Use of Healthcare Services by Patients with Non-Communicable Diseases in Nepal: A Qualitative Study with Healthcare Providers

AbstractThe aim of this qualitative study was to explore the experiences of informal PrEP users regarding access to PrEP and PrEP-related healthcare, community responses, sexual behavior and well-being. We interviewed 30 men who have sex with men (MSM) in semi-structured online interviews between March and August 2018. Interviews were analyzed using interpretive description. Informal PrEP users were well informed about the use of PrEP, but sometimes did not make use of renal testing. Participants reported a lack of PrEP knowledge among healthcare providers, which limited their access to PrEP and put them at risk, as they received incorrect information. Although some participants reported negative reactions from potential sex partners, most received positive reactions and were sometimes seen as more desirable sex partners. PrEP healthcare services should not only be accessible to formal PrEP users, but also to PrEP users who procure PrEP informally.

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Ayushman Bharat Yojana: a memorable health initiative for Indians

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20183043 ◽

2018 ◽

Vol 5 (8) ◽

pp. 3152 ◽

Cited By ~ 1

Author(s):

Rohit Dhaka ◽

Ramesh Verma ◽

Ginni Agrawal ◽

Gopal Kumar

Keyword(s):

Health Centre ◽

Tertiary Care ◽

Poverty Line ◽

Healthcare Services ◽

Communicable Diseases ◽

Health And Wellness ◽

Non Communicable Diseases ◽

Protection Scheme ◽

Insurance Cover ◽

The Government

India in a state of epidemiological health transition i.e shifting from communicable to non-communicable diseases. The annually 3.2% Indians falling below the poverty line and three forth Indians spending their entire income on health care and purchasing drugs. The government of India announced a Ayushman Bharat Yojana- National Health Protection Scheme (AB-NHPM) in the year 2018. The aim of this programme is to providing a service to create a healthy, capable and content new India and two goals are to creating a network of health and wellness infrastructure across the nation to deliver comprehensive primary healthcare services and to provide health insurance cover to at least 40% of India's population which is deprived of secondary and tertiary care services. This Yojana will be implemented through Health and Wellness Centres that are to be developed in the primary health centre or sub-centre in the village and that will provide preventive, promotive, and curative care for non-communicable diseases, dental, mental, geriatric care, palliative care, etc. These centres would be equipped with basic medical tests for hypertension, diabetic and cancer and they are connected to the district hospital for advanced tele-medical consultations. The government has aims to set up 1,50,000 health and wellness centres across the country by the year 2022.

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Challenge Non-Communicable Diseases Programs in Iran: A Qualitative Study

10.21203/rs.3.rs-605318/v1 ◽

2021 ◽

Author(s):

Fatemeh Ataollahi ◽

Leila Vali ◽

Mohammadreza Amiresmaili ◽

Nouzar Nakhaee ◽

Maryam Okhovati

Keyword(s):

Program Evaluation ◽

Qualitative Study ◽

Needs Assessment ◽

Evaluation System ◽

Communicable Disease ◽

Communicable Diseases ◽

Care Providers ◽

Research Experience ◽

Non Communicable Diseases ◽

Individual Interviews

Abstract Background One of the effective strategies to prevent and control Non- communicable diseases risk factors is to identify priorities and problems of Non-communicable programs. this study was conducted to identify the challenges of non-communicable diseases programs in order to improve programs development. Methods This study was a qualitative study which was carried out in 5 universities of medical sciences and the Ministry of Health in 2019 year. The sampling method was purposive and the participants include specialists in the field of NCD who have executive and research experience in this field. Data were collected through 40 individual interviews with health professionals and care providers. Data were analyzed by content analysis using CIPP model. Results In the present study, problems of non-communicable disease programs were identified in 4 main categories, 12 sub-categories including inadequate participation of all levels of service delivery in program development, needs assessment, budget allocation, data and program evaluation system. Conclusions Some problems of non-communicable diseases programs included inadequacy of needs assessment, lack of prioritization based on local and regional conditions, program evaluation system. Paying attention to the mentioned points will help to solve underlying problems and improve the processes of developing, implementing and evaluating programs.

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Understanding low mobilization for non-communicable diseases among people living with NCDs: A qualitative study on hypertension in urban South India

Social Science & Medicine ◽

10.1016/j.socscimed.2021.114472 ◽

2021 ◽

pp. 114472

Author(s):

Carolin Kroeger ◽

Shuba Kumar ◽

Rani Mohanraj ◽

Sripriya Kundem ◽

Kate Bärnighausen ◽

...

