Barreras de acceso geográfico a los servicios de salud oral en el departamento del Tolima, Colombia.

Cross-sectional descriptive mixed study carried out for the 47 municipalities of the department of Tolima, Colombia, neighboring the department of Cundinamarca, where Bogota, the capital of the country, is located. The objective was to analyze the geographical access barriers and the inventory of human talent and dental services in this department. A distance and time measurement system was applied to identify the duration of travel from each municipality to Ibagué (departmental capital) by public transport. The geographical accessibility barrier determinant endorsed by the World Health Organization (W.H.O.) is a trip duration greater than four hours. It was found that the first level of care in the public sector is present in all municipalities, the second level is in six; the third only in Ibague. Displacement by public transport represents a geographical access barrier in six municipalities; the number of dentists in the public sector does not satisfactorily cover the needs of the population, since more than 50% of the municipalities have a deficit of more than four general dentists and there is a low presence of specialists. In the department of Tolima there are geographical accessibility barriers to health and, specifically, to oral health.

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Market penetration of Xpert MTB/RIF in high tuberculosis burden countries: A trend analysis from 2014 - 2016

Gates Open Research ◽

10.12688/gatesopenres.12842.1 ◽

2018 ◽

Vol 2 ◽

pp. 35 ◽

Cited By ~ 16

Author(s):

Danielle Cazabon ◽

Tripti Pande ◽

Sandra Kik ◽

Wayne Van Gemert ◽

Hojoon Sohn ◽

...

Keyword(s):

Public Sector ◽

World Health ◽

Sputum Smear ◽

Positive Trend ◽

Market Penetration ◽

The Public ◽

Control Programs ◽

Full Capacity ◽

Health Organization ◽

Roll Out

Background: Xpert® MTB/RIF, a rapid tuberculosis (TB) molecular test, was endorsed by the World Health Organization in 2010. Since then, 34.4 million cartridges have been procured under concessional pricing. Although the roll out of this diagnostic is promising, previous studies showed low market penetration. Methods: To assess 3-year trends of market penetration of Xpert MTB/RIF in the public sector, smear and Xpert MTB/RIF volumes for the year 2016 were assessed and policies from 2014-2016 within 22 high-burden countries (HBCs) were studied. A structured questionnaire was sent to representatives of 22 HBCs. The questionnaires assessed the total smear and Xpert MTB/RIF volumes, number of modules and days of operation of GeneXpert machines in National TB Programs (NTPs). Data regarding the use of NTP GeneXpert machines for other diseases and GeneXpert procurement by other disease control programs were collected. Market penetration was estimated by the ratio of total sputum smear volume for initial diagnosis divided by the number of Xpert MTB/RIF tests procured in the public sector. Results: The survey response rate was 21/22 (95%). Smear/Xpert ratios decreased in 17/21 countries and increased in four countries, since 2014. The median ratio decreased from 32.6 (Q1:14.3, Q3: 58.9) in 2014 to 6.0 (Q1: 1.6, Q3: 17.0) in 2016. Nineteen countries (19/19; 100%) were not using GeneXpert machines to their full capacity, however seven countries (7/19; 37%) were running tests for other diseases on their NTP-procured GeneXpert systems in 2017, such as HIV, hepatitis-C virus (HCV), Chlamydia trachomatis, and Neisseria gonorrhoeae. Five (5/15; 33%) countries reported GeneXpert procurement by HIV or HCV programs in 2016 and/or 2017. Conclusions: Our results show a positive trend for Xpert MTB/RIF market penetration in 21 HBC public sectors. However, GeneXpert machines were under-utilized for TB, and inadequately exploited as a multi disease technology.

