Completeness and legibility of prescriptions and prescribing practice at two health centres on Wilberforce Island, Bayelsa State, Nigeria

2020 ◽  
Vol 1 (4) ◽  
pp. 24-32
Author(s):  
K.A. Ganiyu ◽  
◽  
M.C. Ekwueme ◽  
A. Ebiware-Otubo
Keyword(s):  
Niger Delta ◽  
Health Centre ◽  
Prescribing Pattern ◽  
Medication Therapy ◽  
Related Information ◽  
Primary Health ◽  
Appropriate Prescribing ◽  
Health Centres ◽  
Comprehensive Health ◽  
Prescribing Practice

Background: Ensuring that prescriptions are complete, legible, and in line with good prescribing practice is essential to optimizing outcomes of medication therapy. Objectives: To assess the completeness and legibility of prescriptions, and prescribing practice at Niger Delta University Health Centre (NDUHC) and Amassoma Comprehensive Health Centre (ACHC), two primary health care centres, in Bayelsa State, Nigeria. Methods: In this retrospective study, 344 and 303 prescriptions written at NDUHC and ACHC, respectively from January 01 to December 31, 2018 were randomly selected and assessed for presence of relevant components and their legibility and prescribing pattern was assessed using the WHO indicator study. All data generated were analyzed and presented appropriately. Results: At NDUHC and ACHC, 309 (89.8%) and 297 (98.0%) prescriptions were dated while 311 (90.4%) and 84 (27.7%) had the symbol Rx, respectively. Most of the prescriptions were duly signed, but the prescriber’s name was missing in 148 (43.0%) and 302 (99.7%) prescriptions, while the designation was absent in 222 (64.5%) and 91 (30.0%) at NDUHC and ACHC, respectively. All patient-related information excluding patient’s age and weight were present in all prescriptions at ACHC but not for NDUHC. Prescriptions that were clearly legible were 24 (7.9%) and 239 (69.5%) from ACHC and NDUHC respectively. On the average, 3.91±1.35 and 4.92±1.36 drugs were prescribed per encounter at NDUHC and ACHC, respectively. Conclusion: Compliance with completeness and legibility of prescriptions at the two health facilities were grossly unsatisfactory. Only injections prescribing conformed to appropriate prescribing practice at the two centres.

scholarly journals Continuity of nursing care in Finnish primary health care settings: A 15-year follow-up

2018 ◽  
Vol 7 (1) ◽  
pp. 11 ◽  
Author(s):  
Risto Raivio ◽  
Eija Paavilainen ◽  
Kari J. Mattila
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Continuity Of Care ◽  
Nursing Care ◽  
Health Centre ◽  
University Hospital ◽  
Primary Health ◽  
Patient Reported ◽  
Health Centres

Objective: Continuity is an essential part of high-quality nursing care. This study is the first systematic follow-up of Finnish primary health care patients assessing continuity of health centre nursing staff. The aim was to ascertain how longitudinal interpersonal continuity of care is related to patients’ characteristics, their consultation experiences, and how continuity had changed over the 15-year study period.Methods: A questionnaire survey was conducted among patients attending the health centres in the Tampere University Hospital catchment area from 1998 to 2013. A total of 157,549 patients responded out of 363,464 in almost 60 health centres. We analysed the opinions of patients (n = 47,470) who had visited a nurse during the survey weeks. Opinions on the continuity of care were assessed with the question: “When visiting the health centre, do you usually see the same nurse”, the alternatives being “yes” or “no”. A binary logistic regression model was used.Results: Almost two thirds of the respondents had met the same nurse when visiting their health care centre. Longitudinal interpersonal continuity of care decreased by 15 percentage (67%-52%) during the study years. Continuity was connected to patient-related items such as a visit in the preceding 12 months (OR 1.32, 95% CI 1.17-1.49) and non-urgency of the visit (OR 1.44, 95% CI 1.27-1.63). The most prominent factor contributing to the sense of continuity of care was how attentively nurses had listened to their patients’ problems and shown an interest in them and a willingness to answer their questions (OR 1.31, 95% CI 1.120-1.43).Conclusions: In the past 15 years patient-reported longitudinal interpersonal continuity of nursing care has declined. However continuity of care proved to enhance the experienced quality of primary health care. Continuity was best realized in nursing care when nurses had listened to their patients’ problems, showed interest toward them and a willingness to answer their questions.

