Preventing Childhood Injury: Developing a Home Safety Display in a Community Health Centre

1999 ◽  
Vol 5 (1) ◽  
pp. 76
Author(s):  
Sally Western
Keyword(s):  
Health Promotion ◽  
Child Care ◽  
Community Health ◽  
Health Centre ◽  
Community Health Centre ◽  
Care Providers ◽  
Home Safety ◽  
Childhood Injury ◽  
Community Health Centres ◽  
Health Centres

Childhood injury is a major health issue, with approximately 20,000 children under five hospitalised each year in Australia. The home is a common site for childhood injuries, with some of the more frequent episodes including falls, poisoning, burns, cuts and crush injuries. A regional initiative to develop a coordinated approach towards minimising injuries sustained by children between 0-4 years, resulted in the development of 'Childsafe Now', a health promotion program which involved training of child care providers, and the establishment of several home safety displays in the Eastern metropolitan region of Victoria. One of the home safety displays was developed in a Community Health Centre, utilising a pre-existing child care facility and the multidisciplinary skills of the staff. Community Health Centres were established with a focus on health promotion - encouraging illness and injury prevention through a holistic combination of education, community involvement, behavioural and social modification and multi-disciplinary primary health care services - yet the opportunity to establish a permanent, functional display which combines all of these aspects of health promotion is becoming increasingly rare. However, the skills and knowledge which have traditionally been nurtured within the Community Health Program make Community Health Centres a particularly appropriate location for establishing a Home Safety Display.

scholarly journals Capaian Indikator Kapitasi Berbasis Komitmen Pelayanan pada Puskesmas di Kota Semarang

2020 ◽  
Vol 3 (1) ◽  
pp. 1-6
Author(s):  
Anton Kristijono
Keyword(s):  
Service Quality ◽  
Community Health ◽  
Health Centre ◽  
Research Result ◽  
Secondary Data ◽  
Community Health Centre ◽  
Capitation Payment ◽  
Community Health Centres ◽  
Contact Number ◽  
Health Centres

Start from 2017, the capitation payment based on the fulfilment of service commitment has been implemented throughout all FKTP in Indonesia. There are three ration indicators of service commitment: contact number (≥150 per mile), ratio of participants of Prolanis who regularly visit (≥50%), and the ratio of non-specialistic outpatient referral (≤5%). The achievement of indicator target shows the service quality and influences the amount of capitation rate obtained by the Community Health Centre from BPJS Kesehatan. The research objective is to identify the glimpse of the achievement of the three indicators and the achievement of capitation number in 37 (thirty seven) Community Health Centres in Semarang City in 2018 and Semester 1 of 2019. The research method is descriptive observational, where during the the research, there has not been any intervention implemented. The data type used is quantitative data obtained from the secondary data of BPJS Kesehatan, Department of Health of Semarang City and Community Health Centres.The research result describes the average achievement of Contact Number of semester 1 and 2 in 2018 which reached 156.43 per mile and 157.08 per mile bigger that the indicator target, semester 1 of 2019 was 144.99 per mile, under the indicator target. Prolanis ratio describes that the Prolanis participants registered in Community Health Centres in Semarang City who regularly pay a visit to the Community Health Centres to obtain the service over chronic diseases they suffer continuously. Non-specialistic outpatient referral ratio suggests that the service quality in Community Health Centres in Semarang city is good. The average achievement of capitation payment based on the service commitment of the same period respectively is: 97,74%; 98,07%; 98,07%. Community Health Centre of Karanganyar has the lowest average achievement of capitation payment in 2018 as well as in Semester 1 of 2019 of 92.50% which shows that in average, there are 2 (two) indicators of capitation payment based on service commitment in Community Health Centres of Karanganyar which is located in unsafe zone during that period.Abstrak        Mulai tahun 2017 pembayaran kapitasi berbasis pemenuhan komitmen pelayanan dilaksanakan di seluruh FKTP di Indonesia. Terdapat tiga rasio indikator komitmen pelayanan : angka kontak (≥150 per mil), rasio peserta prolanis rutin berkunjung (≥50%), dan rasio rujukan rawat jalan non spesialistik (≤5%). Pencapaian target indikator menunjukan kualitas pelayanan dan mempengaruhi besaran tarif kapitasi yang didapat Puskesmas dari BPJS Kesehatan. Tujuan penelitian untuk mengetahui gambaran pencapaian ketiga indikator dan capaian besaran kapitasi pada 37 (tigapuluh tujuh) Puskesmas di Kota Semarang tahun 2018 dan semester 1 tahun 2019. Jenis penelitian adalah observasional deskriptif, dimana selama penelitian berlangsung tidak dilakukan intervensi. Jenis data yang digunakan : data kuantitatif, yang berasal dari data sekunder BPJS Kesehatan, Dinas Kesehatan Kota Semarang.       Hasil penelitian menggambarkan rata-rata capaian Angka Kontak  semester 1 dan semester 2 tahun 2018 mencapai 156,43 per mil dan 157,08 per mil lebih besar dari target indikator, semester 1 tahun 2019 adalah 144,99 per mil, di bawah target indikator. Rata-rata capaian peserta Prolanis rutin berkunjung dan rata-rata capaian rasio rujukan rawat jalan non spesialistik pada periode yang sama, hasilnya di atas target indikator. Rata-rata capaian pembayaran kapitasi pada periode yang sama berturut-turut : 97,74%; 98,07%; 98,07%. Puskesmas Karanganyar rata-rata capaian pembayaran kapitasinya terendah selama tahun 2018 serta semester 1 tahun 2019 sebesar 92,50%.

