Journal articles on the topic 'Health service availability'
To see the other types of publications on this topic, follow the link: Health service availability.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Health service availability.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Immonen, Mika, Jyri Vilko, Jouni Koivuniemi, and Kaisu Laasonen. "Outcomes of public health reform – service availability in rural areas." International Journal of Public Sector Management 28, no. 1 (January 12, 2015): 42–56. http://dx.doi.org/10.1108/ijpsm-03-2014-0035.
Full textAbstract:
Purpose – The purpose of this paper is to focus on the availability and demanded locations of health care services in a rural context. The authors analyse subjective experiences because mobility and other individual factors influence the availability of public services. Design/methodology/approach – Results from a mail survey in southeastern Finland are presented. Data collection was conducted using a random sample of 3,000 people from age 60 to 90 years. A total of 1,121 valid responses were received. Findings – The acceptable distance to service sites depends on learned behaviour where differences exist between suburban and rural residents. The authors found that service networks can be sparser in rural areas if the service sites are located in the daily activity space of the residents and travel burdens caused by distance and time are adequately solved. However, continuous downscaling of the provision may lead to the loss of health benefits which is harmful for individuals and expensive for society. Research limitations/implications – Further research should assess a broader variety of residential areas from the perspective of service availability. The results presented do not enable a direct comparison of the service availability between cities and sparsely populated rural areas. Originality/value – The paper contributes to the debate on access barriers to public service in rural regions. The question of availability of public services is topical because increasing overall demand requires urgent productivity improvements in public services. Currently this is solved by centralisation to search economies of scale.
2
van Spijker, Bregje A., Jose A. Salinas-Perez, John Mendoza, Tanya Bell, Nasser Bagheri, Mary Anne Furst, Julia Reynolds, et al. "Service availability and capacity in rural mental health in Australia: Analysing gaps using an Integrated Mental Health Atlas." Australian & New Zealand Journal of Psychiatry 53, no. 10 (June 28, 2019): 1000–1012. http://dx.doi.org/10.1177/0004867419857809.
Full textAbstract:
Objective: Access to services and workforce shortages are major challenges in rural areas worldwide. In order to improve access to mental health care, it is imperative to understand what services are available, what their capacity is and where existing funds might be spent to increase availability and accessibility. The aim of this study is to investigate mental health service provision in a selection of rural and remote areas across Australia by analysing service availability, placement capacity and diversity. Method: This research studies the health regions of Western New South Wales and Country Western Australia and their nine health areas. Service provision was analysed using the DESDE-LTC system for long-term care service description and classification that allows international comparison. Rates per 100,000 inhabitants were calculated to compare the care availability and placement capacity for children and adolescents, adults and older adults. Results: The lowest diversity was found in northern Western Australia. Overall, Western New South Wales had a higher availability of non-acute outpatient services for adults, but hardly any acute outpatient services. In Country Western Australia, substantially fewer non-acute outpatient services were found, while acute services were much more common. Acute inpatient care services were more common in Western New South Wales, while sub-acute inpatient services and non-acute day care services were only found in Western New South Wales. Conclusion: The number and span of services in the two regions showed discrepancies both within and between regions, raising issues on the equity of access to mental health care in Australia. The standard description of the local pattern of rural mental health care and its comparison across jurisdictions is critical for evidence-informed policy planning and resource allocation.
3
Sadali, Mohammad Isnaini, Raden Rijanta, Lutfi Mutaali, and Andri Kurniawan. "Study of the service functions of health facilities in Yogyakarta Special Province." E3S Web of Conferences 325 (2021): 07006. http://dx.doi.org/10.1051/e3sconf/202132507006.
Full textAbstract:
The provision of public service facilities in settlement and regional environments is the right of the community to support a decent life and livelihood also to improve the quality of life. Therefore, the availability of health facilities must be considered so that every Indonesian can obtain their right to health services. This study aims to analyze the availability of health service facilities and the service function of health facilities in Yogyakarta Special Province. As a differentiator with previous research, the researcher conducted a analyze comprehensively by combining analysis of the centrality index and the service function to determine the hierarchy of health service centers. The location of this research is in the Yogyakarta Special Province with the smallest area analysis unit is the sub-district. The results showed that the availability of low order goods health service facilities was generally fulfilled in all sub-districts of Yogyakarta Special Province. Cities are still areas of high concentration of health services, this is reinforced by the highest centrality index and hierarchy of health facilities in Yogyakarta City.
4
Gasparini, Carlos Eduardo, and Francisco S. Ramos. "Relative deficit of health services in Brazilian states and regions." Brazilian Review of Econometrics 24, no. 1 (May 1, 2004): 75. http://dx.doi.org/10.12660/bre.v24n12004.2704.
Full textAbstract:
The paper analyzes the allocation of health services to Brazilian states and regions. A relative service deficit indicator is constructed to achieve that goal, using equity-based criteria, which means equality of access for equal need. The Data Envelopment Analysis (DEA) is used to estimate the best service availability frontier for equal need. The results show great differences in the availability of health services among Brazilian states and regions. In regional terms, the situation of the South is the best one, whereas the North experiences the worst deficit of health services. These disparities highlight the importance of deficit assessment as an instrument to guide public action, especially in the Brazilian context, where the coverage and availability of health services is a constitutional rule.
5
Whaley, Christopher, Jennifer Schneider Chafen, Sophie Pinkard, Gabriella Kellerman, Dena Bravata, Robert Kocher, and Neeraj Sood. "Association Between Availability of Health Service Prices and Payments for These Services." JAMA 312, no. 16 (October 22, 2014): 1670. http://dx.doi.org/10.1001/jama.2014.13373.
Full text
6
Pay, Dece Mery Natalia, Mindo Sinaga, and Marthen R. Pelokilla. "Utilization of Health Operational Assistance (BOK) in Nutrition Services in Public Health Center." Jurnal Kesehatan Masyarakat 12, no. 2 (March 14, 2017): 313–22. http://dx.doi.org/10.15294/kemas.v12i2.6045.
Full textAbstract:
Since BOK was launched in 2010, BOK utilization rate continued to increase while the NTT provincial nutrition service coverage did not increase, until 2013. This research aimed to analyze the relationship between the availability of operational funds, the availability of human resources, officers knowledge, infrastructure support, heads support and the appropriateness of fund utilization using BOK in nutritional services. This was a quantitative research which supported by a qualitative, cross-sectional design in 2015. The total sample of 250 health workers in 26 health centers of North Central Timor regency was included in this study. Data analysis was done using descriptive, bivariate and multivariate analyses. The results of the bivariate analysis using chi square test showed an association of (p <0.05) the availability of human resources (p = 0.017), officers knowledge (p = 0.000), infrastructure support (p = 0.004), heads support (p = 0.000) and the appropriateness of BOK fund utilization (p = 0.000) with the use of BOK in nutritional services. Meanwhile, the availability of operational funds is not associated with the use of BOK in nutritional services. Multivariate analysis showed that health centers with adequate human resources availability are seven times more likely to take advantage and make a good use of the nutritional services using BOK compared to health centers with the lack of human resources, after the infrastructure and head variable controlled. The government is required to provide adequate human resources, including financial administrative personnel and operational funding for health centers to optimize nutritional services. The government also needs to monitor the use of funds regularly and tiered to improve service coverage at the health center.
7
Acharya, Kiran, Raj Kumar Subedi, Sushma Dahal, and Rajendra Karkee. "Basic emergency obstetric and newborn care service availability and readiness in Nepal: Analysis of the 2015 Nepal Health Facility Survey." PLOS ONE 16, no. 7 (July 21, 2021): e0254561. http://dx.doi.org/10.1371/journal.pone.0254561.
