scholarly journals A Novel Method for Defining Health Facility Catchment Areas in a Low Income Country

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Kate Zinszer ◽  
Ruth Kigozi ◽  
Katia Charland ◽  
Dr. Grant Dorsey ◽  
Dr. Moses Kamya ◽  
...  
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Low Income ◽  
Health Care Facilities ◽  
Statistical Measure ◽  
Low Income Country ◽  
Catchment Areas ◽  
Care Facilities ◽  
Novel Method ◽  
Administrative Units

The catchment areas of six health-care facilities in Uganda were determined using the cumulative case ratio: the ratio of the observed to expected utilization of a facility for a particular condition by patients from small administrative areas. Our approach is simple, reproducible, and is based on a statistical measure to decide which administrative units should be included in catchment areas. 

scholarly journals Distribution of primary health care facilities in Mtwara District, Tanzania: availability and accessibility of services

1970 ◽  
Vol 20 (4) ◽  
Author(s):  
Irene R. Mremi ◽  
Mercy Mbise ◽  
Job A. Chaula
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Low Income ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Child Health Services ◽  
Healthy Population ◽  
Care Services ◽  
Care Facilities

Background: Access to health care services is a significant factor to health seeking practices that contributes to a healthy population. Improving health care accessibility is an important health priority in low-income countries. The objective of this study was to determine distribution of health care facilities and identify the high priority areas, which require more services in Mtwara, southern Tanzania.Methods: This study was carried in Mtwara Rural district of southern Tanzania and involved health care facilities. A hand held global positioning system was used to geo-reference the coordinates of all facilities. A questionnaire with both closed and open-ended questions was used to gather information from patients who attended the respective facilities. Interviews with district health officials and facility in-charges were conducted.Results:  There were 38 health in the district. Most of them were located within southern part of the district. The majority of facilities (97%) were government owned. On average each facility was serving 2,400 population. Malaria management, reproductive and child health services, family planning and integrated management of childhood illnesses were offered by all health facilities in the district. Prevention of mother to child transmission of HIV was offered by 34 (89.5%) facilities. Tuberculosis services were offered by only 3 facilities while voluntary counselling and testing of HIV and anti-retroviral treatment services were available in 15 and 10 health facilities, respectively. Only 4 facilities had laboratory and inpatients services. The majority of the staff included Medical Attendants (39%), Nurse Midwives (34%), and Clinical Officers (20%). Assistant Medical Officers and Nursing Officers each accounted for 2% of the total staff. There were no Medical Officers, laboratory technicians or pharmaceutical technicians in the district.  A total of 408 health facility clients (≥18yrs) were interviewed. Factors influencing the choice of a health facility were the availability of special services, medicine and qualified human resources.Conclusion: The majority of facilities in Mtwara are government and there is disparity in the distribution of the facilities. Availability of medicines and qualified human resources were the major factors on the preference for accessing health care services.

scholarly journals Socio-Demographic Profile of Schedule Tribes of Five Integrated Tribal Development Agency Spots at Kurnool, Andhra Pradesh in India

2021 ◽  
Vol 07 (02) ◽  
pp. 14-19
Author(s):  
Tamanna Nazli ◽  
Keyword(s):  
Health Care ◽  
Low Income ◽  
Andhra Pradesh ◽  
Musculoskeletal Diseases ◽  
Health Care Facilities ◽  
Family Welfare ◽  
Tribal Population ◽  
Development Agency ◽  
Income Status ◽  
Care Facilities

