Dissertations / Theses on the topic 'Health service availability'
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Sikder, Shegufta Shefa. "Obstetric complications in rural Bangladesh| Risk factors for reported morbidity, determinants of care seeking, and service availability for emergency obstetric care." Thesis, The Johns Hopkins University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3571743.
Full textBackground: In settings such as rural Bangladesh, where the majority of births occur at home, population-based data are lacking on the burden and risk factors for obstetric complications, as well as care-seeking behavior. This dissertation seeks to describe the prevalence and risk factors for obstetric complications, explore factors affecting care seeking for complications, and describe the availability of obstetric care among health facilities in rural Bangladesh.
Methods: We used extant data from a community-randomized maternal micronutrient supplementation trial which ascertained reported morbidities and care seeking among 42,214 pregnant women between 2007 and 2011 in rural northwest Bangladesh. Multivariate multinomial logistic regression was used to analyze the association of biological, socioeconomic, and psychosocial factors with reported obstetric complications and near misses. Multivariate logistic regression of socioeconomic, demographic, perceived need, and service factors on care seeking was performed. Primary data on availability and readiness to provide obstetric services at 14 health facilities was collected through surveys.
Results: Of the 42,214 married women of reproductive age, 73% (n=30,830) were classified as having non-complicated pregnancies, 25% (n=10,380) as having obstetric complications, and 2% (n=1,004) with reported near misses. In multivariate analysis, women's age less than 18 years (Relative Risk Ratio 1.26 95% CI 1.14-1.39), obstetric history of stillbirth or abortion (RRR 1.15 CI 1.07-1.22), and neither partner wanting the pregnancy (RRR 1.33 CI 1.20-1.46) significantly increased the risk of obstetric complications. Out of 9,576 women with data on care seeking, 77% sought any care, with only 23% seeking at least one formal provider. Socioeconomic factors and service factors, such as facility availability of comprehensive obstetric services (OR 1.25 CI 1.16- 1.34), improved care seeking from formal providers. Average facility readiness for emergency obstetric care was 81% in private clinics compared to 67% in public facilities (p=0.045).
Conclusions: These analyses indicate a high burden of obstetric morbidity, with a quarter of women reporting obstetric complications. Policies to reduce early marriage and unmet need for contraception may address risk factors including adolescent pregnancy and unwanted pregnancies. Improvements in socioeconomic factors, coupled with strategies to increase service availability at health facilities, could increase care seeking from formal providers.
Webb, Bettine Constance. "The availability of data in relation to needs and resources within the School Dental Service, Western Metropolitan Health Region, N.S.W." Thesis, The University of Sydney, 1987. http://hdl.handle.net/2123/4776.
Full textAgunga, Paul Wekesa. "County Health Leadership and Readiness for Noncommunicable Disease Services." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5298.
Full textBrock, Arlesia Lynn. "The impact of privatization of primary care programs in large county health department in florida." [Tampa, Fla.] : University of South Florida, 2005. http://purl.fcla.edu/fcla/etd/SFE0001214.
Full textLaRoche, Kathryn J. "The Availability, Accessibility, and Provision of Post-Abortion Support Services in Ontario." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/32786.
Full textCummins, Steven C. J. "Socio-spatial variations in urban food price and availability and their implications for healthy eating." Thesis, University of Glasgow, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.250014.
Full textDay, Chelsi. "Availability and Utilization of Sport Psychology Services for Injured College Athletes." Antioch University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1317223366.
Full textNickerson, Jason W. "A Field Evaluation of Tools to Assess the Availability of Essential Health Services in Disrupted Health Systems: Evidence from Haiti and Sudan." Thesis, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/30373.
Full textWhitener, Louise M. "Using Hongvivatana's model to evaluate health care access : a field study of adolescent women's access to reproductive health care services in rural Missouri counties /." free to MU campus, to others for purchase, 2000. http://wwwlib.umi.com/cr/mo/fullcit?p9974703.
