scholarly journals Evaluation of session sites of routine immunization program in Damoh district of Madhya Pradesh

2018 ◽  
Vol 5 (12) ◽  
pp. 5443
Author(s):  
Ram Kumar Panika ◽  
Amarnath Gupta
Keyword(s):  
Health Workers ◽  
Storage Conditions ◽  
Cold Chain ◽  
Questionnaire Data ◽  
Prevention Strategies ◽  
Immunization Program ◽  
Cross Sectional ◽  
Safety Issues ◽  
Routine Immunization Program ◽  
Structured Questionnaire

Background: Vaccination is one of the most effective disease prevention strategies and the success of immunization program in the field depends upon the availability of appropriate vaccines, logistics and proper vaccination practice of health workers. This study was undertaken to assess actual vaccines and logistics availability, vaccination practices and safety issues at session sites of Damoh District of Madhya Pradesh.Methods: Cross-sectional observational study was done using a structured questionnaire. Data was collected from 36 session sites of Damoh District of Madhya Pradesh.Results: The availability of AD syringe of 0.1 ml and 0.5 ml was not adequate. Functional hub cutter was available in 30(83.3%) session sites. Zinc tablets were found only at 32 (88.8%) session sites. Due list of beneficiaries was maintained only by 33 (91.6%) ANMs and 26 (72.2%) ASHA workers. BCG was available in 20 (55.5%) and IPV in 27 (75%) sessions. Vaccine storage conditions were not appropriate in 2 sessions sites. Time of reconstitution was written on reconstituted vaccines in 30 (83.3%). Date and time of opening vial was written in 32 (88.8%) session sites. Only in 28 (77.7%) sessions ANM were cutting Syringe with Hub Cutter. Four key messages were being delivered to parents in only 16 (44.4%) sessions and only in 22 (61.1%) sessions ANM was advising the care giver to wait for 30 minutes after vaccination.Conclusions: There was satisfactory organization of immunization session in terms of availability of logistics and cold chain maintenance but unsatisfactory in terms of vaccination practice.

scholarly journals Determinants of awareness regarding immunization among parents of children residing in an urban slum of a metro city

2018 ◽  
Vol 5 (9) ◽  
pp. 4037
Author(s):  
Sandeep S. Hedaoo ◽  
Swati R. Deshpande ◽  
Vijay L. Badge
Keyword(s):  
Health Workers ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Accurate Information ◽  
Health Providers ◽  
Immunization Program ◽  
Cross Sectional ◽  
National Immunization ◽  
One Year ◽  
Structured Questionnaire

Background: Many families lack accurate information and knowledge about need for immunization, the need for subsequent dose(s), and the importance of completing the entire immunization schedule. Considering this fact present study was undertaken to identify the factors influencing knowledge of parents regarding immunization.Methods: It’s a cross sectional study conducted for a period of one year in an urban slum area of Malad, Mumbai. Children aged 12-24 months in the study area were included and their parents interviewed using semi structured questionnaire which was validated with the help of a pilot study.Results: Ninety seven percent respondents had heard about immunization. Only 2.8% of them were not aware about immunization. Total 30.5% of respondents could correctly identify the purpose of immunization i.e. protection of child from disease. Almost 65.2% of them did not know vaccines given under national immunization program. Fever (72.3%) was commonest side effect reported by respondents followed by swelling (38.3%). Reasons for lack of knowledge were ignorance about immunization (31.0%), followed by enough information was not received from health providers (24.1%).Conclusions: Knowledge regarding immunisation is very poor among the residents of urban slums of Mumbai. IEC material regarding immunization should be displayed in waiting areas of immunization clinic and several strategic places in the community. There is a need for additional training or capacity building of health workers to improve their attitudes towards clients, and to strengthen their ability to counsel regarding immunization.

Oral anticancer medication: Does the patient understand?

