support during the first year of work and regular NR refresher training would improve neonatal outcomes.  Rwanda J Med Health Sci 2020;3(2):225-237

scholarly journals Complementary and Alternative Medicine Use and Its Association with Quality of Life among Cancer Patients Receiving Chemotherapy in Ethiopia: A Cross-Sectional Study

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Daniel Asfaw Erku
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Cancer Patients ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cam Use

Background.Today, complementary and alternative medicine (CAM) use is being routinely practiced by cancer patients worldwide. This study aimed at examining the prevalence of CAM use in patients with cancer and comparing the quality of life (QoL) in CAM users and nonusers.Methods.A cross-sectional study was employed on 195 cancer patients receiving chemotherapy at Gondar University Referral Hospital (GURH) chemotherapy center. Interviewer-administered questionnaires were used and the collected data were analyzed by the Statistical Package for the Social Sciences (SPSS) software version 21.0 for Windows.Results.154 (79%) patients were found to be users of CAM. Educational status, average monthly income, disease stage, and comorbidity were strong predictors of use of CAM. The most commonly utilized types of CAM were traditional herbal based medicine (72.1%) and only 20.8% of patients discuss with their doctors CAM use. No significant difference was found in QoL between CAM users and nonusers except in financial difficulties (p=0.020).Conclusions.This study revealed a high rate of CAM use with very low disclosure rate to their health care providers. Health care providers should be open to discuss the use of CAM with their patients as it will lead to better health outcome.

scholarly journals Assessment of Availability and Quality of Emergency Obstetric and Newborn Care Service in Southwestern Oromia, Ethiopia, 2017

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Dejene Edosa
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Service ◽  
Newborn Care ◽  
Neonatal Morbidity ◽  
Categorical Variables ◽  
Care Providers ◽  
Cross Sectional ◽  
Signal Functions

Background. Emergency obstetrics and newborn care (EmONC) is an important lifesaving function which can avert the death of women facing obstetrics-related complications. It is a cost-effective, significant intervention to decrease maternal and neonatal morbidity and mortality in poor resource settings, including Ethiopia. Objective. The aim of this study was to assess the availability and quality of the EmONC services in southwestern Oromia, Ethiopia, in 2017. Methods. An institutional-based cross-sectional study was implemented from April to May 2017. Data were collected using checklists and questionnaires developed from different studies. Data were analyzed using EPI-info and exported to SPSS version 20 for further analysis. Each descriptive statistic was summarized using frequency, percentage, and tables for categorical variables. Results. Despite the fact that the overall coverage of fully functioning basic emergency obstetric and newborn care (BEmONC) facilities was greater than 5 per 500,000 people, nearly one-fourth (25.64%) provided less than expected signal functions, indicating that these facilities were nonfunctional. There were only 0.24 comprehensive emergency obstetric and newborn care (CEmONC) facilities per 500,000 people. The result of this study also revealed that the quality of EmONC facilities in all health-care settings was poor. Conclusion and Recommendation. There were gaps in performance signal functions as well as the availability and quality of EmONC in the study area. Availability and quality of EmONC necessitate improvements through enhancing health-care providers’ skills by training and mentoring as well as enabling facilities accessible for utilization of EmONC. Further research is needed to identify factors that could be barriers to the performance quality and coverage of EmONC services.

scholarly journals Identifying the know-do gap in evidence-based neonatal care practices among informal health care providers—A cross-sectional study from Ujjain, India

2020 ◽  
Author(s):  
Isaac Gikandi Mungai ◽  
Sumit Singh Baghel ◽  
Suchi Soni ◽  
Shailja Vagela ◽  
Megha Sharma ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Service Providers ◽  
Neonatal Resuscitation ◽  
Neonatal Care ◽  
Evidence Based ◽  
Care Providers ◽  
Cross Sectional ◽  
Evidence Based Practices ◽  
Number Of Patients

