Journal of Health Management最新文献

{"title":"Addressing Discrimination and Healthcare Disparities for Sexual and Gender Minorities in South Africa: A Human Rights-Based Perspective","authors":"E. Scherf","doi":"10.1177/09720634231216025","DOIUrl":"https://doi.org/10.1177/09720634231216025","url":null,"abstract":"Sexual and gender minority (SGM) populations—including, but not limited to, people who identify as lesbian, gay, bisexual, transgender, queer, intersex and/or asexual—have been, under different contexts, historically discriminated against in housing, healthcare and social security, not to mention the daily acts of macro- and micro-aggressions they often face. Discriminatory practices against SGM individuals, who might be already experiencing positions of rightlessness and vulnerability, further increase health inequities and might have larger implications for the protection of human rights and the reproduction of social injustice. In the African continent more specifically, many countries have a poor record when it comes to protecting and enforcing LGBT rights. In South Africa, on the other hand, despite relatively strong legislation on the rights of the LGBTQIA+ community, violence and discrimination against SGM individuals still is a huge challenge. On that account, this research article aims to describe and analyse discriminatory practices in healthcare affecting SGMs in South Africa in relation to access to and quality of care, alongside the implications for health management and human rights in particular. This is an exploratory research article that addresses the situation of healthcare access and delivery to SGM populations in South Africa from a human rights-based and intersectional approach. The study challenges ongoing bias-motivated and discriminatory practices in healthcare settings and pinpoints how these practices can negatively affect the health and well-being of diverse populations, with a focus on sexual and gender diversity.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141374708","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}

{"title":"Real-time Vital Signs Monitoring and Data Management Using a Low-Cost IoT-based Health Monitoring System","authors":"Antim Dev Mishra, Bindu Thakral, Alpana Jijja, Nitin Sharma","doi":"10.1177/09720634241246926","DOIUrl":"https://doi.org/10.1177/09720634241246926","url":null,"abstract":"This study describes the creation and evaluation of a low-cost internet of things (IoT)-based health monitoring system for the continuous monitoring of vital signs such as temperature, pulse rate, oxygen saturation (SpO2) and blood pressure (BP) (both systolic and diastolic). Along with an organic light-emitting diode (OLED) display and an ESP8266 microcontroller, the system includes BP, non-contact temperature, SpO2 and electrocardiogram (ECG) sensors. Using the visual programming tool, Node-RED, the data from these sensors are gathered, processed and transmitted to the Google Cloud platform for archival and visualisation. The process involved mounting the sensors and microcontrollers on a special printed circuit board and designing the circuit with EasyEDA. The device measures systolic, diastolic and pulse rates from the BP sensor, as well as temperature, ECG and SpO2 values. The system works by using three push switches to read and display these values on demand. The gathered data are simultaneously shown on the OLED and sent to the Node-RED dashboard, where it is then sent to a Google Spreadsheet for archiving and analysis. This research article gives a thorough overview of the health monitoring system, the way it was implemented, and how it was successfully validated in a real-time setting. This study examines certain vital signs but additional health measures, such as respiration rate or glucose monitoring, could be included. Machine learning algorithms could also be used for predictive analytics. This would uncover data anomalies and trends early, improving healthcare management.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141107716","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}

{"title":"Does COVID-19 Influence the Urban Household’s Food Security in Horo Guduru Wollega Zone, Ethiopia?","authors":"Bacha Gebissa, Agama Daba, Tamiru Yazew, Seid Hassen, Tolesa Tesema, Hika Wana, Amanuel Birhanu","doi":"10.1177/09720634241251574","DOIUrl":"https://doi.org/10.1177/09720634241251574","url":null,"abstract":"Household food insecurity is an important variable for understanding the nutritional status of children and women in low-income countries. This study was therefore initiated to determine household food insecurity status and to analyse the impact of COVID-19 on household food security in a selected number of households in the Horo Guduru Wollega Region of Ethiopia. Multistage sampling methods were used in this study. First, 4 were randomly selected from 12 found in the Horo Guduru Wollega area. The population/size ratio is then used to select households in each city. Finally, the eligible households for the study were randomly selected. Accordingly, 360 sample data were collected from 5,710 poor households in four urbans in the Horo Guduru Wollega zone. Both qualitative (in-depth interview) and quantitative data (structured questionnaires) were included in this study. The data collected were analysed using the propensity score matching model. The result of the concordant estimation of the propensity score showed supportive indications for improving the food security standard of living. All consistent test methods used for analysis showed that there was a statistically significant difference in the assessment of dietary diversity between safe and unsafe foods. This study concludes that the COVID-19 pandemic is affecting household food security in the study area. Therefore, all concerned bodies are responsible to overcome the problem of food insecurity that occurred due to the COVID-19 in the region and nationally. The data analysed to know impact COVID-19 on food security in the study area. The propensity score matching estimation result has shown supportive evidence about the improvements of the living standard of food security. All of the matching test methods employed for the analysis showed that there was statistically significant dietary diversity scores difference between food secure and insecure. In general, this study revealed that COVID-19 pandemic affects household food insecurity status in study area.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141103569","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}

