scholarly journals Cost of provision of essential health Services in Public Health Centers of Jimma zone, Southwest Ethiopia; a provider perspective, the pointer for major area of public expenditure

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Diriba Feyisa ◽  
Kiddus Yitbarek ◽  
Teferi Daba
Keyword(s):  
Public Health ◽  
Health Services ◽  
Annual Cost ◽  
Unit Cost ◽  
Health Centers ◽  
Fiscal Year ◽  
Total Annual Cost ◽  
Jimma Zone ◽  
Cost Center ◽  
Provider Perspective

Abstract Background Provision of up-to-date cost information is crucial for not only addressing knowledge gap on the cost of essential health services (EHS) but also budgeting, allocating adequate resources and improving institutional efficiency at public health centers where basic health services are delivered the most. Objective To analyze the costs of essential health services at public health centers in Jimma Zone. Methods A facility based cross-sectional study was conducted in public health centers of Jimma zone from April 10, 2018 to May 9, 2018. The study was conducted from a provider perspective using retrospective standard costing approach of one fiscal year time horizon. Step-down allocation was used to allocate costs to final services. All costs for provision EHS were taken into account and expressed in United States dollar (USD). Sixteen public health centers located in eight districts were randomly selected for the study. Results The Average annual cost of providing essential health services at health centers in Jimma zone was USD 109,806.03 ± 50,564.9. Most (83.7%) of the total Annual cost was spent on recurrent items. Nearly half (45%) of total annual cost was incurred by personnel followed by drugs and consumables that accounted around one third (29%) of the total Annual cost. Around two third (65.9%) of the total annual cost was incurred for provision of EHS at the final cost center. The average overall unit cost was USD 7.4 per EHS per year. Conclusion Cost providing an EHS at public health centers was low and so, necessitating funding of significant resources to provide standard health care. The variability in unit costs and cost components for EHS also suggest that the potential exists to be more efficient via better use of both human and material resources.

scholarly journals Availability and Utilization of WHO Lifesaving Medicines for Children under Five in Public Health Facilities of the Jimma Zone, South West Ethiopia: A Cross-Sectional Survey

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Tidenek Mulugeta Tujo ◽  
Tadesse Gudeta Gurmu
Keyword(s):  
Public Health ◽  
Health Centers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
The Past ◽  
Jimma Zone ◽  
Almost All ◽  
Medicines For Children

Background. The increased morbidity and mortality rates in children under five in developing countries are mostly attributed to poor availability and failure of prescribing lifesaving medicines. This study was aimed at evaluating the availability and utilization of the WHO-recommended priority lifesaving medicines for children under five in public health facilities. Method. A cross-sectional survey complemented with a qualitative method was conducted in 14 health centers and four hospitals in the Jimma Zone, Ethiopia. In the facilities, we assessed the availability within the last half year and on the day of the visit. Utilization of the medicines was assessed through a review of patient records of the last one year. Twelve in-depth interviews were carried out to collect the qualitative data, and the analysis was executed using thematic analysis. Results. For treatment of pneumonia, amoxicillin dispersible tablets and gentamycin injection were available in 94.4% of the facilities. For treatment of malaria, artemether/lumefantrine was available in 61.1% of the facilities. For pain management, paracetamol tablets were available in 94.4% of the facilities. AZT+3TC+NEV for HIV/AIDS management was available in all facilities. At least one essential medicine was out of stock in the past six months with the average duration of 33.6 days in health centers and 28.25 days in hospitals. Oral rehydration salt and zinc (84.7%) and AZT+3TC+NEV (100%) had better utilization. However, for almost all cases, other nonpriority medicines were highly prescribed. Lack of administrative commitment, supply of near expiry products, complexity of diseases, and lack of customized child formulations were among the challenges of availability and utilization of those medicines. Conclusions. The overall availability of lifesaving medicines on the day of the visit was fairly good but with poor utilization in almost all facilities. Some products were not available for considerable length of time in the past six months.

scholarly journals Patient Intimacy and Innovation Development to Improve Health Service Performance

2018 ◽  
Vol 7 (2.29) ◽  
pp. 338
Author(s):  
Ririn Tri Ratnasari ◽  
Sri Gunawan ◽  
Moh Qudzi Fauzi ◽  
Dina Fitrisia Septiarini
Keyword(s):  
Public Health ◽  
Social Interaction ◽  
Health Service ◽  
Health Services ◽  
Sampling Technique ◽  
Partial Least Square ◽  
Least Square ◽  
Health Centers ◽  
Innovation Development ◽  
The Impact

This study aim to determine the impact of patient intimacy and developing innovations to improve the performance of health services in public health centers which ISO certified in Surabaya. This research was conducted with a quantitative approach survey to patients who are on treatment or health check at public health center. The sampling technique is simple random sampling. Furthermore, the data were processed using partial least square. Result from this study are first, communicaton, social interaction, and compromise as part of a patient intimacy significantly affect the performance of health service in health centers which certified by ISO. Second, communication, compromise, and social interaction as part of the patient intimacy have significant impact on the innovation development of public health centers which certified by ISO. Third, the innovations development significantly affect the performance of health services in primary public health centers which have ISO certificate.  