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Proficiency, Attitudes, and Practices in Breastfeeding of Participants in a Pediatric Congress

Asian Journal of Pediatric Research ◽

10.9734/ajpr/2021/v5i430178 ◽

2021 ◽

pp. 1-9

Author(s):

Cynthia Francisca Xavier Costa de Assis Silva ◽

Maria do Carmo Barros de Melo ◽

Roberto Gomes Chaves ◽

Maria Cândida Ferrarez Bouzada

Keyword(s):

Health Professionals ◽

Study Participant ◽

Cross Sectional Study ◽

World Health ◽

Online Questionnaire ◽

Cross Sectional ◽

The Public ◽

Attitudes And Practices ◽

The Subject ◽

Health Organization

Objective: To investigate the proficiency, practices, and attitudes about breastfeeding of participants in a Pediatrics Congress. Methods: Cross-sectional study in which an online questionnaire was applied, using a specific QRcode, for each study participant, in June 2018. The questions were formulated according to the World Health Organization (WHO). Among the 39 questions, 13 identified the profile of the participants, 19 questions assessed the proficiency in breastfeeding and 7 questions the practices and attitudes. Results: Responses to 296 questionnaires were evaluated, 62.5% of which were health professionals and 37.5% were undergraduate health students. In assessing proficiency, the global average did not reach the expected minimum of 70%. But the highest proficiency averages were found among health professionals (p: 0.0136), among professionals with more recent degrees (p <0.0001), and those who performed most of their activity in the public sector (p: 0.018). 77% of health professionals and 73% of students assessed attitudes and practices about breastfeeding as appropriate. Conclusion: The low proficiency in the population studied points to the need for periodic training of professionals in breastfeeding and greater emphasis on undergraduate curricula in the health area on the subject.

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Market penetration of Xpert MTB/RIF in high tuberculosis burden countries: A trend analysis from 2014 - 2016

Gates Open Research ◽

10.12688/gatesopenres.12842.2 ◽

2018 ◽

Vol 2 ◽

pp. 35 ◽

Cited By ~ 4

Author(s):

Danielle Cazabon ◽

Tripti Pande ◽

Sandra Kik ◽

Wayne Van Gemert ◽

Hojoon Sohn ◽

...

Keyword(s):

Public Sector ◽

World Health ◽

Sputum Smear ◽

Positive Trend ◽

Market Penetration ◽

The Public ◽

Control Programs ◽

Health Organization ◽

Roll Out ◽

Structured Questionnaire

Background: Xpert® MTB/RIF, a rapid tuberculosis (TB) molecular test, was endorsed by the World Health Organization in 2010. Since then, 34.4 million cartridges have been procured under concessional pricing. Although the roll out of this diagnostic is promising, previous studies showed low market penetration. Methods: To assess 3-year trends of market penetration of Xpert MTB/RIF in the public sector, smear and Xpert MTB/RIF volumes for the year 2016 were evaluated and policies from 2014-2016 within 22 high-burden countries (HBCs) were studied. A structured questionnaire was sent to representatives of 22 HBCs. The questionnaires assessed the total smear and Xpert MTB/RIF volumes, number of modules and days of operation of GeneXpert machines in National TB Programs (NTPs). Data regarding the use of NTP GeneXpert machines for other diseases and GeneXpert procurement by other disease control programs were collected. Market penetration was estimated by the ratio of total sputum smear volume for initial diagnosis divided by the number of Xpert MTB/RIF tests procured in the public sector. Results: The survey response rate was 21/22 (95%). Smear/Xpert ratios decreased in 17/21 countries and increased in four countries, since 2014. The median ratio decreased from 32.6 (IQR: 44.6) in 2014 to 6.0 (IQR: 15.4) in 2016. In 2016, the median GeneXpert utilization was 20%, however seven countries (7/19; 37%) were running tests for other diseases on their NTP-procured GeneXpert systems in 2017, such as HIV, hepatitis-C virus (HCV), Chlamydia trachomatis, and Neisseria gonorrhoeae. Five (5/15; 33%) countries reported GeneXpert procurement by HIV or HCV programs in 2016 and/or 2017. Conclusions: Our results show a positive trend for Xpert MTB/RIF market penetration in 21 HBC public sectors. However, GeneXpert machines were under-utilized for TB, and inadequately exploited as a multi disease technology.