scholarly journals Mother’s Knowledge on Diarrhea in Toddlers at Sangkunur Community Health Center

2021 ◽  
Vol 3 (1) ◽  
pp. 47-56
Author(s):  
Connie Sianipar
Keyword(s):  
Community Health ◽  
Health Center ◽  
Health Centre ◽  
Community Health Center ◽  
Signs And Symptoms ◽  
Community Health Centre ◽  
Poor Knowledge ◽  
Community Health Centres ◽  
Health Centres ◽  
Poor Understanding

Diarrhea is the second leading death cause in toddlers after pneumonia. It is a disease that often occurs in seemingly healthy toddlers. In Indonesia, every child has 1.6-2 times diarrhea episodes per year. This study aims to find out how thoroughly the mother's knowledge of diarrhea in toddlers at Sangkunur Community Health Center in 2019. This research was conducted by collecting data through a research questionnaire. The sample is 33 mothers who brought their toddlers to the community health centre. The result is most mothers have poor knowledge of diarrhea in their toddlers. Twenty-two respondents (66.67%) had a good understanding of the diarrhea definition. Twenty-three respondents (67.70%) had a poor understanding of diarrhea causes. Twenty-five respondents (75.76%) had a poor understanding of diarrhea signs and symptoms. Twenty-two respondents (66.67%) had a poor understanding of diarrhea prevention, and 29 respondents (87.88%) had a poor understanding of diarrhea management. The conclusion is community health centres should be more active in providing counselling about diarrhea and visit people's houses to give further information regarding diarrhea.  

Differences in US antibiotic prescription use by facility and patient characteristics: evidence from the National Ambulatory Medical Care Survey

2019 ◽  
Author(s):  
Rebekka E Depew ◽  
Gilbert Gonzales
Keyword(s):  
Community Health ◽  
Emergency Departments ◽  
Antibiotic Prescription ◽  
Health Centre ◽  
Patient Characteristics ◽  
Community Health Centre ◽  
Community Health Centres ◽  
Health Centres ◽  
Care Survey ◽  
Ambulatory Medical Care