{"title":"Does Parental Out-migration Affect Nutritional Health Status and Morbidity Among Children? Evidence From India Human Development Survey Data for the Empowered Action Group States","authors":"Monalisha Chakraborty, Subrata Mukherjee","doi":"10.1177/09720634241236843","DOIUrl":"https://doi.org/10.1177/09720634241236843","url":null,"abstract":"In India, despite having high economic growth, considerable inter-state inequality exists across states in terms of per capita income as well as employment opportunities. The eight Empowered Action Group (EAG) states, which have performed poorly on different accounts of social and physical infrastructure, are also characterised by large inter-state migration for employment. Parental out-migration from these states affects different aspects of child well-being. The present study tries to assess nutritional health status, morbidity and health care utilisation among children based on their parents’ migration status. The results show that parents’ migration status plays a vital role in influencing the prevalence of common childhood diseases and malnutrition among children in EAG states. Multi-prolonged and decentralised strategies are required towards developing and implementing comprehensive nutrition and nutrition-related education programme for the children in these states.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140211315","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}

{"title":"Peer Influence and Factors Associated with Personal Network Size of Underage Drinkers Recruited Through Respondent-driven Sampling \u2028in Dibrugarh District of Assam, India","authors":"S. K. Phukan, Jiten Hazarika","doi":"10.1177/09720634241237590","DOIUrl":"https://doi.org/10.1177/09720634241237590","url":null,"abstract":"Personal networks significantly contributed to initiating risky behaviours among emerging youth. The study aimed to assess the personal network characteristics and factors associated with the personal network size of underage alcohol users. 200 underage drinkers were recruited through respondent-driven sampling in Dibrugarh, Assam using five seeds. Transition probability matrices and homophily indices were used to describe underage drinkers’ network characteristics and network patterns. The weighted logistic regression model was performed to observe the association. Personal network size differed significantly with respect to demographic profile and alcohol consumption patterns of the respondents. A higher proportion of participants used cannabis (77.0%), drank for more than 3 years (40.7%) and liked to drink with peers (51.1%). The affiliation pattern of educational status shows a trend of homophily and interaction between new and older underage drinkers. Students (OR 3.17, 95% CI 1.32, 7.62) who like to drink with peers (OR 3.45, 95% CI 1.24, 9.62) were found significantly associated with larger personal network size in weighted multiple binary logistic regression. The findings will be helpful to understand the network pattern of underage drinkers. The study highlighted the need for effective prevention and intervention programmes for this population and suggested further research in this area.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140222569","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}

{"title":"Vulnerability Index to COVID-19 for Brazilian States","authors":"Claudiomar Matias Rolim Filho, M. Tessmann","doi":"10.1177/09720634241236833","DOIUrl":"https://doi.org/10.1177/09720634241236833","url":null,"abstract":"This present article brings a vulnerability index to COVID-19 for Brazilian states. The COVID-19 pandemic is the largest since the great flu of 1918, and Brazil, which already has major supply limitations in health provision, is experiencing additional stress on the health system caused by the excess demand caused by the pandemic. Thus, this index is composed of a weighted average of state indicators, which are human development index (HDI), net current revenue per capita, health expenditure per capita, percentage of households with more than six residents, percentage of elderly population, access to basic sanitation, total population, the number of ICUs and the number of doctors and respirators per hundred thousand inhabitants. The results indicate that the states best placed in the vulnerability ranking are the Federal District and São Paulo, while the states with the worst ranking are Alagoas and Amapá. In the medium term, there is an association between the number of accumulated cases and the hospital vulnerability index. The same association exists, although at a lower level, between the hospital vulnerability index and the number of deaths per capita.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140223504","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}

{"title":"Perinatal Mental Disorders: The ‘Non Liquet’ \u2028Facet of Mental Health Legislative Instruments \u2028in India","authors":"Ritika Behl, V. Nemane, Deborah Sims","doi":"10.1177/09720634241236834","DOIUrl":"https://doi.org/10.1177/09720634241236834","url":null,"abstract":"Due to the impetus provided by the Millennium Development Goals and the Sustainable Development Goals, maternal health has become the subject matter of various legislative instruments worldwide. However, perinatal mental disorders have remained an underestimated public health issue in many countries. High prevalence rates of such perinatal disorders in India have been reported by various evidence-based studies. This makes it imperative to analyse the provisions of the mental healthcare legislative instruments that have been brought into force in India. This article aims to evaluate and analyse coverage of perinatal mental disorders under the provisions of the legislative instruments, especially statutes, providing for mental health in India. Websites of the Government of India, various Indian Ministries and other government agencies were visited to obtain relevant documents regarding the mental health policy and legislation. None of the mental health legislative instruments in India underscore perinatal mental disorders as a public health concern, whereby failing to identify the unique characteristics of perinatal mental disorders. They consequently do not provide for nationwide detection and treatment measures. There is an immediate and pertinent need to highlight perinatal mental disorders through legislative instruments. The National Mental Health Policy, 2014 provides for comprehensive healthcare services; however, it excludes measures for perinatal mental health services. The Mental Healthcare Act, 2017 should be amended to explicitly include women during the perinatal period, along with originally provided mental health services for children and elderly individuals.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140228790","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}

