scholarly journals Barriers to Utilisation of Dental Services among Children with Disabilities in a Coordinated Healthcare Programme in Mangalore, South India: A Mixed Methods Study

2021 ◽  
Vol 31 (4) ◽  
pp. 66
Author(s):  
Lekshmi Radhakrishnan Suresh ◽  
Kavitha Rai ◽  
Amitha Mahesh Hegde ◽  
Cynthia Vinitha Dsouza
Keyword(s):  
Mixed Methods ◽  
South India ◽  
Children With Disabilities ◽  
Mixed Methods Study ◽  
Dental Services ◽  
Healthcare Programme

scholarly journals Determinants of internal migrant health and the healthy migrant effect in South India: a mixed methods study

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Warren Dodd ◽  
Sally Humphries ◽  
Kirit Patel ◽  
Shannon Majowicz ◽  
Matthew Little ◽  
...  
Keyword(s):  
Mixed Methods ◽  
South India ◽  
Migrant Health ◽  
Mixed Methods Study ◽  
Healthy Migrant Effect ◽  
Internal Migrant

scholarly journals Diagnostic delay for head and neck cancer in South India: A Mixed-methods Study.

2020 ◽  
Vol 21 (6) ◽  
pp. 1673-1678
Author(s):  
Sivaraman Ganesan ◽  
Sivanesan Sivagnanganesan ◽  
Mahalakshmy Thulasingam ◽  
Gunaseelan Karunanithi ◽  
Kalaiarasi R ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Mixed Methods ◽  
Head And Neck ◽  
Neck Cancer ◽  
South India ◽  
Diagnostic Delay ◽  
Mixed Methods Study

Pharmacy based surveillance for identifying missing tuberculosis cases: A mixed methods study from South India

2020 ◽  
Author(s):  
Asha Frederick ◽  
Mrinalini Das ◽  
Kedar Mehta ◽  
Ganesh Kumar ◽  
Srinath Satyanarayana
Keyword(s):  
Mixed Methods ◽  
South India ◽  
Mixed Methods Study

scholarly journals Tuberculosis notification in a private tertiary care teaching hospital in South India: a mixed-methods study

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e023910 ◽  
Author(s):  
Archana Siddaiah ◽  
Mohammad Naseer Ahmed ◽  
Ajay M V Kumar ◽  
George D’Souza ◽  
Ewan Wilkinson ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Teaching Hospital ◽  
South India ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Mixed Methods Study ◽  
Public Healthcare ◽  
Hospital Records ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching

ObjectivesIndia contributes approximately 25% of the ‘missing’ cases of tuberculosis (TB) globally. Even though ~50% of patients with TB are diagnosed and treated within India’s private sector, few are notified to the public healthcare system. India’s TB notification policy mandates that all patients with TB are notified through Nikshay (TB notification portal). We undertook this study in a private hospital to assess the proportion notified and factors affecting TB notifications. We explored barriers and probable solutions to TB notification qualitatively from health provider’s perspective.Study settingPrivate, tertiary care, teaching hospital in Bengaluru, South India.MethodologyThis was a mixed-methods study. Quantitative component comprised a retrospective review of hospital records between 1 January 2015 and 31 December 2017 to determine TB notifications. The qualitative component comprised key informant interviews and focus groups to elicit the barriers and facilitators of TB notification.ResultsOf 3820 patients diagnosed and treated, 885 (23.2%) were notified. Notifications of sputum smear-positive patients were significantly more likely, while notifications of children were less likely. Qualitative analysis yielded themes reflecting the barriers to TB notification and their solutions. Themes related to barriers were: (1) basic diagnostic procedures and treatment promote notification; (2) misconceptions regarding notification and its process are common among healthcare providers; (3) despite a national notification system other factors have prevented notification of all patients; and (4) establishing hospital systems for notification will go a long way in improving notifications.ConclusionsThe proportion of patients with TB notified by the hospital was low. A comprehensive approach both by the hospital management and the national TB programme is necessary for improving notification. This includes improving awareness among healthcare providers about the requirement for TB notifications, establishing a single notification portal in hospital, digitally linking hospital records to Nikshay and designating one person to be responsible for notification.

scholarly journals Cross-Cultural Adaptation and Evaluation of the Participation and Environment Measure for Children and Youth to the Indian Context—A Mixed-Methods Study

2021 ◽  
Vol 18 (4) ◽  
pp. 1514
Author(s):  
Roopa Srinivasan ◽  
Vrushali Kulkarni ◽  
Sana Smriti ◽  
Rachel Teplicky ◽  
Dana Anaby
Keyword(s):  
Mixed Methods ◽  
Children With Disabilities ◽  
Mixed Methods Study ◽  
Children And Youth ◽  
Cognitive Interviews ◽  
Culturally Appropriate ◽  
Indian Children ◽  
Indian Context ◽  
Item Level ◽  
Test Retest Reliability

Culturally appropriate measures enable knowledge transfer and quality improvement of rehabilitation services in diverse contexts. The Applied Cultural Equivalence Framework (ACEF) was used in a two-phased mixed methods study to adapt and evaluate the Participation and Environment Measure-Children and Youth (PEM-CY) in India. Cognitive interviews with caregivers of children with disabilities (n = 15) aged 5–17 years established conceptual, item, semantic, and operational equivalence of the Indian PEM-CY. Construct validity was assessed by comparing PEM-CY scores of children with and without disabilities (n = 130) using a case-control design. Cognitive interviews resulted in operational (60.3%), semantic (26.4%), and item-level (13.2%) modifications in the PEM-CY with no changes at the conceptual level. Internal consistency (n = 130) was acceptable to excellent (0.61–0.87) on most scales. Test–retest reliability (n = 30) was good to excellent (ICC ≥ 0.75, Kappa 0.6–1.0) for most scales. Significant differences in all PEM-CY summary scores were found between children with and without disabilities, except for environmental supports. Children with disabilities had lower scores on frequency and involvement in activities across all settings; their caregivers desired greater change in participation and reported experiencing more environmental barriers across settings. Findings suggest the adapted PEM-CY is a valid and reliable measure for assessing the participation of Indian children.

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