INTRODUCTION Despite the universal right to access the same range, quality and standard of free or affordable health care and programs as provided to other persons, people with physical disabilities (PWPDs) continue to experience challenges in accessing these services. This article presents the challenges faced by PWPDs in accessing sexual and reproductive health (SRH) services in Kampala, Ugan...

Background: Measuring healthcare quality and improving patient satisfaction have become increasingly prevalent, especially among healthcare providers and purchasers of healthcare. The aim of this study was; to evaluate the various aspects of quality assurance in Emergency Department, to evaluate patient satisfaction with emergency care, and to determine associated factors with patient satisfact...

OBJECTIVES Neighborhoods that discourage physical activity may encourage indoor activities such as television viewing; however few studies have examined associations between neighborhood characteristics and sedentary activities. This study examined cross-sectional and longitudinal associations between perceived and objective measures of the physical and social neighborhood environment and TV vi...

BACKGROUND Valid tools measuring characteristics of the school environment associated with the physical activity and dietary behaviours of children are needed to accurately evaluate the impact of initiatives to improve school environments. The aim of this study was to assess the validity of Principal self-report of primary school healthy eating and physical activity environments. METHODS Prim...

In this paper, the environment is defined as the macro- and community-level factors, including physical, legal and policy factors, that influence household and individual decisions. Thus, environment is conceived as the external context in which household and individual decisions are made. This paper reviews the literature on the ways the environment affects diet, physical activity, and obesity...

OBJECTIVE To identify which characteristics of the physical and organizational environments of residential care facilities (RCFs) need to be known to support the placement process of seniors with cognitive and physical disabilities. DESIGN We used a 2-round postal Delphi survey based on the RAND/UCLA Appropriateness Method with 2 groups of experts. PARTICIPANTS Participants are representati...

This study aimed at assessing the efficacy of a physical activity intervention on a group of older elderly individuals living in residential care facilities, in terms of the functionality of their upper limbs, hands, and fingers. It also aimed at determining if the coaches’ level of self-efficacy can contribute to the efficacy of the physical activity program. The project involved 44 institutio...

OBJECTIVE To assess the resources for essential and emergency surgical care in the Gambia. METHODS The World Health Organization's Tool for Situation Analysis to Assess Emergency and Essential Surgical Care was distributed to health-care managers in facilities throughout the country. The survey was completed by 65 health facilities - one tertiary referral hospital, 7 district/general hospital...

background a number of developing countries have contracted out public health facilities to the non-government organizations (ngos) in order to improve service utilization. however, there is a paucity of in-depth qualitative information on barriers to access services as a result of contracting from service users’ perspective. the objective of this study was to explore perceived barriers to util...

BACKGROUND Poor physical access to health facilities has been identified as an important contributor to reduced uptake of preventive health services and is likely to be most critical in low-income settings. However, the relation among physical access, travel behavior, and the uptake of healthcare is difficult to quantify. METHODS Using anonymized mobile phone data from 2008 to 2009, we analyz...