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 219-219
Author(s):  
Donna M. Graham ◽  
Alan O'Shea ◽  
Jeffri R. M. Ismail ◽  
Richard Martin Bambury ◽  
Margaret O'Keefe ◽  
...  
Keyword(s):  
Significant Proportion ◽  
Storage Conditions ◽  
Oral Chemotherapy ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Safety Issues ◽  
Information Leaflets ◽  
Parametric Data ◽  
Region Data ◽  
Careful Handling

219 Background: Oral anti-cancer medication (OAM) prescribing is increasing. Safety and adherence issues surrounding OAM are causing a shift in the traditional roles and responsibilities of oncologists, nurses and pharmacists. This study aims to investigate patients’ perception of education and safety surrounding OAM use. Methods: Over a 6-month period an anonymous cross-sectional survey was offered to all patients (pts) attending for cancer treatment with OAM at Irish hospitals with cancer services in the South-West region. Data was prospectively analysed using standard statistical tools for non-parametric data. Results: A total of 172 surveys were distributed and 101 pts responded (59%). Of these, 53 (54%) were female. Median age was 62 (range 29-80 yrs). Diagnosis was colorectal cancer in 49 pts (48%), breast cancer in 13 (13%) and brain tumour in 12 (12%). Of treatments used, 85% were oral chemotherapy and 15% oral biological therapy. The most commonly used agent was capecitabine (61%). When commencing OAM, 17% of respondents felt they did not understand it. Understanding was improved by pt education by a doctor (p=0.03) or hospital-based nurse (p=0.04) and provision of information booklets (p=0.04). Pts were unaware of interactions in 30% of cases and 20% were not aware of any safety issues. Pts who had been given information leaflets were significantly more aware of safety including careful handling (p<0.001), storage conditions (p=0.02) and safe disposal (p<0.001). Pts attending nurse-led oral chemotherapy clinics (NOCC) were significantly more aware of safety issues (p=0.04). Of respondents, 1% reported taking too many tablets and 15% had forgotten to take OAM on ≥1 occasion. NOCC improved adherence (p=0.03). Conclusions: OAM, when indicated, is an option for selected pts who are compliant and educated about complications. This study highlights issues with pt education and safety awareness. To our knowledge the factors influencing this have not been previously explored. A significant proportion of our pts were sub-optimally educated regarding medication interactions, storage needs, handling and disposal precautions. Educational tools to aid healthcare professionals in pt instruction and NOCC significantly improve patient understanding.

scholarly journals Kinerja Petugas Kesehatan dalam Upaya Menurunkan Angka Kejadian Demam Berdarah Dengue di Puskesmas Kota Jambi

2021 ◽  
Vol 12 (2) ◽  
pp. 69-76
Author(s):  
Rumita Ena Sari ◽  
Fransiska Sitepu ◽  
Arnild Augina Mekarische ◽  
Hubaybah Hubaybah ◽  
Rinaldi Daswito ◽  
...  
Keyword(s):  
Significant Relationship ◽  
Health Workers ◽  
Sampling Technique ◽  
Hemorrhagic Fever ◽  
Morbidity Rate ◽  
Questionnaire Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Cross Sectional Design

In Jambi Province, the morbidity rate of Dengue Hemorrhagic Fever (DHF) has increased for three consecutive years with a mortality rate of 0.74%. This study aimed to determine the performance of health workers to reduce the incidence of dengue fever at the Jambi City Health Center in 2020. This study used a cross-sectional design with several respondents 80 officers, the sampling technique used total sampling. The instrument in this study used a questionnaire. Data analysis using Chi-square test. The results showed that there was a significant relationship between the length of work (OR = 0.184), facilities and infrastructure (OR = 1.977), supervision (OR = 2.118), and superior support (OR = 2.029) with the performance of health workers, and there was no significant relationship between the last education (OR=1.152) and reward (OR=1.472) with the performance of health workers. Health officers DHF program are expected to maximize services such as environmental health inspections and PSN 3M counseling as well as increase supervision of the community so that they can participate in the prevention of DHF, namely by forming Jumantik cadres, maximizing outreach and outreach with the community, and fostering community self-hygiene.

scholarly journals Participation in Socialization, Work Profession, Knowledge of Fire Safety Simulation Capabilities According to MFK 7 Snars Accreditation Standards at Bhayangkara Hospital Nganjuk

2021 ◽  
Vol 5 (1) ◽  
pp. 66-72
Author(s):  
Prasetyo Umar Hari ◽  
Indasah Indasah
Keyword(s):  
Logistic Regression ◽  
Fire Safety ◽  
Safety Management ◽  
Health Workers ◽  
Questionnaire Data ◽  
Multiple Logistic Regression ◽  
Cross Sectional ◽  
Accreditation Standard ◽  
Independent Variables ◽  
Accreditation Standards

