scholarly journals Analysis of the free caesarean section initiative at the Nabil Choucair Health Center

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M M M Leye ◽  
E T Mbengue ◽  
A Tal Dia

Abstract Introduction The initiative for free caesareans was officially launched in December 2004. Our study, with The overall objective of contributing to an evaluation of the impact of this initiative on the operation of the Nabil Choucair Health Center (NCHC) will strengthen its implementation. Methods This is an analytical, cross-sectional, quantitative and qualitative study conducted from September 1 to October 31, 2017 at NCHC. It focused on four target populations: providers, beneficiaries, members of health and co-management committees, and those responsible for maternity and the laboratory. Data entry and analysis were performed with the Excel software and EPI Info version 3.3.2. Results The survey involved a total of 135 beneficiaries, 55 providers, 11 co-management committee members, 2 health committee members, the manager, the laboratory manager, and the chief medical officer of the community. maternity. The average age of the beneficiaries was 29.31 years. The media represented the main source of information with 52%. Despite the free cost of drug expenditure was 40039 FCFA. The average waiting time was 5 hours. The most frequently mentioned problems were: delay in repayment, influx, debt of the structure, abuse of benefits, breakage of reagents and / or drugs. At NCHC 33% of deliveries are by caesarean section. The rate of caesarean section in population has increased from 4% to 8% with free delivery. Conclusions It seems appropriate to make recommendations for the referral of providers on free caesarean section, for the management of cesarean section, for reorganization of services and for the improvement of the quality of reception. Key messages Caesarean. Universal health coverage.

2020 ◽  
Vol 13 (2) ◽  
pp. 109
Author(s):  
Yuyun Sarinengsih

ABSTRAKStunting yaitu keadaan gagal tumbuh akibat dari kekurangan gizi kronis. Prevalensi stunting di Kabupaten Tasikmalaya menempati urutan keempat, dimana kecamatan Sukahening menempati urutan pertama tertinggi dengan jumlah 155 balita mengalami stunting. Faktor yang dapat mempengaruhi kejadian stunting yaitu pengasuhan anak yang kurang baik dimana tidak diberikannya ASI secara Ekslusif. Pencegahan stunting yaitu pada 1000 hari kehidupan dimana salah satunya pemberian ASI secara Ekslusif.Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Jenis Penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross-sectional. Populasi total sampling sebanyak 95 responden menggunakan teknik purposive sampling.Hasil Penelitian diperoleh lebih dari setengah responden 51,6% tidak diberikan ASI secara Ekslusif, dan sebagian besar 65,3% balita mengalami stunting. Hasil perhitungan chi-square diperoleh ρ.value (0,000<0,05) maka H0 ditolak sehingga terdapat hubungan antara Pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Hasil penelitian ini diharapkan dapat memberi informasi yang bermanfaat dan perlu dilakukan pendidikan kesehatan ulang yang terjadwal terkait nutrisi yang terjangkau dan sehat sehingga dapat meningkatkan cakupan ASI Ekslusif dan dapat menurunkan angka stunting.Kata Kunci : ASI Ekslusif, StuntingDaftar Pustaka : 25 buku (2010-2018)9 jurnal (2013-2019)2 Website (2010-2017) ABSTRACTStunting is a condition of growth failure due to chronic malnutrition. The stunting prevalence in Tasikmalaya Regency was at the fourth place where Sukahening sub-district was at the highest with 155 stunting. Factor that can influence the occurrence of stunting is a poor parenting where exclusive breastfeeding is not given. The best prevention of stunting is on 1000 days of life where exclusive breastfeeding is given. The impact, if the baby is not given exclusive breastfeeding, they will lack of nutrition and also will have an impact on the growth or inappropriate height. This aims of the research is to determine the relationship between exclusive breastfeeding and the incidence of stunting on toddler under 5 years of at Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. The type of research used is descriptive correlation with a cross-sectional approach. The total samplings were 95 respondents which used purposive sampling technique. The results of the research were obtained more than half of the respondents 51.6% were given exclusive breastfeeding, and most 65.3% of children under five had stunting. The chi-square calculation results obtained that ρ.value (0,000 <0,05) then H0 is rejected so that there is a relationship between exclusive breastfeeding and the incidence of stunting on toddlers under 5 years in Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. Performed the health education related to affordable and healthy nutrition so that it can increase the coverage of exclusive breastfeeding and can reduce stunting rates. Keywords : Exclusive breastfeeding, Stunting Bibliography : 25 books (2010-2018) 9 journals (2013-2019) 2 Websites (2010-2017) 


2021 ◽  
Vol 20 (11) ◽  
Author(s):  
Abdulrhman Nasser Zaher AlGhamdi ◽  
Amal Mohammed Albaqami ◽  
Areej Mohammed Abdullah ◽  
Doha Abdulrahmman Alsukhayri ◽  
Hamad Albulrahman Alawi ◽  
...  