Full textAbstract:
Background Achieving maternal and newborn related Sustainable Development Goals targets is challenging for Nepal, mainly due to poor quality of maternity services. In this context, we aim to assess the Basic Emergency Obstetric and Newborn Care (BEmONC) service availability and readiness in health facilities in Nepal by analyzing data from Nepal Health Facility Survey (NHFS), 2015. Methods We utilized cross-sectional data from the nationally representative NHFS, 2015. Service availability was measured by seven signal functions of BEmONC, and service readiness by the availability and functioning of supportive items categorized into three domains: staff and guidelines, diagnostic equipment, and basic medicine and commodities. We used the World Health Organization’s service availability and readiness indicators to estimate the readiness scores. We performed a multiple linear regression to identify important factors in the readiness of the health facilities to provide BEmONC services. Results The BEmONC service readiness score was significantly higher in public hospitals compared with private hospitals and peripheral public health facilities. Significant factors associated with service readiness score were the facility type (14.69 points higher in public hospitals, P<0.001), number of service delivery staff (2.49 points increase per each additional delivery staff, P<0.001), the service hours (4.89 points higher in facilities offering 24-hour services, P = 0.01) and status of periodic review of maternal and newborn deaths (4.88 points higher in facilities that conducted periodic review, P = 0.043). Conclusions These findings suggest that BEmONC services in Nepal could be improved by increasing the number of service delivery staff, expanding service hours to 24-hours a day, and conducting periodic review of maternal and newborn deaths at health facilities, mainly in the peripheral public health facilities. The private hospitals need to be encouraged for BEmONC service readiness.
8
Radwan, G., and A. Adawy. "Egyptian Health Map: A Road for Evidence-Based Decision Making." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 161s. http://dx.doi.org/10.1200/jgo.18.17900.
Full textAbstract:
Background and context: Egyptian health system is characterized by the multiple entities in charge of service regulation, financing and provision. In addition, health outcomes in Egypt mirror epidemiologic transition; with increasing prevalence of noncommunicable diseases (NCDs) and persistent high levels of selected communicable diseases (CDs), which put a huge financial burden on the health system's limited resources. This together with financial inefficiencies aggravates inequality in health services coverage and health outcomes. Aim: We aimed to map and link health services with key health outcomes to support efficient utilization of scarce resources and achieving Universal Health Coverage (UHC). Program/Policy process: Data on health services and health outcomes were obtained from Ministry of Health and Population (MOHP) and key national surveys. Data on health services' availability and coverage were compared in the different geographical regions. Correlation analysis was used to test “the relation” between selected service availability indicators and mortality rates from key NCDs and MMR. Outcomes: There was generally poor achievement of service availability national targets with wide geographical disparities. Cardiovascular diseases and cancers were the leading causes of death. There was a significant correlation between mortality from key NCDs and service availability indicators. Key risk factors such as tobacco use, obesity and high blood pressure are on the rise which was particularly evident among women. What was learned: Wide geographical disparities and increased burden of NCDs and their risk factors are identified as key challenges facing the health care system in Egypt. Priority setting in the light of these findings is crucial to support national efforts to attain health equity and UHC.
9
Sambo, Júlia, Adilson Fernando Loforte Bauhofer, Simone Boene, Marlene Djedje, António Júnior, Adalgisa Pilale, Luzia Gonçalves, Nilsa de Deus, and Sérgio Chicumbe. "Readiness of Mozambique Health Facilities to Address Undernutrition and Diarrhea in Children under Five: Indicators from 2018 and 2021 Survey Data." Healthcare 10, no. 7 (June 27, 2022): 1200. http://dx.doi.org/10.3390/healthcare10071200.
Full textAbstract:
The World Health Organization’s systems framework shows that service delivery is key to addressing pressing health needs. Inadequate healthcare and the lack of healthcare services are factors associated with undernutrition and diarrhea in children under five, two health conditions with high morbi-mortality rates in Mozambique. The aim of the analysis was to determine the readiness score of nutrition and diarrhea services for children under five and the influence of malaria and HIV (Human Immunodeficiency Virus) service readiness on the readiness of these two services. A total of 1644 public health facilities in Mozambique were included from the 2018 Service Availability and Readiness Assessment. Additionally, a cross-sectional study was conducted to determine the availability and readiness scores of nutrition services in 2021 in five referral health facilities. The availability of nutrition and diarrhea services for children is low in Mozambique, with both scoring below 75%. Major unavailability was observed for human resources, guidelines, and training dimensions. Diarrhea (median (IQ): 72.2% (66.7 to 83.3)) and nutrition service readiness (median (IQ): 57.1% (52.4 to 57.1)) scores were significantly different (p < 0.001), while it is desirable for both services to be comprehensively ready. Nutrition services are positively associated with diarrhea service readiness and both services are associated with malaria and HIV service readiness (p < 0.05). None of the health facilities had all tracer items available and none of the facilities were considered ready (100%). There is a persisting need to invest comprehensively in readiness dimensions, within and across child health services.
10
aljuaid, Hussain ali, Mohmad Saad Alkarani, Naif Saad Alkaraan, Ali Hamad Almegames, Abdulmohsen Saad Ali Alamri, Yahya Mohammed Alahamri, Youssef salem Alotaibi, Saad Abdullah Shuqayr, Maher Ahmed Alshehri, and Munirah Ali Mesfer Alquraini. "Assessment of Perceived Health Care Service Quality." International Journal Of Pharmaceutical And Bio-Medical Science 02, no. 12 (December 16, 2022): 652–57. http://dx.doi.org/10.47191/ijpbms/v2-i12-12.
Full textAbstract:
This article's objective is to describe a simplified method for developing and assessing the quality of healthcare-related research questions. This process involved three stages. The objective of the initial phase was to identify and investigate a scientific field. This field would be used to identify outputs such as analysis units, variables, and goals. The objective of the second stage was to formulate structured research questions based on the findings of the first phase. In general, research questions begin with interrogative adverbs (e.g., what and when), auxiliary verbs (e.g., is there and are there), or other auxiliaries (e.g., do, does, and did); followed by nouns nominalized from verbs of research objectives, such as association, correlation, influence, causation, prediction, and application; research variables (e.g., risk factors, efficiency, effectiveness, and safety); and units of measurement (e.g., patients with hypertension and general hospitals). The objective of the third stage was to evaluate the relevance, originality, generalizability, measurability, communicability, resource availability, and ethical considerations of the research questions. By adhering to the proposed streamlined procedure, inexperienced researchers can learn how to compose well-structured research questions with solid scientific value.
11
Way, William C., Ashley M. Coker-Cranney, and Jack C. Watson. "“So Many Mental Health Issues Go Unsaid”: Implications for Best Practice Guidelines From Student-Athletes’ Perspectives About Service Availability." Journal of Clinical Sport Psychology 14, no. 3 (September 1, 2020): 305–24. http://dx.doi.org/10.1123/jcsp.2019-0051.
Full textAbstract:
Using the framework of multidisciplinary best practice recommendations promoted by the National Collegiate Athletic Association, this study used a mixed-methods approach to investigate Division I student-athletes’ perceived access to and satisfaction with mental health service availability. Participants were asked about their satisfaction with direct (e.g., counseling, psychiatry, assessment) and indirect (e.g., mental health outreach, educational workshops) service availability, both on campus and within athletics. Results from a researcher-generated survey indicated that participants were moderately satisfied with service availability in each of the four contexts. Hierarchical multiple regressions revealed that student-athletes’ satisfaction was predicted by different factors for each service type-location combination. Qualitative data contained requests for more athlete-centered mental health services as well as more preventative outreach in general. These data provide a foundation for understanding factors that influence student-athletes’ satisfaction with mental health service availability and offer practical implications for current best practice recommendations.
12
Osborn, Eloise, Marida Ritha, Rona Macniven, Tim Agius, Vita Christie, Heather Finlayson, Josephine Gwynn, et al. "“No One Manages It; We Just Sign Them Up and Do It”: A Whole System Analysis of Access to Healthcare in One Remote Australian Community." International Journal of Environmental Research and Public Health 19, no. 5 (March 3, 2022): 2939. http://dx.doi.org/10.3390/ijerph19052939.
