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Client satisfaction and quality of health care in rural Bangladesh
Aldana,Jorge Mendoza; Piechulek,Helga; Al-Sabir,Ahmed;
Bulletin of the World Health Organization , 2001, DOI: 10.1590/S0042-96862001000600006
Abstract: objective: to assess user expectations and degree of client satisfaction and quality of health care provided in rural bangladesh. methods: a total of 1913 persons chosen by systematic random sampling were successfully interviewed immediately after having received care in government health facilities. findings: the most powerful predictor for client satisfaction with the government services was provider behaviour, especially respect and politeness. for patients this aspect was much more important than the technical competence of the provider. furthermore, a reduction in waiting time (on average to 30 min) was more important to clients than a prolongation of the quite short (from a medical standpoint) consultation time (on average 2 min, 22 sec), with 75% of clients being satisfied. waiting time, which was about double at outreach services than that at fixed services, was the only element with which users of outreach services were dissatisfied. conclusions: this study underscores that client satisfaction is determined by the cultural background of the people. it shows the dilemma that, though optimally care should be capable of meeting both medical and psychosocial needs, in reality care that meets all medical needs may fail to meet the client?s emotional or social needs. conversely, care that meets psychosocial needs may leave the clients medically at risk. it seems important that developing countries promoting client-oriented health services should carry out more in-depth research on the determinants of client satisfaction in the respective culture.
Client satisfaction and quality of health care in rural Bangladesh  [cached]
Aldana Jorge Mendoza,Piechulek Helga,Al-Sabir Ahmed
Bulletin of the World Health Organization , 2001,
Abstract: OBJECTIVE: To assess user expectations and degree of client satisfaction and quality of health care provided in rural Bangladesh. METHODS: A total of 1913 persons chosen by systematic random sampling were successfully interviewed immediately after having received care in government health facilities. FINDINGS: The most powerful predictor for client satisfaction with the government services was provider behaviour, especially respect and politeness. For patients this aspect was much more important than the technical competence of the provider. Furthermore, a reduction in waiting time (on average to 30 min) was more important to clients than a prolongation of the quite short (from a medical standpoint) consultation time (on average 2 min, 22 sec), with 75% of clients being satisfied. Waiting time, which was about double at outreach services than that at fixed services, was the only element with which users of outreach services were dissatisfied. CONCLUSIONS: This study underscores that client satisfaction is determined by the cultural background of the people. It shows the dilemma that, though optimally care should be capable of meeting both medical and psychosocial needs, in reality care that meets all medical needs may fail to meet the client?s emotional or social needs. Conversely, care that meets psychosocial needs may leave the clients medically at risk. It seems important that developing countries promoting client-oriented health services should carry out more in-depth research on the determinants of client satisfaction in the respective culture.
Client satisfaction on maternal and child health services in rural Bengal  [cached]
Das Palas,Basu Mausumi,Tikadar T,Biswas G
Indian Journal of Community Medicine , 2010,
Abstract: Background: Services are being provided by health functionaries to the community with the objective of fulfilling their satisfaction but sometimes this is not working for the target population. Objectives: The study was conducted to assess the satisfaction of clients′ receiving maternal and child health services and to elicit clients′ suggestion for improving the services. Materials and Methods: An exit interview was employed to collect data using a predesigned and pretested schedule. Results: Most of the populations were adult clients . In respect of satisfaction, responses of the clients were either satisfactory (54.31%) or good (23.56%) on maternal and child health services; ′poor or very poor around 20% and it was significantly worse in respect of satisfaction′. Most of the clients (63.06 to 73.94%) expressed their responses as satisfactory and good regarding the assessment of doctors and it was significant. Most of them (73.31%) expressed "satisfactory" response on the quality of services given by nursing staffs. Suggestions of clients for improving the level of satisfaction were sought and in this respect, response was little. Conclusions: Mostly satisfactory observations on maternal and child health services were found in respect of clients′ satisfaction and there was scope to improve the quality and quantity of services, and accordingly actions may be taken in the working field.