scholarly journals Assessment of primary health centres of a district in North Karnataka according to Indian Public Health Standards 2012 guidelines: a cross sectional study

2019 ◽  
Vol 6 (11) ◽  
pp. 4731
Author(s):  
Shrinivas K. Patil ◽  
Shivaswamy M. S.
Keyword(s):  
Health Centre ◽  
Simple Random Sampling ◽  
Preventive Health Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres ◽  
Building Area

Background: Primary health centre (PHC) is a basic health unit to provide an integrated curative and preventive health care to the rural population as close to the people as possible, with emphasis on preventive and promotive aspects of health care.Methods: A facility based cross-sectional study was conducted in Belagavi district of Karnataka in India. Twenty PHCs, two PHCs from each of the 10 talukas of Belagavi district were selected by simple random sampling. The study period was from 1st January 2014 to 31st December 2014. Data was collected using a predesigned and structured questionnaire for IPHS facility survey.Results: In this study, only 60% of primary health centres covered the population as per the IPHS norms. All the PHCs were providing the regular outpatient department (OPD) services, referral services, antenatal care, family planning and in-patient services. Bed occupancy rate was less than 40% in 55% of PHCs. Building area in 75% of PHCs were inadequate according to IPHS norms. Residential facility for staff was available only in half of the studied PHCs.Conclusions: IPHS guidelines were not fully being followed at PHC level in the district. Though the requirement of medical officers and pharmacists was fulfilled in almost all the PHCs, deficiency was seen in the appointing of Ayush doctors and staff nurses at PHCs. There is an urgent need of recruiting the deficient staff for efficient functioning of the PHCs.

scholarly journals Evaluation of availability, accessibility and prescribing pattern of medicines in the Islamic Republic of Iran

2004 ◽  
Vol 10 (3) ◽  
pp. 406-415
Author(s):  
A. M. Cheraghali ◽  
S. Nikfar ◽  
Y. Behmanesh ◽  
V. Rahimi ◽  
F. Habibipour ◽  
...  
Keyword(s):  
Health Centre ◽  
Islamic Republic ◽  
Prescribing Pattern ◽  
Essential Drugs ◽  
Injectable Drugs ◽  
Primary Health ◽  
Complete Treatment ◽  
Islamic Republic Of Iran ◽  
Who Indicators ◽  
Very High

Prescribing, dispensing, availability and affordability of drugs were evaluated in 100 primary health care centres in 5 provinces of the Islamic Republic of Iran using WHO indicators. On average, 92% of the 12 essential drugs monitored were available in the health centre pharmacies and 95% of the drugs prescribed by the physician were dispensed by the health centre pharmacy. The stock-out duration was less than 1 month on average. A complete treatment for pneumonia cost only 2% of the lowest weekly government salary. The national average number of drugs per prescription was 3.4. Prescription of antibiotics and injectable drugs was very high [58% and 41% respectively]. Although availability and affordability of essential drugs is good in this country, rational use of drugs needs to be emphasized

scholarly journals Realist Evaluation of the Integrated Electronic Diagnosis Approach (IeDA) for the Management of Childhood Illnesses at Primary Health Facilities in Burkina Faso

2020 ◽  
Author(s):  
Karl Blanchet ◽  
Vincent-Paul Sanon ◽  
Sophie Sarrassat ◽  
Arsène Satouro Somé
Keyword(s):  
Burkina Faso ◽  
Healthcare Workers ◽  
Management Practices ◽  
Health Centre ◽  
Poor Adherence ◽  
Realistic Evaluation ◽  
Childhood Illnesses ◽  
Primary Health ◽  
Health Centres ◽  
Diagnosis Approach