Full textAbstract:
Objective: To assess the accessibility, availability and utilisation of a comprehensive range of community-based healthcare services for Aboriginal people and describe contributing factors to providing effective healthcare services from the provider perspective. Setting: A remote community in New South Wales, Australia. Participants: Aboriginal and non-Aboriginal health and education professionals performing various roles in healthcare provision in the community. Design: Case study. Methodology: The study was co-designed with the community. A mixed-methods methodology was utilised. Data were gathered through structured interviews. Descriptive statistics were used to analyse the availability of 40 health services in the community, whilst quotations from the qualitative research were used to provide context for the quantitative findings. Results: Service availability was mapped for 40 primary, specialised, and allied health services. Three key themes emerged from the analysis: (1) there are instances of both underservicing and overservicing which give insight into systemic barriers to interagency cooperation; (2) nurses, community health workers, Aboriginal health workers, teachers, and administration staff have an invaluable role in healthcare and improving patient access to health services and could be better supported through further funding and opportunities for specialised training; and (3) visiting and telehealth services are critical components of the system that must be linked to existing community-led primary care services. Conclusion: The study identified factors influencing service availability, accessibility and interagency cooperation in remote healthcare services and systems that can be used to guide future service and system planning and resourcing.
13
Javadi, Dena, John Ssempebwa, John Bosco Isunju, Lucy Yevoo, Alberta Amu, Elizabeth Nabiwemba, Michaela Pfeiffer, Irene Agyepong, and Luc Severi. "Implementation research on sustainable electrification of rural primary care facilities in Ghana and Uganda." Health Policy and Planning 35, Supplement_2 (November 1, 2020): ii124—ii136. http://dx.doi.org/10.1093/heapol/czaa077.
Full textAbstract:
Abstract Access to energy is essential for resilient health systems; however, strengthening energy infrastructure in rural health facilities remains a challenge. In 2015–19, ‘Powering Healthcare’ deployed solar energy solutions to off-grid rural health facilities in Ghana and Uganda to improve the availability of maternal and child health services. To explore the links between health facility electrification and service availability and use, the World Health Organization (WHO), in partnership with Dodowa Health Research Centre and Makerere University School of Public Health, carried out an implementation research study. The objectives of this study were to (1) capture changes in service availability and readiness, (2) describe changes in community satisfaction and use and (3) examine the implementation factors of sustainable electrification that affect these changes. Data were collected through interviews with over 100 key informants, focus group discussions with over 800 community members and health facility assessment checklist adapted from the WHO’s Service Availability and Readiness Assessment tool. Implementation factors were organized using Normalization Process Theory constructs. The study found that access to energy is associated with increased availability of health services, access to communication technologies, appropriate storage of vaccines and medicines, enhanced health worker motivation and increased community satisfaction. Implementation factors associated with improved outcomes include stakeholder engagement activities to promote internalization, provision of materials and information to encourage participation, and establishment of relationships to support integration. Barriers to achieving outcomes are primarily health systems challenges—such as drug stockouts, lack of transportation and poor amenities—that continue to affect service availability, readiness and use, even where access to energy is available. However, through appropriate implementation and integration of sustainable electrification, strengthened energy infrastructure can be leveraged to catalyze investment in other components of functioning health systems. Improving access to energy in health facilities is, therefore, necessary but not sufficient for strengthening health systems.
14
Levy, Mitchell. "Changes in Electroconvulsive Therapy Service Availability." Journal of ECT 23, no. 2 (June 2007): 124–25. http://dx.doi.org/10.1097/yct.0b013e31803071c9.
Full text
15
Logan, TK, Erin Stevenson, Lucy Evans, and Carl Leukefeld. "Rural and Urban Women’s Perceptions of Barriers to Health, Mental Health, and Criminal Justice Services: Implications for Victim Services." Violence and Victims 19, no. 1 (February 2004): 37–62. http://dx.doi.org/10.1891/vivi.19.1.37.33234.
Full textAbstract:
The purpose of this study was to examine rural and urban women’s perceptions of barriers to health and mental health services as well as barriers to criminal justice system services. Eight focus groups were conducted, two in a selected urban county (n= 30 women) and two in each of three selected rural counties (n= 98 women). Results were classified into a barrier framework developed in the health service utilization literature which suggests there are four main dimensions of barriers: affordability, availability, accessibility, and acceptability. Results indicate that: (1) women face many barriers to service use including affordability, availability, accessibility, and acceptability barriers; (2) it takes an inordinate level of effort to obtain all kinds of services; however, women with victimization histories may face additional barriers over and above women without victimization histories; (3) barriers to health and mental health service utilization overlap with barriers to utilizing the criminal justice system; and (4) there are many similarities in barriers to service use among rural and urban women; however, there are some important differences suggesting barriers are contextual. Future research is needed to further clarify barriers to service use for women with victimization histories in general, and specifically for rural and urban women. In addition, future research is needed to better understand how women cope with victimization in the context of the specific barriers they face in their communities.
16
O’Neill, Kathryn, Marina Takane, Ashley Sheffel, Carla Abou-Zahr, and Ties Boerma. "Monitoring service delivery for universal health coverage: the Service Availability and Readiness Assessment." Bulletin of the World Health Organization 91, no. 12 (September 30, 2013): 923–31. http://dx.doi.org/10.2471/blt.12.116798.
Full text
17
KC, Ashish, Dipendra Raman Singh, Madan Kumar Upadhyaya, Shyam Sundar Budhathoki, Abhishek Gurung, and Mats Målqvist. "Quality of Care for Maternal and Newborn Health in Health Facilities in Nepal." Maternal and Child Health Journal 24, S1 (December 17, 2019): 31–38. http://dx.doi.org/10.1007/s10995-019-02846-w.
Full textAbstract:
Abstract Introduction Nepal has pledged to substantially reduce maternal and newborn death by 2030. Improving quality of intrapartum health services will be vital to reduce these deaths. This paper examines quality of delivery and newborn services in health facilities of Nepal. Methods Data were sourced from the Nepal Health Facility Survey 2015, which covered a national representative sample of health facilities. The datasets were analysed to assess service readiness, availability and quality of delivery and newborn care in a sample of 992 health facilities. Results Of the 992 facilities in the sample, 623 provided delivery and newborn care services. Of the 623 facilities offering delivery and newborn care services, 13.3% offered comprehensive emergency obstetric care (CEmONC), 19.6% provided basic emergency obstetric care (BEmONC) and 53.9% provided basic delivery and newborn service. The availability of essential equipment for delivery and newborn care was more than 80% in health facilities. Except for the coverage of vitamin K injection, the coverage of immediate newborn care was more than 85% in all health facilities. The coverage of use of chlorhexidine ointment to all newborns was more than 70% in government hospitals and primary health care centers (PHCCs) and only 32.3% in private hospitals. Conclusions These findings show gaps in equipment and drugs, especially in PHCCs and private health facilities. Improving readiness and availability of equipment and drugs in PHCCs and private health facility will help improve the quality of care to further reduce maternal and newborn mortality in Nepal.
18
Pratiwi, Agnes Bhakti, Hermawati Setiyaningsih, Maarten Olivier Kok, Trynke Hoekstra, Ali Ghufron Mukti, and Elizabeth Pisani. "Is Indonesia achieving universal health coverage? Secondary analysis of national data on insurance coverage, health spending and service availability." BMJ Open 11, no. 10 (October 2021): e050565. http://dx.doi.org/10.1136/bmjopen-2021-050565.
Full textAbstract:
ObjectivesTo analyse the relationship between health need, insurance coverage, health service availability, service use, insurance claims and out-of-pocket spending on health across Indonesia.DesignSecondary analysis of nationally representative quantitative data. We merged four national data sets: the National Socioeconomic Survey 2018, National Census of Villages 2018, Population Health Development Index 2018 and National Insurance Records to end 2017. Descriptive analysis and linear regression were performed.SettingIndonesia has one of the world’s largest single-payer national health insurance schemes. Data are individual and district level; all are representative for each of the country’s 514 districts.ParticipantsAnonymised secondary data from 1 131 825 individual records in the National Socioeconomic Survey and 83 931 village records in the village census. Aggregate data for 220 million insured citizens.Primary outcome measuresHealth service use and out-of-pocket payments, by health need, insurance status and service availability. Secondary outcome: insurance claims.ResultsSelf-reported national health insurance registration (60.6%) is about 10% lower compared with the insurer’s report (71.1%). Insurance coverage is highest in poorer areas, where service provision, and thus service use and health spending, are lowest. Inpatient use is higher among the insured than the uninsured (OR 2.35, 95% CI 2.27 to 2.42), controlling for health need and access), and poorer patients are most likely to report free inpatient care (53% in wealth quintile 1 vs 41% in Q5). Insured patients spend US$ 3.14 more on hospitalisation than the uninsured (95% CI 1.98 to 4.31), but the difference disappears when controlled for wealth. Lack of services is a major constraint on service use, insurance claims and out-of-pocket spending.ConclusionsThe Indonesian public insurance system protects many inpatients, especially the poorest, from excessive spending. However, others, especially in Eastern Indonesia cannot benefit because few services are available. To achieve health equity, the Indonesian government needs to address supply side constraints and reduce structural underfunding.
