scholarly journals Characterization and distribution of medicine vendors in 2 states in Nigeria: implications for scaling health workforce and family planning services

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Babajide Oluseyi Daini ◽  
Emeka Okafor ◽  
Sikiru Baruwa ◽  
Oluwafunmito Adeyanju ◽  
Rodio Diallo ◽  
...  
Keyword(s):  
Family Planning ◽  
Health Services ◽  
Medical Training ◽  
Health Workers ◽  
Bivariate Analysis ◽  
Regulatory Body ◽  
Drug Markets ◽  
Chi Square ◽  
Facility Assessment ◽  
Chi Square Test

Abstract Background In 2014, Nigeria issued the task-shifting/sharing policy for essential health services, which aimed to fill the human resource gap and improve the delivery of health services across the country. This study focuses on the characteristics, spread, and family planning (FP) stocking practices of medicine vendors in Lagos and Kaduna, assessing the influence of medical training on the provision and stocking of FP services and commodities by vendors. Methods We conducted a census of all Patent Medicines stores (PMS) followed up with a facility assessment among 10% of the mapped shops, utilizing an interviewer-administered questionnaire. Bivariate analysis was conducted using the Chi-square test, and multiple logistic regression was used to estimate the adjusted odds ratio (OR) and confidence intervals (CI) for the test of significance in the study. Results A total of 8318 medicine shops were enumerated (76.2% urban). There were 39 shops per 100,000 population in both states on average. About half (50.9%) were manned by a medicine vendor without assistance, 25.7% claimed to provide FP services to > 2 clients per week, and 11.4% were not registered with the regulatory body or any professional association. Also, 28.2% of vendors reported formal medical training, with 56.3% of these medically trained vendors relatively new in the business, opening within the last 5 years. Vendors utilized open drug markets as the major source of supply for FP products. Medical training significantly increased the stocking of FP products and inhibited utilization of open drug markets. Conclusion Patent and Proprietary Medicines Vendor (PPMVs) have continued to grow progressively in the last 5 years, becoming the most proximal health facility for potential clients for different health services (especially FP services) across both Northern and Southern Nigeria, now comprising a considerable mass of medically trained personnel, able to deliver high-quality health services and complement existing healthcare infrastructure, if trained. However, restrictions on services within the PPMV premise and lack of access to quality drugs and commodities have resulted in poor practices among PPMVs. There is therefore a need to identify, train, and provide innovative means of improving access to quality-assured products for this group of health workers.

scholarly journals Characterization and Distribution of Medicine Vendors in Nigeria: A study of Lagos and Kaduna States.

2020 ◽  
Author(s):  
Babajide Oluseyi Daini ◽  
Emeka Okafor ◽  
Sikiru Baruwa ◽  
Oluwafunmito Adeyanju ◽  
Jennifer Anyanti
Keyword(s):  
Health Services ◽  
Health Workers ◽  
Trade Association ◽  
Bivariate Analysis ◽  
Regulatory Body ◽  
Drug Markets ◽  
Chi Square ◽  
Health Training ◽  
Study Results ◽  
Quality Health

Abstract Background In 2014, Nigeria issued the task-shifting/sharing policy for essential health services, which aimed to fill the human resource gap and improve the delivery of health services across the country. This study focuses on the characteristics, spread, and Family planning (FP) stocking practices of medicine vendors in Lagos and Kaduna, assessing the influence of health training on the provision and stocking of FP services and commodities by vendors. Methods We conducted a census of all patent and proprietary medicine vendor (PPMV) shops and followed up with a facility assessment among 10% of the mapped shops; utilizing an interviewer-administered questionnaire. Bivariate analysis was conducted using the chi-square test, and multiple logistic regression was used to estimate the adjusted odds ratio (OR) and confidence intervals (C.I) for the test of significance in the study. Results 8,318 medicine shops were censused (76.2% Urban). There were 39 shops per 100,000 population in both states on average. About half (50.9%) were manned by a medicine vendor without assistance, 25.7% claimed to provide FP services to > 2 clients per week, and 11.4% were not registered with the regulatory body or any trade association. Also, 28.2% of vendors reported formal health training; with 56.3% of these health trained vendors relatively new in the business, opening within the last five years. Vendors utilized open drug markets as the major source of supply for FP products. Health training significantly increased the stocking of FP products and inhibited the utilization of open drug markets. Conclusion PPMVs have continued to grow progressively in the last five years, becoming the most proximal health facility for potential clients for different health services (especially FP services) across both Northern and Southern Nigeria. Now comprised of a considerable mass of health trained personnel, able to deliver high-quality health services and complement existing healthcare infrastructure, if trained. However, restrictions on services within the PPMV shop and lack of access to quality health commodities and consumables have resulted in poor practices among PPMVs. There is therefore a need to identify, train, and provide innovative means of improving access to quality-assured products for this group of health workers.

