scholarly journals P.3.11 Implementation of community-based occupational health programs for informal workers in indonesia

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A99.2-A99
Author(s):  
Astri Ferdiana ◽  
Fahmi Baiquni ◽  
Dhiya Ur Rahman ◽  
Awalia Febriana ◽  
Siti Solikhah ◽  
...  
Keyword(s):  
Occupational Health ◽  
Rural Areas ◽  
Social Protection ◽  
Health Workers ◽  
Group Discussion ◽  
District Health ◽  
Community Based ◽  
Informal Workers ◽  
Program Managers ◽  
Occupational Risks

Informal workers account for 60% of workforce in Indonesia. Most do not have access to occupational health and safety (OHS) services. The study aims to explore the implementation of community-based OHS program consisting of OHS post and cadres (referred to as UKK program) among informal workers in rural areas in Indonesia. This study was an implementation research using focus group discussion (FGDs) and key informant interviews (KIIs) to workers, primary health care (PHC) staff, and provincial and district program managers. Thematic analysis was used to identify barriers and enablers of UKK implementation at intrapersonal, interpersonal, community, organizational and policy level.A total of 10 FGDs with informal workers from different areas of occupation, two FGDs with PHC staff and 6 KIIs with program managers were conducted. Informal workers faced various occupational risks yet personal protective equipment were rarely available or used. OHS was perceived as important, however, participation in UKK was low because of lack of time and information. There was lack of workers empowerment, resulting in top-down planning of activities by PHC. Informal workers expected PHC health workers to provide OHS services rather than UKK cadres. Not all PHCs have implemented UKK. Few programmers were trained on OHS. The program was assigned low priority and resource allocation by PHC and District Health Office. The absence of OHS regulation for informal workers offered little incentive for government departments to implement OHS programs and services for informal workers.Informal workers had unmet needs of OHS. Substantial efforts are needed to implement UKK, especially investment in financial and human resources. UKK establishment should be focused at workplace with the highest occupational risks. Technical capacity of programmers responsible for health promotion and OHS should be improved. Local policy on social protection and OHS services for informal workers should be developed.

scholarly journals The occurrence of occupational health hazards in districts health facilities in Kigali, Rwanda

2017 ◽  
Vol 5 (1) ◽  
pp. 21 ◽  
Author(s):  
Chinenye Mercy Nwankwo ◽  
Simon Karanja ◽  
Hilda Vasanthakaalam
Keyword(s):  
Occupational Health ◽  
Healthcare Workers ◽  
Health Workers ◽  
Group Discussion ◽  
Health And Safety ◽  
Health Facilities ◽  
Health Hazards ◽  
Policy Enforcement ◽  
District Health ◽  
Cross Sectional

Background: Health workers are constantly exposed to chemical, physical, psychological and biological agents that affect their health. Regular information is critical for setting priorities necessary to enhance workers health and safety. The study determined the occurrence of occupational health hazards among health care worker in the three selected district health facilities in Kigali, Rwanda (July-December 2016).Methods: It adopted a cross-sectional design involving both qualitative and quantitative data collection approaches. A total of 249 healthcare workers were selected systematically for interviewing. Data were collected using semi structured questionnaires, a focus group discussion guide and an observational checklist. Data analysis involves descriptive and inferential statistics. The observed differences in the parameter of estimate were considered significantly different at p<0.05.Results: Back-ache and accidents experienced while working contributed majority of occupational hazards, thus; 151 (60.6%, 95% CI=54.28–66.75) and 139 (55.8%, 95% CI=49.42–62.09), respectively. Health hazards from violence and molestation contributed 8 (3.2%, 95% CI=01.39–6.23) of the cases, furthermore, lack of hospital management commitment to policy, poor policy enforcement, health facility safety activities, employees’ participation in safety programs and post exposure compliance were associated with occurrence occupational hazard among healthcare workers (p<0.05). Qualitatively, the process of waste collection, sorting, marking, storage and transportation were not in line with policy regulations and contributed further to the hazard cases.Conclusions: Finally, direct job supervision, proper job placement, training and effective safety communication and reporting can enhance work safety and risk aversion. 

scholarly journals Umbilical cord care through community-based distribution of chlorhexidine in rural Sindh, Pakistan

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Shah ◽  
Q Jamali ◽  
F Aisha
Keyword(s):  
Rural Communities ◽  
Data Collection ◽  
Umbilical Cord ◽  
Rural Areas ◽  
Health Workers ◽  
High Rate ◽  
Cord Care ◽  
Community Based ◽  
Sindh Province ◽  
At Home