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Pengetahuan dan Sikap Masyarakat dalam Pencegahan COVID-19

Jurnal Ilmu Kesehatan ◽

10.24929/jik.v5i2.1123 ◽

2020 ◽

Vol 5 (2) ◽

pp. 68-73

Author(s):

Emdat Suprayitno ◽

Sylvina Rahmawati ◽

Adivtian Ragayasa ◽

Muchti Yuda Pratama

Keyword(s):

Descriptive Analysis ◽

Sampling Technique ◽

World Health ◽

Cross Sectional ◽

The Public ◽

Global Pandemic ◽

Precautionary Measures ◽

Questionnaire Research ◽

Health Organization ◽

Analytic Design

Abstract The World Health Organization (WHO) has declared the 2019 Coronavirus (Covid-19) a global pandemic. This virus is easily transmitted, so it requires knowledge and a good attitude in efforts to prevent transmission. The purpose of this study was to describe the knowledge and attitudes of COVID-19 prevention in the community in Murtajih Village, Pademawu District, Pamekasan Regency. This research is a descriptive study with a cross-sectional non-analytic design. This research uses descriptive analysis with a questionnaire research instrument. The sample of this research is part of the community in the hamlet of East Solo and North Solo, Murtajih Village, Pademawu District, as many as 62 people with a total sampling technique. The results showed that the level of public knowledge in preventing covid-19 in Murtajih Village, Pademawu sub-district was mostly good, as many as 32 people, 51.6%, while the public attitude in preventing Covid-19 in Murtajih Village, Pademawu sub-district was mostly positive as many as 53 people 85, 5%. The results of this study indicate that most of the knowledge of the community in the village of Murtajih, Pademawu district is mostly good and the attitudes are mostly positive. It is hoped that the community will take precautionary measures to prevent transmission of COVID-19 by washing their hands and wearing masks.

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Dental care during the COVID-19 Pandemic: An Arabic tweets analysis (Preprint)

10.2196/preprints.26117 ◽

2020 ◽

Author(s):

Khalifa S. Al-Khalifa ◽

Rasha AlSheikh ◽

Yasser A. Alsahafi ◽

Atheer Alkhalifa ◽

Shazia Sadaf ◽

...

Keyword(s):

Oral Health ◽

Dental Treatment ◽

Descriptive Analysis ◽

World Health ◽

Dental Services ◽

The Public ◽

Related Information ◽

Obvious Association ◽

Health Related ◽

Health Organization

BACKGROUND Twitter is a powerful platform which could be used to improvise the demand and supply of dental services during a pandemic. OBJECTIVE The aim of this study was to examine the nature and dissemination of COVID-19 information related to dentistry on Twitter platform Arabic database. METHODS One hundred and fifty independent searches with a combination of keywords for both COVID-19 and dentistry from a preselected Arabic keyword were carried out for the period from the 2nd of March to the 6th of July 2020. Tweets were filtered to remove duplicate and unrelated tweets. The suitable tweets were 1,150. After calibration, two examiners coded the tweets following two main themes: COVID-19 and oral health-related information. Tweets were then compared with COVID-19 daily events in the Arab counties as reported by the World Health Organization (WHO). Descriptive analysis was performed to present the overview of the findings using Microsoft Excel. RESULTS There was no obvious association between time distribution of the tweets to the distribution of new COVID-19 cases and deaths during the period from March 2, 2020 to July 6, 2020. The most retweeted information was the help with urgent consultation or emergency dental treatment during COVID-19 tweeted by a dentist. There were 673 retweets and 1116 likes of this tweet. The most common tweets related to oral health was needs of dental treatment (n=462, 39.5%) of which, toothaches or wisdom tooth problems constituted 48% of the related tweets. CONCLUSIONS Twitter is a platform reflecting the public interest and concerns, based on the finding tweets tend to increase with major events and news and thus help navigate the proper action needed to address public concern.

