The Ethiopian Public Health Association conducted regional chapter supervision visits in 7 regions from March 15-27, 2015. The objectives were to restructure chapters, recruit new members, distribute publications and equipment, and orient chapters on a new data management system. Over 500 health professionals participated in discussion meetings. A new chapter was also established in Gambella region. Issues raised by professionals included unfair salary scales and lack of hazard pay. EPHA aims to address members' rights and promote itself throughout Ethiopia.
http://www.wpro.who.int/asia_pacific_observatory/hits/myanmar_pns1_en.pdf
What are the challenges facing Myanmar in progressing towards Universal Health Coverage?
https://www.irrawaddy.com/specials/challenges-impede-development-of-myanmars-public-health.html
Challenges Impede Development of Myanmar’s Public Health
https://europa.eu/capacity4dev/capacity-building-in-public-health-for-development/document/health-sector-reforms-myanmar-giving-more-space-public-health-interventions-ncds
Health Sector Reforms in Myanmar, giving more space for public health interventions for NCDs
HealthCare System in Thailand:Past -
Present and Where is the Future ?
Dr. Pradit Sintavanarong
Minister of Ministry of Public Health, Thailand
ริชมอนด์ 11-10-56
http://www.wpro.who.int/asia_pacific_observatory/hits/myanmar_pns1_en.pdf
What are the challenges facing Myanmar in progressing towards Universal Health Coverage?
https://www.irrawaddy.com/specials/challenges-impede-development-of-myanmars-public-health.html
Challenges Impede Development of Myanmar’s Public Health
https://europa.eu/capacity4dev/capacity-building-in-public-health-for-development/document/health-sector-reforms-myanmar-giving-more-space-public-health-interventions-ncds
Health Sector Reforms in Myanmar, giving more space for public health interventions for NCDs
HealthCare System in Thailand:Past -
Present and Where is the Future ?
Dr. Pradit Sintavanarong
Minister of Ministry of Public Health, Thailand
ริชมอนด์ 11-10-56
lessons on best practices for govt hospitals from private hospitals in indiaHarsha dhulipalla
the ppt consists of present indian health care delivery system and differences between govt & private hospitals,tragedies in govt hospitals,lessons for better improvement
Strengthening government primary reproductive healthcare services through soc...Marie Stopes International
Nguyen Thi Bich Hang's presentation at the International Conference on Family Planning, 2013 on:
Strengthening government primary reproductive healthcare services through social franchising in rural Viet Nam: the “tinh chi em” (Sisterhood) model
Determinants of Strategic Implementation of Devolved Health Services in Trans...paperpublications3
Abstract: Many organizations, including those in the public health sector, are experiencing and managing change which may be either planned or emergent. The performance of Trans Nzoia County has been reproached particularly in the wake of go-slows and strikes of the health labour force in recent times. The broad objective of the study was to assess the factors influencing the strategic implementation of devolved health services in Trans Nzoia County. The study was guided by the following specific objectives: To establish the effect of budgetary support on strategic implementation of health services, to examine the effect of health policy on strategic implementation of health services, to determine the effect of health legislation on strategic implementation of health services, and to determine how management support affects strategic implementation of health services. The study was guided by both Ansoffian theory and management theory. The study adopted a cross-sectional survey research design. The target population was the 1240 employees working with Trans Nzoia County. A sample of 89 respondents was drawn from the target population using stratified random sampling method. Primary data was collected using a structured questionnaire. The instrument was pilot tested before its use to collect data for the main study. The study assessed both validity and reliability of the instrument. The collected data was processed and analyzed with the aid of the Statistical Package for Social software. The data was analyzed using both descriptive and inferential statistics. The results indicated that budgetary support has a positive significant effect on strategic implementation of health services. Health policy had a significant positive effect on strategic implementation of health services. The study found a positive significant effect of health legislation on strategic implementation of health services in Trans Nzoia County. Management support had a positive and significant effect on strategic implementation of health services in Trans Nzoia County. It was therefore concluded that budgetary support, health policy, legislation on health care, and management support what are the factors that determine strategic implementation of devolved healthcare services.
Keywords: Budgetary support, health policy, legislative process, management support and strategic implementation.
