ABSTRACT
Background: Doctor's profession has been among one of the most attractive profession in Pakistan Society, but doctors are getting increasingly dissatisfied with their jobs in our region as unfortunately job satisfaction has still not received the proper consideration from policy makers
Objectives: To determine the level of satisfaction with various job characteristics and compare the characteristics of doctors with level of job satisfaction among doctors working in public and private sector teaching hospitals
Study Design: Cross sectional study
Period: July 2014 to August 2014
Setting: Public sector [Jinnah Hospital Lahore] and a private sector [Fatima Memorial Hospital] Lahore
Methods: A total of 308 medical officers, 154 from each hospital were included through simple random sampling. They were interviewed regarding their socio demographic and work related characteristics and satisfaction level regarding various job characteristics, using a structured, pretested questionnaire. The job satisfaction was rated on the basis of a three point liker scale with scores ranging from 1 - 33 and scores >/= 25 were considered as satisfied. All the data was entered and analyzed using SPSS version 17.0
Results: Among the total study respondents, majority 212 [68.8%] doctor were dissatisfied with their jobs while high level of satisfaction was seen only regarding timeliness of pay 92.9% and job safety 98%.On comparing characteristics of doctors with job satisfaction, it was seen that age, gender, marital status, number of family members, total family income, work experience and nature of job was not significantly related with satisfaction while doctors working in private hospital were more satisfied with their job as compared to doctors working in government hospital and this result was statistically significant [P = 0.000]
Conclusion: Satisfaction level of doctors especially working in public hospitals was low as compared to doctors working in private sector. There is need to address the reasons of dis-satisfaction and formulate strategies to eliminate these issues
ABSTRACT
The study was conducted to determine the factors associated with development of COPD among adult Pakistani men of 40 to 70 years of age. This case control study was conducted with total sample of 88 males aged 40 to 70 years old, 44 cases and 44 matched controls with 1:1 ratio. Cases were selected from the patients admitted in the Pulmonology Department Jinnah Hospital Lahore and controls from the other departments of the same hospital, during one month period. The data was collected through questionnaire consisting of variables like age, locality, occupation and smoking status. The spirometric cut off points [FEV1<80% of predicted and FEV1/FVC ratio <70% of predicted] were used as diagnostic tool for COPD. Cross tabulation was performed with dependent variables as presence of COPD and independent variables such as smoking, age, occupational exposure, locality etc. Multivariate logistic regression model was used with backward elimination technique for the adjustment of age, locality, income status, occupation, previous history of disease and smoking status. Cigarette smoking and age of more than 55 yrs have shown significant relationship with the development of COPD [p value<0.05]. Adjusted odd's ratio was 9.1065 for smoking and 4.2315 for age. Urban residents have a risk of developing COPD 2.14 times more than that of rural residents. Cigarette smoking is most important risk factor for development of COPD, so efforts should be made to control it
ABSTRACT
To find out the immunization status against vaccine preventable diseases, timeliness of vaccination according to EPI schedule and availability of EPI card among children aged 0-23 months residing in Jallo village district Lahore. This descriptive cross-sectional study was conducted in village Jallo, District Lahore, having a population of 8061. 331 children aged 0-23 months of the area were included in the study. Data was collected by interviewing the mothers of selected children. Data was entered and analyzed using Epi Info. Frequency distribution with percentages were calculated. Out of total 331 children, 63.4% were fully immunized, 30.5% were partially immunized while 6.1% were not immunized. A child was considered as fully immunized if he/she was vaccinated as per EPI schedule according to his/her age. Only 6.2% were vaccinated according to the EPI schedule and vaccination card was available with 89%. Findings of this small scale study revealed that only 63.4% children were fully immunized which was much less than target of 80%. [EPI objective was to achieve 90% immunization coverage with at least 80% in every district by 2010]. Parents must be motivated to get their children completely vaccinated in a timely manner according to the recommended schedule
ABSTRACT
To identify and document role of physical accessibility in utilization of Maternal and Child Health [MCH] services provided by Public Sector Health Services. This cross-sectional study was carried out in the Department of Public Health Practice, Institute of Public Health, Lahore for a period six months i.e. from January 2005 to June 2005. Patterns of physical accessibility were analyzed in the three selected districts. The parameters of physical accessibility analyzed were distance, traveling time, mode of transportation and status of approach road. Mean distance of health facility from main road Was 2.8 km. 30% had kutcha approach road, and 28% were located at a distance of more than 3 km from the main road. Mean distance of health facility from the houses of users was 2.3 km and they had to spend approximately 30 minutes on average to reach the health facility. Most of them 55% reached the facility on foot, as often no transport was available and in some cases it was near to their home