Delivery Of Quality Healthcare Services Research Articles

Analysing of drug patterns in primary healthcare centers in Indonesia based on WHO's prescribing indicators

BackgroundThe quality of healthcare service delivery must be appropriate to detect and manage disease effectively. Nonetheless, there is a lack of data on the quality of prescribing patterns and healthcare in primary healthcare centers. ObjectiveThis study aimed to investigate drug use patterns based on the WHO's prescribing indicators among selected primary healthcare centers in Surabaya, East Java, Indonesia. MethodsThis study was cross-sectional descriptive. All prescriptions collected from patient medical records were dispensed from the outpatient pharmacy of each primary healthcare center. Data were retrospectively analyzed using WHO's prescribing indicators to measure drug use patterns. Data were entered, cleaned, and analyzed using SPSS Version 27.0. ResultsAbout 2.21 drugs were used on average per encounter. Antibiotics and injections were prescribed in 15.7 % and 1.67 % of the encounters. The most prescribed antibiotics were amoxicillin (87 %), chloramphenicol (6.5 %), and co-trimoxazole (3 %). The percentages of drugs prescribed based on the generic name and the essential drug list were 99.6 % and 76.8 %, respectively. Antibiotic prescribing was significantly associated with patient age and the number of medications prescribed. Patients under 19 were 2.50 times more likely to be given antibiotics (COR: 2.50; 95 % CI: 1.42–4.40). Antibiotic prescribing increases by 0.38 units for each unit, increasing the number of medications prescribed (COR: 0.38; 95 % CI: 0.24–0.59). ConclusionThis study concludes that the prescribing indicators at the five primary healthcare centers in Surabaya, Indonesia differed from the WHO's standards. The antibiotic encounters, injection encounters, and the proportion of drugs prescribed based on the essential drug list were less than the WHO's standards. The study found that the percentage of prescriptions containing generic names was almost fulfilling WHO's indicators. Regulations and monitoring of medicine-prescribing practices are needed to promote rational drug use and minimize adverse drug reactions.

Assessment of the compliance with minimum quality standards by public primary healthcare facilities in Nigeria

Achieving universal health coverage (UHC) and the Sustainable Development Goals (SDG) by 2030 relies on the delivery of quality healthcare services through effective primary healthcare (PHC) systems. This necessitates robust infrastructure, adequately skilled health workers and the availability of essential medicines and commodities. Despite the critical role of minimum standards in benchmarking PHC quality, no global consensus on these standards exists. Nigeria has established minimum standards to enhance healthcare accessibility and quality, including the Revised Ward Health System Strategy (RWHSS) by the National Primary Health Care Development Agency (NPHCDA). This paper outlines the evolution of PHC minimum standards in Nigeria, evaluates compliance with RWHSS standards across all public PHC facilities, and examines the implications for ongoing PHC revitalization efforts. The study used a cross-sectional descriptive design to assess compliance across 25 736 public PHC facilities in Nigeria. Data collection involved a national survey using a standardized assessment tool focussing on infrastructure, staffing, essential medicines and service delivery. Compliance with RWHSS minimum standards was found to be below 50% across all facilities, with median compliance scores of 40.7%. Outreach posts had a median compliance of 32.6%, level 1 facilities 31.5% and level 2+ facilities 50.9%. Key findings revealed major gaps in health infrastructure, human resources and availability of essential medicines and equipment. Compliance varied regionally, with the North-west showing the highest number of facilities but varied performance across standards. The lessons learned underscore the urgent need for targeted interventions and resource allocation to address the identified deficiencies. This study highlights the critical need for regular, comprehensive compliance assessments to guide policy-makers in identifying gaps and strengthening PHC systems in Nigeria. Recommendations include enhancing monitoring mechanisms, improving resource distribution and focussing on infrastructure and human resource development to meet UHC and SDG targets. Addressing these gaps is essential for advancing Nigeria’s healthcare system and ensuring equitable, quality care for all.

