scholarly journals Measuring Physical access to primary health care facilities in Gambella Region (Western Ethiopia)

2021 ◽  
Vol 4 ◽  
pp. 1-8
Author(s):  
Pier Lorenzo Fantozzi ◽  
Giuseppe Baracca ◽  
Fabio Manenti ◽  
Giovanni Putoto
Keyword(s):  
Field Work ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Development Cooperation ◽  
Network Analyst ◽  
Quality Of Health Services ◽  
Physical Access ◽  
Western Ethiopia ◽  
Primary Health Care Facilities

Abstract. As part of the project “More equity and quality of health services in Gambella, Gambella Region”, financed by the Italian Agency for Development Cooperation (AICS) and implemented by the Italian NGO Doctors with Africa CUAMM (Padua, Italy) a geographic database of the distribution of health facilities of Gambella Region (western Ethiopia) was created. This data collection was carried out in two missions carried out in February 2018 and November-December 2019. It allowed a mapping of the access roads and the location of health facilities using Geomatic Approaches and related technologies (Remote Survey, Field Survey, GPS, GIS). The field work has allowed the investigation in 11 Waredas (i.e. districts) with the census of 3 primary hospitals, 26 health centres and 121 HPs and related road access by car or, in case of inaccessibility of vehicles, by foot or boat.The final result of this work is the availability of a detailed cartographic picture of the geographical distribution of Health Facilities (HFs) in order to support the modern decision-making tools to be adopted for the distribution of human and instrumental resources. As an example we describe a network analysis performed by ESRI™ Network Analyst which showed the importance of this approach to remodel a more efficient referral system.

Patient satisfaction with the quality of care in Ghana’s health-care institutions

2019 ◽  
Vol 13 (2) ◽  
pp. 160-170 ◽  
Author(s):  
Aaron Asibi Abuosi ◽  
Mahama Braimah
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Service Delivery ◽  
National Survey ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Content Type ◽  
Care Facilities

Purpose The purpose of this study was to examine patient satisfaction with the quality of care in Ghana’s health-care facilities using a disaggregated approach. Design/methodology/approach The study was a cross-sectional national survey. A sample of 4,079 males and females in the age group of 15-49 years were interviewed. Descriptive statistics, principal component analysis and t-tests were used in statistical analysis. Findings About 70 per cent of patients were satisfied with the quality of care provided in health-care facilities in Ghana, whereas about 30 per cent of patients were fairly satisfied. Females and insured patients were more likely to be satisfied with the quality of care, compared with males and uninsured patients. Research limitations/implications Because data were obtained from a national survey, the questionnaire did not include the type of facility patients attended to find out whether satisfaction with the quality of care varied by the type of health facility. Future studies may, therefore, include this. Practical implications The study contributes to the literature on patient satisfaction with the quality of care. It highlights that long waiting time remains an intractable problem at various service delivery units of health facilities and constitutes a major source of patient dissatisfaction with the quality of care. Innovative measures must, therefore, be adopted to address the problem. Originality/value There is a paucity of research that uses a disaggregated approach to examine patient satisfaction with the quality of care at various service delivery units of health facilities. This study is a modest contribution to this research gap.

scholarly journals Coverage and Quality of Antenatal Care Provided at Primary Health Care Facilities in the ‘Punjab’ Province of ‘Pakistan’

PLoS ONE ◽  
2014 ◽  
Vol 9 (11) ◽  
pp. e113390 ◽  
Author(s):  
Muhammad Ashraf Majrooh ◽  
Seema Hasnain ◽  
Javaid Akram ◽  
Arif Siddiqui ◽  
Zahid Ali Memon
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Antenatal Care ◽  
Health Care Facilities ◽  
Primary Health ◽  
Punjab Province ◽  
Care Facilities ◽  
Primary Health Care Facilities

scholarly journals Factors associated with adherence to the Integrated Management of Childhood Illness (IMCI) guidelines for under-five years’ old care in Burkina Faso primary health care facilities