Abstract Background Unsafe practices such as cutting umbilical cord with unsterilized instruments and application of harmful substances, are in practice in many rural areas of Pakistan, and associated with high risk of neonatal sepsis and mortality. Methods We conducted an implementation research in 2015 in Tharparkar district, in Sindh province of Pakistan to understand the feasibility and acceptability of community-based distribution of chlorhexidine (CHX) in rural Pakistan. For this cohort group-only study, 225 lady health workers (LHWs) enrolled 495 pregnant women. Enrolled women received 4% CHX gel and user’s instructions for newborn cord care. The LHWs also counseled women on the benefits and correct use of CHX. Study enumerators collected data from CHX receiving women 3 times: at around 2 weeks before delivery, within 24 hours after delivery, and on the 8th day after delivery. We implemented this study jointly in collaboration with Ministry of Health in Sindh province, Pakistan. Results Among enrolled participants, 399 women (81%) received only the first visit, 295 women (60%) received first two visits and 261 women (53%) received all three visits by enumerators. Among 399 women, who received CHX gel, counseling on its use and were respondent to the first round data collection, 78% remembered that the CHX gel to be applied to cord stump and surrounding areas immediately after birth; but less than a third (29%) forgot the need to keep the cord clean and dry. Among 295 respondents in the first two rounds of data collection, who delivered at home, 97% applied CHX to cord stump on the first day. Conclusions Community-based CHX distribution by LHWs, along with counseling to recipient women, resulted in a high rate of cord care with CHX among newborn delivered at home. Results from this study may help program implementers to consider expanding this intervention for improving newborn cord care on the first day of life in Pakistan. Key messages Community-based distribution of chlorhexidine for newborn cord care appears as highly acceptable and feasible in rural communities in Pakistan. Relevant program policy supporting community-based CHX distribution along with counseling by LHW may help expanding coverage of newborn cord care in rural communities in Pakistan.

scholarly journals Implementation of the Zakat Village Index to Support a Zakat Community Development Program in Bedono Village, Demak District

2018 ◽  
Vol 3 (3) ◽  
pp. 25-38
Author(s):  
Farikhatusholikhah . ◽  
Tanti Novianti
Keyword(s):  
Community Development ◽  
Rural Areas ◽  
Group Discussion ◽  
National Level ◽  
Development Program ◽  
Analytical Tool ◽  
Survey Method ◽  
Community Based ◽  
Multi Stage ◽  
To Receive

BAZNAS is the organization that manages zakat on a national level, working toward alleviating poverty in Indonesia through its Zakat Community Development (ZCD) program. The ZCD program focuses on community-based development through the empowerment of the mustahik community living in rural areas. This study aims to measure the level of welfare and determine the eligibility of Bedono Village, Demak District to receive assistance in the form of zakat funds through the ZCD program. This research employed a survey method using interviews and focus group discussion, combined with a questionnaire. The analytical tool used in this analysis is the Multi-Stage Weighted Index. This research reveals the condition of Bedono Village to be “fairly good,” with an index score of 0.49. This means that Bedono Village can be considered for eligibility to receive help in the form of zakat.

scholarly journals Community-Based Stunting Intervention Strategies: Literature Review

2020 ◽  
Vol 8 (2) ◽  
pp. 259
Author(s):  
Lita Heni Kusumawardani ◽  
Rasdiyanah Rasdiyanah ◽  
Utami Rachmawati ◽  
Muhamad Jauhar ◽  
I Gusti Ayu Putu Desy Rohana
Keyword(s):  
Literature Review ◽  
Rural Areas ◽  
Health Workers ◽  
Management Strategies ◽  
Intervention Strategies ◽  
Personal Hygiene ◽  
Community Based ◽  
Normal Children ◽  
Nutritional Interventions ◽  
Attitudes And Practices

Stunting is a growth disorder in children caused by malnutrition for a long time. The child's condition becomes shorter than normal children his age and has a delay in thinking. The incidence of stunting in Indonesia is quite high sostunting is becoming a priority health problem now. An effective strategy is needed to control stunting in Indonesia. The aim of this review was to explore the stunting management strategies to potentially implement in Indonesia.A literature review design was used to explore the stunting management strategies. Literature study of 15 articles retrieved from the journal database of Science Direct, Proquest, Scopus, and EBSCO in the last 5 years using keywords stunting, management, rural areas, and community based. Data were analyzed in tables consist of title, author, year, sample, methodology, and result. Control and preventionstunting could done through integrated nutrition interventions.Strategy Specific nutritional interventions such as providing supplementation and supplementary food plus nutritional interventions including non-health interventions, improving the family's economy, access and utilization of clean water, sanitation (especially latrines and safe septic tanks), which are urgently needed to support personal hygiene behavior and the environment . Interventions can use mother's counseling and support methods regularly by health workers by involving health cadres.Specific and sensitive intervention strategies are effective strategies within stunting control and prevention. Monitoring and evaluation of nutritional knowledge, attitudes and practices coupled with an assessment of the nutritional status and morbidity of mothers and children is also very necessary in controlling and preventing stunting in Indonesia

scholarly journals Health Workers’ Perspectives on Infrastructure to Support Maternal Health Services in Rural Areas of Vietnam