Background: Tribal population is the second largest in India next to Africa, constituting 8.6% of total India population. Tribal population have unique physical, socio-economic and cultural environment but most deprived from health care facilities and vulnerable to malnutrition and diseases. Objective: To study the living condition of tribal people which includes socio-economic, demographic and health status profile along with providing health care facilities to tribes. Methods: Five Integrated Tribal Development Agency (ITDA) spots which belongs to Chenchu tribe of Kurnool district Andhra Pradesh were adopted. Data was collected through house-to-house survey and in Mobile medical camps in a pre-tested questionnaire provided by CCRUM. Results: A total of 3174 patients were screened among them 584 person of 130 families were selected for data collection. Majority (93.07%) were Hindu in the age group 21-30 years (31.6%), with male preponderance. Education status was fair (42.63%) population were illiterate. The basis amenities were good, (93.84%) use piped drinking water, all had open drainage system, (91.53%) use LPG, (89.23%) household surveys have pucca house, and (77.69%) use pit toilet. More than half of them (54.79%) were married, (70.16%) adopted permanent sterilization for family planning, 107 females registered when pregnant, majority delivered at hospital (53.44%), mostly (93.91%) visited family welfare center, 117(90%) household don’t have government health facility other than PHC or MCH. Conclusion: Low-income status, less literacy rate, and unhygienic sanitary conditions were common among Chenchu tribe of Andhra Pradesh. Majority of them (25.87%) suffered from Musculoskeletal diseases reported to OPD of mobile medical camps.

scholarly journals Characteristics of Morbidity and Choice of Health Care Facilities in Nepal

2017 ◽  
Vol 2 (2) ◽  
pp. 47-55
Author(s):  
Arjun Kumar Thapa ◽  
Shiva Raj Adhikari
Keyword(s):  
Health Care ◽  
Low Income ◽  
Health Care Services ◽  
Acute Illness ◽  
Health Care Facilities ◽  
Seek Health Care ◽  
Care Services ◽  
Primary Health ◽  
Service Production ◽  
Care Facilities

In aftermath of People’s Movement 2008, the Government of Nepal promulgated health as a component of basic human rights. But Nepalese health consumers can seek health care services in government primary health facilities, hospitals, private clinics or do self–medication. The study intends to describe the characteristics of morbidity and factors associated in choosing particular type of health facility. For data, the study depends on a nationally representative rich cross sectional household survey data (Nepal Living Standard Survey, 2010/11) of Nepal. The findings of the study show that around one fifth of the total population reported acute illness while near about 10 percent is facing chronic illness. Around 30 percent of people reporting acute illness do not seek any health care services. Most of the rural people and poor population seek health care services in government primary health care facilities and private pharmacies. People belonging to low income quintiles are likely to seek health care services in government primary facilities. Similarly people residing in mountain & hill are likely to utilize services of government primary facilities. The study shows that urbanites are more likely to seek services in hospitals and private clinics. Therefore a homogeneous health care service production and delivery cannot address the country wide demand of health care services.

Social Work with Ambulatory Clients: The Wayfinding Domain

1997 ◽  
Vol 78 (3) ◽  
pp. 299-306
Author(s):  
Brennen Taylor ◽  
Ann Taylor
Keyword(s):  
Health Care ◽  
Social Work ◽  
Health Facility ◽  
Health Care Facilities ◽  
Care Facilities ◽  
Ambulatory Services

Wayfinding services help ambulatory clients develop skills to travel independently to health care facilities. The authors review social work's contribution to ambulatory clients through wayfinding training. They assert that wayfinding services promote client compliance with ambulatory services and discuss wayfinding guidelines for travel between health facility and home.

Acute Care Referral Systems in Liberia: Transfer and Referral Capabilities in a Low-Income Country

2017 ◽  
Vol 32 (6) ◽  
pp. 642-650 ◽  
Author(s):  
Jimin Kim ◽  
Maria Barreix ◽  
Christine Babcock ◽  
Corey B. Bills
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Low Income ◽  
Care Delivery ◽  
Prehospital Care ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Income Country ◽  
Low Income Country ◽  
Referral Systems