2019 ◽  
Author(s):  
Sabere Anselme Traoré ◽  
Serge M.A. Somda ◽  
Joël Arthur Kiendrébéogo ◽  
Jean-Louis Kouldiati ◽  
Paul Jacob Robyn ◽  
...  
Keyword(s):  
Health Care ◽  
Health Workers ◽  
Integrated Management ◽  
Health Care Facilities ◽  
Childhood Illness ◽  
Under Five ◽  
Danger Signs ◽  
Primary Health ◽  
Primary Health Care Facilities

AbstractObjectiveTo assess the adherence to Integrated Management of Childhood Illness (IMCI) guidelines in primary health care facilities in Burkina Faso and to determine the factors associated.Materials and MethodsWe used data from a large survey on health facilities, held from October 2013 to April 2014. Primary health facilities were evaluated, health workers interviewed and consultations observed. The standard guideline for an under five year’s old child consultation was the Integrated Management of Childhood Illness (IMCI).Results1,571 consultations were observed, carried out by 522 different practitioners. The danger signs were usually not checked (13.9% only checking for at least three general danger signs). The adherence for cough (74.8%), diarrhoea (64.9%), fever (83.8%) and anaemia (70.3%) was higher. The principal factors found to be associated with poorer adherence to guidelines of consultation were female sex (Rate Ratio (RR) = 0.91; 95% CI 0.86 – 0.95), non-nurse practitioner (RR=0.93; 95% CI 0.88 – 0.97), IMCI training (RR=1.06; 95% CI 1.01 – 1.11), non-satisfaction of the salary (RR=0.95 95% CI 0.91 – 0.99).ConclusionThis study highlights a poor adherence to the IMCI guidelines and by then, revealing a poor quality of under-five care. Indeed, many characteristics of health workers including gender, type of profession, training satisfaction with salary were found to be associated with this adherence. Therefore, more initiatives aiming at improving the quality of care should be developed and implemented for improving the child health care.

scholarly journals Quality of Health Services in the First Level Health Facilities and the Role of Quality and Cost Control Team in Lampung Province

2020 ◽  
Vol 3 (1) ◽  
pp. 8
Author(s):  
Asep Sukohar ◽  
Arli Suryawinata ◽  
Aulian Mediansyah
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Cost Control ◽  
Health Facilities ◽  
Care Providers ◽  
Primary Health ◽  
Control Team ◽  
Quality Of Health Services

Background: The National Health Insurance/Jaminan Kesehatan Nasional (JKN) program is a public health protection guarantee held by the Social Securite Management Agency/Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS) to ensure that all Indonesians receive comprehensive, fair, and equitable health care benefits. The health services are provided using a tiered service system with the first stage in the First Level Health Facilities/Fasilitas Kesehatan Tingkat Pertama (FKTP) acting as a gatekeeper. In conducting these duties, they must always be maintained with good cost-efficiency to be able to provide optimal health service quality. The audit function is imposed by the Quality and Cost Control Team/Tim Kendali Mutu Kendali Biaya (TKMKB) which partners with BPJS. Until now, various efforts to improve the quality of services continue to be developed, one of which is the capitation-based service commitment/Kapitasi Berbasis Komitmen Pelayanan (KBK) payment method. Quality of health services in FKTP can be seen through the high number of FKTP that are affected by the capitation-based service commitment (FKTP KBK-K) payment. Additionally, the high number of FKTP KBK-K can also be a measure of the success of the quality and cost control program implemented by the regional TKMKB. Objective: To assess the quality of health services in FKTP and the TKMKB performance of Lampung Province. Methods: This research was a descriptive-analytic study using data from the BPJS report of Lampung Province and TKMKB in the first and second quarters of 2019. Results: There was an increase in the number of FKTP KBK-K in Lampung Province in the second quarter of 2019, not achieving the minimum contact number, with a low ratio of Prolanis Routine Participants Visiting/Rasio Peserta Prolanis Rutin Berkunjung (RPPRB) especially at the FKTP non-Primary Health Care Centers (non-Puskesmas) in Lampung Province. Conclusion: An increase in the number of FKTP KBK-K that is not accompanied by an increase in the clinical ability of primary health care providers (such as family doctors/primary care doctors) can reflect suboptimal health services in FKTP. Also, this can further serve as a benchmark that the performance of the provincial TKMKB is not yet optimal.