The Influence of Emotional Intelligence and Work Culture on Work Commitment and Its Implications on Nurse Performance

This study examines the influence of Emotional Intelligence and Work Culture on Work Commitment and its implications for Nurse Performance in hospitals in the Banten Province. Nurses play a pivotal role in the delivery of quality healthcare services, directly impacting patient recovery and overall hospital performance. The study adopts a quantitative approach with a survey method, collecting data from nurses at four city hospitals in Banten. The results show that both Emotional Intelligence and Work Culture have a significant positive effect on Work Commitment, which in turn, strongly influences Nurse Performance. Emotional Intelligence enables nurses to manage their emotions effectively, fostering stronger emotional engagement with their work. Meanwhile, a supportive Work Culture enhances collaboration and communication among nurses, further strengthening their commitment to their jobs. The findings also reveal that Work Commitment serves as a crucial mediator in the relationship between Emotional Intelligence, Work Culture, and Nurse Performance. Nurses with higher Emotional Intelligence are better equipped to handle stress and build stronger relationships with patients and colleagues, leading to improved performance. Similarly, a positive Work Culture fosters an environment where nurses feel valued and supported, increasing their dedication and job satisfaction. The study concludes that hospitals should prioritize strategies to enhance Emotional Intelligence and cultivate a positive Work Culture to improve both nurse performance and the overall quality of healthcare services.

Stakeholder Engagement and Quality Health Care Service Delivery in Government Hospitals. A Case of Lyantonde Hospital

Stakeholder Engagement and Quality Health Care Service Delivery in Government Hospitals. A Case of Lyantonde Hospital

Clients’ Satisfaction with the Services of the National Health Insurance Scheme at the Moddibo Adama University Teaching Hospital, Yola, Adamawa State

Background: Worldwide, patient satisfaction is one of the cardinal indices for evaluating the quality of healthcare service delivery and the effectiveness of a healthcare system. As consumers of healthcare services, patients have expectations that need to be met. Objective: To assess clients’ satisfaction with the quality of care rendered through the National Health Insurance Scheme in a Nigerian Specialist Medical facility. Methods: This was a descriptive, cross-sectional study of 403 respondents selected randomly from NHIS enrolees attending the Federal Medical Centre, Yola. The study assessed the enrolee's level of satisfaction at the various service points using a self-administered, semi-structured questionnaire. Results: The overall average satisfaction score was 61.0.%. The satisfaction score on the various aspects of service was as follows: hospital environment/cleanliness (87.9%), doctors’ consultation (74.2%), reception/registration (69.5%), laboratory services (64.3%), waiting time (64.2%), staff attitude (60.5%), and availability of prescribed drugs (48.2%) been the lowest. Conclusion: Overall, patients' satisfaction with the services provided was good, with the hospital environment/cleanliness rated highest and the availability of prescribed drugs the lowest. The current level of patient satisfaction needs to be improved by making drugs more available in the NHIS pharmacy and improving the attitude of staff to work and clients.

Perceived inadequate welfare of healthcare professionals in Nigeria and its influence on service delivery and patients’ safety

This qualitative study examines the perceived inadequate welfare of healthcare professionals in Nigeria and its influence on service delivery and patient wellbeing, focusing on Enugu State. Three research questions were formulated to guide the study. Data were collected from 12 respondents through oral interviews. The health professionals and patients of three government-owned hospitals in Nsukka LGA formed the study population, where 12 respondents were sampled using purposive and availability sampling techniques. The collected data were analysed thematically. According to the analysis, the welfare of healthcare workers in Nigeria is inadequate. This has a far-reaching impact on the quality of healthcare service delivery and patient’s well-being. The study strongly advocates the need for governmental intervention and collaboration among healthcare professionals to improve working conditions. This study also accentuates the role of social workers in advocating for better healthcare systems and patient safety.

