p Aid Org

Posts Tagged ‘Assessment’

Wela is a nutritional Multi Level Advertising and marketing company established by John Penny, a former high 5 earner from Vemma, Ryan Burgard and Mike Gullet. The corporate is promoting on-line a flexible and environment friendly product, known as Slimberry, a nutritional supplement constituted of the Amazonian Acai Berry fruit, which has numerous health and nutritional benefits related to it. Moreover increased energy and increased immune proficiency, the modern slim berry can also be an impressive natural technique to lose weight. This avant-garde blending of essential fatty acids, amino acids and fiber make Slim berry an important and very important complement for a healthy way to loss out a few pounds.

 

Wela is a revolutionary Multi Level Advertising alternative, which has developed a franchise-like system with a income sharing plan that meets the needs together with the necessities of the novice and the experienced marketer alike. Their compensation plan highlights a low risk level and provides extremely excessive rewards. This excellent business alternative is available to every particular person regardless of age, financial status, training, or experience, and it advertises a stable set of moral values that individuals everywhere in the world are avid for, at the moment more than ever. They provide unlimited entry to worldwide markets, vital tax advantages, and a certified path for developing residual earnings.

]]>

 

Wela has re-designed the home-based enterprise model by highlighting one of the best of what the vitamin and health business has to supply and annihilating the downsides. Members can join this opportunistic program by paying an amount of .95 every month to receive one bottle of Slim berry, which has 30 servings. Each member will consequently obtain a bottle each month on an auto-ship path, until it is canceled.

 

The corporate can be providing a free promotion for new members, especially created to launch their business more rapidly and easier. Utilizing an efficient matrix of hi-know-how and innovative marketing system, the company offers 10 guaranteed prospects to their company web site for the new members, which is able to assist increase their business. The company recruits one individual daily for 10 days. After the first 15 days of completion as a member, he can opt for 25 extra prospects from the company`s website at an extra price of .ninety five per month. Wela makes use of a binary compensation plan, permitting Revenue Sharing Companions to earn up to ,000 per week as a part of the group cycle bonus. There’s also a fast start bonus of on each sale, and a most well-liked buyer bonus of .

 

Introduction: 

The National Rural Health Mission (NRHM) programme emphasizes institutional deliveries for all pregnant women as a means to bring down maternal and neonatal deaths. In order to provide quality health care to women who deliver at the PHCs, training the health care providers in safe delivery and newborn care is crucial. In order to address reduction in neonatal mortality and incorporate inexpensive and effective interventions within the existing child survival programmes, India’s Integrated Management of Childhood Illnesses IMCI Adaptation Committee developed the Integrated Management of Neonatal, Childhood Illnesses (IMNCI) Strategy. In the recent times, the IMNCI strategy has emerged as a promising approach to deal with Infant Mortality Rate (IMR) reduction. Three periods (gestation, delivery, and the neonatal period) have been identified as essential entry points for intervention in order to reduce Neonatal Mortality Rate (NMR).  The neonatal period was chosen as the focus for IMNCI intervention as gestation and delivery were already covered under the Reproductive and Child Health (RCH) programme and the Integrated Child Development Scheme (ICDS). UNICEF introduced IMNCI as a pilot project in Medak district, Andhra Pradesh in 2007 with an objective to expand to other parts of the state in a phased manner. The infant mortality rate (IMR) of Medak district was 65 per 1000 live births in the year 2007 (Baseline survey on RCH II, Andhra Pradesh, 2007), way below the target 30 per 1000 live births by 2010 (Millennium Development Goal, 2000). In order to enhance the knowledge and skills of health care providers regarding essential newborn care to bring about an overall reduction in IMR, IMNCI training was conducted for health care providers in Medak district.

Objective:

 

The objective of our study was to assess the impact of the IMNCI training on the knowledge levels among Health Care Providers in Medak district.

 

Review of Literature: A number of studies have appeared in the literature regarding the community or village health workers making a positive impact on maternal and neonatal health in rural communities of India (Abhay Bang, 2000, Abiram et al, 2005). The provision of home-based neonatal care by community health workers effectively reduced neonatal mortality in rural Maharastra where the baseline (1993-95) neonatal mortality rate were 62 and 58 per 1000 live births in the intervention and the control areas respectively (Abhay Bang, 2000). The village health workers in the intervention areas were trained in neonatal care. The intervention was associated with a reduction in neonatal deaths that occurred due to birth asphyxia, premature birth, low birth weight, hypothermia, breastfeeding problems and neonatal sepsis. Among the study population, the intervention reduced neonatal and infant mortality substantially.

