scholarly journals Spatial mapping and enshrined capacity: Assessment of COVID-19 servicing Indian hospitals

2021 ◽  
Vol 5 (01) ◽  
pp. 1-6
Author(s):  
N. Ravichandran ◽  
S. Shivangi ◽  
B. Rakesh
Keyword(s):  
Human Resources ◽  
Health Workers ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Training Programme ◽  
Capacity Assessment ◽  
Community Based ◽  
Indian Context ◽  
Frontline Health Workers ◽  
Healthcare Crisis

In Public health crises like COVID-19, healthcare services alone won‟t essentially cause the well-liked changes within the health status and outcome. Human resources with needed competency for managing healthcare crisis could be a challenge, and can‟t be over accentuated. A systemic approach adopted to analyze knowledge, management, and delivery of COVID-19 services in the Indian context while the concentration curve alongside regression statistical techniques was used to examine the nature of competency and skill variations among the health-functionaries. Training processes on COVID-19 aren‟t streamlined and systematic. The method of organizing a training programme depends upon the need-based mostly. This mirrored within the variability of health-functionaries reported with adverse events, infected with the coronavirus. Several COVID-19 strategies focused on healthcare-functionaries and its associated front-liners to save lots of lives and alter the lifestyles of the population. The stigmatized COVID-19 disease brutally distanced the frontline health-workers and socially distanced the sufferers' delay in reporting, with heightened morbidity and mortality. Training is just on information rather than on competencies for action. The quality training and the level of community-based health intervention flaunted not to expect health functionaries to perform expectedly. Training-competency and skills-related inequality and inequity in health exist. There‟s a necessity to sources information equitably to empower the healthcare providers to deliver service effectively.

A sustainable community based model of non-communicable disease risk factor surveillance: “SHRADDHA-JAGRITHI project” (Preprint)

2021 ◽  
Author(s):  
Jaideep Menon ◽  
Mathews Numpeli ◽  
Sajeev.P. Kunjan ◽  
Beena.V. Karimbuvayilil ◽  
Aswathy Sreedevi ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Public Health System ◽  
Health Workers ◽  
Communicable Disease ◽  
Community Based ◽  
Frontline Health Workers ◽  
The Individual ◽  
Non Communicable Disease

UNSTRUCTURED Abstract: India has a massive non-communicable disease (NCD) burden at an enormous cost to the individual, family, society and health system at large, in spite of which prevention and surveillance is relatively neglected. Risk factors for atherosclerotic cardiovascular disease if diagnosed early and treated adequately would help decrease the mortality and morbidity burden. India is in a stage of rapid epidemiological transition with the state of Kerala being at the forefront, pointing us towards likely disease burden and outcomes for the rest of the country, in the future. A previous study done by the same investigators, in a population of >100,000, revealed poor awareness and treatment of NCDs and also poor adherence to medicines in individuals with CVD. The investigators are looking at a sustainable, community based model of surveillance for NCDs with corporate support wherein frontline health workers check all individuals in the target group ( > age 30 years) with further follow up and treatment planned in a “spoke and hub” model using the public health system of primary health centres (PHCs) as spokes to the hubs of Taluk or District hospitals. All data entry done by frontline health workers would be on a Tab PC ensuring rapid acquisition and transfer of participant health details to PHCs for further follow up and treatment. The model will be evaluated based on the utilisation rate of various services offered at all tier levels. The proportions of the target population screened, eligible individuals who reached the spoke or hub centres for risk stratification and care and community level control for hypertension and diabetes in annual surveys will be used as indicator variables. The model ensures diagnosis and follow up treatment at no cost to the individual entirely through the tiered public health system of the state and country.

scholarly journals Human Resources in Healthcare and Health Outcomes in India

2020 ◽  
Vol 11 (2) ◽  
pp. 133-159
Author(s):  
Venkatanarayana Motkuri ◽  
Udaya S. Mishra
Keyword(s):  
Human Resources ◽  
Health Outcomes ◽  
Census Data ◽  
Health Workers ◽  
Human Resources For Health ◽  
Size Composition ◽  
Healthcare Services ◽  
World Health ◽  
Middle Income ◽  
Minimum Requirement