EXAMINING THE FINANCIAL RISK MANAGEMENT OF DONOR FUNDS: CASE OF MINISTRY OF HEALTH IN ZAMBIA

<p>This study examines the financial risk management of donor funds using the Ministry of Health (MOH) in Zambia as a case study. The study employs an exploratory case study methodology on a sample of 224 MOH employees. Zambia, being a developing country, significantly relies on donor funds to support its healthcare sector. Prudent management of donor funds is crucial for the sustained delivery of quality healthcare services. However, there has been concerns regarding the financial risk management practices at the MOH in the efficient utilization and accountability of donor funds. From the literature review, it seems no study has been done regarding the financial risk management of donor funds focusing on the MOH in Zambia. Therefore, this study fills this gap. The study findings seem to show evidence of the misappropriation of donor funds exhibited by misallocation of donor funds to unplanned projects or activities. The misappropriations of donor funds seem to be amplified by a lack of strategic planning, lack of coordination, and the absence of effective monitoring and evaluation systems. Additionally, fraud and corruption posed significant risks to donor funds at MOH. Therefore, to mitigate the risks, the study recommends that robust anti-misappropriation measures, enforcement of due diligence on implementing partners, a thorough review of procurement processes, and regular monitoring and evaluation of donor-funded projects be strengthened at the MOH in Zambia. Whistleblower protection and reporting mechanisms should be promoted to help detect and deter fraudulent activities at this Ministry.</p><p><strong> </strong></p><p><strong>JEL:</strong> H51, I18, O23</p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0787/a.php" alt="Hit counter" /></p>

Influence of health information management practices on the quality of healthcare service delivery in OAUTHC Ile-Ife, Osun State Nigeri

Introduction: Medical records are crucial and vital in the continuity of patient care because physicians needs them to attend to patients each day and it is impossible for them to recall the details of each separate case at the same time. This study is therefore necessitated by the need to have a change of orientation about health records management practice and the profession and to have better work productivity and improved quality of care. The study aims at assessing the influence of health information management practices on the quality of health information management service delivery in OAUTHC Ile-Ife, Osun State Nigeria. Methods and Materials: A descriptive survey research design was conducted. Stratified random sampling technique was used to select 317 respondents for the study. The respondents includes; Health information managers, Doctors, Nurses, Medical laboratory scientists and Pharmacists. Results: Findings from the study shows that majority of the respondents assented that the quality of health information management practice in this institution is satisfactory (28.43%) and very satisfactory (68.30%). Study also shows that the greatest HIM service quality the patients and other services seekers enjoyed in the hospital is service reliability with the average response rate of mean 2.69. Conclusion: It is concluded from the study that health information management (HIM) practices have a great influence on the overall quality of healthcare services.

Leveraging ICT for improved quality services in secondary healthcare facilities in Nigeria: Evidence from Kogi State

This study focused on investigating the relationship between Information and Communication Technology (ICT) and the provision of high-quality healthcare services. The research employed a survey research design and concentrated on secondary healthcare facilities within the state. A total of 273 healthcare personnel were randomly selected from these facilities using a simple random sampling technique. Data was collected through a well-structured questionnaire. The secondary information was provided through the Kogi State Strategic Health Development Plan, textbooks, journal articles, conference papers, theses, and the internet. The gathered information was analysed using descriptive statistics and linear regression. Data on respondents’ demographic characteristics and ICT utilisation were presented using simple percentages in tables. The findings of the study demonstrated that the adoption of ICT significantly influences the delivery of quality healthcare services in secondary healthcare facilities. Specifically, the utilisation of ICT can enhance patient safety by facilitating comprehension of medical information, enabling online treatment evaluations, monitoring patient progress, and predicting potential medical complications. Based on the results, it can be concluded that improving ICT adoption is crucial for enhancing and sustaining the provision of quality healthcare services. Therefore, the study recommends that the management of secondary healthcare facilities should prioritise efforts to enhance ICT adoption within their operations. The practical implication of the study is that incorporating ICT in healthcare practices can contribute to more informed decision-making and proactive measures, ultimately fostering a safer and more effective healthcare environment in secondary healthcare facilities.

Challenges and opportunities in healthcare reforms in pre- and post-COVID-19 crisis: A case of Jordan

The COVID-19 crisis presented devastating effects on global healthcare, and Jordan was no exception. During such unforeseen challenges, attention shifts to healthcare leadership and management. However, limited research explored the leadership adjustment in Jordanian hospitals during the pandemic. Therefore, this study examined the challenges and opportunities that arose alongside the outbreak of the pandemic in Jordanian hospitals from the leaders’ perspectives. Semi-structured interviews were conducted with healthcare managers in three Jordanian hospitals, focusing on three key areas: healthcare reform integration, the impact of the COVID-19 crisis on hospital performance and healthcare quality, and management practices to handle the pandemic. Interviews were transcribed and thematically analyzed. Eleven hospital managers in seven administrative positions were involved. Three thematic outcomes were noted regarding the integration of healthcare reforms into the Jordanian healthcare system: sources of reforms, challenges of reform integration, and timely integration of the reforms. Positive impacts of the crisis on the Jordanian hospitals’ performance and quality of healthcare service delivery, which are considered opportunities, resulted in three thematic outcomes: infection control protocol, staff education, and patient management. On the other hand, three thematic concepts emerged as challenges of the COVID-19 crisis: workload, stress and fatigue, and staff shortages. Lastly, this study noted three thematic outcomes regarding management practices adopted by the Jordanian healthcare systems to deal with the pandemic: staff training, monitoring, and social support.

