scholarly journals A Comparative Study of the Efficacy of Community Health Clubs in Rural Areas of Vietnam and Zimbabwe to Control Diarrhoeal Disease

2021 ◽  
Author(s):  
Juliet Waterkeyn ◽  
Victor K. Nyamandi ◽  
Nguyen Huy Nga
Keyword(s):  
Community Health ◽  
Rural Areas ◽  
Health Centers ◽  
Hygiene Behaviour ◽  
Before And After ◽  
Randomised Control Trials ◽  
Proxy Indicators ◽  
Government Data ◽  
Asian Context ◽  
One Year

The Community Health Club (CHC) Model in Makoni District, Zimbabwe operated 265 CHCs with 11,600 members from 1999 to 2001 at a cost of US$0.63 per beneficiary per annum. A decade later, 48 CHCs were started in three districts in Vietnam with 2,929 members at a cost of US$1.30. Hygiene behaviour change was compared using a similar survey of observable proxy indicators in both projects, before and after intervention. In Vietnam there was a mean of 36% change in 16 observable proxy indicators (p > 0.001) which compared positively with Makoni where there was a mean of 23% hygiene change in 10 indicators (p > 0.001). In Vietnam, 8 Health Centers reported a reduction of 117 cases of diarrhoeal diseases in CHC communes, compared to only 24 in non-CHC communes in one year; in 8 Health Centers in Makoni, Zimbabwe, a reduction of 1,219 reported cases over a 2–9 year period was reported, demonstrating the efficacy of CHC both in African and Asian context. We suggest that regular government data of reported cases at clinics may be a more reliable method than self-reported diarrhoea by carers in clustered-Randomised Control Trials, which have surprised practitioners by finding negligible impact of WASH interventions on diarrhoea in rural communities.

scholarly journals Medical waste management improvement in community health centers: an interventional study in Iran

2018 ◽  
Vol 20 ◽  
Author(s):  
Jafar Sadegh Tabrizi ◽  
Mohammad Saadati ◽  
Mahdieh Heydari ◽  
Ramin Rezapour ◽  
Roghaie Zamanpour
Keyword(s):  
Waste Management ◽  
Community Health ◽  
Community Health Centers ◽  
Clinical Audit ◽  
Medical Waste ◽  
Health Centers ◽  
Audit Process ◽  
Before And After ◽  
Medical Waste Management ◽  
Comparison Of Standards

Abstract Aim To improve the medical waste management (MWM) standards in Tabriz community health centers (CHCs) through clinical audit process. Background Management of medical waste is not only a legally necessity but also a social responsibility in health systems. Owing to the potential risks for human health and environmental impacts, MWM is a global concern. Methods This was an interventional research designed using clinical audit cycle that was implemented in Tabriz CHCs in 2016. MWM was assessed through observation, as well as reviewing relevant documents and interviews with waste workers in CHCs and completion of a researcher-made checklist. Intervention plans were developed and implemented based on the assessment results. To analyze the data, Excel 2016 software was used and information was reported as descriptive statistics through comparison of standards adherence before and after the interventions. Results Generally, 30% improvements in MWM standards adherence were experienced (45.8–75.1%) in the CHCs, after the interventions. The greatest improvement was observed in the dimensions of management and education, and separation and collection of medical waste, up to 30 and 28.5%, respectively. Conclusions As the results demonstrated, standards of MWM processes were improved in Tabriz CHCs, due to the intervention. Moreover, it was experienced that using systematic method, stakeholders’ participation and evidence-based planning would lead to process improvement. MWM was an ignored issue in primary care that must be more in attention.

scholarly journals The War on Poverty's Experiment in Public Medicine: Community Health Centers and the Mortality of Older Americans

2015 ◽  
Vol 105 (3) ◽  
pp. 1067-1104 ◽  
Author(s):  
Martha J. Bailey ◽  
Andrew Goodman-Bacon
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Community Health Centers ◽  
Health Centers ◽  
Older Americans ◽  
Access To Primary Care ◽  
One Year ◽  
Universal Health ◽  
Medicine Community ◽  
Percent Decrease

This paper uses the rollout of the first Community Health Centers (CHCs) to study the longer-term health effects of increasing access to primary care. Within ten years, CHCs are associated with a reduction in age-adjusted mortality rates of 2 percent among those 50 and older. The implied 7 to 13 percent decrease in one-year mortality risk among beneficiaries amounts to 20 to 40 percent of the 1966 poor/non-poor mortality gap for this age group. Large effects for those 65 and older suggest that increased access to primary care has longer-term benefits, even for populations with near universal health insurance. (JEL H75, I12, I13, I18, I32, I38, J14)

The impact of the TelEmergency program on rural emergency care: An implementation study

