Pub Date : 2023-12-30DOI: 10.1177/09720634231216065
Payam Shojaei, Arash Haqbin, Mostafa Saber
The medical tourism industry has been observing significant developments in Iran. This country has been attracting tourists from countries in the Middle East and different regions of the world for a long time. However, nowadays, the Iran medical tourism industry faces serious barriers and challenges which deteriorate its participation in the global medical tourism market. The present article aims to investigate the barriers to the development of medical tourism in this country. In this regard, by reviewing the related literature and a weighted content validity ratio (CVR) analysis, 17 critical barriers were identified and finalised. Then, their casual relations were determined using a fuzzy cognitive mapping (FCM) methodology. The data gathered by a panel consisted of 10 experts in the field of medical tourism. The results show that five barriers, including managers’ lack of knowledge, lack of strategic planning, lack of cooperation and coordination, weak government support and lack of enabling tourism sector, are considered the most important. The findings of this research provide opportunities for practitioners and policymakers to concentrate on Iran’s medical tourism in order to overcome the barriers and consequently enhance the development of this lucrative industry.
{"title":"Identifying and Analysing Iran Medical Tourism Development Barriers Using Fuzzy Cognitive Mapping","authors":"Payam Shojaei, Arash Haqbin, Mostafa Saber","doi":"10.1177/09720634231216065","DOIUrl":"https://doi.org/10.1177/09720634231216065","url":null,"abstract":"The medical tourism industry has been observing significant developments in Iran. This country has been attracting tourists from countries in the Middle East and different regions of the world for a long time. However, nowadays, the Iran medical tourism industry faces serious barriers and challenges which deteriorate its participation in the global medical tourism market. The present article aims to investigate the barriers to the development of medical tourism in this country. In this regard, by reviewing the related literature and a weighted content validity ratio (CVR) analysis, 17 critical barriers were identified and finalised. Then, their casual relations were determined using a fuzzy cognitive mapping (FCM) methodology. The data gathered by a panel consisted of 10 experts in the field of medical tourism. The results show that five barriers, including managers’ lack of knowledge, lack of strategic planning, lack of cooperation and coordination, weak government support and lack of enabling tourism sector, are considered the most important. The findings of this research provide opportunities for practitioners and policymakers to concentrate on Iran’s medical tourism in order to overcome the barriers and consequently enhance the development of this lucrative industry.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":" 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139138870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-23DOI: 10.1177/09720634231216026
N. Jankelová, Zuzana Joniaková, Juraj Mišún
Our study provides a comprehensive view of innovations in the management of healthcare facilities (HCF). It fills the research gap and contributes to discussions on the need to introduce new innovative management tools into the curricula of healthcare managers and professionals. The design of the study is based on answering research questions (RQ) by statistical processing of data from 181 managers of various types of HCF in Slovakia, obtained by questionnaire. We evaluate the use of innovative approaches in the management of healthcare organisations in the application of hard and soft management tools and their relationship to the economic results of these organisations. RQs are aimed at differentiating the application of innovative approaches in management depending on the characteristics of HCF and their managers and depending on the economic results. There is a positive relationship between the use of innovative approaches in management and the economic results of HCF. There are significant differences in the degree of application of innovative approaches between different types of facilities, the leaders in their implementation are university hospitals. The medical education of managers with the additional completed specialised management study has a significant relation to the application of innovative approaches in management.
{"title":"Innovative Approaches in the Management of Healthcare Organisations","authors":"N. Jankelová, Zuzana Joniaková, Juraj Mišún","doi":"10.1177/09720634231216026","DOIUrl":"https://doi.org/10.1177/09720634231216026","url":null,"abstract":"Our study provides a comprehensive view of innovations in the management of healthcare facilities (HCF). It fills the research gap and contributes to discussions on the need to introduce new innovative management tools into the curricula of healthcare managers and professionals. The design of the study is based on answering research questions (RQ) by statistical processing of data from 181 managers of various types of HCF in Slovakia, obtained by questionnaire. We evaluate the use of innovative approaches in the management of healthcare organisations in the application of hard and soft management tools and their relationship to the economic results of these organisations. RQs are aimed at differentiating the application of innovative approaches in management depending on the characteristics of HCF and their managers and depending on the economic results. There is a positive relationship between the use of innovative approaches in management and the economic results of HCF. There are significant differences in the degree of application of innovative approaches between different types of facilities, the leaders in their implementation are university hospitals. The medical education of managers with the additional completed specialised management study has a significant relation to the application of innovative approaches in management.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"17 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139162367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-21DOI: 10.1177/09720634231215389
Suchismita Paul, Soumitra Sarkar
India’s healthcare system is witnessing increased medical inflation, which is outpacing per capita Gross Domestic Product growth. With increased lifestyle diseases and, most recently, a pandemic caused by COVID-19, the cost of financing healthcare has become a huge issue, especially when government spending on healthcare is so low. In light of this, this article emphasises the significance of privately purchased, that is voluntary health insurance in addition to the government-sponsored health insurance programme for the vast uninsured population. Starting with the history of health insurance in India, this article examines premium growth, underwriting profit, investment income, net profit, incurred claims ratio and other metrics. Following that, the difficulties in the health insurance industry and their breadth are examined through a review of literature and recent newspaper reporting. The key issues resulting in negative underwriting experience are the inefficient risk pooling and unregulated private health care costs. A risk-sharing mechanism with an indemnification model must be implemented for better cost management to eliminate value fragmentation. Finally, ideas are given for resolving the challenges and increasing the market share of the health insurance company, with a focus on long-term business models such as managed care.