Human resources for health including health professionals and skilled health workers are crucial in shaping health outcomes. But the shortage of human resources in healthcare services is a reality and hence it has been a cause of concern in lower-middle income countries like India. The present exercise based on census data is a situation analysis of size, composition and distribution of human resources available in the Indian healthcare services. It also explores the relationship between educational development and health workers availability alongside the association between density of health workers and health outcomes across states of India. It is observed that despite the remarkable improvement in health workers density particularly during 2001–2011, the country is falling short of the World Health Organization’s (WHO) need-based minimum requirement (4.45 health workers per 1,000 population) of health workers. The exploratory verification asserts that there is a significant and strong positive relationship/association between the density of health workers and health outcomes.

scholarly journals Female clients’ gender preferences for frontline health workers who provide maternal, newborn and child health (MNCH) services at primary health care level in Nigeria

2020 ◽  
Author(s):  
Ekechi Okereke ◽  
Godwin Unumeri ◽  
Akinwumi Akinola ◽  
George Eluwa ◽  
Sylvia Adebajo
Keyword(s):  
Child Health ◽  
Primary Healthcare ◽  
Health Workers ◽  
Healthcare Services ◽  
Child Health Services ◽  
Gender Preferences ◽  
Newborn And Child Health ◽  
Frontline Health Workers ◽  
Female Clients ◽  
And Child Health

Abstract Background In Nigeria, anecdotes abound that female clients, particularly within northern Nigeria, have gender-based preferences for frontline health workers (FLHWs) who provide healthcare services. This may adversely affect uptake of maternal newborn and child health services, especially at primary healthcare level in Nigeria, where a huge proportion of the Nigerian population and rural community members in particular, access healthcare services. This study explored female clients’ gender preferences for frontline health workers who provide maternal, newborn and child healthcare (MNCH) services at primary healthcare level in Nigeria. Methods The study adopted a cross-sectional quantitative design with 256 female clients’ exit interviews from 66 randomly selected primary health facilities within two States - Bauchi (northern Nigeria) and Cross-River (southern Nigeria). Data was collected using Personal Digital Assistants and data analysis was done using SPSS software. Descriptive analysis was carried out using percentage frequency distribution tables. Bivariate analysis was also carried out to examine possible relationships between key characteristic variables and the gender preferences of female clients involved in the study. Results Out of 256 women who accessed maternal, newborn and child health services within the sampled health facilities, 44.1% stated preference for female FLHWs, 2.3% preferred male FLHWs while 53.5% were indifferent about the gender of the health worker. However only 26.6% of female clients were attended to by male FLHWs. Bivariate analyses suggest a relationship between a female client’s health worker gender preference and her pregnancy status, the specific reason for which a female client visits a primary healthcare facility, a female client’s location in Nigeria as well as the gender of the health worker(s) working within the primary healthcare facility which she visits to access maternal, newborn and child health services. Conclusions The study findings suggest that female clients at primary healthcare level in Nigeria possibly have gender preferences for the frontline health workers who provide services to them. There should be sustained advocacy and increased efforts at community engagement to promote the acceptability of healthcare services from male frontline health workers in order to have a significant impact on the uptake of MNCH services, particularly within northern Nigeria.

scholarly journals Examining the reach and exposure of a mobile phone-based training programme for frontline health workers (ASHAs) in 13 states across India

2021 ◽  
Vol 6 (Suppl 5) ◽  
pp. e005299
Author(s):  
Jean Juste Harrisson Bashingwa ◽  
Neha Shah ◽  
Diwakar Mohan ◽  
Kerry Scott ◽  
Sara Chamberlain ◽  
...  
Keyword(s):  
Interpersonal Communication ◽  
Health Workers ◽  
Interactive Voice Response ◽  
Training Programme ◽  
User Engagement ◽  
Completion Rates ◽  
Initiation Rate ◽  
Frontline Health Workers ◽  
Service Training ◽  
The Government

