scholarly journals An Assessment of the Level of Affordability of Eye Health Care Services and Products in the Gambia – Case Study Onesight

Author(s):  
Christopher Belford ◽  
Momodou Mustapha Fanneh ◽  
Lang Sanyang ◽  
Bumi Camara ◽  
Yusupha Dibba

Health care services and in particular eye care in The Gambia is plagued by exorbitant costs both direct (consultation fee, cost of medication/glasses, etc.) and indirect (cost of transportation to and from eye clinic, cost of food/sustenance during eye treatment etc.) making it luxury and barrier for the poor and vulnerable of our societies. It is for those reasons that OneSight decided to commission a survey in The Gambia. The sampling of the study was a multistage stratified cluster sampling. At each stage Probability Proportional to Size and random procedures were applied to arrive at the actual sample population of 3300 households. The study employed both quantitative and qualitative research design techniques to collect and analyze data. The finding of the study illustrated that nearly 70% of the household’s heads are willing to be the one to pay for corrective glasses should the need arise for any member of their household. 80% of the respondents reported in affirmative that there are costs required in making eyesight better. It was also disclosed that respondents are willing to pay for a pair of eye glasses GMD 0 (free eyeglasses) to GMD 20,000. The Focus Group Discussion conducted across The Gambia almost all participants unanimously recommended that the affordable cost for a pair of glasses should be GMD50.

2011 ◽  
Vol 19 (5) ◽  
pp. 1222-1229 ◽  
Author(s):  
Maria Amélia Zanon Ponce ◽  
Silvia Helena Figueiredo Vendramini ◽  
Marilene Rocha dos Santos ◽  
Maria de Lourdes Sperli Geraldes Santos ◽  
Lúcia Marina Scatena ◽  
...  

This study evaluated the performance of health care services implementing TB control actions in relation to the establishment of bonds between health professionals and patients in São José do Rio Preto, SP, Brazil from the perspective of patients, health professionals, and managers. A total of 108 patients, 37 health professionals and 15 managers were interviewed through a questionnaire containing 10 indicators of bond-establishment based on the instruments of the Primary Care Assessment Tool, adapted to evaluate tuberculosis control in Brazil. The three groups of actors considered the establishment of bonds satisfactory, though opinions of patients and managers differed in almost all indicators. This fact indicates that the view of managers is still predominantly focused on bureaucratic and administrative aspects, which shows the need for managers to integrate more management and care actions.


2020 ◽  
Author(s):  
Abdullah Alsharif

BACKGROUND The increased frequency of epidemics such as Middle East respiratory syndrome, severe acute respiratory syndrome, Ebola virus, and Zika virus has created stress on health care management and operations as well as on relevant stakeholders. In addition, the recent COVID-19 outbreak has been creating challenges for various countries and their respective health care organizations in managing and controlling the pandemic. One of the most important observations during the recent outbreak is the lack of effective eHealth frameworks for managing and controlling pandemics. OBJECTIVE The aims of this study are to review the current National eHealth Strategy of Saudi Arabia and to propose an integrated eHealth framework that can be effective for managing health care operations and services during pandemics. METHODS A questionnaire-based survey was administered to 316 health care professionals to review the current national eHealth framework of Saudi Arabia and identify the objectives, factors, and components that are key for managing and controlling pandemics. Purposive sampling was used to collect responses from diverse experts, including physicians, technical experts, nurses, administrative experts, and pharmacists. The survey was administered at five hospitals in Saudi Arabia by forwarding the survey link using a web-based portal. A sample population of 350 was achieved, which was filtered to exclude incomplete and ineligible samples, giving a sample of 316 participants. RESULTS Of the 316 participants, 187 (59.2%) found the current eHealth framework to be ineffective, and more than 50% of the total participants stated that the framework lacked some essential components and objectives. Additional components and objectives focusing on using eHealth for managing information, creating awareness, increasing accessibility and reachability, promoting self-management and self-collaboration, promoting electronic services, and extensive stakeholder engagement were considered to be the most important factors by more than 80% of the total participants. CONCLUSIONS Managing pandemics requires an effective and efficient eHealth framework that can be used to manage various health care services by integrating different eHealth components and collaborating with all stakeholders.


10.2196/19524 ◽  
2020 ◽  
Vol 8 (11) ◽  
pp. e19524
Author(s):  
Abdullah Alsharif