Evaluation of Diagnostic Accuracy, Feasibility and Client Preference for Rapid Oral Fluid-Based Diagnosis of HIV Infection in Rural India  [PDF]
Nitika Pant Pai, Rajnish Joshi, Sandeep Dogra, Bharati Taksande, S.P. Kalantri, Madhukar Pai, Pratibha Narang, Jacqueline P. Tulsky, Arthur L. Reingold
PLOS ONE , 2007, DOI: 10.1371/journal.pone.0000367
Abstract: Background Oral fluid-based rapid tests are promising for improving HIV diagnosis and screening. However, recent reports from the United States of false-positive results with the oral OraQuick? ADVANCE HIV1/2 test have raised concerns about their performance in routine practice. We report a field evaluation of the diagnostic accuracy, client preference, and feasibility for the oral fluid-based OraQuick? Rapid HIV1/2 test in a rural hospital in India. Methodology/Principal Findings A cross-sectional, hospital-based study was conducted in 450 consenting participants with suspected HIV infection in rural India. The objectives were to evaluate performance, client preference and feasibility of the OraQuick? Rapid HIV-1/2 tests. Two Oraquick? Rapid HIV1/2 tests (oral fluid and finger stick) were administered in parallel with confirmatory ELISA/Western Blot (reference standard). Pre- and post-test counseling and face to face interviews were conducted to determine client preference. Of the 450 participants, 146 were deemed to be HIV sero-positive using the reference standard (seropositivity rate of 32% (95% confidence interval [CI] 28%, 37%)). The OraQuick test on oral fluid specimens had better performance with a sensitivity of 100% (95% CI 98, 100) and a specificity of 100% (95% CI 99, 100), as compared to the OraQuick test on finger stick specimens with a sensitivity of 100% (95% CI 98, 100), and a specificity of 99.7% (95% CI 98.4, 99.9). The OraQuick oral fluid-based test was preferred by 87% of the participants for first time testing and 60% of the participants for repeat testing. Conclusion/Significance In a rural Indian hospital setting, the OraQuick? Rapid- HIV1/2 test was found to be highly accurate. The oral fluid-based test performed marginally better than the finger stick test. The oral OraQuick test was highly preferred by participants. In the context of global efforts to scale-up HIV testing, our data suggest that oral fluid-based rapid HIV testing may work well in rural, resource-limited settings.
Factors affecting orientation and satisfaction of women entrepreneurs in rural India
Jeevan Jyoti,Jyoti Sharma,Anita Kumari
Annals of Innovation & Entrepreneurship , 2011, DOI: 10.3402/aie.v2i1.5813
Abstract: In the present era, the women-owned businesses in the form of women entrepreneurs are one of the fastest growing entrepreneurial populations in the India. The objective of the paper is to study the factors that affect women entrepreneurial orientation and their satisfaction. In this regard, the paper explores the affecting variables and their impact on orientation and satisfaction. The proposed model and hypotheses were tested by using the data collected from boutiques, beauty parlors, carpet making units, and general stores in Jammu and Kashmir (India). Univariate, bi-variate, and multi-variate techniques were used for data analysis. In SEM, 13 paths were created for evaluating the cause and effect relationship between different factors viz., social, psychological, financial, push, pull factors, problems, and entrepreneurial orientation and satisfaction. Out of 13 paths eight relationships are significant while five relationships are insignificant in this structural equation. The key finding of the paper is that all factors affect orientation highly as compared to satisfaction. The implications of research findings for researchers and practitioners are discussed and the suggestions have also been provided.
Comparison of patient satisfaction with services of vision centers in rural areas of Andhra Pradesh, India  [cached]
Kovai Vilas,Rao Gullapalli,Holden Brien,Sannapaneni Krishnaiah
Indian Journal of Ophthalmology , 2010,
Abstract: Aim: To compare the satisfaction of patients with the services of Vision Center services (primary eye care) in large village (s) and small village (s) in rural settings in Andhra Pradesh state, India. Materials and Methods: We have administered standard questionnaires to randomly selected patients to assess patient satisfaction when assessing Vision Center Services. We used the Chi-square ( P <0.05) to explore differences in satisfaction of patients with Vision Center services located in the large village (s) and small village (s) rural settings. Results: Vision Center patients at the large village (s) expressed higher levels of satisfaction (median 78%) than patients treated at the Vision Center at small village (s) (median 69%). The difference was statistically significant (Chi square P value ranging from <0.001 to 0.03) for all the items except two - ′easy to identify vision center location′ and ′spectacles dispensing time′ as compared to other (privately run optometry) facilities (Chi square P value=0.498 and 0.993 respectively). The location of the Vision Center, convenience of journey, ophthalmic technician′s behavior with patients, are some of the most important factors that determined the patient perception about Vision Center services. Conclusion: The overall satisfaction levels of the Vision Center experience at 78% and 69% were good. However, continual improvement is to be made in service time, staff performance, cost and quality of vision care, especially at more remote primary eye Care Centers.