Title: Determinants of Strategic Implementation of Devolved Health Services in Trans Nzoia County
Author: Buchunju, Phoebe, Dr. Iravo, Mike, Mr. Okwaro, Fredrick
ISSN 2349-7807
International Journal of Recent Research in Commerce Economics and Management (IJRRCEM)
Paper Publications
THIS PPT IS ABOUT THE HEALTH CARE SYSTEM IN CHINA MOSTLY STUDIED IN ECONOMICS.
THIS ALSO SHOWS YOU ABOUT THE INSURANCE POLICY AND GDP RATE AND MANY MORE
The study on social impact of free health service in Sri LankaRavi Kumudesh
Study on social impact of free health service in Sri Lanka
Ravi Kumudesh(kumudeshr@gmail.com)
Statistical data and the sense of community show a gap of total health expenditure and public health expenditure. This gap shows the problem of sustainability of free health and has created several problems on patients who visit the government hospital for their healthcare needs and health development in community.
This study is focused to clear out the disparity of the health policy by identifying the obstacles to obtain free healthcare facilities from state sector healthcare institutions, and to clarify evidently the circulation of additional amount of money in health service other than public health expenditure creating problems of free health service.
Questioner was the instrument used in primary data collection. Responses were analyzed with income levels. Availability of hospital facilities, mode of spending, utility of private and government health facilities, aptitude on current health trends and prevention healthcare were surveyed. Secondary data analysis also carried out based on WHO reports, reports of Ministry of Health and other international reports.
Primary data indicated inadequate facilities in state hospitals. Out of admitted patients 72% were requested some drugs and laboratory tests from outside. Every respondent spends some amount of money monthly for their health needs, even among low income levels. Only 21% was alert on preventive health care. Out of the respondents who utilize the private health care services 78% pay their expenditure from out of pocket. It includes both people with high income levels as well as low income levels. Secondary data analysis could justify the present situation of the country health. Public health expenditure share of total health expenditure is always less than 50%.
The research realized that all income levels utilize private sector for their health care needs. Most of people who utilize the private sector pay their bills out of pocket. These evidences show the disparity of free health policy and the nature of persisting health care service. Complete understand on this complicated underlying reality of health should be concerned in provision of sustainable health care service.
Adoption of Integrated Healthcare Information System in Nairobi County: Kenya...Editor IJCATR
Health care information systems are aimed at facilitating the smooth running and interoperability of the health care
delivery processes to ensure efficiency and effectiveness; however, the complexity, heterogeneity and diversity of the health care
sector especially in Kenya poses serious challenges especially in relation to integration of the systems. There is a large disconnect
between the public and private health care delivery systems characterized by fragmentation of services, locally within hospitals
(among primary, secondary and tertiary health care settings) and across different health care centers. This research is aimed at
examining the adoption of integrated healthcare information system in Nairobi County; Kenyatta National Hospital represents the
public sector and The Mater Hospital the private sector. A sample size of 100 users on information system from the two hospitals
picked from the primary secondary and tertiary levels were selected and questionnaires administered to them. Data was analyzed
through descriptive statistics with the aid of SPSS. The results of the study indicated that there was a huge disparity between
healthcare information system adoption in the public and private sectors with the private sector’s adoption being at an advanced
stage. The major barriers to adoption including social political barriers, financial constraints and technical/technological barriers
also presented.
