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Public ,private Health Facilities

Olusesan Ayodeji Makinde, Abayomi Sule, Olayinka Ayankogbe, David Boone
BACKGROUND: Nigeria is considering adopting Universal Health Coverage (UHC) as an official policy target to ensure access to quality health care services for her population without financial hardship. To facilitate discussion on the topic, the President of Nigeria convened a UHC summit in March 2014 to discuss Nigeria's options and strategies to achieve UHC. A strategy for achieving UHC requires analysis of the available infrastructure to deliver the services. We review the geographic and sectoral distribution of health facilities in Nigeria and discuss implications on the UHC strategy selected...
August 9, 2018: International Journal of Health Planning and Management
Mesafint Abeje Tiruneh, Birhanu Teshome Ayele
INTRODUCTION: In the health sector, questions are being raised about the possible threats to the accepted principles of ethics such as autonomy, beneficence, non malfeasance and justice in the delivery of health care. There is limited information in Ethiopia regarding to practice of code of ethics among medical doctors. Hence, this study aimed to assess practice of code of ethics and associated factors among medical doctors working in governmental and private hospitals in Addis Ababa, Ethiopia...
2018: PloS One
Meliyanni Johar, Prastuti Soewondo, Retno Pujisubekti, Harsa Kunthara Satrio, Ardi Adji
While disparities in access to health services by different economic groups have been well documented, much less is known about the factors that are contributing to these disparities. In this paper, we take the case of Indonesia, which has the six-worst wealth inequality in the world. The data is derived from the national socio-economic survey from 2011 to 2016, giving a total sample of over 5.5 million individuals. We find that only access to outpatient care at public primary health facilities is pro-poor, whilst access to other types of health care is pro-rich...
July 29, 2018: Social Science & Medicine
Senjuti Saha, Maksuda Islam, Shampa Saha, Mohammad Jamal Uddin, Hafizur Rahman, Rajib Chandra Das, Md Hasan, Md Ruhul Amin, Mohammed Hanif, Mohammad Shahidullah, Manzoor Hussain, Samir K Saha
Background: Designing comprehensive surveillance to generate credible burden estimates of enteric fever in an endemic country can be challenging because care-seeking behavior is complex and surveillance in different healthcare facilities may lead to documentation of different epidemiological characteristics. Methods: We conducted retrospective surveillance in 3 healthcare facilities to identify culture-confirmed enteric fever cases in Dhaka, Bangladesh, from January 2012 through December 2016...
July 27, 2018: Journal of Infectious Diseases
Boniface Oyugi, Urbanus Kioko, Stephen Mbugua Kaboro, Clarice Okumu, Sarah Ogola-Munene, Shaminder Kalsi, Simon Thiani, Shadrack Gikonyo, Julius Korir, Billy Baltazar, Moses Ranji
BACKGROUND: This is a facility-based study designed to assess perceived quality of care and satisfaction of reproductive health services under the output-based approach (OBA) services in Kenya from clients' perspective. METHOD: An exit interview was conducted on 254 clients in public health facilities, non-governmental organizations, faith-based organizations and private facilities in Kitui, Kilifi, Kiambu, and Kisumu counties as well as in the Korogocho and Viwandani slums in Nairobi, Kenya using a 23-item scale questionnaire on quality of reproductive health services...
July 28, 2018: BMC Pregnancy and Childbirth
Tarek Bou Assi, Antoine Haddad, Laura Haddad, Olivier Garraud
Voluntary nonremunerated donation stands for the framework of a solid, safe, and sustainable blood supply; for this reason, the World Health Organization has set a goal toward achieving 100% voluntary nonremunerated blood donation in 2020. However, in Lebanon like in most developing countries, the majority of blood donations still come from family/replacement donors (around 75%) followed by voluntary donors for only 15%; compensated donors yet account for 10% of blood donations. Lebanon has a decentralized and fragmented blood supply system where private health care facilities predominate over the public system; thus, numerous challenges and roadblocks-that are discussed in this article-are likely to delay the fulfillment of the WHO resolution...