scholarly journals Sosialisasi Manajemen Klinis untuk peningkatan mutu pelayanan kesehatan bagi Profesional Perekam Medis

2021 ◽  
Vol 1 (2) ◽  
pp. 147-158
Author(s):  
Rahmi Septia Sari ◽  
Yanti Desnita Tasri ◽  
Rindy Shakila
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Health Care Facilities ◽  
Care Providers ◽  
Clinical Quality ◽  
Management Concepts ◽  
Quality Health ◽  
Quality Of Health Services

Abstract                Health facilities are very important services for the community. The most important health service is to produce beneficial outcomes for patients, users and society. Achieving this outcome is highly dependent on the quality of health services. Improving the quality of clinical services is one of the efforts to manage the quality of health services. Information about health services from all users of medical services and all individuals is needed as a source of data to answer questions about the quality of health services. So that accurate information is obtained. The purpose of this activity is to provide information and knowledge to medical recorders about the quality of health services related to clinical quality management in improving performance and implementing clinical management concepts. There are several perspectives regarding the quality of health services, including according to consumers of health services as a service that can meet the needs of the community, according to quality health service providers, namely the availability of equipment, work procedures, professional freedom in performing health services, according to funders of health services as a health service. In an effective and efficient manner, according to the owner of health care facilities, quality health services can generate income that is able to cover operational costs, while according to health service administrators, it can provide for the needs of patients and health care providers. The method used is by providing information directly through virtual media to medical recorders. Keywords: Management, Clinical, Quality, Service, Medical Record     Abstrak Fasilitas kesehatan merupakan pelayanan yang sangat penting bagi masyaraka. Pelayanan kesehatan yang paling utama adalah menghasilkan outcome yang menguntungkan bagi pasien, pengguna dan masyarakat. Pencapaian outcome ini sangat tergantung pada mutu pelayanan kesehatan. Peningkatan mutu pelayanan klinis merupakan salah satu upaya manajemen mutu pelayanan kesehatan. Informasi mengenai pelayanan kesehatan dari seluruh pengguna jasa pelayanan medis maupun seluruh individu diperlukan sebagai sumber data untuk menjawab pertanyaan mengenai mutu pelayanan kesehatan. Sehingga diperoleh informasi yang akurat. Tujuan kegiatan adalah untuk memberikan informasi dan pengetahuan kepada para perekam medis tentang mutu pelayanan kesehatan terkait manajemen mutu klinis dalam peningkatan kinerja serta mengimplementasikan konsep manajemen klinis. Terdapat beberapa perspektif mengenai mutu pelayanan kesehatan diantaranya menurut konsumen layanan kesehatan sebagai suatu layanan yang dapat memenuhi kebutuhan masyarakat, menurut provider layanan kesehatan yang bermutu yaitu tersedianya peralatan, prosedur kerja, kebebasan profesi dalam melakukan layanan kesehatan, menurut penyandang dana layanan kesehatan sebagai suatu layanan kesehatan yang efektif dan efisien, menurut pemilik sarana layanan kesehatan bahwa layanan kesehatan yang bermutu dapat menghasilkan pendapatan yang mampu menutupi biaya operasional sedangkan menurut administrator layanan kesehatan dapat menyediakan kebutuhan pasien serta pemberi layanan kesehatan. Adapun metode yang dilakukan adalah dengan cara memberikan informasi langsung melalui media virtual kepada perekam medis. Kata kunci: Manajemen, Klinis, Mutu, Pelayanan, Perekam Medis

scholarly journals The Kualitas Pelayanan Berhubungan Dengan Kepuasan Peserta Jkn Di Fasilitas Kesehatan Tingkat Pertama Provinsi Daerah Istimewa Yogyakarta