Patient payment policy of BAINE countriesRuby Med Plus
Out-of-pocket (OOP) expenditure on health care has significant implications for poverty in many developing countries. The extent of direct payments for health services are producing severe consequences on both equity and efficiency, making health care services unaffordable for most people, and leading to underfunding of essential inputs. Even relatively modest out-of-pocket health expenditure frequently causes indebtedness and can lead to poverty. This study presents an outlook of the role of out-of-pocket payments for health services, formal and informal, in the Albania, Bangladesh, Eritrea, India and Nepal to generate and utilize evidences in broader understanding of patient payment policies. The main purpose of the study is to: (a) compare the health care systems of the countries based on patient payment policy perspectives (b) to analyze the differences and similarities that exist in regards to the role of out of pocket (formal & informal) in the countries. Based on reviewed literatures in five countries, the finding shows these all countries are low and upper middle income countries except Eritrea, which is a low income country. The health care systems vary from totally centralized (Albania, Eritrea, Bangladesh), Decentralized (India and Nepal). The coverage of Public Sector Social Health Insurance is non -existent in all the given countries except Albania and India. Regarding the private health insurance, the evidences show that there are limited private health insurance coverage in Nepal and Bangladesh and India; however no coverage in Eritrea, and around 53 % in Albania. In average, about 85 % of share of national health economy is contributed by out of pocket payment in each of these countries. In each of the countries, there is an exemption policy to alleviate the inaccessibility of groups in immediate needs of health care. The predominant effects of official fees are underutilization of health care especially among the vulnerable groups, poor quality of health to poor groups, inequity, over-prescription, increasing poverty, and creating fertile ground for informal payments and corruption.
Japan has made numerous achievements in health most notably the world’s highest life-expectancy in the past two decades, since its founding Universal Health Insurance System in 1961. However, ageing population with low-fertility rates, stagnating economy, increasing burden of NCDs and growing use of expensive technologies pose the critical challenges in service delivery and financial stability in health. Japan HiT reports current health system reforms undertaken and also recent discussion on paradigm shift to the new system as proposed in Japan Vision: Health Care 2035.
Indonesia Healthcare Landscape - An Overview, July 2014Praneet Mehrotra
A brief description of Indonesia's healthcare landscape and the challenges it faces. The country has no choice, but to attract greater investments (also importantly, foreign investments) in capacity creation.
The Health Professionals Foundation Program (HPFP) at TAU, Zambia, has been crafted to prepare students for the MBChB course. It offers a firm footing in natural sciences and behavioral sciences. The course serves as a bedrock for the core concepts of medical sciences. Which will be crucial for their understanding of concepts and terms during their MBChB course.
MBChB Program The Bachelors of Medicine and Bachelor of Surgery (MBChB) program is aimed at training students to become competent doctors. With the necessary knowledge, skills, and attitude to succeed in a dynamic environment. The program offers a broad and detailed approach to healthcare education. The MBChB curriculum that is balanced between preventive, curative, rehabilitative, and promotive healthcare.
Los serious games son la herramienta formativa más potente para el mundo profesional. Explicación de en qué consisten, cómo son los que hace Oneclick y algunos ejemplos.
Desayuno de trabajo organizado por la revista ComputerWorld para hablar sobre "Calidad del Software". En él participaron dos representantes de BBVA (Juan Ruiz y Marisol Pérez).
lessons on best practices for govt hospitals from private hospitals in indiaHarsha dhulipalla
the ppt consists of present indian health care delivery system and differences between govt & private hospitals,tragedies in govt hospitals,lessons for better improvement
Strengthening government primary reproductive healthcare services through soc...Marie Stopes International
Nguyen Thi Bich Hang's presentation at the International Conference on Family Planning, 2013 on:
Strengthening government primary reproductive healthcare services through social franchising in rural Viet Nam: the “tinh chi em” (Sisterhood) model
Determinants of Strategic Implementation of Devolved Health Services in Trans...paperpublications3
Abstract: Many organizations, including those in the public health sector, are experiencing and managing change which may be either planned or emergent. The performance of Trans Nzoia County has been reproached particularly in the wake of go-slows and strikes of the health labour force in recent times. The broad objective of the study was to assess the factors influencing the strategic implementation of devolved health services in Trans Nzoia County. The study was guided by the following specific objectives: To establish the effect of budgetary support on strategic implementation of health services, to examine the effect of health policy on strategic implementation of health services, to determine the effect of health legislation on strategic implementation of health services, and to determine how management support affects strategic implementation of health services. The study was guided by both Ansoffian theory and management theory. The study adopted a cross-sectional survey research design. The target population was the 1240 employees working with Trans Nzoia County. A sample of 89 respondents was drawn from the target population using stratified random sampling method. Primary data was collected using a structured questionnaire. The instrument was pilot tested before its use to collect data for the main study. The study assessed both validity and reliability of the instrument. The collected data was processed and analyzed with the aid of the Statistical Package for Social software. The data was analyzed using both descriptive and inferential statistics. The results indicated that budgetary support has a positive significant effect on strategic implementation of health services. Health policy had a significant positive effect on strategic implementation of health services. The study found a positive significant effect of health legislation on strategic implementation of health services in Trans Nzoia County. Management support had a positive and significant effect on strategic implementation of health services in Trans Nzoia County. It was therefore concluded that budgetary support, health policy, legislation on health care, and management support what are the factors that determine strategic implementation of devolved healthcare services.
