• Title/Summary/Keyword: District Health System

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Object oriented linking of GIS to assess ground water quality in Dharmapuri district, India

  • Devi, K.K.Manjula;M, Prashanthi Devi.;Kumar, D. Nandha;Balasubramanian, S
    • Proceedings of the KSRS Conference
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    • 2003.11a
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    • pp.1439-1441
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    • 2003
  • The World Health Organisation has identified ‘Fluorosis’as a serious bone disease caused by groundwater. Though the fluoride content in groundwater is a natural phenomenon, when the permissible limit of fluoride is exceeded the consequences may be fatal. This study is identified areas of high fluoride content in the Dharmapuri district of India, which is one of the major districts severely affected by fluorosis (WHO). The approach to this problem is by using GIS as a tool to locate areas of high risk. Ground Water samples collected from 35 randomly located wells (open / bore wells) in the district were analysed for fluoride content. The results were compared with the standards of WHO (World Health Organisation ), ICMR (Indian Council of Medical Research ), BIS (Bureau of Indian Standard) and PHE (Public Health Engineering) and interpolated using IDW and spline methods using Arcview GIS 3.2 a. A computer based automated information system was developed in Arcview Avenue 3.2a, so as to enable the user to visit the risk areas at his desktop and to remediate measures as and when required.

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Studies on Systematic Analysis and Management of Environmental Information (환경정보의 체계적 분석 및 관리방안 연구)

  • Kim, Myung-Jin;Chang, Chun-Ki;Lee, Jae-Woon;Kwon, Myeong-Hee;Kang, In-Goo;Seo, Chang-Wan
    • Journal of Environmental Impact Assessment
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    • v.3 no.1
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    • pp.1-8
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    • 1994
  • For managing and analyzing effectively diverse and complicated environmental informations, informations should be built systematically, and techniques should be developed. Environmental Information System(EIS) is composed of environmental informations, GIS, and manpower. Recently it is applied to Environmental Impact Assessment and environmental management, etc.. For effective application, EIS techniques will be improved. This article has four components. First, it describes building of environmental information comprising geographic and attribute data using GIS in Chuncheon district. Second, it explains programming for effective information analysis and management using AML(Are Macro Language in ARC INFO). Third, it provides specific functional capabilities including suitability analysis. Based on these analysis, this study makes some examples for systematic analysis and management of environmental information using interactive system.

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GIS Database and Google Map of the Population at Risk of Cholangiocarcinoma in Mueang Yang District, Nakhon Ratchasima Province of Thailand

  • Kaewpitoon, Soraya J;Rujirakul, Ratana;Joosiri, Apinya;Jantakate, Sirinun;Sangkudloa, Amnat;Kaewthani, Sarochinee;Chimplee, Kanokporn;Khemplila, Kritsakorn;Kaewpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1293-1297
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    • 2016
  • Cholangiocarcinoma (CCA) is a serious problem in Thailand, particularly in the northeastern and northern regions. Database of population at risk are need required for monitoring, surveillance, home health care, and home visit. Therefore, this study aimed to develop a geographic information system (GIS) database and Google map of the population at risk of CCA in Mueang Yang district, Nakhon Ratchasima province, northeastern Thailand during June to October 2015. Populations at risk were screened using the Korat CCA verbal screening test (KCVST). Software included Microsoft Excel, ArcGIS, and Google Maps. The secondary data included the point of villages, sub-district boundaries, district boundaries, point of hospital in Mueang Yang district, used for created the spatial databese. The populations at risk for CCA and opisthorchiasis were used to create an arttribute database. Data were tranfered to WGS84 UTM ZONE 48. After the conversion, all of the data were imported into Google Earth using online web pages www.earthpoint.us. Some 222 from a 4,800 population at risk for CCA constituted a high risk group. Geo-visual display available at following www.google.com/maps/d/u/0/edit?mid=zPxtcHv_iDLo.kvPpxl5mAs90&hl=th. Geo-visual display 5 layers including: layer 1, village location and number of the population at risk for CCA; layer 2, sub-district health promotion hospital in Mueang Yang district and number of opisthorchiasis; layer 3, sub-district district and the number of population at risk for CCA; layer 4, district hospital and the number of population at risk for CCA and number of opisthorchiasis; and layer 5, district and the number of population at risk for CCA and number of opisthorchiasis. This GIS database and Google map production process is suitable for further monitoring, surveillance, and home health care for CCA sufferers.

