Academic literature on the topic 'Poor Medical care Kenya'
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Journal articles on the topic "Poor Medical care Kenya"
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Obengo, Tom. "Medical debt during epidemics: A case for resolving the situation in low- and middle-income countries such as Kenya." Wellcome Open Research 7 (October 4, 2022): 245. http://dx.doi.org/10.12688/wellcomeopenres.18403.1.
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This paper evaluates the problem of medical debt in Kenya during the COVID-19 pandemic. The medical debt problem is compounded during pandemics such as COVID-19 when patients seek treatment and end up in insurmountable debt because illnesses related to the pandemic are not covered by the Kenyan National Health Insurance Fund (NHIF), the public health coverage body under government control. As a result, discharged patients may be detained in hospitals and dead bodies are locked away in mortuaries, until relatives and friends fundraise and clear the bills. Apart from causing vulnerability, fear, and emotional stress among the poor, this practice leads to a growing lack of trust in the healthcare system, with patients deliberately avoiding hospitals whenever they suspect they have COVID-19. The resulting vicious cycle makes healthcare more inaccessible by limiting the choices that people may have. User fees, which were introduced in all public health facilities by the Kenyan government as part of a World Bank prescription for cost-sharing, normally affect more women than men. Although Kenya has implemented a general waiver system in public hospitals for those who cannot pay their medical bills, the process of obtaining this waiver can be burdensome, demeaning, and dangerous for the health of the patients. This undermines the government’s commitment to the provision of equitable and affordable health care for the citizens. In this article, the problem of medical debt in Kenya is addressed as a multi-faceted problem drawing on issues of justice and fairness, human dignity, good governance, the interplay between global and local policies, as well as politics and law. It argues that it is in the best interest of Kenya and other African countries to ensure that public health coverage covers pandemics so that the majority poor can afford and access healthcare.
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Musyoka, Peter K., Julius Korir, Jacob Omolo, and Charles C. Nzai. "An Empirical Analysis of the Effect of Poverty on Health Care Utilization in Kenya." European Scientific Journal, ESJ 14, no. 22 (August 31, 2018): 101. http://dx.doi.org/10.19044/esj.2018.v14n22p101.
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Background Good health is a fundamental huma right, a valued asset, and a prerequisite for improved productivity. However, high poverty can lead to under utilization or lack of utilization of health care leading to poor health. Thus, poverty reduction and improvement of health care utilization are important in ensuring enjoyment of good health. Since 1982, poverty has remained above 40 per cent despite Kenya’s commitment to poverty reduction. Kenya’s health indicators have also not been impressive and health care utilization has remained low. Evidence shows that those who fell sick and reported lack of finances as the main reason for not seeking medical attention constituted 44 per cent, 38 per cent and 21.4 per cent in 2003, 2007 and 2013, respectively. These statistics point to poor health care utilization due to poverty. In Kenya, studies have concentrated on small segments of the population or parts of the country hence limiting generalization of the findings. Objective The objective of this paper was to determine the effect of poverty on health care utilization in Kenya. Method The study used a Negative Binomial Regression and the 2013 Kenya Household Expenditure and Utilization Survey dataset. The study also used Two Stage Residual Inclusion approach and a Control Function Approach to test and control for potential endogeneity and unobserved heterogeneity problems, respectively. Results The estimation results showed that reduction in poverty increased health care utilization. Other factors that had a positive and statistically significant effect on health care utilization were household size, early levels of education, and distance to the nearest health facility. Conclusion The study concludes that health care utilization is negatively affected by poverty other factors held constant. Thus, policies and strategies aimed at reducing poverty are needed. In particular the study recommends introduction of universal health care for all.
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Murphy, Georgina A. V., Vivian N. Nyakangi, David Gathara, Morris Ogero, and Mike English. "A hidden burden of neonatal illness? A cross-sectional study of all admissions aged less than one month across twelve Kenyan County hospitals." Wellcome Open Research 2 (December 18, 2017): 119. http://dx.doi.org/10.12688/wellcomeopenres.13312.1.
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Background: Small and sick newborns need high quality specialised care within health facilities to address persistently high neonatal mortality in low-income settings, including Kenya. Methods: We examined neonatal admissions in 12 public-sector County (formerly District) hospitals in Kenya between November 2014 and November 2016. Using data abstracted from newborn unit (NBU) admission registers and paediatric ward (PW) medical records, we explore the magnitude and distribution of admissions. In addition, interviews with senior staff were conducted to understand admission policies for newborns in these facilities. Results: Of the total 80,666 paediatric admissions, 28,884 (35.8%) were aged ≤28 days old. 24,212 (83.8%) of newborns were admitted to organisationally distinct NBU and 4,672 (16.2%) to general PW, though the proportion admitted to NBUs varied substantially (range 59.9-99.0%) across hospitals, reflecting widely varying infrastructure and policies. Neonatal mortality was high in NBU (12%) and PW (11%), though varied widely across facilities, with documentation of outcomes poor for the NBU. Conclusion: Improving quality of care on NBUs would affect almost a third of paediatric admissions in Kenya. However, comprehensive policies and strategies are needed to ensure sick newborns on general PWs also receive appropriate care.
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Murphy, Georgina A. V., Vivian N. Nyakangi, David Gathara, Morris Ogero, and Mike English. "A hidden burden of neonatal illness? A cross-sectional study of all admissions aged less than one month across twelve Kenyan County hospitals." Wellcome Open Research 2 (January 30, 2018): 119. http://dx.doi.org/10.12688/wellcomeopenres.13312.2.
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Background: Small and sick newborns need high quality specialised care within health facilities to address persistently high neonatal mortality in low-income settings, including Kenya. Methods: We examined neonatal admissions in 12 public-sector County (formerly District) hospitals in Kenya between November 2014 and November 2016. Using data abstracted from newborn unit (NBU) admission registers and paediatric ward (PW) medical records, we explore the magnitude and distribution of admissions. In addition, interviews with senior staff were conducted to understand admission policies for neonates in these facilities. Results: Of the total 80,666 paediatric admissions, 28,884 (35.8%) were aged ≤28 days old. 24,212 (83.8%) of neonates were admitted to organisationally distinct NBUs and 4,672 (16.2%) to general PWs, though the proportion admitted to NBUs varied substantially (range 59.9-99.0%) across hospitals, reflecting widely varying infrastructure and policies. Neonatal mortality was high in NBUs (12%) and PWs (11%), though varied widely across facilities, with documentation of outcomes poor for the NBUs. Conclusion: Improving quality of care on NBUs would affect almost a third of paediatric admissions in Kenya. However, comprehensive policies and strategies are needed to ensure sick neonates on general PWs also receive appropriate care.
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Taiko, Winfred, and Dr Asenath Onguso. "Effect of Human Resource Management Practices on Employee Performance of Public Hospitals in Kajiado County, Kenya." Journal of Human Resource &Leadership 6, no. 3 (August 5, 2022): 21–36. http://dx.doi.org/10.53819/81018102t2085.
