Challenges and possible improvements for healthcare teams at outreach clinics in Nepal - a qualitative study.

IF 2.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Global Health Action Pub Date : 2024-12-31 Epub Date: 2024-08-07 DOI:10.1080/16549716.2024.2385177
Ingrid Eriksen, Eirin Helene Rasmussen, Biraj Karmacharya, Seema Das, Elisabeth Darj, Maria Lisa Odland
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引用次数: 0

Abstract

Background: All Nepalese citizens have the right to high-quality healthcare services free of charge. To achieve this, healthcare services for the rural population in Nepal need to be improved in terms of personnel, medicines, and medical equipment.

Objectives: To explore challenges and possible improvements healthcare personnel experience when travelling to rural parts of Nepal to provide healthcare.

Method: Data was collected from various health professionals using focus group discussions at Dhulikhel Hospital in Nepal. The data were transcribed and analysed using Systematic text condensation.

Results: Twenty-two professional healthcare personnel participated in five group discussions. Four categories emerged from the collected material: Finding ORC services being underutilised, Wanting to fulfil tasks and do a good job, Facing inadequate resources, and Seeing the need for improved organisation and cooperation. There was consensus that rural clinics are important to maintaining health for the rural population of Nepal. However, there was frustration that the rural population was not benefitting from all available healthcare services due to underutilisation.

Conclusion: Rural healthcare clinics are not utilised appropriately, according to healthcare workers at the rural outreach clinics. Potential ways of overcoming the perceived challenges of underutilising available healthcare services include financial and human resources. The rural population´s health awareness needs to be increased, and the work environment for rural healthcare workers needs to be improved. These issues need to be prioritised by the government and policymakers.

尼泊尔外展诊所医疗团队面临的挑战和可能的改进措施--一项定性研究。
背景:所有尼泊尔公民都有权免费享受高质量的医疗保健服务。为了实现这一目标,需要在人员、药品和医疗设备方面改善尼泊尔农村人口的医疗服务:探讨医护人员在前往尼泊尔农村地区提供医疗服务时遇到的挑战和可能的改进措施:方法:在尼泊尔 Dhulikhel 医院通过焦点小组讨论从不同的医疗专业人员那里收集数据。结果:22 名专业医护人员参加了讨论:22 名专业医护人员参加了五次小组讨论。从收集到的材料中总结出四个类别发现 ORC 服务未得到充分利用;希望完成任务并做好工作;面临资源不足的问题;认为需要加强组织与合作。大家一致认为,农村诊所对于维护尼泊尔农村人口的健康非常重要。然而,由于利用率不足,农村人口并没有从所有可用的医疗保健服务中获益,这让他们感到沮丧:结论:农村外展诊所的医护人员认为,农村医疗保健诊所没有得到合理利用。克服现有医疗服务利用率不足这一挑战的潜在方法包括财政和人力资源。需要提高农村人口的健康意识,改善农村医疗工作者的工作环境。政府和政策制定者需要优先考虑这些问题。
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来源期刊
Global Health Action
Global Health Action PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.10
自引率
3.80%
发文量
108
审稿时长
16 weeks
期刊介绍: Global Health Action is an international peer-reviewed Open Access journal affiliated with the Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine at Umeå University, Sweden. The Unit hosts the Umeå International School of Public Health and the Umeå Centre for Global Health Research. Vision: Our vision is to be a leading journal in the global health field, narrowing health information gaps and contributing to the implementation of policies and actions that lead to improved global health. Aim: The widening gap between the winners and losers of globalisation presents major public health challenges. To meet these challenges, it is crucial to generate new knowledge and evidence in the field and in settings where the evidence is lacking, as well as to bridge the gaps between existing knowledge and implementation of relevant findings. Thus, the aim of Global Health Action is to contribute to fuelling a more concrete, hands-on approach to addressing global health challenges. Manuscripts suggesting strategies for practical interventions and research implementations where none already exist are specifically welcomed. Further, the journal encourages articles from low- and middle-income countries, while also welcoming articles originated from South-South and South-North collaborations. All articles are expected to address a global agenda and include a strong implementation or policy component.
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