scholarly journals The Effect of Educational Intervention on Rational Prescribing in Public Health Facilities in Selected Local Government Areas of Rivers State: An Interventional Study

2021 ◽  
pp. 79-95
Author(s):  
Golden Owhonda ◽  
Felix Emeka Anyiam
Keyword(s):  
Public Health ◽  
Health Care ◽  
Local Government ◽  
Drug Use ◽  
Educational Intervention ◽  
The State ◽  
Health Facilities ◽  
Public Health Facilities ◽  
Rational Prescribing ◽  
Rivers State

Background: Despite progress made so far in identifying intervention models to improve drug use, irrational use of drugs has remained a serious global health problem. The study intends to determine the effectiveness of an educational intervention on rational prescribing among prescribers in selected local government areas of Rivers State. Methods: This was a quasi-experimental study that measured the effect of educational intervention on rational prescribing of drugs among prescribers in public health facilities in two selected Local Government Areas (LGA) of Rivers State: Ikwerre LGA (KELGA) which served as the control and Port Harcourt LGA (PHALGA) which served as the intervention by using cluster sampling with randomization. Paired data were analysed using McNemar’s Chi-square test and the paired t-test. The level of significance was set at P≤ 0.05. The EPI-INFO version 7.02 statistical software was used in the analysis. Results: Findings showed that the largest category of prescribers was nurse/midwives representing 48.61% and 44.4% in the intervention and control LGA respectively. There was an improvement in the knowledge and attitude of respondents in the facilities in the intervention LGA at one month and three months post-intervention (P<0.05). The average number of drugs per encounter (ANDPE), the percentage encounters with an antibiotic (PEA), the percentage encounters with an injection (PEI) were lower for the interventions group compared to the control (P<0.05). Percentage generic drug prescription (PGD) was higher in the intervention group compared to the control (P=0.001). Conclusion: Educational intervention was an effective and sustainable means of improving rational prescribing in the state. Update courses and continuing medical education on rational drug use should be held periodically for health care professionals by the State and National Primary Health Care Development Agency as well as other interested stakeholders.

scholarly journals Uptake of evidence in policy development: the case of user fees for health care in public health facilities in Uganda

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Juliet Nabyonga-Orem ◽  
Freddie Ssengooba ◽  
Rhona Mijumbi ◽  
Christine Kirunga Tashobya ◽  
Bruno Marchal ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Policy Development ◽  
Health Facilities ◽  
User Fees ◽  
Public Health Facilities

scholarly journals Roles of Technology Enhanced Learning in Tackling Antimicrobial Resistance among Laboratory Professionals in Public Health Facilities in Nigeria

2020 ◽  
pp. 18-24
Author(s):  
Nura Bawa ◽  
Hafsat Yusuf Imam
Keyword(s):  
Public Health ◽  
Health Care ◽  
Antimicrobial Resistance ◽  
Health Care Professionals ◽  
Health Facilities ◽  
Technology Enhanced Learning ◽  
Laboratory Equipment ◽  
Public Health Facilities ◽  
Enhanced Learning ◽  
Share Information

Technology has been found effective in almost all aspects of life. This includes its effectiveness in the field of education through technology enhanced learning. This paper aimed to look at roles of technology enhanced learning in tackling antimicrobial resistance among laboratory professionals in public health facilities in Nigeria. Qualitative research design was adopted for the study. Population of the study included all 75300 laboratory professionals in the North-west Nigeria. Convenience sampling technique was used to select 382 participants as sample for the study. This was guided by Research Advisors Model for selection of sample size. The instrument (open ended questionnaire) was used to gather data for the study. It was validated by experts, pilot study was conducted, and reliability index of 0.88 was obtained. It was found from the study that most of the health care professionals lamented not only they lack modern laboratory equipment but also lack technical knows how to operate the modern laboratory equipment/tools/apparatuses. It also was gathered that vast majority of them use handheld devices (smart phones) with few of them using laptops and in extreme cases desktops computers for learning and other day-to-day activities. Based on the findings from the study, it was concluded that in the 21st Century, collaborations through technology has become imminent. Thus, technology enhanced professional learning will not only help share information about global challenges but also help in providing lasting solutions to it. The study recommended that workshops and regular trainings should be organized to teach health care professionals on how to effectively collaborate, generate and share information through social media platforms.

Health care utilization during the Covid-19 pandemic in Mexico: the cascade of care

2021 ◽  
Vol 63 (6, Nov-Dic) ◽  
pp. 743-750
Author(s):  
M. Arantxa Colchero ◽  
Rouselinne Gómez ◽  
Carlos J Pineda-Antúnez ◽  
Sergio A Bautista-Arredondo
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Facilities ◽  
Care Utilization ◽  
Lower Probability ◽  
Nutrition Survey ◽  
Public Health Facilities ◽  
Health And Nutrition ◽  
Cascade Of Care ◽  
Utilization Patterns

Objective. The objective of the study is to describe trends in selected services offered at public health facilities and utilization patterns during the Covid-19 epidemic in Mexico. Materials and methods. We used administrative data and the National Health and Nutrition Survey Covid-19, 2020. Results. We found a reduction in the rates of diabetes and detection screening during 2020 compared to 2014-2019. From the demand side, we found that 18.6% of the population reported health needs, and only 34% of them received care in public health facilities. The use of private health services was extensive even among the population with social security. The uninsured and the population with high and medium socioeconomic status had a lower probability of receiving care in public health facilities. Conclusion. We document trends in selected services, as well as the cascade of care during the Covid-19 epidemic in Mexico and its potential impact on displaced health care.

Management and Implementation of Mukhyamantri Nishulk Dava Yojna in a District Hospital, Rajasthan

2018 ◽  
Vol 20 (3) ◽  
pp. 309-324
Author(s):  
Mukesh Kumar Vashistha ◽  
V.K. Tiwari ◽  
Sherin Raj T.P. ◽  
Ramesh Gandotra
Keyword(s):  
Public Health ◽  
Human Resources ◽  
Inventory Management ◽  
District Hospital ◽  
The State ◽  
Health Facilities ◽  
Government Hospital ◽  
Internet Connectivity ◽  
Public Health Facilities ◽  
The Government

The Mukhyamantri Nishulk Dava Yojna (MNDY) was started across the state since 02 October 2011 in order to distribute most commonly used drugs free of cost to all patients visiting the government hospital. To run the scheme, an advanced inventory management by the name of e-Aushadhi has been developed and implemented across all public health facilities (PHFs). Trained human resources and computers with printers and internet connectivity are provided. In this study, 183 patients and staff responsible for the implementation of the scheme and specialists were interviewed. The study revealed that patients and doctors were highly satisfied with the functioning of the scheme and they are getting the majority of the medicines prescribed by the doctor. The scheme has been able to reduce out-of-pocket (OOP) expenditure on medicines and increased hospital attendance manifold.

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