scholarly journals Institution and Public Health Care Facility Cleanness in Nigeria: A Principal-agent Approach

2012 ◽  
Vol 7 (6) ◽  
pp. 778-790
Author(s):  
A. Oni Omobowale ◽  
P.M. Dontsop Nguezet ◽  
I.O. Amao
2020 ◽  
Vol 9 (2) ◽  
pp. 51-58
Author(s):  
Katarzyna Snarska ◽  
◽  
Ewa Chmur ◽  
Cecylia Dolińska ◽  
◽  
...  

Introduction. Ticks can infect people with numerous pathogens causing various infectious (viral, bacterial) or invasive (parasitic, fungal) diseases. Aim. The main objective of the present work included the epidemiologic analysis of the occurrence of tick-borne diseases at the Independent Public Health Care Facility in Bielsk Podlaski. Material and Methods. An analysis of medical documentation stored in the hospital’s IT database of patients hospitalized in 2016, 2017 and 2018 was performed. Sixty-six patients admitted to the Observation and Infectious Disease Ward diagnosed with tick-borne diseases, were qualified for the study. Results. Analysis of the data showed that Lyme disease was diagnosed most often. It affected mainly middle-aged and elderly men. The second most-often diagnosed illness was TBM characterized by its seasonality. No other ticktransmitted diseases were recorded. Although not all patients were aware of having been bitten by a tick, their symptoms allowed the diagnosis of tick-related illnesses. After treatment relevant to each ailment all patients were discharged in a good state of health. Conclusions. The completed retrospective analysis of the documentation of hospitalized patients shows consistency with the work of other authors both with respect to the frequency of tick-borne disease diagnoses and the most often reported symptoms. It also confirms an upward trend with respect to tick-borne disease hospitalizations. (JNNN 2020;9(2):51–58) Key Words: tick-borne diseases, epidemiology, various infectious, invasive diseases


2008 ◽  
Vol 52 (11) ◽  
pp. 544-550 ◽  
Author(s):  
Vania Maria C Silva ◽  
Isabela Gama Sardella ◽  
Ronir Raggio Luiz ◽  
Antonio José Ledo A. Cunha ◽  
Aline H. Cavalcanti ◽  
...  

Author(s):  
Vinita Shukla ◽  
Pratibha Gupta

Background: Population is increasing rapidly so with the limited resources government alone cannot cater the health of whole population. Private health sector is equally important for the improvement of health of the people. In view of these facts the present study was planned to assess the utilization of health care services (both public and private) and to assess the reasons for visiting that particular health facility (public or private).Methods: Study was cross sectional for 1 year period. Total sample size was 1024. In the present study only rural area was taken. By using multistage stratified random sampling 6 villages were selected and sample came out as 516. Data was analyzed by stata software version -12 for windows and chi square test.Results: 50% respondents visited public, 38% private and 10% visited others (charitable, pharmacies etc.). 62% respondents belonged to lower socio economic status preferred public health care facility. The main reason for visiting public health facility was free services and for private was got cure earlier from that heath facility. Majority of people visited any health facility for illness. (344 out of 516) and 50% of them visited for respiratory diseases. For chronic illness majority (60%) preferred public health care facility.Conclusions: Both public and private health care facilities should be made well equipped and affordable so that people can make choices and not forced to choose particular health facility.


Author(s):  
Rajarajeswari Neethiselvan ◽  
Gayathri S. ◽  
Shanmughapriya P.

Background: Fishermen community are involved in dangerous and complex profession and have diverse and untold constrains like work overtime in sea- nightshifts and late- night return from sea which worsen their morbid conditions.  Objectives were to explore the health seeking behaviour and challenges faced by the fishermen community to utilize the health care facility in Puducherry.Methods: A community based cross-sectional study was conducted among 102 individuals in the selected villages of fishermen community in Puducherry based on convenient sampling during September 2019 to November 2019.Results: Majority 63 (62.4%) utilized government hospitals for various illness. Nearly one-third of people 35 (34.5%) visited private hospital for their ailments and another 4 (3.9%) preferred pharmacies for their illness. More than half of the study participants working as an active fisherman 59 (57.8%) had approached health care facility during their illness (p<0.037). Around 54 (52.9%) subjects belonged to lower middle class visited health facility during their illness (p<0.046). Free of cost, 24×7 services, and easy accessibility, were reported as the commonest reason for choosing public health facility. Doctors availability, less time consumption and quality of medical care were the reasons for preferring private practitioners.Conclusions: Strengthening of public health care services near the fishermen community area is required to promote their health seeking behaviour. Also, special focus to be given for appropriate transport facility and arranging specialized healthcare professionals for this community. 


2021 ◽  
Vol 21 (3) ◽  
pp. 1440-1450
Author(s):  
Rubendri Govender ◽  
Pragashnie Govender ◽  
Deshini Naidoo

Background: Job retention, long-term absenteeism and medical boarding pay-outs are significant concerns for employers with- in the public health care sector of South Africa. Objective: To describe disability management policies, procedures and programmes of employees following impairment and disability in a public-private healthcare facility in South Africa. Methods: An exploratory qualitative study design was used with key informants in senior management and nursing managers (n=12) selected via purposive sampling. Audio-recorded data from semi-structured interviews and a focus group were themati- cally analysed using inductive reasoning. Results: There is poor adherence to occupational health and disability management policies and the current referral process is informal with managers using discretion to manage employees with ill health and acquired disability. The procedures prescribed in the policy and procedure on incapacity and ill-health-retirement need to be followed, and an early return to work programme within the health care facility needs to be implemented. Conclusions: Despite South Africa having many policies on recruitment and reasonable accommodations, there is a lack of implementation of these policies. An integrated disability management policy and programme encompassing health prevention, early return to work strategies, vocational rehabilitation and the implementation of reasonable accommodation is required to ensure that employees who have acquired disabilities or ill health are successful in the workplace. Keywords: Disability management; vocational assessments; return to work.


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