2016 ◽  
Vol 23 (6) ◽  
pp. 588-594 ◽  
Author(s):  
Sarah A Sterling ◽  
Samantha R Seals ◽  
Alan E Jones ◽  
Melissa H King ◽  
Robert L Galli ◽  
...  
Keyword(s):  
Emergency Care ◽  
Rural Areas ◽  
Patient Discharge ◽  
Rural Hospitals ◽  
Rural Hospital ◽  
P Value ◽  
Discharge Rates ◽  
Before And After ◽  
One Year ◽  
The Impact

Introduction Timely, appropriate intervention is key to improving outcomes in many emergent conditions. In rural areas, it is particularly challenging to assure quality, timely emergency care. The TelEmergency (TE) program, which utilizes a dual nurse practitioner and emergency medicine-trained, board-certified physician model, has the potential to improve access to quality emergency care in rural areas. The objective of this study was to examine how the implementation of the TE program impacts rural hospital Emergency Department (ED) operations. Methods Methods included a before and after study of the effect of the TE program on participating rural hospitals between January 2007 and December 2008. Data on ED and hospital operations were collected one year prior to and one year following the implementation of TE. Data from participating hospitals were combined and compared for the two time periods. Results Nine hospitals met criteria for inclusion and participated in the study. Total ED volumes did not significantly change with TE implementation, but ED admissions to the same rural hospital significantly increased following TE implementation (6.7% to 8.1%, p-value = 0.02). Likewise, discharge rates from the ED declined post-initiation (87.1% to 80.0%, p-value = 0.003). ED deaths and transfer rates showed no significant change, while the rate of patient discharge against medical advice significantly increased with TE use. Discussion In this analysis, we found a significant increase in the rate of ED admissions to rural hospitals with TE use. These findings may have important implications for the quality of emergency care in rural areas and the sustainability of rural hospitals’ EDs.

scholarly journals The impact of applying 5S management method on patient satisfaction in healthcare centers' services

2019 ◽  
Author(s):  
Shadab Shahali ◽  
Massomeh Khajehasani ◽  
Amin Torabipoor ◽  
Kambiz AhmadiAngali
Keyword(s):  
Service Quality ◽  
Community Health ◽  
Community Health Centers ◽  
Health Centers ◽  
Management Approach ◽  
Before And After ◽  
Quasi Experimental ◽  
Health Service Quality ◽  
The Impact

Abstract Background: Improving service quality and increasing clients' satisfaction is the most important aim of the health centers. This study aimed to investigate the effect of implementing the 5S management approach on the service quality provided at community health centers.Methods: This is a quasi-experimental study done with the participation of 220 pregnant women at a health center in Ahvaz in 2018. The quality gap and weaknesses were measured before 5S implementation by using adornment system (5S) checklist and SERVQUAL questionnaire. Interventions were designed and implemented with regard to the system weaknesses and the next evaluation was carried out 2 months after intervention.Results: Based on the findings of this study, the 5S score was 2.4 before the 5S implementation and 4.2 after the intervention. The mean scores of health service quality provided in community health centers significantly differed before and after the 5S implementation (P <0.0001).Conclusions: Implementation of 5S can improve the work environment adornment and the satisfaction of health centers' patients. Therefore, it is advised to use techniques to increase the quality of health centers’ services.

scholarly journals Telehealth Use among Community Health Centers and Cardio-Metabolic Health Outcomes

Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 165
Author(s):  
Navneet Kaur Baidwan ◽  
Ganisher Davlyatov ◽  
Tapan Mehta
Keyword(s):  
Community Health ◽  
Rural Areas ◽  
Community Health Centers ◽  
Health Interventions ◽  
Health Centers ◽  
Administrative Database ◽  
Primary Analysis ◽  
Limited Support ◽  
Related Quality ◽  
Artery Disease

Public health interventions to manage the cardio-metabolic syndrome (CMS) have had modest success, necessitating the expansion of telehealth services to where people live. This effort analyzes the association between telehealth provision and the management of CMS-related quality measures (hypertension, diabetes, weight assessment and related counseling, lipid therapy for coronary artery disease, and antiplatelet therapy for ischemic vascular disease) using the Uniform Data System administrative database during the period 2016–2018. A total of 523, 600, and 586 community health centers (CHCs) were documented using telehealth, out of the 1367, 1373, and 1362 total CHCs, in the respective three years. Our primary analysis showed that there was no association between telehealth use and the outcomes. A difference in difference approach that compared the CHCs which transitioned from not using it to using it with those that did not use telehealth in two consecutive years also produced null results. However, among rural areas, the odds of better managing the outcomes were greater for certain outcomes. Our study provides limited support that the adoption of telehealth is potentially beneficial in improving certain outcomes in the CHCs setting that are based in rural areas. More specificity in data regarding the nature of telehealth implementation in the CHC setting could bring clarity in these associations.

Sign in / Sign up

Export Citation Format

Share Document