The impact of automatic history-taking software on data quality in the cardiology outpatient clinic: Retrospective observational study.

Healthcare delivery now mandates shorter visits despite the need for more data entry, under-mining patient-provider interaction. Furthermore, enhancing access to the outcomes of prior tests and imaging conducted on the patient, along with accurately documenting medication history, will significantly elevate the quality of healthcare service delivery. To enhance the efficiency of clinic visits, we have devised a patient-provider portal that systematically gathers symptom and clinical data from patients through a computer algorithm known as Automated Assessment of Cardiovascular Examination (AACE). We intended to assess the quality of computer-generated Electronic Health Records (EHRs) with those documented by physicians. We conducted a cross-sectional study employing a paired-sample design, focusing on individuals seeking assessment for active cardiovascular symptoms at outpatient adult cardiovascular clinics. Participants initially completed the AACE, and subsequently, in the first protocol, patients were subjected to routine care without providing the AACE forms to examining physicians. In the second protocol, the AACE form was presented to the physician before the examination, and participants were subjected to routine care. We assessed the impact of AACE forms generated through computerized history-taking method on the examination, considering various clinical outcomes and satisfaction surveys. We included non-randomized eligible patients who visited seven general cardiology outpatient clinics between September 18, 2023, and October 27, 2023. These clinics were staffed by the same physicians who were unaware of the content and details of the study. A total of 762 patients (394 patients in protocol 1 and 368 patients in protocol 2) were included in the study. The mean overall impression score for computer-generated EHRs was higher versus physician EHRs (4.2 vs. 2.6; p < .001). Our study demonstrated that EHRs created by physicians' exhibit inaccuracies or deficiencies in various pieces of information. In the second protocol, in which the AACE form was presented to the physician before the examination, it was determined that the examination time was shorter, the number of tests requested, and the number of new drugs prescribed were less. We observed that the patient-provider portal, systematically collecting symptom and clinical data from patients through a computer algorithm known as AACE, yielded records that were of higher quality, more comprehensive, better organized, and more relevant compared to those documented by physicians.

The 4IR-Health Service Delivery Nexus

The delivery of quality healthcare services to citizens is not only a constitutional right, but also the task and obligation of every government. However, bribery, lack of financial accountability and counterfeit drugs, a shortage of human resources, poor hygiene and ineffective infection control measures, and poor medical record keeping have been identified as major challenges for the implementation of a successful public healthcare system. Fraudulent orders, tender irregularities, fiscal dumping, and over-pricing have also been identified as additional challenges. Due to the lack of quality healthcare services, people have lost trust and hope in the African National Congress (ANC). The paper found that to deliver adequate healthcare services, government needs to establish mechanisms that promote efficiency, quality, transparency, and safety. AI is a mechanism that can increase transparency, efficiency, and detect diseases before they become critical. The paper adopted a qualitative research methodology with an exploratory approach.

LEVERAGING TELE-EDUCATION AS AN EFFECTIVE PLATFORM TO PROVIDE EASY ACCESS TO HEALTHCARE WORKERS ON HYPERTENSION MANAGEMENT IN SUB-SAHARAN AFRICA