A Study on Attitudes on Health Institution and their Utilization (일부(一部) 주민(住民)의 의료기관(醫療機關)에의 태도(態度) 및 의료이용(醫療利用)에 대(對)한 연구(硏究))

  • Choi, Young-Joo;Cha, Hyung-Hun;Yum, Yong-Tae
    • Journal of agricultural medicine and community health
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    • v.8 no.1
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    • pp.35-43
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    • 1983
  • Health institutions in Korea include a wide range of traditions, most notable of which are hospitals, clinics, pharmacies and health centers as foci for the dispension of western medicine care ; and herb clinics and shamans acting as centers for traditional medicine. Health consumers have pluralistic conceptions of illness(or disease) and act accordingly, using what they consider as appropriate medical practices. The research conducted surveyed residents of Jeomdong-Myon(a rural farming district), Guro 6-Dong(an urban district) and the Banwol(a semiurban district) area on attitudes about health institutions and their utilization of them. The results indicate that the hospital is considered the most reliable health institution, however, the most widely known and commonly used institution was the pharmacy. Hospitals and clinics were found to be utilized more frequently by those residents who were familiar with them than by others less familiar with them. In addition respondents with higher education, those with medical insurance, and those living in urban areas tended to utilize hospitals and clinics more frequently than their less educated, uninsured, or rural counterparts. Converse to the ranking of western medical institutions, traditional health institutions were rated low with regards to reliability, familiarity and utilization. This indicates that western medical care has pervaded the Korean medical system.

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Population-Based Cancer Registration in Indonesia

  • Wahidin, Mugi;Noviani, Rini;Hermawan, Sofia;Andriani, Vita;Ardian, Ardi;Djarir, Hernani
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.4
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    • pp.1709-1710
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    • 2012
  • Cancer is a major public health problem in Indonesia, becoming the 7th largest cause of death based on a national survey in 2007, accounting for 5.7 of all mortality. A cancer registry was started in 1970, but it was partial and was stopped mainly because no government body was responsible. Realizing the above situation, the Indonesian government established the Sub Directorate of Cancer Control within the Ministry of Health, with responsibility for developing a national cancer control program, including a cancer registry. A sustainable cancer registry was then started in 2007 within Jakarta Province, first hospital-based but then expanded to be population-based. Steps of cancer registration in Jakarta are data collection, data verification, data validation, data management and analysis, and data publication. Data collection is conducted by health facilities (hospitals, laboratories, primary health centers) at the district/municipal level, with reports to the provincial level. Data are collected passively by holding meetings every three months in the district/municipality. Verification of data is the responsibility of the medical doctor or pathologist in each data source. Data validation is conducted by a team in the cancer registry, consisting of district/municipal/province health officers, pathologists, and registrars. Data management and analyses are conducted by a cancer registry team at the provincial level, assisted by the national team. We use software named Indonesian Cancer Registry System (SRIKANDI) which is adopted from CanReg4 IARC. Data from the population-based cancer registry in Jakarta Province showed the leading cancers among females in 2005-2007 to be breast cancer, cervical cancer, ovarian cancer, colorectal cancer and among males are bronchus and lung cancer, colorectal cancer, liver cancer, pharyngeal cancer, and prostate cancer. The leading childhood cancers are leukaemia and retinoblastoma.

The Impact of COVID-19 on Healthcare Services in Bangladesh: A Qualitative Study on Healthcare Providers' Perspectives

  • Sharmin Parveen;Md. Shahriar Mahbub;Nasreen Nahar;K. A. M. Morshed;Nourin Rahman;Ezzat Tanzila Evana;Nazia Islam;Abu Said Md. Juel Miah
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.4
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    • pp.356-369
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    • 2024
  • Objectives: The objective of this study was to explore healthcare providers' experiences in managing the coronavirus disease 2019 (COVID-19) pandemic and its impact on healthcare services. Methods: A qualitative study was conducted with 34 healthcare professionals across 15 districts in Bangladesh. Among the participants, 24 were health managers or administrators stationed at the district or upazila (sub-district) level, and 10 were clinicians providing care to patients with COVID-19. The telephone interviews were conducted in Bangla, audio-recorded, transcribed, and then translated into English. Data were analyzed thematically. Results: Most interviewees identified a range of issues within the health system. These included unpreparedness, challenges in segregating COVID-19 patients, maintaining isolation and home quarantine, a scarcity of intensive care unit beds, and ensuring continuity of service for non-COVID-19 patients. The limited availability of personal protective equipment, a shortage of human resources, and logistical challenges, such as obtaining COVID-19 tests, were frequently cited as barriers to managing the pandemic. Additionally, changes in the behavior of health service seekers, particularly increased aggression, were reported. The primary motivating factor for healthcare providers was the willingness to continue providing health services, rather than financial incentives. Conclusions: The COVID-19 pandemic presented a unique set of challenges for health systems, while also providing valuable lessons in managing a public health crisis. To effectively address future health crises, it is crucial to resolve a myriad of issues within the health system, including the inequitable distribution of human resources and logistical challenges.

