scholarly journals Experiences and Insights from the Early US COVID-19 Epicenter: A Rapid Assessment Procedure Informed Clinical Ethnography Case Series

Psychiatry ◽  
2020 ◽  
Vol 83 (2) ◽  
pp. 115-127 ◽  
Author(s):  
Kathleen Moloney ◽  
Hannah Scheuer ◽  
Allison Engstrom ◽  
Merritt Schreiber ◽  
Lauren Whiteside ◽  
...  
2021 ◽  
Vol 8 ◽  
pp. 2333794X2110123
Author(s):  
Tiara Amelia ◽  
Hadi Pratomo ◽  
Asri C. Adisasmita ◽  
Evi Martha ◽  
Yeni Rustina ◽  
...  

Background: The infant and neonatal mortality rate in Depok City is still high, with low birth weight (LBW) and premature births being one of the main causes. In 2018, 14 out of 41 cases of early neonatal death were due to LBW. Studies show that Kangaroo Mother Care (KMC) can prevent or reduce LBW deaths caused by hypothermia, but the implementation is still not evenly distributed. Objective: Describe KMC feasibility as a supporting material for a KMC policy umbrella at Depok City. Method: Qualitative research was conducted with a Rapid Assessment Procedure (RAP) design. A total of 56 informants were divided into 8 discussion groups, 7 in-depth interviews and 2 Focus Group Discussions (FGD). The types of informants were families and inter-sectoral officers. Thematic analysis was used to analyze the data. Results: KMC implementation feasibility in Depok City in terms of facilities and infrastructure was still limited and the quality was insufficient. The number of human resources was still limited, and the competency was still not evenly distributed. LBW family readiness can be maintained if provided with complete and accurate knowledge; therefore, a strong commitment may develop to continue KMC at home. The potential sources of KMC financing are found at health facilities and inter-sectoral; however, to use it, a legal umbrella at the city district level is necessary. Conclusions: The factors of potential financing sources need to be followed up into a priority. This is to overcome the constraints of KMC feasibility implementation.


2012 ◽  
Vol 5 (1) ◽  
Author(s):  
Samuel Wanji ◽  
Dowo O Akotshi ◽  
Maurice N Mutro ◽  
Floribert Tepage ◽  
Tony O Ukety ◽  
...  

2020 ◽  
Vol 12 (1) ◽  
pp. 11-20
Author(s):  
Ningsi Ningsi ◽  
Ade Kurniawan ◽  
Meiske Elisabeth Koraag ◽  
Rina Isnawati

Abstract Malaria remained a public health problem at the global level, as well as in Indonesia.  In Banggai Islands District and Tojo Una-una District, the API (Annual Parasite Incidence) tends to decrease every year.  Village institutions and local community leaders are quite influential in reducing malaria cases.  This study aimed to explore the policy reinforcing factors in malaria control, including malaria program policies and the involvement of local institutions in controlling malaria. The type of this study was qualitative with the Rapid Assessment Procedure. Data collection techniques with triangulation through in-depth interviews, Focus Group Discussion, observation, and study of documents. Analysis data use domain analysis. The samples were selected through snowball sampling, consists of community leaders, malaria policy program makers at the district, health center and community who had been diagnosed with malaria. Retrieval of data with triangulation techniques to compared analysis. The results of the study showed that the collaboration between the Banggai Islands and Tojo Una-una District Health Office and the relevant agencies, in resolving malaria elimination as stipulated in the regent's regulations, the stakeholders are still carrying out their respective programs. The policy strengthening factor in malaria control in Tojo Una-una District is the existence of a malaria-free declaration from 2015 by local institutions and local communities, as well as local wisdom of the Banggai Islands District in the form of village race activities as an indicator of public health and environmental sanitation. Abstrak Malaria masih merupakan masalah kesehatan masyarakat di tingkat global, demikian pula di Indonesia. Kabupaten Banggai Kepulauan dan Kabupaten Tojo Una-una memiliki API (Annual Parasite Incidence) cenderung menurun setiap tahunnya. Lembaga desa dan tokoh masyarakat memegang peran penting dalam penurunan kasus malaria. Tujuan penelitian adalah mengeksplorasi faktor penguat kebijakan dalam pengendalian malaria yaitu, kebijakan program malaria dan keterlibatan institusi lokal dalam pengendalian malaria. Jenis penelitian ini adalah kualitatif dengan rancangan Rapid Assessment Procedure. Teknik pengumpulan data dengan triangulasi melalui  wawancara mendalam, Focus Group Discussion, observasi dan telaah dokumen. Analisis data menggunakan analisis domain. Pemilihan sampel secara snowball sampling, sampel terdiri dari tokoh masyarakat, penentu kebijakan program malaria di tingkat kabupaten, puskesmas dan masyarakat yang pernah positif malaria. Hasil penelitian menunjukkan kolaborasi antara Dinas Kesehatan Kabupaten Banggai Kepulauan dan Kabupaten Tojo Una-una dengan instansi terkait, dalam pencapaian eliminasi malaria yang tertuang dalam peraturan bupati belum berjalan dengan baik, stakeholder masih menjalankan programnya masing-masing. Faktor penguat kebijakan dalam pengendalian malaria di Kabupaten Tojo Una-una adalah adanya deklarasi bebas malaria tahun 2015 oleh institusi lokal dan masyarakat setempat, serta kearifan lokal pemerintah Kabupaten Banggai Kepulauan berupa kegiatan lomba desa sebagai indikator kesehatan masyarakat dan sanitasi lingkungan.


