scholarly journals MATERNAL SATISFACTION WITH INTRAPARTUM CARE IN HEALTHCARE FACILITIES IN KERICHO COUNTY, KENYA

2021 ◽  
Vol 6 (2) ◽  
pp. 72-89
Author(s):  
Emily Chepkorir ◽  
Mary Kipmerewo ◽  
Mable Wanyonyi ◽  
Arudo John
Keyword(s):  
Health Care Providers ◽  
Public Hospitals ◽  
P Value ◽  
Unique Contribution ◽  
Maternal Satisfaction ◽  
Sampled Data ◽  
Care Providers ◽  
Intrapartum Care ◽  
Cross Sectional ◽  
Healthcare Facilities

Purpose: The main objective was to determine maternal satisfaction with intrapartum care in healthcare facilities in the Kericho County and specifically to determine the association between mothers’ experience of intrapartum care and satisfaction with quality of nursing, analyze the influence of psychosocial aspects on satisfaction with intrapartum care and evaluate the relationship between hospital factors and maternal satisfaction on intrapartum care among women delivering in healthcare facilities in Kericho County Materials and Methods: This was a cross sectional analytical research design and data was collected using mixed method approach. The study targeted women who delivered in the facilities used for study and 441 mothers were sampled. Data was analyzed using (SPSS) version 24. Descriptive statistics was used to describe the findings on socio-demographic characteristics and inferential statistics employed Chi square and logistic regression to determine maternal satisfaction with intrapartum care. Odds ratio was used to test the strength of association, and a p-value of ≤ 0.05 considered as statistically significant. Findings: Several factors influence mothers’ satisfaction with intrapartum care. Employment (OR: 3.0; 95% CI: 1.2 – 7.4; p = 0.02) delivery through instrument/Caesarian section were 2.6 more likely to have been satisfied with the care unlike those who delivered through SVD (OR: 2.6; 95% CI: 1.1 – 6.0; p = 0.03). On the other hand, mothers who got encouragement and reassurance by midwives and doctors (OR: 0.2; 95% CI: 0.1 – 0.8; p = 0.02) were more likely to be satisfied with care. Mothers who were shown their babies immediately after delivery to identify sex of the baby (OR: 3.2; 95% CI: 1.5 – 7.0; p = 0.002) were 3 times more satisfied than their counterparts. Mothers who were asked for their opinion about unplanned procedure before it was performed (OR: 3.7; 95% CI: 1.1 – 12.6; p = 0.02) were four times more likely to be satisfied. In conclusion, determinants of intrapartum care satisfaction in public hospitals in the study area are: level of education, employment status and type of delivery, showing the baby to the mother immediately after delivery to identify sex, midwives and doctors asking clients their opinion about unplanned procedure before it is performed. Provision of linen and beds, provision of hot drinks and hot shower after delivery and provision of a locker are all associated with satisfaction. Unique Contribution to Theory, Practice and Policy: Therefore, the hospitals should allow mothers to stay with their birth companions and health care providers should be taught on importance of good relation and good communication skills.

scholarly journals Maternal Satisfaction with Intrapartum Nursing Care and Its Associated Factors among Mothers Who Gave Birth in Public Hospitals of North Wollo Zone, Northeast Ethiopia: Institution-Based Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Asmamaw Demis ◽  
Ribka Nigatu ◽  
Derebe Assefa ◽  
Getnet Gedefaw
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Nursing Care ◽  
Public Hospitals ◽  
Maternal Satisfaction ◽  
Care Providers ◽  
Cross Sectional ◽  
Intrapartum Nursing ◽  
Study Participants ◽  
North Wollo

Background. Now a day, satisfaction had been identified as the major index to assess the quality of health-care provision in the world including Ethiopia. Mothers judge the quality of intrapartum care received based on their satisfaction with the services provided, thus influencing their utilization of the available health facilities. Therefore, this study aimed to assess maternal satisfaction with intrapartum care and associated factors among mothers who gave birth in public hospitals in North Wollo Zone, Northeastern Ethiopia, 2019. Methods. Institutional-based cross-sectional quantitative study was conducted in public hospitals of North Wollo Zone, and a total of 398 study participants were selected by using a systematic random sampling method. Data was collected using a standardized questionnaire by direct interviewing of study participants, and data was analyzed using SPSS 24 versions to determine the frequency of variables. Logistic regression was carried out to identify factors associated with maternal satisfaction. Results. From the total of 398 study participants, about 51% of women were satisfied with the hospital-based intrapartum nursing care. Being rural in residency (AOR: 2.03; 95% CI: 1.05-3.93), time to be seen by health-care providers (AOR: 2.82; 95% CI: 1.46-5.46), having history of ANC follow-up (AOR: 3.73; 95% CI: 1.12-12.57), and getting adequate meal (AOR: 3.96; 95% CI: 1.13-13.83) had showed statistical significant association with maternal satisfaction. Conclusion. In this study, the overall maternal satisfaction with intrapartum nursing care was low. Therefore, improving ANC follow-up, early examined by health-care providers, and getting adequate meal while in labour and delivery might enhance women satisfaction with intrapartum nursing care services.

