Availability and satisfactoriness of latrines and hand washing stations in health facilities, and role in health seeking behavior of women: evidence from rural Pune district, India

2015 ◽  
Vol 5 (3) ◽  
pp. 474-482 ◽  
Author(s):  
Peter Steinmann ◽  
Martin W. Bratschi ◽  
Pallavi Lele ◽  
Uddhavi Chavan ◽  
Neisha Sundaram ◽  
...  
Keyword(s):  
Health Facility ◽  
Household Survey ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Hand Washing ◽  
Local Health ◽  
Health Seeking ◽  
Public Facilities ◽  
Local Health Facility ◽  
Seeking Behavior

Water, sanitation and hygiene (WASH) installations are indispensable in health care facilities. Their quality might also influence the decision whether to visit a health facility. We investigated the WASH infrastructure in small health facilities in rural Pune, India, and surveyed expectations and satisfactoriness among women. The availability and quality of WASH installations was assessed in 12 facilities using a checklist. Dedicated questions in a household survey provided the community perspective, complemented by qualitative methods. A few public facilities had no latrine or hand washing station. On the contrary, all private facilities offered such installations. The bed/outpatient-to-installation ratio was also lower in private compared to public facilities. While most latrines were functional and well maintained, they often lacked garbage bins. Soap was often missing from hand washing stations. Dedicated latrines for women were rare. Women were generally satisfied with the WASH installations in the local health facility, but considered private facilities as better. WASH installations in health facilities are generally acceptable in private facilities while improvements are needed in some government facilities. Women expect WASH installations in health facilities, and view their quality in a broader framework of ‘cleanliness,’ which they consider when choosing facilities.

scholarly journals The Impact of Socio-Economic and Demographic Factors on Health Seeking Behavior of Urban Households, Bangladesh

2020 ◽  
Author(s):  
Mohammad Shafiqul Islam ◽  
Parvin Begum
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Demographic Factors ◽  
Household Survey ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Seeking Behavior ◽  
The Impact

Abstract Aim: As households’ health-seeking behavior depends enormously on socio-economic and demographic factors particularly in developing county like Bangladesh, it contributes differently to health-care seeking behavior varying household to household. This study intends to explore the nature of the health seeking behavior of urban residents in Sylhet city through assessing the socio-economic and socio-demographic factors. Subject and Methods: A 150 household survey has been completed in Sylhet city, using a multistage cluster sampling method. A household survey questionnaire was used to collect data on socio-demographic and socio-economic factors and their impacts on health-seeking behavior. Chi-square test and logistic regression analysis investigate the extent of association between different socio-economic and demographic factors and health-seeking behavior. Results: We found that among the 150 participants, the majority (88%) of household heads are male because gender is significantly associated with priority in choosing health care in the study. The result of binary logistic regression indicates the households who have a minimum level of education (primary or above) are 10.617 more likely to use public health care facilities. Income is statistically associated with the main source of health service. The interference of income in seeking treatment has a relationship with the employment sectors (public or private). Moreover, the reasons for choosing a specific source of health care have a significant relationship with the main source of health care (public or private). Conclusion: This study recommends that government should introduce health insurance policy for city dwellers for reducing the inequalities in health services among city dwellers.

scholarly journals ANALYSIS OF HEALTH-SEEKING BEHAVIOR OF TUBERCULOSIS PATIENTS IN NIGERIA

2021 ◽  
Vol 7 (1) ◽  
pp. 1-7
Author(s):  
Oluwadamisi Tayo-Ladega ◽  
Taye Mohammed Abdullahi
Keyword(s):  
Jel Classification ◽  
Behavioral Pattern ◽  
Health Facilities ◽  
Health Coverage ◽  
Health Seeking ◽  
Tuberculosis Patients ◽  
Free Treatment ◽  
Seeking Behavior ◽  
Private And Public ◽  
Seeking Help