Keywords: Budgetary support, health policy, legislative process, management support and strategic implementation.
Title: Determinants of Strategic Implementation of Devolved Health Services in Trans Nzoia County
Author: Buchunju, Phoebe, Dr. Iravo, Mike, Mr. Okwaro, Fredrick
ISSN 2349-7807
International Journal of Recent Research in Commerce Economics and Management (IJRRCEM)
Paper Publications
THIS PPT IS ABOUT THE HEALTH CARE SYSTEM IN CHINA MOSTLY STUDIED IN ECONOMICS.
THIS ALSO SHOWS YOU ABOUT THE INSURANCE POLICY AND GDP RATE AND MANY MORE
The study on social impact of free health service in Sri LankaRavi Kumudesh
Study on social impact of free health service in Sri Lanka
Ravi Kumudesh(kumudeshr@gmail.com)
Statistical data and the sense of community show a gap of total health expenditure and public health expenditure. This gap shows the problem of sustainability of free health and has created several problems on patients who visit the government hospital for their healthcare needs and health development in community.
This study is focused to clear out the disparity of the health policy by identifying the obstacles to obtain free healthcare facilities from state sector healthcare institutions, and to clarify evidently the circulation of additional amount of money in health service other than public health expenditure creating problems of free health service.
Questioner was the instrument used in primary data collection. Responses were analyzed with income levels. Availability of hospital facilities, mode of spending, utility of private and government health facilities, aptitude on current health trends and prevention healthcare were surveyed. Secondary data analysis also carried out based on WHO reports, reports of Ministry of Health and other international reports.
Primary data indicated inadequate facilities in state hospitals. Out of admitted patients 72% were requested some drugs and laboratory tests from outside. Every respondent spends some amount of money monthly for their health needs, even among low income levels. Only 21% was alert on preventive health care. Out of the respondents who utilize the private health care services 78% pay their expenditure from out of pocket. It includes both people with high income levels as well as low income levels. Secondary data analysis could justify the present situation of the country health. Public health expenditure share of total health expenditure is always less than 50%.
The research realized that all income levels utilize private sector for their health care needs. Most of people who utilize the private sector pay their bills out of pocket. These evidences show the disparity of free health policy and the nature of persisting health care service. Complete understand on this complicated underlying reality of health should be concerned in provision of sustainable health care service.
Adoption of Integrated Healthcare Information System in Nairobi County: Kenya...Editor IJCATR
Health care information systems are aimed at facilitating the smooth running and interoperability of the health care
delivery processes to ensure efficiency and effectiveness; however, the complexity, heterogeneity and diversity of the health care
sector especially in Kenya poses serious challenges especially in relation to integration of the systems. There is a large disconnect
between the public and private health care delivery systems characterized by fragmentation of services, locally within hospitals
(among primary, secondary and tertiary health care settings) and across different health care centers. This research is aimed at
examining the adoption of integrated healthcare information system in Nairobi County; Kenyatta National Hospital represents the
public sector and The Mater Hospital the private sector. A sample size of 100 users on information system from the two hospitals
picked from the primary secondary and tertiary levels were selected and questionnaires administered to them. Data was analyzed
through descriptive statistics with the aid of SPSS. The results of the study indicated that there was a huge disparity between
healthcare information system adoption in the public and private sectors with the private sector’s adoption being at an advanced
stage. The major barriers to adoption including social political barriers, financial constraints and technical/technological barriers
also presented.
