International Journal of Perceptions in Public Health 2018-08-03T16:19:24+00:00 Dr.Russell Kabir Open Journal Systems Google Scholar The Reform of the Health Care System in Tunisia 2018-08-03T16:00:17+00:00 Meriem Fgaier 2018-08-03T16:00:17+00:00 ##submission.copyrightStatement## Model Pharmacy: Healthcare reaching heights in Bangladesh 2018-08-03T16:00:46+00:00 Rafiul Basher Rabby 2018-08-03T16:00:46+00:00 ##submission.copyrightStatement## Comparing the reporting rates of adverse events following immunization in Albania with those from other countries through a systematic review of AEFI internationally 2018-08-03T16:19:24+00:00 Irsida Mehmeti Silva Bino <p>Adverse Events following Immunization are becoming day after day an increasing concern all over the world. Different countries have implemented various post-vaccination surveillance systems to detect, treat and prevent AEFI. AEFI surveillance systems are passive or active. The AEFI reporting rates will differ dependently by the post vaccination surveillance system type and other factors related to methods used to investigate AEFI. AE reporting rates vary among different cultural differences in various countries. Geographical variations in AE reporting are a known phenomenon (Joelson et al., 1997). The main objective of this study is to confront the nature, design and performance of AEFI surveillance system in Albania with other countries. This comparison will be done extracting various indicators from studies found in the literature and confronting them with those obtained by the analysis of the AEFI database of Albania, in order to highlight differences and similarities and try to configure reasons that support them.</p> 2018-08-03T16:04:27+00:00 ##submission.copyrightStatement## Review on strategies to minimize the appearance of multi-drug resistant organism 2018-08-03T16:03:18+00:00 Alberto Frutos Pérez-Surio Juan Gastón Añanos Elisa Sahún García Gema Sancho Monllor <p><strong>Background:</strong> The use of antibiotic drugs (ABX) in hospitals, and especially in intensive care units (ICU), is widespread. The early administration of ABX therapy can improve survival rates. The influence and impact of the ABX are observed in the patients who receive them (clinical response, course) and in the ecosystem surrounding the patient (hospital flora).</p> <p><strong>Aim of the review:</strong> The objective of this review is to identify strategies that reduce or limit the appearance and transmission of multidrug-resistant microorganisms. This identification can then develop a rational use of the ABX plan in the ICU.</p> <p><strong>Method:</strong> The following databases were queried; Medline, Embase, The Cochrane Library, and the Centre for Reviews and Dissemination (University of York), asking the questions in PICO format to evaluate the efficacy and safety of several interventions: A) Therapeutic de-escalation; B) Cycling of ABX and; C) Early antibiotic treatment.</p> <p><strong>Results:</strong> A) In therapeutic de-escalation of 98 studies identified, three studies that met the inclusion criteria were analyzed. B) Two studies comparing antibiotic cycling versus other interventions were selected. C) No studies have been found with sufficiently robust methodological designs that address the ABX early treatment. There is no strong evidence to indicate which of the different antibiotic interventions (therapeutic de-escalation, cycling of ABX and preemptive treatment) is more effective in reducing antibiotic resistance in ICU patients. There is insufficient evidence that de-escalation of antimicrobial agents is effective against resistance. In patients admitted to the ICU with a low prevalence of fluoroquinolones resistance, increased exposure to this class of antibiotics, using antibiotic cycling, increases the emergence of resistant strains.</p> <p><strong>Conclusion:</strong> Despite the fact that no prospective studies were identified in this SR, rationale and day-to-day clinical practice experience suggest that multidisciplinary participation of different specialists in ABX's Infection and Policy Commission (or the ABX Commission), or the Pharmacy and Therapeutics Committee, might improve the development and application of these strategies.</p> 2018-08-03T16:03:06+00:00 ##submission.copyrightStatement## Patient satisfaction of eye care services at Biratnagar Eye Hospital, Nepal 2018-08-03T16:05:21+00:00 Rajiv Ranjan Karn Dr. Sanja Kumar Singh <p><strong>Introduction:</strong> Patient satisfaction is an important and commonly used indicator for measuring the quality in health care. Patient satisfaction surveys are one of the established yardsticks. Patients are coming from near as well as from very far to avail affordable and quality services at Biratnagar Eye Hospital.</p> <p>O<strong>bjective: </strong>To measure the patient satisfaction visiting to the Biratnagar Eye Hospital.</p> <p><strong>Methodology</strong>: The descriptive cross sectional study was done at Biratnagar Eye Hospital, Biratnagar Nepal. Systematic random sampling methods were used for data collection from nine departments, the sample size was 348, whereas 12 participants were rejected as they left interview and did not agree to participate in the study. Face to face interview was taken from the patients and verbal consent was taken before the interview. Analysis was done by using SPSS 17.