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Healthcare is one of the fastest growing sector and to offer quality care to patients, a large pool of well trained, dedicated and motivated medical professionals are required. Given the healthcare workforce-intensive nature, the human resource management practices come in handy to facilitate and support the recruitment, hiring, development of the employees, with the goal of raising levels of employee performance and satisfaction. This study sought to determine the effect of human resource management practices on employee performance of public hospitals in Kajiado County, Kenya. The specific objectives were to determine the effect career development, compensation, performance appraisals and recruitment on employee performance of public hospitals in Kajiado County, Kenya. The study was conducted in Kajiado County where the performance of public hospitals had been rated poor since devolving of healthcare services to the county governments. The study employed descriptive research design. Primary data was collected by means of a structured questionnaire. The study was conducted in the 5 public hospitals in Kajiado County (Kajiado County Referral Hospital, Ngong Sub County, Oloitoktok Sub County, Kitengela Sub County and Ongata Rongai Sub County). The unit of observation was the medical staff in each of the health cadres. The findings indicated that career development and employee performance in public hospitals in Kajiado County, Kenya is positively and significantly related. Compensation and employee performance in public hospitals in Kajiado County, Kenya is positively and significantly related. Performance appraisals and employee performance in public hospitals in Kajiado County, Kenya was positively and significantly related. Recruitment and employee performance in public hospitals in Kajiado County, Kenya is positively and significantly related. The study recommends the management of public hospitals should consider organizing for trainings and seminars for the employees as this will help to increase employee skills, loyalty and competence making them more willing to work harder for the success of the public hospitals. Keywords: Career development, compensation, performance appraisals, recruitment & employee performance
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Gitahi, Nyawira, Sheila Juliet Eshiwani, Kenneth Mutai, Jared Ongechi Mecha, and James Njogu Kiarie. "Preconception Care Uptake and Immediate Outcomes among Discordant Couples Accessing Routine HIV Care in Kenya." Obstetrics and Gynecology International 2020 (June 9, 2020): 1–6. http://dx.doi.org/10.1155/2020/1675987.
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Introduction. A large proportion of new HIV infections occur within discordant partnerships making discordance a significant contributor to new HIV infections in Africa. Despite the role of preconception care for HIV discordant couples, there is little data on fertility desire and preconception care uptake. This study aimed at documenting fertility desire (desire to conceive), determining the uptake of preconception care, identifying HIV prevention strategies used during preconception care, and determining immediate conception outcomes among HIV discordant couples in Kenya. Methods. We retrospectively extracted electronic medical record data on discordant couples at an HIV care discordant couples’ clinic. We included data on couples who expressed a desire to conceive and were offered preconception care and followed up for 29 months. We collected data on sociodemographic characteristics, preconception prevention methods, and associated outcomes. Results. Among couples, with male HIV-positive partners, there was a twofold likelihood of accepting preconception services (OR = 2.3, CI 95% (1, 1, 5.0)). A shorter discordant union was independently associated with the uptake of preconception services (OR = 0.92, CI 95% (0.86, 0.98)). The most used prevention intervention (38.5%) among discordant couples was a combination of pre-exposure prophylaxis (PrEP) by the uninfected partner, alongside HAART by the partner living with HIV. Pregnancy rates did not significantly (p = 0.06) differ among those who took up preconception care versus those who did not. HIV-negative partners of couples who declined preconception care had a significantly (p = 0.04) higher attrition from clinic follow-up. One confirmed seroconversion occurred; an HIV incidence rate of 0.19 per 100 person-years.Conclusion. The study demonstrates the feasibility of implementing safe and effective preconception servicesas part of routine HIV care for discordant couples living in low resource settings. The provision and the utilisation of safer conception services may be hindered by the poor retention to follow-up and care of HIV-negative partners. This challenge may impede the expected benefits of preconception care as an HIV prevention intervention.
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Abuya, Timothy, Charlotte E. Warren, Charity Ndwiga, Chantalle Okondo, Emma Sacks, and Pooja Sripad. "Manifestations, responses, and consequences of mistreatment of sick newborns and young infants and their parents in health facilities in Kenya." PLOS ONE 17, no. 2 (February 22, 2022): e0262637. http://dx.doi.org/10.1371/journal.pone.0262637.
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Background Despite efforts to incorporate experience of care for women and newborns in global quality standards, there are limited efforts to understand experience of care for sick newborns and young infants. This paper describes the manifestations, responses, and consequences of mistreatment of sick young infants (SYIs), drivers, and parental responses in hospital settings in Kenya. Methods A qualitative formative study to inform the development of strategies for promoting family engagement and respectful care of SYI was conducted in five facilities in Kenya. Data were collected from in-depth interviews with providers and policy makers (n = 35) and parents (n = 25), focus group discussions with women and men (n = 12 groups), and ethnographic observations in each hospital (n = 64 observation sessions). Transcribed data were organized using Nvivo 12 software and analyzed thematically. Results We identified 5 categories of mistreatment: 1) health system conditions and constraints, including a) failure to meet professional standards, b) delayed provision of care; and c) limited provider skills; 2) stigma and discrimination, due to provider perception of personal hygiene or medical condition, and patient feelings of abandonment; 3) physically inappropriate care, including providers taking blood samples and inserting intravenous lines and nasogastric tubes in a rough manner; or parents being pressured to forcefully feed infants or share unsterile feeding cups to avoid providers’ anger; 4) poor parental-provider rapport, expressed as ineffective communication, verbal abuse, perceived disinterest, and non-consented care; and 5) no organized form of bereavement and posthumous care in the case of infant’s death. Parental responses to mistreatment were acquiescent or non-confrontational and included feeling humiliated or accepting the situation. Assertive responses were rare but included articulating disappointment by expressing anger, and/or deciding to seek care elsewhere. Conclusion Mistreatment for SYIs is linked to poor quality of care. To address mistreatment in SYI, interventions that focus on building better communication, responding to the developmental needs of infants and emotional needs for parents, strengthen providers competencies in newborn care, as well as a supportive, enabling environments, will lead to more respectful quality care for newborns and young infants.
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Gathara, David, George Serem, Georgina A. V. Murphy, Nancy Abuya, Rose Kuria, Edna Tallam, and Mike English. "Quantifying nursing care delivered in Kenyan newborn units: protocol for a cross-sectional direct observational study." BMJ Open 8, no. 7 (July 2018): e022020. http://dx.doi.org/10.1136/bmjopen-2018-022020.
