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Dataset results
27 results for “Health care facilities”
Resilience of primary health care facilities - experiences from 16 European countries during the Covid-19 pandemic. A mixed-methods study conducted by EURIPA.
<p><strong><span>Resilience of primary health care facilities – experiences from 16 European countries during the Covid-19 pandemic. A mixed-methods study conducted by EURIPA.</span></strong></p> <p><strong><span>Abstract</span></strong></p> <p><strong><span>Background</span></strong></p> <p><span>The role of primary care during a pandemic varies across European countries. The COVID-19 pandemic has altered the working practices of family medicine doctors. It has also impacted the resilience of health systems.</span></p> <p><strong><span>Objectives</span></strong><span> </span></p> <p><span>This study aimed to examine European health system responses to the pandemic, focusing on rural and urban differences.</span></p> <p><strong><span>Material and methods</span></strong></p> <p><span>This cross-sectional, mixed-methods study used a semi-structured online questionnaire with 68 questions, including 21 free-text comments. Data were collected from May 2020 to January 2021. Key informants from sixteen EURIPA member countries distributed questionnaires to 406 primary care doctors. Data were analyzed using descriptive statistics and non-parametric tests (Chi-square, Kruskal-Wallis, Mann-Whitney U) with a significance threshold of 0.05. </span></p> <p><strong><span>Results</span></strong></p> <p><span>A statistically significant difference was found between rural (36.4%, 55/151), semirural (19.4%, 24/124), and urban populations (29.8%, 39/131) regarding medicine shortages (χ² = 9.91, df = 4, p = 0.042). <span> </span>The semirural one proved to have a statistically significant difference with the other settings(chi-square post-hoc test, p = 0.004 in post-hoc chi-square test). Significant differences were found between countries in resilience features including, Effectiveness of triage, Adapting to the rapidly changing requirements, Government help, Existence of a community resilience group, Improved interprofessional collaboration, Medicine Shortage and GPs involved in palliative care.</span></p> <p><strong><span>Conclusions</span></strong></p> <p><span>Medicine shortage was more prevalent in rural and urban areas compared to semirural ones. Differences were observed between countries in their responses to the pandemic, particularly in Adapting to the rapidly changing requirements, Effectiveness of triage, Government help, Existence of a Community resilience group. Qualitative analysis confirmed these disparities.</span></p> <p><span>The results emphasize the need for tailored approaches considering diverse contexts in shaping effective health system resilience.</span></p>
Availability and functionality of neontal care units in health facilities
Background <p>Evidence shows that delivery of prompt and appropriate in-patient newborn care (IPNC) through health facility (HF)-based neonatal care and stabilization units (NCU/NSUs) reduce preventable newborn mortalities (NMs). This study investigated the HFs for the availability and performance of NCU/NSUs in providing quality IPNC, as well as an investigation of influencing factors in Mtwara region, Tanzania.</p> Results <p>About 70.6% (12/17) of surveyed HFs had at least one NCU/NSU room dedicated for delivery of IPNC, and 74.7% (3,600/4,819) of needy newborns were admitted/transferred in for management. Essential medicines such as tetracycline eye ointment was unavailable in 75% (3/4) of the district hospitals (DHs). A disparity existed between the availability and functioning of equipment including infant radiant warmers (92% vs 73%). Governance, support from implementing patterns (IPs), and access to healthcare commodities were identified from qualitative inquiries as factors influencing the establishment and running of NCUs/NSUs at the HFs in Mtwara region, Tanzania.</p> Conclusion <p>Despite the positive progress, the establishment and performance of NCUs/NSUs in providing quality IPNC in HFs in Mtwara has lagged behind the Tanzania neonatal care guideline standards, particularly after the IPs of newborn health interventions completed their terms in 2016. This study suggests additional improvement plans for Mtwara region and other comparable settings to optimize the provision of quality IPNC and lower avoidable NMs.</p>
Availability and functionality of neontal care units in health facilities
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Data from: Performance of primary care in different health care facilities: a cross sectional study of patients' experiences in Southern Malawi
Objective: In most African countries, primary care is delivered through a district health system. Many factors, including staffing levels, staff experience, availability of equipment and facility management, affect the quality of primary care between and within countries. The purpose of this study was to assess the quality of primary care in different types of public health facilities in Southern Malawi. Study design: This was a cross sectional quantitative study. Setting: The study was conducted in 12 public primary care facilities in Neno, Blantyre and Thyolo districts in July 2018. Participants: Patients aged 18 years and above, excluding the severely ill, were selected to participate in the study. Primary outcomes: We used the Malawian primary care assessment tool to conduct face-to-face interviews. ANOVA at 0.05 significance level was performed to compare primary care dimension means and total primary care scores. Linear regression models at 95% CI were used to assess associations between primary care dimension scores, patients' characteristics and healthcare setting. Results: The final number of respondents was 962 representing 96.1% response rate. Patients in Neno hospitals scored 3.77 points higher than those in Thyolo health centers, and 2.87 higher than those in Blantyre health centers in total primary care performance. Primary care performance in health centers and in hospital clinics was similar in Neno (20.9 vs 19.0, p= 0.608) while in Thyolo, it was higher at the hospital than at the health centers (19.9 vs 15.2, p<0.001). Urban and rural facilities showed a similar pattern of performance. Conclusion: These results showed considerable variation in experiences among primary care users in the public health facilities in Malawi. Factors such as funding, policy and clinic level interventions influence patients' reports of primary care performance. These factors should be further examined in longitudinal and experimental settings.