Background: Respiratory symptoms are a characteristic feature present in covid-19 patients, and they usually range from mild to severe. Asthma is a chronic disease involving the airways that carry air in and out of the lungs. However, there is limited resources that discuss the relation between asthma and prevalence of COVID-19. Aims: Identify the impact of covid19 on asthmatic patients. Methodology: This is a descriptive cross-sectional study that was conducted to study the impact of COVID-19 on asthmatic patients, which was conducted using a prepared questionnaire which was distributed online among 300 patients with asthma. After collecting the data, MS Excel was used for data entry while SPSS version 24 was used for data analysis. Results: In this study, we were able to collect data from 311 asthmatic patients in response to our questionnaire. Most of the asthmatic patients were females (67.2%) with a ratio of females: males of 2:1. Moreover, most patients thought that they control their asthma well and only 13.5 % indicated that they had frequent emergency visits because of asthma. The prevalence of COVID-19 in asthmatic patients was 64.3 % where a third of patients needed to go to hospital because of their bad condition, 12.6 % needed to be hospitalized in ICU and 56.4 % needed oxygen. Moreover, severity of COVID-19 symptoms and outcomes are related to the control of asthma where better control of asthma was associated with better outcomes including lower need for ICU admission and oxygen need. Conclusion: Prevalence of COVID-19 in asthmatic patients was much higher than the general population especially in female patients aged between 31-40 years old. Moreover, COVID-19 had more severe outcomes in asthmatic patients including higher prevalence of ICU admission and oxygen need. Poorer outcomes of COVID-19 were associated with poor control of asthma. Key words: Asthma, Covid-19, Western Region, Saudi Arabia


1991 ◽  
Vol 21 (2) ◽  
pp. 199-214 ◽  
Author(s):  
Darrell M. West

Presidential approval ratings are a frequently used barometer of performance and popularity. However, despite recognition of the media age in which we live, little work has examined the impact of television on presidential popularity. Using a 1980 and 1984 television content study, panel data from the 1980 National Election Study and rolling cross-sectional data from the 1984 Continuous Monitoring Study, I compare two American presidents (Jimmy Carter and Ronald Reagan) commonly seen as having different effectiveness on television. While media effects were not uniformly present during the two presidencies, there was some evidence that television harmed popularity, particularly when the content of news stories and commentary turned negative. I conclude by discussing the ramifications of these results for presidential strategies based on ‘going public’.


2020 ◽  
Vol 7 (1) ◽  
pp. 3-7
Author(s):  
Syed Abdul Kader ◽  
Sonia Afrin Rob

Background: Expansion of Dengue fever caused by a mosquito borne arbovirus to new countries and, from urban to rural settings constitutes an important health problem in the world including Bangladesh. Objective: This study was conducted to evaluate spread of clinical Dengue to previously non-endemic Barisal district and get an idea of how recent this spread is by comparing proportions of non-travelers and travelers to an endemic area among the admitted patients. Methodology: The incidence of dengue infection in Barisal division with and without travel history to known endemic area was investigated in the current cross sectional study from a conveniently selected sample of patients admitted to the medicine department of Sher-e-Bangla medical College Hospital form Barisal district from July 15, through August, to September 15, 2019. Clinical and laboratory data were collected by attending doctors and checked by investigators. The primary diagnostic tool was NS1 antigen detected by SD Bioline Dengue NS1 Ag Test Kit. Data entry and analysis was done by SPSS version 24.0 software. Result: A total number of sample size was 212 admitted patents of whom 138(65.1%) were male, 74 (34.9 %) were female,116 (54.7%) of patients traveled to a known endemic zone, 96 (45.3%) did not; 206 (97.2%) were NS1 positive, 4 (1.9%) were IgM positive, 2 (0.9%) were IgM positive and IgG positive; Of travelling 116 patients, 92(79.3%) were male, 24(20.7%) were female, of travelling 96 patients 46(47.9%) were male, 50(52.1%) were female. p-value was <0.001. Conclusion: The study concluded that Dengue is becoming endemic in previously non-endemic zones like greater Barisal, though travelers still holds the major share of disease burden. Male preponderance in traveling to endemic zone was statistically significant. Bangladesh Journal of Infectious Diseases 2020;7(1):3-7