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Attitude, Perception, and Knowledge of COVID-19 Among General Public in Pakistan

Frontiers in Public Health ◽

10.3389/fpubh.2020.602434 ◽

2020 ◽

Vol 8 ◽

Author(s):

Sammina Mahmood ◽

Tariq Hussain ◽

Faiq Mahmood ◽

Mehmood Ahmad ◽

Arfa Majeed ◽

...

Keyword(s):

World Health ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Protective Measures ◽

The Public ◽

Awareness Campaigns ◽

The People ◽

The World ◽

The Government ◽

Health Organization

The World Health Organization has acknowledged coronavirus disease 2019 (COVID-19) disease as a pandemic. Efforts are being made all over the world to raise awareness to prevent the spread of the disease. The goal of this study was to assess the attitude, perception, and knowledge of Pakistani people toward COVID-19 disease. We conducted a cross-sectional survey in which a questionnaire of 17 questions was transformed online on Google forms and was sent to random individuals online. A total of 1,000 questionnaires from individuals throughout Pakistan were evaluated. The results revealed that 42.9% of the participants knew about COVID-19 through social media, the largest source of information. Most of the participants (48.3%) started working from home amid the lockdown; 39.9% of the participants reported that they wash their hands every hour, and 56.9% participants are using a surgical mask. About thermal scanners, 30.5% of the people answered they may be effective, and 46.0% of the people think COVID-19 is a bioweapon; 59% of the participants think everyone is susceptible, whereas 83.9% of the people recognize fever as a primary symptom; 65.2% of the people are practicing social distancing, whereas 85.1% of the people think social gatherings causes spread of the disease. In general, participants had a good knowledge about the disease and a positive attitude toward protective measures. The effective measures are being taken by the government and the public; still, there remains a need for further awareness campaigns and knowledge of safe interventions to combat the spread of disease.

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Availability, affordability and stock-outs of commodities for the treatment of snakebite in Kenya

PLoS Neglected Tropical Diseases ◽

10.1371/journal.pntd.0009702 ◽

2021 ◽

Vol 15 (8) ◽

pp. e0009702

Author(s):

Gaby Isabelle Ooms ◽

Janneke van Oirschot ◽

Dorothy Okemo ◽

Benjamin Waldmann ◽

Eugene Erulu ◽

...

Keyword(s):

Public Sector ◽

Private Sector ◽

World Health ◽

Health Coverage ◽

The Public ◽

For Profit ◽

Not For Profit ◽

Health Action ◽

Health Organization ◽

Universal Health

Background Annually, about 2.7 million snakebite envenomings occur globally. Alongside antivenom, patients usually require additional care to treat envenoming symptoms and antivenom side effects. Efforts are underway to improve snakebite care, but evidence from the ground to inform this is scarce. This study, therefore, investigated the availability, affordability, and stock-outs of antivenom and commodities for supportive snakebite care in health facilities across Kenya. Methodology/principal findings This study used an adaptation of the standardised World Health Organization (WHO)/Health Action International methodology. Data on commodity availability, prices and stock-outs were collected in July-August 2020 from public (n = 85), private (n = 36), and private not-for-profit (n = 12) facilities in Kenya. Stock-outs were measured retrospectively for a twelve-month period, enabling a comparison of a pre-COVID-19 period to stock-outs during COVID-19. Affordability was calculated using the wage of a lowest-paid government worker (LPGW) and the impoverishment approach. Accessibility was assessed combining the WHO availability target (≥80%) and LPGW affordability (<1 day’s wage) measures. Overall availability of snakebite commodities was low (43.0%). Antivenom was available at 44.7% of public- and 19.4% of private facilities. Stock-outs of any snakebite commodity were common in the public- (18.6%) and private (11.7%) sectors, and had worsened during COVID-19 (10.6% versus 17.0% public sector, 8.4% versus 11.7% private sector). Affordability was not an issue in the public sector, while in the private sector the median cost of one vial of antivenom was 14.4 days’ wage for an LPGW. Five commodities in the public sector and two in the private sector were deemed accessible. Conclusions Access to snakebite care is problematic in Kenya and seemed to have worsened during COVID-19. To improve access, efforts should focus on ensuring availability at both lower- and higher-level facilities, and improving the supply chain to reduce stock-outs. Including antivenom into Universal Health Coverage benefits packages would further facilitate accessibility.