Among several forms of infectious diseases, tuberculosis (TB) cannot be exempted. Even though the treatment of TB is free in Nigeria, the costs incurred by most patients do not reveal the significance of free treatment, and this affects the behavioral pattern of TB patients as a result of the numerous visits of patients to the hospital during the treatment of TB which may or may not yield their expected result. The objective of this study is to examine the behavior of TB patients towards seeking help for their health conditions. The study focused on Kwara and Kebbi States, Nigeria. The findings revealed that most of the Tuberculosis patients were more likely to search for treatment and seek medical advice from secondary health facilities, and they sought treatment first at the out-patient services. The out-patient services are among the secondary health facilities. It is therefore recommended that there is a need for health stakeholders (private and public) to ensure primary health coverage for all patients to prevent the exclusion of certain persons from treatment. This is referred to as inclusiveness. JEL Classification Codes: A19, B10, B25, C10, C53.

scholarly journals Point-of-contact Interactive Record Linkage (PIRL): A software tool to prospectively link demographic surveillance and health facility data

2018 ◽  
Vol 1 ◽  
pp. 8 ◽  
Author(s):  
Christopher T. Rentsch ◽  
Chodziwadziwa Whiteson Kabudula ◽  
Jason Catlett ◽  
David Beckles ◽  
Richard Machemba ◽  
...  
Keyword(s):  
Health Facility ◽  
Record Linkage ◽  
Software Tool ◽  
Patient Specific ◽  
Local Health ◽  
Linkage Algorithm ◽  
Rural Tanzania ◽  
Local Health Facility ◽  
Extraneous Information ◽  
The Individual

Linking a health and demographic surveillance system (HDSS) to data from a health facility that serves the HDSS population generates a research infrastructure for directly observed data on access to and utilization of health facility services. Many HDSS sites, however, are in areas that lack unique national identifiers or suffer from data quality issues, such as incomplete records, spelling errors, and name and residence changes, all of which complicate record linkage approaches when applied retrospectively. We developed Point-of-contact Interactive Record Linkage (PIRL) software that is used to prospectively link health records from a local health facility to an HDSS in rural Tanzania. This prospective approach to record linkage is carried out in the presence of the individual whose records are being linked, which has the advantage that any uncertainty surrounding their identity can be resolved during a brief interaction, whereby extraneous information (e.g., household membership) can be referred to as an additional criterion to adjudicate between multiple potential matches. Our software uses a probabilistic record linkage algorithm based on the Fellegi-Sunter model to search and rank potential matches in the HDSS data source. Key advantages of this software are its ability to perform multiple searches for the same individual and save patient-specific notes that are retrieved during subsequent clinic visits. A search on the HDSS database (n=110,000) takes less than 15 seconds to complete. Excluding time spent obtaining written consent, the median duration of time we spend with each patient is six minutes. In this setting, a purely automated retrospective approach to record linkage would have only correctly identified about half of the true matches and resulted in high linkage errors; therefore highlighting immediate benefit of conducting interactive record linkage using the PIRL software.

scholarly journals Health system’s readiness to provide cardiovascular, diabetes and chronic respiratory disease related services in Nepal: analysis using 2015 health facility survey

2020 ◽  
Author(s):  
Umesh Ghimire ◽  
Nipun Shrestha ◽  
Bipin Adhikari ◽  
Suresh Meheta ◽  
Yashashwi Pokharel ◽  
...  
Keyword(s):  
Health Facility ◽  
Health Facilities ◽  
Public Hospitals ◽  
World Health ◽  
Related Services ◽  
The Public ◽  
Public Facilities ◽  
Health Facility Survey ◽  
Service Readiness ◽  
Facility Survey