scholarly journals Responsiveness in Family Planning Service Using Android-Based Smart Contraception Application

2019 ◽  
Vol 11 (9) ◽  
pp. 86
Author(s):  
Andi Syarifah Irmadani ◽  
Werna Nontji ◽  
Syafruddin Syarif ◽  
Mardiana Ahmad ◽  
Suryani Asad ◽  
...  
Keyword(s):  
Family Planning ◽  
Conventional Method ◽  
Health Workers ◽  
Comparative Method ◽  
Univariate Analysis ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Chi Square Test

Introduction: Midwifery documentation is a process of recording, reporting, and storing the information or meaningful data which based on the accurate and complete written communication. The documentation is an evidence of the implementation of midwifery care which is useful for midwives, patients, and other health workers. Materials and Methods: The study employed comparative method with quasi-experiment design. By employing purposive sampling technique, 84 acceptors of family planning were chosen. Moreover, they were divided into two groups; 42 acceptors who used conventional documentation and 42 acceptors who used Smart Contraception documentation. The data were analyzed by using Univariate analysis to find out the mean and Bivariate analysis by using Chi-square test. Results: From 29 out of 42 (69%) samples, it was found that the accessibility of documentation by using Smart Contraception was easier than using conventional method, meanwhile 13 out of 42 (31%) samples found it difficult. In conventional method, 23 out of 42 (54,8%) samples found it easier in documenting by using conventional method than using Smart Contraception application, meanwhile 19 out of 42 samples found it difficult. The statistical result showed that p value 0.006 (<0.05) which means that there was difference between the use of Smart Contraception application and conventional method in doing documentation. Conclusion: Based on the results of the study, it can be concluded that Smart Contraception was better on documentation accessibility than conventional documentation.

scholarly journals The level of satisfaction of primary health services evaluation about Syrian women refugees who took refuge in the town Bucak

2017 ◽  
Vol 14 (2) ◽  
Author(s):  
Mümin Polat ◽  
Gülcihan Aybike Dilek ◽  
Canan Demir Barutcu ◽  
Serkan Köksoy
Keyword(s):  
Family Planning ◽  
Health Services ◽  
Women Refugees ◽  
Chi Square ◽  
Basic Health ◽  
Number Of Children ◽  
Level Of Satisfaction ◽  
Chi Square Test ◽  
Services Evaluation ◽  
The Town

This study, women who took refuge in the Syrian town of Bucak in order to investigate satisfaction to basic health services by women and 43 is performed. The participants ' socioeconomic status, number of children and birth hospital were assessed with the questionnaire created by the researchers to assess the service questions. The number of data in statistical analysis percentage and Chi square test was used. The average age of women who participated in the research 43 30.19 ± 3.12 were found. 34 women (74.4 %) hospital conditions described as good. 22 women in terms of the provision of health services (52.2 %) stated he didn't see a difference between Syria and Turkey. The supply of the drug in 30 women (69.8 %) expressed in the form of comfortable, I can assure you. The average number of children was 2.7 (max:7) as were found. In our country the number of the mother who gave birth 38 (88.4 %). Women 26 (60.4 %) are not using any family planning method. Their children have not been immunised mother, who had number 5 (11.6 %). Women 97% of the country has stated that he wants to return to. The study found that refugees are lacking in receiving basic health services. Refugees' family planning, vaccination implementation deficiencies need to be addressed. It is thought that the attitudes of mothers who have not vaccinated in order to prevent infectious diseases should be changed.

scholarly journals HUBUNGAN PREEKLAMSIA DENGAN KEJADIAN BERAT BADAN LAHIR RENDAH

2021 ◽  
Vol 5 (1) ◽  
pp. 139-145
Author(s):  
Mika Oktarina ◽  
Tria Nopi Herdiani ◽  
Ida Rahmawati ◽  
Ratna Susanti
Keyword(s):  
Birth Weight ◽  
Health Workers ◽  
Secondary Data ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Normal Birth ◽  
Contingency Coefficient ◽  
Chi Square Test

