scholarly journals INFLUENCE OF SOURCE OF DATA, INFORMATION FLOWS AND EXCHANGE PLATFORMS ON LEVEL OF HIS FEEDBACK IN PUBLIC HEALTH FACILITIES

2021 ◽  
Vol 2 (1) ◽  
pp. 43-53
Author(s):  
Alex Miningwa
Keyword(s):  
Public Health ◽  
Data Collection ◽  
Health Information ◽  
Health Sector ◽  
Health Facilities ◽  
Empirical Literature ◽  
Information Flows ◽  
Information Process ◽  
Ministry Of Health ◽  
Public Health Facilities

Purpose: Data collection is the first step of the information process within the health information system, so health information systems are often classified according to data collection method. The general objective of the study was to evaluate influence of source of data, information flows and exchange platforms on level of HIS feedback in public health facilities Methodology: The paper used a desk study review methodology where relevant empirical literature was reviewed to identify main themes and to extract knowledge gaps. Findings: The study concludes that there was feedback at all levels in the HIS. The feedback was on referrals, disease prevalence rates and policy implementation. The feedback was beneficial in terms of helping the health facilities improve data collection, information processing and general implementation of the Health policies. Feedback provided was relevant especially from the Ministry of Health. Recommendations: There is need for Ministry of Health should to increase interaction (feedback) with the lower level health facilities. Ministry of Health should give priority to all health facilities in terms of processing information obtained and feedback given on timely basis. This will improve decision making in all facilities that share information through HIS. Moreover ministry of Health and Administrators of Health facilities should strengthen HIS for the benefit of improving service delivery in the Health Sector. This can be through increasing capacity of the HIS to satisfy needs of all stakeholders

scholarly journals KNOWLEDGE OF NURSES ON SYNDROMIC MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS IN PUBLIC FACILITIES

2020 ◽  
Vol 5 (5) ◽  
pp. 1
Author(s):  
Maina Eva Mumbi ◽  
Mwangi John Hiuhu ◽  
Njuguna Felix Tharao ◽  
Maingi Nancy Nyambura
Keyword(s):  
Public Health ◽  
Data Collection ◽  
Sexually Transmitted Infections ◽  
Health Facilities ◽  
Unique Contribution ◽  
Data Collection Tool ◽  
Syndromic Management ◽  
Sexually Transmitted ◽  
Public Health Facilities ◽  
Syndromic Approach

Purpose: The main purpose of this study is to assess the knowledge of nurses on syndromic management of STIs in public health facilities within Kirinyaga west Sub County. Methodology: The study utilized descriptive cross-sectional study design, with a target population of 70 nurses working in 16 Kirinyaga west public health facilities. The dependent variable was applying syndromic approach management of sexually transmitted infections, independent variables as knowledge and practices. The study utilized purposive sampling technique to determine the sample size of 49 nurses. The study employed the use of a questionnaire as a data collection tool and check list. A pretest of the data collection tool was conducted at Karatina sub county hospital MCH/FP Findings The study findings showed that 90% of the respondents had general knowledge of what syndromic approach is though 38% were not able to identify the common STIs syndromes and 39% couldn’t correctly identify the STIs that present a genital ulcer. 45% depended on laboratory investigations to diagnose and manage STIs, while 74% had not undergone any training or CME in the last 2 years on syndromic management of STIs and 96%reported that the health facilities they were stationed did not have readily available WHO/NASCOP 2015 guidelines. The respondents did not apply the syndromic approach in managing STIs and that, knowledge and practice on syndromic management of STIs among nurses in Kirinyaga west Sub County is low at 41%. Unique contribution to theory, practice and policy: There is need for more awareness through capacity building among health workers managing sexually transmitted infections in the communities and therefore the study recommends county Governments to organize for trainings and CMEs on STIs/syndromic approach and identify an STIs management focal person in public health facilities.