AbstractIntroductionFollowing two decades of armed conflict in Liberia, over 95% of health care facilities were partially or completely destroyed. Although the Liberian health system has undergone significant rehabilitation, one particular weakness is the lack of organized systems for referral and prehospital care. Acute care referral systems are a critical component of effective health care delivery and have led to improved quality of care and patient outcomes.ProblemThis study aimed to characterize the referral and transfer systems in the largest county of Liberia.MethodsA cross-sectional, health referral survey of a representative sample of health facilities in Montserrado County, Liberia was performed. A systematic random sample of all primary health care (PHC) clinics, fraction proportional to district population size, and all secondary and tertiary health facilities were included in the study sample. Collected data included baseline information about the health facility, patient flow, and qualitative and quantitative data regarding referral practices.ResultsA total of 62 health facilities—41 PHC clinics, 11 health centers (HCs), and 10 referral hospitals (RHs)—were surveyed during the 6-week study period. In sum, three percent of patients were referred to a higher-level of care. Communication between health facilities was largely unsystematic, with lack of specific protocols (n=3; 5.0%) and standardized documentation (n=26; 44.0%) for referral. While most health facilities reported walking as the primary means by which patients presented to initial health facilities (n=50; 81.0%), private vehicles, including commercial taxis (n=37; 60.0%), were the primary transport mechanism for referral of patients between health facilities.ConclusionThis study identified several weaknesses in acute care referral systems in Liberia, including lack of systematic care protocols for transfer, documentation, communication, and transport. However, several informal, well-functioning mechanisms for referral exist and could serve as the basis for a more robust system. Well-integrated acute care referral systems in low-income countries, like Liberia, may help to mitigate future public health crises by augmenting a country’s capacity for emergency preparedness.KimJ, BarreixM, BabcockC, BillsCB. Acute care referral systems in Liberia: transfer and referral capabilities in a low-income country. Prehosp Disaster Med. 2017;32(6):642–650.

scholarly journals Regulation of Surgical Procedures and Health Care Facilities Rankings in Nepal

2019 ◽  
Vol 57 (215) ◽  
Author(s):  
Yogesh Acharya ◽  
Ranjan Dahal ◽  
Navindra Raj Bista ◽  
Milan Chandra Khanal ◽  
Sangita Bista
Keyword(s):  
Health Care ◽  
Healthcare System ◽  
Surgical Procedures ◽  
Low Income ◽  
Surgical Outcomes ◽  
Health Care Facilities ◽  
Low Income Countries ◽  
Care Facilities ◽  
Avoidable Death ◽  
Comprehensive Study

Globally, millions of surgeries are performed each year to compliment and manage a diverse set of medical conditions. Adverse surgical outcomes constitute a major proportion of avoidable death and disabilities in the hospital, especially in low-income countries like Nepal. A comprehensive study on the standards of surgical procedures and its institutional regulations is missing. We discuss here the importance of surgical regulation based on it’s financial as well as healthcare implications in the Nepalese healthcare system. Keywords: surgical procedures; health care facilities; safety; surgery; WHO.

scholarly journals COVID-19 health facility preparedness for protecting healthcare workers: Designing a tool for rapid self- assessment

2020 ◽  
Vol 72 ◽  
pp. 83-87 ◽  
Author(s):  
Saurav Basu
Keyword(s):  
Health Care ◽  
Best Practices ◽  
Patient Care ◽  
Health Facility ◽  
Healthcare Workers ◽  
Rapid Assessment ◽  
Health Care Facilities ◽  
Multiple Sources ◽  
Self Assessment ◽  
Care Facilities

Healthcare workers (HCWs) comprise an irreplaceable resource in combating the COVID-19 pandemic. However, thousands of HCWs have been infected with the coronavirus (SARS-CoV-2) globally, and hundreds have died in the line of duty. Increased stress and fear about personal and familial safety also erode the confidence of HCWs in adhering to the best-practices for COVID-19 patient care. A tool and checklist for rapid assessment of health-care facilities for their preparedness in prioritizing the protection of healthcare workers were developed based on a survey of multiple sources. A total of ten domains were identified that are pivotal toward enabling the protection of HCWs involved in the management of suspected or confirmed COVID-19 patients.

scholarly journals Access to chronic medicines: patients’ preferences for a last kilometre medicine delivery service in Cape Town, South Africa

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Siraaj Adams ◽  
Mwila Mulubwa ◽  
Mea van Huyssteen ◽  
Angeni Bheekie
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Facility ◽  
Employment Status ◽  
Health Care Facilities ◽  
Chronic Patients ◽  
Chi Square ◽  
Delivery Service ◽  
Care Facilities ◽  
Chi Square Test