Abstract Background: The burgeoning rise of non-communicable diseases (NCDs) is posing serious challenges in resource constrained health facilities of Nepal. The main objective of this study was to assess the readiness of health facilities for cardiovascular diseases (CVDs), diabetes and chronic respiratory diseases (CRDs) services in Nepal. Methods: This study utilized data from the Nepal Health Facility Survey 2015. General readiness of 940 health facilities along with disease specific readiness for CVDs, diabetes and CRDs were assessed using service availability and readiness assessment manual of the World Health Organization (WHO). Health facilities were categorized into public and private facilities. Results: Out of a total of 940 health facilities assessed, private facilities showed higher availability of items of general service readiness, except for standard precautions for infection prevention, compared to public facilities. The multivariable adjusted regression coefficients for CVDs (β=2.87, 95%CI: 2.42-3.39), diabetes (β =3.02, 95%CI: 2.03-4.49) and CRDs (β=15.95, 95%CI: 4.61-55.13) at private facilities were higher than the public hospitals. Health facilities located in hills had higher readiness index for CVDs (β=1.99, 95%CI: 1.02 - 1.39). Service readiness for CVDs (β=1.13, 95%CI: 1.04-1.23) and diabetes (β=1.78, 95%CI: 1.23-2.59) were higher in the urban municipalities than in rural municipalities. Finally, disease related services readiness index was sub-optimal with some degree of variation at the province level in Nepal. Compared to province 1, Province 2 (β=0.83, 95%CI: 0.73-0.95), and province 4 (β =1.24, 95%CI: 1.07-1.43) and province 5 (β =1.17, 95%CI: 1.02-1.34) had higher readiness index for CVDs.Conclusions: This study found sub-optimal readiness of services related to three NCDs at the public facilities in Nepal. Compared to public facilities, private facilities showed higher readiness score for CVDs, diabetes and CRDs. To cope up with the growing burden of NCDs, urgent improvement in health services, particularly in public facilities are critical to manage common NCDs.

scholarly journals Health system's readiness to provide cardiovascular, diabetes and chronic respiratory disease related services in Nepal: analysis using 2015 health facility survey

2020 ◽  
Author(s):  
Umesh Ghimire ◽  
Nipun Shrestha ◽  
Bipin Adhikari ◽  
Suresh Meheta ◽  
Yashashwi Pokharel ◽  
...  
Keyword(s):  
Health Facility ◽  
Respiratory Disease ◽  
Chronic Respiratory Disease ◽  
Health Facilities ◽  
World Health ◽  
Related Services ◽  
Public Facilities ◽  
Health Facility Survey ◽  
Service Readiness ◽  
Facility Survey

Abstract Background: The burgeoning rise of non-communicable diseases is posing a serious challenge in resource constrained health facilities of Nepal. The main objective of this study was to assess the readiness of health facilities for cardiovascular, diabetes and chronic respiratory disease services in Nepal. Methods: This study utilized data from the Nepal Health Facility Survey 2015. General readiness of 940 health facilities along with disease specific readiness for cardiovascular diseases (CVDs), diabetes and cardiorespiratory diseases (CRDs) were assessed using service availability and readiness assessment manual of the World Health Organization (WHO). Health facilities were categorized into public and private facilities.Results: Out of a total of 940 health facilities assessed, private facilities showed higher availability of items of general service readiness, except for standard precautions for infection prevention, compared to public facilities. The multivariable adjusted regression coefficients for CVDs (β=2.87, 95%CI: 2.42-3.39), diabetes (β =3.02, 95%CI: 2.03-4.49) and CRDs (β=15.95, 95%CI: 4.61-55.13) at private facilities were higher than public hospitals. Health facilities located in hills had higher readiness index for CVDs (β=1.99, 95%CI: 1.02 - 1.39). Service readiness for CVDs (β=1.13, 95%CI: 1.04-1.23) and diabetes (β=1.78, 95%CI: 1.23-2.59) were higher in the urban municipalities than in rural municipalities. Finally, disease related services readiness index was sub-optimal with some degree of variation at the province level in Nepal. Province 2 for CVDs (β=0.83, 95%CI: 0.73-0.95), and province 4 (β =1.24, 95%CI: 1.07-1.43) and province 5 (β =1.17, 95%CI: 1.02-1.34) had higher readiness index compared to province 1.Conclusions: This study found a sub-optimal readiness of services related to three NCDs at the public facilities in Nepal. Compared to public facilities, private facilities showed higher readiness score for CVDs, diabetes and CRDs. To cope up with the growing burden of NCDs, urgent improvement in health services, particularly in public facilities are critical to manage common NCDs.

scholarly journals Factors Affecting Health Seeking Behavior of Senior Citizens of Dharan

2014 ◽  
Vol 3 (1) ◽  
pp. 50-57 ◽  
Author(s):  
Dewa Adhikari ◽  
Dagendra Prasad Rijal
Keyword(s):  
Skin Diseases ◽  
Senior Citizens ◽  
Sampling Technique ◽  
Household Survey ◽  
Simple Random Sampling ◽  
Health Seeking ◽  
Cross Sectional ◽  
Health Seeking Behavior ◽  
Factors Affecting ◽  
Seeking Behavior

