Malaria Prevalence and Drug Management in Pregnant Women Attending Remotely Located Daura General Hospital, North West Nigeria (Published)
Health authorities in Nigeria have for many years promoted national malaria control measures such as the use of insecticide treated bed nets (ITNs), indoor residual spray of insecticides (IRS), intermittent preventive treatment (IPTp) for pregnant women and children and the use of artemisinin combined therapy (ACT) as first line of treatment to reduce the prevalence of the disease in the country. In order to evaluate the effectiveness of these control measures, there is the need for continued disease monitoring and management across different zones of the country, especially among high risk cohorts such as children and pregnant women at remote locations. A 13 months study (July 2014 to July 2015) was carried out to establish the current prevalence of malaria among female patients attending Daura General Hospital in North West Nigeria, using standard laboratory procedures. Daura is a remotely located town that lies in the semi-arid zone of northern Nigeria at the intersection of roads from Katsina, Kano and Zinder in Niger Republic, with coordinates of 130 2’11’’ North, 80 19’4’’ East and 1,558 feet (474 meters) above sea level. Of the 8413 patients that tested positive for malaria parasite during the period, 1119 (13.30%) were children, 3721 (44.23%) were women, 2609 (30.99%) were men and 966 (11.48%) were the elderly. Among the infected women population, 2105 (56.57%) were pregnant (PGW), while 1616 (43.23%) were non-pregnant (NPW) women, indicating statistical significance in malaria prevalence between the two cohorts (p<0.05). Age related prevalence was significantly higher (p<0.05) in the 11 – 20 years group (32.68%) of the PGW and 21 – 30 years group (44.43%) of the NPW than the 25.89% recorded in the 21 – 30 years group and 21.05 and 20.38% recorded in the 31 – 40 years and 41 – 50 years groups of the PGW respectively. The highest seasonal prevalence rate was recorded during the late rainy season (LRS) months of July to September (10.86% for PGW and 8.83% for NPW) followed by the 7.73% recorded for PGW and 7.24% recorded for NPW during the early dry season (EDS) months of October to December. The lowest rates (5.67 and 5.46% for PGW and 6.50% for NPW) were recorded during the early rainy (ERS, April – June) and late dry season (LDS, January – March) months respectively. Monthly prevalence rates were highest during August (15.63%), September (15.11%) and October (11.26%) for the PGW, while corresponding prevalence figures for these months among the NPW were significantly lower (p<0.05) at 8.29, 9.22 and 7.80% respectively. Major drugs prescribed for the prevention of malaria during the second and third trimesters once foetal quickening is noticed include sulphadoxine/pyrimethamine given monthly, while for cure and treatment during all trimesters quinine SO4, arthessunate, α-β arteate and arthessunate/lumefantrim were prescribed. Analgesics, electrolytes and vitamins were also indicated. Malaria is a major cause of hospital visits pregnant women especially during the rainy season months, indicating the need to improve advocacy on intervention control measures among these groups in the study area.
Assessing the Hygienic State of Hospital Kitchens in The Sekondi – Takoradi Metropolis of Ghana (Published)
The hygienic state of the kitchen where foods are cooked as well as the food handlers have an impact on either causing food poisoning or otherwise. Thus, leading to the conduction of the study. The study was a descriptive cross-sectional survey design with the objectives of finding out food handlers’ knowledge on hygiene; assessing the personal, food and kitchen hygiene practices of food handlers in hospitals; and assessing ways in which foods are packaged and served to patient’s hospitals. Fifty (50) kitchen staff were chosen through a purposive sampling technique and structured questionnaire was used to collect data. The data was analyzed using frequencies, percentages, charts and tables. It was found out that the respondents understood the meaning of hygiene and could state some examples. Though most of the hospitals’ kitchen staff were found to comply with hygienic measures, a few were doing the contrary which exposes the foods they prepare to contaminations. The kitchens’ packaging and delivery of food to patients were quite hygienic. However, their means of disposing off waste left much to be desired. Finally, it was recommended that the hospitals’ authorities should increase supervision over the kitchens, organize periodic training on all aspects of hygiene and food safety for staff members of the kitchens and take stringent measures against kitchen staff members who do not comply with the appropriate hygienic regulations.
Post Natal Experience of Women with Midwives during Labour at Meru Level 5 Hospital, Kenya (Published)
A lot has been written on midwives’ experience on women in labour, but there is little discussion on women’s experience at childbirth. Women fear giving birth in hospitals, due to mistreatment by health workers. Early 2011, the Minister for Public Health was reported in the local media to have wondered why women opted to deliver at home, despite hospitals offering delivery services. She suggested that research needs to be conducted to find out why few women were delivering in the hospitals. In a study conducted in Kisumu, majority of women though using Traditional Birth Attendant (TBAs) for delivery, acknowledged hospitals and skilled attendants as their preferred source of delivery care. This paper explores the experience of women at child birth with the midwife. The study was undertaken at Meru level 5 hospital using Exploratory/ Descriptive design. Post natal women who undergoing normal delivery were the target population. Purposive sampling was used to select fifteen participants from the post natal women who met the inclusion criteria for the study. Interviews were used to gather information from the participants, after which it was recorded with their consent. The following were the study findings; that some women in labour are physically and psychologically abused, they lack continuity of care, they are not prepared on what to expect during labour, they are never informed of findings after being examined, they do not establish a relationship with the caregivers, they feel that it is necessary to persevere despite the pain and finally it is fine to deliver while being watched by other women in labour. Despite those feelings, many of the participants said they were satisfied with the care received. There is need to adjust hospital policies to support the use of interventions proven to be of benefit to women during childbirth, and develop approaches that ensure changes in midwifery practice
The Influence of Job Stressor to Performance of Nurses in Pirngadi General Hospital of Medan – Indonesia (Published)
This study was conducted to examined the influence of job stressors to performance of nurses who work in Hospital. Participants were 150 nurses working at hospital. Nurse job stressors were measured using six indicators of job stressors, namely: intrinsic condition of employment, role in the organization, career development, labor relations, organizational structure and climate, and the interface work / home, while the performance of nurse is measured using five indicators, namely: nursing assessment, nursing diagnosis, nursing planning, implementation and evaluation of nursing. Data were analyzed by descriptive and inferential, hypothesis testing is done with path analysis, to test the suitability of the model used goodness of fit test. Our Findings showed that work stressor have significant influence to performance of nurses.
