scholarly journals Comparison of Lassa fever prevention practices between public and private primary health care facilities in Jos, Plateau state, Nigeria

2020 ◽  
Vol 2 ◽  
pp. 79-90
Author(s):  
JC Daboer ◽  
OY Sodipo ◽  
L Okoro ◽  
IC Maimagani ◽  
JM Dogo ◽  
...  

Background: Lassa fever is endemic in Nigeria and health care workers are at a high risk of contracting and transmitting the infection. This study compares Lassa fever prevention practices among health care providers in public and private Primary Health Care facilities in Jos.Methods: The study used a comparative cross-sectional design to study health care workers in 29 Primary Health Care facilities selected using a two-stage sampling technique. All health care workers who attended to patients were interviewed using a semistructured interviewer-administered questionnaire. Data were analysed using Statistical Package for Social Sciences version 23 and a p-value of ≤ 0.5 was considered statistically significant.Results: Majority of the respondents had neither received on-the-job training on Lassa fever prevention (91.9%) nor Universal Standard Precautions (88.7%). Private Primary Health Care facilities had better supplies and equipment for Lassa fever prevention compared to their public counterparts. Majority (65.8%) of respondents had poor Lassa fever prevention practices and this was worse in the private (75.4%) than the public (55.6%) facilities. No facility met all the requirements for Lassa fever prevention. Training had a statistically significant association with good practice among public Primary Health Care facilities. Conclusion: Noncompliance with Lassa fever prevention practice is still common in Primary Health Care facilities. This is worse in private facilities. Continuous training and improved supplies of materials and equipment are necessary for effective Lassa fever prevention among these health care providers.


2020 ◽  
Vol 3 (3) ◽  
pp. 203
Author(s):  
Doni Widyandana ◽  
Muhammad Eko Prayogo ◽  
Suhardjo Suhardjo

Cataract is one of the biggest causes of blindness in the world. As many as 2.4 million people suffered from cataracts in Indonesia in 2013. Therefore, early detection needs to be done to prevent further complications. However, health workers' limited ability in primary health care facilities has resulted in high cataract diagnosis rates. The purpose of this study was to determine the ability of early detection of eye diseases, especially cataracts by primary health care workers. This study was conducted using a quantitative descriptive method analyzing 158 medical records as a result of early detection of primary health care facilities in Sleman Regency, which were sent to the ophthalmologist team of the Department of Eye Health FKKMK UGM to be re-examined. The re-examination results by a team of ophthalmologists received 141 medical records that fulfilled the inclusion criteria, consisting of 61 patients confirmed by cataract diagnosis (43.3%) and 80 patients with a diagnosis of not cataract (56.7%). According to the study, primary health care workers' ability towards early detection of cataracts in Sleman Regency needed to be enhanced (4.3%).







Author(s):  
Christiana A. Oluwamotemi ◽  
Funmilayo A. Okanlawon ◽  
Elizabeth R. Edoni ◽  
Ademola L. Adelekan

Background: HIV testing services (HTS) act as a critical entry point to HIV care, treatment and prevention services, and offer the opportunity for specially-trained health care providers to encourage avoidance of high risk sexual behaviour among both HIV negative and HIV-positive individuals. However, there are some challenges that can hinder effective delivery of HIV Counseling and Testing services by health care providers. This study was therefore designed to investigate barriers to effective HIV testing services and strategies for its promotion at the primary health care facilities in Ibadan. Methods: This descriptive cross-sectional study was carried out among health care providers in primary health care facilities in five local government areas in Ibadan metropolis, Nigeria. A 4-stage sampling techniques was used to select 19 respondents and interviewed using key informant interview guide. Interviews were transcribed verbatim. Spot check of transcripts were conducted to ensure completeness of the transcription. The data were sorted, categorized, and analyzed using a qualitative data analysis computer software package (NVivo). Results: All the respondents interviewed reported that, there were pre and post-tests counseling including HIV testing services in their facilities. Some respondents added there were laboratory services and linkages to other care and support services for those tested positive to HIV. However, most of the respondents reported insufficient consumables, insufficient staff, no privacy, lack of infrastructures as barriers to effective HIV testing services. Many of the respondents recommended community sensitization, more provision for consumables, drugs and kits as strategies for promoting HIV testing services. Conclusion: This study revealed that the primary health centres have pre-test and post-test HIV counseling services but insufficient consumables and staff were the major barriers to HIV testing services in this study. It is therefore necessary for government to make provision for consumables and more personnel to boost the activities of the health facilities.



2015 ◽  
Vol 31 (2) ◽  
pp. 250-258 ◽  
Author(s):  
Mary-Anne Ahiabu ◽  
Britt P Tersbøl ◽  
Richard Biritwum ◽  
Ib C Bygbjerg ◽  
Pascal Magnussen


Author(s):  
Alexandro Pinto ◽  
Luciana Sepúlveda Köpcke ◽  
Renata David ◽  
Hannah Kuper

Poor accessibility of healthcare facilities is a major barrier for people with disabilities when seeking care. Yet, accessibility is rarely routinely audited. This study reports findings from the first national assessment of the accessibility of primary health care facilities, undertaken in Brazil. A national accessibility audit was conducted by trained staff of all 38,812 primary healthcare facilities in Brazil in 2012, using a 22-item structured questionnaire. An overall accessibility score was created (22 items), and three sub-scales: external accessibility (eight items), internal accessibility (eight items), information accessibility (six items). The main finding is that the overall accessibility score of primary care facilities in Brazil was low (mean of 22, standard deviation (SD) of 0.21, on a 0–100 scale). Accessibility of different aspects of the healthcare facilities was also low, including external space (mean = 31.0, SD = 2.0), internal space (18.9, 1.9) and accessibility features for people with other visual or hearing impairments (6.3, SD = 1.0). Scores were consistently better in the least poor regions of Brazil and in facilities in larger municipality size (indicating more urban areas). In conclusion, large-scale accessibility audits are feasible to undertake. Poor accessibility means that people with disabilities will experience difficulties in accessing healthcare, and this is a violation of their rights according to international and Brazilian laws.



PEDIATRICS ◽  
1981 ◽  
Vol 68 (5) ◽  
pp. 677-683
Author(s):  
R. Giel ◽  
M. V. de Arango ◽  
C. E. Climent ◽  
T. W. Harding ◽  
H. H. A. Ibrahim ◽  
...  

To ascertain the frequency of mental disorders in Sudan, Philippines, India, and Colombia, 925 children attending primary health care facilities were studied. Rates of between 12% and 29% were found in the four study areas. The range of mental disorders diagnosed was similar to that encountered in industrialized countries. The research procedure involved a two-stage screening in which a ten-item "reporting questionnaire" constituted the first stage. The study has shown that mental disorders are common among children attending primary health care facilities in four developing countries and that accompanying adults (usually the mothers) readily recognize and report common psychologic and behavioral symptoms when these are solicited by means of a simple set of questions. Despite this, the primary health workers themselves recognized only between 10% and 22% of the cases of mental disorder. The results have been used to design appropriate brief training courses in childhood mental disorders for primary health workers in the countries participating in the study.



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