scholarly journals Development of a Tool for Assessing Patient Compliance on Various Ayurvedic Formulations used for Internal Administration

Author(s):  
A. Sumi ◽  
M. Abhilash ◽  
K. B. Sudhikumar

Introduction: Compliance is a process where the patient follows the prescribed and dispensed regimen as intended by the prescriber. Poor compliance has been reported as it is the most common cause of non-response to medication. There is no single best indicator to assess      patient compliance in Health Research. This study aims to develop and validate a new questionnaire considering the pharmaceutical properties of Ayurvedic medicines to measure patient compliance. Methods: The first phase consisted of a qualitative phase to identify the variables to measure patient compliance through in-depth interviews among five doctors and focus group discussion with eight practitioners, and pre-test with respondents, experts, and peers. The second phase was a quantitative phase to assess the respective responses of patients towards the questionnaire through a cross-sectional survey among 106 subjects as a pilot study. Results: The qualitative analysis reported variables that were seen spread across eight domains were used to measure compliance. Conclusion: Ayurvedic treatment is personalized and there is always a scope for a remake of formulation designing for each individual. Sticking on to appropriate prescriptions after properly assessing the needs of the patient and the reason for their non-compliance can bring a revolution in terms of cost-effectiveness and time. The wastage of medicines, whether raw drugs or processed ones can be prevented by recognizing the factors for non-compliance. There is always a scope for improvement with further alike or more developed research in patient compliance in Ayurveda.

2014 ◽  
Vol 12 (2) ◽  
pp. 24-30
Author(s):  
Simone Christensen Hald ◽  
Ditte Aagaard Sondergaard

Background In 2002, the Nepalese abortion law went from being highly restrictive to fully liberal. This study aimed to explore a local community’s perception of the situation for unmarried Nepalese women wanting to practice their legal right to abortion.Methods The study comprised a cross-sectional survey and in-depth interviews with men and women above the age of 16 years living in the Makwanpur District, Nepal. The final data included 55 questionnaires and 16 interviews. The questionnaire data was univariate analysed, while a condensation of meaning analysis was carried out on the interviews.Results The overall awareness of abortion being legal was high, although the extent of knowledge of the specific legal grounds varied. Unmarried women were believed to have access to abortion services, although they risked stigmatisation due to their marital status. The community attitude towards these women having abortions was very negative, hence it differed from the legal acceptance of all women having the right to abortion. This was explained by societal norms on premarital sexual activity. Generally, the participants felt that changing attitudes would be difficult but possible over time.Conclusion A considerable gap exists between the legal acceptance of abortion and community attitudes when it comes to unmarried women as this group encounters barriers when wanting to practice their right. Therefore, these barriers need to be addressed to allow unmarried Nepalese women access to safe abortion services without the risk of being stigmatised.One possible alternative is educational initiatives such as disseminating information vigorously through mass media to create awareness.DOI: http://dx.doi.org/10.3126/hprospect.v12i2.9869 Health Prospect Vol.12(2) 2013: 24-30


2017 ◽  
Vol 5 (1) ◽  
pp. 39
Author(s):  
ANNE Wangari Mberia

Leadership is a process whereby an individual influences a group of individuals to achieve a common goal (Northhouse, 2011). In time and space, women leadership remains a subject talked about but hardly appreciated (Wren, 2013). Among the factors contributing to poor representation of women in leadership is stakeholder’s attitude (Coleman, 2005). The study sought to investigate stakeholder’s attitudes impeding women teachers' ascension to leadership positions in mixed public secondary schools, focusing in Tharaka South Sub – County, Kenya. The study employed descriptive cross-sectional survey design utilizing both qualitative and quantitative methods of data collection. Probability and non-probability sampling techniques were used to arrive at the sample size. Data was collected from women classroom teachers, heads of departments, school principals, education officers, education trade unionists, Parents and Teachers Association officials and School Board of Management officials. Questionnaires, interview guide and focus group discussion guides were used to collect both qualitative and quantitative data. Data analysis was assisted by computer software (Statistical Package for Social Sciences for quantitative data and NVIVO for qualitative data). The study established that education stakeholders have a general negative attitude towards women leadership in schools.