Mobile phones are increasingly used to facilitate in-service training for frontline health workers (FLHWs). Mobile learning (mLearning) programmes have the potential to provide FLHWs with high quality, inexpensive, standardised learning at scale, and at the time and location of their choosing. However, further research is needed into FLHW engagement with mLearning content at scale, a factor which could influence knowledge and service delivery. Mobile Academy is an interactive voice response training course for FLHWs in India, which aims to improve interpersonal communication skills and refresh knowledge of preventative reproductive, maternal, neonatal and child health. FLHWs dial in to an audio course consisting of 11 chapters, each with a 4-question true/false quiz, resulting in a cumulative pass/fail score. In this paper, we analyse call data records from the national version of Mobile Academy to explore coverage, user engagement and completion. Over 158 596 Accredited Social Health Activists (ASHAs) initiated the national version, while 111 994 initiated the course on state-based platforms. Together, this represents 41% of the estimated total number of ASHAs registered in the government database across 13 states. Of those who initiated the national version, 81% completed it; and of those, over 99% passed. The initiation and completion rates varied by state, with Rajasthan having the highest initiation rate. Many ASHAs made multiple calls in the afternoons and evenings but called in for longer durations earlier in the day. Findings from this analysis provide important insights into the differential reach and uptake of the programme across states.

scholarly journals Frontline healthcare workers' knowledge and perception of COVID-19 and willingness to work during the pandemic in Nepal: a nationwide cross-sectional web-based study

2020 ◽  
Author(s):  
DIPAK PRASAD UPADHYAYA ◽  
Rajan Paudel ◽  
Daniel J Bromberg ◽  
Dilaram Acharya ◽  
Kaveh Khoshnood ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Health Workers ◽  
Healthcare Services ◽  
Local Health ◽  
Cross Sectional ◽  
Web Based ◽  
Government Response ◽  
Adequate Knowledge ◽  
Frontline Health Workers ◽  
Frontline Healthcare Workers

Abstract Background The health sector's effectiveness during a pandemic primarily depends on the availability, knowledge, skills, perceptions, and motivations of frontline healthcare workers. In this study, we aimed to investigate the contextual factors associated with the knowledge, perceptions, and the willingness of frontline healthcare workers to work during the COVID-19 pandemic in Nepal. Methods A total of 1051 frontline health-workers from all seven Nepalese provinces were included in this web-based cross-sectional study, which was conducted in May 2020. Using a 5-point Likert scale questionnaire, we collected information on knowledge, perceptions, and the willingness of frontline healthcare workers to work during the COVID-19 pandemic. Multivariable logistic regression was applied to identify independent associations between predictors and outcome variables. Results Of the 1051 frontline health-workers, 17.2% were found to have inadequate knowledge on COVID-19, 63.6% reported unsatisfactory perceptions of government response, and 35.9% showed an unwillingness to work during the pandemic. Health workers at local health facilities (AOR: 0.35; 95% CI: 0.17-0.68) and those with chronic diseases were less likely to have adequate knowledge of COVID-19. Nurses (AOR: 2.10; 95% CI: 1.38-3.18), health-workers from Karnali Province (AOR: 2.62; 95% CI: 1.52-4.53), and those who had adequate knowledge of COVID-19 (AOR: 3.86; 95% CI: 2.51-6.16) were more likely to have satisfactory perception towards government response to COVID-19. In addition, laboratory-workers, health workers from Karnali province, and those with adequate knowledge (AOR: 1.81; 95% CI: 1.27-2.58) were more likely to work during the COVID-19 pandemic. Conclusions We concluded that frontline healthcare workers have some gaps in knowledge-related to COVID-19; about two-thirds of them had a negative perception of government response, and nearly one-third of them were unwilling to work. These observations demonstrate that prompt actions are required to improve health-worker knowledge of COVID-19, address negative perceptions to government responses, and motivate them to provide healthcare services during the pandemic. Keywords: COVID-19, Health-workers, Knowledge, Perception, Willingness

scholarly journals Female clients’ gender preferences for frontline health workers who provide maternal, newborn and child health (MNCH) services at primary health care level in Nigeria