{"title":"Health Insurance Business in India: Progress, Issues and Way Forward","authors":"Suchismita Paul, Soumitra Sarkar","doi":"10.1177/09720634231215389","DOIUrl":"https://doi.org/10.1177/09720634231215389","url":null,"abstract":"India’s healthcare system is witnessing increased medical inflation, which is outpacing per capita Gross Domestic Product growth. With increased lifestyle diseases and, most recently, a pandemic caused by COVID-19, the cost of financing healthcare has become a huge issue, especially when government spending on healthcare is so low. In light of this, this article emphasises the significance of privately purchased, that is voluntary health insurance in addition to the government-sponsored health insurance programme for the vast uninsured population. Starting with the history of health insurance in India, this article examines premium growth, underwriting profit, investment income, net profit, incurred claims ratio and other metrics. Following that, the difficulties in the health insurance industry and their breadth are examined through a review of literature and recent newspaper reporting. The key issues resulting in negative underwriting experience are the inefficient risk pooling and unregulated private health care costs. A risk-sharing mechanism with an indemnification model must be implemented for better cost management to eliminate value fragmentation. Finally, ideas are given for resolving the challenges and increasing the market share of the health insurance company, with a focus on long-term business models such as managed care.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"68 25","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138950484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-18DOI: 10.1177/09720634231212541
Abdessamad Ouchen, Hamid Akdim
This research attempts to explain the number of COVID-19 deaths. We use in this sense non-spatial and spatial econometric modelling for 14 socio-economic and geographic variables for a panel of 112 countries. The number of hospital beds and doctors in a country has a negative impact on the number of COVID-19 deaths. The proportion of the population aged 65 and over in a country, the number of tourist arrivals and its COVID-19 infections have a positive effect on COVID-19 deaths. The number of COVID-19 deaths in a country depends on the observable characteristics of its neighbours. When the number of COVID-19 infections in neighbouring countries of a given country increases and the proportion of their populations aged 65 and over is high, the number of COVID-19 deaths in the affected country increases. There is no substantial impact of diabetes prevalence, stringency index, even temporally lagged and population density on the reduction in the number of COVID-19 deaths. This research highlights the significant impact of five explanatory variables among the 14 variables selected on the number of COVID-19 deaths. There is a spatial autocorrelation for the variables selected. The spatial models show the existence of an exogenous interaction effect.
{"title":"Modelling of the Explanatory Factors of the Number of COVID-19 Deaths for a Panel of Countries","authors":"Abdessamad Ouchen, Hamid Akdim","doi":"10.1177/09720634231212541","DOIUrl":"https://doi.org/10.1177/09720634231212541","url":null,"abstract":"This research attempts to explain the number of COVID-19 deaths. We use in this sense non-spatial and spatial econometric modelling for 14 socio-economic and geographic variables for a panel of 112 countries. The number of hospital beds and doctors in a country has a negative impact on the number of COVID-19 deaths. The proportion of the population aged 65 and over in a country, the number of tourist arrivals and its COVID-19 infections have a positive effect on COVID-19 deaths. The number of COVID-19 deaths in a country depends on the observable characteristics of its neighbours. When the number of COVID-19 infections in neighbouring countries of a given country increases and the proportion of their populations aged 65 and over is high, the number of COVID-19 deaths in the affected country increases. There is no substantial impact of diabetes prevalence, stringency index, even temporally lagged and population density on the reduction in the number of COVID-19 deaths. This research highlights the significant impact of five explanatory variables among the 14 variables selected on the number of COVID-19 deaths. There is a spatial autocorrelation for the variables selected. The spatial models show the existence of an exogenous interaction effect.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":" 16","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138963369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-15DOI: 10.1177/09720634231216024
Adil Zahoor, Danish Khan, Shayan Basharat Fazili
We look into the way nurses’ job crafting perception (POC) affects their job crafting behaviour (JC) and, as a result, their well-being (WB). Further, the moderating function of personal and job resources (JR) is also scrutinised. We collected primary data from 773 nurses working in 12 private sector and public sector hospitals in Northern Indian states using a standardised questionnaire and deployed structural equation modelling to examine the hypothesised linkages. The empirical findings exposed that POC significantly predicts JC. Second, JC significantly ameliorates nurses’ hedonic and eudaimonic WB. Finally, personal resources (PR) intensify the influence of POC on JC, whereas JR do not. The findings imply that POC cultivates nurses’ JC behaviour, which, in turn, enhances their WB and PR catalyses this driver impact.
