Involvement of Healthcare Staff from First Contact Health Establishments in the Elimination of Human Rabies in the Health Districts of Ferkessedougou and Kong in Ivory Coast, 2020

Introduction: Rabies is endemic and constitutes a public health problem in Côte d’Ivoire. In the health districts of Kong and Ferkessedougou, exposure to rabies infection reported by the National Institute of Public Hygiene of Ferkessedougou averages 200 cases per year. However, in the involvement of health workers from First Contact Health Establishments (FCHE) of the 2 Districts, the management of exposed persons is unknown. This study aimed to determine the involvement of healthcare personnel in FCHE in the health districts of Ferkessedougou and Kong in the elimination of human rabies. Material and Methods: This was a prospective cross-sectional study with a descriptive aim which took place from October 21, 2020 to November 20, 2020. The data were collected using a questionnaire and then analyzed with the software EXCEL and Epi Info 3.5.3. Principle Results: It emerged from this study that the average age of the participants was 36.8 years with an average professional seniority of 5.07 years. The majority (73.90%) of healthcare staff have not received training on rabies. However, plenty of healthcare personnel respectively experienced the transmission of the rabies virus from animals to humans (98.60%), with dogs (97.10%) as the main animal vector of rabies to man, the bite (100%) as the way of contamination of rabies, the immediate washing with water and soap (66.70%), the administration of the anti-rabies vaccine (75.4%), the National Institute of Public Hygiene as a reference structure (63.8%). At the level of practices after exposure to rabies infection, the majority (65.2%) of the healthcare staff consulted the patients, of whom 84.4% and 95.6% of these consultants respectively carried out communication for social change and behavior and referred patients to the National Institute of Public Hygiene (p Conclusion: Some health workers did not have the necessary knowledge to care for people exposed to rabies infection. Thus, they were not all involved in post-exposure prophylaxis against rabies. It would therefore be desirable for the National Institute of Public Hygiene to strengthen the capacities for the prevention of rabies for all human health workers, particularly those in first contact health establishments with a view to eliminating this disease from here in 2030.

Exploring attendance at emergency departments for children with non-urgent conditions in Turkey: a qualitative study of parents and healthcare staff perspectives

Background:Overcrowding in Emergency Departments(EDs)is a significant global concern with negative consequences for patients,healthcare staff,and healthcare systems.The use of EDs by parents of children with non-urgent conditions is associated with overcrowding,higher healthcare costs,lower quality of care,and longer waiting times.Research in this area has largely been conducted in high-income countries,with a dearth of work originating in middle and low-income regions.The aim of this study was to explore the reasons for parents attending EDs with their child for non-urgent conditions in Turkey.Method:Semi-structuredinterviews wereconductedwith 13parents,15 EDstaff,and10GeneralPractitioners(GPs)in2 regions of Turkey between March and May 2017.Data were analyzed using the principles of grounded theory.Results:The findings were classified into 5 core categories:(1)parents’feelings,knowledge,and perceived inability to provide self-care;(2)perceived limitationsofhealthcare services,system,and staff;(3)parents’preferencesforhospital andED services;(4)adverse impact on ED services;and(5)perceived needs for care.Conclusion:This is the first study conducted in a middle-income country regarding parental reasons for using the ED for non-urgent conditions.Greater efforts must be made to reduce unnecessary visits to the ED to better meet service user needs and to increase the satisfaction of both parents and healthcare staff.The findings of this study may inform healthcare providers,policymakers,healthcare staff,and researchers to design interventions in order to mitigate overcrowding in the ED.

Effect of Electronic Medical Record Utilization on Depression, Anxiety and Stress among Doctors and Nurses in Johor, Malaysia

Background： The usage of modem technology in healthcare record system is now a must throughout the world. However, many doctors and nurses has been reporting facing numerous challenges and obstacles in the implementation. The aim of the present study is to determine the prevalence of depression, anxiety and stress among doctors and nurses who utilize EMR （electronic medical record） and its associated factor. Methods： A comparative cross-sectional study was conducted ~om January till April 2012 among doctors and nurses in two public tertiary hospitals in Johor in which one of them uses EMR and the other one still using the MMR （manual medical record） system. Data was collected using self-administered validated Malay version of DASS-21 （Depression, Anxiety, and Stress Scales-21） items questionnaire. It comprises of socio-demographic and occupational characteristics. Findings： There were 130 respondents with a response rate of 91% for EMR and 123 respondents with a response rate of 86% for MMR. The mean （SD） age of respondents in EMR and MMR groups were 34.7 （9.42） and 29.7 （6.15） respectively. The mean （SD） duration of respondents using EMR was 46.1 （35.83） months. The prevalence of depression, anxiety and stress among respondents using EMR were 6.9%, 25.4% and 12.3%. There were no significant difference between the study groups related to the depression, anxiety and stress scores. In multivariable analysis, the significant factors associated with depression among respondents using EMR was age （OR 1.10, 95% CI 1.02, 1.19）. The significant factors associated with stress among respondents using EMR was marital status （OR 3.33, 95% CI 1.10, 10.09） and borderline significant was computer skill course （OR 2.94, 95% CI 0.98, 8.78）. Conclusion： The prevalence of depression, anxiety and stress of those who uses EMR were within acceptable range. Age, marital status and computer skill are the identified factor associated with the depression and stress level which need to be considered in its implementation.