2017 ◽  
Vol 24 (3) ◽  
pp. 37-44
Author(s):  
Santoso Ujang Effendi ◽  
Buyung Keraman ◽  
Andrek Sarnandes

The impact of the incidence of anemia in pregnant women who have less knowledge during pregnancy are abortion, preterm labor, fetal and uterine disorders, low birth weight (LBW), and high maternal mortality. This study aimed to study the relationship between the level of knowledge with the incidence of anemia in pregnant women at Tanjung Kemuning Community Health Center Kaur District. This type of research was Descriptive Correlation and the design used was Cross Sectional. The data in this study used the primary data obtained by distributing questionnaires. The population in this study was all pregnant women who checked pregnancy and did not check their pregnancy at Tanjung Kemuning Community Health Center of Kaur Regency from January to June 2016 as many as 66 pregnant women. Sampling technique are Total Sampling and obtained sampel counted 35 respondents. Data analysis was done by univariate and bivariate analysis with Chi-Square test and to know closeness using Contingency Coefficient (χ2) statistic test. The result of the research showed that there were 14 respondents (40.0%) of good knowledge, and 19 respondents (54,3%) did not experience anemia. There was a significant relationship between knowledge with the incidence of anemia in pregnant women in working area of Tanjung Kemuning Community  Health  Center Kaur District with a close category. Suggestion for Tanjung Kemuning  Community  Health Center Kaur District                   to increase the intake of iron nutrition in pregnant women by doing  health promotion about  anemia  and giving  iron  tablets  to pregnant  woman. Keywords : anemia, knowledge, pregnant women


2018 ◽  
Vol 4 (2) ◽  
pp. 27
Author(s):  
Endang Susilowati

AbstrakPemberian Imunisasi Dasar Lengkap (IDL) pada bayi, merupakan suatu keharusan. Hasil survei Riskesdas tahun 2013 didapatkan data cakupan imunisasi HB-0 (79,1%), BCG (87,6%), DPT-HB-3 (75,6%), Polio-4 (77,0%), dan imunisasi campak (82,1%). Cakupan imunisasi lengkap di Jawa Tengah pada tahun 2013 mengalami penurunan. Jumlah sasaran bayi pada tahun 2013 adalah 575.011 menurun dibanding tahun 2012 sebanyak 592.712. Dampak dari cakupan imunisasi yang rendah yaitu cukup tingginya proporsi kematian bayi yang disebabkan karena tetanus neonatorum (TN) di Indonesia,  meningkatnya angka morbiditas dan mortalitas. Tujuan dari penelitian ini adalah mengetahui faktor-faktor  apa yang mempengaruhi minat ibu dalam pelaksanaan program lima imunisasi dasar lengkap di Wilayah Puskesmas Bangetayu Kota Semarang, Jenis penelitian yang digunakan adalah explanatory research, adapun pendekatannya menggunakan rancangan cross sectional. Hasil analisis dengan chi square diperoleh hasil signifikansi p value = 0,000 pada karakteristik umur, pendidikan dan pengetahuan, karena p value < 0,05 maka secara statistik ada hubungan yang signifikan antara umur, pendidikan dan pengetahuan  ibu dengan minat ibu dalam pelaksanaan lima imunisasi dasar lengkap.Kata Kunci : Minat ; Lima Imunisasi Dasar Lengkap THE AFFECTING FACTORS OF INTEREST OF MOTHERS TO IMPLEMENT FIVE BASIC IMMUNIZATIONS PROGRAM IN  BANGETAYU PUBLIC HEALTH CENTER,  SEMARANG DISTRICT Abstract In the immunization program, the provision of Complete Basic Immunization in infants is a must. The result of Riskesdas survey in 2013 revealed immunization coverage of HB-0 was 79,1%, BCG was 87,6%, DPT-HB-3 was 75,6%, Polio-4 was 77,0%, and measles immunization was 82.1%. The coverage of complete immunization in Central Java in 2013 has decreased. The number of targeted infants in 2013 was 575,011, decreased from 592,712 in 2012. The impact of low immunization coverage was the high proportion of infant deaths due to Tetanus Neonatorum (TN) in Indonesia, morbidity and mortality rates among infants also increase. The purpose of this research was to know factors that influence interest of mothers to implement five basic immunization program in Bangetayu Public Health Center, Semarang District. The research type is explanatory research with cross sectional design. The result of analysis with chi square showed p value = 0,000 on the characteristics of age, education and knowledge. As p value <0,05, therefore there is a significant correlation between age, education and mother knowledge with interest of mother to implement five complete basic immunization. Keywords: Interest; Five Basic Immunizations Program