Background: The high number of hospital fire cases demands that all hospitals be able to carry out fire safety. The ability to fire safety must be able to be carried out by all hospital officers, both health and non-health workers (all work professions). The research objective was to analyze the factors that influence the simulation ability of fire safety management according to the MFK 7 SNARS accreditation standard at Bhayangkara Hospital Nganjuk. Subjects and methods: Explanatory survey research design using a cross-sectional approach. The research was conducted from January 16 to February 18, 2021 with a sample of 170 people. Independent variables are participation in socialization, work profession, and knowledge of fire safety. The dependent variable is the ability to simulate fire safety according to the MFK 7 SNARS accreditation standard. The data collection tools used a questionnaire. Data analysis used multiple logistic regression. Results: Participation in socialization (OR = 2.36; 95% CI = 1.04-5.33; p <0.039), knowledge of fire safety (OR = 3.18; 95% CI = 1.45-6.93; p <0.004), significantly increased the ability to simulate fire safety according to MFK 7 SNARS accreditation standards. Work profession (OR = 1.03; 95% CI = 0.54-1.96; p <0.934) does not affect the ability of fire safety management simulation according to MFK 7 SNARS accreditation standards which is statistically significant. Conclusion: Participation in socialization and knowledge about fire safety increases the ability to simulate fire safety according to MFK 7 SNARS Accreditation standards.

scholarly journals Pertussis outbreak in Southern Ethiopia: challenges of detection, management and response

2020 ◽  
Author(s):  
Aychiluhim Damtew Mitiku ◽  
Mesele Damte Argaw ◽  
Binyam Fekadu Desta ◽  
Zergu Taffesse Tsegaye ◽  
Afework Ayele Atsa ◽  
...  
Keyword(s):  
Attack Rate ◽  
Health Workers ◽  
Vaccine Dose ◽  
Lessons Learned ◽  
Cold Chain ◽  
Southern Ethiopia ◽  
Cross Sectional ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Abstract Background: Despite the availability of effective vaccines, pertussis remains endemic with high fatality rates in low and middle-income countries (LMIC).This study aims to describe an outbreak of pertussis in a health district of Ethiopia. The study highlights the challenges faced by the health system in identifying pertussis cases and appropriately responding to the outbreak at the district level. Methods: a descriptive cross-sectional study was conducted using data sourced from the District Public Health Emergency and Management (PHEM) surveillance service and outbreak management field reports. Stratified attack rates and fatality rates for pertussis are described. Systemic problems leading to the outbreak are explored and narrated. A modified CDC pertussis case definition was employed with a polymerase chain reaction used to confirm cases. Results: From September 2018 to January 2019, 1840 suspected, probable, and confirmed pertussis cases and six deaths were identified. Pertussis cases ranged from 1 month to 51 years in age and an outbreak occurred in 14 out of the 24 villages of Dara Malo district. The overall attack rate was 1708 per 100,000 population with a fatality rate of 3.3 per 1,000 pertussis cases. The highest attack rate of 12,689/100,000 was seen in infants. Among confirmed, probable and suspected pertussis cases, only 41.1% had completed the three-dose pertussis vaccine's primary schedule. The household survey revealed the population coverage of 73.4% and 40.8% for Pentavalent vaccine dose one and three respectively. Investigations suggested the existence of a poor cold chain management system in the study area. Conclusions: There is an urgent need to build capacity to strengthen routine vaccination services and improving the maintenance of the vaccine cold chain. Other Low-and Middle -Income Countries (LMICs), are urged to take lessons learned from this outbreak and strengthen their own vaccination programs and capacitate health workers to manage local outbreaks.

scholarly journals Re-evaluation of the basic procedures involved in the storage of measles vaccine in public health units of the municipality of Niterói, state of Rio de Janeiro, Brazil

1993 ◽  
Vol 26 (3) ◽  
pp. 145-149 ◽  
Author(s):  
Solange A. Oliveira ◽  
Maria L.P. Loureiro ◽  
Carlos R.V. Kiffer ◽  
Luiz M.F. Maduro
Keyword(s):  
Public Health ◽  
Rio De Janeiro ◽  
Health Workers ◽  
Storage Conditions ◽  
Technical Support ◽  
Cold Chain ◽  
Measles Vaccine ◽  
Emergency Situations ◽  
Immunization Programme