Keyword(s):

Qualitative Study ◽

South India ◽

Communicable Diseases ◽

Non Communicable Diseases ◽

Urban South

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The Lived Experience of Nurses on the Role of Continuing Education Programs in Promoting Their Knowledge, Skills, and Attitude Toward Non-Communicable Diseases

10.21203/rs.3.rs-431307/v1 ◽

2021 ◽

Author(s):

Maryam Zarei ◽

Leila Bazrafkan ◽

Sadaf Mojarrab

Keyword(s):

Qualitative Study ◽

Lived Experience ◽

Professional Education ◽

Training Programs ◽

Clinical Skills ◽

Skills Training ◽

Communicable Diseases ◽

Professional Skills ◽

Non Communicable Diseases ◽

Effective Training

Abstract BackgroundContinuing professional education is essential for nurses to provide quality patient care and upgrade their professional skills and competence. The need for continuing medical education (CME) has become more apparent in the face of advances in medical science, the ever-changing healthcare system, and the important role nurses play in improving health care. It is therefore imperative to explore nurses’ experience of CME courses and the extent to which such programs are effective. The present qualitative study aimed to assess the lived experience of nurses on the effect of CE programs in promoting their knowledge, skill, and attitude toward non-communicable diseases.MethodsThis qualitative study was conducted in 2019-2020 at various hospitals affiliated to Shiraz University of Medical Sciences (Shiraz, Iran). The target population was nurses actively working in the chronic wards of these hospitals. The participants were selected using maximum variation sampling, including nursing managers, education and clinical supervisors, and staff nurses. Data were collected through individual, face-to-face, semi-structured interviews and analysed using the conventional content analysis method. Data trustworthiness was assessed according to the criteria proposed by Guba and Lincoln.ResultsAnalysis of the interview data resulted in 230 primary codes based on which 15 subcategories, 6 categories, and 3 themes were identified. The extracted themes were training to improve knowledge and attitude, training to improve professional skills, and the need for effective training programs. The associated categories weretraining to improve clinical knowledge, training to improve professional attitude, training in clinical skills related to holistic and person‐centred care, communication skills training, incorporate the fundamentals of effective training, and recognize common challenges and barriers to effective training.ConclusionProfessional competence and performance of nurses can be improved through intrinsic motivation stimulation, planning and implementation of training programs based on professional needs, and effective assessment of the teaching/learning process.

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Prevalence and associated factors of chronic non-communicable diseases among cross-country truck drivers in Ethiopia

BMC Public Health ◽

10.1186/s12889-020-09646-w ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Tewodros Yosef

Keyword(s):

Associated Factors ◽

Healthcare Services ◽

Cross Sectional Study ◽

Communicable Diseases ◽

Truck Drivers ◽

The Body ◽

Public Health Importance ◽

Cross Sectional ◽

Non Communicable Diseases ◽

Cross Country

Abstract Background Non-communicable diseases (NCDs) are diseases that are not transmitted from one person to another. Currently, NCDs are the primary causes of morbidity and mortality globally. Truck driving is an occupation that prone drivers to risk factors for NCDs than other occupations. Eventhough risk of developing NCDs among these population is high, studies that showed the prevalence and associated factors of chronic NCDs among truck drivers in Ethiopia are not available. Therefore, this study aimed to assess the prevalence and associated factors of chronic NCDs among truck drivers in Ethiopia. Methods A cross-sectional study was conducted among 422 cross-country truck drivers at the Modjo dry port in Ethiopia. The interviwer-administered questionnaire technique was used to collect the data. The body mass index of the study participants was measured using DHM-15A standardized scale (BMI Height and Weight body fat scale). Results Of the 400 truck drivers interviewed, the prevalence of chronic non-communicable diseases was 28.5, 95% CI (24.1–32.9%). Eighty (20%) had hypertension followed by 32(8%), and 22 (5.5%) had diabetes mellitus and asthma, respectively. The study also found that being married (AOR = 3.14, 95%CI [1.78–5.86]) and Separated/Divorced/Widower (AOR = 2.31, 95% CI [1.12–3.55]), having 3 or more family sizes (AOR = 1.46, 95% CI [1.33–4.42]), BMI ≥ 25 (AOR = 4.66, 95% CI [2.85–7.62]), smoking cigarettes [AOR = 1.71, 95% CI [1.03–2.81]), driving 10 or more years (AOR = 3.48, 95% CI [1.89–5.24]) and driving 9 or more hours daily (AOR = 3.76, 95% CI [1.96–6.54]) were statistically associated with chronic non-communicable diseases. Conclusion The prevalence of chronic NCDs among truck drivers was significant (28.5%), and we can conclude that chronic NCDs are of public health importance among truck drivers in Ethiopia. This may create a substantial load on the healthcare system as an end result of increased demand and contact with healthcare services. Therefore, a rigorous effort is needed to develop strategies for the prevention and management of NCDs.

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