July 27, 2018: International Journal of Health Planning and Management
Irénée Kammogne Domkam, Nelson Sonela, Nelly Kamgaing, Patrice Soh Takam, Luc-Christian Gwom, Thomas Michel Anana Betilene, Joseph Fokam, Serge Clotaire Billong, Laure Vartan Moukam, Tatiana Mossus Etounou, Christine Sara Minka Minka, Alexis Ndjolo
Introduction: This study aimed at assessing the prevalence of Human Immunodeficiency Virus (HIV) among health care workers (HCWs) and to evaluate some risks factors for HCWs. Methods: We conducted a cross sectional study amongst HCWs in public and private healthcare facilities within seven regions amongst the 10 found in Cameroon. We collected data from 446 HCWs within 150 healthcare facilities. We used questionnaires for interviews and biological sampling for HIV test...
2018: Pan African Medical Journal
Muhammad Fazal Zeeshan, Ahmad Al Ibad, Abdul Aziz, Aftab Subhani, Asif Shah, Tahir Khan, Hidayat Ullah, Umair Qazi
Background: Hospital waste management (HWM) rules in Pakistan were issued in 2005. Despite a decade of enactment, adherence to HWM 2005 rules has been inconsistent and systematic assessment of adherence using a World Health Organization (WHO)-recommended questionnaire has not been done in all teaching hospitals of Peshawar District. Aims: This study assessed the adherence to HWM 2005 rules by tertiary care teaching hospitals of Peshawar District with respect to HWM personnel, policy and practices...
July 17, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
David Gathara, George Serem, Georgina A V Murphy, Nancy Abuya, Rose Kuria, Edna Tallam, Mike English
INTRODUCTION: In many African countries, including Kenya, a major barrier to achieving child survival goals is the slow decline in neonatal mortality that now represents 45% of the under-5 mortality. In newborn care, nurses are the primary caregivers in newborn settings and are essential in the delivery of safe and effective care. However, due to high patient workloads and limited resources, nurses may often consciously or unconsciously prioritise the care they provide resulting in some tasks being left undone or partially done (missed care)...
July 23, 2018: BMJ Open
Clifford Warwick, Mike Jessop, Phillip Arena, Anthony Pilny, Catrina Steedman
Various establishments exist in which animals are held for a variety of reasons. Historically, the management and inspection of animals in commerce and in private keeping have involved a considerable degree of arbitrary evaluation based on the personal experience of the vendor, keeper, advisor, or inspector. Accordingly, relevant protocols and standards are subject to considerable variation. Relatedly, diversity of traded and privately kept species generates significant challenges for those responsible for facility management and inspection alike...
2018: Frontiers in Veterinary Science
Thecla W Kohi, Lilian T Mselle, Justine Dol, Megan Aston
BACKGROUND: Childbirth is a momentous event for women and their partners, yet women continue to die in childbirth worldwide, particularly in sub-Saharan Africa. To reduce maternal mortality and increase the number of women delivering at health facilities, it is important to understand reasons why women who do deliver at health facilities chose to do so. Therefore, the objective of this qualitative study was to explore the perceptions of women and men on (i) when women go to the hospital; (ii) where women deliver; and (iii) who is involved in the delivery process related to accessing health facilities for delivery care in Tanzania...
July 18, 2018: BMC Health Services Research
Cheri A Johnson, Todd D Carter, John R Dunn, Susan R Baer, Michele M Schalow, Yvonne M Bellay, Marta A Guerra, Nancy A Frank
OBJECTIVE To estimate Brucella canis seropositivity rates for purebred dogs being bred by noncommercial breeders, describe epidemiological findings in infected commercial dog-production facilities, and characterize B canis infection in pet dogs and the risk to human health. DESIGN Retrospective descriptive study. SAMPLE 2,799 canine specimens submitted to the Michigan State University Veterinary Diagnostic Laboratory for B canis testing and records of B canis reports provided to the Michigan Department of Agriculture and Rural Development from 2007 through 2016...
August 1, 2018: Journal of the American Veterinary Medical Association
Amare Deribew, Sibhatu Biadgilign, Della Berhanu, Atkure Defar, Kebede Deribe, Ephrem Tekle, Kassahun Asheber, Tariku Dejene
BACKGROUND: There are dearth of literature on the capacity of the health system to diagnose and treat HIV/AIDS in Ethiopia. In this study we evaluated the capacity of health facilities for HIV/AIDS care, its spatial distribution and variations by regions and zones in Ethiopia. METHODS: We analyzed the Service Provision Assessment plus (SPA+) survey data that were collected in 2014 in all regions of Ethiopia. We assessed structural, process and overall capacity of the health system based on the Donabedian quality of care model...