Abstract Background More than a quarter of global neonatal deaths are reported from India, and a large proportion of these deaths are preventable. However, in the absence of robust public health care systems in several states in India, informal health care providers (IHCPs) with no formal medical education are the first contact service providers. The aim of this study was to assess the knowledge of IHCPs in basic evidence-based practices in neonatal care in Ujjain district and investigated factors associated with differences in levels of knowledge. Methods A cross-sectional survey was conducted using a questionnaire with multiple-choice questions covering the basic elements of neonatal care. The collective score per question among the respondents was calculated. The score achieved by each respondent was calculated, grouped into either “fair” or “low”, and then checked for association with the practitioners’ age and years of experience, number of patients examined per day, and whether they attended children in their practice. Results Of the 945 IHCPs approached, 830 (88%) participated in the study. Of the potential 39,840 points, only an average of 18,483 (46%) were achieved, indicating a knowledge gap. Although these providers could identify key tenets of enhancing survival chances of neonates, they scored low on the specifics of cord care, breastfeeding, vitamin K use to prevent neonatal hemorrhage, and identification and care of low-birth-weight babies. The practitioners particularly lacked knowledge about neonatal resuscitation, and only a small proportion reported following up on immunizations in children they attended. Fair knowledge of IHCPs was significantly associated with attending more than 10 but less than 50 patients per day and of being aged between 35 and 45 years. Offering pediatric consultations was not significantly associated with achieving a fair score. Conclusions The present study highlighted that know-do gap exists in evidence-based practices for all key areas of neonatal care tested among the IHCPs. The study provides the evidence that educational interventions targeting IHCPs can improve neonatal care services and is an innovative way to reach a large rural population in the study setting.

scholarly journals One for Everyone: A Study of User Satisfaction Among Health-Care Providers Regarding Extended Use of N95 Masks During the COVID-19 Pandemic

2020 ◽  
pp. 1-8
Author(s):  
Nishant Sharma ◽  
Anant Gupta ◽  
Makhdoom Killedar ◽  
Ashish Bindra ◽  
Asmita Patil ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
User Satisfaction ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Northern India ◽  
Large Tertiary Care

ABSTRACT Objective: This study was conducted to assess the feasibility of extended use of N95 masks in our hospital during the coronavirus disease 2019 (COVID-19) pandemic. We also studied the use pattern, user satisfaction, and issues faced during extended use of the mask. Methods: This cross-sectional study was conducted among health-care providers in a large tertiary care teaching hospital in northern India from April 1 to May 31, 2020. A list was prepared from the institute’s register, and participants were chosen by random sampling. The data collected from the physical forms were transferred to excel sheets. Results: A total of 1121 responses were received. The most common problem stated with reuse of N95 masks was loss of fit followed by damage to the slings, highlighted by 44.6% and 44.4% of the participants, respectively. A total of 476 (42.5%) participants responded that they would prefer “cup-shaped N95 mask with respirator”. The median scores regarding the satisfaction with the quality of masks and their fit was also 4 each. Conclusions: It was concluded that the extended use of N95 masks was acceptable, with more than 96% of the participants using these masks.

scholarly journals Perspective of Healthcare Providers using Reproductive Smart Mobile Application in Jakarta: A Qualitative Study

2020 ◽  
Author(s):  
Budi Wiweko ◽  
Aida Riyanti ◽  
Shanty Olivia ◽  
Muhammad Priangga ◽  
Vita Silvana ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Group Discussion ◽  
Healthcare Providers ◽  
Maternal Health Service ◽  
Care Providers ◽  
Cross Sectional ◽  
District Hospitals ◽  
Smart Mobile