2017 ◽  
Vol 12 (2) ◽  
pp. 55-61
Author(s):  
Thi Hoai Thu Nguyen ◽  
Fiona McDonald ◽  
Andrew Wilson
Keyword(s):  
Primary Care ◽  
Developing Countries ◽  
Maternal Health ◽  
Health Services ◽  
Rural Areas ◽  
Health Workers ◽  
Maternal Health Services ◽  
District Health ◽  
Health Centres ◽  
The Impact

Background: One common governance issue faced by developing countries is the establishment and maintenance of infrastructure to support the delivery of primary health services. This qualitative study explores the perspective of maternal health workers on how infrastructure impacts the provision of maternity services in rural areas in Vietnam. Methods: Forty-one health workers and health managers at the commune, district and provincial levels of the Vietnamese public health system were interviewed. Questions focused on the impact of various organisational factors, including the impact of infrastructure on the performance of the health workforce, which provides publicly funded primary care. All interviews were recorded, transcribed and coded for thematic analysis. Findings: Participants noted that infrastructure directly affected their ability to perform certain tasks and could both directly and indirectly negatively impact their motivation. In general, participants noted a lack of investment in infrastructure for the provision of primary care services in rural areas. They identified that there were deficits in the availability of utilities and the adequacy of facilities. Conclusion: This research contributes to understanding the barriers to the provision of primary care in developing countries and in particular. The current inadequacy of facility buildings and inadequacy of clean water supply are issues for health workers in meeting the technical requirements of the standards as set out in the National Guidelines on reproductive health, and lead to safety concerns for the quality of maternal health services provided in commune health centres and District Health Centres. Abbreviations: CHC – Commune Health Centres; DHC – District Health Centre; HW – Health Worker.

scholarly journals Understanding the Rural–Rural Migration of Health Workers in Two Selected Districts of Tanzania

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Nathanael Sirili ◽  
Daudi Simba
Keyword(s):  
Social Services ◽  
Rural Areas ◽  
Health Workers ◽  
Health Facilities ◽  
Urban Migration ◽  
Rural Migration ◽  
District Health ◽  
Qualitative Approaches ◽  
Rural Urban Migration ◽  
Working And Living Conditions

Globally, rural–urban migration has been the focus in addressing the question of availability of health workers in rural areas. Often, the rural–rural migration of health workers, another important dimension is neglected. This study aimed to analyze the magnitude and the underlying factors for rural–rural migration of health workers in two rural districts of Tanzania. An exploratory comparative cross-sectional study adopting both quantitative and qualitative approaches was carried out in two districts of Kilwa in Lindi region, southern Tanzania, and Rombo in Kilimanjaro region, northern Tanzania. In a quantitative approach, 174 health workers (both clinicians and nonclinicians) filled in a self-administered questionnaire between August 2015 and September 2016. For the qualitative sub-study, 14 key informants that included health facilities in-charges and district health managers from the two districts were interviewed. In addition, three focus group discussions were conducted with members of the health facilities committee, in the two districts. Over 40% of health workers migrated from one workstation to another between 2011 and 2015. Close to 70% of the migrated health workers, migrated within the same districts. The proportion of health workers migrated was higher in Kilwa compared to Rombo. However, the difference was not statistically significant. The major underlying factors for migration in both districts were: Caring for the family and Unfavorable working and living conditions. In Kilwa, unlike Rombo, rejection by the community, superstitious beliefs, and lack of social services, were the other major factors underlying migration of the health workers. While addressing rural–urban migration, attention should be paid also to the rural–rural migration of health workers. Lastly, addressing the migration of health workers is a multi-dimensional issue that needs the engagement of all stakeholders within and beyond the health sector.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) DI DESA KUALU KECAMATAN TAMBANG KAMPAR

2018 ◽  
Vol 8 (2) ◽  
pp. 121-128
Author(s):  
Putri Wulandini S ◽  
Roni Saputra
Keyword(s):  
Rural Areas ◽  
Health Workers ◽  
Sampling Technique ◽  
Complete Information ◽  
Middle Level ◽  
P Value ◽  
District Health ◽  
Healthy Behavior ◽  
The Government