19
Snowdon, John. "Mental health service delivery in long-term care homes." International Psychogeriatrics 22, no. 7 (June 18, 2010): 1063–71. http://dx.doi.org/10.1017/s1041610210000773.
Full textAbstract:
ABSTRACTBackground:The prevalence of mental disorders in long-term care (LTC) homes is high, but quality and availability of mental health services to assess and help in management of cases have been criticized.Method:Literature concerning mental health problems in LTC homes was reviewed, especially regarding models of mental health service delivery and factors that affect development, persistence and reduction of symptoms and distress.Results:The advantages of consultation-liaison arrangements and of telepsychiatry were noted. Discussions led to development of recommendations aimed at improving mental health expertise and provision of assessment and intervention services in LTC homes in diverse countries. Prompt recognition of mental health problems among residents is required, with availability of a team working within the facility to deal with these problems. Commonly such multidisciplinary teams are formed by facility staff linking with visiting mental health professionals or services. Quality of care is also affected by the organization, attitudes and education within LTC facilities.Conclusion:Provision of optimal mental health care in LTC settings is dependent on adequate funding, availability of expertise and education, positive and caring attitudes, recognition of needs, and supportive teamwork. The latter should include cooperative links between well-resourced and under-resourced regions.
20
Mitra, Anupam, and Shivangi Shukla. "An Empirical study on availability of Health Care Services in Zarol village as per the Indian Public Health Standards." Independent Journal of Management & Production 10, no. 1 (February 1, 2019): 216. http://dx.doi.org/10.14807/ijmp.v10i1.817.
Full textAbstract:
An Empirical study on the topic of an availability of Health care services in Zarol village as per the Indian Public Health Standards has been undertaken with the main objective to find out the prevailing gap between expected health standards and actual Indian Public health standards. The study was descriptive in nature. A sample of 80 respondents were undertaken for survey. Data were collected through structured closed ended questionnaire by using Non-probability convenience sampling method through personally interviewing the respondents. The analysis was done by using various tests in SPSS. The Service Quality Dimensions were used to measure the Service Quality Assurance of Public Health care services.
21
Ekenna, Adanma, Ijeoma Uchenna Itanyi, Ugochukwu Nwokoro, Lisa R. Hirschhorn, and Benjamin Uzochukwu. "How ready is the system to deliver primary healthcare? Results of a primary health facility assessment in Enugu State, Nigeria." Health Policy and Planning 35, Supplement_1 (November 1, 2020): i97—i106. http://dx.doi.org/10.1093/heapol/czaa108.
Full textAbstract:
Abstract Primary health centres are an effective means of achieving access to primary healthcare (PHC) in low- and middle-income countries. We assessed service availability, service readiness and factors influencing service delivery at public PHC centres in Enugu State, Nigeria. We conducted a cross-sectional study of 60 randomly selected public health centres in Enugu using the World Health Organization’s Service Availability and Readiness Assessment (SARA) survey. The most senior health worker available was interviewed using the SARA questionnaire, and an observational checklist was used for the facility assessment. None of the PHC centres surveyed had all the recommended service domains, but 52 (87%) offered at least half of the recommended service domains. Newborn care and immunization (98.3%) were the most available services across facilities, while mental health was the least available service (36.7%). None of the surveyed facilities had a functional ambulance or access to a computer on the day of the assessment. The specific-service readiness score was lowest in the non-communicable disease (NCD) area (33% in the rural health centres and 29% in the urban health centres) and NCD medicines and supplies. Availability of medicine and supplies was also low in rural PHC centres for the communicable disease area (36%) and maternal health services (38%). Basic equipment was significantly more available in urban health centres (P = 0.02). Urban location of facilities and the presence of a medical officer were found to be associated with having at least 50% of the recommended infrastructure / basic amenities and equipment. Continuing medical education, funding and security were identified by the health workers as key enablers of service delivery. In conclusion, despite a focus on expanding primary care in Enugu State, significant gaps exist that need to be closed for PHC to make significant contributions towards achieving universal healthcare, core to achieving the health-related Sustainable Development Goal agenda.
22
Dominic, Azuh, Adeyemi Ogundipe, and Oluwatomisin Ogundipe. "Determinants of Women Access to Healthcare Services in Sub-Saharan Africa." Open Public Health Journal 12, no. 1 (December 31, 2019): 504–14. http://dx.doi.org/10.2174/1874944501912010504.
Full textAbstract:
Background: The study examined the socio-economic determinants of women access to healthcare services in Sub-Saharan Africa for the period 1995-2015. Methods: The study adopted the dynamic panel model and estimated it using the System Generalized Method of Moments in a bid to overcome the endogeneity problem inherent in the model of study. Result: The study harmonized the theoretical strands in the literature by describing the measure of access determinants as three main components; i. Health service availability, ii. Health service utilization and iii. Health service decision. Conclusion: The indicators of health service availability such as community health workers, physicians, nurses and midwives and hospital beds improve women's access to healthcare facilities in Africa. Also, health service utilization indicators such as population density worsen the quality of healthcare services available to women while electricity access and private health expenditure enhance women’s access to quality healthcare delivery. Health service decision indicators such as female bank account ownership, female labour force participation, attainment of basic education and female household headship were important in enhancing women's access to healthcare facilities. Generally, women's health outcomes were more responsive to health service utilization; implying that service utilization is an important proof of healthcare access in Africa.
23
Bonsu, Frank, Felix Afutu, Nii Nortey Hanson-Nortey, Mary-Anne Ahiabu, and Joshua Amo-Adjei. "Satisfaction of tuberculosis patients with health services in Ghana." International Journal of Health Care Quality Assurance 30, no. 6 (August 14, 2017): 545–53. http://dx.doi.org/10.1108/ijhcqa-10-2016-0146.
Full textAbstract:
Purpose Within human services, client satisfaction is highly prioritised and considered a mark of responsiveness in service delivery. A large body of research has examined the concept of satisfaction from the perspective of service users. However, not much is known about how service providers construct client satisfaction. The purpose of this paper is to throw light on healthcare professionals’ perspectives on patient satisfaction, using tuberculosis (TB) clinics as a case study. Design/methodology/approach In-depth interviews were conducted with 35 TB clinic supervisors purposively sampled from six out of the ten regions of Ghana. An unstructured interview guide was employed. The recorded IDIs were transcribed, edited and entered into QSR NVivo 10.0 and analysed inductively. Findings Respondents defined service satisfaction as involving education/counselling (on drugs, nature of condition, sputum production, caregivers and contacts of patients), patient follow-up, assignment of reliable treatment supporters as well as being attentive and receptive to patients, service availability (e.g. punctuality at work, availability of commodities), positive assurances about disease prognosis and respect for patients. Practical implications Complementing opinions of health service users with those of providers can offer key performance improvement areas for health managers. Originality/value To the best of the authors’ knowledge, this is a first study that has examined healthcare providers’ views on what makes their clients satisfied with the services they provide.
24
HONG, SONG-IEE, LESLIE HASCHE, and MI JIN LEE. "Service use barriers differentiating care-givers' service use patterns." Ageing and Society 31, no. 8 (February 7, 2011): 1307–29. http://dx.doi.org/10.1017/s0144686x10001418.