Author(s):  
Anna Shilongo

The objective of the study was to investigate the Tourism and Commoditization of Traditional Cultures among the Himba People of Namibia. Globalization theory by Greg Richards and the use value theory by Marx was linked with this study. A mixture of methods comprising of descriptive cross-sectional survey, phenomenology and ethnographic research designs was employed to assess the effect of commoditization of traditional cultures among the Himba people through tourism. The study employed two principal data collection techniques: questionnaires and in-depth interviews. Stratified sampling and purposive sampling procedures were used. Purposive sampling was used as a non-probability sampling method in the sampling of key informants such as tour-guide, local leaders and museum employees. The study took place in two sampled villages in the Opuwo rural constituency, namely, Ohunguomure Village and Okatutura ka Vinjange, which form the major cultural tourist destinations. The sample size of this study was 98. Data was analysed using qualitative and quantitative approaches. Quantitative analysis was applied to close-ended questions, and the data were analysed in terms of frequencies and percentages using the Statistical Package for Social Sciences (SPSS) version 21. Qualitative data obtained from open-ended questions and interviews were analysed thematically. The study concludes that commoditization of culture is diluting culture and destroys the originality of the culture. The study recommends the need for this Ministry to have a component or department that specifically works towards the issue of commoditization of the Himba culture in the Kunene Region.


2021 ◽  
Vol 3 (4) ◽  
pp. 335-352
Author(s):  
Oghenechoja Dennis Veta

This study sought to investigate factors militating against community participation in development projects executed under the Micro Projects Programme and how to reduce such factors to the barest minimum in the Niger Delta region of Nigeria. A cross-sectional survey design was adopted for the study. A questionnaire, an in-depth interview (IDI) guide and a focus group discussion (FGD) guide were used for data collection. Borehole water, generator-house, health centres, staff quarters and markets were the projects executed. Inadequate devolution of power to the grassroots, among others, was the major problem that hindered involvement of community members in the development process of the Micro Projects Programme in the study areas. To enhance active participation of beneficiaries in the development process of the programme, suggestions are proffered.


Author(s):  
Neda Yavari ◽  
Fariba Asghari ◽  
Zahra Shahvari ◽  
Saharnaz Nedjat ◽  
Bagher Larijani

It appears that up until now, no comprehensive tool has been developed to assess medical students’ attitudes toward the different dimensions of professionalism. The present study aimed to develop a comprehensive quantitative tool to evaluate medical students’ attitudes toward professionalism. This study consisted of two phases: The first phase was item generation and questionnaire design based on literature review and a qualitative survey. The qualitative data were extracted from 49 semi-structured individual interviews and one focus group discussion. In the second phase, the questionnaire was developed and its face, content, and structure validity and reliability were evaluated. To measure the construct validity of the questionnaire, a cross-sectional study was conducted on 354 medical students at different academic levels at Isfahan University of Medical Sciences. The final questionnaire was loaded on five factors. The factors accounted for 43.5% of the total variance. Moreover, Cronbach's alpha was 0.84 for the total scale, and the interclass correlation coefficient was 0.77 for the test-retest reliability. The 17-item questionnaire measuring medical students’ professional attitude had acceptable validity and reliability and can be adopted in other studies on physicians’ and medical students’ professional attitudes.   


Author(s):  
Wabusya Moses Wetiba ◽  
Mugatsia Tsingalia ◽  
Njira Njira Pili ◽  
Vincent Kakembo

Aims: This study assessed the level of climate change awareness among the forest-adjacent communities in the Kakamega-Nandi forest ecosystem complex. Four locations were chosen for the study, Buyangu and Isecheno in the Kakamega forest, Kaptumo in Nandi South and Kipsamoite in Nandi North forest ecosystems. Study Design: A cross-sectional survey design was used to collect data from primary sources. Structured questionnaires were administered to the residents aged 25years and older within the study area. Place and Duration of Study: The Kakamega, north and south Nandi forest ecosystems in western Kenya between June -December 2019. Methodology: A total of 280 questionnaires were randomly administered to the forest-adjacent respondents with, Kakamega forest 163 respondents, South Nandi forest 60, while North Nandi had 57respondents. A total of 217 questionnaires were filled and returned and the information wherein used in data analysis. Focused Group Discussion and key informants were used to supplement data collects by the questionnaires. Results: Majority of the residents (54%) were less concerned about climate change. In addition, 85% of the respondents had very little knowledge on coping and adapting to the adverse impacts of climate change. Some 40 % and 45% of the respondents got information about climate through televisions and radios, respectively. Further analysis of the results revealed that climate change was responsible for fourteen key impacts. These included an increase in rainfall, prolonged drought, decrease in the quality and quantity of fresh water, decrease in food security, an increase in temperature, a decrease in agricultural resources, an increase in sickness and disease, a decrease in quality of life, flooding, decrease in forest cover, loss of homes, reduction in biodiversity, and rise in storm surge. A Chi test revealed a significant relationship between forest cover decline and changes in rainfall patterns (X2 = 111.86, df =12, p<0.001), increasing temperature (X2 = 80.492, df =12, p<0.001);, drought( (X2 = 204.84, df =16, p<0.001) and storm surges (X2 = 74.34, df =8, p<0.001)]. The respondents' level of education was significantly different from their level of climate change awareness (X2=44.88, df=4, p<0.001). Conclusion: Forest-adjacent communities in the Kakamega-Nandi forest ecosystem complex are vulnerable to climate change as a result of insufficient knowledge about climate change and its impacts. The Kakamega-Nandi forest ecosystem is already experiencing climate change effects such as erratic rainfall and increasing food insecurity.