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IntroductionIn many African countries, including Kenya, a major barrier to achieving child survival goals is the slow decline in neonatal mortality that now represents 45% of the under-5 mortality. In newborn care, nurses are the primary caregivers in newborn settings and are essential in the delivery of safe and effective care. However, due to high patient workloads and limited resources, nurses may often consciously or unconsciously prioritise the care they provide resulting in some tasks being left undone or partially done (missed care). Missed care has been associated with poor patient outcomes in high-income countries. However, missed care, examined by direct observation, has not previously been the subject of research in low/middle-income countries.Methods and analysisThe aim of this study is to quantify essential neonatal nursing care provided to newborns within newborn units. We will undertake a cross-sectional study using direct observational methods within newborn units in six health facilities in Nairobi City County across the public, private-for-profit and private-not-for-profit sectors. A total of 216 newborns will be observed between 1 September 2017 and 30 May 2018. Stratified random sampling will be used to select random 12-hour observation periods while purposive sampling will be used to identify newborns for direct observation. We will report the overall prevalence of care left undone, the common tasks that are left undone and describe any sharing of tasks with people not formally qualified to provide care.Ethics and disseminationEthical approval for this study has been granted by the Kenya Medical Research Institute Scientific and Ethics Review Unit. Written informed consent will be sought from mothers and nurses. Findings from this work will be shared with the participating hospitals, an expert advisory group that comprises members involved in policy-making and more widely to the international community through conferences and peer-reviewed journals.
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Opanga, Yvonne, Sarah Karanja, Zena Abdullahi, Richard Gichuki, Aneesa Ahmed, Viola Tupeiya, Daniel Omolo, et al. "Enablers and Barriers to Chlorhexidine Use in Umbilical Cord Care: Voices of Care Givers and Healthcare Providers in Selected Counties in Kenya." East African Journal of Health and Science 5, no. 2 (December 7, 2022): 72–86. http://dx.doi.org/10.37284/eajhs.5.2.995.
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Neonatal sepsis contributes to increased rates of mortality among newborns during their first month of life. Chlorhexidine (CHX) has proven effective in the prevention of neonatal sepsis due to umbilical stump infection after birth. Despite shifting from dry cord care techniques to CHX use, there is still a high prevalence of improper cord care in low-resource settings in Kenya. This study sought to explore barriers and enablers to CHX use in Kwale, Vihiga and Machakos counties in Kenya. We adopted mixed methods cross-sectional survey with 582 women of reproductive age with a young child less than one year as respondents to the quantitative survey. Qualitative data entailed thirty (30) key informant interviews with healthcare workers and national policymakers. Six (6) focus group discussions with mothers, caregivers, community health volunteers (CHVs) and traditional birth attendants were conducted. An observation checklist was used to assess the availability of CHX services and supplies in fourteen (14) health facilities was conducted. Results indicated variation in umbilical cord care practices for newborns across counties. Of 582 caregivers, only 1.3% reported having ever used CHX. Majority mentioned using methylated spirits (41.6%), other antiseptics (23.3%) and salty water (11.3%). Other substances used for cord care included plain water, herbal extracts, cow dung, soil, and breast milk. Despite 100% awareness of CHX among health workers, only a third of caregivers (38.7%) had heard of CHX. About 76.9% of participants preferred the gel formulation and 8.9% did not know where to get the product. Drivers of CHX use included faster cord healing, infection control in hospitals, ease of use, cost implications, ease of access, influence from key decision makers and preferred CHX formulation. Barriers included minimal awareness among caregivers, cultural practices and taboos on cord care, inadequate capacity building of CHVs on CHX, unclear CHX user guidelines for caregivers, prolonged stockouts and inadequate knowledge of CHX in communities. Healthcare workers highlighted poor dissemination of CHX guidelines by the Ministry of Health, unavailability in the Kenya Medical Supplies Authority (KEMSA) and Mission for Essential Drugs and Supplies logistic management information system making it difficult to procure. There is a need for advocacy to promote the uptake of CHX in facilities and increase knowledge of communities on CHX as well as manage the supply chain to increase CHX availability
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Migowa, Angela N., William M. Macharia, Pauline Samia, John Tole, and Alfred K. Keter. "Effect of a voice recognition system on pediatric outpatient medication errors at a tertiary healthcare facility in Kenya." Therapeutic Advances in Drug Safety 9, no. 9 (June 20, 2018): 499–508. http://dx.doi.org/10.1177/2042098618781520.
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Background: Medication-related errors account for one out of every 131 outpatient deaths, and one out of 854 inpatient deaths. The risk is threefold greater in the pediatric population. In sub-Saharan Africa, research on medication-related errors has been obscured by other health priorities and poor recognition of harm attributable to such errors. Our primary objective was to assess the effect of introduction of a voice recognition system (VRS) on the prevalence of medication errors. The secondary objective was to describe characteristics of observed medication errors and determine acceptability of VRS by clinical service providers. Methods: This was a before–after intervention study carried out in a Pediatric Accident and Emergency Department of a private not-for-profit tertiary referral hospital in Kenya. Results: A total of 1196 handwritten prescription records were examined in the pre-VRS phase and 501 in the VRS phase. In the pre-VRS phase, 74.3% of the prescriptions (889 of 1196) had identifiable errors compared with 65.7% in the VRS phase (329 of 501). More than half (58%) of participating clinical service providers expressed preference for VRS prescriptions compared with handwritten prescriptions. Conclusions: VRS reduces medication prescription errors with the greatest effect noted in reduction of incorrect medication dosages. More studies are needed to explore whether more training, user experience and software enhancement would minimize medication errors further. VRS technology is acceptable to physicians and pharmacists at a tertiary care hospital in Kenya.
Dissertations / Theses on the topic "Poor Medical care Kenya"
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Magadi, Monica Akinyi. "The determinants of poor maternal health care and adverse pregnancy outcomes in Kenya." Thesis, University of Southampton, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.310540.
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Asogwa, Celestine Emeka. "Poverty and sickness: The correlation of social inequalities and poor health." Thesis, Boston College, 2015. http://hdl.handle.net/2345/bc-ir:105002.
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Kyomuhendo, Grace Bantebya. "Treatment seeking behaviour among poor urban women in Kampala Uganda." Thesis, University of Hull, 1997. http://hydra.hull.ac.uk/resources/hull:4928.
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This thesis examines women's treatment seeking behaviour for their own illnesses and that of children underfive in Kamwokya . The focus is on the extent to which women's access to money and time use patterns affect treatment seeking. It has been argued that women's treatment seeking behaviour is influenced more by their time use than their access to and availability of money.The findings obtained through the use of case histories and in-depth interviews indicate that though women in Kamwokya have access to their own money, mainly through participation in income generating activities (business), illness management for children under-five and even more for the women themselves, remains problematic. Women are overworked and manage fragile businesses that require their personal attention and presence. Hence, treatment seeking is done in a manner that will ensure minimal disruption of businesses. Consequently children's health, and even more so, that of women , is compromised for the sake of other family needs.This thesis demonstrates that illness management is not context free, and that no one factor can explain the whole process ; it both affects and is affected by other things happening in the family. Due to the multiple roles women have to fulfil, "time use "is found to be the organising and central factor in illness management for both women and children in Kamwokya, whether from rich or poor households.The thesis concludes by suggesting that policy makers, health care providers and professionals ought to take into account the daily routines of family life in their plans and programmes. Strengthening of private sector health providers, health education programmes and increased awareness raising of male responsibilities towards their families are recommended as a way of improving the health of women and children in Uganda.