Quality of Routine Health Information System Data and Associated Factors Among Departments in Public Health Facilities of Harari Region, Ethiopia

2021 ◽  
Author(s):  
Adisu Tafari Shama ◽  
Hirbo Shore Roba ◽  
Admas Abera ◽  
Negga Baraki
Keyword(s):  
Public Health ◽  
Information System ◽  
Data Quality ◽  
Health Information ◽  
Health Information System ◽  
Health Facilities ◽  
Quality Data ◽  
Public Health Facilities ◽  
System Data

Abstract Background: Despite the improvements in the knowledge and understanding of the role of health information in the global health system, the quality of data generated by a routine health information system is still very poor in low and middle-income countries. There is a paucity of studies as to what determines data quality in health facilities in the study area. Therefore, this study was aimed to assess the quality of routine health information system data and associated factors in public health facilities of Harari region, Ethiopia.Methods: A cross-sectional study was conducted in all public health facilities in Harari region of Ethiopia. The department-level data were collected from respective department heads through document reviews, interviews, and observation check-lists. Descriptive statistics were used to data quality and multivariate logistic regression was run to identify factors influencing data quality. The level of significance was declared at P-value <0.05. Result: The study found a good quality data in 51.35% (95% CI, 44.6-58.1) of the departments in public health facilities in Harari Region. Departments found in the health centers were 2.5 times more likely to have good quality data as compared to departments found in the health posts. The presence of trained staffs able to fill reporting formats (AOR=2.474; 95%CI: 1.124-5.445) and provision of feedback (AOR=3.083; 95%CI: 1.549-6.135) were also significantly associated with data quality. Conclusion: The level of good data quality in the public health facilities was less than the expected national level. Training should be provided to increase the knowledge and skills of the health workers.

scholarly journals The Incremental Cost of Delivering PrEP as a Bridge to ART for HIV Serodiscordant Couples in Public HIV Care Clinics in Kenya

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Elizabeth M. Irungu ◽  
Monisha Sharma ◽  
Christopher Maronga ◽  
Nelly Mugo ◽  
Kenneth Ngure ◽  
...  
Keyword(s):  
Public Health ◽  
Incremental Cost ◽  
Health Facilities ◽  
Hiv Care ◽  
Serodiscordant Couples ◽  
Ministry Of Health ◽  
Care Clinic ◽  
Public Health Facilities ◽  
Hiv Serodiscordant Couples ◽  
Preexposure Prophylaxis

Background. In 2016, the Kenyan Ministry of Health (MOH) released guidelines that recommend preexposure prophylaxis (PrEP) for persons with substantial ongoing HIV risk, including those in HIV serodiscordant partnerships. Estimates of the costs of delivering PrEP within Kenyan public health facilities are needed for planning for PrEP scale up. Methods. We estimated the incremental annual costs of providing PrEP to HIV uninfected partners as a time-limited “bridge” until the infected partner is virally suppressed on ART within HIV serodiscordant couples as part of routine clinic care in Thika, Kenya. Costs were collected from the Partners Demonstration Project, a prospective evaluation of integrated delivery of preexposure prophylaxis (PrEP) and antiretroviral therapy (ART) to high-risk HIV serodiscordant couples. We conducted time and motion studies to distinguish between activities related to research, routine clinical care, and PrEP delivery. Costs (2015 US dollars) were collected from the MOH perspective and divided into staff, transportation, equipment, supplies, buildings and overhead, and start-up. Results. PrEP related activities conducted during the screening, enrollment, and follow-up visits took an average of 13 minutes, 51 minutes, and 12 minutes, respectively. Assuming a staff structure of 3 counselors, 1 nurse, and 2 clinicians, we estimate that 3,178 couples can be screened, 1,444 couples offered PrEP and ART, and 6,138 couples followed up annually in an average HIV care clinic. Using costs incurred by the MOH for personnel, drug, and laboratory tests, we estimate that the incremental cost of offering PrEP to HIV uninfected partners within existing ART programs is $86.79 per couple per year. Personnel and PrEP medication made up the largest portion of the costs. We estimate that the total cost to Ministry of Health of delivering integrated PrEP and ART program in public health facilities is $250.19 per HIV serodiscordant couple per year. Conclusions. Time-limited provision of PrEP to the HIV uninfected partner within HIV serodiscordant couples can be an affordable delivery model implemented in HIV care programs in Kenya and similar settings. These costs can be used for budgetary planning and cost effectiveness analyses.

scholarly journals Analysis the Centralized Drug Procurement Results at Ho Chi Minh city Department of Health

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Le Ngoc Danh ◽  
Do Van Dung ◽  
Ly Thanh Trung ◽  
Chau Thuc Oanh ◽  
Truong Van Dat ◽  
...  
Keyword(s):  
Public Health ◽  
Drug Use ◽  
World Bank ◽  
Health Facilities ◽  
Ho Chi Minh City ◽  
Brand Name ◽  
Ministry Of Health ◽  
Public Health Facilities ◽  
Department Of Health ◽  
Bid Prices