scholarly journals FACTORS INFLUENCING CONTROL OF BLOOD PRESSURE LEVELS AMONG HYPERTENSIVE ADULT PATIENTS IN SELECTED HOSPITALS, KAKAMEGA COUNTY, KENYA

2021 ◽  
Vol 6 (2) ◽  
pp. 42-71
Author(s):  
Thomas Ong'ondo Ng'ambwa ◽  
Prof. Lt Col (Rtd) John Martin Okoth ◽  
Dr. Tecla Psusma Sum
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Health Care Providers ◽  
Blood Pressure Level ◽  
Adult Patients ◽  
P Value ◽  
Unique Contribution ◽  
Care Providers ◽  
Cross Sectional ◽  
Factors Influencing

Purpose: The study aimed to investigate the factors influencing blood pressure levels in hypertensive adult patients in Kenya's Kakamega County. The specific objectives were as follows: to assess patient factors that influence blood pressure levels among hypertensive adult patients in Kakamega County, examine health-care provider factors that influence blood pressure levels in hypertensive adult patients; determine institutional factors that influence blood pressure levels in hypertensive adult patients in Kakamega County based on the clinical recommendations for cardiovascular disease management from 2018. Methodology: The researcher used a cross-sectional analytical study design. Patients and health care providers were requested to sign a written consent before data was collected using a questionnaire and an observation checklist. Quantitative data were evaluated using descriptive and inferential statistics, statistical package for social sciences version 22, with a statistically significant p-value of 0.05. The strength of the relationship between the variables and the patient's blood pressure level was tested using multiple regression. Findings: The findings showed that the number of years a patient was told he or she had hypertension patient sensitization about the disease (p = 0.04), the patient's BMI (p = 0.01), BP stability at the time of admission (0.0001), having a treatment supporter to advise the patient when to take medications (0.04). The health care provider's age group and knowledge about the disease (p = 0.02) was all separately correlated with blood pressure control. According to the current analysis, in Kakamega County, being a male without adequate patient sensitization about the hypertension disease made patients to be more likely to have uncontrolled blood pressure levels. Unique contribution to theory, practice and policy: The study recommends a model that combines patient and health-care system variables emphasizing on patient sensitization about the hypertension disease, modifiable and modifiable risk factors should be created in attempt to have blood pressure controlled.

scholarly journals The Relationship Between Language Barrier in Non-Arabic Nurses and Anxiety in Cardiovascular Patients: A Cross-Sectional Descriptive Study

2021 ◽  
Vol 8 ◽  
pp. 237437352198924
Author(s):  
Jassem Almualem ◽  
Amal Darwish ◽  
Ahmed AlFaraj
Keyword(s):  
Health Care Providers ◽  
Care Delivery ◽  
Descriptive Study ◽  
Language Barrier ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
Related Information ◽  
Arabic Speakers ◽  
Arabic Speaking

Patients with cardiac conditions may suffer from anxiety related to prognosis and further rehabilitation. Anxiety could be exacerbated by different factors including miscommunication, which could be attributed to the linguistic barrier, that exists among health care providers. At Saud Al-Babtain Cardiac Center (SBCC), nurses who are non-native Arabic speakers could have difficulty communicating disease-related information at different stages of nursing care. Is it possible to identify the language barrier as a source of anxiety for admitted patients with cardiac diseases? In this cross-sectional, descriptive study, 50 patients were included following the diagnosis of cardiac disease and post-cardiac surgery. A questionnaire that measures anxiety level showed that patients who were handled by Arabic-speaking nurses reported less collective mean for the anxiety domain statements of (20.08) versus those who were handled by Non-Arabic-speaking nurses (28.55, P value = .041). Our finding indicates that anxiety levels increased when there was a language barrier between nurses and patients, which could affect the quality of care delivery at SBCC.

