Ambulatory health services provided to low-income and homeless adult patients in a major community health center

1996 ◽  
Vol 11 (3) ◽  
pp. 156-162 ◽  
Author(s):  
Lillian Gelberg ◽  
Bruce H. Doblin ◽  
Barbara D. Leake
2020 ◽  
Vol 25 (1) ◽  
pp. 27-35
Author(s):  
Santoso Ujang Effendi ◽  
Buyung Keraman ◽  
Edo Darmasyah Putra

Good utilization of Integrated Health Services Post was very influential on monitoring the growth and development of  under five children under five. This study aimed to determine the relationship between knowledge and attitude of mother with the utilization of  Integrated Health Services Post by mothers of under five children in working area Ratu Agung  Community Health Center Bengkulu. The type of this research was Analytical Survey and used Cross Sectional design. The population of  this study  were all mothers who had 7-23 months children amounted 512 mothers. Sampling technique was Proportional Random Sampling. The total samples were  84 samples. Data used in this study are primary data through the distribution of questionnaires given to mothers. Data analiysed by using Chi-Square (χ2) and Contingency Coefficient (C) statistics test. The result of the research were  44 mothers (52,4%) had enough knowledge, 56 mothers (66,7%) had favorable behavior, 53 mothers (63,1%) utilized Integrated Health Services Post, and there was significant relationship  between knowledge and attitude of mothers with the usage of Integrated Health Services Post in the working area of Ratu Agung Community Health Center Bengkulu with medium category. Ratu Agung Community Health Center can increase the knowledge of the community by doing education about the importance of Integrated Health Services Post so that community, especially mothers with under five  children can understand the importance of Integrated Health Services Post and can visit regularly every month.                                                                               Keywords :  attitude, knowledge,  utilization  of   integrated  health  services  post


2019 ◽  
Vol 12 (1) ◽  
pp. 96-101
Author(s):  
Keila Brown ◽  
Loretta T. Lee ◽  
Cynthia Selleck

BackgroundDiabetes self-management education (DSME) programs utilize a multidisciplinary, skills-based approach allowing participants to make self-management choices and follow a comprehensive plan of care, improving their glycemic control.ObjectiveThe purpose of this quality improvement project was to evaluate the effectiveness of DSME on the reduction of hemoglobin A1c (HgbA1c) and body mass index (BMI) in overweight/obese community health center patients.MethodsThe free program met 2 hours weekly for 6 consecutive weeks. A retrospective chart review was conducted to compare baseline to post-session HgbA1c and BMI 12 weeks after completion of the program. Pre- and post-session surveys were also conducted to assess improved diabetes knowledge and confidence.ResultsMean HgbA1c decreased by 1.6% (p = .003) 12 weeks after completion of the program; however, BMI remained unchanged (p = .582). Diabetes knowledge and confidence also improved significantly following DSME (p = .000 and p = .001, respectively).ConclusionsThe study demonstrated that a reduction in HgbA1c levels and an increase in diabetes knowledge and confidence can occur in low income, community health center patients following participation in DSME.Implications for NursingCommunity health center patients who have access to free DSME can improve their health, self-efficacy, and diabetes self-management practices.


2005 ◽  
Vol 28 (1) ◽  
pp. 60-72 ◽  
Author(s):  
Suzanne Cashman ◽  
Judith Savageau ◽  
Maureen McMullen ◽  
Rebecca Kinney ◽  
Celeste Lemay ◽  
...  

Author(s):  
Y. Gabriel Maniagasi ◽  
Thahir Haning ◽  
Rakhmat Rakhmat ◽  
Nurdin Nara

Puskesmas (Community Health Center) is a public organization that is tasked with providing the best health services to the people who live in 139 villages and 5 sub-districts in Jayapura Regency. In fact, Community Health Center are not optimally performing their duties and functions because they experience delays in their human resources, supporting facilities, poor management of Community Health Center, no clear regulatory support and a lack of budget availability to support Community Health Center operations in their services. The problem in this research is How to Strengthen the Organizational Capacity of Puskesmas in Improving Health Services in Jayapura District? The purpose of this study was to analyze the Strengthening of Public Health Center Organizational Capacity in improving health services in Jayapura Regency. This research is expected to contribute to the Jayapura Regency Government, through the Health Office and in particular for Community Health Center as regional technical implementation units to improve the Organizational Capacity in Improving Health Services in Jayapura Regency. The results showed that the Organizational Capacity of Puskesmas can be improved by strengthening management governance, incentive systems, facilities, leadership, organizational culture, communication, and organizational structure.


2021 ◽  
Vol 9 (1) ◽  
pp. 13-32
Author(s):  
Rizkiyani Istifada ◽  
Etty Rekawati ◽  
Wiwin Wiarsih

Nurses have an important task in the strategy of intervention to reduce of Non-Communicable Diseases (NCD)’ incidence. Community health nurses have tried to control the problem of NCD. However, the incidence of NCD has not decreased as expected. The promotion and prevention of non-communicable diseases are one of the efforts to control PTM. This study aims to explore the experience of nurses in implementing the strategies of NCD’ promotive and preventive. This study used a qualitative descriptive phenomenological design. A total of 16 community health nurses were selected using purposive sampling. The inclusion criteria of this study were (1) nurses who served at the community health center for a minimum of 6 months, (2) performed individual health services in the community health center and carried out family visits and services in the community. The data were analyzed using Colaizzi's approach. This research was approved by the Committee of Ethics in the Faculty of Nursing, Universitas Indonesia. This study resulted in five strategies of nurses implementing to NCD’ promotion and prevention, include (1) health education, (2) partnership with community health workers, (3) coordination, (4) stand with the community, (5) monitoring the change of behavior in the community. Nurses’ experience of NCD’s promotion and prevention in the community health center still needs improvement to achieve holistic and comprehensive health services. Nurses should be attention to the preparation of themselves before implementing the promotion and prevention, such as preparation of the topic, communication with colleagues and communities, and doing a partnership with multisectoral.


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