BACKGROUND Eighty per cent of Malawi's 8 million children live in rural areas, and there is an extensive tiered health system infrastructure from village health clinics to district hospitals which refers patients to one of the four central hospitals. The clinics and district hospitals are staffed by nurses, non-physician clinicians and recently qualified doctors. There are 16 paediatric special...

BACKGROUND The 'resource readiness' of health facilities to provide effective services is captured in the structure component of the classical Donabedian paradigm often used for assessment of the quality of care in the health sector. Periodic inventories are commonly used to confirm the presence (or absence) of equipment or drugs by physical observation or by asking those in charge to indicate ...

An efficient Telehealth system for Tonga is currently but a dream. The kingdom of Tonga consists of 36 inhabited islands occupying 669 kms2 and a population of 97,784 (1996). There is a referral hospital in the Capital and three other district hospitals, 14 peripheral health centres, 32 maternal child health clinics and eight general practitioners. Within the kingdom the use of the telephone, t...

a University of Michigan Medical School, Ann Arbor, MI, USA b Ghana Health Service, Sekyere Kumawu District Health Directorate, Kumawu, Ghana c Department of Obstetrics and Gynecology, University of Science and Technology School of Medical Sciences, Kumasi, Ghana d Ghana Health Service, Bosomtwe District Health Directorate, Bosomtwe, Ghana e Department of Epidemiology, University of Michigan Sc...

BACKGROUND Communication between health workers and patients at Hottentots Holland Hospital (HHH) is hindered by staff and patients not speaking the same language. HHH is a district hospital in the Cape Town Metropolitan District of the Western Cape where staff mainly speak Afrikaans or English and a large number of patients mainly Xhosa. OBJECTIVES The study aimed to explore the effects of t...

BACKGROUND Understanding customers has become an urgent topic for increasing competitiveness. The purpopse of the study was to develop a qualitative dynamic attribute value model which provides insight into the customers' value for healthcare institute managers by conducting the initial open-ended questionnaire survey to select participants purposefully. METHODS A total number of 427 question...

Geographic region % (no. positive/no. tested) IgG IgM Total 10.4 (27/260) 4.6 (12/260) Chikan district 2.7 (3/113) 1.0 (1/113 Mazhang district 16.3 (24/147) 7.5 (11/147) Huangwai village 13.3 (2/15) 0 (0/15) Houyang village 71.4 (5/7) 28.6 (2/7) Nanpan village 23.8 (5/21) 9.5 (2/21) Chiling village 8.3 (1/12) 0 (0/12) Beigou village 16.7 (1/6) 16.7 (1/6) Chaofa village 9.5 (6/63) 7.9 (5/63) Pig...

In this research, the centers involved in relief operations in Tehran traffic area districts have been compared and the supply-demand ratio has been specified through a relation presented separately for each district. The supply has been evaluated based on three parameters: 1) No of relief centers, 2) congestion of the main road (the ratio of the length of the main road to the area of the distr...

Despite the well established policy of ‘shifting’ care from hospitals to the community[1], the overall proportion of nursing staff employed to provide general nursing care to people in their own homes has changed little. Specifically, the number of District Nurses is reported to have decreased by 40% in the last decade[2]. In this Policy+, we review data on the district nursing workforce, look ...

Weiliang Wang 1, Dan Wang 1,*, Hongjie Jia 1, Guixiong He 2, Qing’e Hu 1, Pang-Chieh Sui 3 and Menghua Fan 4 1 Key Laboratory of Smart Grid of Ministry of Education, Tianjin University, Tianjin 300072, China; [email protected] (W.W.); [email protected] (H.J.); [email protected] (Q.H.) 2 China Electric Power Research Institute, Haidian District, Beijing 100192, China; [email protected]....