A case study conducted by Abiram et al (2005) on short term effects of IMNCI in Orissa revealed that there was an improvement in case management skills among health care providers and had resulted in reduced prevalence of major neonatal illnesses. Gupta and Aggarwal (2007) found that there were 82.2% mothers who practiced breast feeding effectively after training as compared to less than 50% mothers’ breast feeding prior to IMNCI training. This study compared pre and post training effects on breast feeding practices among mothers in rural area. Interestingly, earlier studies have examined the impact of IMNCI on outcomes. However, they have not evaluated knowledge of the health care workers. ‘Previous studies have not looked at increase in the knowledge of health care providers themselves and only examined the impact of training programme. We tried to address this gap in the literature.’

Methods:-

Simple Random Sampling(SRS) technique was used to sample one third of the 36 round the clock PHCs. Health care providers at the 12 selected round the clock PHCs were requested to participate in the cross-sectional survey. The participation rate was 100%. The main care givers Auxiliary Nurse Midwives (ANMs) and Staff Nurses (SN) providing delivery and newborn care services were interviewed. A total of 85 Health Care Providers participated in the knowledge survey that was conducted from 1st March 2010 to 30th May 2010. The study included assessment of knowledge component only and no skill component as it would have been difficult to differentiate between skill sets of ANMs and SNs in a setting where deliveries occur less frequently and at odd hours.  

Participants who received IMNCI training were compared with those who did not in terms of the distribution of socio demographic characteristics. The tool (semi structured questionnaire) for measuring basic knowledge on essential newborn care was adapted from Department of Pediatrics, WHO Collaborating Centre for Training and Research in Newborn Care, All India Institute of Medical Sciences (AIMS), New Delhi. The tool was pilot tested among health care providers of Regode PHC in Medak district and modified accordingly to suit the local language (See Appendix) and was administered by a face to face interview. The questionnaire was answered independently by HCP’s at each of their PHC. It consisted of 12 questions covering basic aspects of neonatal care.  The emphasis was on six components of neonatal care as covered under the IMNCI training: clean chain, cord care, breast feeding, warm chain, immunization and identification of at risk neonate from normal neonate. It did not include antenatal, intranatal and post natal aspects of IMNCI. The selection of questions under each topic was based on their relevance for neonatal survival in the study area. The questionnaire was a mix of multiple-choice questions, semi open ended question & chart display questions to assess the knowledge of neonatal care. The maximum possible points an individual could score on this was 67 points. To compare the knowledge level between the trained and untrained participants on each component of the questionnaire, we estimated the difference in mean scores on each component and its 95% confidence interval.  Comparisons were carried out separately for ANMs and staff nurses (Tables 1 & 2).

Results:

The study was carried out in Medak district where a total of 36 round-the-clock PHCs were functioning with a staff of 453 Auxiliary Nurse Midwives (ANMs) and 43 staff nurses. The Participation was 100% (n=85). Among the respondents, 40% (34/85) were trained ANMs, 34.11% (29/85) untrained ANMs, 14.11% (12/85) trained staff nurses and 11.76% (10/85) untrained staff nurses. The mean age of the respondents was 37 years; 100% (85/85) were female and 54.11% were IMNCI trained and 45.87% untrained. 54.11% of the health care providers interviewed had undergone IMNCI training by 2007 on essential newborn care. As far the staff nurses category, trained nurses had 9.5 yrs of work experience compared to the untrained nurses with an average of 6.9 yrs.

All ANMs had Multi Purpose Health Worker (MPHW) training and all nurses were GNM qualified.  The study found that the same percentage of HCP’s were trained suggesting that both staff nurses and ANMs received training jointly. The average time since receiving IMNCI training among the HCPs in our study was two years. The average score among all HCPs was 37.01% points. The trained HCPs had an average score of 40.31 points and untrained HCPs had scored 33.71 points.

 

 

 

 

 

 

 

 

Component

Mean(Trained)

Mean(Non-Trained)

Difference of Mean

Lower Limit

Upper Limit

Remarks

clean Chain

5.94

5.44

8.29%

7%

9.50%

Significant

Cord Care

3.41

2.62

23.18%

20.80%

25.50%

Significant

Warm Chain

5.58

2.89

48.16%

45.80%

50.40%

Significant

Breast Feeding

14.61

11.68

20.03%

19%

21.50%

Significant

Immunization

2.8235

2.8275

-0.14%

1%

1.20%

Non-Significant

Neonate at Risk

6.79

6.2

8.64%

6.70%

10.50%

Significant

 

Table 1: Difference of Mean scores & 95% confidence limits (C.I) among Trained Vs Un-trained ANMs.