July 11, 2018: BMC Health Services Research
Zainab Azhar, Oyinlola Oyebode, Haleema Masud
BACKGROUND: Disrespectful and abusive practices at health facilities during childbirth discourage many women to seek care at facilities. This may lead to maternal morbidity and mortalities. Despite severe impacts, such practices remain hidden and are rarely reported in developing countries. OBJECTIVES: The study was carried out to assess the prevalence and determinants of the disrespect and abuse (D & A) during child birth in rural Gujrat, Pakistan. METHODS: A cross sectional household based study was conducted in tehsil Kharian of district Gujrat...
2018: PloS One
Amy M Medley, Susan Hrapcak, Rachel A Golin, Eric J Dziuban, Heather Watts, George K Siberry, Emilia D Rivadeneira, Stephanie Behel
Many children living with HIV in resource-limited settings remain undiagnosed and at risk for HIV-related mortality and morbidity. This article describes 5 key strategies for strengthening HIV case finding and linkage to treatment for infants, children, and adolescents. These strategies result from lessons learned during the Accelerating Children's HIV/AIDS Treatment Initiative, a public-private partnership between the President's Emergency Plan for AIDS Relief (PEPFAR) and the Children's Investment Fund Foundation (CIFF)...
August 15, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Mahesh C Puri, Cynthia C Harper, Dev Maharjan, Maya Blum, Corinne H Rocca
OBJECTIVE: To examine whether auxiliary nurse-midwife provision of medical abortion in pharmacies was associated with reduced post-abortion contraceptive use in Nepal. METHODS: The present prospective observational study compared contraceptive use among women aged 16-45 years and up to 63 days of pregnancy, who presented at one of six privately-owned pharmacies or six public health facilities in the Chitwan and Jhapa districts of Nepal for medical abortion between October 16, 2014, and September 1, 2015...
July 10, 2018: International Journal of Gynaecology and Obstetrics
W M Awan, S M A Zaidi, S S Habib, S Khowaja, A Malik, U Khan, R A Ferrand, J Creswell, A Khan
SETTING: Pakistan ranks fourth among the countries with a high burden of multidrug-resistant tuberculosis (MDR-TB), with only 19.2% of the 15 000 estimated incident cases being notified. Increasing treatment coverage for MDR-TB is a key priority for Pakistan's National Tuberculosis Programme. The World Health Organization recommends the use of the Xpert® MTB/RIF assay as the first-line diagnostic test for individuals with presumed TB. OBJECTIVE: To describe a multifaceted case-finding intervention targeting public and private sector health care facilities that used the Xpert assay as a frontline diagnostic test for individuals with presumptive TB, in Karachi, Pakistan, and its impact on case notifications of MDR-TB...
August 1, 2018: International Journal of Tuberculosis and Lung Disease
Peter C Rockers, Richard O Laing, Veronika J Wirtz
Introduction: Wealth-based inequity in access to medicines is an impediment to achieving universal health coverage in many low-income and middle-income countries. We explored the relationship between household wealth and access to medicines for non-communicable diseases (NCDs) in Kenya. Methods: We administered a cross-sectional survey to a sample of patients prescribed medicines for hypertension, diabetes or asthma. Data were collected on medicines available in the home, including the location and cost of purchase...
2018: BMJ Global Health
Sanni Yaya, Olalekan A Uthman, Agbessi Amouzou, Ghose Bishwajit
Background: Access to safe Cesarean section (C-section) in resource-constrained settings such as sub-Sahara Africa (SSA) region is a foremost approach to reduce maternal mortality. C-section is an obstetric operative procedure used appropriately to improve delivery outcomes. However, errors in the procedure have enormous potential harm that may outweigh the benefits. This study assessed the prevalence and determinants of C-section in several SSA countries. This study examined the prevalence and determinants associated with cesarean delivery in SSA countries...
2018: Global Health Research and Policy
Amrit Devkota, Anubhav Paudel, Bhawesh Koirala, Dharanidhar Baral, Swotantra Gautam, Sanjib Kumar Sharma
BACKGROUND: Nepal is witnessing rise in non-communicable chronic diseases. Costs of the medicine, availability of the medicine for free in public health sectors and variation of price of medicines may play an important role in the management of chronic disease. The study was undertaken to find out the variation in price of drugs used for treating non communicable diseases among private pharmacies and availability of free essential medicines in public facilities. METHODS: Randomly selected 33 public health centers and 13 pharmacies were included for the study...
July 3, 2018: Journal of Nepal Health Research Council
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