2010 ◽  
Vol 1 (1) ◽  
pp. 9-11
Author(s):  
Srijana Pandey ◽  
Supendra Karki

Objectives: To analyze the association between exposure to mass media and use of contraceptive.Methods: In this cross sectional descriptive study, 387 married males of Hatiya VDC were randomly selected. This study uses semi-structured questionnaire to acquire information regarding background character of respondents and the exposure of family planning message to mass media.Results: Both print and electronic media were found major reproductive health information dissemination tools. Exposure was positively related to age, education level, income, partner approval and discussed family planning with partner. There was no significant difference in exposure based on number of living children.Conclusion: Findings from this study are consistent with the interpretation that mass media promotion of the family planning message motivated sexual partners to discuss use of the contraceptives, and that discussion exerted a strong influence on their intention to use it. The programmatic implications of these findings are that multiple media channels should continue to be used to promote family planning and other reproductive health issues. Priority should be given to media channels that reach large numbers of the intended audience, but supporting channels (such as print and interpersonal communication) should also be included in the media mix.Key words: Mass media; ContraceptivesDOI: 10.3126/ajms.v1i1.2928Asian Journal of Medical Sciences Vol.1(1) 2010 p.9-11 


2021 ◽  
Vol 17 (17) ◽  
Author(s):  
Veriko Tevzadze ◽  
Ketevan Nanobashvili

Task: Although periodontal inflammatory diseases are very often during pregnancy, little is known about the risk factors that increase the frequency of periodontal disease incidence and affect its development during pregnancy. This descriptive study assesses the prevalence of periodontal diseases among pregnant women in Tbilisi, the impact of their socio-economic status, hygiene habits, and level of knowledge on their periodontal status. Methods: This was an observational, cross-sectional study conducted among pregnant women. The respondents were distributed by Gynecological Centers and districts in Tbilisi. The survey was conducted at 24 Gynecological Centers. The target group of the study was 222 pregnant women aged 18 to 45 living in Tbilisi. The tool used in this study is a Structured Electronic Questionnaire. The oral health of the target group representatives was assessed by periodontal indices, the CPITN-index, and OHI-Jack R.Vermillion's oral hygiene index. Data entry and statistical analysis were carried out using the statistical program SPSS 23.0. Results: The current pregnancy for most of the respondents (36%) is the second, 53.2% of the pregnant women are in the second trimester of the pregnancy, 50,5% of the respondents are bachelors’ student or have completed a bachelor's stage of the study. Due to the employment status, 47.7% of them are housewives, and 61.1% evaluate their economical condition as satisfactory; 32,9% of the respondents have dental insurance, and only 13,3% use this insurance for this purpose. 68.8% of the pregnant women address the dentist only in case of pain or discomfort, 67.3% of them have bleeding gums, 66.5% of them feel pain or discomfort in the oral cavity and 59% of them have swelling/pain in their gums. Only 9% of gynecologists recommend their patients plan a visit to the dentist. Pregnant women’s awareness about the safety of dental manipulations is also quite low and it is 22.1 %. The statistical testing of the difference due to the qualitative variables was carried out using the Pearson's chi-square method; the index of signification (p), which was less than 0.05, at (p<0.05) was considered as statistically significant.