2020 ◽  
Author(s):  
Ekechi Okereke ◽  
Godwin Unumeri ◽  
Akinwumi Akinola ◽  
George Eluwa ◽  
Sylvia Adebajo
Keyword(s):  
Child Health ◽  
Primary Healthcare ◽  
Health Workers ◽  
Healthcare Services ◽  
Child Health Services ◽  
Gender Preferences ◽  
Newborn And Child Health ◽  
Frontline Health Workers ◽  
Female Clients ◽  
And Child Health

Abstract Background In Nigeria, anecdotes abound that female clients, particularly within northern Nigeria, have gender-based preferences for frontline health workers (FLHWs) who provide healthcare services. This may adversely affect uptake of maternal newborn and child health services, especially at primary healthcare level in Nigeria, where a huge proportion of the Nigerian population and rural community members in particular, access healthcare services. This study explored female clients’ gender preferences for frontline health workers who provide maternal, newborn and child healthcare (MNCH) services at primary healthcare level in Nigeria. Methods The study adopted a cross-sectional quantitative design with 256 female clients’ exit interviews from selected primary health facilities within two States - Bauchi (northern Nigeria) and Cross-River (southern Nigeria). Data was collected using Personal Digital Assistants and data analysis was done using SPSS software. Descriptive analysis was carried out using percentage frequency distribution tables. Bivariate analysis was also carried out to examine possible relationships between key characteristic variables and the gender preferences of female clients involved in the study. Results Out of 256 women who accessed maternal, newborn and child health services within the sampled health facilities, 44.1% stated preference for female FLHWs, 2.3% preferred male FLHWs while 53.5% were indifferent about the gender of the health worker. However only 26.6% of female clients were attended to by male FLHWs. Bivariate analysis suggests a relationship between a female client’s health worker gender preference and her pregnancy status, the specific reason for which a female client visits a primary healthcare facility, a female client’s location in Nigeria as well as the gender of the health worker(s) working within the primary healthcare facility which she visits to access maternal, newborn and child health services. Conclusions The study findings suggest that female clients at primary healthcare level in Nigeria possibly have gender preferences for the frontline health workers who provide services to them. There should be sustained advocacy and increased efforts at community engagement to promote the acceptability of healthcare services from male frontline health workers in order to have a significant impact on the uptake of MNCH services, particularly within northern Nigeria.

THE SITUATION OF CURATIVE NURSING AND MIDWIVE RESOURCE IN THE PUBLIC HOSPITALS IN QUANG TRI PROVINCE

2016 ◽  
pp. 44-49
Author(s):  
Lam Chi Ha ◽  
Van Thang Vo ◽  
Thi Hue Man Vo
Keyword(s):  
Human Resources ◽  
Human Resource ◽  
Healthcare Providers ◽  
Secondary Data ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Hospital Bed ◽  
Clinical Departments ◽  
Nurses And Midwives

Introduction: In Vietnam, in recent years, nurse and midwife service has made remarkable progress in improving the quality of healthcare services. However, the jobs of nurses and midwives in our country are still facing some problems and challenges: human resource in term of nurses, midwifes lack of both quality and quantity, discrepant structure. The ratio of nurses and midwives are lower than the required ratio at medical facilities whose ratio 3/5 nurses/doctor. The rate of nurses and midwives who have education level higher than colleges do not achieve the goal of 30%. There is imbalance in structure and distribution in human resources in the countryside and remote areas. In order to evaluate the situation of human resources in term of nurses and midwives in state – run hospitals in province. This study aims to provide clear evidence for the plan of developing nurse and midwife system in order to satisfy the healthcare need of the patients. Objectives: To describe the situation of human resources and to define the demand of human resources development in term of nurses, midwives for treatment systems in state-run hospitals in Quang Tri province in year 2015. Method: Cross sectional study was conducted in December 2015. Secondary data reports from hospitals were collected, analyzed and assessed for adequacy level according to Analyzing, assessing the situation of human resource and comparing to the current regulations including Joint Circular No 08/2007/ TTLT-BYT-BNV guiding the payroll of state health facilities, Decision of the Prime Minister No 153/2006/QĐTTg and national action program on the nursing, midwife jobs period from now until 2020 with Decision No. 1215/QD-BYT April 12, 2013 by the Minister of Health. Results: The ratio of current healthcare providers over treatment bed did not meet the requirement regarding to scale of hospital bed number and grade. Number of nurses and midwives at clinical departments was insufficient as required. Number of nurses, midwives over doctors was under the aimed ratio of the Health Ministry. Conclusions: Human resources of hospitals need to be provided to meet the need in hospital bed number and grade. Also, it was necessary to increase the number of nurses, midwives in order to ensure the minimal required ratio according to the number of beds and doctors at clinical departments. Key words: medical human resource, nurses, midwives, human resource need

