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Original Articles
Primary Healthcare Under Transformation in 3 Eastern European Countries: Quality Satisfaction as Rated by Students
Sviatlana Ahiyevets, Andrei Shpakou, Joanna Baj-Korpak, Ewa Kleszczewska, Katarzyna Rzatkiewicz, Krzysztof Mancewicz, Valentina Stetsenko, Semen Stetsenko
Osong Public Health Res Perspect. 2020;11(5):286-295.   Published online October 22, 2020
DOI: https://doi.org/10.24171/j.phrp.2020.11.5.04
  • 3,714 View
  • 137 Download
  • 1 Citations
AbstractAbstract PDF
Objectives

This study aimed to determine the reasons for student dissatisfaction with the quality of primary healthcare (PHC) in countries under healthcare system transformation (Belarus, Poland, and Ukraine) to identify reserves and make improvements.

Methods

A comparative multipopulation survey was translated, verified, and completed during face-to-face interviews during March 2019 to May 2019. There were 700 Humanities students included in this study to determine satisfaction with the quality of PHC provided by the family doctor. Satisfaction was assessed according to the availability of the doctor, the level of organization of the institution, the service process, the quality of the interaction with the doctor, adherence to the rights of patients, and any additional financial expense incurred by the patient.

Results

Politeness and attentiveness of doctors were rated highly. Dissatisfaction was associated with the negative attitude of medical personnel towards the patient. One in 10 respondents replied that medical confidentiality was not observed. More than 65% of students had paid for diagnostic tests/or treatments, and some respondents from Poland and Ukraine were asked by the doctor to pay for services without a receipt.

Conclusion

Dissatisfaction with the quality of PHC in countries under transformation of the health system was largely due to ethical aspects of the doctor-patient relationship. Therefore, ethical standards need to be upheld and patients need to be aware of these standards using medical education materials covering the moral aspects of the relationship between medical personnel and patient.

Citations

Citations to this article as recorded by  
  • The perception of outpatient care quality by healthcare users in Ukraine
    Valentyna Anufriyeva, Milena Pavlova, Tetiana Stepurko, Wim Groot
    International Journal of Healthcare Management.2022; : 1.     CrossRef
Gender-based Violence Among Pregnant Women of Syangja District, Nepal
Samjhana Gurung, Jeevan Acharya
Osong Public Health Res Perspect. 2016;7(2):101-107.   Published online April 30, 2016
DOI: https://doi.org/10.1016/j.phrp.2015.11.010
  • 2,106 View
  • 17 Download
  • 10 Citations
AbstractAbstract PDF
Objectives
This study aims to determine prevalence of gender-based violence among pregnant women attending an antenatal care (ANC) clinic.
Methods
Between September 2014 and December 2014, a cross-sectional study was conducted among 202 pregnant women attending the antenatal ward of the Primary Healthcare Centre (PHC) of Syangja district, Nepal. The data were collected using semistructure questionnaires with face-to-face interviews. SPSS software (IBM Corp, Armonk, NY, USA) was used for analysis the data.
Results
The prevalence rate of gender-based violence was found to be 91.1% (184). Most of the respondents (87%) faced economic violence followed by psychological (53.8%), sexual (41.8%), and physical (4.3%) violence. Women experienced: (1) psychological violence with most complaining of angry looks followed by jealousy or anger while talking with other men, insults using abusive language and neglect; (2) economic violence with most complaining of financial hardship, denial of basic needs and an insistence on knowing where respondents were and restricting them to parents' home or friends/relatives' houses (jealousy); (3) physical violence by slapping, pushing, shaking, or throwing something at her, twisting arm or pulling hair, and punching and kicking; and (4) sexual violence by physically forcing her to have sexual intercourse without consent, and hurting or causing injury to private parts. Most (100%) of the perpetrators were found to be husbands and mothers-in-law (10.7%) who violated them rarely.
Conclusion
The prevalence of gender-based violence (GBV) among pregnant women attending the ANC clinic was greater in the Syangja district of Nepal. Women's empowerment, economic autonomy, sensitization, informal or formal training regarding GBV for men and women, and the need for large-scale population-based surveys are the major recommendations of this study.