In recent years, the procurement of drugs in public health facilities is mostly done in the form of bidding. In particular, the concentrated bidding form at the Department of Health brings advantages to the process of drug supply as well as safe, appropriate and effective management of drug use. In the period 2014-2019, at the Ho Chi Minh City Department of Health (DoH), the number of drugs in the concentrated bidding list increases year by year, from 92 (2014) to 101 (2019). The number of winning drugs on the list promulgated by the Ministry of Health has increased year by year. DoH focuses mainly on purchasing drugs under generic packages when the quantity of drugs is in the range of 67-70% higher than the quantity of drugs in the original brand name package (30-33%). In terms of value, compared to the total planned value, the generic package decreased by 65% (2017-2019), while the original brand name package only decreased by 35%. Bid prices and winning prices of each commodity decrease over the years. The difference between bid prices and winning bid prices ranged from 20% to 40%. DoH's locally concentrated list of tenders has not yet fully met the needs of local health facilities, so there is still planning to add new drugs out of the list. Therefore, it is advisable to conduct a further survey on drug use needs in each health facility through data from open bidding at hospitals in Ho Chi Minh City. From there, consider which drugs should be added to DoH's centralized procurement list. Keywords: Centralized bidding, generic bidding package, original brand name bidding package, drug price, HCMC Department of Health. References [1] World Health Organization, How pharmaceutical systems are organized in Asia and the Pacific, OECD Publishing, 2018.[2] Government of Vietnam, The World Bank, Fiscal Policies towards Sustainability, Efficiency, and Equity, World Bank Washington DC, 2017.[3] Ministry of health, Circular 09/2016/TT-BYT promulgation of list of drugs for procurement through bidding, list of drugs for concentrated procurement, list of drugs for procurement through price negotiation, 2016 (Vietnamese).[4] Ministry of health, Circular 21/2013/TT-BYT prescribing organization and operation of the drug and treatment council in hospitals, 2013. (Vietnamese).[5] Xuan-Phuoc Nguyen-Thi et al, Analysis of drug bidding results in the form of centralized drug bidding at the Nghe An Province Health Department, Pharmaceutical journal 59 (7), 2019, 03-07 (Vietnamese).[6] Ministry of health, Circular 11/2016/TT-BYT bidding for supply of drugs for public health facilities, 2016 (Vietnamese).[7] Ministry of health, Joint Circular 01/2012/TTLT-BYT-BTC guiding bidding of drugs procurement in the medical facilities, 2012 (Vietnamese).          

scholarly journals Assessment of quality of routine health information system data and associated factors among departments in public health facilities of Harari region, Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Adisu Tafari Shama ◽  
Hirbo Shore Roba ◽  
Admas Abera Abaerei ◽  
Teferi Gebru Gebremeskel ◽  
Negga Baraki
Keyword(s):  
Public Health ◽  
Information System ◽  
Data Quality ◽  
Health Information ◽  
Health Information System ◽  
Health Facilities ◽  
Quality Data ◽  
Public Health Facilities ◽  
System Data

Abstract Background Despite the improvements in the knowledge and understanding of the role of health information in the global health system, the quality of data generated by a routine health information system is still very poor in low and middle-income countries. There is a paucity of studies as to what determines data quality in health facilities in the study area. Therefore, this study was aimed to assess the quality of routine health information system data and associated factors in public health facilities of Harari region, Ethiopia. Methods A cross-sectional study was conducted in all public health facilities in the Harari region of Ethiopia. The department-level data were collected from respective department heads through document reviews, interviews, and observation checklists. Descriptive statistics were used to data quality and multivariate logistic regression was run to identify factors influencing data quality. The level of significance was declared at P value < 0.05. Result The study found good quality data in 51.35% (95% CI 44.6–58.1) of the departments in public health facilities in the Harari Region. Departments found in the health centers were 2.5 times more likely to have good quality data as compared to those found in the health posts. The presence of trained staffs able to fill reporting formats (AOR = 2.474; 95% CI 1.124–5.445) and provisions of feedbacks (AOR = 3.083; 95% CI 1.549–6.135) were also significantly associated with data quality. Conclusion The level of good data quality in the public health facilities was less than the expected national level. Lack of trained personnel able to fill the reporting format and feedback were the factors that are found to be affecting data quality. Therefore, training should be provided to increase the knowledge and skills of the health workers. Regular supportive supervision and feedback should also be maintained.