&nbsp; &nbsp;</p> <p><strong>Results</strong>: Total 336 respondents were interviewed among them 54% were male, the mean age was 46 years the major occupation was farming 50% and 32% were unable to read and write. Overall satisfaction regarding behavior of staffs among patients was 96%. About 89% of the respondents said that nurses instructed correctly on the drug use whereas 7% said nurses did not explain clearly. Fourteen percent were unsatisfied with the registration process, 5% were unsatisfied by availability and behavior of nursing staffs during need. Ninety-nine percent were satisfied that doctors listen to them and 95 percent had confidence on doctor’s advice. Eighty-two percent were satisfied with drinking water, 98% were satisfied with basic sanitation condition in hospital, 10% were unsatisfied with toilet facilities; and 97% were satisfied with availability of chair in waiting area. Ninety-seven percent said that they will recommend other about the Biratnagar Eye Hospital.</p> <p><strong>Conclusions</strong>: Overall satisfaction level regarding behavior of staffs was good but there is a need to improve counseling for drug use, toilet services need to be improved and should be cleaned properly, drinking water facilities should be improved.</p> 2018-08-03T16:05:21+00:00 ##submission.copyrightStatement## Estimation of patient satisfaction over the Telemedicine service in the Urban community of Bangladesh 2018-08-03T16:02:28+00:00 Muhammad Tareque Hasan Mohammad Delwer Hossain Hawlader Farhana Zaman Md. Abul Hossain Khandakar Md. Jakaria Fahmida Sraboni Shahadat Hossain Asaduj jaman Shad Farhana Mirza Raihan Al Masud Saidur Rahman Mashreky <p><strong>Background</strong></p> <p>In this modern era, health care has been shifted from the hospital-based acute care to primary health care. The people are now more concern to get medical help as early as possible and Tele-medicine in the answer to this hunger.</p> <p><strong>Objectives</strong></p> <p>The aim of this study was to determine the Patient satisfaction over the Telemedicine service in The Dhaka City, Bangladesh.</p> <p><strong>Methods</strong></p> <p>A cross-sectional study was conducted in Synesis IT Bangladesh Ltd among 203 participants of all age group who have been contacted to telemedicine services from 1st November 2017 to 30<sup>th</sup> April 2018.</p> <p><strong>Results</strong></p> <p>The study found that majority participants (79.8%) were age group of 19-40, where most of them were housewife &amp; privet job holders and most of them were married (72. 4%). It was observed that 76.7% of the patients took less than a minute to get a connection to a doctor over the phone. The study also found that 40.5% of the patients responded that the service was excellent and 22.5% of the patients said it was best in service. 97.5% patients said they will suggest others to call telemedicine service to get medical help.</p> <p><strong>Conclusion</strong></p> <p>Results of this study conclude that Telemedicine in Bangladesh is getting popular and well accepted now a day. It has earned the trust of the people and if continue like this, it will reduce the treatment dilemmas in Bangladesh. We recommend the telemedicine service providers to make them more visible and easily available, so more people will be engaged and benefited from their services.</p> <p><strong>Keywords: </strong>Telemedicine, Patient satisfaction, Cross-sectional study, Bangladesh</p> <p>&nbsp;</p> 2018-08-03T16:01:43+00:00 ##submission.copyrightStatement## The morbidity outcomes of teenage pregnancy at rural Netrakona in Bangladesh 2018-08-03T16:17:48+00:00 Md. Abu Sayem Md. Nurul Matin Md. Shafiqul Islam 4. Md. Shahajahan Matubbar Md. Mohbub Alam <p>Objective: To examined the maternal and newborn morbidity outcomes of teenage pregnancy in different phases of child birth process.</p> <p>Methods: A cross-sectional study was conducted among them whose current age was below 30 years and who became pregnant during 13-19 years of age. Data were collected from April 2009 to July 2009. Chi-square test was done to see the association between dependent and independent variables.</p> <p>Results: Out of 132 respondents, 25.0%, 15.9% and 16.7% faced health problems during pregnancy, delivery and post-natal period respectively.&nbsp; During pregnancy, convulsion (14.3%), APH (28.6%), abortion (14.3%) and high fever (14.3%) was significantly more among early age group 14-15 years whereas hypertension (4.2%) and oedema (18.8%) was more among 16-17 years and those who were between 18-19 years of age faced significantly less health problems (p&lt;0.001). During delivery and post natal period, the early and middle age group mothers significantly faced more health problems than comparatively higher age group (18-19 years). Around 30% mothers had current health problems as the long term consequences. Among neonates, 27.3% faced health problems who borne from early aged mothers. The mean age at marriage and pregnancy was 16.3 and 17.7 years respectively and 46.2%, 16.7% and 92% received ANC, PNC and home delivery respectively. However, 93%, 4%, 1.5% and 1.5% had normal delivery, caesarian section, episiotomy and assisted vaginal delivery respectively.</p> <p>Conclusion: Women in rural Bangladesh reports substantial morbidity. Improve awareness, family planning services, delayed pregnancy age, adequate ANC and PNC can significantly reduce maternal and neonatal health problems.</p> 2018-08-03T16:17:48+00:00 ##submission.copyrightStatement##