{"title":"Cultivating Well-being of Nurses Through Job Crafting: The Moderating Effect of Job and Personal Resources","authors":"Adil Zahoor, Danish Khan, Shayan Basharat Fazili","doi":"10.1177/09720634231216024","DOIUrl":"https://doi.org/10.1177/09720634231216024","url":null,"abstract":"We look into the way nurses’ job crafting perception (POC) affects their job crafting behaviour (JC) and, as a result, their well-being (WB). Further, the moderating function of personal and job resources (JR) is also scrutinised. We collected primary data from 773 nurses working in 12 private sector and public sector hospitals in Northern Indian states using a standardised questionnaire and deployed structural equation modelling to examine the hypothesised linkages. The empirical findings exposed that POC significantly predicts JC. Second, JC significantly ameliorates nurses’ hedonic and eudaimonic WB. Finally, personal resources (PR) intensify the influence of POC on JC, whereas JR do not. The findings imply that POC cultivates nurses’ JC behaviour, which, in turn, enhances their WB and PR catalyses this driver impact.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"89 11","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138998555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-11DOI: 10.1177/09720634231216576
Canet Tuba Sarıtaş
This article examines functional flexibilisation in nursing labour management, considering Turkey’s healthcare restructuring since 2003. It provides a qualitative analysis of nurses’ ward transition experiences through in-depth interviews with 38 female nurses in hospital wards. Along with functional insecurity, the findings suggest that ward transitions lead to insecurity and uncertainty in nurses’ career prospects, skill reproduction and specialisation in a particular clinical area. Moreover, the intersection of healthcare restructuring principles and occupational power relations underlines that applying ward transitions as a functional flexibilisation strategy triggers non-professionalisation and/or degradation of nursing as an occupation.
{"title":"Precarious Implications of Functional Flexibilisation in Labour Management: A Qualitative Analysis of Nurses' Ward Transitions","authors":"Canet Tuba Sarıtaş","doi":"10.1177/09720634231216576","DOIUrl":"https://doi.org/10.1177/09720634231216576","url":null,"abstract":"This article examines functional flexibilisation in nursing labour management, considering Turkey’s healthcare restructuring since 2003. It provides a qualitative analysis of nurses’ ward transition experiences through in-depth interviews with 38 female nurses in hospital wards. Along with functional insecurity, the findings suggest that ward transitions lead to insecurity and uncertainty in nurses’ career prospects, skill reproduction and specialisation in a particular clinical area. Moreover, the intersection of healthcare restructuring principles and occupational power relations underlines that applying ward transitions as a functional flexibilisation strategy triggers non-professionalisation and/or degradation of nursing as an occupation.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"11 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138980340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-11DOI: 10.1177/09720634231216072
A. Gupta, Prerak Mittal, Bhaskar J. Kalita, S. K. Patnaik
Background: By 2019, the estimated CKD prevalence in India was 7%–9%, and around 174,000 patients were on renal replacement therapy. India is likely to witness a rise in the number of patients with chronic kidney disease (CKD). Studies have identified that millions of people die of end-stage renal disease (ESRD) every year in the world, while poor infrastructure and deprived staffing are affecting dialysis access for patients. Inadequate staffing has proven to cause burnout and therapeutic errors which affect the quality of care and increase the financial burden of the illness. Optimal human resources planning is, hence, inescapable for healthcare quality, low attrition and economic viability to patients. With that premise, this study was carried out to ascertain the staffing of a dialysis centre. Methods: We have applied the workload indicator of staffing needs (WISN) method to estimate staffing for a six-bedded dialysis centre of a public sector hospital in Pune, India, with the aim to improve healthcare delivery. Results: The staffing requirement was conclusively calculated to be more than the current employment of two dialysis technicians. Conclusion: Additional employment would prevent staff fatigue and improve hospital operations, reducing the cost burden, enhancing patient safety and improving healthcare indices. The WISN method can be used to assess accurate healthcare staffing and is recommended for all healthcare facilities.