Abstract Background Chronic patients are required to access their chronic medicines on a regular basis, often only to refill their repeat prescriptions. Adherence to chronic medicines is challenging and has stimulated health care providers to devise differentiated service delivery models of care to decentralise chronic medicine distribution to decrease the frequency of medicine collection at health care facilities. One such option includes a last kilometre medicine delivery service. This study investigated chronic patients’ preferences for a last kilometre medicine delivery service model. Methods An exploratory non-randomised quantitative study was conducted over 4 weeks at four public sector primary health care facilities in Cape Town, South Africa. Data was collected on a structured questionnaire from chronic patients queuing to receive medication at each facility’s pharmacy waiting area. Patient demographics were noted to align with preferences for chronic medicine service delivery characteristics including; mobile ordering, fee for service and location for delivery. Chi-square test and frequencies were employed to analyse data using SPSS version 23. Results A total of 116 patients participated in this study. Most were interested in a medicine delivery service (80.2%) and were willing to use a mobile application to order their medicines (84.5%). Almost all patients (96.8%) preferred that their medicines be delivered to their home. More than three quarters of participants were willing to pay for the service (77.6%). Chi-square test showed that gender, age group, employment status, distance to the health facility and /or average waiting time at the clinic significantly influenced the preference for certain characteristics of the medicine delivery service (p < 0.05). Conclusion Most participants were interested in a last kilometre medicine delivery service, especially those older than 45 years, waiting for more than 6 h at the facility, and staying within one kilometre radius of the clinic. More studies are needed to establish the influence of patients’ employment status and the distance to health facility on interest in the medicine delivery service.

scholarly journals Community participation in the collaborative governance of primary health care facilities, Uasin Gishu County, Kenya

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248914
Author(s):  
Jackline Sitienei ◽  
Lenore Manderson ◽  
Mabel Nangami
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Participation ◽  
Health Facility ◽  
Service Providers ◽  
Collaborative Governance ◽  
Health Care Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Introduction Community participation in the governance of health services is an important component in engaging stakeholders (patients, public and partners) in decision-making and related activities in health care. Community participation is assumed to contribute to quality improvement and goal attainment but remains elusive. We examined the implementation of community participation, through collaborative governance in primary health care facilities in Uasin Gishu County, Western Kenya, under the policy of devolved governance of 2013. Methods Utilizing a multiple case study methodology, five primary health care facilities were purposively selected. Study participants were individuals involved in the collaborative governance of primary health care facilities (from health service providers and community members), including in decision-making, management, oversight, service provision and problem solving. Data were collected through document review, key informant interviews and observations undertaken from 2017 to 2018. Audio recording, notetaking and a reflective journal aided data collection. Data were transcribed, cleaned, coded and analysed iteratively into emerging themes using a governance attributes framework. Findings A total of 60 participants representing individual service providers and community members participated in interviews and observations. The minutes of all meetings of five primary health care facilities were reviewed for three years (2014–2016) and eight health facility committee meetings were observed. Findings indicate that in some cases, structures for collaborative community engagement exist but functioning is ineffective for a number of reasons. Health facility committee meetings were most frequent when there were project funds, with discussions focusing mainly on construction projects as opposed to the day-to-day functioning of the facility. Committee members with the strongest influence and power had political connections or were retired government workers. There were no formal mechanisms for stakeholder forums and how these worked were unclear. Drug stock outs, funding delays and unclear operational guidelines affected collaborative governance performance. Conclusion Implementing collaborative governance effectively requires that the scope of focus for collaboration include both specific projects and the routine functioning of the primary health care facility by the health facility committee. In the study area, structures are required to manage effective stakeholder engagement.

Detection of schistosomiasis applicable for primary health care facilities in endemic regions of Africa

Biologia ◽  
2017 ◽  
Vol 72 (10) ◽  
Author(s):  
Alžbeta Kaiglová ◽  
Pavol Beňo ◽  
Mwatasa J.S. Changoma
Keyword(s):  
Health Care ◽  
Low Income ◽  
Health Care Facilities ◽  
Sub Saharan Africa ◽  
Neglected Tropical Disease ◽  
Blood Flukes ◽  
Primary Health ◽  
Care Facilities ◽  
Sub Saharan ◽  
Primary Health Care Facilities

AbstractSchistosomiasis is the most prevalent neglected tropical disease, which causes a serious health problem in low-income tropical and sub-tropical countries, especially in deprived communities. More than 90% of people suffering from schistosomiasis live in sub-Saharan Africa, where blood flukes

Sign in / Sign up

Export Citation Format

Share Document