Patient payment policy of BAINE countriesRuby Med Plus
Out-of-pocket (OOP) expenditure on health care has significant implications for poverty in many developing countries. The extent of direct payments for health services are producing severe consequences on both equity and efficiency, making health care services unaffordable for most people, and leading to underfunding of essential inputs. Even relatively modest out-of-pocket health expenditure frequently causes indebtedness and can lead to poverty. This study presents an outlook of the role of out-of-pocket payments for health services, formal and informal, in the Albania, Bangladesh, Eritrea, India and Nepal to generate and utilize evidences in broader understanding of patient payment policies. The main purpose of the study is to: (a) compare the health care systems of the countries based on patient payment policy perspectives (b) to analyze the differences and similarities that exist in regards to the role of out of pocket (formal & informal) in the countries. Based on reviewed literatures in five countries, the finding shows these all countries are low and upper middle income countries except Eritrea, which is a low income country. The health care systems vary from totally centralized (Albania, Eritrea, Bangladesh), Decentralized (India and Nepal). The coverage of Public Sector Social Health Insurance is non -existent in all the given countries except Albania and India. Regarding the private health insurance, the evidences show that there are limited private health insurance coverage in Nepal and Bangladesh and India; however no coverage in Eritrea, and around 53 % in Albania. In average, about 85 % of share of national health economy is contributed by out of pocket payment in each of these countries. In each of the countries, there is an exemption policy to alleviate the inaccessibility of groups in immediate needs of health care. The predominant effects of official fees are underutilization of health care especially among the vulnerable groups, poor quality of health to poor groups, inequity, over-prescription, increasing poverty, and creating fertile ground for informal payments and corruption.
Japan has made numerous achievements in health most notably the world’s highest life-expectancy in the past two decades, since its founding Universal Health Insurance System in 1961. However, ageing population with low-fertility rates, stagnating economy, increasing burden of NCDs and growing use of expensive technologies pose the critical challenges in service delivery and financial stability in health. Japan HiT reports current health system reforms undertaken and also recent discussion on paradigm shift to the new system as proposed in Japan Vision: Health Care 2035.
Indonesia Healthcare Landscape - An Overview, July 2014Praneet Mehrotra
A brief description of Indonesia's healthcare landscape and the challenges it faces. The country has no choice, but to attract greater investments (also importantly, foreign investments) in capacity creation.
The Health Professionals Foundation Program (HPFP) at TAU, Zambia, has been crafted to prepare students for the MBChB course. It offers a firm footing in natural sciences and behavioral sciences. The course serves as a bedrock for the core concepts of medical sciences. Which will be crucial for their understanding of concepts and terms during their MBChB course.
MBChB Program The Bachelors of Medicine and Bachelor of Surgery (MBChB) program is aimed at training students to become competent doctors. With the necessary knowledge, skills, and attitude to succeed in a dynamic environment. The program offers a broad and detailed approach to healthcare education. The MBChB curriculum that is balanced between preventive, curative, rehabilitative, and promotive healthcare.
Los serious games son la herramienta formativa más potente para el mundo profesional. Explicación de en qué consisten, cómo son los que hace Oneclick y algunos ejemplos.
Desayuno de trabajo organizado por la revista ComputerWorld para hablar sobre "Calidad del Software". En él participaron dos representantes de BBVA (Juan Ruiz y Marisol Pérez).
Noch heute bietet sich den Besuchern des Neroberges
fast das gleiche Bild wie vor mehr als 100 Jahren. Vor
einer traumhaften Kulisse steht der Nerobergtempel,
unter dem sich zugleich das Wasserreservoir der Nerobergbahn
befindet.
Doch nicht nur der herrliche Weitblick über den
Rhein bis zu den Höhenzügen des Odenwaldes lockt
auf Wiesbadens Hausberg. Der Neroberg ist auch
ein idealer Ausgangspunkt, um in den weiten und
stillen Wäldern des Naturparks Rhein-Taunus auf gut
ausgebauten Wegen stundenlange Wanderungen zu
unternehmen.
Yaskawa A1000 Drives with its latest vector control technology is capable of delivering higher order performance to meet customer expectations. A1000, not only performs but is aesthetically superior and incredibly powerful. A truly reliable product to address future requirements & current needs, only possible from L&T.