Preeclampsia and eclampsia is a complication in the labor process whose incidence is always high. The purpose of this study was to study the relationship between Birth Weight and the incidence of preeclampsia in RSUD dr. M. Yunus, Bengkulu city in 2017. The type of research used in this study is Survey Analytic using the Cross Sectional method. The population in this study was overall in the hospital of Dr. M. Yunus City of Bengkulu in January to December in 2017 which is 362 babies. The sampling technique in this study was 78 proportional sampling. The data used is secondary data obtained from the patient register at Dr. M Yunus Hospital in Bengkulu. Data were analyzed using univariate and bivariate analysis with Chi-Square test (2) and Contingency Coefficient (C) test. The results obtained: Of the 78 newborns sampled there were 60 infants (76.9%) normal birth weight, 55 people (70.5%) did not experience preeclampsia, there was a significant relationship between preeclampsia and low infant weight in RSUD dr. M. Yunus Bengkulu in the tight category. It is expected that health workers can maintain and improve the quality of their abilities and skills to deal with babies with low birth weight born by preeclampsia patients or other patients.

scholarly journals Hubungan Tingkat Pengetahuan Akseptor Keluarga Berencana dan Peran Tenaga Kesehatan dengan Minat Penggunaan Kontrasepsi Jangka Panjang (MKJP)

2019 ◽  
Vol 1 (1) ◽  
pp. 1-7
Author(s):  
Maria T. E. Koba ◽  
Frans G. Mado ◽  
Yoseph Kenjam
Keyword(s):  
Family Planning ◽  
Health Center ◽  
Health Workers ◽  
Simple Random Sampling ◽  
Bivariate Analysis ◽  
P Value ◽  
Childbearing Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Husband Support

Family planning aims at reducing maternal mortality rates and reducing population growth rate with the main target of couples of childbearing age. One of the family planning options offered is long-term reversible contraceptive method (MKJP). The purpose of this study was to determine the factors associated with interest in using MKJP in the work area of Camplong health center, Fatuleu sub-district, Kupang regency in 2018. The research was quantitive study with cross-sectional approach. The sample of 77 people was selected using simple random sampling. The instrument uses was a questionnaire. Data analysis techniques consisted of descriptive and bivariate analysis (chi-square test) with α= 0,05. The study indicated that knowledge (p-value= 0,09) and the role of health workers (p-value =0,001) were associated with the use of the MKJP while attitude (p-value = 0,765) and husband support (p-value = 0,131) had no relationship with MKJP. Health center needs to regularly provide information to the community about the advantages of MKJP especially for couples of childbearing age who have already had more than three children.

scholarly journals Dukungan Keluarga dan Petugas Kesehatan Berhubungan dengan Pemberian ASI Eksklusif

2021 ◽  
Vol 3 (3) ◽  
pp. 119-128
Author(s):  
Monika Eksadela ◽  
Muhammad Syukri ◽  
Adelina Fitri
Keyword(s):  
Health Center ◽  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Interview Method ◽  
Chi Square Test ◽  
Cross Sectional Design

Background: The coverage of exclusive breastfeeding in Hiang Health Center Working Area in 2019 was 49.1%. Purpose: This study aimed to determine the relationship between family and health worker support with exclusive breastfeeding at the Hiang Health Center, Kerinci Regency Methods: This study used a cross-sectional design with a sample of 165 people. Samples were taken using proportional random sampling technique. The samples taken were mothers who had children aged 6-23 months with the mother's condition physically healthy, able to read, write and speak Indonesian, did not suffer from serious diseases that harm the baby when breastfeeding, such as HIV, Active TB, and Hepatitis. Data collection was carried out from April to May 2021 with the interview method using a structured questionnaire. Data processing was carried out univariate and bivariate using chi-square test. Results: The proportion of children who did not get exclusive breastfeeding was 45.5%. Bivariate analysis showed that family support (p=0.004 OR= 1.68 95%CI 1.2-2.3), and support from health workers (p=0.000 OR=2.42 95% CI 1.73 - 3.37) were associated with exclusive breastfeeding. Conclusion: Family and the health workers support were associated with exclusive breastfeeding.

HUBUNGAN LAMA PEMAKAIAN KB AKDR DENGAN KEJADIAN LEUKOREA DI PUSKESMAS SOSIAL PALEMBANG TAHUN 2016

2019 ◽  
Vol 6 (2) ◽  
Author(s):  
Bina Aquari, Yuhemy Zurizah Bina Aquari, Yuhemy Zurizah
Keyword(s):  
Family Planning ◽  
Health Workers ◽  
Sampling Technique ◽  
Planning Method ◽  
Family Planning Method ◽  
P Value ◽  
Small Object ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