 

 

 

 

 

 

 

 

 

 

 

 

 

Component

Mean(Trained)

Mean(Non-Trained)

Difference of Mean

Lower Limit

Upper Limit

Remarks

clean Chain

5.66

4.4

4.70%

1.32%

10.73%

Significant

Cord Care

3.33

2.8

16.00%

8.95%

23.04%

Significant

Warm Chain

6.83

3.6

47%

39.75%

54.88%

Significant

Breast Feeding

14.83

12.8

13.70%

10.70%

16.71%

Significant

Immunization

2.75

2.7

1.81%

-2.14%

5.78%

Non- Significant

Neonate at Risk

6.5

6.8

-4.41%

-8.13%

-0.68%

Significant

 

 

 

 

 

 

 

 

Table 2: Difference of Mean scores & 95% confidence limits (C.I) among Trained Vs Un-trained Staff Nurses.

 

 

 

 

 

 

 

 

Discussion:

The study found a significant difference in scores

Assessment Before signing a contract with a home health care agency, an assessment will be made to determine the needs of the person who requires care, since a physician’s prescription for home health will not fully outline all your needs. Many companies offer this service for free. During an assessment an agency representative from an agency will visit your loved one in the home or at the hospital. The agency representative will ask questions and look around the house if needed. The following issues should be assessed by both interview and observation: * Physical health * Medication use * Amount of aid needed with ADLs or IADLs * Mental health * Home safety * Quality of life The idea behind an assessment is to figure out what your loved one requires on a basic health and safety level, while maintaining a high quality of life. Care Plan The assessment provides the basis for a care plan. A care plan is a document that explains the client’s needs, and how to meet them. A care plan should be reassessed by an agency on a monthly basis and as needed. A care plan: * Increases consistency of care (this is exceptionally important when multiple caregivers must interact with each other) * Sets priorities and goals for an individual’s care * Acts as a reference to aid in measuring an individual’s progress Contract Home health care agencies will have you sign a contract. These contracts can be changed and amended, so before signing it, think about whether there are certain verbal promises that should be written into the contract. For example, if an agency promises you that a replacement caregiver will be provided within a certain time-frame if the primary caregiver is sick or must be absent for a day, you may want to have the agency add that detail to the contract.

Incoming search :

Free Home Health Care Contracts (6)sample home health care contract (1)sample home heathcare contracts (1)

Today’s lifestyle of an individual invariably leads to long-term damage to health. Keeping “Health is Wealth” in mind, Make Me Healthy offers one of the most comprehensive preventive health care programs for early detection of lifestyle diseases. The goal of our health assessment program is to help people to live longer & healthier lives. Our health checks program gives you unmatched benefits as compared to other health assessment program in this industry.

Our health assessment program is designed for those families who live in very hectic lifestyle and are neglecting there health issues or are not able to handle their health needs as efficiently and in a timely manner as they should. Our health assessment program takes care of various health management needs for those families or individuals or corporate customers.

We know you are running against time & waiting in queues at the doctor’s clinic/labs are very painful experience. But, what if doctor and labs came to you in the comfort of your house at a time of your convenience? Make Me Healthy with its USP health@home or @workplace, approaching the community at their comfort level at home with high tech diagnostic equipment enabled with blue tooth, GPRS technology and thus conducts the basic preventive health screening of the individuals for most commonly prevailing non communicable life style diseases such as diabetes, heart disease and respiratory diseases etc  The idea behind doing these tests is to screen the people and to identify if any thing is wrong with heart, lungs, and blood sugar levels as some of the diseases of these organs starts without giving any symptoms, so the main objective is to identify the prevalence of diseases at its early stages so that the proper treatment is started at initial levels, prevent the healthy individuals from the occurrence of diseases.

Since these lifestyle diseases cannot be cured, the only way to live a healthy lifestyle is to prevent the occurrence of these diseases. Regular health screening is the only reliable way to screen all vital systems to either diagnose the diseases in their infancy and treat them early or assess the vulnerability and susceptibility of the body to save it from attacks of various diseases. The major benefits of our lifestyle health assessment programs are:-

Everything at your home/office – You need not to go to the doctor or the lab

No syringes, no blood drawing – just one prick and one drop of blood

Comprehensive report with detailed explanation of each disease and assessment of your results unlike the 4-line lab test reports

Personalized telephonic-consultation with our doctor to discuss your health risks in detail and suggest corrective & preventive actions

Electronic medical record for your life – access your health records securely from anywhere, anytime

Health Card with discounts and other benefits from time-to-time.