Preparedness for health-related SDGs among healthcare workers in a rural district of Maharashtra with reference to achievements of MDGs 4, 5 and 6

Shah, Anuradha Kunal; Velhal, Gajanan

doi:10.4103/jfmpc.jfmpc_936_19

Cited by 1 publication

(2 citation statements)

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“…Maharashtra has a total population of 112.4 million with a projection to increase to approximately 124 million by 2020 and formed 9.28 percent of India in the 2011 Census. The literacy rate of the state is 82.34%, which is greater than the literacy rate (72.98%) of India and the sex ratio of the state is 929 per 1000 men [ 11 , 12 ]. According to the Asian Development Bank (ADB), the Maharashtra government facilities suffer from a lag of healthcare providers (148 doctors and nurses in public hospitals for every 100,000 population), limited specialists, overcrowding, and poor quality of service [ 26 ].…”

Section: Methodsmentioning

confidence: 99%

“…Whilst, the recent rise in the reporting of medical negligence, public dissension against health care professionals, private, and public institutions, and registered complaints against health care workers in Maharashtra is an alarming sign of possible breaches of one or more of the Bioethics principles in medical practice [ 9 , 10 ]. The Maharashtra state with 124 million people has the largest Health Delivery System (HDS) in the country and it is high time to explore the understanding and doing of Bioethics in clinical practice among HCPs of Maharashtra to set forth quality health care, and human values along with Sustainable Development Goals, India (SDG 3) motto of health for all [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Understanding, being, and doing of bioethics; a state-level cross-sectional study of knowledge, attitude, and practice among healthcare professionals

Thangavelu,

Janakiraman,

Pawar

et al. 2024

BMC Med Ethics

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Background The field of bioethics examines the moral and ethical dilemmas that arise in the biological sciences, healthcare, and medical practices. There has been a rise in medical negligence cases, complaints against healthcare workers, and public dissatisfaction with healthcare professionals, according to reports from the Indian Medical Council and other healthcare associations. We intend to assess the level of knowledge, attitude, and practice of bioethics among the registered healthcare professionals (HCPs) of Maharashtra, India. Methods A State-level online survey was conducted among the registered HCPs (n = 2143) casing all five regions of the Maharashtra state using a pre-tested self-administered questionnaire. The responses were expressed as mean, and proportions with their standard deviation and 95% CI respectively. Binary logistic regression and a multivariate logistic model were used to determine factors associated with knowledge, attitude, and practice of bioethics. Results Of the 2143 registered HCPs in Maharashtra included in this study, most of them (65.2%) had adequate knowledge of bioethics. Adequate knowledge was associated with lower age, profession (nurses and dentists), employment in the private sector, HCPS at Marathwada and Pune, and higher educational attainment. About 3 in 5 HCPs (59.4%) had a favorable attitude towards the ethical practice of bioethics, and was associated with profession, place of work, region of practice, and work experience. The distribution of unethical bioethics practices among 10 items was proportionally high, and only 34.4% reported good/fair practice. The common unethical practices in the state were allowing patients to be examined by interns, and not informing them about professional misconduct to the regulatory bodies. Conclusion Most HCPs had adequate knowledge of bioethics, which is encouraging and would favor the laying foundation for forming a good bioethics framework. Only 3/5 HCPs demonstrated a favorable attitude, and the observed unethical practice is alarmingly common. A serious consideration to evaluate the compliance level of bioethics practice periodically and measures to educate, sensitize, and train bioethics among HCPs in Maharashtra is warranted.

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Section: Methodsmentioning

confidence: 99%