Objective: This study aims at showing the efficacy of using tele-education in making knowledge easily accessible to healthcare workers by using the University of New Mexico's Project ECHO® model. This model provides healthcare workers access to evidence-based knowledge to combat the challenges associated with sub-optimal training and depleting resources across Sub-Saharan Africa's healthcare system. This effort has led to significant improvement in the quality of healthcare service delivery. Design and method: Aggregate data were obtained from 4 Tele-education sessions conducted between August 2022- November 2022 to improve the capacity of Healthcare workers. Each session included a didactic presentation by a subject matter expert and a case study presentation by a healthcare worker. The case presentation involved citing real-life hypertension-related cases at the health facility to enable peer-to-peer learning exchange, as encouraged by the ECHO® model for Healthcare workers. The impacts of the sessions were measured using the pre and post-session tests to evaluate the knowledge gained by participants. Results: The population of this study was the 1,389 Healthcare workers from different cadres (such as doctors, nurses, midwives, lab scientists, Community Health Extension Workers (CHEWs), and mid-level managers) who joined the tele-education sessions. There was an average knowledge gain of 11.1%. Over 1.7 million indirect beneficiaries (patients) were reached through services provided by these trained Healthcare workers. Conclusions: The knowledge gained demonstrated the effectiveness of tele-education in improving the capacity of Healthcare workers to provide quality services in managing patients living with or at risk of hypertension. Tele-education cuts across most of the barriers encountered in spreading knowledge to healthcare workers and promotes health literacy and improved service delivery.

Contribution of Results-Based Financing in Quality Improvement of Health Services at Primary Healthcare Facilities: Findings from Tanzania Star Rating Assessment

Background: Performance-based financing (PBF) is an important mechanism for improving the quality of health services in low- and middle- income countries. In 2014, Tanzania launched a countrywide quality approach known as Star Rating Assessment (SRA) which aims to assess the quality of healthcare service delivery in all Primary Health Care (PHC) Facilities in the country. Furthermore, by 2018 (2015-2018), the country rolled out RBF initiatives into eight regions in which PHC facilities were paid incentives based on their level of achievement in SRA assessments. This study aims to compare performance in quality between PHC facilities under RBF regions and non-RBF regions using the findings from the twophases SRA assessments; baseline (2015/16) and follow-up (2017/18). Methods: Analysis of performance of SRA indicators in the SRA service areas were identified based on the star rating tool that was used. The star rating tool had 12 service areas. For the sake of this implementation study, only seven service areas were included. The purposive sampling of the areas was used to select the areas that had direct influence of RBF in health facilities improvement. We used a t-test to determine whether there were differences in assessment star rating scores between the regions that implemented RBF and those, which did not at each assessment (both baseline and reassessment). All results were considered significant at p&lt;0.05. The 95% Confidence Interval was also reported. Results: The mean value was found to be 61.26 among facilities exposed to RBF compared to 51.28 among those not exposed to RBF. The study showed the mean difference score to be 10.79, with a confidence interval at 95% to be -1.24 to 22.84, suggesting that there was (no) a significant difference in the facilities based on RBF exposure during baseline assessment. The p-value of 0.07 was not statistically significant. Overall, there was an increment in facilities scoring the recommended 3+stars and above by 17.39% between the assessments, the difference was significant (p=0.0001). When the regions were stratified based on RBF intervention; facilities under RBF improved in 3+ stars by 10.63% higher compared to those that were not under RBF; however, the difference was not statistically significant (p=0.06) Conclusion: Improvement of Health services needs to adhere to all six WHO building blocks and not to a sole financing. The six WHO building blocks are 1. Service delivery 2. Health workforce 3. Health information systems 4. Access to essential medicines 5. Financing 6. Leadership/governance. Probably, RBF found not to influence star rating because other blocks were not considered in this intervention. We need to integrate all the six WHO building blocks whenever we want to improve health services provision.

A survival analysis approach to determine factors associated with non-retention of newly hired health workers in Iran