Cost of Treatment for Cancer: Experiences of Patients in Public Hospitals in India

  • Nair, Kesavan Sreekantan;Raj, Sherin;Tiwari, Vijay Kumar;Piang, Lam Khan
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.5049-5054
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    • 2013
  • Background: To assess the treatment pattern and expenditure incurred by cancer patients undergoing treatment at government tertiary hospitals in India. Materials and Methods: A cross-sectional study of 508 cancer patients randomly selected from tertiary cancer hospitals funded by central/state governments located in major cities of five states in India, namely Kerala, Maharashtra, Rajasthan, West Bengal and Mizoram, during March - May 2011 was conducted. Information related to direct costs, indirect costs and opportunity costs incurred on investigations and treatment, major source of payment and difficulties faced by patients during the course of treatment was collected. Results: About 45% of the patients used private health facilities as the first point of contact for cancer related diseases as against 32% in public hospitals. About 47% sought private health facilities for cancer investigations, 21% at district/sub-district hospitals, and about 4% contacted primary health care facilities. A majority of the patients (76%) faced financial problems while undergoing treatment. Conclusions: The results highlight the importance of involving the primary health care system in the cancer prevention activities.

Primary Study on Providing a Basic System for Uterine Cervical Screening in a Developing Country: Analysis of Acceptability of Self-sampling in Lao PDR

  • Yoshida, Tomomi;Nishijima, Yoshimi;Hando, Kiyomi;Vilayvong, Soulideth;Arounlangsy, Petsamone;Fukuda, Toshio
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.3029-3035
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    • 2013
  • Background: Most developing countries have been unable to implement well-organized health care systems, especially comprehensive Pap smear screening-based programs. One of the reasons for this is regional differences in medical services, and a low-cost portable cervical screening system is necessary. To improve regional discrepancies in cervical screening systems, we investigated the usefulness and acceptability of cervical selfsampling by liquid-based cytology (LBC) for 290 volunteers in the Lao PDR. Materials and Methods: Following health education with comprehensive documents, cervical self-sampling kits by LBC were distributed in three provincial, district, and village areas to a total of 290 volunteers, who were asked to take cytology samples by themselves. Subsequently, the acceptability of self-sampling was evaluated using a questionnaire. Results: The documents were well understood in all three regions. Regarding the acceptability of self-sampling, the selections for subsequent screening were 62% self-sampling, 36% gynecologist-sampling, 1% either method, and 1% other methods. The acceptability rates were higher in the district and the village than in the province. For the relationship between acceptability and pregnancy, the self-sampling selection rate was higher in the pregnancy-experienced group (75%) than in the pregnancy-inexperienced group (60%). For the relationship between selection of self-sampling and experience of screening, the self-sampling selection rate was higher in the screening-inexperienced group (62%) than in the screening-experienced group (52%). Conclusions: Our data show that this new way forward, involving a combination of self-sampling and LBC, is highly acceptable regardless of age, educational background, and residence in rural areas in a developing country.

Evaluating the Agricultural Drought for Pre-Kharif Season in Bangladesh using MODIS Vegetation Health Index (MODIS VHI를 이용한 방글라데시 Pre-Kharif 시즌 농업가뭄의 평가)

  • Mohammad, Kamruzzaman;Jang, Min-Won;Hwang, Syewoon;Jang, Taeil
    • Journal of The Korean Society of Agricultural Engineers
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    • v.60 no.6
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    • pp.55-63
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    • 2018
  • This paper aimed to characterize the spatial and temporal pattern of agricultural drought in Pre-Kharif season using Vegetation Health Index (VHI) and illustrated drought characteristics in Bangladesh during 2001-2015. VHI was calculated from TCI (Temperature Condition Index) and VCI (Vegetation Condition Index) derived from MODIS Terra satellite data, LST (Land Surface Temperature) and EVI (Enhanced Vegetation Index), respectively. The finding showed that all drought-affected areas were experienced by mild, moderate, severe and extreme droughts in several years of Pre-Kharif seasons. Significant drought events were found in the year of 2002 and 2013. On average, Chittagong district covered the largest drought area in all drought stages, and the fraction of drought area was the highest in Sylhet and Rangpur for Pre-Kharif season. Finally, overlaying annual VHI raster maps resulted in that the most vulnerable district to agricultural drought were Sylhet, Rangpur, and Mymensingh in the northern and eastern regions of Bangladesh.