scholarly journals Female clients’ gender preferences for frontline health workers who provide maternal, newborn and child health (MNCH) services at primary health care level in Nigeria

2019 ◽  
Author(s):  
Ekechi Okereke ◽  
Godwin Unumeri ◽  
Akinwumi Akinola ◽  
George Eluwa ◽  
Sylvia Adebajo
Keyword(s):  
Child Health ◽  
Primary Healthcare ◽  
Health Workers ◽  
Healthcare Services ◽  
Child Health Services ◽  
Gender Preferences ◽  
Newborn And Child Health ◽  
Frontline Health Workers ◽  
Female Clients ◽  
And Child Health

Abstract Background In Nigeria, anecdotes abound that female clients, particularly within northern Nigeria, have gender-based preferences for frontline health workers (FLHWs) who provide healthcare services. This may adversely affect uptake of maternal newborn and child health services, especially at primary healthcare level in Nigeria, where a huge proportion of the Nigerian population and rural community members in particular, access healthcare services. This study explored female clients’ gender preferences for frontline health workers who provide maternal, newborn and child healthcare (MNCH) services at primary healthcare level in Nigeria. Methods The study adopted a cross-sectional quantitative design with 256 female clients’ exit interviews from 66 randomly selected primary health facilities within two States - Bauchi (northern Nigeria) and Cross-River (southern Nigeria). Data was collected using Personal Digital Assistants and data analysis was done using SPSS software. Descriptive analysis was carried out using percentage frequency distribution tables. Bivariate analysis was also carried out to examine possible relationships between key characteristic variables and the gender preferences of female clients involved in the study. Results Out of 256 women who accessed maternal, newborn and child health services within the sampled health facilities, 44.1% stated preference for female FLHWs, 2.3% preferred male FLHWs while 53.5% were indifferent about the gender of the health worker. However only 26.6% of female clients were attended to by male FLHWs. Bivariate analyses suggest a relationship between a female client’s health worker gender preference and her pregnancy status, the specific reason for which a female client visits a primary healthcare facility, a female client’s location in Nigeria as well as the gender of the health worker(s) working within the primary healthcare facility which she visits to access maternal, newborn and child health services. Conclusions The study findings strongly suggest that female clients at primary healthcare level in Nigeria possibly have gender preferences for the frontline health workers who provide services to them. There should be sustained advocacy and increased efforts at community engagement to promote the acceptability of healthcare services from male frontline health workers in order to have a significant impact on the uptake of MNCH services, particularly within northern Nigeria.

Pemanfaatan Sistem Informasi Sebagai Alat Untuk Pendataan Masyarakat Di Pasuruan

2020 ◽  
Vol 2 (3) ◽  
pp. 145-150
Author(s):  
Syaifuddin Syaifuddin ◽  
Wildan Suharso
Keyword(s):  
Information System ◽  
Data Collection ◽  
Human Resources ◽  
Regional Government ◽  
Community Based ◽  
Collection Process ◽  
Data Collection Process ◽  
Service Activity ◽  
Development Plans ◽  
Collection Time