Abstract Background Antibiotic resistance is increasing, largely due to the overuse of antibiotics. Patient demographic characteristics can influence rates of antibiotic prescription, but less research has assessed the role of facility-level characteristics. Objective The objective of this study was to examine the prevalence of antibiotic prescriptions for viral-like illness, as well as patient and provider factors that influence antibiotic prescription practices. Methods We conducted an observational cohort study using data from the 2012 National Ambulatory Medical Care Survey. We compared the prevalence of antibiotic prescription for all aetiologies and for viral-like illnesses between community health centres, non-community health centre clinics and emergency departments. Then, we used logistic regression models to compare the odds of antibiotic prescription use by facility and patient characteristics. Results Data came from 630 community health centre visits, 857 non-community health centre outpatient clinic visits and 627 emergency department visits. Compared to patients visiting non-community health centre clinics, patients visiting community health centres and emergency departments for any aetiology were more likely to receive antibiotic prescriptions. Patients with viral-like illnesses were less likely to receive antibiotics at community health centres and exhibited similar odds of receiving antibiotics at emergency departments. Certain patient demographics (age, race/ethnicity and payment source) were associated with variation in overall antibiotic prescription, but these factors were mostly unassociated with antibiotic prescription for viral-like illnesses. Conclusions The care setting that patients visit may influence their odds of receiving antibiotics. Initiatives addressing overuse of antibiotics should be mindful of facility- and patient-based characteristics when designing interventions.

Disease Prevention and Health Promotion Activity During Consultations by Private and Community Health Centre General Practitioners

1996 ◽  
Vol 2 (1) ◽  
pp. 41 ◽  
Author(s):  
Michael Montalto ◽  
David Dunt ◽  
Robyn Vafiadis ◽  
Doris Young
Keyword(s):  
Health Promotion ◽  
Medical Students ◽  
Disease Prevention ◽  
Community Health ◽  
General Practitioners ◽  
Pap Smear ◽  
Health Centre ◽  
Community Health Centre ◽  
Observation Study ◽  
Preventive Activity

The aims of this study are to compare the rates of health promotion and disease prevention activity within Community Health Centre (CHC) and private general practice (GP) consultations. A prospective field�based observation study was designed using medical students as observers. Private and CHC general practitioners involved in the teaching of the medical students in metropolitan Melbourne were observed for one week of consecutive consultations. Primary preventive interventions or behaviours during GP consultations were recorded, based on best practice guidelines. Twenty two students acted as observers. Fifty-one general practitioners were observed, 20 from CHCs and 31 from private general practices. Inter-observer reliability was satisfactory. CHC general practitioners had higher rates of overall preventive activity. Of the four broad categories of activities coded, CHC general practitioners were significantly more likely to detect patients' risk status but no more likely to conduct casefinding examinations, make test recommendations and provide advice. Among the 46 specific activities coded, CHC general practitioners were more likely to detect their patients' exercise levels and dietary details, perform a pap smear, and give advice on smoking, alcohol and diet. It was not possible to determine to what extent doctor and patient characteristics, as distinct from practice setting, were responsible for these results. While CHC general practitioners had higher levels of preventive activity, the differences were not great. Patient-initiated disease prevention is an under-reported phenomenon which deserves further attention.

scholarly journals Examining the Application of the Opening Minds Survey in the Community Health Centre Setting

2017 ◽  
Vol 63 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Mark van der Maas ◽  
Heather Stuart ◽  
Scott B. Patten ◽  
Emily K. Lentinello ◽  
Sireesha J. Bobbili ◽  
...  
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Substance Use ◽  
Community Health ◽  
Health Care Providers ◽  
Health Centre ◽  
Community Health Centre ◽  
Care Providers ◽  
Internal Reliability ◽  
Substance Use Problems