Digital Health Engagement in the US Population: Insights From the 2018 Health Information National Trends Survey

2021 ◽  
pp. e1-e4
Author(s):  
Chelsea L. Ratcliff ◽  
Melinda Krakow ◽  
Alexandra Greenberg-Worisek ◽  
Bradford W. Hesse
Keyword(s):  
Public Health ◽  
Health Information ◽  
Health Care Providers ◽  
Digital Health ◽  
Smart Device ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
The Us ◽  
National Trends

Objectives. To examine prevalence and predictors of digital health engagement among the US population. Methods. We analyzed nationally representative cross-sectional data on 7 digital health engagement behaviors, as well as demographic and socioeconomic predictors, from the Health Information National Trends Survey (HINTS 5, cycle 2, collected in 2018; n = 2698–3504). We fitted multivariable logistic regression models using weighted survey responses to generate population estimates. Results. Digitally seeking health information (70.14%) was relatively common, whereas using health apps (39.53%) and using a digital device to track health metrics (35.37%) or health goal progress (38.99%) were less common. Digitally communicating with one’s health care providers (35.58%) was moderate, whereas sharing health data with providers (17.20%) and sharing health information on social media (14.02%) were uncommon. Being female, younger than 65 years, a college graduate, and a smart device owner positively predicted several digital health engagement behaviors (odds ratio range = 0.09–4.21; P value range < .001–.03). Conclusions. Many public health goals depend on a digitally engaged populace. These data highlight potential barriers to 7 key digital engagement behaviors that could be targeted for intervention. (Am J Public Health. Published online ahead of print May 20, 2021: e1–e4. https://doi.org/10.2105/AJPH.2021.306282 )

scholarly journals Person-Centered Maternity Care During Childbirth and Associated Factors at Selected Public Hospitals in Addis Ababa, Ethiopia, 2021: A Cross-Sectional Study

2021 ◽  
Author(s):  
Azezew Ambachew Tarekegne ◽  
Berhanu Wordofa Giru ◽  
Bazie Mekonnen
Keyword(s):  
Health Care Providers ◽  
Maternity Care ◽  
Associated Factors ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background: Person-centered maternity care is respectful and responsive care to individual women’s preferences, needs, and values and ensuring that their values guide all clinical decisions during childbirth. It is recognized as a key dimension of the quality of maternity care that increases client satisfaction and institutional delivery. However, little research has been conducted about person-centered maternity care in Ethiopia. Objective: The aim of this study was to assess the status of person-centered maternity care and associated factors among mothers who gave birth at selected public hospitals in Addis Ababa city, Addis Ababa, Ethiopia, 2021.Method: A facility-based cross-sectional study was conducted at selected public hospitals in Addis Ababa city. A semi-structured questionnaire was used to collect data from post-natal mothers selected by systematic random sampling. The data was coded and entered using Epi-data version 4.6 and analyzed using SPSS version 25. Bivariate and multivariable linear regression analysis was used to identify factors associated with person-centered maternity care. The strength of association between independent and dependent variables was reported by using unstandardized β at 95% CI and p-value < 0.05 were considered statistically significant.Results: In this study 384 mothers were participated with a response rate of 99.2%. The overall prevalence of person-centered maternity care was 65.8%. Respondents who had no ANC follow-up (β= -5.39, 95% CI: -10.52, -0.26), <4 ANC follow up (β= -3.99, 95% CI: -6.63, -1.36), night time delivery (β= -3.95, 95% CI: -5.91, -1.98) and complications during delivery (β= -3.18, 95% CI: -6.01, -0.35) were factors significantly associated with person-centered maternity care.Conclusion and Recommendations: The finding of this study showed that the proportion of person-centered maternity care among mothers who gave birth in public hospitals of Addis Ababa was high as compared to previous studies. The factors affecting person-centered maternity care are manageable to interventions. Therefore, Health care providers need to provide person-centered maternity care for all mothers.

scholarly journals Depression, anxiety and associated factors among people with epilepsy and attending outpatient treatment at primary public hospitals in northwest Ethiopia: A multicenter cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256236
Author(s):  
Kabtamu Nigussie ◽  
Alemu Lemma ◽  
Addisu Sertsu ◽  
Henock Asfaw ◽  
Habtamu Kerebih ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Public Hospitals ◽  
Depression And Anxiety ◽  
Care Providers ◽  
Sectional Study ◽  
Perceived Stigma ◽  
Cross Sectional ◽  
Antiepileptic Medications