{"title":"Are Palestinian Nurses Burned Out or Engaged: The Impact of Job Demands on Job Performance?","authors":"Anas Mahmoud Salem Abukhalifa, Nurul Liyana Mohd Kamil","doi":"10.1177/09720634241235496","DOIUrl":"https://doi.org/10.1177/09720634241235496","url":null,"abstract":"The impact of job demands on job performance is not always straightforward but relies on whether employees are burned out or engaged. Although such relationships were established previously based on job demands–resources (JD-R) theory in Western developed countries, evidence from Eastern developing countries is very limited. During the peak of COVID-19, this study was conducted to examine the impact of job demands on nurses’ job performance via the mediating role of work burnout and work engagement. By employing the tenets of the JD-R theory, the theory was tested through collecting data from 202 nurses who were working in Palestine. The SPSS statistical software (version 25) and partial least squares structural equation modelling (PLS-SEM) were used to analyse the collected data. The findings disclosed that work burnout was negatively related to job performance, and work engagement was positively related to job performance. Unexpectedly, job demand had a negative relationship with work burnout and a positive relationship with work engagement. However, work burnout and work engagement mediated the relationship between job demand and job performance. A discussion of the findings, contributions, implications, limitations and future directions is provided.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140229229","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}

{"title":"Numbing Effect of Emotional Exhaustion on COVID-19 Fear and Contrasting Effect on \u2028Job Satisfaction and Quality of Work Life \u2028Among Indian Healthcare Workers","authors":"Garima Saini, S. Dash, L. K. Jena","doi":"10.1177/09720634241236831","DOIUrl":"https://doi.org/10.1177/09720634241236831","url":null,"abstract":"The study conceptualises COVID-19 fear among healthcare workers as a job resource (meaningfulness of work) and job demand (physical and emotional demands), while exploring its effect on healthcare workers’ job satisfaction and quality of work life. The potential numbing effect of emotional exhaustion on COVID-19 fear is studied in the proposed framework. Data were collected from 202 Indian healthcare workers using standardised scales and analysed using Smart PLS 2.0. The results indicate that COVID-19 fear has a significant positive relationship with job satisfaction and a significant negative association with quality of work. The study results validate the hypotheses that COVID-19 fear simultaneously acts as a job resource and job demand. COVID-19 fear had an indirect, negative effect on job satisfaction via reduced quality of work. Emotional exhaustion in healthcare workers reduced healthcare workers’ COVID-19 fears, suggesting a numbing effect of emotional exhaustion on the arousal of emotions. The study is among the first, to the best of our knowledge, that identify the same factor (COVID-19 fear) as both a job resource as well as a job demand for an occupational group (healthcare workers). The ability of COVID-19 fear to simultaneously increase the meaningfulness of the job for healthcare workers and reduce their quality of work life suggests that healthcare administrators need to espouse policies that simultaneously enable healthcare workers to perceive strong emotions that make the meaning of their job salient and buffer them from the emotional, cognitive and physical demands consequences.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140228730","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}

{"title":"Factors Impacting Quality of Skilled Birth Attendant Services in Rural India","authors":"Shreekant Iyengar, Ravindra H. Dholakia, Nirupam Bajpai","doi":"10.1177/09720634241229557","DOIUrl":"https://doi.org/10.1177/09720634241229557","url":null,"abstract":"Availability of skilled birth attendant (SBA) is a crucial factor in reducing mortality rates among mothers and children. The lower- and middle-income countries show low use of these service causing increased risk of maternal and child mortality. While there has been a remarkable improvement in the coverage of SBA-monitored deliveries in India, its impact on outcome indicators such as perinatal and neonatal mortality rates have not been significant. Although the country performs better than the world average in the former, its performance is poor in the latter. This raises question on the quality of SBA services in India. The present study examines SBA services in the context of availability of attendants, infrastructural support and level of training of the SBAs in the rural areas of the four large states in India—Bihar, Madhya Pradesh, Rajasthan and Uttar Pradesh. The findings are that SBA lack sufficient training to provide the services effectively. The effectiveness of their services is also hampered by the absence of the essential infrastructure at public health facilities. Moreover, there is congestion and overcrowding at the higher level of facilities such as PHCs and CHCs as compared to village level sub-centres.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140228418","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}