Health workforce perspectives of barriers inhibiting the provision of quality care in Nepal and Somalia – A qualitative study

Bogren, Malin; Erlandsson, Kerstin; Johansson, Anders; Kalid, Mohamed; Igal, Asad Abdi; Mohamed, Jamal; Said, Fatumo; Pedersen, Christina; Byrskog, Ulrika; Osman, Fatumo

doi:10.1016/j.srhc.2019.100481

Cited by 12 publications

(7 citation statements)

References 23 publications

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“…Most of the respondents in our study were healthcare workers that during the lockdown have been the first respondents exposed to higher risk of becoming infected with COVID-19 ( Ing et al, 2020 ). The long hours at work under difficult and stressful circumstances ( Bogren et al, 2020 ) have caused an increase in anxiety, distress and overall psychological burden in healthcare workers in Peru ( Yáñez et al, 2020e ). These conditions have been reported to trigger self-medication in order to face work-related stress, pressure, discomfort and anxiety ( Omolase et al, 2007 , Barros et al, 2009 ).…”

Section: Discussionmentioning

confidence: 99%

Self-medication practices during the COVID-19 pandemic among the adult population in Peru: A cross-sectional survey

Quispe-Cañari

Fidel-Rosales

Manrique

et al. 2021

Saudi Pharmaceutical Journal

186

149

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Section: Discussionmentioning

confidence: 99%

Self-medication practices during the COVID-19 pandemic among the adult population in Peru: A cross-sectional survey

Quispe-Cañari

Fidel-Rosales

Manrique

et al. 2021

Saudi Pharmaceutical Journal

186

149

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“…The current situation has been exacerbated by inadequacies in healthcare infrastructure, essential medical equipment in health facilities and inadequate health workforce. As a result, the available workers are forced to work for long hours, sometimes under difficult circumstances ( Bogren et al, 2019 ), which prompts them to self-medicate to relieve the discomfort and anxiety attributed to burnouts.…”

Section: Introductionmentioning

confidence: 99%

Assessing the prevalence of self-medication among healthcare workers before and during the 2019 SARS-CoV-2 (COVID-19) pandemic in Kenya

Onchonga

Omwoyo

Nyamamba

2020

Saudi Pharmaceutical Journal

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Background Self-medication plays a key role in public health as it influences both negatively and positively on the health of individuals and the existing healthcare systems. This is especially the case during public health emergencies like the 2019 SARS-CoV-2 disease. Objectives The study aimed at assessing the prevalence of self-medication before and during the outbreak of COVID-19 pandemic among healthcare workers and its associated factors. Methods Stratified sampling was used to select 379 study respondents. The authors developed an online questionnaire, pretested and submitted to various online professional groups of different cadres of healthcare workers. Collected data was analysed using descriptive and inferential statistics. The data was presented in tables, graphs, percentages, and cross-tabulation with different variables. Multivariable logistic regression was used to ascertain factors that influence an individual’s desire to self-medicate and associations were considered significant at p < 0.05. Results The overall prevalence of self-medication increased from 36.2% (n = 137) before the pandemic to 60.4% (n = 229) during the pandemic. The respondents' gender, level of education, age, marital status, participation in physical activity, and drug reaction events, were significantly associated with self-medication before and during the outbreak ( P < 0.05). Multivariable logistic regression analyses showed that participants engaging in physical activities, working during the day and being healthy were less likely to self-medicate ( p < 0.01). Conclusion Self-medication is an important health issue, especially during the COVID-19 pandemic. Continuous awareness creation and sensitization could help in reducing self-medication practices among healthcare workers.

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“…This study highlighted expensive medical services, ignorance and poverty, and a lack of strict rules and regulations as barriers to healthcare services. These findings are supported by another Nepali study that focused on inequality, poverty, traditional and cultural practices, and the heavy burden placed on healthcare professionals as the primary reason for poor health service quality [32]. Another Nepali study emphasized the unavailability of medicine at the health post hospitals while seeking healthcare services [33].…”

Section: Discussionmentioning

confidence: 82%

Engagement of Nepalese High-School Students in Cancer Awareness Using a Photovoice Based on the Health Belief Model

Poudel

Sumi

2021

Healthcare

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Delivering cancer education is one of the strategies for implementing health promotion and disease prevention programs. Moreover, cancer education can help people understand the risks related to specific behaviors that can trigger cancer during later life stages. This study examines the cancer perception of high school students (median age: 14 years) using a photovoice based on the health belief model. Students were requested to take photographs to answer the framework question: “How is cancer present in your surrounding?” A theoretical thematic analysis was conducted to develop codes, and the narratives completed by the participants on the SHOWED checklist were used to create contextualization. With the use of the health belief model, the following factors were determined: risk factors and environmental pollution (perceived susceptibility), symptoms (perceived severity), prevention and screening (benefits), ignorance and poverty, and ineffective laws and regulations (perceived barriers). Linked to these themes, students’ narration demonstrated the risk of developing cancer if the same environment and inadequate regulations persisted. This study highlights the need to incorporate the participation of adolescents in the design, implementation, and monitoring of several community issues to help address several unanswered questions.

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Health workforce perspectives of barriers inhibiting the provision of quality care in Nepal and Somalia – A qualitative study

Cited by 12 publications

References 23 publications

Self-medication practices during the COVID-19 pandemic among the adult population in Peru: A cross-sectional survey

Self-medication practices during the COVID-19 pandemic among the adult population in Peru: A cross-sectional survey

Assessing the prevalence of self-medication among healthcare workers before and during the 2019 SARS-CoV-2 (COVID-19) pandemic in Kenya

Engagement of Nepalese High-School Students in Cancer Awareness Using a Photovoice Based on the Health Belief Model

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