Clean and Healthy Behavior/ PHBS is all health behavior that is done on the basis of awareness so that family members can help themselves in the health field. Health is a treasure that is priceless and to get health is willing to spend excessive funds. Based on the profile of Dinas Kesehatan Provinsi Riau the percentage of PHBS at home is 49,5%. Nevertheless, the implementation of PHBS in Rural areas remains a highlight and an ongoing program for the Government and District Health Offices. The purpose of this study was to find out "Factors Associated With Healthy Behavior Clean and Healthy (Phbs) In Village Kualu Kampar Sub-District ". The type of quantitative research with correlation design, with a population of 350 heads of households, and a sample of 100 people, the sampling technique is Probability Sampling. Data collection using questionnaire. Data analysis was done univariat and bivariate. The result of the research on the knowledge of the respondents about PHBS in the household is good, that is 64% of the education of the majority respondent of middle level (SMA) 59%, the role of health workers in PHBS is less the role that is 54%, the role of public figure is good that is56% PHBS is 51%. Bivariate results obtained pvalue 0.01 educational factors and 0.006 knowledge factor, which means there is a relationship. While the role factor Nakes p value 0.81 and the role of Toma 0.151, which means no relationship. From this research, it is expected that the participation of health personnel to provide complete information through the extension to the community about PHBS in Household.

scholarly journals Intragroup Accounts of Teenage Motherhood: A Community Based Psychological Perspective

1997 ◽  
Vol 27 (4) ◽  
pp. 223-229 ◽  
Author(s):  
Angina Parekh ◽  
Cheryl de la Rey
Keyword(s):  
Peer Relationships ◽  
Adolescent Mothers ◽  
Rural Areas ◽  
Health Workers ◽  
Community Support ◽  
Teenage Mothers ◽  
Life Outcomes ◽  
Community Based ◽  
Teenage Motherhood ◽  
Parent Groups

Using community based and women-centred perspectives, this study explored experiences of unplanned motherhood during adolescence. Ten African teenage mothers from a semi-rural area in KwaZulu-Natal volunteered to meet once a week for eight weeks to discuss their experiences of pregnancy and motherhood. The findings are discussed in the context of the effect of teenage motherhood on self, on family and peer relationships, traditional Zulu customs, and community support. Current relationships with partners and concerns about the future are also reported. The results indicate the need for school-based programmes and parent groups for adolescent mothers that will enhance their ability to examine options with a view to establishing a trajectory towards better life outcomes. Community health workers were also identified as resource personnel for enabling teenage mothers in rural and semi-rural areas to cope with their concerns and develop a way of understanding them.

scholarly journals District health managers perspectives of introducing a new service: a qualitative study of the community-based newborn care programme in Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Della Berhanu ◽  
Iram Hashmi ◽  
Joanna Schellenberg ◽  
Bilal Avan
Keyword(s):  
Qualitative Study ◽  
Health System ◽  
Community Health ◽  
Health Workers ◽  
Newborn Care ◽  
District Level ◽  
District Health ◽  
Community Based ◽  
Care Programme

Abstract Background The planning, resourcing, implementation and monitoring of new programmes by district health managers is integral for success and sustainability. Ethiopia introduced the Community-Based Newborn Care programme in 2014 to improve newborn survival: an innovative component allowed community health workers to provide antibiotics for young infants with possible serious bacterial infection when referral was not possible. Informed by the World Health Organization health system building block framework, we aimed to study the capacity and operational challenges of introducing this new health service from the perspective of programme implementers and managers at the district level 20 months after programme initiation. Methods This qualitative study was part of a programme evaluation. From November to December of 2015, we conducted 28 semi-structured interviews with staff at district health offices, health centres and implementing Non-Governmental Organisations in 15 districts of four regions of Ethiopia. Verbatim transcripts were analysed using a priori and emerging themes. Results In line with the government's commitment to treat sick newborns close to their homes, participants reported that community health workers had been successfully trained to provide injectable antibiotics. However, the Community-Based Newborn Care programme was scaled up without allowing the health system to adapt to programme needs. There were inadequate processes and standards to ensure consistent availability of (1) trained staff for technical supervision, (2) antibiotics and (3) monitoring data specific to the programme. Furthermore, Non-Governmental Organizations played a central implementing role, which had implications for the long-term district level ownership and thus for the sustainability of the programme. Conclusion In settings where sustainable local implementation depends on district-level health teams, new programmes should assess health system preparedness to absorb the service, and plan accordingly. Our findings can inform policy makers and implementers about the pre-conditions for a health system to introduce similar services and maximize long-term success.

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