Four years after the first visit seventeen public health units were visited again and evaluated as to standards of storage recommended by the Brazilian Immunization Programme. In 100% of the units, refrigerators and proper inside location of vaccines in the refrigerator were adequatety or regularfy maintained and checked, respectively. However, when control of temperature was checked, onfy 64.7% presented adequate storage conditions. In 94.1 % of the units, health workers complained of lack of immediate technical support in emergency situations. In 55.2 % the titers vaccine samples of were under the minimal recommended potency. It is necessary that the factors concerning the cold chain be continualfy evaluated so that the quality of the vaccines that will be used is not affected.

scholarly journals Exploring fear of COVID-19 and its correlates among older adults in Bangladesh

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Sabuj Kanti Mistry ◽  
A. R. M. Mehrab Ali ◽  
Farhana Akther ◽  
Uday Narayan Yadav ◽  
Mark F. Harris
Keyword(s):  
Older Adults ◽  
Health Workers ◽  
Psychological Needs ◽  
Cross Sectional Study ◽  
Vulnerable Groups ◽  
Cross Sectional ◽  
Effective Strategies ◽  
Related Information ◽  
Cumulative Score ◽  
Structured Questionnaire

Abstract Objective This study was aimed to assess the perceived fear of COVID-19 and its associated factors among older adults in Bangladesh. Methods This cross-sectional study was conducted in October 2020 among 1032 older Bangladeshi adults aged ≥60 years. A semi-structured questionnaire was used to collect information on participants’ characteristics and COVID-19 related information. Perceived fear of COVID-19 was measured using the seven-item Fear of COVID-19 Scale (FCV-19S), where the cumulative score ranged from 7 to 35. Multiple linear regression was performed to identify factors associated with perceived fear of COVID-19. Results The mean fear score was 19.4. Participants who were concerned about COVID-19 (β: 2.75, 95% CI: 1.71 to 3.78) and overwhelmed by COVID-19 (β: 3.31, 95% CI: 2.33 to 4.29) were significantly more likely to be fearful of COVID-19. Moreover, older adults who felt themselves isolated from others and whose close friends and family members were diagnosed with COVID-19 were more fearful. However, the participants who received COVID-19 related information from the health workers had a lower level of fear (β: -1.90, 95% CI: − 3.06 to − 0.73). Conclusions The presence of overwhelming fear of COVID-19 among the older adults of Bangladesh underlines the psychological needs of these vulnerable groups. Health workers have a key role in addressing these needs and further research is needed to identify the effective strategies for them to use.

scholarly journals Patient Satisfaction With Physiotherapy Services in Libya: A Cross-Sectional Study

2021 ◽  
Vol 8 ◽  
pp. 237437352110331
Author(s):  
Alhadi M. Jahan ◽  
Ali E. Rwaiha ◽  
Sara R. Gusaibat ◽  
Nisrin A. Al-Ahwal ◽  
Zaineb M. Al-Jafairi ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Influential Factors ◽  
Questionnaire Data ◽  
Sectional Study ◽  
Cross Sectional ◽  
Satisfaction Rates ◽  
Structured Questionnaire

Patient satisfaction (PS) is an essential indicator of the quality of physiotherapy services. However, regarding Libya, there has been a dearth of research on PS. This cross-sectional study aimed to measure PS with outpatient physiotherapy services and to examine the sociodemographic factors that influence the levels of satisfaction in Libya. Patient satisfaction with physiotherapy services was assessed using a reliable, valid, and structured questionnaire. Data were collected from 501 patients, and the participants’ ages ranged from 18 to 79 (mean ± standard deviation = 47.19 ± 12.8), with more females (n = 312) than males (n = 189). Participants were satisfied or very satisfied with the physiotherapy they received in the domains that measure PS. The highest percentage of satisfaction was in the physiotherapists’ attributes and ability to provide detailed explanations to their patients. Patient satisfaction was also associated with gender and occupation, with females and unemployed patients reporting higher satisfaction rates. This highlights the value of surveys administered to patients during treatments, as well as the value of strategies to address the influential factors for the improvement of PS in public physiotherapy clinics in Libya.

