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Access to Health Care by Urban Refugees and Surrounding Host Population in Uganda
Julius Kasozi,
Gloria Kirungi Kasozi,
Roy William Mayega,
Christopher Garimoi Orach
Issue:
Volume 3, Issue 2, June 2018
Pages:
32-41
Received:
12 April 2018
Accepted:
27 April 2018
Published:
19 May 2018
Abstract: Uganda hosts an estimated 34,200 urban refugees who are living within the peri-urban areas among nationals in Kampala city. The study assessed factors that affect access to health services by the urban refugees and host communities. A cross-sectional study was conducted between July 2011 and June 2012 employing qualitative and quantitative techniques of data collection. Using structured questionnaires and guides, 944 heads of households interviews who were randomly selected using cluster sampling, 6 key informant interviews and 2 focus group discussions were conducted. SPSS, STATA and manifest-content analysis was used for analysis. The factors found to promote access to health services for refugees and host communities were availability of health facilities, (91.2%, 229/246) for refugees compared to (97.8%, 220/224) for nationals (OR = 2.61; 95%CI 1.36-5.03; p<0.05); and geographical accessibility to health facilities within a 5 km distance, (75.6%, 291/384) for refugees compared to (95.5%, 340/356) for nationals (OR=1.64; 95%1.25-2.16; p=0.000). Access was hindered by affordability of health services, refugees (44.9%, 173/385) compared to nationals (80.9%, 288/356) (OR = 4.68; 95%CI 3.33-6.59; p<0.05) and temporal accessibility of health services, refugees (23.5%, 53/226) compared to nationals (67.4%, 203/301) (OR = 2.61; 95%CI 1.36-5.03; p<0.05). Nationals (55.7%, 234/420) compared to refugees (21.3%, 76/356) (OR=0.41; 95%CI 0.23-0.73; p=0.003) perceived health services provided by the public facilities as good. Access to health care by urban refugees is enhanced by availability of and the proximity to health facilities while it is hindered by cost of health care, long-waiting time and low acceptability of the services. Refugees have a poorer perception towards the quality of health services compared to nationals. There is need to invest in the availability of comprehensive health services, demand creation initiatives, refugee skills trainings and income generating activities, establishment of a refugee buddy-system to facilitate communication and institutionalization of a refugee-based village health system.
Abstract: Uganda hosts an estimated 34,200 urban refugees who are living within the peri-urban areas among nationals in Kampala city. The study assessed factors that affect access to health services by the urban refugees and host communities. A cross-sectional study was conducted between July 2011 and June 2012 employing qualitative and quantitative techniqu...
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Job Satisfaction and Related Factors in Physicians and Nurses Who Work in Hospitals in Edirne City of Turkey
Fatmanur Ince Ozgenel,
Safak Meric Ozgenel,
Galip Ekuklu
Issue:
Volume 3, Issue 2, June 2018
Pages:
42-47
Received:
15 April 2018
Accepted:
5 May 2018
Published:
29 May 2018
Abstract: One of the most important conditions for individuals to be happy and productive in workplaces is job satisfaction. In this study, it was aimed to determine the levels of job satisfaction in physicans and nurses who worked in hospitals in Edirne and to evaluate the effects of potential influencing factors on job satisfaction. The population of the study was composed of a total of 1376 individuals. The sample group was composed of a total of 385 healthcare staffs including 192 physicians and 193 nurses (28% of the population). The data were collected using a questionnaire form and Minnesota Job Satisfaction Scale and evaluated by SPSS (Statistical Package for Social Sciences) 20.0 package program. Job satisfaction levels were found better in the healthcare staffs who worked in private hospital. When assessed by profession, the highest level of job satisfaction was found in academic member. This study was found that 82% of the health staffs reported that they did not feel safe while working, 75% were exposed to verbal or physical abuse. When the satisfaction of the participants related to the institution where they worked and the occupation they had was examined, it was observed that approximately 37% reported that they thought to leave the institution where they worked and 25% even reported that they thought quitting their jobs. The general job satisfaction was better in individuals who were experts in their areas, who worked in private hospital, who loved their profession, whose working hours were regular, who felt themselves safe in their institutions and who worked free from violence. The worst level of job satisfaction was found in general practitioners. The job satisfaction of healthcare staffs who thought that the performance-based payment system applied in Turkey was unfair was low.
Abstract: One of the most important conditions for individuals to be happy and productive in workplaces is job satisfaction. In this study, it was aimed to determine the levels of job satisfaction in physicans and nurses who worked in hospitals in Edirne and to evaluate the effects of potential influencing factors on job satisfaction. The population of the s...