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Understanding of palliative care among members of the public.

Journal of Clinical Oncology ◽

10.1200/jco.2019.37.31_suppl.71 ◽

2019 ◽

Vol 37 (31_suppl) ◽

pp. 71-71

Author(s):

Joanne Liu Wong ◽

Christopher Blake ◽

Nadia Swami ◽

Ashley Pope ◽

Breffni Hannon ◽

...

Keyword(s):

Palliative Care ◽

World Health ◽

Rank Test ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Course Of Illness ◽

The Public ◽

Before And After ◽

Signed Rank Test ◽

Health Organization

71 Background: The World Health Organization (WHO) defines palliative care (PC) as an approach that improves the quality of life of patients and their families facing life-threatening illness. However, the public may be unaware of this definition. We assessed the Canadian public’s knowledge and attitudes toward PC before and after being provided the WHO definition. Methods: We engaged a health research firm to distribute a cross-sectional survey to members of the Canadian public. Eligible participants were >18 years of age, could comprehend English or French, and were currently residing in Canada. We assessed participants’ knowledge of and attitudes towards PC before and after reading the WHO definition of PC. Results were analyzed using the Wilcoxon Signed-Rank test. Results: Of 1518 participants (52% female), 45% (676/1518) stated they knew what PC was and could explain it, 32% (488/1518) knew about PC but could not explain it, 13% (198/1518) had heard of PC but did not know what it was, and 10% (156/1518) had never heard of PC. Of those who had heard of PC, 58% (784/1362) agreed PC is the last resort when other treatments have failed, 64% (877/1362) agreed PC means being close to death, and 67% (914/1362) believed PC meant being at “the stage that you can no longer take care of yourself”. Before reading the WHO definition, 56% (774/1362) agreed/strongly agreed that referral to PC would make them feel afraid; after reading the definition, this percentage was reduced to 41%, and degree of fearfulness was reduced in 46% (p<0.0001). Fifty-nine percent (898/1518) stated they did not know, prior to reading the WHO definition, that PC could be involved early in the course of illness, and 45% did not know PC could be provided together with other treatments aimed at prolonging life. Eighty-nine percent (1344/1518) felt the PC definition helped them to better understand what PC is, and 91% believed that Canadians should be made aware PC can be included early in the course of a patient’s illness. Conclusions: More than half of respondents had limited knowledge of PC and believed it was synonymous with end-of-life care. Provision of the WHO definition improved understanding and allayed fears of PC. Public educational initiatives may improve understanding and increase acceptance of PC.

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Availability, prices and affordability of essential medicines in Zhejiang Province, China

PLoS ONE ◽

10.1371/journal.pone.0241761 ◽

2020 ◽

Vol 15 (11) ◽

pp. e0241761

Author(s):

Zuojun Dong ◽

Qiucheng Tao ◽

Bobo Yan ◽

Guojun Sun

Keyword(s):