Abstract Background: Effective implementation of Integrated Management of Childhood Illnesses (IMCI) is often constrained by poor adherence to the guidelines. Burkina Faso introduced the IMCI strategy in 2003 but has suffered from limited implementation of the basic IMCI training and poor adherence to the algorithm. In 2014, Terre des Hommes (TdH), a Swiss non-governmental organisation, together with the Ministry of Health (MoH), launched the Integrated electronic Diagnosis Approach (IeDA) intervention in public primary health centres, in two regions of Burkina Faso, consisting of supplying every health centre with a digital algorithm. A realistic evaluation was conducted to understand the implementation process, the mechanisms by which the IeDA intervention lead to change and to identify factors that may affect these mechanisms at health centre and community levels.Methodology: A realistic evaluation method was adopted. Data collection that took place between January 2016 and October 2017. Direct observation in health centres generated elements of information that helped to identify new issues or verify assumptions. The analysis of project reports from health facilities helped analyse the implementation of IeDA and the vision of the project by managers. In addition, interviews and focus group discussions provided evidence in relation to the perceptions, in-depth opinions and understandings of actors intervening in IeDA. In-depth interviews were conducted with 154 individuals including 92 healthcare workers from health centres, 16 officers from district health authorities, 6 members of health centre management committees. In addition, 5 focus groups (on average 11 people per group) were organised with mothers and carers. The initial coding was based on a preliminary list of codes inspired by the Middle Range Theory and on additional ideas that emerged from the fieldwork. In a second round of analysis, additional themes and patterns emerged.Results: Our results showed that the adoption of the electronic protocol depended on a multiplicity of management practices including role distribution, team work, problem solving approach and task monitoring and training, supervision, support and recognition. Based on the mechanism of perceived organisational support, such combinations lead to a reorganisation of the health team and the distribution of roles before and during the consultation, and positive atmosphere that includes recognition of each team member, organisational commitment and sense of belonging. Every new comer starting in the health centre or the district are fully integrated into this new organisational culture and benefit from the same support and recognition. Conditions for such management changes to work include open dialog at all levels of the system, a minimum of resources to cover the support services and supervision and regular discussions focusing on solving problems faced by health centre teams.Conclusion: This project reinforces the point that in a successful diffusion of IeDA, it is necessary to combine the introduction of technology with support and management mechanisms. It also shows that in management of healthcare workers, it is important to mix different management practices. It also important to highlight that managers’ attitude plays a great place in the success of the intervention: open dialog and respect are crucial dimensions. This is aligned with the findings from other studies.

scholarly journals Patient satisfaction and waiting times in the primary health centres of South Chennai

2021 ◽  
Vol 8 (3) ◽  
pp. 1386
Author(s):  
Vishnu Vardhan Yenuganti ◽  
Srinivas Rao D. ◽  
Sasi Kumar P. J. ◽  
Narendranath R.
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Waiting Time ◽  
Care Delivery ◽  
Waiting Times ◽  
Health Centre ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres ◽  
Physician Care

Background: Patient satisfaction and the out-patient waiting time denotes the extent to which general health care needs of the patients are met to their requirements. This study assesses the quality of health care delivery in three primary health care centres in south Chennai. The main aim was to assess the levels of patient satisfaction and its relation to various components and the waiting time among the patients visiting the primary health centres in south Chennai.Methods: This is a cross sectional study conducted in three primary health centres in the rural part of south Chennai. This study is conducted by face to face interview method using a structured questionnaire on 120 random patients visiting the OPDs of these health centres. The questionnaire included timing pattern associated with the patients visit in the health centre. The collected data is analysed using Chi-square test and is conducted to assess the relationship between different categorical variables.Results: Most of the respondents (66.6%) were highly satisfied with the service provided, treatment and physician care, facilities inside the hospital, and the care of paramedical staff. Hospital cleanliness and Physician care were found to be significant in terms of overall satisfaction, and large number of patients visiting the centre was the most quoted reason for long waiting times with a mean of 45.2 minutes.Conclusions: The longer waiting times can be effectively reduced by employing more doctors and paramedical staff wherever it is required. A proper feedback system by assessing the satisfaction and waiting time is needed in any tertiary health centre to improve the health care delivery.

