scholarly journals Knowledge, attitudes and practice of breast sonography among females at a rural health facility in Uganda

2019 ◽  
Author(s):  
Aloysius Gonzaga Mubuuke
Keyword(s):  
Rural Health ◽  
Health Facility ◽  
Breast Sonography

scholarly journals Tracking Rural Health Facility Financial Data in Resource-Limited Settings: A Case Study from Rwanda

PLoS Medicine ◽  
2014 ◽  
Vol 11 (12) ◽  
pp. e1001763 ◽  
Author(s):  
Chunling Lu ◽  
Sandy Tsai ◽  
John Ruhumuriza ◽  
Grace Umugiraneza ◽  
Solange Kandamutsa ◽  
...  
Keyword(s):  
Rural Health ◽  
Health Facility ◽  
Financial Data ◽  
Resource Limited Settings ◽  
Resource Limited

scholarly journals Preferences of Medical Students for Rural Medical Internships in South Africa: A Discrete Choice Experiment

2020 ◽  
Author(s):  
Maria Jose ◽  
Amarech Obse ◽  
Mark Zuidgeest ◽  
Olufunke Alaba
Keyword(s):  
Medical Students ◽  
Rural Health ◽  
Health Facility ◽  
Discrete Choice ◽  
Rural Areas ◽  
Choice Experiment ◽  
Practical Experience ◽  
Medical Doctors ◽  
Hospital Safety ◽  
Main Effects

Abstract Background: Globally the proportion of medical doctors to population in rural areas in low- and middle-income countries remains insufficient to address their health care needs. Therefore, it is imperative to design strategies that attract medical doctors to rural areas to reduce health inequalities and achieve universal health coverage. Methods: This study assessed preferences of medical students for rural internships using a discrete choice experiment. Attributes of rural job were identified through literature and focus group discussions. A D-efficient design was generated with 15 choice sets, each with forced binary, unlabelled, rural hospital alternatives. An online survey was conducted, and data analysed using mixed logit models of main effects only and main effects plus interaction terms. Results: Majority of the respondents were females (130/66.33%) and had urban origin (176/89.80%). The main effects only model showed advanced practical experience, hospital safety, correctly fitting personal protective equipment, and availability of basic resources as the most important attributes influencing take up of rural internship, respectively. Respondents were willing to pay ZAR 2645.92 monthly (95%CI: 1345.90; 3945.94) to gain advanced practical experience (equivalent to 66.15% of current rural allowance). In contrast, increases in rural allowance and the provision of housing were the least important attributes. Based on the interaction model, female respondents and those intending general practise associated higher weight for hospital safety over advanced practical experience. Conclusion: In the context of limited budgets and resource constraints, policy makers and rural health facility managers are advised to prioritise meaningful internship practise environments that offer supervised learning environment, safety from physical and occupational hazards and the provision of basic resources for healthcare system-wide benefits to both staff and rural health facility users alike.

scholarly journals A qualitative perinatal audit at a rural health facility in Eldoret, Kenya

2020 ◽  
Vol 7 (2) ◽  
pp. 449
Author(s):  
Kimbley Omwodo
Keyword(s):  
Rural Health ◽  
Perinatal Mortality ◽  
Health Facility ◽  
Perinatal Death ◽  
Gestational Hypertension ◽  
Medical Condition ◽  
World Health ◽  
Maternal Condition ◽  
Perinatal Deaths ◽  
Perinatal Audit

Background: Objectives of the study were to ascertain the pattern of occurrence of perinatal mortality by applying the World Health Organization (WHO), International Classification of Diseases, tenth revision (ICD-10) to deaths during the perinatal period, ICD perinatal mortality (ICD-PM), following the introduction of a qualitative perinatal audit process at a rural health facility in Kenya.Methods: A single centre retrospective analysis demonstrating the application of the WHO, ICD-PM. Data pertaining to perinatal deaths for the period from 1st May 2017 to 31st August 2018 was obtained from Plateau Mission Hospital perinatal audit records.Results: There were 22 perinatal deaths during the study period, 17 were included in the study. The overall perinatal death rate was 11 per 1000 births. Antepartum deaths were as a consequence of fetal growth related problems (33.3%), infection (33.3%) or unexplained (33.3%) with pregnancy-related hypertensive disorders (gestational hypertension, pre-eclampsia and eclampsia) being the most frequent medical condition associated with the mortalities. Neonatal deaths (47.1%) were the most frequent in the study and were a consequence of low birth weight and prematurity (25.0%), Convulsions and disorders of cerebral status (25.0%). The maternal condition in most of these cases being complications of placenta, cord and membranes. Acute intrapartum events and were least in this setting accounting for 17.4% of deaths.Conclusions: The ICD-PM is generalizable and its use in perinatal death classification emphasises focus on both mother and baby. Our study showed the majority of perinatal deaths occurred in the early neonatal period & affected mostly preterm infants. 