Full textAbstract:
ABSTRACTThis study describes what types of service use barriers older adults' informal care-givers perceive and examines how these barriers differentiate care-giver service use patterns. Analysing the 2004 National Long-Term Care Survey and Informal Care-giver Data Set (N=1908) in the United States of America, this study reports the prevalence of service barriers for each type of service as well as for overall service use. Service barriers are measured in terms of availability, awareness, affordability, staff quality, privacy violation, complex bureaucracy, language barriers, qualification of each programme and no thought of service. Andersen's health behaviour model guides determinants related to care-giver service use patterns. As a main outcome, care-giver service use patterns (light service users, selective in-home users, and multiple service users) are examined in relation to service use barriers when other predisposing, enabling and need variables are controlled. Of the ten service use barriers defined in this study, awareness and no thought of service are the most prevalent barriers. Care-givers reporting service barriers of availability, awareness and affordability are more likely to be light service users compared to multiple service users and selective in-home service users. These findings highlight the significance of enhancing awareness of care-giver supportive services as well as increasing availability and financial support for service use.
25
Acharya, Kiran, Rajshree Thapa, Navaraj Bhattarai, Kiran Bam, and Bhagawan Shrestha. "Availability and readiness to provide sexually transmitted infections and HIV testing and counselling services in Nepal: evidence from comprehensive health facility survey." BMJ Open 10, no. 12 (December 2020): e040918. http://dx.doi.org/10.1136/bmjopen-2020-040918.
Full textAbstract:
ObjectiveWe assessed the availability and readiness of health facilities to provide sexually transmitted infections (STI) and HIV testing and counselling (HTC) services in Nepal.DesignThis was a cross-sectional study.SettingWe used data from the most recent nationally representative Nepal Health Facility Survey (NHFS) 2015. A total of 963 health facilities were surveyed with 97% response rate.Primary and secondary outcome measuresThe primary outcome of this study was to assess the availability and readiness of health facilities to provide STI and HTC services using the WHO Service Availability and Readiness Assessment (SARA) manual.ResultsNearly three-fourths (73.8%) and less than one-tenth (5.9%) of health facilities reported providing STI and HTC services, respectively. The mean readiness score of STI and HTC services was 26.2% and 68.9%, respectively. The readiness scores varied significantly according to the managing authority (private vs public) for both STI and HTC services. Interestingly, health facilities with external supervision had better service readiness scores for STI services that were almost four points higher than compared with those facilities with no external supervision. Regarding HTC services, service readiness was lower at private hospitals (32.9 points lower) compared to government hospitals. Unlike STI services, the readiness of facilities to provide HTC services was higher (4.8 point higher) at facilities which performed quality assurance.ConclusionThe facility readiness for HTC service is higher than that for STI services. There are persistent gaps in staff, guidelines and medicine and commodities across both services. Government of Nepal should focus on ensuring constant supervision and quality assurance, as these were among the determining factors for facility readiness.
26
Makuc, Diane M., Bengt Haglund, Deborah D. Ingram, Joel C. Kleinman, and Jacob J. Feldman. "The Use of Health Service Areas for Measuring Provider Availability." Journal of Rural Health 7, s4 (September 1991): 347–56. http://dx.doi.org/10.1111/j.1748-0361.1991.tb00380.x.
Full text
27
M. Makuc, Diane, Bengt Haglund, Deborah D. Ingram, Joel C. Kleinman, and Jacob J. Feldman. "The Use of Health Service Areas for Measuring Provider Availability*." Journal of Rural Health 7, no. 4 (September 1991): 347–56. http://dx.doi.org/10.1111/j.1748-0361.1991.tb01078.x.
Full text
28
Adhikari, Shiva Raj, Diksha Sapkota, Arjun Thapa, and Achyut Raj Pandey. "Evaluation of Nepal’s Free Health Care Scheme from Health System Perspective: A Qualitative Analysis." Journal of Nepal Health Research Council 16, no. 41 (January 28, 2019): 372–77. http://dx.doi.org/10.33314/jnhrc.v16i41.1584.
Full textAbstract:
Background: Access to high quality medicines is often considered as one of the main obstacle in achieving health for all. With the objective of increasing access to health services of poor segment of population, government of Nepal has implemented free health care program. However, there is strong need for evaluating the performance and coverage of free health Care scheme. In this context, this study aims to provide better understanding on the implementation status of free health care scheme in context of Nepal.Methods: It is a qualitative study conducted in 7 districts of Nepal. Total of 14 focused group discussion were conducted among service providers and service users. All the discussions were carried in neutral and natural setting making sure that each of participants feels free to express their opinion. Focused group discussions were transcribed, translated into English, coded and analyzed manually.Results: Participants shared that free health care has contributed positively in making essential health services reachable, affordable and accessible to all specially benefiting poor segment of population. However, multitude of factors like geographical access, perception of community people towards health services, availability of medicines, laboratory services and human resources come into play determining the utilization of health services. Service providers recommended that there need to be improvements in procurement and supply system for uninterrupted supply of services.Conclusions: Despite having some problems in availability of medicines, human resource and diagnostic services, free health care has improved access to health services specially for poor population. Decentralizing the procurement process can be one promising option to overcome the inappropriate supply of medicines.Keywords: Access to medicine; financial risk; free health care; Nepal; poor.
29
Manan, Fatkhul, Muh Nasir, and Saidin Saidin. "Strategi Inovasi Pelayanan Kesehatan Pada Rumah Sakit Umum Daerah Kota Kendari." NeoRespublica : Jurnal Ilmu Pemerintahan 1, no. 2 (May 25, 2020): 119. http://dx.doi.org/10.52423/neores.v1i2.10427.
Full textAbstract:
This study aims to determine the Health Service Innovation Strategy at the Kendari City General Hospital. The method used in this research is a qualitative descriptive study by collecting data through observation, interviews, and documentation.Determination of informants in this study was conducted by purposive sampling. While the data analysis technique uses a qualitative descriptive analysis model. The results of this study indicate that the health service innovation strategy at Kendari City Hospital is a web application-based referral information system innovation regarding the availability of Inpatient Rooms or known as the Innovation System for Patient Referral Room Availability Systems (SEKAR) with this service information system for all Puskesmas in Kendari City can utilize this information to provide maximum referral services to the people of Kendari City in particular even the people of Southeast Sulawesi in general with the aim of minimizing public complaints about the uncertainty of room availability. With this information, handling is faster so that it can prevent deaths due to delayed access to services. In the application of this innovation, the management of Kendari City Hospital still faces several obstacles including the lack of socialization and publication about this health service, updating patient data in each hospital room becomes an obstacle. In addition, the budget as a fulfillment of the availability of supporting facilities such as computers is still limitedKeywords: Health, Innovation, Services, Strategies
30
HOTCHKISS, DAVID R., NANCY B. MOCK, and ERIC E. SEIBER. "THE EFFECT OF THE HEALTH CARE SUPPLY ENVIRONMENT ON CHILDREN’S NUTRITIONAL STATUS IN RURAL NEPAL." Journal of Biosocial Science 34, no. 2 (March 26, 2002): 173–92. http://dx.doi.org/10.1017/s0021932002001736.
Full textAbstract:
This article examines the effect of access to health infrastructure, personnel and services on children’s nutritional status in rural Nepal. Data for the study come from the 1996 Nepal Living Standards Survey, which includes individual- and household-level information on children’s nutritional status and its environmental and socioeconomic determinants, and community-level information on the availability of health care infrastructure, personnel and services. The study uses a structural modelling approach to assess the relative contributions of the health care supply environment on children’s anthropometric status via the pathway of maternal and child health (MCH) service use. The findings suggest that improvements in the availability of outreach clinics and the structural quality of the closest public facility would be expected to have statistically significant and large effects on the use of MCH services, and that increases in MCH service use would have a statistically significant impact on weight-for-age, but not weight-for-height or height-for-age. The overall impact of the heath care supply environment on nutritional status is assessed through a series of policy simulations.
31
Devkota, Gaurav, Puspa Basnet, Bijay Thapa, and Madhusudan Subedi. "Factors affecting utilization of mental health services from Primary Health Care (PHC) facilities of western hilly district of Nepal." PLOS ONE 16, no. 4 (April 30, 2021): e0250694. http://dx.doi.org/10.1371/journal.pone.0250694.
