Implementing WHO-Quality Rights Project in Tunisia: Results of an Intervention at Razi Hospital

Carta, Mauro Giovanni; Ghacem, Rym; Milka, Myriam; Moula, O.; Staali, N.; Uali, Uta; Boukhari, Ghassene; Mannu, Monica; Refrafi, Rym; Yaakoubi, Souha; Moro, Maria Francesca; Baudel, Marie; Vasseur-Bacle, Simon; Drew, Natalie; Funk, Michelle

doi:10.2174/1745017902117010008

Cited by 7 publications

(10 citation statements)

References 5 publications

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“…The same process has been previously used for analysing the data from assessments conducted in other countries. [22][23][24][25]…”

Section: Discussionmentioning

confidence: 99%

“…These findings align with those from studies using the WHO QualityRights Toolkit that were carried out in other countries. [22][23][24][25] The right to an adequate standard of living (CRPD, Article 28) was not fully promoted because of the unsatisfactory state of most buildings and the lack of financial resources to make the necessary renovations and reparations. These findings reflect those of previous studies in West Africa.…”

Section: Discussionmentioning

confidence: 99%

“…These findings align with those from studies using the WHO QualityRights Toolkit that were carried out in other countries. 22–25…”

Section: Discussionmentioning

confidence: 99%

“…1). The QualityRights Toolkit has been previously used in other countries, such as India, 22 Chile, 23 the Czech Republic 24 and Tunisia, 25 to assess the quality of mental health services and is appropriate for the same purpose in West Africa.

Fig.…”

Section: Methodsmentioning

confidence: 99%

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Quality of care and respect of human rights in mental health services in four West African countries: collaboration between the mental health leadership and advocacy programme and the World Health Organization QualityRights initiative

et al. 2022

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Background Although recent reports suggest that service users in West African psychiatric facilities are exposed to poor quality of care and human rights violations, evidence is lacking on the extent and profile of specific deficits in the services provided to persons with mental health conditions. Aims To evaluate the quality of care and respect of human rights in psychiatric facilities in four West African countries, The Gambia, Ghana, Liberia and Sierra Leone, using the World Health Organization QualityRights Toolkit. Method Trained research workers collected information through observation, review of records and interviews with service users, caregivers and staff. Independent panels of assessors used the information to assign scores to the criteria, standards and themes of the QualityRights Toolkit. Results The study revealed significant gaps in these facilities. The rights to an adequate standard of living and to enjoyment of the highest attainable standard of health were poorly promoted. Adherence to the right to exercise legal capacity and the right to personal liberty and security was almost absent. Severe shortcomings in the promotion of the right to live independently and be included in the community were reported. Conclusions Inadequate appreciation of service users’ rights, lack of basic approaches to protect them and the non-promotion of rights-based services in these facilities are major problems that need to be addressed. Although it recognises the resource constraints and need for more human and financial resources, the study also identifies critical areas and challenges that require significant changes at the facility level.

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“…The same process has been previously used for analysing the data from assessments conducted in other countries. [22][23][24][25]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…These findings align with those from studies using the WHO QualityRights Toolkit that were carried out in other countries. 22–25…”

Section: Discussionmentioning

confidence: 99%

Fig.…”

Section: Methodsmentioning

confidence: 99%

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Quality of care and respect of human rights in mental health services in four West African countries: collaboration between the mental health leadership and advocacy programme and the World Health Organization QualityRights initiative

et al. 2022

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“…The tool was inspired to the World Health Organization initiative Quality Rights on the implementation of the Convention on the Rights of Persons with Disabilities in the filed od psychosocial disability. [10][11][12][13][14] The aim of the tool is to measure how users and health workers perceive the respect for the human rights of both users and staff in the workplace and if this perception is associated to the organizational well-being within the service (for health workers) or the personal well-being (for service users).…”

Section: Study Toolsmentioning

confidence: 99%

Respect for service users’ human rights, job satisfaction, and wellbeing are higher in mental health workers than in other health workers: A study in Italy at time of the Covid pandemic

Carta

Moro

Sancassiani

et al. 2022

Journal of Public Health Research

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Background: This study aimed to evaluate the respect for users’ rights, job satisfaction, and well-being between mental health workers (MHWs) compared to non-mental health care workers (nMHWs) from the same Italian region. Methods: The sample was recruited from community mental health and non-mental health outpatient centers in Sardinia. Participants fulfilled the WellBeing at work and respect for human-rights questionnaire (WWRR). The sample included 240 MHWs and 154 nMHWs. Results: MHWs were more satisfied with their work and workplace compared to nMHWs. MHWs had stronger beliefs that users were satisfied with the care received, and both workers and users’ human rights were respected in their workplace. MHWs reported to need more rehabilitation therapists and psychologists in their services, while nMHWs needed more nurses and professionals for users’ personal care. Italian MHWs are more satisfied with their work and workplace, and more convinced that users are satisfied with the care received and that users’ and staff human rights are respected in their workplaces, compared to nMHWs. Conclusions: The historic link between the community mental health network and other support networks in Italy and the consequent perception of proximity to the citizens of the care network may be the reason for this optimal situation of Italian MHWs.

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The perception of professionals and users of the quality of care and respect for human rights in four outpatient care facilities of an Italian hospital during the Covid-19 pandemic

Carta

Sancassiani

Melis

et al. 2022

Journal of Public Health Research

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Background: During the Covid-19 pandemic, delays in providing medical services, dissatisfaction, criticism toward health workers (HW) and the risk of burnout of HW in Italy have been documented. No studies have contrasted the point of view of HW and users on the quality of care and respect for human rights in health facilities. Objective: To compare the perception of users of their satisfaction with the care provided with the perception of HW of their satisfaction with work as well as the perception of the respect of HW “s and users” human rights. Methods: The “Well-Being at work and respect for human rights questionnaire” (WWRR) was administered on a sample of users (142) and HW (154) in four outpatient health care facilities of a hospital in Sardinia, Italy. Results: Users showed higher scores than HW on their satisfaction with the care received ( p < 0.0001), the perception of respect for their human rights ( p < 0.0001), and availability of resources for care ( p < 0.0001). The HW scores were higher than 50% of the maximum in all items, but a relatively low score was reported on the HW’s satisfaction of the resources and the respect for their rights. Conclusion: The satisfaction for care and respect for human rights in the outpatient health services was higher than expected. The relatively low score by the HWs in relation to the satisfaction with the resources and perception of respect for their human rights could be a wake-up call. The study does not involve emergency rooms, wards, or Covid units.

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Implementing WHO-Quality Rights Project in Tunisia: Results of an Intervention at Razi Hospital

Cited by 7 publications

References 5 publications

Quality of care and respect of human rights in mental health services in four West African countries: collaboration between the mental health leadership and advocacy programme and the World Health Organization QualityRights initiative

Quality of care and respect of human rights in mental health services in four West African countries: collaboration between the mental health leadership and advocacy programme and the World Health Organization QualityRights initiative

Respect for service users’ human rights, job satisfaction, and wellbeing are higher in mental health workers than in other health workers: A study in Italy at time of the Covid pandemic

The perception of professionals and users of the quality of care and respect for human rights in four outpatient care facilities of an Italian hospital during the Covid-19 pandemic

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