scholarly journals Pertussis outbreak investigation of Dara Malo district, Gamo Administrative Zone, Southern Nations, Nationalities and Peoples Region, Southern Ethiopia

2019 ◽  
Author(s):  
Aychiluhim Damtew Mitiku ◽  
Mesele Damte Argaw ◽  
Binyam Fekadu Desta ◽  
Zergu Taffesse Tsegaye ◽  
Afework Ayele Atsa ◽  
...  
Keyword(s):  
Attack Rate ◽  
Health Workers ◽  
Vaccine Coverage ◽  
Case Definition ◽  
Outbreak Investigation ◽  
Cold Chain ◽  
Southern Ethiopia ◽  
Health Seeking ◽  
Cross Sectional ◽  
Outbreak Management

Abstract Background: The aim of this outbreak investigation was to verify and describe a pertussis outbreak in the Dara Malo district of Ethiopia. Method: a descriptive cross-sectional study was conducted using district Public Health Emergency and Management (PHEM) surveillance data and outbreak management field reports. Stratified attack rates and fatality for pertussis are described. Systemic problems leading to the outbreak are explored and narrated. A modified CDC pertussis case definition was employed with polymerase chain reaction used to confirm cases. Results: From September 2018 to January 2019, 1840 suspected, probable and confirmed pertussis cases and six deaths were identified. Pertussis cases ranged from 1 month to 51 years in age and outbreak occurred in 14 out of the 24 villages of Dara Malo district. The overall attack rate was 1708 per 100,000 population with a fatality rate of 3.3 per 1,000 pertussis cases. The highest attack rate of 12,689/100,000 was seen in infants. Investigations suggest low vaccine coverage and cold chain management system leading to low vaccine potency as the most likely reason for the outbreak. in these community were: low pentavalent three vaccination coverage and non- functional. In addition, poor implementation of surveillance programs, poor health seeking behavior of the community may have led to delayed and suboptimal responses to the outbreak. Conclusion: There is an urgent need to build capacity to strengthen routine vaccination services capacitate health workers to manage outbreaks. In addition, improving the maintenance of cold chain must be prioritised. Other LMICs, are urged to take lessons learnt from this outbreak and strengthen their own vaccination programs.

scholarly journals FAKTOR � FAKTOR YANG BERHUBUNGAN DENGAN RENDAHNYA KUNJUNGAN LANSIA PADA PGROGRAM POSYANDU LANSIA DI PUSKESMAS PADANG BULAN

2019 ◽  
Vol 2 (1) ◽  
pp. 34-39
Author(s):  
Jaka Berlin Sinuraya ◽  
Risky Ramadani ◽  
Dameria Dameria
Keyword(s):  
Community Service ◽  
Elderly Population ◽  
Health Workers ◽  
The Elderly ◽  
P Value ◽  
Questionnaire Data ◽  
Service Program ◽  
Cross Sectional ◽  
Age Range

The elderly Posyandu is a community service program intended for the elderly population that focuses on health services but also includes other services according to the needs of the age range aimed at developing the potential and ensuring the welfare of the elderly. There are three aspects that influence the low level of lansian visits to the posyandu for the elderly, namely knowledge, attitudes, and the role of health workers. This research is an analytic survey with cross sectional research design to find out factors related to the low elderly visits to the elderly posyandu program at the Puskesmas Padang Bulan 2018. Data collection was carried out using a questionnaire, data analysis was carried out by univariate and bivariate tests. Based on the results of this study, that there is a relationship between the knowledge of the elderly, attitudes and the role of health workers with the low visits to the elderly posyandu program where the results of the calculation of elderly knowledge are X�count 13.292> X�table 5.99 and p value = 0.001, the results of the calculation of elderly attitudes namely X�count 36,458> X�table 5,99 and the value of p value = 0,000, and the results of the calculation of the role of health workers that is X�test63,343> X�table3,841 and p value = 0,000. The conclusion of this study is, there is a relationship between elderly knowledge, attitudes, the role of health workers with low visits to the elderly Posyandu program. Researchers expect the role of health workers to provide education to the elderly so that the elderly like to attend the Posyandu for the elderly.

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