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Public ,private Health Facilities

V K Chadha, Bhoomika Bajaj Bhalla, Sowmya B Ramesh, J Gupta, N Nagendra, R Padmesh, J Ahmed, R K Srivastava, R K Jaiswal, P Praseeja
SETTING: Implementation study in private health facilities in an Indian metropolis. OBJECTIVES: Improve Tuberculosis (TB) care by private practitioners (PPs). METHODS: PPs from a defined city area were imparted short training in TB care and linkages made with public facilities; subsequent practices were recorded. RESULTS: Of 364 presumptive TB patient records, 70 (19.3%) did not conform to its definition. Of the conforming, 174 (59...
October 2018: Indian Journal of Tuberculosis
Mahesh C Puri, Manju Maharjan, Erin Pearson, Elina Pradhan, Yasaswi Dhungel, Aayush Khadka, Iqbal H Shah
BACKGROUND: Health service providers play a key role in addressing women's need for pregnancy prevention, especially during the postpartum period. Yet, in Nepal, little is known about their views on providing postpartum family planning (PPFP) services and postpartum contraceptive methods such as immediate postpartum intra-uterine devices (PPIUD). This paper explores the perspectives of different types of providers on PPFP including PPIUD, their confidence in providing PPFP services, and their willingness to share their knowledge and skills with colleagues after receiving PPFP and PPIUD training...
December 6, 2018: BMC Health Services Research
Asif Raza Khowaja, Craig Mitton, Rahat Qureshi, Stirling Bryan, Laura A Magee, Peter von Dadelszen, Zulfiqar A Bhutta
Pakistani women suffer the highest rate of maternal mortality in South Asia. A lack of comprehensive knowledge about maternal and newborn health (MNH) services costs impedes policy decisions to maximize the benefit from existing, as well as emerging, MNH interventions in Pakistan. We compared MNH service costs at different levels of care. A cross-sectional survey was conducted during January to March 2016 as part of a large economic evaluation in Sindh, Pakistan. Health providers and facilities were selected from a sampling frame, inclusive of public and private sectors...
2018: PloS One
Alfredo Borda-Olivas, Ángel Florián Florián, Edgar Montalvan Santillan, María Dedios Alegría, César Cabezas Sánchez, Fernando Donaires Toscano
The objective of the study was to determine compliance with hepatitis-B virus (HBV) in newborns in Lima and Callao. A descriptive, cross-sectional, multicenter-design study was conducted in high level public and private hospitals. Information on vaccination corresponds to newborns during one week of 2015 and was obtained through consultations with parents and review of health service reports. The study was conducted in 12 health facilities including 935 mothers and newborns. Vaccination coverage within 24 hours of life was 85...
July 2018: Revista Peruana de Medicina Experimental y Salud Pública
Alison Peel, Abhishek Bhartia, Neil Spicer, Meenakshi Gautham
BACKGROUND: Although the overall rate of caesarean deliveries in India remains low, rates are higher in private than in public facilities. In a household survey in Delhi, for instance, more than half of women delivering in private facilities reported a caesarean section. Evidence suggests that not all caesarean sections are clinically necessary and may even increase morbidity. We present providers' perspectives of the reasons behind the high rates of caesarean births in private facilities, and possible solutions to counter the trend...
December 3, 2018: BMC Pregnancy and Childbirth
Solomon Abrha, Ebisa Tadesse, Tesfay Mehari Atey, Fantahun Molla, Wondim Melkam, Birhanetensay Masresha, Solomon Gashaw, Abrham Wondimu
BACKGROUND: In developing countries, child health outcomes are influenced by the non-availability of priority life-saving medicines at public sector health facilities and non-affordability of medicines at private medicine outlets. This study aimed to assess availability, price components and affordability of priority life-saving medicines for under-five children in Tigray region, Northern Ethiopia. METHODS: A cross-sectional study was conducted in Tigray region from December 2015 to July 2016 using a standard method developed by the World Health Organization and Health Action International (WHO/HAI)...
November 29, 2018: BMC Pregnancy and Childbirth
Mukta Tyagi, Claudia Hanson, Joanna Schellenberg, Swecha Chamarty, Samiksha Singh
BACKGROUND: Hand hygiene is a simple and low-cost measure to reduce healthcare associated infection yet it has always been a concern in low as well as high resource settings across the globe. Poor hand hygiene during intra-partum and newborn care may result in sepsis, which is a major cause of death among newborns and puts a financial burden on already strained health systems. METHODS: We conducted non-participatory observations in newborn care units and labour rooms from secondary and tertiary level, public and private hospitals, as part of a baseline evaluation of a quality improvement collaborative across two southern states of India...