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Multidimensional Health-Related Quality-of-Life Among Patients with Pulmonary Tuberculosis in Saudi Arabia
Ghofran Omar Dhelaimi,
Turki Suwaylim Alsaedi,
Muteb Omtairan Alharbi,
Fahad Alkaraiem,
Abdulhameed Saleem Altarjami,
Ayman Ahmad Alkaraiem,
Ergie Pepito Inocian
Issue:
Volume 3, Issue 2, June 2018
Pages:
48-56
Received:
25 April 2018
Accepted:
16 May 2018
Published:
19 June 2018
Abstract: This study aimed to explore the multi-dimensional health-related quality of life (HRQOL) among tuberculosis patients and examined its association between with their demographic profiles. A cross-sectional survey using the Functional Assessment of Chronic Illness Therapy-Tuberculosis (FACIT-TB) was carried out on a convenience sample of 87 tuberculosis patients at a large tertiary hospital operating the National TB Control Program (NTP) under the Ministry of Health, Western Region, Saudi Arabia. The overall HRQOL of the respondents is poor, whereas the different dimensions were rated as poor to moderate. The respondents’ age, smoking status, duration of TB, experience of travelling outside KSA, and educational attainment exhibited significant association to some degree with some of the dimensions of HRQOL. Strategies to strengthen the treatment support could sustain acceptable levels of physical, social and emotional functioning among TB patients. The need to increase public awareness about tuberculosis is needed to ensure prompt healthcare seeking, early detection, adherence to remedy, and better prognosis.
Abstract: This study aimed to explore the multi-dimensional health-related quality of life (HRQOL) among tuberculosis patients and examined its association between with their demographic profiles. A cross-sectional survey using the Functional Assessment of Chronic Illness Therapy-Tuberculosis (FACIT-TB) was carried out on a convenience sample of 87 tuberculo...
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Prevalence of Urinary Tract Infection in HIV Patients on Antiretroviral Drugs in Jos Metropolis, Nigeria
Sheyin Zakka,
Olowolafe Christian Oluwatosin,
Essien Unyime Cosmas,
Shindang John,
Ede Folashade Rebecca,
Bigwan Emmanuel Isa
Issue:
Volume 3, Issue 2, June 2018
Pages:
57-60
Received:
28 May 2018
Accepted:
20 June 2018
Published:
6 July 2018
Abstract: Prevalence of UTI in HIV patients is well documented in several studies across the world, but there is paucity of data as regards UTI in HIV patients in Jos metropolis, Nigeria. The study was designed to determine the prevalence of urinary tract infection in HIV positive patients in Jos metropolis and their antibiotic susceptibility pattern. Two hundred and twenty-five mid-stream urine samples were obtained from HIV patients. Samples were cultured on cysteine lactose electrolyte deficient (CLED) agar and blood agar. Gram staining and biochemical tests were carried out to identify the bacteria isolates. Sensitivity testing was performed on isolates using disc diffusion method. Of the 225 HIV patients tested, 13(5.8%) were positive for UTI of which males had 5(4.8%) while the females had 8(6.6%). The study showed the presence of UTI in all age groups with the exception of age group ≥46yrs. The low prevalence of urinary tract infection recorded in the present study is an indication of the efficacy of prophylaxis administered to HIV patients to prevent opportunistic infection.
Abstract: Prevalence of UTI in HIV patients is well documented in several studies across the world, but there is paucity of data as regards UTI in HIV patients in Jos metropolis, Nigeria. The study was designed to determine the prevalence of urinary tract infection in HIV positive patients in Jos metropolis and their antibiotic susceptibility pattern. Two hu...
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Factors Affecting the Utilization of Sexually Transmitted Infections Health Services at the Primary Health Centers in El-Damazin locality at Blue Nile State, Sudan 2015-2016
Khalid Fadl Alla Khalid,
Samia Yousif Idris Habani,
Nada Jafar Osman,
Malaz Elbashir Ahmed
Issue:
Volume 3, Issue 2, June 2018
Pages:
61-68
Received:
21 May 2018
Accepted:
6 June 2018
Published:
12 July 2018
Abstract: Sexually transmitted Infections (STIs) constitute a public health problem, especially in developing countries and among poor people, women and adolescent. In Sudan, despite the endorsement of STIs health services in 2004, within the primary health care (PHC) service package, the uptake of STIs by those in need remains limited. This study aimed at exploring the factors affecting the utilization of STIs health services at the PHC in El-Damazin locality in Blue Nile State (BNS) in Sudan, 2015 -2016. The Specific objectives of this study were: Assessing the capacity of PHC and care providers, in El-Damazin locality in (BNS), in providing quality STIs health services. The study was descriptive, analytical, cross-sectional health facility based study. The study investigated eight PHC and ten care providers during the study period. The study findings indicated that while 62.5% of the investigated PHC centers provide the STIs health services behind closed door, yet 75% of the investigated PHC centers do not abide by the necessary confidentiality measures in maintaining the records of the patients, as well as lacking some medical equipment. All the investigated eight PHCs centers lack management protocol of the STIs. Female health care providers (CPs) are only 30%. While medical doctors represent 80% of the care providers, only 20% of them received training in STIs syndromic case management. Eighty percent of health CPs specified the lack of protocols and guidelines affects the quality of service to STIs patients. The study concluded that the lack of STIs management protocols and guidelines, lack of specific capacity in STIs syndromic case management, limited numbers of female care providers, insufficient medical equipment adversely affect the quality STIs services.
Abstract: Sexually transmitted Infections (STIs) constitute a public health problem, especially in developing countries and among poor people, women and adolescent. In Sudan, despite the endorsement of STIs health services in 2004, within the primary health care (PHC) service package, the uptake of STIs by those in need remains limited. This study aimed at e...
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