Public Sector ◽

Zhejiang Province ◽

Essential Medicines ◽

World Health ◽

Price Ratio ◽

Public And Private ◽

The Public ◽

The Mean ◽

Daily Wage ◽

Health Organization

Objective To evaluate the availability, prices, and affordability of essential medicines in Zhejiang Province, China. Methods The survey was carried out in Zhejiang Province in 2018 following the methodology of the World Health Organization (WHO) and Health Action International (HAI). This method is an international standard method.Data on 50 medicines were collected from public health facilities and private pharmacies. Medication prices were compared with international reference prices to obtain a median price ratio. The affordability of medicines was measured based on the daily wage of the lowest-paid unskilled government worker. In private pharmacies, the mean availability of Originator Brands (OBs) and Lowest-priced Generics (LPGs) was 36.7% and 40.3%, respectively. Findings The effects of the mean availability of OBs and LPGs were seen in private pharmacies. Correspondingly, the average availability of OBs and LPGs was 41.8% and 35.1% in the public sector, respectively. In the public sector, the median price ratios (MPRs) were 5.21 for generics and 13.49 for OBs. In the private sector, the MPRs were 4.94 for generics and 14.75 for OBs. Treating common diseases with LPGs was generally affordable, while treatment with OBs was less affordable. Conclusions In Zhejiang Province, low availability was observed for medicines surveyed in the public and private sectors. Price differences between originator brands and generics in both sectors are apparent. OBs were more expensive than LPGs in both the public and private sectors. Low availability affects access to essential medicines. Policy measures should be taken to improve the availability of essential medicines.

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HUBUNGAN TINGKAT STRES DENGAN SIKLUS MENSTRUASI PADA MAHASISWA KEBIDANAN TINGKAT I DI STIKES KUNINGAN TAHUN 2019

National Nursing Conference ◽

10.34305/nnc.v1i1.114 ◽

2020 ◽

Vol 1 (1) ◽

pp. 8

Author(s):

Fera Riswidautami Herwandar ◽

Russiska Russiska ◽

Intan Maharani Fakhrudin

Keyword(s):

World Health Organization ◽

World Health ◽

P Value ◽

Cross Sectional ◽

Health Organization

Permasalahan kesehatan pada remaja yang menduduki persentasi terbesar dibanding yang lainnya adalah gangguan menstruasi. Gangguan pada siklus menstruasi (durasi perdarahan yang lebih lama dan ketidakteraturan siklus) disebabkan oleh beberapa faktor, salah satunya ialah stres. Stres diketahui sebagai faktor-faktor penyebab (etiologi) terjadinya gangguan siklus menstruasi. Stres akan memicu pelepasan hormon kortisol dimana hormon kortisol ini dijadikan tolak ukur untuk melihat derajat stres seseorang. Hormon kortisol diatur oleh hipotalamus otak dan kelenjar pituitari, dengan dimulainya aktivitas hipotalamus, hipofisis mengeluarkan FSH dan proses stimulus ovarium akan menghasilkan estrogen. Penelitian yang dilakukan oleh Pelayanan Kesehatan Peduli Remaja (PKPR) dibawah naungan World Health Organization (WHO) menyebutkan bahwa permasalahan remaja di Indonesia adalah seputar permasalahan yang mengenai gangguan menstruasi. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat stres dengan siklus menstruasi pada mahasiswa kebidanan tingkat I di STIKES Kuningan tahun 2019. Penelitian ini menggunakan desain penelitian kuantitatif dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah mahasiswa kebidanan tingkat I di STIKES Kuningan tahun 2019 sebanyak 41 responden. Analisis yang digunakan analisis univariat dan bivariat dengan menggunakan uji Rank Spearman. Hasil penelitian menunjukkan adanya hubungan tingkat stres dengan siklus menstruasi pada mahasiswa kebidanan tingkat I di STIKES Kuningan, dari 41 responden terdapat 18 (44%) responden yang mengalami stres sedang, pada siklus menstruasi yang tidak teratur terdapat 25 (61%) responden. Hasil uji rank spearman, yakni p value = 0,01 (<0,05) yang ada hubungan antara tingkat stres dengan siklus menstruasi. Berdasarkan hasil penelitian penulis dapat menyimpulkan bahwa terdapat hubungan yang signifikan antara tingkat stres dengan siklus menstruasi pada mahasiswa kebidanan tingkat I di STIKES Kuningan tahun 2019. Bagi institusi Pendidikan khususnya Program Studi Diploma III Kebidanan diharapkan dapat membuat sebuah program edukasi mengenai manajemen stres pada remaja yang bisa dilakukan secara rutin di luar jadwal perkuliahan.

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