Objective: Stigma has been identified as a complex and problematic issue. It acts as a major barrier to accessing care and can exacerbate the experience of a health condition, particularly for clients with mental illness and substance use issues. Scales designed to assess stigmatising attitudes towards those with mental illness and substance use problems among health care providers are necessary to evaluate programs designed to reduce that stigma. The goal of this study was to evaluate the internal reliability and external validity of the Opening Minds Survey for Health Care Providers (OMS-HC). Methods: The current study examined the use of the OMS-HC in assessing stigma held by Community Health Centre (CHC) staff towards clients with mental and/or substance use problems. Participants represented staff from 6 CHCs in the Greater Toronto Area ( n = 190). Results: The OMS-HC was found to have acceptable internal reliability for the 15-item version of the scale (α = 0.766) and mixed reliability for its subscales (α = 0.792-0.673). Confirmatory factor analysis showed good absolute (root mean square error of approximation = 0.013) and relative fit (Tucker-Lewis index = 0.996) for the current data. The OMS-HC was also shown to correlate with a series of scales commonly used in stigma research. Conclusions: After testing for internal validity and comparing the OMS-HC to other commonly used scales for assessing stigma and attitudes concerning recovery, the scale was found to be appropriate for the CHC setting and may be advantageous over the use of multiple scales.

scholarly journals Analysis of COVID-19 Prevention Behaviour among Diabetes Mellitus Comorbidity Patients in Palembang

2021 ◽  
Vol 9 (2) ◽  
pp. 168
Author(s):  
Giszka Putri ◽  
Hamzah Hasyim ◽  
Nur Alam Fajar
Keyword(s):  
Diabetes Mellitus ◽  
Community Health ◽  
Statistical Significance ◽  
Health Centre ◽  
P Value ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Community Health Centres ◽  
Health Centres ◽  
Preventive Behaviour

Background: COVID-19 in Diabetes Mellitus (DM) patients are at higher risk for severe complications than people without DM. Preventive behaviour is the best way to avoid COVID-19 infection for DM patients due to its bad impact, such as severe symptoms requiring intensive care, leading to death. Objective: This study aims to analyse the COVID-19 preventive behaviour among DM comorbidity patients in Palembang. Method: The cross-sectional study was conducted from April 2021 to May 2021 using a questionnaire to diabetic patients at six community health centres in Palembang. The questionnaire has four sections: patient characteristics, knowledge, attitude, and COVID-19 prevention behaviour. A proportional random sampling technique was used to determine the number of samples according to the data on diabetic patients in each health centre. The total sample was 183 respondents from 1.266 total population diabetic patients in six community health centres. Respondents were diabetic patients aged ³ 18 years old and willing to fill out the questionnaire. Univariate, bivariate, and multivariate statistical analyses were used to analyse the data. Results: More respondents have good knowledge (50.3%), negative attitude (57.3%), and poor COVID-19 preventive behaviour (53.0%). The findings revealed a statistical significance between knowledge (P-value = 0.0001), attitude (P-value = 0.0001), and educational status (P-value = 0.0001) with COVID-19 preventive behaviour. Furthermore, knowledge is the most determinant factor of COVID-19 preventive behaviour (PR= 7.597, 95% CI: 3.701 – 15.597). Conclusion: According to this study, diabetic patients with poor knowledge are at greater risk of having poor COVID-19 prevention behaviours. COVID-19 prevention programs, especially health education programs at the community health centre, need to be improved to ensure that diabetic patients adopt reasonable and appropriate COVID-19 prevention practices.

Development and Validation of the Primary Care Consumer Opinion Survey

2001 ◽  
Vol 7 (1) ◽  
pp. 34
Author(s):  
Hal Swerissen ◽  
Linda Tilgner
Keyword(s):  
Community Health ◽  
Service Provision ◽  
Health Centre ◽  
Principal Component ◽  
Survey Instrument ◽  
Speech Pathology ◽  
Opinion Survey ◽  
Community Health Centres ◽  
Health Centres ◽  
Health Care Consumer

Using past measures of consumer feedback, the aim of the present study was to construct a consumer opinion survey for use in community health centre settings; to pilot the survey instrument across a number of community health centres; and to validate the instrument. A total of 950 consumers attending one of six targeted services (physiotherapy, dental, podiatry, counselling/social work, dietetics, and speech pathology) across four northern metropolitan community health centres in Victoria were invited to participate. Returned surveys were analysed using principal component analysis and the extracted scales were tested for internal consistency and validity. Out of the 950 surveys distributed 471 were returned (response rate of 50%). The survey instrument was found to measure consumer opinion regarding satisfaction with centre environment and satisfaction with service provision. The centre environment scale consisted of one factor, with a Cronbach alpha of .80. The service provision scale consisted of two factors: 'aspects of the service provider' and 'benefits of the visit'. Reliability for the total scale was .93. The two scales correlated moderately with a validity item measuring overall satisfaction. The Primary Health Care Consumer Opinion Survey is a reliable and valid measure, which provides the potential for the establishment of norms to assess consumer opinion.