Objective To assess the magnitude and factors associated with depression and anxiety among people with epilepsy and attending out-patient treatment at central Gondar zone primary public hospitals, northwest, Ethiopia. Method An institutional based cross-sectional study was conducted from May—June, 2020 at central Gondar zone primary public hospitals. A total of 589 participants were chosen by systematic sampling technique. Data was collected by utilizing Amharic version interviewer-administered structured and semi-structured questioners. Depression and anxiety were assessed by using hospital anxiety and depression scale. Bivariate and multivariate logistic regression analysis was done to recognize variables related to both depression and anxiety. Association was described by using “adjusted odds ratio” (AOR) along with 95% full Confidence interval (CI). Finally, P-values < 0.05 in adjusted analysis were taken as a cut off for significant association. Result Out of 556 participants included in the study, 30.9%, 33.1% had depression and anxiety respectively. Being divorced/widowed (AOR = 2.43, 95% CI, 1.18–4.99), using two and above number of antiepileptic medications (AOR = 1.77,95% CI,1.02–3.09), very frequent seizure frequency (AOR = 2.68, 95% CI,1.30–5.51), current substance use (AOR = 1.82, 95% CI, 1.03–3.22), perceived stigma (AOR = 5.67,95% CI,3.14–8.18), and hazardous alcohol use (AOR = 2.84, 95% CI,1.32–6.09) were statistically associated with depression. While, being a single (AOR = 1.65, 95% CI, 1.04–2.63), using two and above number of antiepileptic medications (AOR = 2.27, 95% CI, 1.42–3.62), duration of illness ≥16 years (AOR = 2.82, 95% CI, 1.26–6.31), and perceived stigma (AOR = 2.49, 95% CI, 1.63–3.82) were statistically associated with anxiety at a p-value < 0.05. Conclusion This study showed that the magnitude of depression and anxiety were relatively high among people with epilepsy. Using two and above number of antiepileptic medications and perceived stigma were statistically associated with both depression and anxiety. Screening, early identification and providing appropriate intervention of depression and anxiety among people with epilepsy should be great concern for the health care providers.

scholarly journals Priority Setting of Ventilators in the COVID-19 Pandemic from the public’s perspective

2020 ◽  
Author(s):  
Fariba Asghari ◽  
Alireza Parsapour ◽  
Ehsan Shamsi Gooshki
Keyword(s):  
Health Care Providers ◽  
Healthcare Workers ◽  
Public Discourse ◽  
Cross Sectional Study ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
Health Crisis ◽  
The Right ◽  
Periodic Evaluation

AbstractBackgroundVentilator allocation plan for public health crisis should be developed through recognizing the values of society and engaging the general public. This study was conducted to assess the Iranian citizens’ attitude about a number of principles and criteria for allocation of ventilators in current COVID-19 epidemic.Materials and MethodsAn electronic self-administered questionnaire was publicly distributed through social networks of Telegram and WhatsApp to perform this cross-sectional study. The questionnaire consisted of 11 statements about the selection and prioritization of patients for the use of a ventilator.Results1262 persons, including 767 citizens and 495 health care providers participated in this study. More than 95% of participants agreed upon the necessity to avoid discrimination and avoid prioritization according to patients’ gender, economic and political status. While 40.9% of citizens and 49.6% of healthcare workers believed that a ventilator can be disconnected from a patient with a poor prognosis to help a patient who has a better prognosis (P-value=0.13), 34.3% of people and 29.6% of healthcare workers believed that the earlier admitted patients have the right to receive the device even if the likeliness of his/her survival is less than the next patient (P-value=0.009).ConclusionsThis study showed that people accept maximizing health benefits as a measure of ventilator allocation in the pandemic of COVID-19. At the same time, periodic evaluation of patients and disconnecting the device from a patient that no longer benefits from ICU services requires its scientific and ethical basis to be brought in public discourse.

scholarly journals POLIO VACCINE;

2017 ◽  
Vol 24 (06) ◽  
pp. 919-923
Author(s):  
Naila Azam ◽  
Shamaila Mohsin ◽  
Aamira Hashmi ◽  
Muhammad Imran ◽  
Farman Ali ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Tertiary Care ◽  
Polio Eradication ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
Inadequate Knowledge ◽  
Knowledge And Attitude ◽  
Graduate Trainees ◽  
Tertiary Care Hospitals

Objectives: To assess knowledge and attitude of young doctors serving in Tertiarycare Hospitals regarding the IPV intervention and polio eradication campaign. Study Design:A cross sectional descriptive study. Setting: Five Tertiary Care Hospitals in Rawalpindi andIslamabad. Period: Oct 2015-Nov 2015. Methods: Proportionate random sampling techniquewas used to select a sample of 100 doctors working in pediatrics wards and out patientsdepartments (OPD). After taking informed consent the data was collected using a standardizedQuestionnaire to measure level of awareness among this cohort of Health care providers. Datawere entered and analyzed using SPSS version 21. Baseline distinctiveness (demographic)was summarized by descriptive statistics. The statistical inference was drawn using Chi squaretest, p value of ≤ 0.05 was considered as significant. Results The study sample comprised of47 males and 53 females. Mean age of participants was 29.8 ± 5.7. There were 15% HouseOfficers, 45% Post Graduate Trainees, 30% Medical Officers and 10% consultants in thesample. Majority of doctors (65%) expressed disinterest and doubt about polio immunizationwhile 40% suggested focus on sanitation and health promotion before immunization. Amongthe participants only 29% had attended polio surveillance training workshop in last 2 years andparticipated in polio National Immunization days. There was no significant association betweenknowledge about IPV and years of experience(x2 =2.68, p= 0.433). Conclusion: This studysuggests that there was inadequate knowledge of doctors in tertiary care hospitals regardingIPV and polio eradication efforts in Pakistan.