{"title":"An Economic Approach to Human Resource Planning: Application of WISN for a Dialysis Centre Staffing","authors":"A. Gupta, Prerak Mittal, Bhaskar J. Kalita, S. K. Patnaik","doi":"10.1177/09720634231216072","DOIUrl":"https://doi.org/10.1177/09720634231216072","url":null,"abstract":"Background: By 2019, the estimated CKD prevalence in India was 7%–9%, and around 174,000 patients were on renal replacement therapy. India is likely to witness a rise in the number of patients with chronic kidney disease (CKD). Studies have identified that millions of people die of end-stage renal disease (ESRD) every year in the world, while poor infrastructure and deprived staffing are affecting dialysis access for patients. Inadequate staffing has proven to cause burnout and therapeutic errors which affect the quality of care and increase the financial burden of the illness. Optimal human resources planning is, hence, inescapable for healthcare quality, low attrition and economic viability to patients. With that premise, this study was carried out to ascertain the staffing of a dialysis centre. Methods: We have applied the workload indicator of staffing needs (WISN) method to estimate staffing for a six-bedded dialysis centre of a public sector hospital in Pune, India, with the aim to improve healthcare delivery. Results: The staffing requirement was conclusively calculated to be more than the current employment of two dialysis technicians. Conclusion: Additional employment would prevent staff fatigue and improve hospital operations, reducing the cost burden, enhancing patient safety and improving healthcare indices. The WISN method can be used to assess accurate healthcare staffing and is recommended for all healthcare facilities.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"27 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138981772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-11DOI: 10.1177/09720634231215390
T. Das, Pradyut Guha
The present study made an attempt to examine the changing pattern of public healthcare expenditure across Indian states for the period 1979–1980 to 2019–2020 and tried to relate this with the spread and mortality of COVID-19 infected cases. An attempt was also made to analyse the responsiveness of per capita public healthcare expenditure (PCPHE) with the change in per capita GSDP (PCGSDP) to a much-disaggregated level. The supply side composite index (SSCI), panel regression and panel generalised method of moments (GMM) was used for analytical purpose. The study found that the greater variation in PCPHE across Indian states start exhibiting since the early years of initiation of NRHM policy and continued till recent years. Unlike the PCPHE, the public healthcare expenditure to GSDP ratio declined for all states in the subsequent time periods. The value of SSCI for both revenue and capital expenditure was low in states having larger populations and geographical areas. The study argued that the average PCPHE across Indian states exhibited irregular pattern of association with the COVID-19 confirmed cases, positivity and death rate. The panel GMM estimate of PCPHE exhibited an inelastic relationship with PCGSDP implying public healthcare is a ‘necessity’ across the Indian states.
{"title":"Pattern of Public Healthcare Expenditure and Preparedness for COVID-19 in India: An Interstate Analysis","authors":"T. Das, Pradyut Guha","doi":"10.1177/09720634231215390","DOIUrl":"https://doi.org/10.1177/09720634231215390","url":null,"abstract":"The present study made an attempt to examine the changing pattern of public healthcare expenditure across Indian states for the period 1979–1980 to 2019–2020 and tried to relate this with the spread and mortality of COVID-19 infected cases. An attempt was also made to analyse the responsiveness of per capita public healthcare expenditure (PCPHE) with the change in per capita GSDP (PCGSDP) to a much-disaggregated level. The supply side composite index (SSCI), panel regression and panel generalised method of moments (GMM) was used for analytical purpose. The study found that the greater variation in PCPHE across Indian states start exhibiting since the early years of initiation of NRHM policy and continued till recent years. Unlike the PCPHE, the public healthcare expenditure to GSDP ratio declined for all states in the subsequent time periods. The value of SSCI for both revenue and capital expenditure was low in states having larger populations and geographical areas. The study argued that the average PCPHE across Indian states exhibited irregular pattern of association with the COVID-19 confirmed cases, positivity and death rate. The panel GMM estimate of PCPHE exhibited an inelastic relationship with PCGSDP implying public healthcare is a ‘necessity’ across the Indian states.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"17 9","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138979919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Latent tuberculosis infection (LTBI) is a inactive stage after being infected with Mycobacterium tuberculosis and it reactivates into pulmonary tuberculosis (PTB). This study was to estimate the prevalence of LTBI in homeless persons staying in 13 shelters run by NGOs in Chennai metro city, India. A cross-sectional survey was conducted from January to April 2018. All inmates aged 15 years and above were screened for PTB infection using tuberculin skin test (TST) and disease smear and culture examinations. Out of a total of 1,068 registered, 1,016 persons were screened for PTB disease and 818 persons for LTBI. Among them, PTB was detected in two persons and TST was positive in 275 persons. Univariate and multivariate analyses were performed to find out the factors associated with LTBI. It was found that LTBI is significantly associated with male gender, aged more than 40 years and with chest X-ray TB lesions. This study finding highlights that low prevalence of TB disease and one third of homeless persons infected with tuberculosis. Our finding suggests that there is a need for prevention interventions to eliminate TB in this key population.