Pendataan yang bersifat manual menjadikan permasalahan pada proses dilakukannya pendataan, hal ini juga terjadi pada Dinas Pendidikan dan Kebudayaan Kota Pasuruan dimana pendataan masih bersifat manual dengan keterbatasan jumlah Sumber Daya Manusia (SDM) yang ditugaskan untuk melakukan pendataan, oleh karena itu pada kegiatan pengabdian ini dilakukan pelatihan sistem informasi untuk meningkatkan waktu pendataan dan mengurangi kompleksitas dalam proses pendataan pada pegawai di Dinas Pendidikan dan Kebudayaan Kota Pasuruan. Pelatihan sistem informasi yang dimaksud adalah sistem informasi pendataan berbasis masyarakat, yang berisikan data dasar yang diperlukan oleh Pemerintah Daerah dalam rangka penyusunan rencana pembangunan. Data informasi tidak akan memberikan manfaat jika tidak dijadikan sebagai bahan acuan dalam penyusunan rencana pembangunan sehingga pelatihan dan pendampingan perlu dilakukan untuk tercapainya tujuan.Kata Kunci : Sistem Informasi, Berbasis Masyarakat, PendataanABSTRACT Manual data collection causes problems in the data collection process, this also occurs in the Pasuruan City Education and Culture Office where data collection is still manual with a limited number of Human Resources (HR) assigned to collect data, therefore this service activity is carried out information system training to increase data collection time and reduce complexity in the data collection process for employees at the Pasuruan City Education and Culture Office. The information system training referred to is a community-based data collection information system, which contains basic data required by the Regional Government in the framework of formulating development plans. Information data will not provide benefits if it is not used as a reference in the preparation of development plans so that training and assistance are needed to achieve the goals.Keywords : Information System, Community Based, Data Collection 

Topical issues of medical malpractices

2014 ◽  
Vol 155 (38) ◽  
pp. 1510-1516
Author(s):  
Tamás Heiner ◽  
Tímea Barzó
Keyword(s):  
Medical Malpractice ◽  
Medical Service ◽  
Early Stage ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Practical Experience ◽  
Current Analysis ◽  
Breach Of Contract ◽  
Judicial Decisions ◽  
Contractual Relationship

The number of medical malpractice lawsuits filed each year in Hungary has considerably increased since 1990. The judicial decisions and practices on determining and awarding wrongful damages recoverable for medical malpractices in the Hungarian civil law have been developing for decades. In the meantime, a new Hungarian Civil Code (Act V of 2013) has entered into force, which among others, necessitates the revaluation of assessment of damages recoverable for medical malpractices. There are two main areas where fundamental changes have been introduced, which may significantly affect the outcome of medical malpractice lawsuits in the future. In the early stage of medical malpractices it was unclear whether the courts had to consider either the contractual relationship between patients and healthcare providers (contractual liability) or general codal articles on damages arising from non-contractual liability/torts (delictual liability) in their judgement delivered in the cases. Both the theoretical and practical experience of the last ten years shows that healthcare services agreements are concluded between healthcare providers and patients with the aim and intention to provide appropriate professional healthcare services to patients, which meet patients’ interests and wishes. The medical service is violated if it fails to meet patients’ interests and wishes as well as the objectives of the agreement. Since the new legislation implies a stricter liability for damages in the case of breach of contract and stricter rules for exempting the party in breach from compensation obligations, the opportunities to exempt healthcare providers from these obligations have become limited compared to previous regulations. This modification, which was aimed at further integrating the established judicial practices into legislation, stipulates the application of the rules for liability for damages resulting from medical malpractice in non-contractual situations. This paper analyses dogmatic and practical problems related to this topic. Another important area of current analysis is the institution of injury fees, which replaced the reimbursement of non-pecuniary damages. The mere fact of infringement allows setting injury fees. Taking into consideration the current resources in staff and equipment available in healthcare, this regulation may promote claims for injury fees impartial. Consequently, courts will have to apply other criteria when judgment in ‘trivial cases’, which might not require legal assessment, is delivered. Orv. Hetil., 2014, 155(38), 1510–1516.

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