    a B S T R A k         AKDR merupakan suatu benda kecil yang terbuat dari plastik yang lentur, mempunyai lilitan tembaga  atau mengandung hormon yang dimasukkan ke dalam vagina dan mempunyai benang. Pada 3 bulan setelah  pemasangan.ada keluhan leukorea. Leukorea merupakan cairan yang keluar dari dalam vagina selain berupa darah. Tujuan penelitian ini adalah  mengetahui Hubungan lama pemakaian KB AKDR dengan kejadian Leukorea di Puskesmas Sosial Palembang. Desain penelitian ini adalah deskriptif korelasi dengan pendekatan cross-sectional.  Teknik pengambilan sampel menggunakan total populasi yaitu ibu yang KB AKDR dengan lama pemakaian ≤ 3 bulan dan > 3 bulan yang berjumlah 56 orang. Teknik pengumpulan data menggunakan kuesioner. Analisa data menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa  mayoritas  ibu lama  menggunakan  KB AKDR  > 3 bulan adalah mengalami Leukorea fisiologis (58,1%). Hasil perhitungan dengan menggunakan Chi-Square diperoleh P value 0,009 dimana (0,010 < 0,05) yang berarti ada hubungan lama pemakaian KB AKDR dengan kejadian Leukorea. Ibu atau akseptor KB  lebih baik memperhatikan efek samping sebelum memutuskan untuk memilih KB agar tidak mempunyai efek yang bisa merugikan kesehatannya. Selain itu, petugas kesehatan terutama bidan juga tetap waspada dalam memberikan pelayanan khususnya tentang KB harus memperhatikan dampak yang akan muncul bagi akseptor, bila terjadi suatu yang merugikan bagi pasien maka mencarikan solusi yang tepat.  Dapat menjadi acuan yang bermanfaat bagi penelitian selanjutnya yang berkaitan dengan lama pemakaian KB AKDR dengan kejadian Leukorea.       ABSTRACT Labor AKDR is a small object made ​​of flexible plastic, has a coil of copper or contains hormones that is inserted into the vagina and have a yarn. In 3 months after inserted the complaint of leucorrhea incidence. Leucorrhea is a vaginal discharge other than blood. The purpose of this study was to determine the association between duration in using AKDR and leucorrhea incidence at Sosial Health Center Palembang. The study used descriptive correlation design with cross-sectional approach. The sampling technique used total population of mothers who become family planning acceptors by AKDR method with duration of use ≤ 3 months and > 3 months, as many as 56 people. Data collection used questionnaire technique. And the data analyzed by using Chi-Square test. The results of study indicated that the majority of women have long duration in using family planning of AKDR method for more than 3 months had experiencing physiological leukorea (58.1%). By Chi-Square test obtained p value 0.009 (p<0.05), which means there was a correlation of duration in using AKDR and the leucorrhea incidence. The mother or family planning acceptors better to pay attention to its side effects before deciding to choose family planning method in order to have not an effect that could harm their health. In addition, health workers, especially midwives must be vigilant in providing their services particularly in family planning method and should pay attention to the potential impacts for the acceptor. If there is a disservice to patients then find the right solution. This study can be a useful reference for further researchers in making a research to correlate the duration in using AKDR with leukorea.    

scholarly journals Effect of Reward System on Male Participation in Surgical Contraceptive Method

2019 ◽  
Vol 3 (2) ◽  
pp. 90
Author(s):  
Suwarsi Suwarsi ◽  
Casnuri Casnuri ◽  
Fika Lilik Indrawati ◽  
Merita Eka Rahmuniyati
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Reward System ◽  
Total Sample ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Reward Program ◽  
Relationship Of

Introduction: The participation of men in the surgical contraceptive method (MOP) has not increased even though in some regencies or cities in Indonesia. There has been a reward program for men who want to join the MOP. This study was to determine the relationship of interest with the reward system for prospective MOP acceptors. Methods: Quantitative study with observational analytic approach, cross-sectional time design with two groups. The total sample of 60 men was taken by purposive sampling according to the inclusion criteria. Data is taken through a measuring instrument in the form of a questionnaire.  Bivariate analysis with chi-square test. Results: Respondents 'interest in family planning MOP in no system reward was mostly low at 21 people (70%), while the respondents' interest in family planning MOP in system reward was mostly good at 18 people (60%). There is no difference in interest in prospective MOP family planning acceptors between Districts with reward system and without reward system. There is a correlation between interest and reward (p = 0.007) in the Regency with reward and without reward system. Conclusions: There is no difference in interest between candidates for Family Planning MOP acceptors between reward and without reward system.

scholarly journals HUBUNGAN PERANAN KEPEMIMPINAN DENGAN DISIPLIN KERJA TENAGA KESEHATAN DI UPT PUSKESMAS PADANG BULAN TAHUN 2019

