An audit of complications of complex operative  gynaecological laparoscopy at a tertiary healthcare  facility in South Africa

Waste generated form healthcare facilities is a potential source of health risks to the public, if it is not properly handled from the point of generation to disposal. This study was conducted to assess the efficiency of healthcare risk waste (HCRW) management in Vhembe District of Limpopo Province, South Africa. Fifteen healthcare facilities were selected in Vhembe District for this study. Data were obtained through in-depth interviews, semi-structured questionnaires, observation and pictures. Qualitative data were thematically analyzed, while the quantitative data were analyzed using the Statistical Package for the Social Sciences, version 25. In all the healthcare facilities; mismanagement of HCRW was noted at different points along the management chain. Poor segregation, overfilling of waste bins, inappropriate transportation and storage of waste in substandard storage rooms were observed in the facilities. All the waste from the district are transported to a private-owned treatment facility outside the district, where they are mainly incinerated. Enforcement of healthcare risk waste guidelines, provision of standardized equipment for temporary storage, empowerment of each healthcare facility to treat at least some of the waste, and employment of non-burn techniques for treatment of waste are recommended for more efficient management of healthcare risk waste in Vhembe District.

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The influence of health insurance scheme on the drug prescribing pattern in a Nigerian tertiary healthcare facility

Nigerian Medical Journal ◽

10.4103/0300-1652.170378 ◽

2015 ◽

Vol 56 (5) ◽

pp. 344 ◽

Cited By ~ 6

Author(s):

JosephOlusesan Fadare ◽

AdekunleOlaitan Adeoti ◽

Felix Aina ◽

OlusojiAbidemi Solomon ◽

JoelOlatunde Ijalana

Keyword(s):

Health Insurance ◽

Healthcare Facility ◽

Health Insurance Scheme ◽

Drug Prescribing ◽

Insurance Scheme ◽

Prescribing Pattern ◽

Tertiary Healthcare

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Diabetes registry and service in Nigerian suburban-based tertiary healthcare facility

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20195862 ◽

2019 ◽

Vol 7 (1) ◽

pp. 250

Author(s):

Fortunatus D. Gbeinbo ◽

Eunice O. Igumbor ◽

Otovwe Agofure ◽

Chinedu O. Obodo ◽

Emmanuel Olu-Ero ◽

...

Keyword(s):

Data Collection ◽

Health Facility ◽

Scale Up ◽

Healthcare Facility ◽

Clinical Tool ◽

Diabetes Registry ◽

Glucose Levels ◽

Hospital Patients ◽

Tertiary Healthcare ◽

Diabetes Register

Background: Diabetes register is a clinical tool necessary for patient management including follow-up and referral procedures. In the Bringing Research in Diabetes to Global Environments and Systems that is in progress in Delta State, Nigeria; part of focus is establishment of diabetes register at a tertiary health facility. This phase of the project aimed to establish a diabetes register and to assess the baseline data.Methods: This was a clinical observational descriptive study at Eku Baptist Government Hospital. The diabetes register developed as in previous report was adopted as a scale-up study. After due clearance from the hospital, patients’ hospital record files were screened for cases of diabetes and 70 files were identified. Data were analyzed descriptively using Microsoft Excel Data Analysis ToolPak 2010.Results: There was a 2/1 female/male ratio, while 6% were below 40 years. 90% of patients had blood glucose levels results that indicated poor diabetes control. There is problem of incomplete data collection, for instance <25% BMI data was available. Capability and opportunity for standard service, e.g. diabetic foot examination, lipid profile, renal and retinal assessment was available at the tertiary health facility to allow management and referral from other hospitals.Conclusions: This report highlights poor adherence to diabetes care practices by stakeholders. It underscores the need for motivation to improve the quality of clinical data collection vis-à-vis documentation that enables assessment of diabetes epidemiology, especially in a facility that has the capacity.

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