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Wall, Teri. "The challenge to Catholic healthcare caring for the poor, the uninsured and the underinsured /." Online full text .pdf document, available to Fuller patrons only, 2001. http://www.tren.com.
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Soud, Fatma Ali. "Medical pluralism and utilization of maternity health care by Muslim women in Mombasa, Kenya." [Gainesville, Fla.] : University of Florida, 2005. http://purl.fcla.edu/fcla/etd/UFE0010181.
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Rein, David Bruce. "Modeling the health care utilization of children in Medicaid." Diss., Available online, Georgia Institute of Technology, 2004:, 2003. http://etd.gatech.edu/theses/available/etd-06072004-131339/unrestricted/rein%5Fdavid%5Fb%5F200405%5Fphd.pdf.
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Black, Gerald David. "Health and medical care of the Jewish poor in the East End of London, 1880-1939." Thesis, University of Leicester, 1987. http://hdl.handle.net/2381/35534.
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The East End of London experienced an explosion of its Jewish population, from 35,000 in 1881 to 120,000 in 1910. The majority were poor, of foreign birth, living in overcrowded, sub-standard housing, and engaged in unhealthy occupations. Their arrival brought problems for both the indigenous population and the existing London Jewish community, threatening a crisis which could have overwhelmed the strained general medical services and irreparably damaged the Jewish community. A further problem was the attempt by various missionary societies to provide medical assistance at the cost of religious conversion. The crisis was averted, due to the efforts of the poor themselves and the wealthy established Jews - not always in harmony; and to simultaneous advances being made in public health, medicine, national insurance, and the improving Poor Law facilities. The major triumph of the immigrants, who preferred denominational institutions, was in establishing the London Jewish Hospital after a prolonged bitter battle against Lord Rothschild and many wealthy anglicised Jews, who considered the existing hospitals sufficient and wished to avoid jeopardising concessions already gained for Jews from the London Hospital and other medical centres. London, and the East End in particular, had many medical resources superior to those elsewhere in the country. The East End Jews enjoyed the added advantage of a comprehensive network of Jewish institutions and organisations, of which the Jewish Board of Guardians was foremost, which supplemented the Poor Law and voluntary systems and which had been created and funded largely by the rich of the community. In many areas of medical care Jewish organisations led the way. The initial effect was that the poor East End Jews, and especially their children, enjoyed better health than their non-Jewish neighbours in similar circumstances; but as the anglicisation of the immigrant increased, so the differences narrowed.
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Sutton, David A. "The public-private interface of domiciliary medical care for the poor in Scotland, c. 1875-1911." Thesis, University of Glasgow, 2009. http://theses.gla.ac.uk/1234/.
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This thesis explores domiciliary medical care for the poor in Scotland. Domiciliary care is understood as medical care provided in the home by qualified medical practitioners, or medical students. The poor are understood as those simply unable to ‘pay the doctor’ for the services they received. Focus is upon service provision, and therefore this thesis is a study of the different medical agencies engaged in the visitation of patients, and of the diverse ways medical practitioners as agents of different medical services facilitated or administered treatment. The period under focus is from 1875 to the National Health Insurance Act, 1911. Particular focus falls on urban Scotland, and Glasgow and Edinburgh. The interface between public and private provision is understood as the distinction between services provided for paupers, the legal poor, and services provided for the remainder, also unable to pay, and described as occupying ‘the boundary line between self-support and parish help’. Three types of service provider are identified: the poor law, medical charity, and medical missions. The thesis is divided into four main parts, buttressed by an introduction and conclusion. Chapter One sets the parameters to study of domiciliary medical care for the poor by identifying a literature of home visitation, and by identifying pressing issues concerning treatment in the homes of the poor of Glasgow and Edinburgh, like physical structure and family. Chapter Two is comprised of eight sections and looks at public provision in the form of the poor law medical services. Of particular interest are the local management, and the medical officers who provided the service. In turn focus is put upon the role of medical relief under the Poor Law (Scotland) Act, 1911; the structure of outdoor medical services in Glasgow and Edinburgh; the role of the local medical sub-committee of the parish board; and the parochial medical officers and their work. A prosopographical approach is taken to profile the parochial medical officers. Chapter Three, comprising five sections and conclusion, looks at private provision by medical charity. At issue is the range of charity dispensaries that provided outdoor services to the poor. A prospectus identifying the range of services is provided; outdoor medical services in Edinburgh and Glasgow are detailed; the interconnection between charity dispensary, domiciliary medical care, and medical educational requirements – particularly in Edinburgh – is investigated; and new developments occurring at the start of the twentieth century in health services requiring home visits are outlined. Chapter Four is comprised of nine main sections plus conclusion and looks at private provision by home medical missions. An overview of the literature of medical missions is provided, before focus falls, in turn, on medical missions in Edinburgh; medical missions in Glasgow; the medical work of medical missions; opportunities provided for women; how medical missions work was justified against criticisms; differences between providers; the response to provision from the Catholic immigrant community, and the work of the St Vincent de Paul Society.
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Ntamo, Precious Nomatende. "Poor attendance for outpatient physiotherapy by patients discharged from Mthatha General Hospital with a stroke in 2007." Thesis, Walter Sisulu University, 2011. http://hdl.handle.net/11260/d1006933.
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Background: Stroke is a major cause of disability in the world and its long term effects require good adherence to treatment protocols of physiotherapy. This will ensure optimal rehabilitation and reduce the burden of care in the society and the health service. Superficial analysis of existing data from the Physiotherapy Department of Mthatha General Hospital (MGH) revealed that there was poor attendance of outpatient physiotherapy by patients discharged from MGH with stroke and this had negative effects on outcomes and health care costs. Aim: To identify factors that influence poor attendance for outpatient physiotherapy by patients discharged from MGH with a stroke. Methods: Following approval from the Research Ethics Committee to conduct the study, an observational descriptive study design was used. The study population was 139 patients with stroke who attended for physiotherapy in MGH from January 2007 to December 2007. From a sample size of 103 randomly selected patients, 85 patients participated in the study with a response rate of 82%. Data collection was done using structured interviews and SPSS was used for data analysis. Results: The majority (86%) of patients did not attend physiotherapy until discharge from physiotherapy department. The major factors that influenced poor attendance were movement of patients to other areas (36%) and long distance from MGH (29%). Conclusion: The majority of stroke patients who attended for rehabilitation in MGH Physiotherapy Department lived in rural areas which were distant from Mthatha and could not attend physiotherapy at MGH as required by the physiotherapists. Recommendation: Development of a Provincial Rehabilitation Policy to address the unavailability of physiotherapy services at clinics and health care centers and ensure creation and filling of vacant physiotherapy positions at these levels of care.