Objectives: To determine the health status and the factors affecting health seeking behavior of the senior citizens aged 60years and above. Materials and methods: A descriptive cross-sectional study based on household survey was adapted. The sample consisted 400 senior citizens resident of Dharan. Simple random sampling technique was employed to select the study subject. Individuals were interviewed through selfdeveloped semi-structured pre-tested questionnaires. Descriptive and inferential statistics (chisquire test) were used. Results: Among 400 respondents, the most frequently reported illness were hypertension(29.3%), diabetes mellitus(8.3%), arthritis/joint pain(24.8%), eye problems(19.0%), hearing problems(3.3%), oral health problems(17.5%), digestive system problems(17.8%), respiratory problems(11.0%), heart disease(3.8%), renal problem(5.3%), skin diseases(7.5%), tuberculosis(3.0%), liver disease(3.0%), mental illness(5.75%),fracture(1.0%), Gynecological problems(7.3%) and male genital (6.3%) problems were also noted. Faith healers were the first treatment choice (97.2%) irrespective of age, gender or ethnicity. After that they visited BPKIHS (36.3%), private practitioner (26.3%), self-treatment (11.3%) and self-drug-use (6.8%). Half of the respondents utilized formal health institutions only in major chronic conditions. Poverty emerged as a major determinant of health seeking behavior and treatment was considered waste of money (indirect effect 64%) and lack of money (35 .5%) followed by poor attitude of health worker (41%) DOI: http://dx.doi.org/10.3126/jonmc.v3i1.10055   Journal of Nobel Medical College Vol.3(1) 2014; 50-57

Review of reported adverse drug reactions in a local health facility

2015 ◽  
Vol 45 (2) ◽  
pp. 140-145
Author(s):  
Courtney Ierano ◽  
Hana Morrissey ◽  
Patrick Ball ◽  
Sharon Nielsen
Keyword(s):  
Health Facility ◽  
Adverse Drug Reactions ◽  
Local Health ◽  
Drug Reactions ◽  
Local Health Facility

scholarly journals Health service utilization, perspectives, and health-seeking behavior for maternal and child health services in the Amazon of Peru, a mixed-methods study

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Christopher M. Westgard ◽  
Ally Rogers ◽  
Giselle Bello ◽  
Natalia Rivadeneyra
Keyword(s):  
Child Health ◽  
Health Service ◽  
Health Services ◽  
Service Utilization ◽  
Maternal And Child Health ◽  
Health Service Utilization ◽  
Local Health ◽  
Health Seeking ◽  
Seeking Behavior ◽  
And Child Health

Abstract Background Various factors influence health service utilization at the community level. Research on the barriers to uptake of local health services is essential to reduce maternal and child mortality and morbidity. The Amazon region of Peru has some of the poorest health indicators in the country. The current study set out to better understand the health-seeking behavior and perspectives of mothers in Amazonian communities, exploring individual- and contextual-level barriers for seeking care at local health facilities for common maternal and child health issues. Methods The study employed a mixed-methods design by conducting 50 structured interviews with mothers of children under the age of 4. The study took place in 5 communities in Loreto, Peru. The quantitative data was analyzed with descriptive statistics to identify participants’ socio-demographic characteristics and reported utilization of health services. The qualitative data was analyzed in three rounds: inductive codebook development, application of the codebook, and thematic synthesis to contextualize the quantitative results and better understand the perspectives of the mothers regarding maternal and child health issues and the local health services. Results Overall, reported health service utilization among study participants was relatively high. However, the mothers identified several individual- and contextual-level factors that may affect their experiences and the health-seeking behaviors of other mothers in their communities: (i) embarrassment, fear, and trust, (ii) insufficient number and poor attitudes of health personnel, (iii) limited supply of basic medicines and materials in the health facility, and (iv) low demand for family planning services and limited awareness of adolescent-specific services. Conclusion Several findings in the current study reflect the reduced conditions of health services, while others display that many mothers maintain a positive outlook on the health services available to them and are proactive in the care of their child. The study provides valuable insight into the use of local health services and the common perspectives that are hindering further uptake at the community level in the Amazon of Peru, with important implications for health policy.