2017 ◽  
Vol 24 (4) ◽  
pp. 826-856 ◽  
Author(s):  
Yewande Adetoro Adewunmi ◽  
Reuben Iyagba ◽  
Modupe Omirin

Purpose Benchmarking in FM practice although understood and applied globally, little is known about the practice in Nigeria. The purpose of this paper is to develop a framework to guide the use of benchmarking. Design/methodology/approach The research adopts a cross-sectional survey design. Data were collected using self-administered questionnaires on FM organizations in Lagos metropolis, Abuja and Port Harcourt. The results of the survey were supplemented with interviews with FM unit heads in the study areas. The framework was validated using a focus group discussion with ten FM industry experts. Findings A framework which serves as a guide for the use of best practice benchmarking was developed. It showed that there is a relationship between best practice benchmarking and location. Research limitations/implications The evaluation of the framework was limited by the number of participants involved and being that it has not been put to use. Originality/value This study develops a multi-sector framework to guide the use of best practice benchmarking in facilities management (FM). The framework explains the relationship between organizational characteristics and best practice benchmarking. In addition, there are limited empirical benchmarking frameworks in FM literature.


2020 ◽  
Author(s):  
Aldebarán Toledo-Fernández ◽  
Diana Betancourt-Ocampo ◽  
Héctor Romo-Parra ◽  
Ernesto Reyes-Zamorano ◽  
Alejandro González-González

The objectives of this study were to describe severity of psychological distress (event-related stress, anxiety, and depression) during the second stage of COVID-19 pandemic in Mexico, and to explore associations between the indicators of psychological distress, sociodemographic characteristics and specific concerns about COVID-19. This report serves as a baseline measure of a longitudinal project to evaluate progression of psychological distress across stages of the COVID-19 pandemic in Mexico. An online survey was conducted in the State of Mexico from April 8th -18th, 2020, in a sample of men and women who are beneficiaries of a welfare institution in the region. Variables were measured with the Impact of Event Scale-6, Patient Health Questionnaire-9, General Anxiety Disoder-7, and a questionnaire of concerns about COVID-19. A total of 5974 participants were analyzed. Moderate levels of psychological distress (with 23.6% of participants meeting significant event-related stress, but mild levels of depression and anxiety) were found, as well as high values in all concerns about COVID-19, especially regarding financial disruption, worsening of local security and concern of a family member becoming infected. These concerns associated mild-to-moderately with the indicators of psychological distress. Higher values of event-related distress were found in women, individuals with higher educational attainment and those with any current high-risk medical diagnosis, though the effect sizes were mild. Though psychological distress and concerns about COVID-19 have reached significant levels during the pandemic in Mexico, overall, they have not yet reached dysfunctional levels.


2020 ◽  
Vol 3 ◽  
pp. 37
Author(s):  
Irene Andia Biraro ◽  
Emmanuella Driciru ◽  
Rehema Namaganda ◽  
Fiona Luboga ◽  
Charles Kato Drago ◽  
...  

Background: The MUII mentorship programme began 11 years ago with a successful group mentorship model. Over the years, the programme has evolved and is presently anchored on the “GROW” approach. This model allows individuals to: set Goals (What I want?); Reflect (Where am I now?); think of Options (What can I do?); What to implement (my actions?). It is intended to help fellows (current, honorary, alumni) herein referred to as mentees achieve their short, medium, and long-term research, career and professional goals. Methods: A mixed methods study combining a cross-sectional survey, one focus group discussion and 11 in-depth key informant interviews were carried out between November 2018 and January 2019 to 1) assess the status of the mentorship programme, 2) perform a strength weakness opportunity and threats (SWOT) analysis, and 3) identify factors relevant for sustainability. Results: An open invitation was made to 52 fellows to participate in the survey, and 23 responded. Among respondents, the largest proportions were male [70% (16/23)], and PhD fellows [35% (8/23)]. The respondents rated the fellowship experience as excellent [65% (15/23)], and most [78% (18/23)] revealed they had benefitted greatly from the programme. The SWOT analysis revealed outstanding strengths of having regular fellows’ meetings for peer support, and availability of international collaborations, linkages and exposure. Opportunities identified included large pool of mentees within MUII-plus and evidence of fellows taking up leadership positions. The biggest threat to the mentorship programme was the busy schedule of mentors. Conclusions: The MUII-plus mentorship programme has strong potential to offer research and career mentorship to its fellows. To promote sustainability of the programme, there is a need for innovative ways to engage mentors; such as digital platforms (e-mentorship) for greater mentor-mentee interactions.


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