2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Satriya Wijaya

Abstrak Pelaksanaan JKN di Indonesia menghadapi berbagai tantangan, dari sisi pemberi layanan kesehatan, pengelola jaminan kesehatan, masyarakat sebagai pengguna, serta pemerintah sebagai regulator program. Berbagai studi telah dilakukan untuk menelaah dampak JKN pada pelayanan kesehatan di Indonesia, namun pemanfaatan hasil studi tersebut untuk menyempurnakan kebijakan masih terbatas. Jenis penelitian ini adalah penelitian deskriptif eksploratif, yang menggunakan metode deskriptif kualitatif serta penelaahan dokumen. Desain penelitian adalah cross-sectional dengan pendekatan retrospektif. Sampel penelitian ini adalah seluruh stakeholder kunci yang berada di wilayah kerja Puskesmas Wiyung yang terkait erat dengan pelaksanaan JKN. Analisa dan pengumpulan data dilakukan untuk memvalidasi: informasi dari institusi responden, indepth interview dengan stake holder kebijakan dan pelaksana program, kemudian cek silang oleh enumerator lapangan ke beberapa responden untuk temuan yang memerlukan, dan refleksi tim dalam bentuk pertemuan validasi data. Informasi yang diperoleh dari hasil indepth interview stake holder kebijakan dan pelaksana program, informasi cek silang dari enumerator lapangan maupun data sekunder akan diintegrasikan dengan informasi kualitatif yang terkumpul. Hasil analisis menunjukkan tidak semua pengunjung Puskesmas Wiyung telah menjadi peserta BPJS. Sistem administrasi dianggap rumit untuk dipahami dengan mudah oleh masyarakat.  Perlu sosialisasi kepada masyarakat tentang kepesertaan BPJS dan penguatan koordinasi dengan pihak BPJS apabila ada masalah anggota kepesertaan pasien BPJS.   Kata kunci: implementasi JKN, program JKN, kepesertaan BPJS Abstract   Implementation of National Health Insurance (JKN) in Indonesia faces various challenges, from the side of health care providers, health insurance managers, the community as users, and the government as the program regulator. Various studies have been conducted to examine the impact of JKN on health services in Indonesia, but the use of the results of these studies to improve policies is still limited. This type of research is explorative descriptive research, which uses qualitative descriptive methods and document review. The study design was cross-sectional with a retrospective approach. The sample of this study is all key stakeholders in the Wiyung Health Center working area which are closely related to JKN implementation. Analysis and data collection were carried out to validate: information from the respondent's institution, in-depth interviews with policy stakeholders and program implementers, then cross-check by field enumerators to several respondents for findings that needed, and team reflection in the form of data validation meetings. Information obtained from the results of an in-depth interview of policy stakeholders and program implementers, cross check information from field enumerators and secondary data will be integrated with qualitative information collected. The results of the analysis showed that not all visitors to the Wiyung Health Center had become BPJS participants. The administrative system is considered complicated to be easily understood by the community. Need to disseminate information to the public about BPJS membership and strengthening coordination with BPJS if there are problems with membership of BPJS patients.  Keywords: implementation of JKN, JKN program, BPJS membership


2018 ◽  
Vol 1 (1) ◽  
pp. 16-19
Author(s):  
Risti Mariati ◽  
Ni Luh Ketut Dewi Aryasari

Introduction. Acute Respiratory Infections (ARI) still a major couse of disease morbidity and mortality in toodlers. ARI is a common disease with mild to severe manifestations. This study aims to determinate the relations of formula feeding with a frequency occurrence of ARI in children aged 1-3 years in sobo community health center Banyuwangi. Methods. The study design was cross sectional, population in this study were all mothers of children aged 1-3 years who were given formula milk are visiting in Sobo community health center Banyuwangi using 42 maternal samples with Accidental sampling method.  Results. test showed values 0,000 < α (0,05) it can be concluded alternative hypothesis accepted and hypothes 0 rejected, it means there is a relationship between formula feeding with a frequency occurance of ARI in children aged 1-3 years in Sobo community health center Banyuwangi. Conclusion. The result of this study can be concluded that the factor causing respiratory infection or ARI is formula feeding, toodlers were are given formula milk will be easier exposed ARI. Sobo community health center Banyuwangi expected to improve public health services, for example by providing health education on the impact of formula feeding.


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