Background: The medical document certifying the cause of death provides vital data to develop health policies. In spite of very comprehensive guidelines issued by the WHO for thecompletion of death certificates; very few certificate arefound errorfree which might be due to lack of knowledge and practice on the part of physicians issuing that certificate.Purpose of this study is to assess the knowledge and competencies of a doctor in completing a death certificate. Methods: This study was cross-sectional. The population of this study was physicians of a tertiary care hospital of Lahore. A structured questionnaire along with a case scenario was given to 137 physicians having variable working experiences, performing in different clinical departments of a tertiary care hospital of Lahore.The participants were asked to complete the component of cause of death of the certificateonly. The percentage of omissions done by the doctors during the completion of said section was analyzed using the chi square test to establish the association between participant’s characteristics and their relevant responses. Results: Among 137participants working in different clinical departments of a Tertiary Care Hospital at Lahore, 89% were having less than 5 years’ experience and 11% having more than 5 years’ experience. 53% were qualified from public sector, 24% from private sector and 23% from foreign institutes. 77% doctors identified immediate cause of death incorrectly, 83 % did not identify and interpret underlying cause of death correctly; 90 % did notidentify contributory cause of death correctly. In46 % cases mechanism/mode of death was confused with the cause of death. Practical Implication: The correct completion of death certificates would provide an accurate and genuine mortality index essential for framing a national health policy. Conclusion: Physician’s knowledge and skill of completing the death certificates is very deficient and alarming which necessitate periodical and regular training of the physicians on completing the death certificates as per guidelines of the WHO to get an appropriate and valid health statistics effective for future public national health policies and strategies. Keywords (MeSH): Death certificate completion, Medical certification of cause of death, Physician’s knowledge, skill to complete death certificate, Mortality index
Background: Sexual violence against women is a commonly prevalent human rights violation and a widespread public health problem. It is associated with substantial short and long-term ill consequences for women and their families. As the response of the community is increasing day by day to sexual assault, new interventions have evolved in the form of sexual assault centers. These centers are community-based organizations that work to counteract the potential negative impacts of sexual assaults on the physical, mental, and psychological health of the victims. Objective: The objective of the study is to find out the multi-disciplinary professional services provided by these centers globally to treat sexual assault victims. Methods: The information is collected from secondary sources. This systematic review was prepared according to the Preferred Reporting Items for Systematic Review and Meta-Analysis. Online databases were searched including, Research Gate, Taylor & Francis, Wiley Online Library, Scopus, and Google Scholar, and the search included the term ‘sexual assault centers, rape crisis centers, integrated services at sexual assault centers’. Results: The important post-assault services provided by these centers include medical treatment, forensic examination, police services, and psychological counseling to the sufferers of the tragic event. In addition, these centers are also involved in carrying out significant research and educational work. Practical Implication: These rape crisis centers are providing multidisciplinary services to rape victims including services of specially trained nurses, treatment and care of medical injuries, forensic medical examination, police services, counseling by psychologists and a highly organized follow-up. Conclusion: These centers are providing valuable multidisciplinary services including medical treatment, forensic examination, police services, and psychological counseling to the sufferers of sexual abuse under one roof. The understanding of these multidisciplinary services could be used to endorse the development of sexual assault centers in different parts of the world Keywords: Sexual assault, sexual assault centers, multidisciplinary services
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