Background The increased frequency of epidemics such as Middle East respiratory syndrome, severe acute respiratory syndrome, Ebola virus, and Zika virus has created stress on health care management and operations as well as on relevant stakeholders. In addition, the recent COVID-19 outbreak has been creating challenges for various countries and their respective health care organizations in managing and controlling the pandemic. One of the most important observations during the recent outbreak is the lack of effective eHealth frameworks for managing and controlling pandemics. Objective The aims of this study are to review the current National eHealth Strategy of Saudi Arabia and to propose an integrated eHealth framework that can be effective for managing health care operations and services during pandemics. Methods A questionnaire-based survey was administered to 316 health care professionals to review the current national eHealth framework of Saudi Arabia and identify the objectives, factors, and components that are key for managing and controlling pandemics. Purposive sampling was used to collect responses from diverse experts, including physicians, technical experts, nurses, administrative experts, and pharmacists. The survey was administered at five hospitals in Saudi Arabia by forwarding the survey link using a web-based portal. A sample population of 350 was achieved, which was filtered to exclude incomplete and ineligible samples, giving a sample of 316 participants. Results Of the 316 participants, 187 (59.2%) found the current eHealth framework to be ineffective, and more than 50% of the total participants stated that the framework lacked some essential components and objectives. Additional components and objectives focusing on using eHealth for managing information, creating awareness, increasing accessibility and reachability, promoting self-management and self-collaboration, promoting electronic services, and extensive stakeholder engagement were considered to be the most important factors by more than 80% of the total participants. Conclusions Managing pandemics requires an effective and efficient eHealth framework that can be used to manage various health care services by integrating different eHealth components and collaborating with all stakeholders.


2019 ◽  
Vol 31 (6) ◽  
pp. 510-521 ◽  
Author(s):  
Jiaojiao Ren ◽  
Ding Ding ◽  
Qunhong Wu ◽  
Chaojie Liu ◽  
Yanhua Hao ◽  
...  

The rapidly growing aging population has attracted global attention. This study explores the associations between 3 basic health insurances, and it identifies factors associated with health care services among the elderly populations. This study is based on multistage stratified cluster sampling method from the 2013 China Health and Retirement Longitudinal Study (CHARLS) resulting in 7589 participants. Medical Insurance for Urban Employees (MIUE) members were more likely to use inpatient health care services. Health insurance programs were associated with inpatient services usage but not outpatient services usage. There are significant disparities in medical costs and health care service usage among the 3 insurance programs. Health insurance program is only associated with inpatient care. These findings may provide some suggestions to support improvements to the Chinese health care system.


2016 ◽  
Vol 3 (1) ◽  
pp. 51-62
Author(s):  
Muhammed Muazzam Hussain ◽  
Mohammed Mojammel Hussain Raihan

This paper attempts to explore the experiences of Bangladeshi patient with public health care services, clients self-perception of health, understanding their expectation and demands of health care towards government health practitioners and service providers. The study points out the issues and difficulties they faced in treatment or getting other services and presents some recommendations to improve the public hospital services.The study was undertaken using the interpretivist paradigm and based on qualitative research method with various data collection procedures, such as interview, focus group discussion (FGD), documentation survey, etc. were employed to collect necessary information. The data highlight a continuous cycle of marginalisation resulting from the interplay of health service providers and their business counter-parts e.g. private pharmaceutical companies, diagnostic centres which reduce the opportunity of protecting patients’ consumer rights at large scale. Therefore, the study suggests that policy makers and service providers should be more responsive to initiate effective policy measures and programmes to combat marginalisation and exclusion of that poor patient groups.  


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Vini Jamarin ◽  
Rosfita Rasyid ◽  
Selfi Renita Rusjdi

AbstrakSanitasi yang buruk dapat menjadi media transmisi agen penyakit berbasis lingkungan. Salah satu program puskesmas yang menelaah penyakit berbasis lingkungan adalah klinik sanitasi. Bukittinggi sudah menjalankan klinik sanitasi sejak tahun 2009. Tujuan penelitian ini adalah untuk mengetahui gambaran pelaksanaan program klinik sanitasi puskesmas di Kota Bukittinggi. Penelitian ini menggunakan metode deskriptif. Sampel diambil seluruhnya (total sampling), yaitu tujuh puskesmas di Bukittinggi dari September sampai Oktober 2013. Berdasarkan hasil kuesioner, dari tujuh puskesmas, seluruh petugas telah memiliki pendidikan yang baik, dua petugas telah mendapatkan pelatihan klinik sanitasi, satu puskesmas memiliki ruangan khusus klinik sanitasi, enam puskesmas memiliki poster dan leaflet, tiga puskesmas memiliki dana khusus, dan enam puskesmas memiliki seluruh buku pedoman. Berdasarkan data sekunder, jumlah penyakit berbasis lingkungan bervariasi dan fluktuatif dan jumlah klien yang datang masih sedikit dan jauh dari harapan. Penelitian ini menilai empat kegiatan klinik sanitasi, yaitu kunjungan ke rumah warga, kerjasama lintas program, kerjasama lintas sektor, dan evaluasi. Jumlah kunjungan ke rumah warga masih kurang dari harapan, kerjasama lintas program klinik sanitasi sudah berjalan di seluruh puskesmas, kerjasama lintas sektor sudah berjalan hampir di seluruh puskesmas, dan evaluasi sudah berjalan dengan jangka waktu yang bervariasi. Seluruh klinik sanitasi puskesmas kota Bukittinggi dinilai baik dengan nilai bervariasi antara 50-100%.Kata kunci: klinik sanitasi, puskesmas AbstractPoor sanitation could be the transmission media for environment-based diseases’ agents. The program of Primary Health Care Service (PHCS) which deals with environment-based disease is sanitation clinic. This program has been running in Bukittinggi since 2009. The objective of this study was to see how this program has been going on in PHCS in Bukittinggi. This descriptive study used total sampling, in which all seven PHCS in Bukittinggi are included. This research was done from September to October 2013. Based on quedionaire result, all sanitarians are well-educated, but only two of them had sanitation clinic training. Only one PHCS has a special room, six has posters and leaflets, two allocates special budget for sanitation clinic, and six has all kind of manual books. Based on secondary data, the accumulation of environment-based disease’s cases in all PHCS is variative and fluctuative and the accumulation of clients come to sanitation clinic is still below the expectation. House-visitting activity has not met the expectation yet, while trans-program activity has been running well, trans-sector activity has been running well in almost all PHCS, and evaluation has been running in a variative frequency. All sanitation clinic graded good in implementing sanitation clinic, within the range of 50-100%.Keywords: sanitation clinic, primary health care service