{"title":"Prevalence of Tuberculosis Infection and Disease Among Homeless Persons Staying in NGO Shelters in Chennai","authors":"Chandrakumar Dolla, Bhaskaran Dhanaraj, Chandrasekaran Padmapriyadarsini, Muniyandi Malaisamy, Thiruvengadam Kannan, Pradeep Aravindan Menon, Rajendran Krishnan, Kumaravel P, Vijayalakshmi R, Devaki D, S. Tripathy","doi":"10.1177/09720634231214883","DOIUrl":"https://doi.org/10.1177/09720634231214883","url":null,"abstract":"Latent tuberculosis infection (LTBI) is a inactive stage after being infected with Mycobacterium tuberculosis and it reactivates into pulmonary tuberculosis (PTB). This study was to estimate the prevalence of LTBI in homeless persons staying in 13 shelters run by NGOs in Chennai metro city, India. A cross-sectional survey was conducted from January to April 2018. All inmates aged 15 years and above were screened for PTB infection using tuberculin skin test (TST) and disease smear and culture examinations. Out of a total of 1,068 registered, 1,016 persons were screened for PTB disease and 818 persons for LTBI. Among them, PTB was detected in two persons and TST was positive in 275 persons. Univariate and multivariate analyses were performed to find out the factors associated with LTBI. It was found that LTBI is significantly associated with male gender, aged more than 40 years and with chest X-ray TB lesions. This study finding highlights that low prevalence of TB disease and one third of homeless persons infected with tuberculosis. Our finding suggests that there is a need for prevention interventions to eliminate TB in this key population.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"175 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139010171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-11DOI: 10.1177/09720634231214884
Deepak Gupta, B. Hassan, Jai P. Narain
During the COVID-19 pandemic in Bangladesh, the risk communication and community engagement (RCCE) platform aimed to provide accurate information and encourage community engagement to minimise risks. The RCCE partners utilised behaviour change approaches to motivate people to take appropriate action and collaborated with communities to develop plans based on their unique circumstances. Throughout the pandemic, the RCCE platform worked tirelessly to disseminate real-time information and facilitate communication among frontline health providers, community outreach workers and community members in partnership with various stakeholders. This article addresses several possible questions regarding the effectiveness and efficiency of the RCCE response to the COVID-19 pandemic in Bangladesh. Was the RCCE platform able to swiftly and efficiently orchestrate a campaign that yielded results for the country? Was there a concrete platform in place, which could address the challenges posed by the pandemic? Lastly, what revisions could be envisioned for the next pandemic response?
{"title":"Awareness to Action: Strengthening RCCE, Combating Future Pandemics in Bangladesh","authors":"Deepak Gupta, B. Hassan, Jai P. Narain","doi":"10.1177/09720634231214884","DOIUrl":"https://doi.org/10.1177/09720634231214884","url":null,"abstract":"During the COVID-19 pandemic in Bangladesh, the risk communication and community engagement (RCCE) platform aimed to provide accurate information and encourage community engagement to minimise risks. The RCCE partners utilised behaviour change approaches to motivate people to take appropriate action and collaborated with communities to develop plans based on their unique circumstances. Throughout the pandemic, the RCCE platform worked tirelessly to disseminate real-time information and facilitate communication among frontline health providers, community outreach workers and community members in partnership with various stakeholders. This article addresses several possible questions regarding the effectiveness and efficiency of the RCCE response to the COVID-19 pandemic in Bangladesh. Was the RCCE platform able to swiftly and efficiently orchestrate a campaign that yielded results for the country? Was there a concrete platform in place, which could address the challenges posed by the pandemic? Lastly, what revisions could be envisioned for the next pandemic response?","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"68 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138981914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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