scholarly journals The Use of Community Health Workers in Community Health Centers

Medical Care ◽  
2021 ◽  
Vol 59 (Suppl 5) ◽  
pp. S457-S462
Author(s):  
Jeongyoung Park ◽  
Marsha Regenstein ◽  
Nicholas Chong ◽  
Chinelo L. Onyilofor
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Community Health Centers ◽  
Health Workers ◽  
Health Centers

Coping mechanisms among health workers in community health centers

2020 ◽  
Vol 30 ◽  
pp. 122-125
Author(s):  
Hasniati ◽  
Badu Ahmad ◽  
Andi Ahmad Yani ◽  
Nur Indrayanti Nur Indar ◽  
Atta Irene Allorante ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Centers ◽  
Health Workers ◽  
Coping Mechanisms ◽  
Health Centers

Stock-Outs of Essential Medicines Among Community Health Workers (CHWs) In Low- And Middle-Income Countries (LMICs): A Systematic Literature Review of The Extent, Reasons, And Consequences

2021 ◽  
Author(s):  
Abimbola Olaniran ◽  
Jane Briggs ◽  
Ami Pradhan ◽  
Erin Bogue ◽  
Benjamin Schreiber ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Grey Literature ◽  
Community Level ◽  
Health Centers ◽  
Essential Medicines ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Abstract Background: This paper explores the extent of community-level stock-out of essential medicines among Community Health Workers (CHWs) in Low- and Middle-Income Countries (LMICs) and identifies the reasons for and consequences of essential medicine stock-outs. Methods: A systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted. Five electronic databases were searched with a prespecified strategy and the grey literature examined, January 2006 - March 2021. Papers containing information on (i) the percentage of CHWs stocked out or (ii) reasons for stock-outs along the supply chain and consequences of stock-out were included and appraised for risk of bias. Outcomes were quantitative data on the extent of stock-out, summarized using descriptive statistics, and qualitative data regarding reasons for and consequences of stock-outs, analyzed using thematic content analysis and narrative synthesis. Results: Two reviewers screened 1083 records; 78 evaluations were included. Over the last fifteen years, CHWs experienced stock-outs of essential medicines nearly one third of the time and at a significantly (p < 0.01) higher rate than the health centers to which they are affiliated (28.93% [CI 95%: 28.79 - 29.07] vs 9.17 % [CI 95%: 8.64 - 9.70], respectively). A comparison of the period 2006-2015 and 2016-2021 showed a significant (p < 0.01) increase in CHW stock-out level from 26.36% [CI 95%: 26.22 -26.50] to 48.65% [CI 95%: 48.02- 49.28] while that of health centers increased from 7.79% [95% CI: 7.16 - 8.42] to 14.28% [95% CI: 11.22- 17.34]. Distribution barriers were the most cited reasons for stock-outs. Ultimately, patients were the most affected: stock-outs resulted in out-of-pocket expenses to buy unavailable medicines, poor adherence to medicine regimes, dissatisfaction, and low service utilization. Conclusion: Community-level stock-out of essential medicines constitutes a serious threat to achieving universal health coverage and equitable improvement of health outcomes. This paper suggests stock-outs are getting worse, and that there are particular barriers at the last mile. There is an urgent need to address the health and non-health system constraints that prevent the essential medicines procured for LMICs by international and national stakeholders from reaching the people who need them the most.

scholarly journals An assessment of mental health programs at community health centers in north Minahasa, Indonesia

2021 ◽  
Vol 8 (12) ◽  
pp. 5707
Author(s):  
Jessica Gloria Mogi ◽  
Gustaaf A. E. Ratag
Keyword(s):  
Mental Health ◽  
Community Health ◽  
Community Health Centers ◽  
Supported Employment ◽  
Health Workers ◽  
Health Facilities ◽  
Health Centers ◽  
Healthcare Facilities ◽  
Family Approach ◽  
Mental Health Programs

Background: The Indonesian government recognizes the importance of mental health issues as indicated by the inclusion of such issues as indicators in the national program, the Healthy Indonesian Program with Family Approach (PIS-PK). This program is enforced in community health centers (puskesmas) in every regency in the country. However, the continually increasing number of mental disorder cases and the intense stigmatization of people with these disorders indicate the need to re-evaluate the capacity and delivery of designated centers’ mental health programs.Methods: This community survey involved interviewing the program directors of four community health centers in north Minahasa using the WHO-AIMS 2.2 questionnaire.Results: Very little effort has been made to improve mental health facilities and programs. Examples of aspects of health facilities that are lacking include training for health workers, the provision of psychotropic drugs, and supported employment or occupational rehabilitation.Conclusions: Community health centers are primary healthcare facilities for society. Therefore, mental health services should be implemented as one of their main programs.