2019 ◽  
Vol 8 (4) ◽  
pp. 3979-3983

In highly populated countries like India, there is queue for almost all services and this is true for health care services too. It is very difficult to check the occupancy of emergency wards in hospitals and availability of blood bank due to infrastructure disconnectivity. There is a considerable delay in placing the emergency cases to bed and blood availability like accidents. This delay must be reduced to save lives. Internet of Things (IoT) is the emerging technology which helps in device connectivity. In this work, an emergency management solution for bed and blood booking is implemented using IoT with better integration between hospitals, blood banks and patients


2020 ◽  
Vol 5 (2) ◽  
pp. 185-191
Author(s):  
Ana Faizah ◽  
Nurhatisyah ◽  
Sri Yanti ◽  
Nola Puspita Dewi ◽  
Chablullah Wibisono

Health of Madani or Civil Society is "Healthy, Self-reliant and Equitable People”. The hospital as the spearhead of the leading health care services, whereas there are two kind of hospital in Batam, Public and Private Hospital. Orientation performance of hospitals is certainly influenced by the spirit and variable determiner of the hospital's performance, so this study aims to: "analyse of Leadership, Remuneration and Organizational Culture on Health Madani through Performance of Public Hospital”. The study population was all over the State Civil Administration, with a random sampling technique as the sample population, totally 220 respondents. The data were analyzed using SEM. The software used for the structural analysis is AMOS, and for a descriptive study using SPSS version 24.0. The research proves that: Leadership, Remuneration and Organizational Culture on Health Madani through Performance of Public Hospital as Mediator has significant effect. Pursuant to the result of this study is suggested that management of hospital in order to have a spirit of service as health care does not only embed oriented profit, the government also suggested to provide subsidized financing to hospital, so that health Madani which is "Healthy, Self-reliant and Equitable People” can be reached.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 533-536
Author(s):  
Selvapriya ◽  
Dhanraj Ganapathy ◽  
Keerthi Sasanka

Health care system is the establishment of institutions, people and wealth that deliver health care services to meet the health needs of target residents. There is a broad variation of health systems on all sides of the world, with as numerous histories and organizational structures as there are nations. However common elements in almost all health systems are public health measures and primary healthcare. To assess the awareness of rural population in Dharmapuri district of Tamil Nadu in India about the medical facilities available for oral cancer treatment in their area. Questions on medical facilities available in the management of oral cancer and awareness of oral cancer were prepared to survey the residents of the Dharmapuri district, Tamilnadu, India. The survey instrument employed was a self-administered questionnaire comprising 15 questions and the responses were recorded. 83% are not aware of hospital in Dharmapuri district for oral cancer. 56% of people say oral cancer is caused by tobacco chewing, 24% of people says oral cancer is caused by smoking and 18 % of people say oral cancer is caused by using snuff and 6 % by other factors. The people in the rural parts are not aware of medical facilities available in management of oral cancer .They are moderately aware about the causative factors of oral cancer and people require the specialized units for a proper treatment.


2016 ◽  
Vol 8 ◽  
pp. BII.S35388 ◽  
Author(s):  
Muhammad Anshari ◽  
Mohammad Nabil Almunawar

Mobile technology enables health-care organizations to extend health-care services by providing a suitable environment to achieve mobile health (mHealth) goals, making some health-care services accessible anywhere and anytime. Introducing mHealth could change the business processes in delivering services to patients. mHealth could empower patients as it becomes necessary for them to become involved in the health-care processes related to them. This includes the ability for patients to manage their personal information and interact with health-care staff as well as among patients themselves. The study proposes a new position to supervise mHealth services: the online health educator (OHE). The OHE should be occupied by special health-care staffs who are trained in managing online services. A survey was conducted in Brunei and Indonesia to discover the roles of OHE in managing mHealth services, followed by a focus group discussion with participants who interacted with OHE in a real online health scenario. Data analysis showed that OHE could improve patients’ confidence and satisfaction in health-care services.


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