scholarly journals ASSESSMENT OF STRESS AND ITS COPING MECHANISM AMONG LADY HEALTH WORKERS' OF JACOBABAD, SINDH

2019 ◽  
Vol 9 (2) ◽  
pp. 78-81
Author(s):  
Muhammad Ibrahim ◽  
Chanudhary Amjad Ali ◽  
Sadia Anwar ◽  
Aisha Umer ◽  
Muhammad Ismail Ansari ◽  
...  

Background: LHWs' are the backbone of community interventions related to health. our objectives were to assess association of work stress with demographic variables and to explore the coping mechanisms of LHWs to deal with work stress Methods: Mixed method cross sectional study conducted in Jacobabad (Taluka Jacobabad, Garhi Khairo and Thul) District among Lady Health Workers during 05 months (Nov 2016-March 2017). Sample size was 78. SRQ-20, a WHO inventory was used. The data was analyzed in SPSS IBM 21.0 and 3 Focus Group Discussions were conducted for quantitative assessment. Qualitative component was recorded and themes were generated by inductive content analysis method Results: Response rate was 96%. Mean age, monthly income, and job experience were calculated as 35.59+7.995 years with 20500 PKR and 4.87+3.599 years of experience. The association in between age and subjective perception, education and physiological alteration and job experience with subjective perception were found significant as p=0.000, p=0.45 and p=0.11. The responses of FGDs were mixed of satisfaction and dissatisfaction with job experience. Conclusion: Job description of Lady health workers is not too much as they are being worked but coping mechanism made it facilitate to work smoothly.

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Joan Kabayambi ◽  
Justus Barageine

Aims: To explore the coping mechanism of the women suffering with obstetric fistula. Methods: A cross-sectional study was done on 30 women living with OF. Six key informant interviews and three focus group discussions were conducted on health workers, spouses and attendants. Results: The women had lived with OF for a period of one to 40 years. The mean age of respondents was 27 years and the median age at the time they got fistula was 18 years. Seventy two per cent of the women developed OF at less than 25 years of age. Coping with OF included keeping clean and washing all the time (83%), drinking a lot of water (80%) to reduce the smell and sores due to the urine, while 75% ignored people’s negative comments. Others included prayers (57%), seeking refuge at a pastor’s or in a church (30%), eating/drinking less (13%) and engaging in income-generating activities (8.9%). Padding was common to all of them. Conclusions: Women living with OF have two main coping mechanisms: hygiene-focused and psycho-social. These attempts to cope with OF should be further studied, enhanced and supported by authorities, families and communities, to mitigate their suffering before surgical treatment.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
K Tripković ◽  
M Odalović ◽  
S Mladenović Janković ◽  
A Nešković ◽  
M Jakovljević

Abstract Background Growing evidence has suggested that job satisfaction in the health-care system can affect productivity, the quality of service, and patient safety. Knowledge regarding job satisfaction of health workers and its determinants is valuable to health-care managers for decision making in the field of personnel policy. This study was aimed to assess job satisfaction among health workers in public hospitals in Belgrade, Serbia and identify its associated factors. Methods This was a cross-sectional study, carried out within 24 hours, in December 2018, as a part of a national survey, which is conducted annually in all health care institutions in Serbia. Data were collected by self-administered structured questionnaire, which was distributed to all health workers who were at work at the time of the survey (11,588 health workers in 26 public hospitals in Belgrade). The completed questionnaires were returned by 9,203 health workers, which constituted the response rate of 79.4%. Multivariable logistic regression was applied to identify factors significantly and independently associated with a higher level of job satisfaction. Results Overall, 31.4% of the respondents were satisfied with their job. Age less than 35 years [AOR = 1.40; 95% CI (1.18-1.67)], no work stress [AOR = 2.66; 95% CI (1.94-3.65)], satisfaction with time for accomplishment of tasks [AOR = 1.92; 95% CI (1.64-2.26)], satisfaction with recognition and value of health workers’ engagement [AOR = 1.79; 95% CI (1.51-2.13)], and satisfaction with leadership style and work organization [AOR = 1.90; 95% CI (1.60-2.26)] were identified as determinants with highest influence at job satisfaction. Conclusions Less than third of health workers in Belgrade’s hospitals were satisfied with their job, while satisfaction with various aspects of the job, age, and work stress, were identified as predictors. The results of this study could be useful in proposing strategies to improve job satisfaction of health workers. Key messages The job satisfaction of health workers in Belgrade’s hospitals is low. Health-care managers should pay attention to create an environment that promotes job satisfaction and reduces work stress.


2020 ◽  
Vol 04 (03) ◽  
pp. 42-49
Author(s):  
Duc Thanh Nguyen ◽  
◽  
Huyen Xiem Chu ◽  
Thi My Anh Bui ◽  
Van Manh Nguyen ◽  
...  