Full textAtuhaire, Lydia. "Barriers and facilitators to uptake of cervical cancer screening among women accessing maternal and child health services in Kampala, Uganda." University of Western Cape, 2013. http://hdl.handle.net/11394/3924.
Full textThe aim of the study was to explore the challenges to uptake of cervical cancer screening among women accessing maternal and child health services at Nsambya Hospital in Kampala, Uganda.
Damberg, Jonas. "Availability of primary care physicians in nursing homes and home care nursing services and associations with emergency care consumption." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-61585.
Full textMurphy, Caroline E. "Parental Perceptions of Barriers to Care: An Examination of Rural Appalachian Parents' Expectancies of the Availability, Process, and outcome of Mental Health Services for Elementary School-Aged Children." Ohio : Ohio University, 2005. http://www.ohiolink.edu/etd/view.cgi?ohiou1129068871.
Full textMoloto, Victor. "Identification, resolution and monitoring of barriers to the availability of essential drugs at primary health care facilities in Lejweleputswa district, Free State Province." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=init_3659_1180441246.
Full textThis study aimed to identify barriers to the availability of essential drugs at health facilities, to identify implementable solutions to those barriers, to develop a monitoring system for tracking implementation of solutions and for tracking drug supply.
Caicedo, Ceron Margarita. "The Availability and the Use of Basic Services in Relation to the Nutritional Status, Acute Diarrhetic Diseases and Acute Respiratory Infections in Children Under five Years of Age in Three Rural Communities of the Imbabura Province during the 1998-1999 Period." BYU ScholarsArchive, 2000. https://scholarsarchive.byu.edu/etd/5339.
Full textLima, Arnaldo Ribeiro Costa. "Mobilidade do trabalho e disponibilidade de médicos no Brasil." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-07042014-125740/.
Full textUnderstanding labor mobility as a phenomenon that promotes spatial, sectoral and professional displacement of workers, with the aim of capital exploiting their workforce and accumulating economic surplus, noting that medical doctors working in Brazil do it in a way which is particularly diverse, transverse and longitudinal, in multiple sub-jobs, seeking to grasp the dimensions of mobility of the workforce of medical doctors in the Brazilian system of health services. Aiming to contribute to the understanding and critique the phenomenon of availability of such professionals as a significant socio-historical process for the implementation of the National Universal Health System, developing tactics of successive approximation to the empirical labor mobility of medical, in methodological diversity, by the integration of quantitative and qualitative methods, using interviews, literature review and analysis of documents and secondary data research. Seizing up, beyond spatial, sectoral and professional, a temporal shift in the mobility of the workforce of medical doctors in the way it disposes the Brazilian system of health services. Capture the development of strategies and counter-strategies of mobility, indicating that, constituted as a dilemma, of lack or maldistribution of medical doctors, the problem often culminates being treated derivatively, restricted and repressed, although alluded their condition and determinants. Representations and thought thinking categories of actors of formation systems, management systems of health service and representation of the profession of medical doctors about the possibilities and limits of internalization of medical work in Brazil are gathered denoting the fragmentation and segmentation of the Brazilian health services system. It lends other contributions to epidemiology, sociology of work, psychology of work studies.
Unwin, MR. "Primary care to emergency department: right service, right time, right place." Thesis, 2021. https://eprints.utas.edu.au/38173/1/Unwin_whole_thesis.pdf.
Full textMaxey, Hannah L. "Understanding the Influence of State Policy Environment on Dental Service Availability, Access, and Oral Health in America's Underserved Communities." Thesis, 2014. http://hdl.handle.net/1805/5993.