scholarly journals Linkage to primary-care public health facilities for cardiovascular disease prevention: a community-based cohort study from urban slums in India

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e045997
Author(s):  
Abhijit Pakhare ◽  
Ankur Joshi ◽  
Rasha Anwar ◽  
Khushbu Dubey ◽  
Sanjeev Kumar ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Multivariate Analysis ◽  
Urban Slum ◽  
Primary Care Providers ◽  
Health Facilities ◽  
Care Providers ◽  
Community Based ◽  
Public Health Facilities ◽  
Care Facilities

ObjectivesHypertension and diabetes mellitus are important risk factors for cardiovascular diseases (CVDs). Once identified with these conditions, individuals need to be linked to primary healthcare system for initiation of lifestyle modifications, pharmacotherapy and maintenance of therapies to achieve optimal blood pressure and glycaemic control. In the current study, we evaluated predictors and barriers for non-linkage to primary-care public health facilities for CVD risk reduction.MethodsWe conducted a community-based longitudinal study in 16 urban slum clusters in central India. Community health workers (CHWs) in each urban slum cluster screened all adults, aged 30 years or more for hypertension and diabetes, and those positively screened were sought to be linked to urban primary health centres (UPHCs). We performed univariate and multivariate analysis to identify independent predictors for non-linkage to primary-care providers. We conducted in-depth assessment in 10% of all positively screened, to identify key barriers that potentially prevented linkages to primary-care facilities.ResultsOf 6174 individuals screened, 1451 (23.5%; 95% CI 22.5 to 24.6) were identified as high risk and required linkage to primary-care facilities. Out of these, 544 (37.5%) were linked to public primary-care facilities and 259 (17.8%) to private providers. Of the remaining, 506 (34.9%) did not get linked to any provider and 142 (9.8%) defaulted after initial linkages (treatment interrupters). On multivariate analysis, as compared with those linked to public primary-care facilities, those who were not linked had age less than 45 years (OR 2.2 (95% CI 1.3 to 3.5)), were in lowest wealth quintile (OR 1.8 (95% CI 1.1 to 2.9), resided beyond a kilometre from UPHC (OR 1.7 (95% CI 1.2 to 2.4) and were engaged late by CHWs (OR 2.6 (95% CI 1.8 to 3.7)). Despite having comparable knowledge level, denial about their risk status and lack of family support were key barriers in this group.ConclusionsThis study demonstrates feasibility of CHW-based strategy in promoting linkages to primary-care facilities.

scholarly journals Health facility capacity to provide postabortion care in Afghanistan: a cross-sectional study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Farzana Maruf ◽  
Hannah Tappis ◽  
Enriquito Lu ◽  
Ghutai Sadeq Yaqubi ◽  
Jelle Stekelenburg ◽  
...  
Keyword(s):  
Public Health ◽  
Family Planning ◽  
High Volume ◽  
Health Facilities ◽  
Public Health Facilities ◽  
Care Services ◽  
Vacuum Aspiration ◽  
Postabortion Care ◽  
Products Of Conception ◽  
Family Planning Counseling

Abstract Background Afghanistan has one of the highest burdens of maternal mortality in the world, estimated at 638 deaths per 100,000 live births in 2017. Infections, obstetric hemorrhage, and unsafe abortion are the three leading causes of maternal death. Contraceptive prevalence rate has fluctuated between 10 and 20% since 2006. The 2016 Afghanistan National Maternal and Newborn Health Quality of Care Assessment evaluated facility readiness to provide quality routine and emergency obstetric and newborn care, including postabortion care services. Methods Accessible public health facilities with at least five births per day (n = 77), a nationally representative sample of public health facilities with fewer than five births per day (n = 149), and 20 purposively selected private health facilities were assessed. Assessment components examining postabortion care included a facility inventory and record review tool to verify drug, supply, equipment, and facility record availability, and an interview tool to collect information on skilled birth attendants’ knowledge and perceptions. Results Most facilities had supplies, equipment, and drugs to manage postabortion care, including family planning counseling and services provision. At public facilities, 36% of skilled birth attendants asked to name essential actions to address abortion complications mentioned manual vacuum aspiration (23% at private facilities); fewer than one-quarter mentioned counseling. When asked what information should be given to postabortion clients, 73% described family planning counseling need (70% at private facilities). Nearly all high-volume public health facilities with an average of five or more births per day and less than 5% of low volume public health facilities with an average of 0–4 deliveries per day reported removal of retained products of conception in the past 3 months. Among the 77 high volume facilities assessed, 58 (75%) reported using misoprostol for removal of retained products of conception, 59 (77%) reported using manual vacuum aspiration, and 67 (87%) reported using dilation and curettage. Conclusions This study provides evidence that there is room for improvement in postabortion care services provision in Afghanistan health facilities including post abortion family planning. Access to high-quality postabortion care needs additional investments to improve providers’ knowledge and practice, availability of supplies and equipment.