Community Health Service Agreements 1992 to 1995: Changes in Practice and Purpose

1996 ◽  
Vol 2 (4) ◽  
pp. 42
Author(s):  
Rae Walker ◽  
Beverley Lewis ◽  
Sally Mitchell
Keyword(s):  
Community Health ◽  
Human Services ◽  
Health Centre ◽  
System Management ◽  
Technical Issue ◽  
Community Health Centres ◽  
Health Centres ◽  
Provision Of Services ◽  
Internal Operations ◽  
Transitional Phase

In Victoria, community health centres are undergoing major changes. In this paper, a study of service and funding agreements, their changed purposes, and how the practices surrounding them have also changed, is reported. The study provides some insights into the dynamics of the contractual model of health system management. The information was obtained from the service and funding agreements of community health centres, interviews with staff of the Department of Human Services, and interviews with community health centre managers. At the end of 1995, community health centres were still in a transitional phase. They were changing from being locally focused, multi-disciplinary organisations that approached health as a social and technical issue to ones that were centrally focused, still multi-disciplinary but increasingly attending to the technical provision of services. There were, however, many ambiguities in the system that allowed services to resist the changes that were considered least desirable. To a degree they de-coupled internal operations from the external presentation of them.

The development of a Health Promotion Community Participation Framework

2005 ◽  
Vol 11 (2) ◽  
pp. 136 ◽  
Author(s):  
Lorraine Llewellyn-Jones ◽  
David Harvey
Keyword(s):  
Health Promotion ◽  
Community Health ◽  
Community Participation ◽  
Health Professionals ◽  
The State ◽  
Community Members ◽  
Community Health Centres ◽  
Health Centres ◽  
Rural Community Health ◽  
Organisational Level

This paper reports on research conducted through Monash University located in the state of Victoria, Australia. The outcome of the research was the development of a Health Promotion Community Participation Framework, providing guidelines for health professionals in community health centres and services to assist them with facilitating community participation in health promotion. A literature review was conducted and information collected from health professionals working in metropolitan and rural community health centres and services across the state of Victoria, Australia. The Framework does not emphasise levels of community participation as a hierarchy, but instead proposes using the levels or types of participation across a continuum. This has been done to encourage the use of appropriate transparent strategies that will enable both individual community members and different sections of communities to participate in health promotion activities. This is particularly important where government policies dictate the direction of health promotion, as this "top down" approach can lead to the community being excluded for health promotion processes. The use of a continuum promotes the concept that participation can be effective at different levels, even when the issue to be addressed has already been identified. The Framework also proposes that in order for community participation strategies to take place, there needs to be capacity building at both the organisational level and the community level.

A Model to Describe the Role of Health Promotion in Creating Healthy Communities

2000 ◽  
Vol 6 (4) ◽  
pp. 69
Author(s):  
Sherryl Smith
Keyword(s):  
Health Promotion ◽  
Community Health ◽  
Population Health ◽  
Current Literature ◽  
Theory And Practice ◽  
Healthy Communities ◽  
Community Health Centres ◽  
Health Centres

Health promotion theory and practice is grounded in the belief that health is far more than the absence of disease. In order to influence most effectively the health of communities, Community Health Centres must balance their attention and resources amongst medical, lifestyle/behavioural, and socioenvironmental approaches to health promotion. This discussion will include an overview of these approaches to health promotion based on current literature. Community Health Centres need to incorporate a variety of complementary health promotion approaches into their core services and activities. An analysis of one model, which integrates health promotion and population health, is provided with a discussion of its application in creating healthy communities.

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