Measles transmission has been well documented in healthcare facilities. Healthcare personnel who are unvaccinated and who lack other evidence of measles immunity put themselves and their patients at risk for measles. We conducted a systematic literature review of measles vaccination policies and their implementation in healthcare personnel, measles seroprevalence among healthcare personnel, mea...

BACKGROUND To reduce financial barriers to access, and improve access to and use of skilled maternal and newborn healthcare services, the government of Ghana, in 2003, implemented a new maternal healthcare policy that provided free maternity care services in all public and mission healthcare facilities. Although supervised delivery in Ghana has increased from 47% in 2003 to 55% in 2010, strikin...

BACKGROUND Quality care in health facilities is critical for a sustainable health insurance system because of its influence on clients' decisions to participate in health insurance and utilize health services. Exploration of the different dimensions of healthcare quality and their associations will help determine more effective quality improvement interventions and health insurance sustainabili...

Following increases in national demands on healthcare facilities and services, healthcare facilities management (FM) has gradually matured to become an established research and development topic. This paper reviews the state of the art in the main domains related to healthcare FM and defines the central themes in the development of a healthcare FM model. FM, maintenance management and performan...

In the United States, there is currently significant growth in the construction of healthcare facilities. This healthcare construction boom is driven by multiple factors including population shifts within the U.S.; aging facilities which no longer meet modern operational practices and efficiencies; and significant shifts in building code requirements. The last major healthcare construction boom...

BACKGROUND Malaria case management remains a vital component of malaria control strategies. Despite the introduction of national malaria treatment guidelines and scale-up of malaria control interventions in Nigeria, anecdotal evidence shows some deviations from the guidelines in malaria case management. This study assessed factors influencing adherence to malaria diagnosis and treatment guideli...

This paper analyses equity in health and healthcare utilization in Afghanistan based on a representative national household survey. Equitable access is a cornerstone of the Afghan health policy. We measured socioeconomic-related equity in access to public health care, using disability--because people with disabilities are poorer and more likely to use health care--and a concentration index (CI)...

The purpose of this study is to estimate structural elements of patients’ demand functions for healthcare facilities, particularly hospitals and ambulatory surgery centers (ASCs), towards the goal of answering questions about welfare gains earned from the introduction of ASCs. Spatial variation across patients and facilities, among other variables, is used for identification. Using data that co...

Global competitiveness and increasing performance requirements have placed facilities management (FM) under constraints of limited resources, particularly in non-core aspects of facilities, such as maintenance and operations. The hypothesis applied in this research is that the actual service life of buildings, their occupancy and their ambient environmental conditions affect the required mainte...