An Age Friendly Initiative: Active Ageing Non-institutional Services To Olde...Alakananda Banerjee
Need of the hour: Integrated Approach Towards Community Wellness
Formulated on international research and knowledge based on important principles and guidelines by WHO Active Ageing Policy and Towards Building an Age Friendly City.
Background: Job satisfaction is a significant indicator of the way nurses feel about their profession, the efforts to perform their professional duties, or otherwise abandons it willingly. Method: cross-sectional research design approach was used to assess the job satisfaction and the associated factors among 300 hundred nurses. Data was analyzed using descriptive statistics and kruskal wallis test for association between the socio-demographic variables and job satisfaction at significance level of 0.05 Result: About 1/3 of the respondents (31%) reported gross dissatisfaction with their job, 0% reported being well satisfaction while (68.7%) respondents reported moderate satisfaction with their job. Across items on the scale, gross dissatisfaction was noted on key managerial factors and the salary of the workers. Job satisfaction was associated with specialty (p<0.018), gender (P<0.002) and age (P<0.000) of Nurses. Conclusion: majority of the respondents were moderately satisfied with their job but grossly dissatisfied with salary and administrative roles like communication flow.
Models for Training/Maintaining the Global Health Workforce: Ann KurthUWGlobalHealth
This session will focus on different model programs incorporating novel techniques to optimize training of health workers. Discussion will include the realities of “brain drain,” health worker migration, and maintaining a vibrant health workforce.
Budget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use.docxAASTHA76
Budget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use Only - see specific sponsoringTitle:Union County of Georgia cancer prevention programagency for the proper forms)Date:12-May-17RFA no.PI:Project Period:2017/2018Budget Period:2017-2018Year 1Field researchResearch assitants( Salaries & benefits)250,000Transport120,000Research tools( questionaires and interviews)50,000420,000Screening actvitiesLocal hospital staff service fees80,000Electricity consumed by equipment20,000Maintenace expenses40,000140,000MarketingNutrionists service fees150,000Local gym service15,000Formation of chamber fo commerce180,000Education workshops ( schools and community centers)50,000395,000
pasterme:
rate as of 7/1/05
subject to change
confirm with the SPH
Business Office
pasterme:
part-time student rate as of 7/1/04 subject to change confirm with the SPH Business Office
pasterme:
rate subject to change Please review all budgets with the SPH
Business Office.
Running head: COMMUNITY COALITION 1
COMMUNITY COALITION 3
Community Coalition
Kimberly Crawford
Kaplan University
January 8, 2018
Community Coalition
1. Choose 5 partnerships to engage and explain why you would invite each of these people//organizations to be a part of the coalition.
The creation of community health promotion and education programs takes into consideration several agencies or parties who help in the achievement of the desired health goals. Each of the partners will address its roles using different approaches depending on their area of expertise. This is an important factor to consider as different institutions address health promotion using different approaches and perspectives. The overall outcome from the contribution of every partner should be able to restore and promote the physical, emotional, spiritual, psychological, and social wellness of the community in relation to the health issue being suffered (Minelli, & Breckon, 2009). Chronic diseases are currently the leading causes of death in the community due to their complexity and the severe effects on human health. The community health promotion and education program will be provided by the ‘Health Concerns Coalition’ which will be made up of the following partners; community religious groups, Cancer Supportive Care Foundation, an association of cancer-survivor patients, nutritional organizations, and the local authority.
1. Cancer Supportive Care Foundation – This is an important part of the coalition as it will offer technical expertise in education and diagnosis of chronic diseases. The foundation team will include medical experts who will diagnose the community members of any chronic illnesses. Examinations for diseases such as breast cancer, prostate cancer, diabetes and blood pressure will be conducted by this partner as they will provide modern machines needed for the diagnosis of chronic illnesses.
2. Community religious groups – Community religious groups ca ...
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...
EPHA Promotional activities at Gambella ,Oromia and SNNPR
1. Introduction
Ethiopian Public Health Association promotes the ever improving quality of health services to the public through
advocacy, networking and the active and dedicated involvement of its members. It has more than 5600members
belonging to varying professional categories and level of qualification, and serving in private, government and non-
government organization distributed across the country.