Full textAbstract:
Aim To explore the factors affecting mental health service utilization from Primary Health Care facilities of Arghakhanchi district, a western hilly district of Nepal. Background Mental health service utilization has many facilitating and hindering factors present at different socio-ecological levels. Stigma and lack of awareness in the community have been identified as the major barriers for mental health service demand and access worldwide. Methods A cross-sectional qualitative study was conducted in Arghakhanchi district of Nepal in July-August 2019 that collected information through face-to-face In-depth and Key Informant Interviews of three categories of participants selected judgmentally. Thirty-two purposively selected participants from the three categories were interviewed using validated interview guidelines. Thematic analysis was performed using RQDA package for EZR software. Validation of translated transcripts, member checking and inter-coder percent agreement were performed to maintain rigor in the study. Results Mental health stigma and inadequate awareness were identified as major factors that caused barriers for mental health service utilization at community level. They also influenced different factors at other socio-ecological levels to act as barriers. Awareness in community along with accessibility and availability of comprehensive mental health services were recommended by the participants for increasing service utilization from Primary Health Care facilities. Conclusion Individual, family and community awareness could help reduce and/or eliminate mental health stigma. Accessibility of health facilities and availability of comprehensive mental health services in Primary Health Care facilities could help increase service utilization from those facilities.
32
Saputra, Trio. "CAPAIAN PELAYANAN KESEHATAN DASAR DI KOTA PEKANBARU." JURNAL ILMU SOSIAL 16, no. 1 (November 14, 2017): 47. http://dx.doi.org/10.14710/jis.16.1.2017.47-57.
Full textAbstract:
Minimum service standards hereinafter abbreviated SPM is a provision of the type and quality of basic services that are obligatory area obtained every citizen is entitled to a minimum. Minimum Service Standards health sector Health hereinafter referred SPM is a benchmark performance of health services, held the Regency / City. Health decentralization in Indonesia has been implemented since 2001. Basic health services Pekanbaru City can not be said to be good. Total availability of medical personnel and doctors are not proportional to the population. Distribution of medical personnel and doctors uneven per-districts in the city of Pekanbaru. Besides the availability of health centers, polyclinics and sub Per-districts are also uneven. Pekanbaru city has not had a referral hospital, although their Arifin Achmad.
33
Khlynin, M. S. "Population appraisal of health and quality of medical aid as indexes of conducted modernization in public health service." Bulletin of Siberian Medicine 8, no. 1 (February 28, 2009): 97–100. http://dx.doi.org/10.20538/1682-0363-2009-1-97-100.
Full textAbstract:
Is determined that the population’s attitude to accessibility, quality of charge-free and paid medical services is depended on a financial status, state of health, availability of diseases and age. The paid medical service development will reduce the use of medical aid according to the compulsory medical insurance program that will allow to spend more resources on less wealthy groups of people. The expediency of health indexes monitoring, competitive relations development, motivation in public health service is proved to be necessary.
34
Syafruddin, Syafruddin, La Ode Saafi, Erwin Azizi Jayadipraja, Timbul Supodo, and Sunarsih. "Factors Related to the Utilization of Health Services in the Outstanding Unit in the Regional General Hospital of Buton North Regency." Waluya The International Science And Health Journal 1, no. 2 (June 27, 2022): 58–65. http://dx.doi.org/10.54883/wish.v1i2.11.
Full textAbstract:
Introduction:Service utilization is the use of service facilities provided either in the form of outpatient care, inpatient care, home visits by health workers or other forms of utilization of these services based on the availability and continuity of services, public acceptance and fairness, easily accessible by the community, affordable, and quality.
Methods:This research is quantitative research with a cross-sectional study design. The population in this study amounted to 352 respondents. The sample size is 187 respondents.
Results: The average significance of respondents to four variables, the variable of health service availability is 0.000, the variable of access to health services is 0.002, the variable is cost affordability, the value is 0.000, the variable of Service Acceptance is 0.000. Of the four variables have a relationship with the utilization of outpatient health services.
Conclusion: The average the four variables with the level of trust that exists based on the significance number has factors related to the utilization of health services which are quite closely related to the condition and situation of hospital services when patients make visits.
35
Anderson, David, Peter Connelly, Richard Meier, and Cherie McCracken. "Mental health service discrimination against older people." Psychiatrist 37, no. 3 (March 2013): 98–103. http://dx.doi.org/10.1192/pb.bp.112.040097.
Full textAbstract:
Aims and methodTo provide a picture of availability and equality of access to mental health services for older people prior to the Equality Act. In 2010, a questionnaire was sent to health commissioners in England, Scotland and Wales under a Freedom of Information request.ResultsOverall, 132 (76%) replied. Of 11 services, 7 were either unavailable or did not provide equality of access to older people in more than a third of commissioning areas. When provided by specialist older people's mental health, services were more often considered to ensure equality.Clinical implicationsIncreasing need resulting from an ageing population is unlikely to be met in the face of current inequality. Inequality on the basis of age is the result of government policy and not the existence of specialist services for older people. Single age-inclusive services may create indirect age discrimination. Availability alone is insufficient to demonstrate equality of access. Monitoring the effects of legislation must take this into account.
36
Warner, Mildred E., Yuanshuo Xu, and Lydia J. Morken. "What Explains Differences in Availability of Community Health-Related Services for Seniors in the United States?" Journal of Aging and Health 29, no. 7 (June 21, 2016): 1160–81. http://dx.doi.org/10.1177/0898264316654675.
Full textAbstract:
Objective: This study analyzes the links between planning, the built environment, and availability of health-related community services across U.S. urban and rural communities. Method: We analyze the first national survey of health-related community services for seniors (2010 Maturing of America), covering 1,459 U.S. cities and counties. We tested the influence of morbidity (diabetes and obesity), city management, socioeconomic characteristics, planning and the built environment, metro status, and government finance. Results: Community health-related services are more common in places that plan for and involve seniors in planning processes. Places with higher need and government capacity also show higher levels. Service levels in rural communities are not lower after controlling for other population characteristics. Morbidity measures (diabetes and obesity) do not explain differences in service availability. Discussion: Policies promoting planning for aging and elder involvement in the planning process have the greatest impact on the level of community health-related services for seniors.
37
Dale, Oliver, Faisil Sethi, Clive Stanton, Sacha Evans, Kirsten Barnicot, Rosemary Sedgwick, Steve Goldsack, et al. "Personality disorder services in England: findings from a national survey." BJPsych Bulletin 41, no. 5 (October 2017): 247–53. http://dx.doi.org/10.1192/pb.bp.116.055251.
Full textAbstract:
Aims and methodWe aimed to evaluate the availability and nature of services for people affected by personality disorder in England by conducting a survey of English National Health Service (NHS) mental health trusts and independent organisations.ResultsIn England, 84% of organisations reported having at least one dedicated personality disorder service. This represents a fivefold increase compared with a 2002 survey. However, only 55% of organisations reported that patients had equal access across localities to these dedicated services. Dedicated services commonly had good levels of service use and carer involvement, and engagement in education, research and training. However, a wider multidisciplinary team and a greater number of biopsychosocial interventions were available through generic services.Clinical implicationsThere has been a substantial increase in service provision for people affected by personality disorder, but continued variability in the availability of services is apparent and it remains unclear whether quality of care has improved.
38
Kouanda, Seni, Eunice Nahyuha Chomi, Caron Kim, Sothornwit Jen, Luis Bahamondes, Jose Guilherme Cecatti, Pisake Lumbiganon, et al. "Health systems analysis and evaluation of the barriers to availability, utilisation and readiness of sexual and reproductive health services in COVID-19-affected areas: a WHO mixed-methods study protocol." BMJ Open 12, no. 6 (June 2022): e057810. http://dx.doi.org/10.1136/bmjopen-2021-057810.