2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Rahmi Permatasari ◽  
Ascobat Gani

ABSTRACTImmunization has been considered one of the greatest achievements in public health programs and with immunization a number of diseases can be reduced such as eradicating smallpox, eradicating polio, and significant progress in reducing the incidence of diphtheria, tetanus, whooping cough and measles (1). Right now immunization at the global level is stagnant at 86%. It is estimated that around 19.5 million children worldwide do not receive basic immunization (2). In Indonesia, an estimated 1.9 million children under 1 year were not fully immunized in 2015 (3) and as many as 242135 children were not immunized in 2016. To find out the Mother’s Behavior As A Public Health Postgraduate Student Of University Of Indonesia On Giving Children’s Immunization. This study used a qualitative method using the Rapid Assessment Procedure (RAP) approach located in the University of Indonesia's Public Health Faculty . The informant selection technique uses purposive sampling with the principle of appropriateness and adequacy. Data collection method is with Focus Group Discussion (FGD) 2 groups with each consisting of 6 postgraduate students from University of Indonesia's Public Health Faculty who have fully immunized. As triangulation source, interview conducted with postgraduate students who provide incomplete immunizations, postgraduate students who do not provide immunizations, and staff of the Ministry of Health, Immunization Directorate General of P2P. Nearly all informants had good knowledge, positive attitudes towards immunization is that only a small percentage of informants refused immunization. All informants agreed that media information is important for the success of immunization programs, especially to prevent issues or hoaxes about immunization. Most of the informants received support from their families to give their children immunizations so that the status of immunization for children was complete, but there were informants who did not get the support of their closest family wich is the husband, which made their child's immunization status incomplete. But family support and electronic media have a big influence in motivating mothers to immunize their children. It is recommended to be more careful in sorting the information so that children's and the environment health are maintained properly.Keywords : Immunization behavior, child immunization, mother's education


2021 ◽  
Vol 8 (3) ◽  
pp. 291-301
Author(s):  
Heltty Heltty ◽  
Ratna Sitorus ◽  
Evi Martha ◽  
Nury Nusdwinuringtyas

Abstract Objective Post-stroke urinary incontinence (UI) is one of the sequelae of stroke. This situation affects all aspects of the patient's life – physically, psychologically, socially, and spiritually. This study aimed to investigate the experience of patients’ success in facing a post-stroke UI. Methods A qualitative study using the Rapid Assessment Procedure (RAP) approach was used in this study. Informants were selected using purposive sampling. In-depth interviews with as many as 8 patients who had recovered from post-stroke UI and living in the greater area of Southeast Sulawesi (Indonesia) were conducted. In-depth interviews were also conducted with 8 caregivers and 2 nurses. Data were analyzed using a thematic analysis approach and interpretation of data was based on Humanbecoming theory and Self-care deficit theory of nursing. Results Five successful things the patients experienced during post-stroke UI were identified. The five successes were as follows: they provided information to get to know and understand post-stroke UI, followed the procedures to overcome post-stroke UI, conducted self-control exercises and stayed motivated, performed daily activities independently according to ability, and made use of family support and peers’ attention. Conclusions These findings indicated that persistence, belief, independence, and social support (family and peer) made patients to successfully face their post-stroke UI and improved their quality of life. These findings also became the basis for developing a post-stroke UI management model based on Humanbecoming theory and Self-care deficit theory of nursing.