Objectives: The study aims to describe and analyze some factors influencing the working motivation of nurses at Krong Pac District Hospital, Dak Lak Province in 2019. Methods A cross-sectional study of qualitative and qualitative research was conducted through interviews with 65 health workers. 10 in-depth interview and 5 group discussions from April to August 2019 at Krong Pac District Hospital, Dak Lak Province. Results: The proportion of nurses with working motivation were relatively high, about 88.7%. The working motivation with job satisfaction factor was 4.08 ± 0.7 points, organizational commitment factor was 4.17 ± 0.62 points, dedicated factor was 4.41 ± 0,58 points. Some positive factors were working conditions, relationships with colleagues and managers, appropriate job placement, and a rating system. The negative factor was low salary and allowances. Conclusion: The hospital needs to implement measures to maintain and promote nursing motivation based on research results to enhance the efficiency of providing services to patients. Key words: Motivation, influenced factors, nurses.


Women ◽  
2021 ◽  
Vol 1 (4) ◽  
pp. 238-251
Author(s):  
Shantanu Sharma ◽  
Aditya Bhardwaj ◽  
Kanishtha Arora ◽  
Faiyaz Akhtar ◽  
Sunil Mehra

Frontline workers are instrumental in bridging the gap in the utilization of maternal health services. We performed a qualitative cross-sectional study with medical officers, accredited social health activists (ASHA), and auxiliary nurse midwifes (ANM), across 13 districts of India, in order to understand the barriers and enablers, at the system and population levels, for improving access of adolescents and mothers to services. The data were collected by means of in-depth interviews (IDI) with medical officers and focus group discussions (FGD) with ASHA and ANM in 2016. The interview guide was based on the conceptual framework of WHO health interventions to decrease maternal morbidity. Content analysis was performed. In total, 532 frontline workers participated in 52 FGD and 52 medical officers in IDI. Adolescent clinics seemed nonexistent in most places; however, services were provided, such as counselling, iron tablets, or sanitary pads. Frontline workers perceived limited awareness and access to facilities among women for antenatal care. There were challenges in receiving the cash under maternity benefit schemes. Mothers-in-law and husbands were major influencers in women’s access to health services. Adolescent clinics and antenatal or postnatal care visits should be seen as windows of opportunities for approaching adolescents and women with good quality services.


MedPharmRes ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 34-39
Author(s):  
Thi-Hai-Yen Nguyen ◽  
Truong Van Dat ◽  
Phuong-Thao Huynh ◽  
Chi-Thuong Tang ◽  
Vinh-Chau Van Nguyen ◽  
...  

Vietnam has one of the highest multi drug resistance in Asia. Although, despite many efforts to implement the Antimicrobial Stewardship Programs (the ASP) since 2016, studies that on the implementation policy are very lacking of this program are limited. For that reason, we conducted this cross-sectional study to analyze the viewpoint of health workers (HWs) on the implementation of the ASP at some hospitals in Ho Chi Minh City (HCMC). An assessment of 234 HWs showed that the implementation of the ASP in HCMC hospitals was above average (62.7/100.0). A barrier to the implementation consisted of the deficiency in finances, guidelines for diagnosis, and specific interventions for some common infections, such as distributing current antibiogram and monitoring rate of Clostridioides difficile infections. These were the widely recognized problems in initially implementing the ASP. Although most HWs are aware of the importance of implementing the ASP (79.1%), the specific assessment has not been recorded clearly due to the numerous neutral responses. Despite the support of the leadership, the implementation still faces many difficulties and limitations, especially in 3rd and 4th class hospitals. Besides, there was a lack of wide dissemination of information on the ASP at each unit. To generalize the status of the ASP implementation, researchers should conduct qualitative and quantitative studies with a larger scale.


2016 ◽  
Vol 3 (2) ◽  
pp. 1-4
Author(s):  
Arati Amin ◽  
Kumar Sai Sailesh ◽  
Archana R ◽  
Udaya Kumar Reddy ◽  
Mukkadan J K ◽  
...  