scholarly journals Preconception Care among Pregnant Women in an Urban and a Rural Health Facility in Kenya: A Quantitative Study

2020 ◽  
Vol 17 (20) ◽  
pp. 7430
Author(s):  
Joan Okemo ◽  
Marleen Temmerman ◽  
Mukaindo Mwaniki ◽  
Dorothy Kamya
Keyword(s):  
Pregnant Women ◽  
Rural Health ◽  
Health Facility ◽  
Preconception Care ◽  
University Hospital ◽  
Cross Sectional ◽  
Mother And Child Health ◽  
Significant Difference ◽  
Mother And Child ◽  
Low Levels

Preconception care (PCC) aims to improve maternal and fetal health outcomes, however, its utilization remains low in developing countries. This pilot study assesses the level and determinants of PCC in an urban and a rural health facility in Kenya. Unselected pregnant women were recruited consecutively at the Mother and Child Health (MCH) clinics in Aga Khan University Hospital, Nairobi (AKUH, N-urban) and Maragua Level Four Hospital (MLFH-rural). The utilization of PCC was defined as contact with any health care provider before current pregnancy and addressing pregnancy planning and preparation. A cross-sectional approach was employed and data were analyzed using SPSS version 22. 194 participants were recruited (97 in each setting) of whom, 25.8% received PCC. Age, marital status, education, parity and occupation were significant determinants of PCC uptake. There was also a significant difference in PCC uptake between the rural (16.5%) and urban (35.1%) participants (p < 0.01), OR of 0.3 (0.19–0.72, 95% CI). The low level of PCC in Kenya revealed in this study is consistent with the low levels globally. However, this study was not powered to allow firm conclusions and analyze the true effects of PCC determinants. Therefore, further research in the field is recommended in order to inform strategies for increasing PCC utilization and awareness in Kenya.

scholarly journals Implementation research on sustainable electrification of rural primary care facilities in Ghana and Uganda

2020 ◽  
Vol 35 (Supplement_2) ◽  
pp. ii124-ii136
Author(s):  
Dena Javadi ◽  
John Ssempebwa ◽  
John Bosco Isunju ◽  
Lucy Yevoo ◽  
Alberta Amu ◽  
...  
Keyword(s):  
Health Services ◽  
Rural Health ◽  
Health Facility ◽  
Health Systems ◽  
Implementation Research ◽  
Health Facilities ◽  
Service Availability ◽  
Community Satisfaction ◽  
Energy Infrastructure ◽  
Implementation Factors

Abstract Access to energy is essential for resilient health systems; however, strengthening energy infrastructure in rural health facilities remains a challenge. In 2015–19, ‘Powering Healthcare’ deployed solar energy solutions to off-grid rural health facilities in Ghana and Uganda to improve the availability of maternal and child health services. To explore the links between health facility electrification and service availability and use, the World Health Organization (WHO), in partnership with Dodowa Health Research Centre and Makerere University School of Public Health, carried out an implementation research study. The objectives of this study were to (1) capture changes in service availability and readiness, (2) describe changes in community satisfaction and use and (3) examine the implementation factors of sustainable electrification that affect these changes. Data were collected through interviews with over 100 key informants, focus group discussions with over 800 community members and health facility assessment checklist adapted from the WHO’s Service Availability and Readiness Assessment tool. Implementation factors were organized using Normalization Process Theory constructs. The study found that access to energy is associated with increased availability of health services, access to communication technologies, appropriate storage of vaccines and medicines, enhanced health worker motivation and increased community satisfaction. Implementation factors associated with improved outcomes include stakeholder engagement activities to promote internalization, provision of materials and information to encourage participation, and establishment of relationships to support integration. Barriers to achieving outcomes are primarily health systems challenges—such as drug stockouts, lack of transportation and poor amenities—that continue to affect service availability, readiness and use, even where access to energy is available. However, through appropriate implementation and integration of sustainable electrification, strengthened energy infrastructure can be leveraged to catalyze investment in other components of functioning health systems. Improving access to energy in health facilities is, therefore, necessary but not sufficient for strengthening health systems.

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