INVESTIGATION THE RELATIONSHIP BETWEEN ORGANIZATIONAL CLIMATE AND ORGANIZATIONAL CITIZENSHIP BEHAVIOR AMONG STAFF IN HOSPITAL. (Published)
Nearly thirty years ago, the subject of safe climate was introduced and to establish conditions which make health and safety for individuals, As well as refers to a condition which desired of individuals behavior, industry events and predict impacts on physical health. Also it is related to an understanding of the management staff, commitment and implementation of safety policies, processes and practices. Therefore In this study, the effect of the relationship between organizational climate and organizational citizenship behavior among hospital staff was investigated. The sample size was 130. Information was collected with using a standard questionnaire. 29 questions in the questionnaire used in the study, 8 questions about organizational climate retrieved from Jav and Liu organizational climate questionnaire, And 20 questions retrieved from Bell citizenship behavior and organizational citizenship behavior questionnaires. Questions are based in the Likert-scale. The results show that situation of the organizational climate and organizational citizenship behavior among staff at the Imam Khomeini Hospital is above average. Other findings revealed that there is a significant positive relationship between organizational climate and it’s characteristics with Organizational Citizenship Behavior.Finally, the results showed that factor of aim clearness and agreement is most important impact prediction of Organizational Citizenship Behavior.
INVESTIGATION THE RELATIONSHIP BETWEEN ORGANIZATIONAL CLIMATE AND ORGANIZATIONAL CITIZENSHIP BEHAVIOR AMONG STAFF IN HOSPITAL. (Published)
Nearly thirty years ago, the subject of safe climate was introduced and to establish conditions which make health and safety for individuals, As well as refers to a condition which desired of individuals behavior, industry events and predict impacts on physical health. Also it is related to an understanding of the management staff, commitment and implementation of safety policies, processes and practices. Therefore In this study, the effect of the relationship between organizational climate and organizational citizenship behavior among hospital staff was investigated. The sample size was 130. Information was collected with using a standard questionnaire. 29 questions in the questionnaire used in the study, 8 questions about organizational climate retrieved from Jav and Liu organizational climate questionnaire, And 20 questions retrieved from Bell citizenship behavior and organizational citizenship behavior questionnaires. Questions are based in the Likert-scale. The results show that situation of the organizational climate and organizational citizenship behavior among staff at the Imam Khomeini Hospital is above average. Other findings revealed that there is a significant positive relationship between organizational climate and it’s characteristics with Organizational Citizenship Behavior.
Finally, the results showed that factor of aim clearness and agreement is most important impact prediction of Organizational Citizenship Behavior.
ASSESSING THE ROLE OF QUALITY SERVICE DELIVERY IN CLIENT CHOICE FOR HEALTHCARE: A CASE STUDY OF BECHEM GOVERNMENT HOSPITAL AND GREEN HILL HOSPITAL (Published)
Healthcare is one of the Ghana’s biggest sectors, in terms of revenue and Employment. With Ghanaians fast growing purchasing power, patients are willing to avail themselves with good quality healthcare deliveries. As a result, it is essential for health facilities to evaluate the quality of service being delivered.. Service Industries are now focusing on service quality so as to drive high levels of patients satisfaction (Kumar et al., 2008).This study sought to investigate the reason for client choice for a healthcare in Bechem Government Hospital and Green Hill Hospital. The research used quantitative research methods to collect and analyze data. The statistical Package for Social Sciences (SPSS) was used for quantitative data collection.From the respondents view point, the private hospital was rated better in terms of the reliability, responsiveness, empathy and tangibility as compared to Bechem Government Hospital. These means that management of Bechem Government Hospital need to improve more on these factors.Again, on the factors that affect quality healthcare delivery the private hospital was ranked higher than the public hospital (Bechem Government Hospital). The author therefore recommends the use of SERVQUAL model for the government Hospital used in this research. The SERVQUAL model will help the hospital to improve upon the gap identified in performing its service and consequently satisfy the patients.
THE CONTRIBUTION OF TRANSPORT (ROAD) IN HEALTH CARE DELIVERY “A CASE STUDY OF MANKRANSO DISTRICT HOSPITAL IN THE AHAFO ANO SOUTH DISTRICT OF ASHANTI REGION” (Published)
This project seeks to link the contribution of transport to health care delivery. The main objective of the study was to conduct a Strategic analysis on the role of transport in quality health care delivery. A variety of qualitative and quantitative instruments were employed to gather data to respond to the study research questions. The primary data for the study were collected from the respondents through questionnaire administration and interview conducted by the researcher. The study’s findings confirmed the existence of healthcare transport as a supportive service in quality health care delivery but due to the poor road network, few health facilities and high transport cost most household do not access medical treatment. It is also difficult for health workers to embark on outreach programs and be at work on time because of transport infrastructure and services. These have tended to negatively impact on the delivery of healthcare commodities and services for Ahafo-Ano residents. A strand of thought that filters through the discussion is the establishment of a good road network, increase medical outreach and mobile health clinics