scholarly journals Health Seeking Behavior and Utilization of Health Care Services in Eastern Hilly Region of Nepal

2015 ◽  
Vol 11 (2) ◽  
pp. 8-16 ◽  
Author(s):  
Sailesh Bhattarai ◽  
Surya Bahadur Parajuli ◽  
Rajan Bikram Rayamajhi ◽  
Ishwari Sharma Paudel ◽  
Nilambar Jha
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Health Care Services ◽  
Traditional Healers ◽  
Health Centers ◽  
Health Seeking ◽  
Government Health ◽  
Care Services ◽  
The People ◽  
Seeking Behavior

noBackground & Objectives: Preventive, promotive, curative, and rehabilitative health care services depend not only in availability & accessibility of it but also on awareness and attitude of the people and various inter-woven social structure that determines in making choice. The objective of this study was to explore health seeking behavior and utilization of health care services in the rural places in VDCs of Ilam district of Eastern Nepal.Materials & Methods: A cross sectional study was conducted in between period of March 25th 2013 to April 10th 2013 Fikkal and Pashupatinagar VDCs in Ilam district with sample of 300 people. Data was collected using a semi-structured questionnaire.Results: One fifth of the populations were found to be seeking traditional healers’ service and 80 percent among modern treatment system were relying on private treatment facility for treating sickness. People who had lived more than 20 years in that place and who felt modern health services were costly were likely to use service of traditional healers. Similarly people suffering from chronic illness, having health facility more than 30 minutes and using stretcher or walking as means of transportation were using government health centers more compared to private services.Conclusion: Significant people still use traditional healers’ service and the government health facility utilization was low as compared to private. The people living for longer period in that place and having the concept that modern health centers are costly were primary user of traditional healing system. Health facility nearby or people who could afford for automobile travel facilities were using costly private health centers.JCMS Nepal. 2015; 11(2):8-16

scholarly journals Determinants of Health Seeking Behavior among Caregivers of Infants Admitted with Acute Childhood Illnesses at Kenyatta National Hospital, Nairobi, Kenya

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Winfred Muringi Wambui ◽  
Samuel Kimani ◽  
Eunice Odhiambo
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Health Seeking ◽  
National Hospital ◽  
Health Seeking Behavior ◽  
Danger Signs ◽  
Childhood Illnesses ◽  
Seeking Behavior

Background. Poor, delayed, or inappropriate health seeking for a sick infant with acute childhood illness is associated with high morbidity/mortality. Delay in health seeking is implicated with fatal complications and prolonged hospital stay. Thus, caregivers ought to identify danger signs and promptly seek professional help for a sick infant. Objective. Establish determinants of health seeking behavior among caregivers of infants admitted with acute childhood illnesses in Kenyatta National Hospital. Methods. A mixed method cross-sectional study involving caregivers (n=130) of sick infants. Semistructured questionnaire and two focused group discussions were used to gather data on caregiver knowledge on danger signs, health care seeking options, and decision-making regarding health care seeking. Data was analyzed with SPSS V. 22. Results. Knowledge of danger signs of infancy was poor. Immediate health seeking was associated with tertiary [P=0.009] and secondary [P=0.030] education, knowledgeability on danger signs [P=0.002], and being married [P=0.019]. Respondents who resided in urban [P=0.034] or less than a kilometer [P=0.042] from a health facility sought care immediately. Those who rated services as excellent (P=0.005) and satisfactory (P=0.025) sought care promptly. Conclusion. Poor knowledge on danger signs of infancy was common among caregivers blurring the magnitude of acute illness resulting in delayed health seeking. Knowledgeability of danger signs of infancy, high educational level, and being married were associated with immediate health care seeking. Caregivers who resided in urban setting and/or near a health facility were linked to immediate health seeking. Additionally, satisfaction and perception of quality health care services were associated with immediate health seeking. Interventions with caregivers should involve capacity building through partnership with families and communities to raise awareness of danger signs of infancy. Strengthening of health care system to offer quality basic health services could improve health seeking behavior. Provision of a seamless supply system, infrastructural support, and technical support for soft skills minimize the turnaround time which is critical.

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