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Yang, Hui, and 杨慧. "Shifting health care regimes in urban China and the impact on the urban poor." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B45142002.
Full textBooks on the topic "Poor Medical care Kenya"
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Maina, Thomas M. Financing and delivery of health care in Kenya: Do the poor really benefit from public health spending? Nairobi, Kenya: Institute of Policy Analysis Research, 2006.
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Chun, Randall. General assistance medical care. St. Paul, Minn.]: Research Dept., Minnesota House of Representatives, 2002.
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The Kenya health sector integrity study report. Nairobi, Kenya: Transparency International-Kenya, 2011.
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Kimalu, Paul Kieti. Debt relief and health care in Kenya. Helsinki: United Nations University, World Institute for Development Economics Research, 2002.
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E, McCuen Gary, ed. Poor and minority health care. Hudson, Wis: G.E. McCuen Publications, 1988.
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1926-, Rogers David E., and Ginzberg Eli 1911-, eds. Medical care and the health of the poor. Boulder: Westview Press, 1993.
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Virginia. Governor's Task Force on Indigent Health Care. Research design: Indigent health care project. [Richmond?]: Governor's Task Force on Indigent Health Care, 1987.
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Owino, Wasunna. Public health sector efficiency in Kenya: Estimation and policy implications. Nairobi, Kenya: Institute of Policy Analysis and Research, 1997.
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Erdman, Karen. Poor health care for poor Americans: A ranking of state Medicaid programs. Washington, D.C. (2000 P St., NW, Washington 20036): Public Citizen Health Research Group, 1987.
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Vasconcelos, Eymard Mourão. A medicina e o pobre. São Paulo, SP (Brasil): Edições Paulinas, 1987.
Find full textBook chapters on the topic "Poor Medical care Kenya"
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Nzengya, Daniel M., and John K. Maguta. "Gendered Vulnerability to Climate Change Impacts in Selected Counties in Kenya." In African Handbook of Climate Change Adaptation, 1–18. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-42091-8_169-1.
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AbstractExtreme climate change events such as frequent and prolonged droughts or floods associated with climate change can be very disruptive to peoples’ livelihoods particularly in rural settings, where people rely on the immediate environment for livelihood. Shocks in the people’s livelihoods can trigger diverse responses that include migration as a coping or adaption strategy. Migration takes many forms depending on the context and resources availability. Very few studies in Kenya have used qualitative analysis to bring up women’s voices in relation to gender, climate change, and migration, especially along hydrological gradient. This chapter presents results of qualitative research conducted from 58 participants in 2018 in three counties in Kenya, namely, Kiambu County, Machakos, and Makueni. The study sought to examine gender perceptions related to climate-induced migration, that is: whether climate change is perceived to be affecting women’s livelihood differently from that of men; examine in what ways experiences of climate induced migration differed for men and women; explore perceptions on the county government efforts to cope with climate-induced migration; and examine perceptions of the role of nongovernmental agencies in helping citizens cope with climate change. From the results obtained on ways in which climate change affected women livelihoods more than men had four themes: (1) women exerted more strain in domestic chores, child/family care, and in the farm labor; (2) women also experienced more time demands. The sources of water and firewood were getting more scarce leading to women travel long distances in search to fetch water and firewood; (3) reduced farm yields, hence inadequate food supply; and (4) the effects of time and strain demands on women was a contributory factor to women poor health and domestic conflicts. Several measures that the county government could take to assist women to cope with climate change-induced migration had five themes which include the following: (1) developing climate change mitigations, and reducing deforestation; (2) increasing water harvesting and storage; (3) develop smart agriculture through the use of drought-resistant crops and drought mitigation education; (4) encourage diversification of livelihoods; and finally (5) providing humanitarian assistance to the most vulnerable populations such as orphans and the very poor. Thirdly, the measures mentioned that NGO’s could take to assist rural communities to cope with climate change-induced migration did not vary significantly from those mentioned for county government, except probably for a new theme of increasing advocacy for climate adaption policies.
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Nzengya, Daniel M., and John Kibe Maguta. "Gendered Vulnerability to Climate Change Impacts in Selected Counties in Kenya." In African Handbook of Climate Change Adaptation, 2045–62. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-45106-6_169.
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AbstractExtreme climate change events such as frequent and prolonged droughts or floods associated with climate change can be very disruptive to peoples’ livelihoods particularly in rural settings, where people rely on the immediate environment for livelihood. Shocks in the people’s livelihoods can trigger diverse responses that include migration as a coping or adaption strategy. Migration takes many forms depending on the context and resources availability. Very few studies in Kenya have used qualitative analysis to bring up women’s voices in relation to gender, climate change, and migration, especially along hydrological gradient. This chapter presents results of qualitative research conducted from 58 participants in 2018 in three counties in Kenya, namely, Kiambu County, Machakos, and Makueni. The study sought to examine gender perceptions related to climate-induced migration, that is: whether climate change is perceived to be affecting women’s livelihood differently from that of men; examine in what ways experiences of climate induced migration differed for men and women; explore perceptions on the county government efforts to cope with climate-induced migration; and examine perceptions of the role of nongovernmental agencies in helping citizens cope with climate change. From the results obtained on ways in which climate change affected women livelihoods more than men had four themes: (1) women exerted more strain in domestic chores, child/family care, and in the farm labor; (2) women also experienced more time demands. The sources of water and firewood were getting more scarce leading to women travel long distances in search to fetch water and firewood; (3) reduced farm yields, hence inadequate food supply; and (4) the effects of time and strain demands on women was a contributory factor to women poor health and domestic conflicts. Several measures that the county government could take to assist women to cope with climate change-induced migration had five themes which include the following: (1) developing climate change mitigations, and reducing deforestation; (2) increasing water harvesting and storage; (3) develop smart agriculture through the use of drought-resistant crops and drought mitigation education; (4) encourage diversification of livelihoods; and finally (5) providing humanitarian assistance to the most vulnerable populations such as orphans and the very poor. Thirdly, the measures mentioned that NGO’s could take to assist rural communities to cope with climate change-induced migration did not vary significantly from those mentioned for county government, except probably for a new theme of increasing advocacy for climate adaption policies.
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Akwala, Alfred Okoth. "Digital Medical Care." In Dialectical Perspectives on Media, Health, and Culture in Modern Africa, 1–18. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-5225-8091-1.ch001.