November 27, 2018: BMC Public Health
Seyi Soremekun, Frida Kasteng, Raghu Lingam, Anna Vassall, Edmound Kertho, Stella Settumba, Patrick L Etou, Agnes Nanyonjo, Guus Ten Asbroek, Karin Kallander, Betty Kirkwood
BACKGROUND: A key barrier to appropriate treatment for malaria, diarrhoea, and pneumonia (MDP) in children under 5 years of age in low income rural settings is the lack of access to quality health care. The WHO and UNICEF have therefore called for the scale-up of integrated community case management (iCCM) using community health workers (CHWs). The current study assessed access to treatment, out-of-pocket expenditure and the quality of treatment provided in the public and private sectors compared to national guidelines, using data collected in a large representative survey of caregivers of children in 205 villages with iCCM-trained CHWs in mid-Western Uganda...
2018: PloS One
Mohammad Mafizur Rahman, Rasheda Khanam, Maisha Rahman
BACKGROUND: The total health expenditure (as a percentage of GDP) and health outcomes in the region of South Asian Association for Regional Cooperation (SAARC) and Association for South East Asian Nations (ASEAN) are lower than that of the OECD region and the world. This study investigated the relationship between different types of healthcare expenditures (public, private and total) and three main health status outcomes - life expectancy at birth, crude death rate and infant mortality rate - in the region...
November 22, 2018: Globalization and Health
Prajjwal Pyakurel, Jaya Prasad Tripathy, Myo Minn Oo, Bijay Acharya, Ujjwal Pyakurel, Suman Bahadur Singh, Laxmi Subedi, Kamlesh Prasad Yadav, Mukesh Poudel, Dipesh Raj Pandey, Shyam Sundar Budhathoki, Guna Raj Lohani, Nilambar Jha
OBJECTIVES: The study aimed at estimating out-of-pocket (OOP) expenditure, catastrophic health expenditure (CHE) and distress financing due to hospitalisation and outpatient care among industrial workers in Eastern Nepal. METHODS: We conducted a cross-sectional study involving industrial workers employed in a large-scale industry in Eastern Nepal. Those who were hospitalised in the last 1 year or availed outpatient care within the last 30 days were administered a structured questionnaire to estimate the cost of illness...
November 15, 2018: BMJ Open
George Odwe, Kate Gray, Annet Kyarimpa, Francis Obare, Grace Nagendi
Reproductive Health Uganda (RHU), a local NGO, introduced subcutaneous depot medroxyprogesterone acetate (DMPA-SC, brand name Sayana Press) in 4 districts of Uganda between April 2016 and March 2017. RHU trained public and private facility providers on all family planning methods including DMPA-SC; trained community health workers (known as village health teams, VHTs) to give family planning counseling, provide short-acting methods including DMPA-SC, and make referrals for long-acting and permanent methods; conducted mobile outreach and raised awareness of family planning; and provided family planning commodities...
November 14, 2018: Global Health, Science and Practice
Tonny Ssekamatte, John Bosco Isunju, Bonny Enock Balugaba, Doreen Nakirya, Jimmy Osuret, Patience Mguni, Richard Mugambe, Bas van Vliet
Although classified by the Joint Monitoring Programme (JMP) as unimproved sanitation facilities, public toilets still play a critical role in eliminating open defecation in informal settlements. We explored perspectives of toilet operators on opportunities and barriers to operation and maintenance (O&M) of public toilets in informal settlements. A cross-sectional study design was used. Up to 20 in-depth interviews were used to obtain data on the experiences of public toilet operators. Thematic content analysis was used...
November 14, 2018: International Journal of Environmental Health Research
Siddhivinayak Hirve, Andrew Marsh, Pallavi Lele, Uddhavi Chavan, Tathagata Bhattacharjee, Harish Nair, Harry Campbell, Sanjay Juvekar
Background: Traditionally, health care-seeking behaviour for child illness is assessed through population-based national demographic and health surveys. GPS-based technologies are increasingly used in human behavioural research including tracking human mobility and spatial behaviour. This paper assesses how well a care-seeking event to a health care facility for child illness, as recalled by the mother in a survey setting using questions sourced from Demographic and Health Surveys, concurs with one that is identified by TrackCare, a GPS-based location-aware smartphone application...