scholarly journals A questionnaire based study on knowledge, awareness, and willingness towards corneal donation among the paramedical staff, public and students from Southern district of Tamil Nadu, India

2021 ◽  
Vol 8 (5) ◽  
pp. 2497
Author(s):  
Venugopal Anitha ◽  
Aditya Ghorpade ◽  
R. Meenakshi ◽  
Ramalakshmi Raman
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Tamil Nadu ◽  
P Value ◽  
Care Hospital ◽  
Care Providers ◽  
Cross Sectional ◽  
Southern District ◽  
Corneal Donation ◽  
Eye Donation

Background: To determine the knowledge, awareness, and willingness towards eye donation among paramedical health care providers, public and students from schools and colleges around Tirunelveli district, Tamil Nadu, Southern India.Methods: It was a cross-sectional, observational study conducted from November 2019 to January 2020. A structured questionnaire regarding knowledge (K), awareness (A), willingness (W) for eye donation was used to elicit responses in the age group of more than 16 years. Participants were paramedical health care providers working in tertiary eye care hospital, school and college students, and attenders accompanying patients (addressed as public). Responses were collected from 1803 participants and analyzed statistically.Results: Most of the participants had knowledge about the facts of eye donation, such as 96.8% knew that it could be donated after death, and 55% knew that eyes were enucleated within 6 hours after death. 56.2% admitted that lack of awareness is the reason for not donating eyes; 23.8% said that the family members are objecting to eye donation. Social media was proposed as the best source of information about eye donation. Subjects with an age of fewer than 30 years were willing to donate (the odds ratio was 1.90). However, they had less knowledge (p value=0.105) and awareness (p value=0.02) about eye donation than more than 30 years.Conclusions: Even though awareness and knowledge about eye donation and willingness to pledge eyes are there, self-conscience regarding the need for donor corneas to meet the requirement of corneal blindness plays a pivotal role.

scholarly journals Syndromic approach to identify cases of vaginal discharge: a cross-sectional study among females of Shaheed Nagar, Bhopal, Madhya Pradesh

2018 ◽  
Vol 6 (1) ◽  
pp. 412
Author(s):  
Nisha Singh ◽  
Seema Patel ◽  
Anshuli Trivedi ◽  
Yogendra Chouhan
Keyword(s):  
Health Care Providers ◽  
Vaginal Discharge ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
P Value ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Common Diagnosis ◽  
Syndromic Approach

Background: Management of Sexually Transmitted Infections (STIs) is important in controlling STIs and to break the chain of infection and transmission.Syndromic case management is a standardized evidence-based approach which utilizes clinical management algorithms and flowcharts that are handy and can be consistently used across health care providers. The objectives of the study were to identify cases of vaginal discharge in Shaheed Nagar, Bhopal and to provide them treatment following syndromic approach.Methods: Prospective cross-sectional study carried out over a period of three months among reproductive age group females (15-45 years) in Shaheed Nagar, Bhopal. Purposive sampling by conducting door- to- door survey until 150 women fulfilling study criteria was interviewed. A pre-designed questionnaire used for data collection. Educational intervention given to all participants. 37 participants identified with vaginal discharge syndrome and were assisted by study team to gynecological OPD for obtaining treatment based on syndromic approach. Data entered in MS Excel 2007 and statistical analysis carried out using epi-info 7.2. Proportions and percentages were calculated. Chi-square was used to find out association between prevalence of vaginal discharge and qualitative variables. P value <0.05 considered statistically significant.Results: Prevalence of vaginal discharge was 24.67%. The most common presenting complaint was general weakness (52%). The most common diagnosis was cervicitis (8.67%) followed by vaginitis (4.67%). Statistically significant correlation was found between presence of disease (STI) and use of intra- uterine device (IUD), non-use of sanitary pads, marital status, occupation and socio- economic class.Conclusions: Abnormal vaginal discharge can both be the cause as well as the effect of pelvic inflammatory disease. 

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