2017 ◽  
Vol 6 (3) ◽  
pp. 127
Author(s):  
Abdul Gani Hasan ◽  
Wiku B.B. Adisasmito

AbstractBackground: The purpose of analyzing the policy of utilization of JKN capitation fund at FKTP Puskesmas in Bogor Regency refers to Permenkes 21 year 2016. Method: Qualitative with Rapid Assessment Procedure, in-depth interview on 12 informant, purposive sample, related to research objectives. Results: There is a high disparity of capitation funds for puskesmas covering participants, capitation norms, number of doctors and the ratio of doctors between various puskesmas. In-depth interviews found the difficulty of fulfilling the ideal physician ratio, low capitation norms indicated the low quality of the puskesmas, not all the puskesmas did the proper planning process, the small capitation clinics were difficult in the operational and the overwhelming operational and potentially piled up, Drug fulfillment is constrained by procurement, the potential for overlapping capitation with BOK and the quality of physician services decreases in the ratio of physicians per large participant. Conclusions and suggestions: The ratio of physicians to participants is still below the standard of 1: 5000 participants need equalization effort, 60% capitation portion for services and 40% other opersional, different sufficiency there should be operational fund backups for the less, the disincentives of service need to be reviewed, Capitation of 40% portion can be complementary with BOK, the rest of the budget is advantageous if the activity alternative can be effectively efficient according to society requirement, need improvement of drug procurement mechanism, budget flexibility need to be pushed PPK-BLUD at puskesmas.Keywords: capitation; FKTP; PuskesmasAbstrakLatar Belakang : Tujuan menganalisis kebijakan pemanfaatan dana kapitasi JKN pada FKTP Puskesmas di Kabupaten Bogor mengacu Permenkes 21 tahun 2016. Metode : Kualitatif dengan Rapid Assesment Procedure, wawancara mendalam pada 12 informan, sampel purposive, terkait tujuan penelitian. Hasil : Terdapat disparitas tinggi dana kapitasi puskesmas meliputi peserta, norma kapitasi, jumlah dokter dan rasio dokter antara berbagai puskesmas. Wawancara mendalam didapatkan sulitnya pemenuhan rasio dokter ideal, norma kapitasi rendah menunjukkan kuantitas kualitas puskesmas rendah, belum semua puskesmas melakukan proses perencanaan dengan benar, puskesmas kapitasi kecil sulit dalam operasional dan yang besar berlebih operasional dan berpotensi menumpuk, penentuan poin cukup jauh berbeda antar tenaga, pemenuhan obat-obatan terkendala oleh pengadaan, potensi overlapping kapitasi dengan BOK dan kualitas pelayanan dokter menurun pada rasio dokter per peserta besar. Kesimpulan dan saran : Rasio dokter dengan peserta masih dibawah standar 1:5000 peserta perlu upaya pemerataan, porsi kapitasi 60% untuk Jasa dan 40% opersional lain, ketercukupannya berbeda perlu ada backup dana operasional untuk yang kurang, adanya disinsentif jasa pelayanan perlu dikaji ulang, kapitasi porsi 40% dapat komplementer dengan BOK, sisa anggaran menguntungkan bila alternatif kegiatan mampu efektif efisien sesuai kebutuhan masyarakat, perlu perbaikan mekanisme pengadaan obat, dalam fleksibilitas anggaran perlu didorong PPK- BLUD pada puskesmas.Kata kunci : kapitasi; FKTP; Puskesmas


Author(s):  
Lawrence Palinkas ◽  
Benjamin Springgate ◽  
Olivia Sugarman ◽  
Jill Hancock ◽  
Ashley Wennerstrom ◽  
...  

Background: This year has seen the emergence of two major crises, a significant increase in frequency and severity of hurricanes and the COVID-19 pandemic. However, little is known as to how each of these two events have impacted the other. A rapid qualitative assessment was conducted to determine the impact of the pandemic on preparedness and response to natural disasters and the impact of past experiences with natural disasters in responding to the pandemic. Methods: Semi-structured interviews were conducted with 26 representatives of 24 different community-based programs in southern Louisiana. Data were analyzed using procedures embedded in the Rapid Assessment Procedure – Informed Community Ethnography methodology, using techniques of immersion and crystallization and focused thematic analysis. Results: The pandemic has impacted the form and function of disaster preparedness, making it harder to plan for evacuations in event of a hurricane. Specific concerns included being able to see people in-person, providing food and other resources to residents who shelter in place, finding volunteers to assist in food distribution and other forms of disaster response, competing for funds to support disaster-related activities, developing new support infrastructures, and focusing on equity in disaster preparedness. However, several strengths based on disaster preparedness experience and capabilities were identified, including providing a framework for how to respond and adapt to COVID and integration of COVID response with their normal disaster preparedness activities. Conclusions: Although prior experience has enabled community-based organizations to respond to the pandemic, the pandemic is also creating new challenges to preparing for and responding to natural disasters.


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