Abstract Objective : Our study aimed to evaluate the perspectives of health care providers of JAKPROS ( Jakarta Reproduksi Sehat ) application that is used to improve the maternal health service. This descriptive qualitative study engaged 16 healthcare providers from two sub-district hospitals. The participants were selected using purposive sampling and cross-sectional design. Participant were asked to fill the written informed consent.Data were collected by in-depth discussion of a list of selected questions in a focus group discussion. Results: Most health care providers used paper-based systems in their hospitals.They said that it was very helpful in helping them communicate with their patients and provide information. The application has many benefits that help doctors provide the best service for patients during pregnancy.The use and adoption of app is needed to make a further improvements in the healthcare system. This study will help improve the application for more widespread use in a greater number of hospitals. JAKPROS made healthcare provider easier to communicate and track patient’s health. This app also assist patients related to the doctor’s schedule, health information, and nearest hospital.

scholarly journals A cross sectional study on needle stick and sharp injuries among health care providers in tertiary centers, Tamil Nadu

2018 ◽  
Vol 5 (3) ◽  
pp. 982 ◽  
Author(s):  
Archana Lakshmi P. A. ◽  
Ashrof Raja ◽  
Meriton Stanly A. ◽  
Christina Mary Paul ◽  
Gladius Jennifer H.
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Tamil Nadu ◽  
Cross Sectional Study ◽  
Hypodermic Needle ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Needle Stick ◽  
One Year

Background: Health care workers are at risk of acquiring life threatening blood borne infections through needle stick and sharp injuries (NSSI) in their work place. This study was planned to highlight some important factors responsible for NSSI and possible measures to reduce it. The objective of the study was to assess the factors associated with NSSI and reasons for under-reporting. Methods: A cross sectional study was done during November 2014 to April 2015 in two tertiary health care institutions. All health care providers (Doctors, nurses and lab technicians) who had more than one year experience and gave informed consent were included. Data collected by pretested structured questionnaire. Data analysis was done using SPSS 20v and summarized by descriptive statistics. Proportion and Chi-square was calculated at 5% α. Results: Among 950 health care providers (HCPS), 649 (68.3%) had NSSI during their carrier, 335 (35.3%) in last one year. Females 225 (67.2%) experienced more NSSI. This study shows that, 98 (29.3%) HCPs had sustained injury once. Among the doctors, 51.4% Anaesthetist (p=0.001) and its more among the nurses (38.4%) followed by doctors (36.6%) (p=0.002). NSSI was more common among HCP who work between 30-40 hrs (p=0.00001). Majority of them sustained injury while performing the procedure 134 (40%), commonest place of injury was OT 149 (44.5%) and commonest item responsible was hypodermic needle 141 (42.1%). Only 50 (14.9%) reported to the concerned authority and follow up action was taken. Conclusions: The study shows high prevalence of NSSI, emphasizing the need for safe measures for handling sharps to prevent transmission of infection. 

scholarly journals Patients’ satisfaction regarding facilities and services provided at AYUSH clinics of primary health centres in rural Puducherry

2019 ◽  
Vol 6 (6) ◽  
pp. 2498 ◽  
Author(s):  
Chithra Boovaragasamy ◽  
Seetharaman Narayanan
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Crucial Component ◽  
Primary Health Centres ◽  
One Year

Background: Patient satisfaction is a crucial component of the health care system in today’s competitive modern era. There is a limited literature describing the patient satisfaction on AYUSH care and therefore this study was undertaken to assess the satisfaction about facilities, healthcare providers and treatment among the patients attending selected AYUSH-attached PHCs in rural Puducherry.Methods: A facility based cross-sectional study was conducted among the patients who attended AYUSH clinics at 4 selected PHCs of Puducherry over a period of one year. Personal Interviews using semi-structured pretested proforma was conducted for capturing information on socio-demographic variables, satisfaction regarding the facilities and health care providers. Telephonic interviews were conducted two weeks after the centre-based personal interviews, to assess the patients’ treatment satisfaction levels.Results: Out of the 584 patients interviewed, 71.23% rated as very good/excellent their interaction with the healthcare providers, with regards to satisfaction about the infrastructure facilities, the proportion rating very good/excellent ranged from 64.47% to 93.93% across the different AYUSH PHCs.Conclusions: Overall satisfaction about the quality of services and treatment was good among the patients.