Full textOral health is crucial to overall health and a focus of the U.S. Health Center program, which provides preventive dental services in medically underserved communities. Dental hygiene is an oral health profession whose practice is focused on dental disease prevention and oral health promotion. Variations in the practice and regulation of dental hygiene has been demonstrated to influence access to dental care at a state level; restrictive policies are associated lower rates of access to care. Understanding whether and to what extent policy variations affect availability and access to dental care and the oral health of medically underserved communities served by grantees of the U.S. Health Center program is the focus of this study. This longitudinal study examines dental service utilization at 1,135 health center grantees that received community health center funding from 2004 to 2011. The Dental Hygiene Professional Practice Index (DHPPI) was used as an indicator of the state policy environment. The influence of grantee and state level characteristics are also considered. Mixed effects models were used to account for correlations introduced by the multiple hierarchical structure of the data. Key findings of this study demonstrate that state policy environment is a predictor of the availability and access to dental care and the oral health status of medically underserved communities that received care at a grantee of the U.S. Health Center program. Grantees located in states with highly restrictive policy environments were 73% less likely to deliver dental services and, those that do, provided care to 7% fewer patients than those grantees located in states with the most supportive policy environments. Population’s served by grantees from the most restrictive states received less preventive care and had greater restorative and emergency dental care needs. State policy environment is a predictor of availability and access to dental care and the oral health status of medically underserved communities. This study has important implications for policy at the federal, state, and local levels. Findings demonstrate the need for policy and advocacy efforts at all levels, especially within states with restrictive policy environments.
Wilson, John Robert Jr. "Ethics in the service of the rare disease patient: Application of the thought of John Rawls and Paul Ramsey toward the increased availability of orphan drugs." Thesis, 1990. http://hdl.handle.net/1911/13482.
Full textGusterman, Teona. "Availability and access to health care for irregular migrants in Greece: a study about changes between 2010 and 2020." Thesis, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-414783.
Full textZuma, Sibusiso Memory. "The factors affecting availability of medicines in the Free State District Health Services." Diss., 2013. http://hdl.handle.net/10500/13331.
Full textHealth Studies
M.A. (Health Studies)
Nene, Minenhle Mbuso. "To examine the availability, accessibility and utilization of health care services in a rural area - Ndwedwe." Thesis, 2002. http://hdl.handle.net/10413/10389.
Full textThesis (M.A.)-University of Durban-Westville, 2002
Yiech, Deng Chuol. "Assessment of the availability of public health services in humanitarian responses in Gambella, Ethiopia." Thesis, 2020. http://hdl.handle.net/10500/27511.
Full textHealth Studies
Ph. D. (Public Health)
Platt, Jennica. "Geographic Access to Breast Reconstruction and the Influence of Plastic Surgeon Availability." Thesis, 2013. http://hdl.handle.net/1807/43301.
Full textTsuruda, Kaitlyn. "EVALUATING THE EFFECTS OF ORGANIZATIONAL POLICIES ON SURGEONS’ AVAILABILITY TO OPERATE: A COMPUTER SIMULATION APPROACH." 2011. http://hdl.handle.net/10222/14368.
Full textNtoa, Ntefeleng. "An examination of the availability and accessibility of health care services in the rural area of Shongweni." Thesis, 2004. http://hdl.handle.net/10413/4061.
Full textThesis (LL.M.)-University of Durban-Westville, 2004.
Ghosheh, Mona R. "Organizational cultural competence and the availability of outreach services for racial and ethnic minorities in university counseling centers." 2012. http://liblink.bsu.edu/uhtbin/catkey/1697792.
Full textDepartment of Counseling Psychology and Guidance Services
Tshibangu, Delphin-Cyrille. "The effects of availability of reproductive health services on the contraceptive use and method choice in the city of Tshwane Metropolitan Municipality." Thesis, 2009. http://hdl.handle.net/10539/6112.
Full textEunice, Bosede Avong. "Prescribing practices in the social health insurance programme at secondary hospitals in the federal capital territory, Abuja, Nigeria." Thesis, 2012. http://hdl.handle.net/11394/3956.
