Community Health Centers and Emergency Preparedness: An Assessment of Competencies and Training Needs

ABSTRAK Pemeriksaan pada masalah pertumbuhan dan perkembangan balita perlu menjadi perhatian khusus. Berdasarkan hasil diskusi dengan kader kesehatan anak pada tanggal 15 Agustus 2018 menunjukkan bahwa identifikasi gangguan pertumbuhan dan perkembangan balita penting untuk dilakukan masyarakat. Pendidikan kesehatan perlu dilakukan agar masyarakat memiliki pengetahuan dan keterampilan dalam mengidentifkasi masalah dalam pertumbuhan dan perkembangan balita. Metode pelaksanaan program adalah penyuluhan dan pelatihan pada kader sebagai tangan panjang puskesmas untuk menggunakan instrumen pemeriksaan tumbuh kembang balita yang menggunakan Denver Development Screening Test (DDST). Bentuk kegiatan berupa dua kali penyuluhan dan empat kali praktik skrining DDST. Penyuluhan dapat meningkatkan pengetahuan kader tentang DDST. Peningkatan nilai post tes menunjukkan materi dapat diterima dengan baik. Pendampingan langsung dalam pemeriksaan anak yang memerlukan skrining tumbang, mahasiswa turut dilibatkan untuk menerapkan ilmu keperawatan anak dalam pemeriksaan tumbang. Kata kunci: Kader Posyandu, Tumbuh Kembang, Balita, Denver Development Screening Test (DDST) ABSTRACTScreening for toddler growth and development needs to be of particular concern. The discussions' result with posyandu (integrated health center for toddler) cadres on August 15, 2018, was showed that screening for toddlers' failure of growth and development was essential to do in the community. Health education, training, and mentoring need to be done on cadres who organize posyandu activities. The program's method was counseling and training on cadres as an extended hand puskesmas (community health centers) to use the instrument of examination of the development of toddlers using the Denver Development Screening Test (DDST). The form of activity in the form of two counseling and four times the practice of DDST screening in the community. Counseling could increase cadres' knowledge about DDST. The increase in post-test scores suggests the material was well received. Direct assistance for cadres in the examination of children who require screening collapsed. Students were also involved in applying nursing knowledge in this activity. Methods of counseling, training, and mentoring on growth and development screening for posyandu cadres were adequate and needed further activities. Keywords: posyandu (integrated health centers) cadres, toddlers, growth, and development, Denver Development Screening Test (DDST)

Download Full-text

Community Health Center Engagement and Training During Obstetrics and Gynecology Residency

Journal of Graduate Medical Education ◽

10.4300/jgme-d-19-00039.1 ◽

2019 ◽

Vol 11 (5) ◽

pp. 513-517 ◽

Cited By ~ 2

Author(s):

Anita Y. Cheng ◽

Adrienne L. Erlinger ◽

Anna M. Modest ◽

Lucy Chie ◽

Jennifer Scott ◽

...

Keyword(s):

Community Health ◽

Health Care Access ◽

Community Health Centers ◽

Community Health Center ◽

The United States ◽

Health Centers ◽

Obstetrics And Gynecology ◽

Program Administrators ◽

Care Access ◽

And Training

ABSTRACT Background Community health centers (CHCs) and federally qualified health centers (FQHCs) are critical health care access points for medically underserved areas in the United States. They also provide opportunities for residents to learn about health system challenges, including workforce shortages, social determinants of health, and health equity. Objective We sought to describe current obstetrics and gynecology (OB-GYN) resident engagement and training in community health settings. Methods We conducted a website review and survey to identify the prevalence and types of OB-GYN resident exposure to CHCs, including FQHCs. We reviewed 241 program websites to identify community health electives or rotations. We then surveyed program administrators regarding departmental affiliations with CHCs, types of resident involvement, and barriers to resident rotations at CHCs. Results The website review revealed that 18% (44 of 241) of programs offered a community health rotation. Of the 241 programs surveyed, 78 program administrators responded (32%). Forty-three programs (55%) had at least 1 affiliated CHC, and 34 programs (44%) allowed residents to rotate at a CHC. The most common barrier to resident rotations at a CHC was inadequate resident coverage of hospital-based clinical responsibilities. Respondents reported that among 782 graduating residents in the 2016–2017 and 2017–2018 academic years, 76 (10%) planned to pursue a position at a CHC. Conclusions According to their websites, a small percentage of US OB-GYN residency programs offered a CHC rotation. Of programs responding to a survey on the topic, less than half offered CHC rotations and less than 1 in 10 residents planned to work in CHCs after graduation.

Download Full-text