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    Quality of health care in Mukono District

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    A dissertation submitted in partial fulfillment of the requirements for the award of the degree of Master of Public Health of Makerere UniversityThere is no reliable information on the quality of care offered in health units in Mukono District. This study was therefore carried out to provide the DHT with information for targeting improvements in quality of care. The study objectives were to, i) assess patient satisfaction with quality of care provided in health units in Mukono District, ii) assess the quality of the process of health care delivery in health units in Mukono District, iii) assess health care provider prescribing behavior using treatment of malaria in children under five years as a proxy indicator, and iv) determine factors that influence delivery of quality health care among health care providers in Mukono District. A descriptive cross sectional study was done. A stratified sample of eighteen health units was selected. Three hundred and eighty seven patients were interviewed to assess satisfaction with the quality of health care. To assess the process of health care delivery, 18 health care providers were observed attending to three sick under five year old children each. Health care provider prescribing behavior was assessed retrospectively by a review of records of malaria treatment in children under five years old. Three hundred and eighty four records of previous six months were reviewed. Factors affecting delivery of quality care by health care providers was assessed by use of key informant interviews. The results on patient satisfaction revealed that 15.5% (60/387) of patient respondents were completely satisfied with the overall quality of care provided in the health units. Eighty percent (311/387) were satisfied, 4% (14/387) were dissatisfied and 0.5% (2/387) were completely dissatisfied. The quality of the process of care was assessed using a scoring system. At a cut off mark of 60% of the expected total score, only 35.2% of the children were managed adequately. This study also found that on average, 3.2 drugs were dispensed to each child with malaria and 41.8% received antibiotics. Eighty five percent received an injection and only 48.3% were treated according to NSTG. The key informants thought that factors that contribute to quality health care were availability of drugs and equipment, adequate staffing with trained personnel, regular effective support supervision, and motivation of health care providers. From the findings of this study, it may be concluded that patients are generally satisfied with the quality of health care provided in the health units of Mukono District. However technical competence of health care providers does not reach required standards. It is therefore recommended that the DHT of Mukono District focus training of health care providers on clinical case management of common childhood illnesses and rational drug use

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Quality of health care in Mukono District

    No full text
    A thesis submitted in partial fulfillment of the requirements for the award of the Masters of Medicine Degree in Public Health of Makerere University.There is no reliable information on the quality of care offered in health units in Mukono District. This study was therefore carried out to provide the DHT with information for targeting improvements in quality of care. The study objectives were to, i) assess patient satisfaction with quality of care provided in health units in Mukono District, ii) assess the quality of the process of health care delivery. In health units in Mukono District, iii) assess health care provider prescribing behavior using treatment of malaria in children under five years as a proxy indicator, and iv) determine factors that influence delivery of quality health care among health care providers in Mukono District. A descriptive cross sectional study was done. A stratified sample of eighteen health units was selected. Three hundred and eighty seven patients were interviewed to assess satisfaction with the quality of health care. To assess the process of health care delivery, 18 health care providers were observed attending to three sick under five year old children each. Health care provider prescribing behavior was assessed retrospectively by a review of records of malaria treatment in children under five years old. Three hundred and eighty four records of previous six months were reviewed. Factors affecting delivery of quality care by health care providers was assessed by use of key informant interviews. The results on patient satisfaction revealed that 15.5% (601387) of patient respondents were completely satisfied with the overall quality of care provided in the health units. Eighty percent (31 11387) were satisfied, 4% (141387) were dissatisfied and 0.5% (21387) were completely dissatisfied. The quality of the process of care was assessed using a scoring system. At a cut off mark of 60% of the expected total score, only 35.2% of the children were managed adequately. This study also found that on average, 3.2 drugs were dispensed to each child with malaria and 41.8% received antibiotics. Eighty five percent received an injection and only 48.3% were treated according to NSTG. The key informants thought that factors that contribute to quality health care were availability of drugs and equipment, adequate staffing with trained personnel, regular effective support supervision, and motivation of health care providers. From the findings of this study, it may be concluded that patients are generally satisfied with the quality of health care provided in the health units of Mukono District. However technical competence of health care providers does not reach required standards. It is therefore recommended that the DHT of Mukono District focus training of health care providers on clinical case management of common childhood illnesses and rational drug us

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

    Author Index

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    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
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