Background: The healthcare services while providing curative, promotive or preventive services inevitably produce waste which may be hazardous to health of patients and hospital staff as well as to the environment. The bio medical waste (management and handling) rules were recently updated by Government of India notification 2016. The present study was carried out to observe and assess the BMW management Practices among staff nurses in a teaching hospital of Vadodara district.Methods: A cross sectional study was carried out to assess BMW management practices in the hospital using BMW Checklist. Observation was the predominant method for data collection.Results: Segregation of BMW at the site of generation was found in 72.73%. Sharp and non-sharp infectious waste was correctly segregated in 72.73% and 100% of areas respectively. Bio medical Waste was found covered in bins, but overfilled in 81.82%. In 6 out of 11, BMW was kept beyond 48 hours. IV set, bottles, syringes, latex gloves, catheters etc. were cut by scissors before disinfection in 45.45%. Staff nurses were using gloves while handling syringe and needles in 10 out of 11 places.Conclusions: Staff nurses were knowledgeable about segregation of BMW, but storage and pretreatment of BMW before its final disposal needs to be improved. An orientation programme about newer guidelines may improve the current practice.
Background: Management of Human resources in health has been a major challenge. Availability of manpower and material are the key ingredients required for efficient and effective delivery of health services. Removing the barriers related to it can help to improve functioning of PHCs
Objectives: 1. To analyze Human resource and Material management skills at PHCs by middle level healthcare managers. 2. To understand the constraints for effective management at PHCs.
Materials and Methods: A cross sectional study was conducted amongst 38 Medical officers who were selected by simple random sampling method. Data collection was done using a semi structured and scale-based questionnaire adopted from NIHFW, India.
Results: Almost half medical officers had experience of less than one year. Only 10.5% PHC/CHCs have full staff. 47.3% health facilities were lacking AYUSH MOs. 63.2% health facilities faced stock out of at least one item in last six months; Lack of manpower (34.8%) and overburden of work (27.9%) are major barriers.
Conclusions: 90% PHCs have one or more posts vacant. Material management need to be improved for better provision of services. Major barriers are lack of Manpower, Infrastructure and Multitasking.
Background:
Continuing Medical Education (CME) is an essential feature of the clinical practice and helps to improve the health care provider’s ability to provide quality patient care. The World Health Organization has given a global strategic plan to end human deaths from dog-mediated rabies by 2030 known as “Zero by thirty.”
Methodology:
A CME session was organized for staff nurses working in a tertiary medical care hospital of Valsad district about anti rabies vaccination. Ninety-one participants were administered the questionnaire about antirabies vaccine (ARV) and related practical aspects before and after the CME session.
Results:
Mean pre- and post-CME Score of the participants was 5.38 and 8.68 out of 10, respectively which was statistically significant. The majority of the participants could score from 5 to 6 (33, 36.2%) before CME which rose to 9 to 10 after CME (58, 63.7%). A total of 52 participants (57%) showed improvement in total score by more than 5 points after attending CME, whereas 13 (14%) showed no improvement. The maximum improvement (52.1%) was found in the fact that currently available vaccine vials are the same for intradermal (ID) and intramuscular (IM) regimes, followed by the need for immunoglobulins in category III animal bites (44.3%).
Conclusion:
CME showed significant improvement in knowledge regarding rabies and antirabies vaccination. The knowledge regarding the similar schedule for both adults and children needs improvement. Subsequent CME programs should focus on these aspects for the effective management of animal bite patients.
Background: Absenteeism is defined as a habit of staying away from the regular classes without providing a genuine or any reason for not attending classes. If Medical student is unable to attend the classes, it is not only loss for him or her family but also to the whole society. Materials and Methods: It was a Cross sectional study conducted among medical undergraduates at Private Medical College of central Gujarat during April to September 2018. Total 238 students having attendance less than 75% were approached from all batches. Number of responses was taken as a denominator to calculate the percentages. Results: 73% of students joined MBBS by self-motivation followed by Parents' wish (21%). The main reasons for less attendance were Classroom related (non-functioning Air conditioner (57%), audiovisual aids (15%), ventilation & hygiene (17%), Colleague related (peer pressure (12%), Faculty related (non-interactive lectures (27%), subject related (boring subject (23%), subject hard to understand (16%). Students spent time on leisure activities (29.2%), sleeping (17.3%) and going home (7.2%) while not attending lectures. 35% students studied the missed topic by self, 41% preferred books and internet and 13% asked classmates. 62% suggested improving the quality of teaching with interactive sessions. Conclusion: Absenteeism was highly prevalent among medical undergraduates. More student friendly infrastructure of classrooms and more interactive teaching with quality presentation might promote students to attend the lectures. Early communication of Attendance to the students as well as parents can be one of the remedial measures.
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