December 2018: Journal of Global Health
Montu Bose, Arijita Dutta
BACKGROUND: To achieve the Sustainable Development Goals, Indian States have implemented different strategies to arrest high out-of-pocket expenditure (OOPE) and to increase equity into healthcare system. Tamil Nadu (TN) and Rajasthan have implemented free medicine scheme in all public hospitals and West Bengal (WB) has devised Fair Price Medicine Shop (FPMS) scheme, a public-private-partnership model in the state. In this background, the objectives of the paper are to - 1. Study the utilization pattern of public in-patient care facilities for the states, 2...
November 3, 2018: BMC Health Services Research
Tuhin Biswas, M Moinuddin Haider, Rajat Das Gupta, Jasim Uddin
OBJECTIVE: The objective of this study was to assess the readiness of health facilities for diabetes and cardiovascular services in Bangladesh. DESIGN: This study was a cross-sectional survey. SETTING: This study used data from a nationwide Bangladesh Health Facility Survey conducted by the Ministry of Health and Social Welfare in 2014. PARTICIPANTS: A total of 319 health facilities delivering services focused on diabetes and cardiovascular diseases (CVD) were included in the survey...
October 31, 2018: BMJ Open
M Nobile, C Pasquarella, T Baldovin, S Brusaferro, B Casini, M L Cristina, M M D'Errico, G Finzi, M T Montagna, I Mura, R Novati, G Privitera, G Ripabelli, G Schirripa, L Sodano, P Vitali, S Tardivo, V Teti, M V Torregrossa, E Torri, R Zarrilli, A Agodi, F Auxilia
BACKGROUND: In 2014, the Italian Study Group of Hospital Hygiene of the Italian Society of Hygiene, Preventive Medicine and Public Health (GISIO-SItI), in collaboration with the National Association of Medical Hospital Managers (ANMDO), conducted a survey on the availability of procedures for cleaning and disinfecting ambulances in order to assess the practices in use. METHODS: An online questionnaire was prepared through the Survey Monkey® platform and a web link access was sent to a convenience sample of ANMDO doctors working in healthcare management in public and private healthcare facilities...
September 2018: Annali di Igiene: Medicina Preventiva e di Comunità
Stefan Kohler, Kristi Sidney Annerstedt, Vishal Diwan, Lars Lindholm, Bharat Randive, Kranti Vora, Ayesha De Costa
BACKGROUND: There has been little evaluation of the postpartum quality of life (QOL) of women in India and its association with the mode of birth. This study piloted the use of the generic EQ-5D-5L questionnaire to assess postpartum QOL experienced by rural Indian women. METHODS: A convenience sample of rural women who gave birth in a health facility in Gujarat or Madhya Pradesh was recruited into this pilot study. QOL was measured during three interviews within 30 days of birth using the EQ-5D-5L questionnaire...
October 29, 2018: BMC Pregnancy and Childbirth
Sandrine Morin, Laetitia May-Michelangeli, Catherine Grenier
Care quality and safety indicators, piloted by the national health authority, are tools forming part of a global programme of improvement of quality and safety of care. The national scheme for measuring the quality and safety of care provides, for all healthcare facilities, dashboards for managing care quality and safety. Currently focused on the public and private hospital sector, it needs to evolve to widen its scope to include community care and the medical-social sector.
October 2018: Soins; la Revue de Référence Infirmière
Loïc Keribin, Catherine Grenier, Anne-Marie Armanteras de Saxcé
TOWARDS A NEW CERTIFICATION OF HEALTHCARE FACILITIES FOR 2020.: The accreditation process, now a certification process for healthcare facilities, has constantly evolved since 1999 in order to improve the quality and safety of care provided to patients. In order to meet demographic, epidemiological and social challenges, it needs to be revised again. The French National Health Authority board has fixed three main objectives for the 2020 version: to medicalise certification, simplify it and adapt it to hospital groups in the public and private sector...
October 2018: Soins; la Revue de Référence Infirmière
Georgina A V Murphy, David Gathara, Ann Mwaniki, Grace Nabea, Jacintah Mwachiro, Nancy Abuya, Mike English
AIMS: To assess the knowledge of nurses of national guidelines for emergency maternity, routine newborn, and small and sick newborn care in Nairobi County, Kenya. BACKGROUND: The vast majority of women deliver in a health facility in Nairobi. Yet, maternal and neonatal mortality remain high. Ensuring competency of health workers, in providing essential maternal and newborn interventions in health facilities will be key if further progress is to be made in reducing maternal and neonatal mortality in low-resource settings...
October 24, 2018: Journal of Clinical Nursing
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