Objective:To assess the knowledge and attitude toward coronavirus disease-2019(COVID-19)among healthcare workers at District 2 Hospital in Ho Chi Minh City(HCMC).Methods:A cross-sectional study was performed between J...Objective:To assess the knowledge and attitude toward coronavirus disease-2019(COVID-19)among healthcare workers at District 2 Hospital in Ho Chi Minh City(HCMC).Methods:A cross-sectional study was performed between January 2020 and February 2020 at District 2 Hospital.A systematic random sampling strategy was carried out and the data was collected through a self-administered questionnaire of the knowledge and attitude of healthcare workers regarding COVID-19.Descriptive analysis was reported to describe the demographic,mean knowledge and attitude score of healthcare workers.Inferential statistics including t-test,ANOVA and Spearman’s correlation were used to evaluate the relationship between study variables.Results:A total of 327 eligible healthcare workers had a mean score of knowledge and attitude of 8.17±1.3(range 4-10)and 1.86±0.43(range 1-5),respectively.They showed good knowledge and a positive attitude.However,approximately two thirds of the participants knew the mode of transmission,the isolation period and treatment(67.0%,65.8%,and 58.4%,respectively),and 82.3%and 79.8%,respectively,held positive attitude regarding the risk of personal and family members getting illness.There was a negative correlation between knowledge scores and attitude scores(r=-0.21,P<0.001).Additionally,healthcare workerspredominately used social media to inform themselves about COVID-19(91.1%).Conclusions:The majority of healthcare workers had good knowledge and positive attitude toward COVID-19.However,the level of some knowledge and attitude lower than that expected for their position level towards the virus.Additional education interventions and campaigns are required for healthcare workers.展开更多
Background:Performance-Based Financing(PBF),an innovative health financing initiative,was recently implemented in Mali.PBF aims to improve quality of care by motivating health workers.The purpose of this research was ...Background:Performance-Based Financing(PBF),an innovative health financing initiative,was recently implemented in Mali.PBF aims to improve quality of care by motivating health workers.The purpose of this research was to identify and understand how health workers’expectations related to their experiences of the first cycle of payment of PBF subsidies,and how this experience affected their motivation and sentiments towards the intervention.We pose the research question,“how does the process of PBF subsidies impact the motivation of health workers in Mali?”Methods:We adopted a qualitative approach using multiple case studies.We chose three district hospitals(DH 1,2 and 3)in three health districts(district 1,2 and 3)among the ten in the Koulikoro region.Our cases correspond to the three DHs.We followed the principle of data source triangulation;we used 53 semi-directive interviews conducted with health workers(to follow the principle of saturuation),field notes,and documents relating to the distribution grids of subsidies for each DH.We analyzed data in a mixed deductive and inductive manner.Results:The results show that the PBF subsidies led to health workers feeling more motivated to perform their tasks overall.Beyond financial motivation,this was primarily due to PBF allowing them to work more efficiently.However,respondents perceived a discrepancy between the efforts made and the subsidies received.The fact that their expectations were not met led to a sense of frustration and disappointment.Similarly,the way in which the subsidies were distributed and the lack of transparency in the distribution process led to feelings of unfairness among the vast majority of respondents.The results show that frustrations can build up in the early days of the intervention.Conclusion:The PBF implementation in Mali left health workers frustrated.The short overall implementation period did not allow actors to adjust their initial expectations and motivational responses,neither positive nor negative.This underlines how short-term interventions might not just lack impact,but instil negative sentiments likely to carry on into the future.展开更多
文摘Objective:To assess the knowledge and attitude toward coronavirus disease-2019(COVID-19)among healthcare workers at District 2 Hospital in Ho Chi Minh City(HCMC).Methods:A cross-sectional study was performed between January 2020 and February 2020 at District 2 Hospital.A systematic random sampling strategy was carried out and the data was collected through a self-administered questionnaire of the knowledge and attitude of healthcare workers regarding COVID-19.Descriptive analysis was reported to describe the demographic,mean knowledge and attitude score of healthcare workers.Inferential statistics including t-test,ANOVA and Spearman’s correlation were used to evaluate the relationship between study variables.Results:A total of 327 eligible healthcare workers had a mean score of knowledge and attitude of 8.17±1.3(range 4-10)and 1.86±0.43(range 1-5),respectively.They showed good knowledge and a positive attitude.However,approximately two thirds of the participants knew the mode of transmission,the isolation period and treatment(67.0%,65.8%,and 58.4%,respectively),and 82.3%and 79.8%,respectively,held positive attitude regarding the risk of personal and family members getting illness.There was a negative correlation between knowledge scores and attitude scores(r=-0.21,P<0.001).Additionally,healthcare workerspredominately used social media to inform themselves about COVID-19(91.1%).Conclusions:The majority of healthcare workers had good knowledge and positive attitude toward COVID-19.However,the level of some knowledge and attitude lower than that expected for their position level towards the virus.Additional education interventions and campaigns are required for healthcare workers.
文摘Background:Performance-Based Financing(PBF),an innovative health financing initiative,was recently implemented in Mali.PBF aims to improve quality of care by motivating health workers.The purpose of this research was to identify and understand how health workers’expectations related to their experiences of the first cycle of payment of PBF subsidies,and how this experience affected their motivation and sentiments towards the intervention.We pose the research question,“how does the process of PBF subsidies impact the motivation of health workers in Mali?”Methods:We adopted a qualitative approach using multiple case studies.We chose three district hospitals(DH 1,2 and 3)in three health districts(district 1,2 and 3)among the ten in the Koulikoro region.Our cases correspond to the three DHs.We followed the principle of data source triangulation;we used 53 semi-directive interviews conducted with health workers(to follow the principle of saturuation),field notes,and documents relating to the distribution grids of subsidies for each DH.We analyzed data in a mixed deductive and inductive manner.Results:The results show that the PBF subsidies led to health workers feeling more motivated to perform their tasks overall.Beyond financial motivation,this was primarily due to PBF allowing them to work more efficiently.However,respondents perceived a discrepancy between the efforts made and the subsidies received.The fact that their expectations were not met led to a sense of frustration and disappointment.Similarly,the way in which the subsidies were distributed and the lack of transparency in the distribution process led to feelings of unfairness among the vast majority of respondents.The results show that frustrations can build up in the early days of the intervention.Conclusion:The PBF implementation in Mali left health workers frustrated.The short overall implementation period did not allow actors to adjust their initial expectations and motivational responses,neither positive nor negative.This underlines how short-term interventions might not just lack impact,but instil negative sentiments likely to carry on into the future.