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According to the World Health Organization (WHO), every minute, at least one woman dies from complications related to pregnancy and childbirth, translating to about 585,000 women losing their lives each year due to child-birth-related complications. Modern information and communication technologies (ICTs) have a pivotal role to play in tackling health-related problems by empowering individuals and equipping decision makers with timely information about critical health issues. This study aimed to evaluate the appropriation of mobile phone applications in enhancing maternal-child health knowledge in rural areas in Kenya with special focus on Busia County. Findings indicated that mobile phone dissemination of maternal health knowledge has a possibility of accelerating access and utilisation of skilled facility services. Therefore, emerging technologies can offer real opportunities to communities by enabling them get reliable and timely information on maternal-child health issues.
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Akwala, Alfred Okoth. "Digital Medical Care." In Research Anthology on Advancements in Women's Health and Reproductive Rights, 501–14. IGI Global, 2022. http://dx.doi.org/10.4018/978-1-6684-6299-7.ch026.
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According to the World Health Organization (WHO), every minute, at least one woman dies from complications related to pregnancy and childbirth, translating to about 585,000 women losing their lives each year due to child-birth-related complications. Modern information and communication technologies (ICTs) have a pivotal role to play in tackling health-related problems by empowering individuals and equipping decision makers with timely information about critical health issues. This study aimed to evaluate the appropriation of mobile phone applications in enhancing maternal-child health knowledge in rural areas in Kenya with special focus on Busia County. Findings indicated that mobile phone dissemination of maternal health knowledge has a possibility of accelerating access and utilisation of skilled facility services. Therefore, emerging technologies can offer real opportunities to communities by enabling them get reliable and timely information on maternal-child health issues.
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Ginzberg, Eli. "Financing Health Care for the Poor: Second-Best Solutions." In Medical Gridlock and Health Reform, 119–36. Routledge, 2019. http://dx.doi.org/10.4324/9780429039379-14.
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"THE COUNTER-REFORMATION, MEDICAL CARE AND POOR RELIEF." In Health Care and Poor Relief in Counter-Reformation Europe, 25–46. Routledge, 2005. http://dx.doi.org/10.4324/9780203980026-9.
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Starr, Paul. "The Politics of Health Care Inequalities." In Medical Care and the Health of the Poor, 21–32. Routledge, 2019. http://dx.doi.org/10.4324/9780429037498-4.
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Rogers, David E. "Introduction." In Medical Care and the Health of the Poor, 1–2. Routledge, 2019. http://dx.doi.org/10.4324/9780429037498-1.
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Rowland, Diane. "Health Care of the Poor: The Contribution of Social Insurance." In Medical Care and the Health of the Poor, 107–24. Routledge, 2019. http://dx.doi.org/10.4324/9780429037498-10.
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Rogers, David E. "Summary." In Medical Care and the Health of the Poor, 125–29. Routledge, 2019. http://dx.doi.org/10.4324/9780429037498-11.
Full textConference papers on the topic "Poor Medical care Kenya"
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Taber, Niloufer, Krishna Rao, Cuong Viet Pham, Mohd Fadhli Mohd Yusoff, and Abdulgafoor M. Bachani. "166 Maladaptive mechanisms for coping with the direct costs of injuries: foregoing medical care in Vietnam and Kenya." In Society for the Advancement of Violence and Injury Research (SAVIR) 2020 conference abstracts. BMJ Publishing Group Ltd, 2020. http://dx.doi.org/10.1136/injuryprev-2020-savir.126.
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Khomenko, Igor, Igor Lurin, Eduard Khoroshun, Volodymyr Negoduyko, Serhii Tertyshnyi, and Volodimir Maidanyuk. "The dynamic multimodal screening concept at level Ii of medical care provided for the armed forces of Ukraine." In First International Conference "Open Science and Innovation in Ukraine 2022". State Scientific and Technical Library of Ukraine, 2022. http://dx.doi.org/10.35668/978-966-479-129-5-7-17.
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Poor results in treatment of wounded with a gunshot wound of soft tissues are most often associated with a complicated course due to a high number of suppurative-inflammatory complications, the frequency of which, according to various authors, ranges from 12 % to 29.4 %; surgical and tactical errors in performing surgical treatments, especially for severe multiple wounds, in particular, mine - explosive [1,2,3,4,5,6 ]. Meanwhile, this cohort of wounded belongs to sanitary losses, who are quickly restored and are the most promising cohort of victims for treatment and early replacement of military units’ personnel.
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Feng, Yu, Xiaole Chen, and Mingshi Yang. "An In Silico Investigation of a Lobe-Specific Targeted Pulmonary Drug Delivery Method." In 2018 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/dmd2018-6928.
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Nowadays, “personalized medicine” is starting to replace the current “one size fits all” approach. The goal is to have the right drug with the right dose for the right patient at the right time and location. Indeed, conventional pulmonary drug delivery devices still have poor efficiencies (<25%) for delivering drugs to the lung tumor sites. Major portions of the aggressive medicine deposit on healthy tissue, which causes severe side effects and induces extra health care expenses. Therefore, a new targeted pulmonary drug delivery method is proposed and evaluated using the Computational Fluid-Particle Dynamics (CFPD) method to achieve the lobe-specific delivery. By controlling the release position and velocity of the drug particles at the mouth inlet, drug deposition efficiency (DE) in a designated lobe can be increased up to 90%. Intersubject variability has also been investigated using the noninvasive in silico tool. Results indicate that the glottis constriction ratio is a key factor to influence the effectiveness of the purposed targeted drug delivery method. Although lobe-specific pulmonary drug delivery can be realized, the actuation flow rate must be lower than 2 L/min, and the glottis constriction ratio has a significant impact on the effectiveness of the targeting method. Also, a design idea using e-cigarette as the prototype is proposed as the next-generation inhaler to accommodate the operational flexibility restrictions.
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Kaptanoğlu, Aysegül. "Opinions on the Political Economy of the New Turkish Healthcare System." In International Conference on Eurasian Economies. Eurasian Economists Association, 2013. http://dx.doi.org/10.36880/c04.00630.
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Turkish health care system is going on health care transitions nowadays. Fundamental role of government in providing, financing and managing public services, including health care are changed. Health care marketers insist that competition and aggressive management will raise health care productivity. Health economist suggests that health is a public service and has a value. The Health Care System in Turkey is financed by public funds, compulsory insurance premiums and delivered (90%) by The Ministry of Health (MoH) that also manages the system. For the sustainability of universal access to health care special insurance programs according the rule of political economy should be built. Poor and severe ill people who cannot work and elderly may not get access to public medical insurance. So, for contributing to the nationwide public health care system rich people could give some extra insurance premium and obtain additional private insurance as well. Referral chain might be established in the country in between primary, secondary and tertiary care.
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Torres, Vanessa, and Filipa Carvalho. "Adverse Events in Dental Care: A Review Towards Notification." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002624.