2019 ◽  
Vol 2 (1) ◽  
pp. 17-25
Author(s):  
Pinta Alfiani Telaumbanua ◽  
Rapael Ginting
Keyword(s):  
Health Center ◽  
Significant Relationship ◽  
Health Workers ◽  
Survey Method ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Discipline is a matter that becomes a benchmark to find out whether the overall role of the leader can be carried out properly or not. Discipline must be upheld in an organization, without the support of the discipline of health workers it is difficult to realize its goals, so discipline is the key to the success of an organization in achieving its goals. This type of research uses analytic survey method with cross sectional design, to explain the relationship between the role of leadership and work discipline at UPT Puskesmas Padang Bulan. With a total of 48 respondents, the total sampling technique is to make the entire population into the study sample. The results of bivariate analysis using the Chi-Square Test obtained p value = 0.004 (p value <0.05), meaning Ha was accepted and Ho was rejected, which means there was a significant relationship between communication with the workforce health discipline at the Padang Bulan Health Center UPT 2019. The results of bivariate analysis using the Chi-Square Test obtained p value = 0.001 (p value <0.05), meaning that Ha is accepted and Ho is rejected, which means there is a significant relationship between Direction and Guidance with the discipline of health workforce at UPT Padang Bulan Health Center in 2019. It is hoped that leaders will improve communication, direction and guidance for health workers to create a condition of good work discipline.

scholarly journals Pengetahuan Dan Dukungan Suami Dalam Penggunaan KB Suntik

2020 ◽  
Vol 7 (2) ◽  
pp. 149-153
Author(s):  
Nurmaliza Ema ◽  
Wiwi Sartika ◽  
Siti Qomariah
Keyword(s):  
Family Planning ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
P Value ◽  
World Population ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Cross Sectional Design ◽  
Husband Support

The use of contraceptives is one way to control the population explosion. It is estimated that in 2013 the world population growth acceleration will experience a higher increase. In 2025 the world's population will increase to 8.1 billion, and will continue to grow in 2050 to become 9.6 billion. This study aimed to see the relationship between knowledge and support from husbands in the use of injection family planning at the Afiyah Pratama Clinic. This research method with analytic survey using cross sectional design. It will be held on December 1 to 31 2019 at the Afiyah Pratama Clinic. With the population, namely family planning acceptors who visited dikilinik with a total of 57 respondents. The sampling technique was using Accidental Sampling. The research instrument used was a questionnaire. Data processing procedures include Editing, Coding, Processing, Cleaning. The analysis used was univariate, bivariate and multivariate. Bivariate analysis using the chi-square test with a confidence level of 95%. From the research results, it was found that the knowledge obtained p-value = .002, while husband's support was p-value = .000. So it can be concluded that the husband's knowledge and support greatly influence the use of contraceptives.   Keywords: Knowledge, Husband Support, KB injection ABSTRAK   Penggunaan alat kontrasepsi merupakan salah satu cara untuk mengendalikan ledakan penduduk. Diperkirakan pada tahun 2013  percepatan pertumbuhan penduduk di dunia mengalami peningkatan lebih tinggi. Pada tahun 2025 penduduk dunia akan naik menjadi 8,1 miliar , dan akan terus berkembang pada tahun 2050 menjadi 9,6 miliar. Penelitian ini bertujuan untuk melihat hubungan pengetahuan dan dukungan suami dalam penggunaaan KB Suntik di Klinik Pratama Afiyah. Metode penelitian ini dengan survey analitik menggunakan  design cross sectional. Pelaksanaannya pada tanggal 01 sampai 31 Desember 2019 di Klinik Pratama Afiyah. Dengan populasi yaitu ibu aseptor KB yang berkunjung dikilinik dengan jumlah 57 responden. Tehnik pengambilan sampel dengan Accidental Sampling. Instrument penelitian yang digunakan adalah kuesioner. Prosedur pengolaan data dengan Editing, Coding, Processing, Cleaning.  Analisis yang digunakan secara univariat, bivariate dan multivariate. Analisa Bivariat menggunakan  uji  chi-square dengan tingkat kepercayaan 95%. Dari hasil penelitian didapatkan bahwa pengetahuan didapatkan nilai p-value=.002, sedangkan dukungan suami p-value=.000. Jadi dapat disimpulkan bahwa pengetahuan dan dukungan suami sangat mempengaruhi dalam penggunaan kontrasepsi KB. Kata Kunci: Pengetahuan, Dukungan Suami,  KB suntik..

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