scholarly journals Perceived stress and its associated factors among health care providers during COVID-19 outbreak in Ilu Aba Bor and Bunno Bedelle Zones of Oromia regional state, South West, Ethiopia, 2020: A Cross sectional study

2021 ◽  
Author(s):  
Yadeta Alemayehu ◽  
Adamu kenea ◽  
Ibsa Gelan ◽  
Lemi Bacha ◽  
Geremew Tolessa
Keyword(s):  
Health Care ◽  
Perceived Stress ◽  
Health Care Providers ◽  
Work Experience ◽  
Educational Background ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Corona Virus ◽  
South West Ethiopia

Abstract Background: Pandemic corona virus outbreak has global distribution and world health organization stated that there is a high risk of pandemic corona virus out spreading to other developing countries that can make health professionals serving in third world countries to fear for morbidity and mortality. Even though the problem is given a concern in Western countries, in developing countries like Ethiopia the data is limited and the concern for these front liners is low.Objectives: To assess level of perceived stress and associated factors among health care providers during corona virus outbreak in Ilu Aba Bora and Bunno Bedelle Zones, Oromia regional state, South West Ethiopia, 2020.Methods: Facility based cross sectional study design was conducted among 365 respondents. Perceived stress was assessed using perceived stress scale (PSS) instrument. The data was organized and processed by the use of epi info-7 and analyzed using SPSS version 21.Results: The prevalence of perceived stress due to pandemic corona virus among health care providers working in public health facilities was 57%. In Multivariate logistic regression being married (AOR=4.6, 95% CI: 3.51; 9.33), less than one year work experience (AOR= 2.57, 95%CI: 1.83-7.32) and having BSc degree and lower educational background (AOR=3.8, 95%CI: 2.81; 7.03) had significantly associated with perceived stress among health care providers at p value of less than 0.05.Conclusion: Lower work experience, being married and lower educational background was significantly associated with perceived stress. Ministry of health in collaboration with ministry of education and other stakeholders should facilitate stress management skills inductive trainings to practitioners of newly recruited health care providers working in health care facilities.

scholarly journals Maternal Health Care Providers and the Challenges of Quality Services in Rural Communities of Kaduna State, Nigeria

2012 ◽  
Vol 10 (1) ◽  
Author(s):  
Godswill James ◽  
Ada Helen Ochi
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Maternal Health ◽  
Health Care Providers ◽  
Rural Areas ◽  
Maternal Health Care ◽  
Care Providers ◽  
Quality Health Care ◽  
Cross Sectional

It is widely assumed by maternal health care programmers and policy makers that expanding coverage of maternal health care services will improve reproductive health indices such as maternal mortality; this is without taking into account the quality of care especially in rural areas. Despite various attempts by Governments to increase the utilization of maternity service and improve maternal health, the progress made so far remains little in rural areas. This study examines the challenges faced by maternal health care providers in providing quality services in rural communities of Kaduna State. A community-based cross-sectional research design was adopted and data were obtained using both quantitative and qualitative methods. A survey of 300 women aged 15-49 years was carried out, using multi-stage sampling techniques involving Local Government Areas, wards, main streets, houses, households and individuals. Focus group discussions were conducted among women who delivered three months before the survey, and those who experienced acute morbidity and complications. In-depth interviews were conducted with maternal health care providers in the study communities. The study reveals inadequacy in equipment, number and quality of staff in the rural health facilities; younger women were more likely to have positive experience of care than older women. Care was discontinued if health care providers were perceived as unqualified, neglectful or too young. Many pregnant women were discouraged from taking their drugs due to the perception that the drugs increased the baby’s weight which makes delivery difficult. Engagement with political, religious leaders and community groups needs to be fostered through sensitization and sustained advocacy to remove constraints to accessibility of quality health care in rural areas.

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