2019 ◽  
Vol 22 (3) ◽  
Author(s):  
Sri Sularsih Endartiwi ◽  
Pramukti Dian Setianingrum
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Random Sampling ◽  
Health Facilities ◽  
Cross Sectional ◽  
Participant Satisfaction ◽  
Primary Health ◽  
Quality Of Health Services ◽  
Primary Health Facilities

BPJS Health targets participant satisfaction to reach 95%, but until 2017 participant satisfaction reaches 85%. Participants who received service at the primary health facilities based on observations averaged 70%. Based on observations at the primary health facility can be seen that participant satisfaction is 70%. The objective was to evaluate the correlation between the quality services and participant satisfaction on the national health insurance at primary health facilities in the province of Yogyakarta. The type of research was quantitative descriptive with cross sectional design. The research location was primary health facilities that cooperate with BPJS Kesehatan in the Province of Yogyakarta. The study was conducted in July 2018. The number of samples in this study was 850 by proportional random sampling. Data analysis was using the Kendall Tau test. Results showed that the quality of health services both in terms of tangible, reliability, responsiveness, assurance and empathy were related to the satisfaction of BPJS Kesehatan participants in the primary health facilities. The results of bivariate analysis for each variable had a Sig. (2-tailed) 0,000 with a strong relationship. The quality of health services was related to the satisfaction of patients participating in the BPJS Kesehatan in the primary health facilities of the Province of Yogyakarta. Primary health facilities in order to maintain the quality of its health services so that patients participating in the National Health Insurance program remain satisfi ed with the services that have been provided. Abstrak BPJS Kesehatan menargetkan kepuasan peserta mencapai 95%, akan tetapi sampai tahun 2017 ini kepuasan peserta mencapai 85%. Peserta yang mendapatkan pelayanan di fasilitas kesehatan tingkat pertama berdasarkan hasil observasi di puskesmas, dokter keluarga dan klinik pratama rata-rata 70%. Berdasarkan hasil observasi di fasilitas kesehatan tingkat pertama (FKTP) yang bekerja sama dengan BPJS Kesehatan dapat diketahui bahwa kepuasan peserta sebesar 70%. Penelitian bertujuan untuk membuktikan bahwa kualitas pelayanan berhubungan dengan kepuasan peserta Jaminan Kesehatan Nasional (JKN) di Fasilitas Kesehatan Tingkat Pertama Di Provinsi Daerah Istimewa Yogyakarta. Jenis penelitian adalah deskriptif kuantitatif dengan rancangan cross sectional. Lokasi penelitian adalah FKTP yang bekerjasama dengan BPJS Kesehatan di Provinsi Daerah Istimewa Yogyakarta. Penelitian dilakukan pada bulan Juli 2018. Jumlah sampel dalam penelitian ini adalah 850 secara proportional random sampling. Analisis data dilakukan dengan menggunakan uji Kendall Tau. Kualitas pelayanan kesehatan baik dari sudut tangible, reliability, responsiveness, assurance maupun empathy berhubungan dengan kepuasan pasien peserta BPJS Kesehatan di FKTP Provinsi Daerah Istimewa Yogyakarta. Hasil analisis bivariat setiap variabel mempunyai nilai Sig. (2-tailed) 0,000 dengan hubungan yang kuat. Kualitas pelayanan kesehatan (tangible, reliability, responsiveness, assurance dan empathy) berhubungan dengan kepuasan pasien peserta BPJS Kesehatan di FKTP Provinsi Daerah Istimewa Yogyakarta. FKTP di Provinsi Daerah Istimewa Yogyakarta supaya tetap mempertahankan kualitas pelayanan kesehatannya sehingga pasien peserta program Jaminan Kesehatan Nasional (JKN) tetap merasa puas terhadap pelayanan yang sudah diberikan.

scholarly journals Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh

PLoS ONE ◽  
2017 ◽  
Vol 12 (5) ◽  
pp. e0178121 ◽  
Author(s):  
Sk Masum Billah ◽  
Kuntal Kumar Saha ◽  
Abdullah Nurus Salam Khan ◽  
Ashfaqul Haq Chowdhury ◽  
Sarah P. Garnett ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Health Care Facilities ◽  
Nutrition Services ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities
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