Determinants of COVID-19 vaccine acceptance amongst doctors practising in Cross River State, Nigeria

Background: COVID-19 vaccine is one of the most effective public health intervention approaches for prevention of COVID-19. Despite its well-known efficacy and safety, significant proportion of frontline COVID-19 healthcare workers remain hesitant about accepting the vaccine for whatever reasons. This study aimed to determine acceptance rate and determinants of vaccine refusal among doctors in Cross River State, Nigeria. Methodology: This was a cross-sectional survey of doctors using structured online questionnaire administered via the WhatsApp platform of the medical doctors' association, in order to assess their rate of acceptance of COVID-19 vaccines, and reasons for vaccine refusal. The predictors of vaccine acceptance were analysed by univariate and multivariate logistic regression analyses. Results: Of the 443 medical doctors targeted on the WhatsApp platform, 164 responded to the questionnaire survey, giving a response rate of 37.0% (164/443). The mean age of the respondents is 38 ±6.28 years, 91 (55.5%) are 38 years old and above, 97 (59.1%) are males and 67 (40.9%) are females, giving a male-to-female ratio of 1.4:1. The greater proportion of the respondents are physicians (70/148, 47.3%) and about three-quarter of the participants (127/164, 77.4%) had received COVID-19 vaccine. The proportion of physicians who had received COVID-19 vaccine (57/70, 81.4%) was more than the proportion of general practitioners (31/42, 73.8%) and surgeons (24/35, 68.6%). Low perceived benefit of vaccination was the main reason given for COVID-19 vaccine refusal (45.9%, 17/37). No significant association was found between vaccine refusal and suspected predictors (p>0.05). Conclusion: Our study revealed high rate of COVID-19 vaccine acceptance among medical doctors especially among the physicians, with the surgeons showing lowest acceptance rate. A significant proportion would not take vaccine because they perceived it lacks much benefits. To raise vaccine acceptance among doctors, more efforts on vaccine literacy that would target doctors from all sub-specialties especially surgeons and incorporate vaccine benefits should be made.

The Quality of Medical RecordsManagementin Public Health Facilities inthe Jimma Zone, Oromia Regional state, Southwest Ethiopia

Background:Comprehensive medical records are the cornerstones forthe quality and efficiency of patient care, as they can provide a complete and accurate chronology of treatments, patient results, and plans for care. The study aimed to assess the quality of medical records in public health facilities in the Jimma Zone.Methods:A facility-based cross-sectional study design supplemented by a qualitative method was employed from May 30 -July 29, 2020. A total of 384 medical records were reviewed from 36 facilities using afacility inventory checklist. EPIData 3.1 software was used to enter the quantitative data, which wasthen analyzed using SPSS 23, and descriptive statistics were used to present the results. A thematic analysis approach was used for qualitative datawhich wasfinally triangulated with the quantitative data.Result:384medical records were reviewed from thirty-six public health facilities in the Jimma Zone with a 100% retrieval rate. Among the 36 health facilities, only one hada printer in the record room and three (8%) hadtracer cards. On completeness of the medical records, mode of arrival and date of birth were the least recoded data elements (17% and 5%), respectively.Conclusion:The majority of health facilities hada shortage of trained and qualified recording personnel in the medical record units. The majority of medical records had poor completeness in terms of administrative, clinical, financial, and legal data. The overall quality of medical records in public health facilities in the Jimma Zone was low as per the standard of health facility requirements. It was recommended to have qualified medical record unitpersonnel and to standardize the unitin order to improve the quality of medical records. [Ethiop. J. Health Dev. 2022;36(SI-1)]

The Bamako initiative : cost recovery or power sharing

Despite the progress achieved in immunization; The basic African health infrastructures are dysfunctional and unappealing to the people. Plagued by chronic underfinancing; the public health sector in Sub-Saharan Africa is characterized by dilapidated buildings; frustrated health workers who are poorly renumerated and a lack of drugs and equipment. Indeed; the perceived quality of health services is mainly judged by the availability of drugs and the attitude of the providers. The Bamako initiative was therefore providing UNICEF and the countries with the opportunity to look directly at the system and to promote two major inter-related principles which are the people contribution to the financing of the system and their right to co-manage the resources

Paying for health care : the household perspective

Public health in developing countries are facing serious problems in terms of quality and maintenance. Staff are underpaid and therefore not motivation; equipment is often missing for functioning poorly and drugs are in short supply. The basis for this deplorable development is lack of funds for health. In Sub-Saharan Africa less 5 per cent of government budgets is usually spent on health care. There is therefore an urgent need to find more fund to finance health services

Nouvelles orientations de la politique de sante et d'actions sociales

Ce rapport fait suite a un seminaire tenu du 25 au 27 mai 1995 a Saly Portudal et qui a regroupe le Ministere de la Sante et de l'Action Sociale et les representants de la Banque Mondiale; de la Faculte de Medecine et de Pharmacie et les Comites de sante; des hopitaux publics et prives et des ONG. Il s'agit de redefinir une nouvelle politique; tout au moins de reactualiser celle en cours; de l'approfondir et de la redynamiser en vue d'accroitre les performances et de se rapprocher plus rapidement de l'objectif : La Sante pour tous. C'est sur cette base que sont degagees des orientations a moyen et long termes et des axes prioritaires dans lesquels doivent s'inscrire desormais les actions du Ministere de la Sante et de l'Action Sociale et celles des partenaires au Developpement. Defi a relever ensemble

Agenda 2025: visao e estrategias da Nacao; documento preliminar-versao para debate publico

Este e o produto da consulta e da pesquisa orientada e elaborada pelo Comite de Conselheiros. Este Comite assumiu a responsabilidade de orientar e elaborar a Agenda 2025-Visao e Estrategias da Nacao; uma missao patriotica e de dimensao nacional; cujos objectivos terao um alcance longo e duradoiro no desenvolvimento de Mocambique. O produto da consulta e apresentada em sete capitulos; realizado sob direccao do Comite de Conselheiros da Agenda 2025; resulta da accao de auscultacao dos varios sectores da sociedade; em todas as provincias de Pais. Adoptando uma metodologia participativa e inclusiva; o CdC auscultou lideres partidarios; parlamentares dirigentes estatais; empresarios; academicos; religiosos; autoridades comunitarias; trabalhadores da saude; educacao; da sociedade civil; jovens e mulheres. Objectivos da Agenda 2025: visao e estrategia nacionais: construir uma visao comum de longo prazo e tracar as principais linhas de forca consensuais no plano politico; economico; social; cultural a prosseguir nos proximos anos atraves do dialogo inclusivo e participativo; reflectir o pensamento colectivo dos mocambicanos de todos os quadrantes; incorporar a essencia do querer e do pensar colectivo das forcas da sociedade; instituicoes e cidadaos e; desse modo definir as estrategias que respondem aos objectivos identificados na visao; fortalecer a accao governativa e a das instituicoes e da sociedade civil para melhor participarem na definicao e implementacao de politicas; programas e projectos economicos sociais e culturais; e apoiar a instituicao de uma cultura mais participativa; cooperativa; inclusiva e tolerante