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The occurrence of adverse events (AE) in healthcare represents a severe problem for the quality of care, due to unsafe or poor quality of healthcare service. Similar to many other healthcare environments, Dentistry entails inherent patient safety risks. Research on patient safety has been developed over the last decades, however, it is important to consider AE to improve patient safety in this care environment, as adequate reporting systems for this area of intervention are not known. Thus, the main aim of this study was to carry out a literature review to investigate AE exclusively related to dental care, and associated with the types of procedures that dentists perform and the tools used. Results will guide future studies, particularly related to their notification, as a way of promoting patient safety. The PubMed, Scopus and SciELO databases were used and the following keywords searched: “patient safety”, “adverse events”, “dental care”, “dental services” and “dentistry”, in English, Spanish and Portuguese. Observational studies, published in the last 10 years, were considered. Review studies, case reports and clinical trials were excluded. 56 articles were identified. The most common AE in dental care settings were: infections, delayed or failed diagnosis, allergies, errors in diagnosis and examination, errors in treatment planning or procedure, and accidental ingestion or inhalation of foreign objects, among others. Improving the knowledge on AE is important to encourage reporting, control and seek for tools that help manage care, and to promote improvements in care and patient safety. To conclude, the identification and recognition of AE, specific to this field of medical practice, is only the first step towards improving patient safety in dental care, through the development of specific notification systems. In future works, we intend to develop and validate an AE notification system adapted to the specificities of the dental field, using the clinical school of Dentistry at the University of Rio Verde as a study site.
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Cardoso, Gyovanna Rodrigues, Gabriel David Camargo, Nikolas Lisboa Coda Dias, Priscila Anice Fernandes, and Stefan Vilges de Oliveira. "Epidemiological profile of home deaths due to stroke during the COVID-19 pandemic." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.738.
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Background: Stroke is one of the main causes of death, disability and hospitalization. Although more prevalent in adults and the elderly, it has increased in young people for stress, poor diet, excessive alcohol and sedentary lifestyle. This study is justified because the restrictions in the pandemic, such as social isolation, reduced access to health services, have changed people’s behavior in relation to health care. This can cause the delay in medical care, leading to negative outcomes. Objectives: Analysis of home deaths for stroke, in Brazil, in the pandemic by age intervals. Design and Setting: Cross-sectional study in Federal University of Uberlândia. Methods: Study of home deaths from stroke, based on the Portal de Transparência do Registro Civil (ARPEN). Analyzing a previous context and during the pandemic, the percentage variations by age group between 2019 and 2020 were compared. Results: In 2020, 15,777 home deaths were recorded, while 2019 there were 12,349, representing an increase of 27.76%. In 2020, all age groups analyzed, there were increases in relation to 2019, the most expressive were: 0-9 years (76%), 10-19 (32.14%), 60-69 (28.12%), 70-79 (36.35%) and 80-89 (29.97%). Conclusions: Medical support in the first hours of symptoms is essential. The delay in care can delay the diagnosis, make the use of medications unfeasible, due to the door-to-needle times, as well as increasing home deaths. Thus, it is important to guide the population in the identification of signs and symptoms, to knowledge about the need for immediate hospital care, even in the pandemic.
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Soni, Tej Prakash, Aaditya Prakash, Tinku Takia, and Jaishree Goyal. "Radiotherapy after hysterectomy in carcinoma cervix: Audit from a tertiary care cancer hospital in India’s largest state “Rajasthan”." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685274.
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Purpose: To explore the reasons of hysterectomy and indications of post-hysterectomy radiotherapy in carcinoma cervix cases. Methods: From January 2013 to May 2015, medical records of 64 cases of carcinoma cervix (post-hysterectomy) who were referred for radiotherapy to our hospital were analyzed retrospectively. Results: Medical records of 64 cases were reviewed. The median age was 47 years. In 45% of females hysterectomy was done in towns, but in majority of cases (55%) hysterectomy was done in different cities of Rajasthan. Simple hysterectomy was done in 31 of (48%) cases. Wertheim’s hysterectomy was done in remaining 33 cases (52%). 15 cases (23%) were treated by IMRT technique, while remaining 87% cases were treated by 3DCRT technique to dose of 50 Gy in 25 fractions followed by CVS brachytherapy. All cases also received concurrent chemotherapy. Reason for hysterectomy was analyzed. In 32 (50%) cases, biopsy from gross lesion at cervix or PAP smear test was not done before surgery. In 32 cases (50%) understaging of the tumor or inadequate staging before hysterectomy was performed. Histopathology report analysis revealed that in 9 cases (14%) primary tumor size was less than 4 cm, in 27 cases (64%) there was no comment on pT size, in 22% cases primary tumor was larger than 4 cm. Surprisingly in one case the pT size was 7 cm. LVSI was not seen in 18 cases (28%), positive in 20 case (31%) and with no comment in 26 cases. More than 50% of stroma thickness was involved in 54 cases (84%), and in remaining 10 cases there was no comment on stroma invasion. In 33 cases (52%) pelvic lymphadenectomy was done, in 48% cases lymph nodes were not addressed in surgery. In 36 cases (56%) pelvic lymph node metastasis was seen either in preoperative imaging (USG/CT scan) or in histopathology. Median follow-up duration was 6 months. Locoregional failure was seen in 10 cases (16%), 6 cases (9%) also developed distant metastasis. Conclusion: Failure to perform biopsy from gross lesion at or under staging/inadequate staging before surgery was the main reasons for inappropriate hysterectomy for carcinoma cervix. Inappropriate hysterectomy followed by chemo-radiotherapy resulted in poor tumor control rate as in our study, 1 out of every 4 patients failed loco-regionally with median follow up of 6 months. Strict adherence to guidelines for cervical cancer diagnosis and treatment is advised to prevent inappropriate hysterectomy.
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Camacho, Lea, Eliana Penedos-Santiago, and Elga Ferreira. "Health and Design at Service of a Refugee Camp in Iraq." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1001412.
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This project emerges from the need to counteract a scenario of risk and unpredictability in the care provided to patients in illness situations, which stems from a poor or non-existent health record system (HRS). The direct contact in the year of 2017 with an emergency medical Non-Governmental Organization (NGO), working in context of humanitarian crises, demonstrated the precarious and yet scarce presence of such a system. The lack of practicality, easy understanding and access to other health partners proved to compromise the quality of care.Since a functional HRS (via paper or electronic means) is a core component for the management, delivery, and safety of quality in healthcare, the identification of a simple and yet effective system, capable of maintaining a history of care provided, is imperative. This need increases exponentially when the focus is on a humanitarian crisis context, in which populations have been forced into displacement and the health system is disrupted, of which the Internal Displaced Persons in Iraq are an example (commonly referred as refugees). The constraint of resources and the clash of different cultures and experiences between professionals, can hinder or even compromise the provision and quality of care, as well as the experience and perception of patients themselves regarding the services provided.With this study I propose the mapping of a HRS within an emergency medical field hospital, in a refugee camp in Iraq, to ensure the quality of emergency management and delivery of care, in a scenario of instability and political uncertainty. This system, which functions as a systematically collected database, presents specific health characteristics of a given patient when receiving differentiated care essential to guarantee high standards of care.A service design methodology to test the hypothesis will be used through a service blueprint development, capable of mapping the activities, processes and systems involved in a patient's health experience. Design research methods such as service safari and user shadowing with informal ethnographic interviews will be implemented, as well as workshops with national and international health professionals involved with NGO work.Thus, it is expected to re-design a robust monitoring and patient track, with faster access of the patient’s history to health professionals, a better prevention of medication errors and duplication, and a greater transparency in the management and delivery of care. The easy implementation of the system will also allow an easier communication of patient’s needs and care, between different health stakeholders.