The association has good working relationship both with governmental and nongovernmental organizations as well as
universities within Ethiopia and abroad. The main department that plays a pivotal role in establishment of this
relation is members and networking department.
From March15- 27,2015Members Affairs and Networking Department has conducted regional chapters supervision in
Gambella ,Mettu ,Agaro ,Mizan Teferi ,Jimma,Wolkite and Woliso. Beside the supervision, establishment of one new
additional chapter in Gambella Region (Gambella) was successfully done and the detail of the report is as follows:
TEAM
1. Yusuf Abdu ( From Members affairs dept. Team Leader)
2. Daniel Zenebe (From Members affairs dept .Data management )
3. Leykun Birhanu(Driver)
ACTIVITIES
1. To re-structure and establish new chapter in Gambella region
2. To distribute receipts to focal persons and chapter offices for collection of membership fees.
2. 3. To visit previously opened EPHA branch offices and appoint focal persons for vacant places
4. To distribute equipment and furniture for newly established offices
5. To distribute EPHA Publications like the Ecology of the Epidemiology ,scientific journals and other back issues.
6. To do promotional work and recruit new members in order to increase EPHA members.
7. To orient the new web based data management system to the selected regions.
8. To distribute research questions to health professionals in Gambella region.
NB. Please see the photo gallery next to this table
Date Place Site Number of
people
attended
the meeting
Main activities done
17/10/2014 Gambella Gambella Regional Health
Bureau
7 Discussion among professionals from different health
institution university and healthscience college on
estabelishment of Gambelle regional chapter ,
delivering office equipment to chapter office ,
18/3/2015 Gambella Gambella Health Science
College ,Gambella
Hospital, Gambella Health
Center
25 Promotional activity on EPHA activities ,distribution of
publications, recruitment of new members ,assigning of
focal persons for each institutions,distributing research
questions .
19/3/2015 Mettu Mettu University, Mettu
Zonal Health department,
Mettu Health Science
College
240 Promotional activity on EPHA activities ,distribution of
publications, recruitment of new members ,assigning of
focal persons for each institutions
20/3/2015 Agaro Woreda Healthdepartment
,Health center
10 “ “
3. 23/3/2015 Mizan Teferi Zonal Healthdepartment
,Mizan Tepi University ,
Mizan Hospital ,Mizan
Aman HealthScience
College
110 “ “
24/3/2015 Jima Town Jima Zonal Health
Department ,Jimma
Health center
16 “ “
25/3/2015 Jima Town Jimma University 40 “ “
26/3/2015 Wolkite Wolkite University ,Wolkite
Zonal Department ??
45 “ “
27/3/2015 Woliso journey
to Addis
Woliso Lukas Health
Science College ,Woliso
Zonal Health Department
7 “ “
Important pointes raisedby professionals working in healthbureauand health service delivery institutions
As itwas reported byhealthprofessionalsinvariousinstitutions one of the objectives of professional associations istoensure the rightof theirmembers
but there issignificantproblemespeciallyincarrier structure andsalaryscale in governmentalinstitution,the examplesgivenwere:
Rank andSalary increment fornursesandhealthofficersisnotfair
Midwiveshave occupationalhazardallowance,whereasclinical nursesworkinginobstetricarea do nothave any allowance
Duty allowance offeredforhealthofficersandnursesdoesn’tconsiderthe amountof hourslasted on dutytime.
The newsalary incrementforgovernmentemployee diplomaholder’shealthprofessionalsisnotfair
4. Finallytheystronglynotedthat EPHA shouldplayapivotal role forthe respectof the right of its members
Positive feedback
Almostall professionalsexcept genericstudentshave adequate informationonEPHA andappreciatedthe annual conference sessionsanditsperiodical
publications.Mostof themagainare verymuch interestedtobe the memberof thisveteranassociation
Comment forwarded
EPHA isexpectedtogofurtherinpromotingitself,evenly distributingits publicationthroughoutthe nationandstrengtheningchaptersactivitytoreachthe
unreachedatgrass root level .
Photo Gallery
Discussion with Gambella regional EPHA chapter and introducing the new web based data management system
5. Delivering IT equipment and office furniture to the new Gambella Regional Office by EPHA Supervision team