Browsing by Author "Jahn, Albrecht"

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Experience and perceived quality of care of patients and their attendants in a specialized mental hospital in Bangladesh
(BMC, 6/22/2019) Nuri, Nazmun Nahar; Sarker, Malabika; Ahmed, Helal Uddin; Hossain, Mohammad Didar; Beiersmann, Claudia; Jahn, Albrecht
Abstract Background: A person’s perception of health service quality depends on his or her expectations and priorities. If the perception of care is good, then it eventually enhances future health service utilization, adherence to treatment and desired outcomes. Understanding a patient’s perspective is key for delivering a better quality patient-centred health care service. This study explored experience and perception of patients and their attendants of mental health care services at the National Institute of Mental Health (NIMH) which is the only national level mental health institute in Bangladesh. NIMH is located in the capital city and provides specialized mental health care services for the whole population. Methods: A facility-based cross-sectional study was conducted using a mixed-method design at the NIMH. A total of 40 respondents (patients, or their attendants if the patient was minor or unable to respond due to lack of mental stability) visiting the outpatient department (OPD) of NIMH were selected by purposive sampling. For each of the ten ICD 10 categories (10th revision of International Classifcation of Diseases by the World Health Organization [WHO]) for mental disorders, four patients were chosen. Finally, 13 patients and 27 attendants (on behalf of 17 minor patients and 10 adult patients unable to respond) participated in the interview. Results: The respondents rated 34 short statements clustered around four dimensions of care (accessibility, interpersonal communications, condition of the waiting and consultation rooms, and general quality of OPD services) and we interpreted those scores as follows: 7.6–10 very satisfed/very good quality, 5.1–7.5 satisfed/good quality, 2.6–5.0 dissatisfed/poor quality and 1.0–2.5 completely dissatisfed/very poor quality. For accessibility and interpersonal communications, the patients perceived care as very good (average scores on a Likert scale of 1–10 were 8.3 and 7.6, respectively). The respondents considered the condition of the waiting and consultation rooms and general quality of OPD care as good (average scores 5.8 and 7.1, respectively). NIMH had serious lack of resources in terms of functional medical equipment and physicians appointed, which negatively impacted on the service quality. Conclusions: Patients receiving services from the NIMH OPD had a positive perception of the quality of care in general. But, at an individual level, some respondents expressed dissatisfaction. Our fndings are informative for quality improvement and client-oriented care service planning at NIMH, Bangladesh.
False and real, but avoidable, dichotomies
(© 2017 Lancet Publishing Group, 2017-08) Ooms, Gorik; Flores, Walter; Mulumba, Moses; Sarker, Malabika; Van De Pas, Remco; Jahn, Albrecht
False and real, but avoidable, dichotomies
(© 2017 Lancet Publishing Group, 2017-08) Ooms, Gorik; Flores, Walter; Mulumba, Moses; Sarker, Malabika; Van De Pas, Remco; Jahn, Albrecht
Overall care-seeking pattern and gender disparity at a specialized mental hospital in Bangladesh
(Materia socio-medica, 3/31/2019) Nuri, Nazmun Nahar; Sarker, Malabika; Ahmed, Helal Uddin; Hossain, Mohammad Didar; Dureab, Fekri; Agbozo, Faith; Jahn, Albrecht
Introduction: The National Institute of Mental Health (NIMH) is the only national level mental health institution in Bangladesh, with both academic and clinical functions, thus playing a crucial role in delivering specialized mental health care for the entire population. Aim: This study examined the overall pattern of mental health care seeking, age and sex distribution of patients and mental health problems diagnosed in the facility. Methods: Using a facility-based cross-sectional study design, secondary data was collected from various hospital records and reports from April 2001 to June 2016, and quantitatively analyzed. Results: There has been a steady increase in the number of patients at NIMH over the years. Typically, female patients were about half in number compared to male patients and fewer in each age group and all disease categories except inpatients with neurotic, stress-related and somatoform disorders. The highest number of inpatients and outpatients were 15-30 years old and those with schizophrenia, schizotypal and delusional disorders. Conclusion: Minors and females seeking care at NIMH were underrepresented, thus highlighting the need for interventions to improve access for these patients.
Synergies and tensions between universal health coverage and global health security: why we need a second ‘Maximizing Positive Synergies’ initiative
(© 2016 BMJ Global Health, 1/25/2017) Ooms, Gorik; Beiersmann, Claudia; Flores, Walter; Hanefeld, Johanna; Müller, Olaf; Mulumba, Moses; Ottersen, Trygve; Sarker, Malabika; Jahn, Albrecht
Universal health coverage anchored in the right to health
(© 2013 Bulletin of the World Health Organization, 2013-01) Ooms, Gorik; Brolan, Claire; Eggermont, Natalie; Eide, Asbjørn; Flores, Walter; Forman, Lisa; Friedman, Eric A; Gebauer, Thomas; Gostin, Lawrence O; Hill, Peter S; Hussain, Sameera; McKee, Martin; Mulumba, Moses; Siddiqui, Faraz; Sridhar, Devi; Leemput, Luc Van; Waris, Attiya; Jahn, Albrecht
Universal health coverage anchored in the right to health
(© 2013 Bulletin of the World Health Organization, 2013-01) Ooms, Gorik; Brolan, Claire; Eggermont, Natalie; Eide, Asbjørn; Flores, Walter; Forman, Lisa; Friedman, Eric A; Gebauer, Thomas; Gostin, Lawrence O; Hill, Peter S; Hussain, Sameera; McKee, Martin; Mulumba, Moses; Siddiqui, Faraz; Sridhar, Devi; Leemput, Luc Van; Waris, Attiya; Jahn, Albrecht