Client Satisfaction with Health Services Delivery in Urban and Rural Health Centers in Markazi Province
R Zahiri,M Taheri
Journal of School of Public Health and Institute of Public Health Research , 2010,
Abstract: Background and Aim: Pressure ulcer is a common problem and a large drain on hospital resources, especially in wards such as ICU where patients stay for a long time. The aim of this study was to explore the likely factors contributing to pressure ulcers in the ICU units of Tehran University of Medical Sciences teaching hospitals, Tehran, Iran. Materials and Methods: This project was conducted in all the seven ICUs of four teaching hospitals affiliated to Tehran University of Medical Sciences. In the first phase the researcher performed a direct observation of all the 90 patients who were admitted to the ICU units to check the presence of any pressure ulcer. In the second phase, 310 patients discharged from the same ICU units between March 2007 and February 2008 was randomly selected and their medical records reviewed. A structured questionnaire was used to collect the data. Results: Pressure ulcer occurred more frequently in the elderly; women; patients who were less active and had less mobility, hospitalized for a long time, or those with fever, diabetes, high blood pressure, paralysis, or respiratory diseases. In addition, pressure ulcer was seen more frequently in the patients hospitalized in the general ICUs, as well as in those with infections and different types of tumors. Conclusion: Using a standard risk assessment tool and paying attention to the main risk factors of pressure ulcer can be a useful method for identifying the high-risk patients before admission in order to prevent them from developing such ulcers.
Mahatma Gandhi National Rural Employment Guarantee Act : A Tool for inclusive growth in Rural India  [PDF]
Asha Sharma
International Journal on Research and Development : A Management Review , 2013,
Abstract: The Ministry of Rural Development is one of the important ministries in India involved in development of rural areas of the country. The mission and vision of ministry exhibits a sustainable and inclusive growth of rural India. The ministry is striving hard to increase livelihood opportunities and improved quality of life of rural poor people. Furthermore, eradicating poverty is a significant endeavor of the ministry. Implemented by the Ministry of Rural Development, National Rural Employment Guarantee Act (NREGA) is the flagship programme of the Government that directly touches lives of the poor and promotes inclusive growth.
Modelling Client Satisfaction Levels: The Impact of Contractor Performance  [cached]
Robby Soetanto,David Proverbs
Australasian Journal of Construction Economics and Building , 2012,
Abstract: The performance of contractors is known to be a key determinant of client satisfaction.Here, using factor analysis, clients’ satisfaction is defined in several dimensions. Based onclients’ assessment of contractor performance, a number of satisfaction models developedusing the multiple regression (MR) technique are presented. The models identify arange of variables encompassing contractor performance, project performance and respondent(i.e. client) attributes as useful predictors of satisfaction levels. Contractor performanceattributes were found to be of utmost importance indicating that clientsatisfaction levels are mainly dependent on the performance of the contractor. Furthermore,findings suggest that subjectivity is to some extent prevalent in clients’ performanceassessment. The models demonstrate accurate and reliable predictive power as confirmedby validation tests. Contractors could use the models to help improve their performanceleading to more satisfied clients. This would also promote the development ofharmonious working relationships within the construction project coalition.
EDUCATION SYSTEMS AND ACADEMIC SATISFACTION: A Study on Rural and Urban Students of Traditional Vs Open Education System in India  [PDF]
Shashi SINGH,,Ajay SINGH,Kiran SINGH
The Turkish Online Journal of Distance Education , 2012,
Abstract: A satisfaction and dissatisfaction level within an individual influences the motivation level and his/her performance throughout the life. When an individual is satisfied with his/her work, he/she gets pleasure and feels motivated. Obtaining satisfaction from their education system is very important for students as this will lead to better learning possibilities. This paper aims to compare the level of academic satisfaction among the students of Traditional Education System and Open Education System. This paper also investigates academic satisfaction of urban and rural based students and comparing them over traditional (Urban: 110; Rural: 90), and open (Urban: 80; Rural: 71) education system. Statistical tests demonstrate that there is significant difference in the level of academic satisfaction among the students of Open Education System (OES) and Traditional Education System (TES).
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