scholarly journals Managing pneumonia through facility-based integrated management of childhood management (IMCI) services: an analysis of the service availability and readiness among public health facilities in Bangladesh

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ahmed Ehsanur Rahamn ◽  
Shema Mhajabin ◽  
David Dockrell ◽  
Harish Nair ◽  
Shams El Arifeen ◽  
...  
Keyword(s):  
Public Health ◽  
Distribution System ◽  
Integrated Management ◽  
Child Death ◽  
Health Facilities ◽  
Family Welfare ◽  
Service Availability ◽  
District Health ◽  
Public Health Facilities ◽  
District Hospitals

Abstract Background With an estimated 24,000 deaths per year, pneumonia is the single largest cause of death among young children in Bangladesh, accounting for 18% of all under-5 deaths. The Government of Bangladesh adopted the WHO recommended Integrated Management of Childhood Illness (IMCI)-strategy in 1998 for outpatient management of pneumonia, which was scaled-up nationally by 2014. This paper reports the service availability and readiness related to IMCI-based pneumonia management in Bangladesh. We conducted a secondary analysis of the Bangladesh Health Facility Survey-2017, which was conducted with a nationally representative sample including all administrative divisions and types of health facilities. We limited our analysis to District Hospitals (DHs), Maternal and Child Welfare Centres (MCWCs), Upazila (sub-district) Health Complexes (UHCs), and Union Health and Family Welfare Centres (UH&FWCs), which are mandated to provide IMCI services. Readiness was reported based on 10 items identified by national experts as ‘essential’ for pneumonia management. Results More than 90% of DHs and UHCs, and three-fourths of UH&FWCs and MCWCs provide IMCI-based pneumonia management services. Less than two-third of the staff had ever received IMCI-based pneumonia training. Only one-third of the facilities had a functional ARI timer or a watch able to record seconds on the day of the visit. Pulse oximetry was available in 27% of the district hospitals, 18% of the UHCs and none of the UH&FWCs. Although more than 80% of the facilities had amoxicillin syrup or dispersible tablets, only 16% had injectable gentamicin. IMCI service registers were not available in nearly one-third of the facilities and monthly reporting forms were not available in around 10% of the facilities. Only 18% of facilities had a high-readiness (score 8–10), whereas 20% had a low-readiness (score 0–4). The readiness was significantly poorer among rural and lower level facilities (p < 0.001). Seventy-two percent of the UHCs had availability of one of any of the four oxygen sources (oxygen concentrators, filled oxygen cylinder with flowmeter, filled oxygen cylinder without flowmeter, and oxygen distribution system) followed by DHs (66%) and MCWCs (59%). Conclusion There are substantial gaps in the readiness related to IMCI-based pneumonia management in public health facilities in Bangladesh. Since pneumonia remains a major cause of child death nationally, Bangladesh should make a substantial effort in programme planning, implementation and monitoring to address these critical gaps to ensure better provision of essential care for children suffering from pneumonia.

Experiences of women receiving childbirth care from public health facilities in Kumasi, Ghana

Midwifery ◽  
2017 ◽  
Vol 55 ◽  
pp. 90-95 ◽  
Author(s):  
Veronica Millicent Dzomeku ◽  
Brian van Wyk ◽  
Jody R. Lori
Keyword(s):  
Public Health ◽  
Health Facilities ◽  
Public Health Facilities ◽  
Experiences Of Women ◽  
Childbirth Care
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