2020 ◽  
Vol 20 (2) ◽  
pp. 167-174
Author(s):  
Ilo Dicko ◽  
Yaya Ibrahim Coulibaly ◽  
Modibo Sangaré ◽  
Bismark Sarfo ◽  
Priscillia Awo Nortey

Background: Lymphatic filariasis (LF) is a parasitic disease that has been targeted for elimination through the Mass Drug Administration (MDA.) Although the MDA started in the Ankobra community in Ghana in 2000, LF prevalence as reported in 2014 was relatively high (4.5%). Non-compliance to the MDA has been associated with the persistent LF prevalence in endemic regions. Objective: This study determined the factors associated with the non-compliance to the MDA among patients living in the Ankobra community, Ghana. Methods: A cross-sectional study using a one-stage cluster sampling method was used to collect data between June and July, 2017 in Ankobra. Questionnaires were used to collect data from health workers, the MDA drug distributors and study participants in Ankobra. Data analysis was performed using STATA 14. Logistic regression was used to measure the degree of association between the dependent (non-compliance) and independent variables. Non-compliance rate was defined as the percentage of individuals who self-reported that they did not actually swallow the drugs provided during the MDA. Results: The MDA coverage and non-compliance rates were 73.5% (147/200) and 33.33% (49/147) respectively. The main reason for non-compliance was fear of drug adverse events (75.51%, 37/49). Thought of “not being susceptible to LF” was significantly associated with the non-compliance (aOR= 2.83, [CI= 1.15, 6.98]). Conclusion: Health education about the susceptibility of residents getting LF disease in endemic community must be intensified to improve compliance to MDA medication ingestion and thus meet the Global Elimination of Lymphatic Filariasis by 2020.


Author(s):  
Sofia Pappa ◽  
Joshua Barnett ◽  
Ines Berges ◽  
Nikolaos Sakkas

The burden of the COVID-19 pandemic on health systems and the physical and mental health of healthcare workers (HCWs) has been substantial. This cross-sectional study aims to assess the effects of COVID-19 on the psychological wellbeing of mental health workers who provide care to a vulnerable patient population that have been particularly affected during this crisis. A total of 387 HCWs from across a large urban mental health service completed a self-administered questionnaire consisting of socio-demographic, lifestyle and work-based information and validated psychometric scales. Depression and anxiety were measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7), respectively; sleep problems with the Athens Insomnia Scale (AIS); burnout with the Maslach Burnout Inventory (MBI); and resilience with the Resilience Scale-14 (RS-14). Multivariable logistic regression analysis was performed to determine potential mediating factors. Prevalence of burnout was notable, with 52% recording moderate/severe in Emotional Exhaustion, 19.5% moderate/severe in Depersonalisation, and 55.5% low/moderate Personal Accomplishment. Over half of all respondents (52%) experienced sleep problems; the presence of depressive symptoms was a significant predictor of insomnia. An increase in potentially harmful lifestyle changes, such as smoking, alcohol consumption and overeating was also observed. However, high Resilience was reported by 70% of the samples and the importance of this is highlighted. Female gender was associated with increased levels of depression and emotional exhaustion while those with a history of mental health conditions were most at risk of affective symptoms, insomnia, and burnout. Overall, our study revealed considerable levels of psychological distress and maladaptive coping strategies but also resilience and satisfaction with organizational support provided. Findings can inform tailored interventions in order to mitigate vulnerability and prevent long-term psychological sequelae.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e046638
Author(s):  
Sk Masum Billah ◽  
Abdullah Nurus Salam Khan ◽  
S M Rokonuzzaman ◽  
Nafisa Lira Huq ◽  
Marufa Aziz Khan ◽  
...  

Study objectiveTo evaluate the competency of trained health workers in detecting and managing hypertensive disorders of pregnancy during routine antenatal check-ups (ANCs) at primary care facilities in Bangladesh.Study design and settingsCross-sectional study; conducted in 26 primary care facilities.Outcome measuresAccurate diagnosis of the hypertensive disorders of pregnancy.MethodIn total 1560 ANC consultations provided by primary health workers, known as Family Welfare Visitors (FWVs), were observed using a structured checklist between October 2017 and February 2018. All consultations were reassessed by study physicians for validation.ResultOf the ‘true’ cases of gestational hypertension (n=32), pre-eclampsia (n=29) and severe pre-eclampsia (n=16), only 3%, 7% and 25%, respectively, were correctly diagnosed by FWVs. Per cent agreement for the diagnosed cases of any hypertensive disorders of pregnancy was 9% and kappa statistics was 0.50 (p value 0.0125). For identification of any hypertensive disorders by FWVs, sensitivity and positive predictive values were 14% and 50%, respectively. There was a moderate positive correlation between the blood pressure measurements taken by FWVs and study physicians. Only 27% of those who had ‘some protein’ in urine were correctly identified by FWVs. Women diagnosed with any of the hypertensive disorders of pregnancy by FWVs were more likely to be counselled on at least one danger sign of pre-eclampsia (severe headache, blurring of vision and upper abdominal pain) than those without any such diagnosis (41% vs 19%, p value 0.008). All four cases of severe pre-eclampsia diagnosed by FWVs were given a loading dose of intramuscular magnesium sulphate and three among them were referred to a higher facility.ConclusionThe FWVs should be appropriately trained on risk assessment of pregnant women with particular emphasis on accurately assessing the diagnostic criteria of hypertensive disorders of pregnancy and its management.


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