Impact of a tobacco cessation intervention on adherence to tobacco use treatment guidelines among village health workers in Vietnam

2019 ◽  
Vol 27 (3) ◽  
pp. 24-33
Author(s):  
Nam Nguyen ◽  
Trang Nguyen ◽  
Van Truong ◽  
Kim Dang ◽  
Nina Siman ◽  
...  
Keyword(s):  
Community Health ◽  
Tobacco Use ◽  
Self Efficacy ◽  
Community Health Centers ◽  
Treatment Guidelines ◽  
Health Workers ◽  
Health Centers ◽  
Care Providers ◽  
Village Health Workers ◽  
Village Health

Community health workers (in Vietnam referred to as village health workers) have the potential to play a key role in expanding access to evidence-based tobacco use treatment. We conducted a cluster randomized controlled trial in community health centers in Vietnam that compared the effect of provider advice and cessation assistance (i.e. brief counseling and patient education materials) (BC) vs. BC + three sessions of in-person counseling delivered by a village health worker (BC+R) on providers’ and village health workers’ adherence to tobacco use treatment guidelines. All village health workers and health care providers received training. This paper presents data on the effect of the intervention on village health workers’ adherence to tobacco use treatment guidelines, including asking about tobacco use, advising smokers to quit, offering assistance and their attitude, norms, and self-efficacy related to tobacco use treatment. We examined changes in adherence to tobacco use treatment guidelines before and 12 months after the intervention among 89 village health workers working in the 13 community health centers enrolled in the BC+R study condition. Village health workers’ adherence to tobacco use treatment guidelines increased significantly. Village health workers were more likely to ask about tobacco use (3.4% at baseline, 32.6% at 12 months), offer advice to quit (4.5% to 48.3%) and offer assistance (1.1% to 38.2%). Perceived barriers to treating tobacco use decreased significantly. Self-efficacy and attitudes towards treating tobacco use improved significantly. Increased adherence to tobacco use treatment guidelines was associated with positive attitudes towards their role in delivering tobacco use treatment and increasing awareness of the community health center smoke-free policy. The findings suggest that, with training and support systems, village health workers can extend their role to include smoking cessation services. This workforce could represent a sustainable resource for supporting smokers who wish to quit.

scholarly journals Factors Affecting the Performance of Health Workers at the Community Health Centers in Klaten, Central Java

2020 ◽  
Author(s):  
Nia Handayani ◽  
◽  
Didik Gunawan Tamtomo ◽  
Bhisma Murti ◽  
◽  
...  
Keyword(s):  
Community Health ◽  
Leadership Style ◽  
Work Stress ◽  
Community Health Centers ◽  
Work Performance ◽  
Health Workers ◽  
Health Centers ◽  
Factors Affecting ◽  
Democratic Leadership ◽  
Central Java

ABSTRACT Background: Stress is unavoidable on workplaces, employees who feel stress are more likely to be less motivated, less satisfied, show poor performance, and less productivity. The purpose of this study was to examine factors affecting the performance of health workers at the community health centers in Klaten, Central Java. Subjects and Method: A cross sectional study was conducted at community health centers in Klaten, Central Java, from November to December 2019. A sample of 200 health workers was selected by stratified random sampling. The dependent variable was work performance. The independent variables were work stress, education, tenure, leadership style, and type of work. The data were collected by questionnaire and analyzed by a multiple logistic regression run on Stata 13. Results: Health workers performance increased with democratic leadership style (b= 1.40; 95% CI= 0.44 to 2.36; p= 0.004), education (undergraduate and magister) (b= 1.58; 95% CI= 0.65 to 2.52; p= 0.001), tenure ≥6 years (b= 1.72; 95% CI= 0.73 to 2.70; p= 0.001), single job (b= 2.05; 95% CI= 1.07 to 3.03; p<0.001). Health workers performance decreased with high work stress (b= -1.65; 95% CI= -2.58 to -0.72; p= 0.001). Conclusion: Health workers performance increases with democratic leadership style, education, tenure ≥6 years, and single job. Health workers performance decreases with high work stress. Keywords: work performance, heath workers, stress, leadership style Correspondence: Nia Handayani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6282133055176. DOI: https://doi.org/10.26911/the7thicph.04.40

scholarly journals Penerapan Face Shield Bagi Tenaga Medis Untuk Menangani Pasien Covid-19 di Kota Batu Jawa Timur

2021 ◽  
Vol 2 (1) ◽  
pp. 1-6
Author(s):  
Mochamad Arif Irfai1 ◽  
Muchlis Arif ◽  
Nova Kristiana ◽  
I Made Arsana4
Keyword(s):  
Community Health ◽  
Community Health Centers ◽  
Health Workers ◽  
Medical Personnel ◽  
Health Facilities ◽  
Health Centers ◽  
Referral Hospitals ◽  
The Government ◽  
Activity Questionnaires ◽  
Helmet Design

The purpose of this activity is to assist the government in providing and distributing face shields for medical personnel at referral hospitals to treat covid-19 patients. At first we analyzed the problems with partners (hospitals and community health centers). The results of the analysis show that hospitals and health centers lack a helmet-face shield for medical personnel to treat covid-19 patients. Based on the results of discussions and requests from the partner. Then the design is carried out to manufacture a helmet-face shield. There are 2 PPE made, The first type is only a face shield and the second type is obtained a helmet design that is equipped with a face shield or can be called a helmet-face shield. At the end of the activity, questionnaires were distributed to respondents consisting of doctors, nurses and other medical personnel. Respondents were selected randomly in health facilities in Batu, East Java. The response from medical personnel has generally been positive. This can be seen from the questionnaires distributed to respondents. More than 90% of the results of the questionnaire stated that helmet-face shield and face shield products could be accepted by health workers.

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