Full textAbstract:
IntroductionCOVID-19 has led to an unprecedented increase in demand on health systems to care for people infected, necessitating the allocation of significant resources, especially medical resources, towards the response. This, compounded by the restrictions on movement instituted may have led to disruptions in the provision of essential services, including sexual and reproductive health (SRH) services. This study aims to assess the availability of contraception, comprehensive abortion care, sexually transmitted infection prevention and treatment and sexual and gender-based violence care and support services in local health facilities during COVID-19 pandemic. This is a standardised generic protocol designed for use across different global settings.Methods and analysisThis study adopts both quantitative and qualitative methods to assess health facilities’ SRH service availability and readiness, and clients’ and providers’ perceptions of the availability and readiness of these services in COVID-19-affected areas. The study has two levels: (1) perceptions of clients (and the partners) and healthcare providers, using qualitative methods, and (2) assessment of infrastructure availability and readiness to provide SRH services through reviews, facility service statistics for clients and a qualitative survey for healthcare provider perspectives. The health system assessment will use a cross-sectional panel survey design with two data collection points to capture changes in SRH services availability as a result of the COVID-19 epidemic. Data will be collected using focus group discussions, in-depth interviews and a health facility assessment survey.Ethics and disseminationEthical approval for this study was obtained from the WHO Scientific and Ethics Review Committee (protocol ID CERC.0103). Each study site is required to obtain the necessary ethical and regulatory approvals that are required in each specific country.
39
Cooper, Chelsea M., Jacqueline Wille, Steven Shire, Sheila Makoko, Asnakew Tsega, Anne Schuster, Hannah Hausi, Hannah Gibson, and Hannah Tappis. "Integrated Family Planning and Immunization Service Delivery at Health Facility and Community Sites in Dowa and Ntchisi Districts of Malawi: A Mixed Methods Process Evaluation." International Journal of Environmental Research and Public Health 17, no. 12 (June 24, 2020): 4530. http://dx.doi.org/10.3390/ijerph17124530.
Full textAbstract:
The Government of Malawi’s Health Sector Strategic Plan II highlights the importance of service integration; however, in practice, this has not been fully realized. We conducted a mixed methods evaluation of efforts to systematically implement integrated family planning and immunization services in all health facilities and associated community sites in Ntchisi and Dowa districts during June 2016–September 2017. Methods included secondary analysis of service statistics (pre- and postintervention), focus group discussions with mothers and fathers of children under age one, and in-depth interviews with service providers, supervisors, and managers. Results indicate statistically significant increases in family planning users and shifts in use of family planning services from health facilities to community sites. The intervention had no effect on immunization doses administered or dropout rates. According to mothers and fathers, benefits of service integration included time savings, convenience, and improved understanding of services. Provision and use of integrated services were affected by availability of human resources and commodities, community linkages, data collection procedures and availability, sociocultural barriers, organization of services, and supervision and commitment of health surveillance assistants. The integration approach was perceived to be feasible and beneficial by clients and providers.
40
Islam, Mohammad Rashemdul, Shamima Parvin Laskar, and Darryl Macer. "A Study on Service Availability and Readiness Assessment of Non-Communicable Diseases Using the WHO Tool for Gazipur District in Bangladesh." Bangladesh Journal of Bioethics 7, no. 2 (July 23, 2016): 1–13. http://dx.doi.org/10.3329/bioethics.v7i2.30785.
Full textAbstract:
Non-communicable diseases (NCDs) disproportionately affect low and middle-income countries where nearly three quarters of NCD deaths occur. Bangladesh is also in NCD burden. This cross-sectional study was done on 50 health facilities centres at Gazipur district in Bangladesh from July 2015 to December 2015 to introduce SARA for better monitoring and evaluation of non-communicable diseases health service delivery. The General Service readiness index score was 61.52% refers to the fact that about 62% of all the facilities were ready to provide general services like basic amenities, basic equipment, standard precautions for infection prevention, and diagnostic capacity and essential medicines to the patients. But in case of non-communicable diseases, among all the health facilities 40% had chronic respiratory disease and cardiovascular diseases diagnosis/ management and only 32% had availability of diabetes diagnosis/management. Overall readiness score was 52% in chronic respiratory disease, 73% in cardiovascular disease and 70% in diabetes. Therefore, service availability and readiness of the health facilities to provide NCD related health services were not up to the mark for facing future targets. A full-scale census survey of all the facilities of the study area would give a better understanding of the availability and service readiness.
41
Hakim, Raudha, and Masnur Hasan. "An Analysis the Service Level of Ternate – Bitung Ferry Route." E3S Web of Conferences 328 (2021): 10024. http://dx.doi.org/10.1051/e3sconf/202132810024.
Full textAbstract:
Data analysis in this study was carried out using the Importance Performance Analysis (IPA) analysis method. Importance Performance Analysis (IPA) is used to map the relationship between service (importance) and performance (performance) of each service attribute according to the assessment/perception of passengers on the Ternate – Bitung Ferry. The level of service of the Ternate-Bitung Sea transportation mode using the Importance Performance Analysis (IPA) method is obtained by variables that have high importance/expectations, but performance/reality is quite good. Services that are considered good include: Information services and Ferry Rates, Convenience of seating on the Ferry, Lighting at night, Availability of departure/arrival schedules, Appropriate/not rate rates. While the variables that are considered less important by passengers, but whose performance is good so that passengers think that the performance is excessive, namely: Strict action by officers for those who violate, Places for storing goods, Availability of compass/GPS navigation tools, Availability of life jackets/life jackets, Availability of first aid kits, Availability of radio equipment, Availability of distress signals.
42
Kolte, Prof Roshan. "Smart Care: Making Health Services more Intelligent." International Journal for Research in Applied Science and Engineering Technology 9, no. VI (June 14, 2021): 870–75. http://dx.doi.org/10.22214/ijraset.2021.35095.
Full textAbstract:
These days, Health care has become an enormous issue due to the shortage of health services. This paper is deals with the SmartCare application for smart health services. The patient or client requesting the service first they need to be registers himself within the app. Ambulance takes the patient from his current location. Then ambulance driver sends the request to the nearby hospital showing on their map screen with patient data to check for availability of beds according to patient condition (like ICU beds Oxygen beds etc). The hospital gets the request from the ambulance and sends an acknowledgment. This app provides faster and reliable service to the patient by reducing the processing time
43
Andriantsimietry, Sandrine, Raymond Rakotomanga, Jean Pierre Rakotovao, Eliane Ramiandrison, Marc Eric Razakariasy, Rachel Favero, Patricia Gomez, Blami Dao, and Eva Bazant. "Service Availability and Readiness Assessment of Maternal, Newborn and Child Health Services at Public Health Facilities in Madagascar." African Journal of Reproductive Health 20, no. 3 (September 29, 2016): 149–58. http://dx.doi.org/10.29063/ajrh2016/v20i3.19.
Full text
44
Baral, Subash, and Shraddha Adhikari. "A Comparative Study on Community Based DOTS service and Health Institution Based DOTS service among TB Patients." Journal of Health and Allied Sciences 7, no. 1 (November 21, 2019): 47–52. http://dx.doi.org/10.37107/jhas.22.
Full textAbstract:
Tuberculosis (TB) is the most problematic and highly prevalent communicable disease affecting about one-third of the world’s population and debilitating pulmonary (PTB) infection today. In spite of all these efforts by the government of Nepal, many people still die every year and transferring the disease to the healthy person. The new approach for the effective treatment of tuberculosis has been introduced i.e. Community Based Directly Observed Treatment Short Course (CB-DOTS) which provides training to community health workers to increase awareness, detection, and treatment of TB and bring services directly to the homes of those at risk for infection and those who are infected. The aim of this study was to compare availability, accessibility, compliance and satisfaction between CB-DOTS service and health institution based DOTS (HI-DOTS) service among TB patients. A cross sectional study was carried out in Kaski and Tanahun district in 2014. Census was conducted for the TB patients who are registered during 6 months in the community based DOTS with same number and same time period, that had been enrolled in DOTS from health institution were chosen. The collected data was entered in EPI-DATA and analyzed by using the software SPSS-16. In HI-DOTS the average traveling time to get TB drugs is ≤ 30 minutes for 56.8 percent respondents and in CB-DOTS majority of the respondents; 90.9 percent have to travel ≤ 30 minutes. In HI-DOTS majority; 84.1 percent were dissatisfied and only 15.9 percent were satisfied. Just opposite to this, majority (81.8%) of respondents utilizing CB-DOTS service were satisfied and only 18.2 percent were dissatisfied. There is highly significant association between the patient's satisfaction and two different DOTS services (p<0.001). CB-DOTS service approach shows its better effectiveness in availability, accessibility, compliance and patient's satisfaction aspects. CB-DOTS is a viable option and can complement and strengthen the existing HI-DOTS, especially in developing countries like Nepal where the health system is overwhelmed with increasing number of TB patients and high TB related deaths.