hands4health: A Multi-component Intervention on Hand Hygiene in Primary Health Care Facilities in Burkina Faso and Mali
ClinicalTrials.gov study NCT05946980. IPD Sharing: YES. Countries: 2. Publications: 1.
Newborn Infection Control and Care Initiative for Health Facilities to Accelerate Reduction of Newborn Mortality
ClinicalTrials.gov study NCT02271737. IPD Sharing: Not stated. Countries: 1. Publications: 2.
Mobility of Vulnerable Elders (MOVE): Translating Knowledge to Health Care Aides in Long-term Care Facilities
ClinicalTrials.gov study NCT01474616. IPD Sharing: Not stated. Countries: 1. Publications: 2.
Clinic Waiting Room-based Study of Swahili Language Artificial Intelligence-driven Symptom Assessments in Tanzanian Primary Health Care Facilities
ClinicalTrials.gov study NCT04958577. IPD Sharing: NO. Countries: 1. Publications: 2.
The Effectiveness of Health Facility-based and Community-based Care for Tuberculosis
ClinicalTrials.gov study NCT00939419. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Electricity Access and Maternal Care in Rural Health Facilities in Uganda
ClinicalTrials.gov study NCT03589625. IPD Sharing: UNDECIDED. Countries: 1. Publications: 3.
Quality Improvement of Person-Centered Care for Maternal Health in Public Facilities in India, Phase 2
ClinicalTrials.gov study NCT04208841. IPD Sharing: NO. Countries: 1. Publications: 2.
Impact of Enhanced Health Facility Care in Uganda
ClinicalTrials.gov study NCT01024426. IPD Sharing: Not stated. Countries: 1. Publications: 4.
Low-dose High-frequency Training of Facility Health Care Providers in Mali
ClinicalTrials.gov study NCT03656237. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Data from: Performance of primary care in different health care facilities: a cross sectional study of patients’ experiences in Southern Malawi
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WHO Labor Care Guide for Obstetric Care Providers in Public Health Facilities in Mbarara, Southwestern Uganda
ClinicalTrials.gov study NCT05979194. IPD Sharing: Not stated. Countries: 0. Publications: 3.
CAPABLE Transitions: A Home Health-Based Intervention for the Hospital or Post-Acute Care Facility-to-Home Transition
ClinicalTrials.gov study NCT04460742. IPD Sharing: YES. Countries: 1. Publications: 0.
Data from: Individual factors associated with time to non-adherence to ART pick-up within HIV care and treatment services in three health facilities of Zambézia Province, Mozambique
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Vitamin D Status and Bone Health of Older Adults in Care Facilities
ClinicalTrials.gov study NCT04399291. IPD Sharing: NO. Countries: 1. Publications: 0.
A Pilot Study for Adaptation of Neospot Device for Health Care at Primary Health Facilities in Kenya
ClinicalTrials.gov study NCT06132633. IPD Sharing: NO. Countries: 1. Publications: 0.
Indoor Air Quality and Infectious Aerosols in Health Care Facilities
ClinicalTrials.gov study NCT01275326. IPD Sharing: Not stated. Countries: 1. Publications: 0.
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