Health Services Management Research Papers/Topics

Attitudes of Primary Health Care (PHC) Gatekeepers Towards Patient Referral Policy, Machakos County, Kenya

Abstract Primary Health Care (PHC) serves as the foundation for building a working healthcare system that provide good health outcomes. The quality of PHC delivery and the decision to refer patients depends on some behavioural factors (knowledge, skills and behaviour) of primary care providers. The study was conducted at 100 PHC centres sampled using Taro Yamane formula, in Machakos County, Kenya, from March to May 2015. It involved 8 gender-based focus group discussions (FGDs) with patients...

Effectiveness of the Devolved Primary Health Care Gatekeeper System in Machakos County, Kenya

Abstract The low health outcomes and inequities problems in developing countries are due to ineffective gate keeping at the Primary Health Care (PHC) level, non-adherence to policy and dysfunctional health infrastructure. This study was conducted at 100 PHC centres sampled using Taro Yamane formula, in Machakos County, Kenya, from March to May 2015. It involved 8 gender-based focus group discussions (FGDs) with patients and their caretakers. Qualitative and quantitative data were collected f...

Patient Perceptions on Primary Health Care (PHC) Nurses and Its Impact on Services Delivery at County Level, Machakos, Kenya

Abstract Background: Patient perceptions on services delivered by nurses are crucial when assessing the quality of health services. These are most attributable to their knowledge, competent skills and other personal characteristics. These can be described in how effective they handle clients when performing their nursing duties and their effectiveness including their ability to utilize a variety of communication skills and their attitudes at their regular work place. Methodology: This is a c...

Are we there yet? Unbundling the potential adoption and integration of telemedicine to improve virtual healthcare services in African health systems

Abstract: Since the outbreak of COVID-19, the attention has now shifted towards universal vaccination to gracefully lift strict COVID-19 restrictions previously imposed to contain the spread of the disease. Sub-Saharan Africa is experiencing an exponential increase of infections and deaths coupled with vaccines shortages, personal protective equipment, weak health systems and COVID-19 emerging variants. Some developed countries integrated telemedicine to reduce the impacts of the shortage of...

Integrated Review of Management of Hypertension by Lifestyle Changes, Yoga, Exercise, Acupressure, Plant/Herbal and Allopathic Medications and Newer Interventions

Hypertension is a global epidemic with prevalence almost similar in urban and rural populations and it is a significant modifiable risk factor for cardiovascular disease, stroke, and renal diseases. Although many modalities of treatment are available, a large percentage of patients don't have their blood pressure (BP) under control, hence, the management of hypertension has become a vital issue. We do find very few integrative reviews considering all feasible modalities of treatment for h...

Health Workers Brain Drain - The Ghanaian Perspective

Abstract The emergence of the COVID-19 pandemic has increased the demand for front-line medical staff in Ghanaian hospitals and other developing nations. According to Herzberg's Two Factor Theory, which was applied in the study, the majority of the studies reviewed demonstrate that there is a brain drain of health professionals from Ghana, which was attributed to motivation and hygiene factors. Since the majority of the studies were conducted in developed nations before the COVID-19 pandemic,...

Prevalence of Malaria among Inmates in Medium Security Custodial Center Sokoto

ABSTRACT: Malaria is one of the most severe global public health problems worldwide, particularly in Africa, where Nigeria has the greatest number of malaria cases. Malaria remains a disease of major public health problems in Nigeria especially among the neglected population such as the custodial center environment. This study was designed to investigate the prevalence of malaria among inmates in medium security custodial center Sokoto. this research aims to assess the prevalence of malaria ...

Breast Cancer Awareness and Practice of Breast Self-Examination Among Rural Women in Umuowa, Orlu Local Government Area Imo State

ABSTRACT Breast cancer is said to be the commonest cancer and the most lethal malignancy in women across the world. Most of the cases are brought late to the hospital when the conditions are severe with multiple nodal involvements and poorer clinical pathological prognostic outcome. If braest changes are detected early and treatment commenced early enough, the survival rate of breast cancer wii be increased. The purpose of this study was to investigate the breast cancer awareness and practice...

Caregivers’ Knowledge and Involvement in the Prevention and Management of Relapse in Schizophrenic Patients at Federal Neuropsychiatric Hospital New Haven, Enugu State

ABSTRACT Schizophrenia the most common type of mental illness affecting approximately 1% of the world population is often accompanied by relapse even while on treatment. This study assessed Caregivers’ knowledge and involvement in the prevention and management of relapse in Schizophrenic patients of Federal Neuropsychiatric Hospital Enugu. A descriptive cross sectional design was adopted. A sample of 197 participants was used. 43-item questionnaire developed by the researcher was used for d...

MALNUTRITION AND TREATMENT OUTCOME AMONG CHILDREN ENROLLED IN A NUTRITION PROGRAMME AT NYARUBUYE HC III, KISORO DISTRICT.

ABSTRACT.The study was carried out at Nyarubuye Health Centre III located in Nyarubuye Sub -County Kisoro District. The general objectives were to assess malnutrition and treatment out come among chidren under five years enrolled in a nutrition programme at Nyarubuye Health centre III and sponsored by USAID. Height /length for weight, weight for age, MUAC measurements and general physical examination were used.In 100 children 92 were found to be having malnutrition. Out of 92 children majorit...

Kenya’s Health In All Policies Strategy: A Policy Analysis Using Kingdon’s Multiple Streams.

Background: Health in All Policies (HiAP) is an intersectoral approach that facilitates decision-making amongpolicy-makers to maximize positive health impacts of other public policies. Kenya, as a member of WHO, hascommitted to adopting HiAP, which has been included in the Kenya Health Policy for the period 2014–2030. Thisstudy aims to assess the extent to which this commitment is being translated into the process of governmentalpolicy-making and supported by international development ...

The Effect of Women’s Empowerment On Utilization of Reproductive Health Services in Ghana

ABSTRACT  The study examined the effect of women’s empowerment on utilisation of reproductive health services in Ghana. Women’s empowerment dimensions included access to economic resources and social norms, while reproductive health services comprised: (contraceptive use, timing of first antenatal visits, skilled birth attendance and place of delivery). The study used the Ghana Demographic and Health Survey 2008, dataset, which is a nationally representative sample. From the two empowerm...

Implementation Challenges Of The Millennium Development Goal To Improve Maternal Health By Health Care Providers In The Tamale Metropolis Of Ghana

ABSTRACT This study examined the implementation challenges of the Millennium Development Goal to improve maternal health in the Tamale Metropolis. The study used a qualitative descriptive study. Purposive sampling was used in the selection of participants for the study. The methods for data collection included in-depth interviews, focus group discussions and a review of documents. The study participants included midwives and health managers at the facility level. The study revealed that the ...

Factors Affecting Patient Waiting Time in the Out Patient Department in Health Care Delivery in Mokwa

ABSTRACT Patient waiting time is the time interval between when a patient presents him/herself for health care services and when he/she finally leaves the health facilities. This project work examined the causes of patient waiting time in the outpatient department at the General Hospital Mokwa. Using simple random of twenty one questionnaires to elicit information from health record officer, physician and patient attending consultative outpatient department. The results obtained indicated t...

Patient Level Of Satisfaction With Perceived Health Service Quality In Nyandarua County Referral Hospital

Perceived health services quality and patient satisfaction are two important health indicators for measuring health system performance. Meeting the needs of the patient and maintaining acceptable healthcare standards are imperative to achieving high quality health care which makes the patient to be the center of healthcare’s quality agenda. While perceived quality of health services affects utilization of services, there is still a gap in literature on the level of customer satisfaction in ...


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