Citations

Citations to this article as recorded by  
  • Prevalence of Violence in Iranian Pregnant Women: A Systematic Review and Meta-Analysis
    Shohreh Shafiei, Maryam Chegeni, Sima Afrashteh, Hamid Reza Shoraka, Azam Bazrafshan, Zohreh Bagherinezhad, Masumeh Ghazanfarpour, Hamid Sharifi
    Maternal and Child Health Journal.2022; 26(10): 1983.     CrossRef
  • Gendered consequences of social changes in Nepal: rich possibilities
    Radha Adhikari, Jeevan R Sharma
    European Bulletin of Himalayan Research.2022;[Epub]     CrossRef
  • Gebelikte aile içi şiddete maruz kalmanın postpartum depresyon ve maternal bağlanmaya etkisi
    Ayten TAŞPINAR, Seher SARIKAYA KARABUDAK, Ayden ÇOBAN, Filiz ADANA
    Adıyaman Üniversitesi Sağlık Bilimleri Dergisi.2021; : 94.     CrossRef
  • Is there an association between fertility and domestic violence in Nepal?
    Sarah Raifman, Mahesh Puri, Jennet Arcara, Nadia Diamond-Smith
    AJOG Global Reports.2021; 1(2): 100011.     CrossRef
  • Intimate partner violence among pregnant women attending antenatal care services in the rural Gambia
    Joseph W. Jatta, Ararso Baru, Olufunmilayo I. Fawole, Oladosu A. Ojengbede, Yong-hui Dang
    PLOS ONE.2021; 16(8): e0255723.     CrossRef
  • Factors associated with contraceptive use in rural Nepal: Gender and decision-making
    Preeti K. Mahato, Zoë A. Sheppard, Edwin van Teijlingen, Nisa De Souza
    Sexual & Reproductive Healthcare.2020; 24: 100507.     CrossRef
  • Experiences and Perceptions of Abused Turkish Women Regarding Violence Against Women
    Emel Bahadir-Yilmaz, Fatma Oz
    Community Mental Health Journal.2019; 55(4): 686.     CrossRef
  • Intimate Partner Violence in Relation to Husband Characteristics and Women Empowerment: Evidence from Nepal
    Sujan Gautam, Hyoung-Sun Jeong
    International Journal of Environmental Research an.2019; 16(5): 709.     CrossRef
  • Criticality as Ideological Becoming: Developing English Teachers for Critical Pedagogy in Nepal
    Bal Krishna Sharma, Prem Phyak
    Critical Inquiry in Language Studies.2017; 14(2-3): 210.     CrossRef
  • In Bangla There Is No Word for Vagina <br>—Reflections on Language, Sexual Health, and Women’s Access to Healthcare in Resource-Limited Countries
    Annekathryn Goodman, Mithila Faruque, Rachel M. Clark
    Health.2016; 08(12): 1244.     CrossRef
Prevalence and Risk Factors of Clonorchiasis among the Populations Served by Primary Healthcare Posts along Five Major Rivers in South Korea
Kyung Ja June, Shin Hyeong Cho, Won Ja Lee, Chunmi Kim, Kyung-Soon Park
Osong Public Health Res Perspect. 2013;4(1):21-26.   Published online February 28, 2013
DOI: https://doi.org/10.1016/j.phrp.2012.12.002
  • 1,859 View
  • 13 Download
  • 15 Citations
AbstractAbstract PDF
Objectives
Clonorchiasis is an infectious disease caused by the Chinese liver fluke Clonorchis sinensis. In this study, we investigated the prevalence and risk factors of clonorchiasis among the populations served by primary healthcare posts along five major rivers in South Korea.
Methods
Forty primary healthcare posts that are located less than 5 km from one of the five rivers were selected from 26 counties. For the purpose of the survey, community health practitioners selected the nearest villages from the riversides in their own catchment area. From January to May 2009, a total of 2788 stool samples were collected and examined using the formalin–ether sedimentation technique. Village inhabitants were also interviewed by means of questionnaires in order to obtain information on potential risk factors.
Results
The prevalence rates of clonorchiasis at various river basins were as follows: Seomjin River, 21.3%; Nakdong River, 13.5%; Geum River, 9.2%; Han River, 7.6%; and Yeongsan River, 4.9%. The total number of people infected with C. sinensis was 329 (11.3%). By gender, 14.3% of males and 7.6% of females were infected. In case of both males and females, the prevalence rate was highest in those in their 40s. Consumption of raw freshwater fish was confirmed as a risk factor based on a logistic regression analysis.
Conclusion
The present findings suggest that clonorchiasis is still highly prevalent among the inhabitants of riverside areas in southern Korea, and, accordingly, it is necessary to implement a systematic control program in the endemic areas.