Background and aimOne of the main tasks of the healthcare human resource management is to maintain and retain professional staff. The high level turnover of professional staff may reduce the quality of healthcare service delivery. Therefore, this study investigated the factors associated with the turnover of the newly recruited healthcare professionals using survival analysis method in Iran.Materials and methodsThis historical cohort analysis comprised 6811 employees who began working at Mashhad University of Medical Sciences between 2005 and 2020. Employees recruited at any of the university’s units between the years 2005 to 2019 were included. We used appropriate descriptive indices and Log-rank test and the Cox proportional-hazards model to assess the staff turnover. A significance level of 0.05 was used for all tests.ResultsThe findings of the survival analysis showed that the probability of turnover in one year, two years, and five years of employment were 0.12, 0.16, and 0.27. Based on the findings of the Log-rank test, the probability of turnover in entire of the study period was not statistically different between male and female (p = 0.573), and likewise between employees with healthcare occupations and non-healthcare occupations (p = 0.351). Employees whose current workplace and birthplace were not similar had a significantly higher probability of turnover (p < 0.001). Accordingly, the Cox regression result showed, the risk of turnover for the singles was 1.22 times higher than the married. For the Ph.D degree was 3.23 times higher compared to those with a diploma or an associate degree, and for a bachelor’s or master’s degree was 2.06 times more likely to change their workplace than those with a diploma or an associate degree.ConclusionPolicies promoting the recruitment of native-born professionals, given priority to the married candidates than single ones, and/or recurring candidates to pledge to stay in the locality of recruitment site can increase the staff retention and reduce the costs of staff turnover including re-hiring, initial and on-the-job training, accommodation, and other extra living consumptions away from home and family.

"They were quick, insipid, and stuck to the typical medical checkups": A Narrative Study on Women's Expectations and Experiences of Maternity Care in Bangladesh.

The quality of healthcare service delivery is generally determined by how patients' expectations were met successfully. This narrative study explores how women perceive and experience healthcare during childbirth in the context of Bangladesh. This study is inspired by Clandinin and Connelly's three-dimensional paradigm of narrativity that combines temporality, social interaction, and place. To unearth patient-driven narratives, the researcher purposely picked 12 women who gave birth in different private and public health facilities in Bangladesh. Four themes standout from the women's narratives. Excerpts of women's stories have been included in discussing the themes as well as author's conviction on this phenomenon. Most of the participants experienced a shared level of difficulty in choosing the health facilities (private vs public), motivated primarily by delivery costs and social background. Women with a higher level of education and financial means often opted to give birth in private facilities due to their negative perception and experience of the public facility. There was evident discontent when doctors decided for cesarean deliveries. Women were dissatisfied by providers' general lack of empathy and vicarious emotion. However, those women who gave birth in public hospitals expressed some degree of satisfaction which might be attributed to their low expectations and moderate social standing. Women's stories also delved into how societal norms, taboos, and elderly relatives put them in uncomfortable situations. To improve patient-provider interactions, healthcare practitioners should prioritize patient-centered care and collaborative decision-making. Reducing healthcare disparity and resolving superannuated pregnancy norms are also critical challenges.

Implication Of Health Informatics on the Healthcare Workers’ Activities in Saudi German Hospital in Jeddah, Saudi Arabia

Background: health informatics have bene used in the field healthcare for quite a long time. Research investigations have since been conducted to examine various features around the use and application of health informatics. However, there is an apparent gap in the current literature in regard to comprehensive information about the effect of health informatics on the healthcare workers’ practices in Saudi German Hospital, Jeddah. Aim: the aim of this research was to evaluate the implication of health informatics on the healthcare workers’ activities in Saudi German Hospital in Jeddah, Saudi Arabia. Methods: this study applied cross-sectional quantitative research design. Upon seeking and receiving the ethical approval, a sample of 123 sample of healthcare workers in Saudi German Hospital, Jeddah were recruited for data collection. Henceforth, data was collected using survey questionnaires, to which 105 (85.3%) responses were received. The collected data was then analyzed using three statistical tools of SPSS, including the descriptive statistics, Spearman’s rank correlation coefficient, multiple linear regression and multiple analysis of variance. Results: this study found out that health informatics has two critical roles regarding the healthcare workers practices. This was indicated by 40.9% of the participants who strongly agreed that health informatics augments quality of healthcare services delivery and 41.9% of the participants who strongly agreed that health informatics enhances information quality. This study further established that health informatics has a statistically significant impact on the quality of patient care (r=502; p=.000), health workers competencies (r=522; p=.000), and patient safety (r=457; p=.000). Further, this research also observed that the perceived roles of health informatics was had statistically significant association with the healthcare workers’ age (p=.023) and education level (p=.033). Recommendation: there is a need for the healthcare administrations units to intensify the use of health informatics to improve the quality of healthcare service delivery as a function of the healthcare workers.