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Singh, Nisha. "Cohort study of vulvar cancer cases over a period of 10 years." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685356.
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Objective: To study the risk factors, management protocols and outcome of vulvar cancer cases over a period of 10 years in a tertiary care hospital. Methods: It is a retrospective cohort study of vulvar cancer from January 2004 to January 2014 at King George Medical University, Lucknow. Hospital records of 41 patients with histologically proven diagnosis of vulvar cancer were studied from Department of Obstetrics and Gynecology and Department of Radiotherapy. The presence of risk factors, stage of disease, treatment modalities used and disease outcome in terms survival were studied. The data collected was analyzed and compared with the published literature. Results: The mean age for diagnosis of vulvar cancer was 52 years and peak incidence was seen in age group of 50-70 years. Incidence was significantly more in multiparous (p = 0.001) and postmenopausal women (p = 0.007). An average of 4.1 cases were seen per year. 97.56% cases were squamous cell carcinomas including one case of verrucous carcinoma. Only one non-squamous case of Bowen’s disease was seen. 20 cases belonged to early stage (1 and 2) while 21cases had advanced disease (3 and 4). 48.78% cases were primarily treated with surgery, 26.83% with radiotherapy, 7.3% with chemotherapy and 17.07% with combined chemoradiation. 78% of surgically treated cases had mean survival of 5 years. Mean survival of 1 year was recorded in advanced disease cases. Limitation of the study was poor follow up after treatment. Conclusion: Incidence of vulvar cancer is significantly high in multiparous and postmenopausal women. Surgical treatment is the best option in early stage of disease (stage I and II) and gives high survival rates while advanced disease treated with chemoradiation has poor survival.
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Pangerti, Fitria Diyah Ayu, Pawito Pawito, and Hanung Prasetya. "Factors Affecting Adherence to Antiretroviral Therapy: Application of Theory of Planned Behavior in Malang, East Java." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.53.
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Background: Adherence to antiretroviral (ARV) treatment is known as an important component in achieving the success of an optimal HIV therapy program. Poor adherence to antiretroviral therapy (ART) is associated with less effective viral suppression, which creating permanent treatment resistance. The purpose of this study was to examine factors affecting adherence to ARV therapy. Subjects and Method: A cross-sectional study was conducted in Malang, East Java, from September to October 2019. A sample of 200 PLWH was selected by fixed disease sampling. The dependent variable was adherence to ARV therapy. The independent variables were cues to action, perceived susceptibility, perceived benefit, attitude, and CST service. The data were collected by medical record and questionnaire. The data were analyzed by a multiple linear regression. Results: Adherence to ARV therapy in PLWH increased with strong cues to action (OR= 6.40; 95% CI= 3.13 to 13.12; p<0.001), strong perceived susceptibility (OR= 3.61; 95% CI= 1.82 to 7.13; p<0.001), strong perceived benefit (OR= 4.68; 95% CI= 2.37 to 9.28; p<0.001), and positive attitude (OR= 5.39; 95% CI= 2.69 to 10.83; p<0.001). CST service was associated with adherence to ARV therapy but it was statistically non-significant (OR= 0.63; 95% CI= 0.33 to 1.20; p=0.130). Conclusion: Adherence to ARV therapy in PLWH increases with strong cues to action, strong perceived susceptibility, strong perceived benefit, and positive attitude. CST Keywords: Care, support, and treatment service, people living with HIV/AIDS Correspondence: Fitria Diyah Ayu Pangerti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: ayupangerti13@yahoo.com. Mobile: 081332600710. DOI: https://doi.org/10.26911/the7thicph.02.53
Reports on the topic "Poor Medical care Kenya"
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Liambila, Wilson, Francis Obare, Edward Ikiugu, Vitalis Akora, Jesse Njunguru, Michael Njuma, Kate Reiss, and Harriet Birungi. Availability, use and quality of care for medical abortion services in private facilities in Kenya. Population Council, 2015. http://dx.doi.org/10.31899/rh4.1042.
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Huntington, Dale. Meeting women's health care needs after abortion. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1036.
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Women who seek emergency treatment for abortion complications—bleeding, infection, and injuries to the reproductive tract system—should be a priority group for reproductive health care programs. These women often receive poor-quality services that do not address their multiple health needs. They may be discharged without counseling on postoperative recuperation, family planning (FP), or other reproductive health (RH) issues. Women who have had an induced abortion due to an unwanted pregnancy are likely to have a repeat abortion unless they receive appropriate FP counseling and services. Preventing repeat unsafe abortions is important for RH programs because it saves women's lives, protects women’s health, and reduces the need for costly emergency services for abortion complications. At the 1994 International Conference on Population and Development, the world's governments called for improvements in postabortion medical services. As part of the resulting international postabortion care initiative, the Population Council’s Operations Research and Technical Assistance projects worked collaboratively to conduct research on interventions to improve postabortion care. This brief summarizes the major findings of this research and relevant studies by other international organizations.
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Motaze, NV, and Charles Shey Wiysonge. Do social and community-based health insurance schemes have an impact on the poor and the informal sector in low- and middle-income countries? SUPPORT, 2017. http://dx.doi.org/10.30846/1704123.
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People with low incomes often have poor access to health services and limited ability to pay for medical care. For such individuals and households, substantial out-of-pocket healthcare expenditure may have catastrophic financial consequences and worsen poverty. Health insurance schemes are intended to reduce the burden of health costs on individuals and households.
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Mohammed, Abdulwasea. A Crisis With No End in Sight: How the ongoing crisis in Taiz Governorate continues to put civilians at risk. Oxfam, December 2020. http://dx.doi.org/10.21201/2020.7147.
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Despite a UN-brokered peace agreement in December 2018, the conflict in Yemen has run into its sixth year. In Taiz Governorate, civilians continue to bear the brunt of conflict. Every day, they face death or injury from indiscriminate attacks, gender-based violence in their homes and poor access to food, water and medical care. As people’s resources are further exhausted, their safety, security and well-being are only likely to worsen. The COVID-19 pandemic has added an additional layer to the ongoing crisis. The people of Taiz –and across Yemen as a whole – desperately need a lasting and inclusive peace process to end the world’s worst humanitarian crisis.