scholarly journals Correlation between the level of knowledge of drug managers and drug management in several primary health centres in Malang regency

2021 ◽  
pp. 61-66
Author(s):  
Ayuk Lawuningtyas Hariadini ◽  
Nur Ishmah ◽  
Hananditia Rachma Pramestutie
Keyword(s):  
Health Centre ◽  
Pharmaceutical Preparations ◽  
Primary Health Centre ◽  
National Formulary ◽  
Drug Management ◽  
Disease Patterns ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres ◽  
Level Of Knowledge

Background: Drug management is one of the primary health centre management activities that aims to ensure the continuity and affordability of pharmaceutical preparations. Aim: This study aims to determine the relationship between the level of knowledge of drug managers and drug management in several primary health centres of Malang regency. Method: The study was observational analytic using questionnaire instruments to analyse the level of knowledge of drug managers and three checklists to analyse drug management through three indicators of drug management: (1) conformity of stock to the national formulary, (2) conformity of stock to the disease patterns, and (3) the percentage of expired drugs. Result: There was no significant relationship between the level of knowledge and the first (p = 0.842), second (p = 0.236), and the third indicator (p = 0.361). Conclusion: Not all drug lists in the national formulary are required by each primary health centre. The inventory is adjusted to the consumption and epidemiology.

scholarly journals Knowledge and practices regarding malaria and the National Treatment Guidelines among public health workers in Equatorial Guinea

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Marta Blanco ◽  
Pablo Suárez-Sanchez ◽  
Belén García ◽  
Jesús Nzang ◽  
Policarpo Ncogo ◽  
...  
Keyword(s):  
Public Health ◽  
Treatment Guidelines ◽  
Health Workers ◽  
Health Centre ◽  
Regional Hospital ◽  
Malaria Treatment ◽  
Diagnosis And Treatment ◽  
Equatorial Guinea ◽  
Public Health Facilities ◽  
Health Centres

Abstract Background In 2018, an estimated 228 million cases of malaria occurred worldwide. Countries are far from having achieved reasonable levels of national protocol compliance among health workers. Lack of awareness of treatment protocols and treatment resistance by prescribers threatens to undermine progress when it comes to reducing the prevalence of this disease. This study sought to evaluate the degree of knowledge and practices regarding malaria diagnosis and treatment amongst prescribers working at the public health facilities of Bata, Equatorial Guinea. Methods A cross-sectional survey was conducted in October-December 2017 amongst all public health professionals who attended patients under the age of 15 years, with suspected malaria in the Bata District of Equatorial Guinea. Practitioners were asked about their practices and knowledge of malaria and the National Malaria Treatment Guidelines. A bivariate analysis and a logistic regression model were used to determine factors associated with their knowledge. Results Among the 44 practitioners interviewed, 59.1% worked at a Health Centre and 40.9% at the District Hospital of Bata. Important differences in knowledge and practices between hospital and health centre workers were found. Clinical diagnosis was more frequently by practitioners at the health centres (p = 0.059), while microscopy confirmation was more frequent at regional hospital (100%). Intramuscular artemether was the anti-malarial most administrated at the health centres (50.0%), while artemether-lumefantrine was the treatment most used at the regional hospital (66.7%). Most practitioners working at public health facilities (63.6%) have a low level of knowledge regarding the National Malaria Treatment Guidelines. While knowledge regarding malaria, the National Malaria Treatment Guidelines and treatment resistances is low, it was higher amongst hospital workers than amongst practitioners at health centres. Conclusions It is essential to reinforce practitioners’ knowledge, treatment and diagnosis practices and use of the National Malaria Treatment Guidelines in order to improve malaria case management and disease control in the region. A specific malaria training programme ensuring ongoing updates training is necessary in order to ensure that greater experience does not entail obsolete knowledge and, consequently, inadequate diagnosis and treatment practices.

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