A qualitative study on community perceptions on quality of healthcare services they received in the Malaria Elimination Demonstration Project in district Mandla, India

BackgroundThe utilization and impact of the healthcare services depend on the perceived quality, appropriateness, ease of availability, and cost of the services. This study aimed to understand the community's perception of the quality of healthcare services delivered as part of the Malaria Elimination Demonstration Project (MEDP), Mandla, Madhya Pradesh, India.MethodsThe study used qualitative techniques to analyze the community perceptions that emerged from the participants’ narratives during the Focus Group Discussions (FGDs) and in-depth Interviews with Key Informants (IKIs) on the promptness and quality of healthcare service delivery, the behaviour of MEDP staff, Information, Education and Communication, and Behavioural Change Communication activities, coordination with community members and other health personnel, and capacity building of healthcare workers and the community.Results36 FGDs and 63 IKIs with 419 respondents were conducted in nine blocks of district Mandla. Overall, 97% to 100% of beneficiaries associated MEDP with regularity and prompt service delivery, availability of diagnostics and drugs, friendly behaviour, good coordination, and community mobilization to enhance treatment-seeking behaviour.ConclusionsThe study's findings highlighted the importance of building and maintaining the community's participation and promoting the demand for optimal utilization of healthcare services inside the village to promptly achieve the malaria elimination goal.

Factors Affecting In Quality Of Healthcare Services In Critical Care Departments Of General Hospitals

Background: Healthcare organizations strive for quality in their service delivery as a way of keeping up with the competing trends in clients’ attraction. In the process, they have become cognizant of the key performance indicators to help track progress and performance. Despite the growing interests in healthcare KPIs, little has been done in terms of KPIs in the general hospitals, especially in the critical care units. Therefore, this study was designed to assess the implications of KPIs on the quality of healthcare service delivery in the critical care department in a general hospital in the Kingdom of Saudi Arabia.&#x0D; Methods: Quantitative descriptive quantitative research was conducted a among 300 healthcare workers in the critical care unit of a general hospital in Saudi Arabia. Data was collected after receiving ethical approval and participants’ consent. Accordingly, the researcher administered the questionnaires to the selected participants using a pre-made research questionnaire using the 5-point Likert scale. The collected data was analyzed using linear regression and the descriptive statistical tests of SPSS, version 26.&#x0D; Results: From the descriptive statistical analysis, two key performance indictors outstood in the critical care department of general hospitals. These include experiences with hospital staff (mean=3.143; SD =2.00) and Patient Readmission Rate (mean=3.106; SD=1.419). A statistically significant relationship was also noted between patient readmission rate (p=.030), experiences with hospital staff (p=.070) and staff's commitment to patients (p=.016) and the quality of critical care care services.&#x0D; Conclusion: Key performance indicators are crucial in tracking the milestones made in healthcare organizations towards meeting patients’ needs. Healthcare system management need to develop a means of tracking their key performance indicators for informed improvements in quality of their services.

The Development of Lean Healthcare Constructs for Quality of Healthcare Service: A Second-order Model of Lean Healthcare in Malaysia

The increase of patients’ attendance due to Covid-19 cases, together with the rise of patients’ demand, long waiting time, rising cost of service, lack of quality personnel and government funding constraints has overwhelmed the healthcare system and resources. Lean is therefore introduced as one of the best strategies by improving the quality of healthcare service delivery through stakeholders’ centricity. Despite there are emerging literatures for Lean healthcare, there is less agreement on the primary constructs constituting under the Lean healthcare practices. This study aims to identify the Lean healthcare practices and provide valid and reliable constructs for Lean healthcare in Malaysia. With the inspiration of Complementary Theory and Sustainable Lean Iceberg Model, the Lean healthcare is conceptualized as second-order formatively measured construct with five first-order constructs namely Strategy and alignment; Leadership; Behavior and engagement; Process management; Tools, technologies and techniques and measure Lean healthcare association with healthcare service quality. Data were obtained from 500 healthcare practitioners and patients in Malaysia public lean hospitals. The result identified the valid and reliable Lean healthcare constructs which consists of five Lean healthcare practices with total 30 items. The study found that all the constructs are complementary and mutually supportive to present the Lean healthcare as holistic implementation and have significant association with the healthcare service quality. This study provides fundamental knowledge and direction for future research as well as practitioners to adopt and implement all the Lean healthcare practices in a holistic manner to enhance the quality of healthcare services.