Full textThe World Health Organisation estimates that more than 50% of medicines are inappropriately used globally. The situation is worst in developing countries such as Nigeria, where irrational prescribing practices account for wastage of resources, catastrophic medicines costs and poor access to health services. In 2005, the Social Health Insurance Programme was launched as a financially sustainable model to achieve cost effective and affordable health care services including medicines. This study investigated prescribing practices and availability of medicines in the Social Health Insurance Programme in accredited public sector secondary hospitals in the Federal Capital Territory, Nigeria.Methodology:The study is a descriptive, cross-sectional and retrospective survey of prescriptions of insured outpatients in the Federal Capital Territory, Nigeria. Four hospitals were selected by stratification of thirteen (13) public secondary hospitals in the territory into urban/peri-urban areas, followed by random selection of two hospitals from each stratum.A total of seven hundred and twenty (720) retrospective prescription encounters of insured outpatients were systematically selected from encounters between July 2009 and June 2010 at the selected facilities. Data on prescribing practices and the extent to which prescribed medicines were provided were assessed with the use of modified WHO/INRUD indicators. Descriptive statistics were generated with Epi-info (version 3.4.3) and SPSS (version 17.0)Results: Out of the seven hundred and twenty (720) prescriptions that were assessed analgesics/NSAID, antibiotics, antimalarials and haematinics/vitamins collectively accounted for 67.4% of the medicines prescribed.A comparison of the results with WHO/Derived reference values showed that average number of medicines prescribed per prescription (3.5 ±1, p<0.001) and the rate of antibiotic prescribing (53.7%, p=0.009) were higher than the WHO recommended ranges of (1.6-1.8) and (20.0- 25.4%) respectively.The use of generic names in prescribing (50.9%, p<0.0009) and medicines prescribed from the Essential Medicine List (74.2%, p=0.05) were considerably lower than the standard (100%) However, the rate of injection prescribing (12.49%, p=0.4) was within the recommended range (10.1–17.0%).The study also found that 85.1%, (p=0.001) of prescribed medicines were dispensed, while 93.4% (p=0.256) of essential medicines were dispensed which was lower than the recommended standard (100%). Overall, only 58%,(p<0.0001) of patients had all prescribed medicines completely dispensed and this was significantly lower than the desired standard (100%.) in social health insurance programmes.Conclusions:The findings of this study show trends toward irrational prescribing practices as characterized by poly-pharmacy, overuse of antibiotics, sub-optimal generic prescribing, as well as poor adherence to the use of NHIS-Essential Medicine List. There was sub-optimal provision of prescribed medicines. These are potential threats to the scheme‟s goal of universal access to health care in the year 2015. Pragmatic multi-component interventions are recommended to promote rational prescribing and improve equity in access to essential medicines.
Prophète, Félix. "Équité d’utilisation des services de santé et de disponibilité des ressources en matière de santé dans la province de Québec." Thèse, 2012. http://hdl.handle.net/1866/9677.
Full textObjectives: The general objective of this study is to understand in what the use of health services and the availability of health resources in Quebec are fair. Methods: This cross-sectional and corelational study interests the 95 territories CSSS of Quebec, and covers the years 2006-2007 and 2008-2009. The material and social deprivation index of Pampalon is put in connection with two series of variables, such those of the use of the services by CSSS (hospital services; medical services; CLSC services) and those of availability of the resources (financial capacity; material capacity, human capacity; viability). To do it, analyses of variance were made. The integrative model of the health service performance (EGIPSS) and that of the use of the health services of Donabedian serve as frame of analysis. Results: The use of health services is fair as regards the material deprivation, but not in what concerned the social deprivation. The use of medical services dispensed by the general practitioners is more raised at the population the most favored socially compared with the most disadvantaged population. However, the use of the specialists is fairer than that of the general practitioners, it, for the populations disadvantaged so materially as socially. The avoidable hospitalizations are more raised at the population the most disadvantaged socially compared with the most favored. In terms of the availability of resources, the disadvantaged populations have more resources than the most favored populations. Conclusion: Generally, there are very few inequities in the use of health services in Quebec. Besides, the availability of the resources regarding health is relatively fair in Quebec, exception made by the distribution of the staff.