Citations

Citations to this article as recorded by  
  • Infection Characteristics of Clonorchis sinensis Metacercariae in Fish from Republic of Korea
    Woon-Mok Sohn
    The Korean Journal of Parasitology.2022; 60(2): 79.     CrossRef
  • Survey of Zoonotic Trematode Metacercariae in Fish from Water Systems of Geum-gang (River) in Republic of Korea
    Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho, Cheon-Hyeon Kim, Min-Ah Hwang, Kyeong-Woo No, Jai-Dong Kim
    The Korean Journal of Parasitology.2021; 59(1): 23.     CrossRef
  • Risk Factors for Clonorchis sinensis Infection in Residents of Binyang, Guangxi: A Cross-Sectional and Logistic Analysis Study
    Meng Xu, Yanyan Jiang, Jianhai Yin, Shengkui Cao, Yujuan Shen, Jianping Cao
    Frontiers in Public Health.2021;[Epub]     CrossRef
  • High Endemicity with Clonorchis sinensis Metacercariae in Fish from Yongjeon-cheon (Stream) in Cheongsong-gun, Gyeongsangbuk-do, Korea
    Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho, Hee Il Lee, Myoung-Ro Lee, Jung-Won Ju, Gou Ok Kim
    The Korean Journal of Parasitology.2021; 59(1): 97.     CrossRef
  • Prevalence and Infection Intensity of Zoonotic Trematode Metacercariae in Fish from Soyang-cheon (Stream), in Wanju-gun, Jeollabuk-do, Korea
    Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho, Jung-Won Ju, Cheon-Hyeon Kim, Min-Ah Hwang, Kyeong-Woo No, Jong-Ho Park
    The Korean Journal of Parasitology.2021; 59(3): 265.     CrossRef
  • Survey of Zoonotic Trematode Metacercariae in Fish from Irrigation Canal of Togyo-jeosuji (Reservoir) in Cheorwon-gun, Gangwon-do, Republic of Korea
    Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho, Hee Il Lee, Jung-Won Ju, Myoung-Ro Lee, Eun-Joo Lim, Sung Yong Son, Eunmi Ko, Jaeseok Choi
    The Korean Journal of Parasitology.2021; 59(4): 427.     CrossRef
  • Endemicity of Zoonotic Trematode Metacercariae in Fish from Deokcheon-gang (River) in Sancheong-gun, Gyeongsangnam-do, Republic of Korea
    Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho, Hee Il Lee, Jung-Won Ju, Myoung-Ro Lee, Jeong-Gil Park, Jihee Ahn
    The Korean Journal of Parasitology.2021; 59(5): 523.     CrossRef
  • Surveillance of clonorchiasis in China in 2016
    Ting-Jun Zhu, Ying-Dan Chen, Men-Bao Qian, Hui-Hui Zhu, Ji-Lei Huang, Chang-Hai Zhou, Xiao-Nong Zhou
    Acta Tropica.2020; 203: 105320.     CrossRef
  • Risk Factors of Clonorchis sinensis Human Infections in Endemic Areas, Haman-Gun, Republic of Korea: A Case-Control Study
    Sang-Eun Lee, Hee-Eun Shin, Myoung-Ro Lee, Yang-Hee Kim, Shin-Hyeong Cho, Jung-Won Ju
    The Korean Journal of Parasitology.2020; 58(6): 647.     CrossRef
  • Risk mapping of clonorchiasis in the People’s Republic of China: A systematic review and Bayesian geostatistical analysis
    Ying-Si Lai, Xiao-Nong Zhou, Zhi-Heng Pan, Jürg Utzinger, Penelope Vounatsou, Darren J. Gray
    PLOS Neglected Tropical Diseases.2017; 11(3): e0005239.     CrossRef
  • Epidemiological and Clinical Parameters Features of Patients with Clonorchiasis in the Geum River Basin, Republic of Korea
    Hee-Eun Shin, Myoung-Ro Lee, Jung-Won Ju, Byong-Suk Jeong, Mi-Yeoun Park, Keoung-Sook Lee, Shin-Hyeong Cho
    Interdisciplinary Perspectives on Infectious Disea.2017; 2017: 1.     CrossRef
  • Risk factors for Clonorchis sinensis infection transmission in humans in northern Vietnam: A descriptive and social network analysis study
    Hoang Quang Vinh, Waraphon Phimpraphai, Sirikachorn Tangkawattana, John F. Smith, Sasithorn Kaewkes, Do Trung Dung, Tran Thanh Duong, Banchob Sripa
    Parasitology International.2017; 66(2): 74.     CrossRef
  • Prevalence and Related Factors of Clonorchiasis among Five Major Riverside Residents in South Korea
    Chunmi Kim, Kyung Ja June, Shin Hyeong Cho, Kyung Soon Park, Hung Sa Lee, Ji Yeon Park
    Journal of Korean Academy of Community Health Nurs.2016; 27(4): 346.     CrossRef
  • Prevalence and Risk Factors of Clonorchiasis among Residents of Riverside Areas in Muju-gun, Jeollabuk-do, Korea
    Do-Soon Park, Sung-Jin Na, Shin Hyeong Cho, Kyung Ja June, Young-Chae Cho, Young-Ha Lee
    The Korean Journal of Parasitology.2014; 52(4): 391.     CrossRef
  • Effects of a Clonorchiasis Prevention Education Program for Clonorchiasis Prevention Lecturers
    Chunmi Kim, Kyung-Ja June, Aeyoung So
    Journal of Korean Academy of Community Health Nurs.2013; 24(4): 398.     CrossRef

PHRP : Osong Public Health and Research Perspectives