Key words: Community Based Directly Observed Treatment Short Course, Availability, Accessibility, Satisfaction
45
Orth, Jessica, Yue Li, Adam Simning, and Helena Temkin‐Greener. "Severe Behavioral Health Manifestations in Nursing Homes: Associations with Service Availability?" Journal of the American Geriatrics Society 68, no. 11 (August 15, 2020): 2643–49. http://dx.doi.org/10.1111/jgs.16772.
Full text
46
Shah, Sunil. "Perceptions of users and providers on barriers to utilizing skilled birth care in Surkhet district of Nepal: a qualitative study." International Journal Of Community Medicine And Public Health 9, no. 3 (February 28, 2022): 1263. http://dx.doi.org/10.18203/2394-6040.ijcmph20220684.
Full textAbstract:
Background: Although skilled birth care contributes significantly to the prevention of maternal and newborn morbidity and mortality, utilization of such care is poor in mid- and far-western Nepal. This study explored the perceptions of service users and providers regarding barriers to skilled birth care. Method: We conducted 24 focus group discussions, 12 each with service users and service providers from different health institutions in mid- and far-western Nepal. All discussions examined the perceptions and experiences of service users and providers regarding barriers to skilled birth care and explored possible solutions to overcoming such barriers.Results: Our results determined that major barriers to skilled birth care include inadequate knowledge of the importance of services offered by skilled birth attendants (SBAs), distance to health facilities, unavailability of transport services, and poor availability of SBAs. Other barriers included poor infrastructure, meager services, inadequate information about services/facilities, cultural practices and beliefs, and low prioritization of birth care. Moreover, the tradition of isolating women during and after childbirth decreased the likelihood that women would utilize delivery care services at health facilities.Conclusions: Service users and providers perceived inadequate availability and accessibility of skilled birth care in remote areas of Nepal, and overall utilization of these services was poor. Therefore, training and recruiting locally available health workers, helping community groups establish transport mechanisms, upgrading physical facilities and services at health institutions, and increasing community awareness of the importance of skilled birth care will help bridge these gaps.
47
Daslan, Daslan, La Ode Saafi, and Tasnim Tasnim. "RELATIONSHIP BETWEEN HUMAN RESOURCES AND PLANNING WITH MINIMUM COVERAGE OF HEALTH CARE SERVICES IN KONAWE REGENCY." INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) 3, no. 2 (June 19, 2022): 144–49. http://dx.doi.org/10.36566/ijhsrd/vol3.iss3/103.
Full textAbstract:
Background: The preliminary study revealed that there were main problems in the implementation of the 2020 Health Development Program related to Minimum health service standard. These problems such as the availability of human resources that greatly contribute to service management at the public health centre in the form of planning, mobilizing and implementing in achieving goals, in this case related to the quality and equitable distribution of health workers as the spearhead of program implementation which is the supervision and assessment of the public health centre so that it will influential in the process of service implementation management according to minimum service standars. This study aims to analyseThe relationship between human resourcesand planning with minimum coverage of health care services in Konawe Regency. Methods: This study uses a quantitative research design with a approachcross sectional study.The population is the entire person in charge of the minimum service standars of each public health centre in the working area of Konawe Regency, namely 42 respondents. The number of samples using the Slovin formula is 38 respondents with a sampling technique using simple random sampling. Result: There is a strong relationship between human resources, planning to the coverage of minimum service standards. Conclusion: Monitoring the minimum service standards and providing feedback on the results, conducting training and increasing the availability of health service facilities and infrastructure.
48
Van, Nguyen Hang Nguyet, Nguyen Thi Khanh Huyen, Mai Thi Hue, Nguyen Thanh Luong, Pham Quoc Thanh, Duong Minh Duc, Vu Thi Thanh Mai, and Tran Thi Hong. "Perceived Barriers to Mental Health Services among the Elderly in the Rural of Vietnam: A Cross Sectional Survey in 2019." Health Services Insights 14 (January 2021): 117863292110260. http://dx.doi.org/10.1177/11786329211026035.
Full textAbstract:
While the burden of neurological and mental disorders has been drastically increased in Vietnam, the current mental healthcare services do not meet the public demand. In order to determine perceived barriers to the use of mental health services, we conducted a cross-sectional study on 376 elderly people from a rural district in Hanoi, Vietnam. We found that depression may be an important indicator of the need for formal and informal community and home care mental health services. Barriers to mental healthcare access were categorized into 7 groups namely stigma, emotional concerns, participation restrictions, service satisfaction, time constraints, geographic and financial conditions, and availability of services. The most significant barriers are the limited availability of and accessibility to health professionals and services in rural areas. Our study highlights the urgent efforts that need to be made in order to enhance availability of mental healthcare services in rural areas of Vietnam.
49
Bakar, Rukia Rajab, Rachel N. Manongi, and Blandina T. Mmbaga. "Health Facility Capacity to Provide Maternal and Newborn Healthcare Services in Unguja." Global Journal of Health Science 11, no. 10 (August 20, 2019): 120. http://dx.doi.org/10.5539/gjhs.v11n10p120.
Full textAbstract:
Globally, every year 529,000 maternal deaths occur, 99% of which in developing countries with majority being in Sub-Saharan Africa. Maternal, Newborn and Child Health (MNCH) services depend on the accessibility, availability and quality of antenatal care (ANC), delivery and postnatal services. The aim of this study was to assess the health facilities’ capacity and readiness to provide MNCH services in Unguja Island, Zanzibar.
A facility-based cross-sectional survey was conducted from May to June 2015 at public health facilities providing MNCH services. Data was collected by using the modified Service Availability and Readiness Assessment tool.
Eighteen health facilities were assessed, two-thirds (66.7%, n = 12) of which were offering both maternity and reproductive and child health (RCH) services, 4 (22.2%) RCH services only, and 2 (11.1%) maternity services only. Readiness score for ANC services was 66% with high readiness scores in diagnostics services (89%) and equipment (69%). Overall, 14% offered all seven signal functions. Overall, delivery service readiness score was 48%. Overall readiness for comprehensive emergency obstetric and neonatal care services was 13%. Staff training and guidelines readiness score was 11%, while medicine and commodities score was 9%.
The health facilities’ readiness in providing MNCH services remains inadequate in Unguja Island. Readiness in providing services was low for delivery and emergency obstetric and neonatal care services. Basic and advanced delivery services need to be improved in parallel with provision of necessary equipment, medicines and commodities and staff training for better MNCH service delivery.
50
Bayly, Melanie, Debra Morgan, Amanda Froehlich Chow, Julie Kosteniuk, and Valerie Elliot. "Dementia-Related Education and Support Service Availability, Accessibility, and Use in Rural Areas: Barriers and Solutions." Canadian Journal on Aging / La Revue canadienne du vieillissement 39, no. 4 (January 24, 2020): 545–85. http://dx.doi.org/10.1017/s0714980819000564.
Full textAbstract:
ABSTRACTThis scoping review mapped and synthesized published literature related to education and support services for individuals with dementia and their caregivers living rurally. Specifically, we investigated education and support service needs, availability and use of services, barriers to service access and use, and solutions to these barriers. Empirical, English-language articles (2,381) were identified within MEDLINE, CINAHL, PSYCINFO, and EMBASE. Articles were screened according to Arksey and O’Malley’s (2005) five-stage scoping review methodology and the recommendations of Levac et al. (2010). Findings suggest limited availability of rural dementia-related support and education services, particularly respite care and day programs. Service use varied across studies, with barriers including low knowledge regarding services, practicality, and resource issues (e.g., transportation, financial), values and beliefs, stigma, and negative perceptions of services. Solutions included tailored and person-centred services, technological service provision, accessibility assistance, inter-organization collaboration, education regarding services, and having a “point of entry” to service use.