scholarly journals PENGETAHUAN PERAWAT TENTANG PROGRAM PERKESMAS DI PUSKESMAS YANG MENERAPKAN PERKESMAS DI SLEMAN

2019 ◽  
Vol 7 (1) ◽  
pp. 82-88
Author(s):  
Agus Warseno
Keyword(s):  
Public Health ◽  
Health Services ◽  
Health Center ◽  
Univariate Analysis ◽  
Sampling Technique ◽  
Health Centers ◽  
Public Health Nursing ◽  
Level Of Knowledge ◽  
Health Nursing ◽  
Quantitative Descriptive

Background: The basic health services to the community is one of the development efforts of community approach which is undertaken by the health centers, namely PHN (Public Health Nursing). PHN aims to increase community self-reliance to achieve an optimal degree. Nurses in Health Center requires competence to provides health services in PHN Objective: The study aims to know the knowledge of nurses in health centers that have PHN programme in Sleman. Methods: The research is quantitative descriptive study. The study population was nurses in the health center of Gamping I, Ngaglik I, and Ngemplak I Sleman, as many as 16 nurses. The study uses total sampling technique. Data were analyzed using univariate analysis techniques. Results: The results showed a majority of female respondents characteristics as much as 81.2%, the Education level of majority of respondents were Diploma of Nursing as much as 93.8%, The level of knowledge of nurses about the aspects of the basic concept of PHN in sufficient category with a percentage of 56.2%, The level of knowledge of nurses about aspects of PHN in sufficient category has percentage of 87.6%, the level of knowledge of nurses about the aspect of minimal competence and the role of nurses in health centers is mostly in sufficient category with a percentage of 50.0%, The level of knowledge of nurses about aspects of the reporting of PHN more with enough category with a percentage of 81.3%, the level of knowledge of nurses about PHN are equal for good category and sufficient category with a percentage of 50.0%. Conclusion: The level of nurse knowledge about PHN is the same between good and sufficient categories Keyword: Knowledge, Public Health Nursing, Nurse

scholarly journals Physiotherapy Services in The Efforts of Health Services In DKI Jakarta Public Health Center

2020 ◽  
Vol 7 (2) ◽  
pp. 147-161
Author(s):  
Putri Karina Syafitri ◽  
Vetty Yulianty Permanasari
Keyword(s):  
Public Health ◽  
Health Services ◽  
Phenomenological Approach ◽  
Health Centers ◽  
Joint Disease ◽  
Prevention Measures ◽  
The Public ◽  
Prompt Treatment ◽  
Public Health Training

The increase in non-communicable diseases such as hypertension, stroke, diabetes mellitus, joint disease, lack of physical activity, injury, and disability in line with the increasing need for physiotherapy services in health facilities, including in Public Health Centers. The role of the physiotherapist in the Public Health Centers is to carry out activities in the form of promotive and preventive without prejudice to curative and rehabilitative. The purpose of this study is to analyze physiotherapy services at the Public Health Centers using five levels of prevention measures, namely are health promotion, specific protection, early diagnosis and prompt treatment, disability limitation, and rehabilitation efforts at 6 PHC in DKI Jakarta. This study uses qualitative research methods through a phenomenological approach. The results of this study obtained a depth-overview of the efforts of health services that the provision of medical services is preferred over promotive and preventive efforts. Physiotherapy services at the PHC have been regulated in the Decree of the PHC’s Head by referring to Permenkes 75 (2014). Public health activities in collaboration with the Physiotherapy Services are only carried out by 3 PHC, and some of them only conduct individual services. This study recommends that adding one physiotherapist to be able to help physiotherapy services outside the building PHC and physiotherapy organizations can create public health training to support physiotherapy competencies.

scholarly journals Quality of Medical Records in Public Health Facilities of Jimma Zone, Oromia Regional State, Southwest, Ethiopia 2021

2021 ◽  
Author(s):  
Nigusu Endashaw ◽  
Bezawit Birhanu ◽  
Melese Teka ◽  
Gelila Abrham
Keyword(s):  
Public Health ◽  
Medical Records ◽  
Quantitative Data ◽  
Health Facilities ◽  
Health Centers ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Public Health Facilities ◽  
Jimma Zone

Abstract Background: Comprehensive medical records are cornerstones in the quality and efficiency of patient care, as they can provide a complete and accurate chronology of treatments, patient results, and future plans for care. The study was aimed to assess the quality of medical records in public health facilities of Jimma Zone. Methods: A facility-based cross-sectional quantitative study design supplemented by a qualitative method was used from May 30 to July 29, 2020. A total of 384 medical records were reviewed by using the facility inventory form for quantitative data. The data was entered by EPI data 3.1 and analyzed by SPSS 23 and descriptive statistics were used to present the findings. Qualitative data were triangulated with the quantitative data.Result: The majority of the health facility has a shortage of trained and qualified recording personnel in the medical record department. Among 36 health facilities, only one facility have printer in the record room and 3(8%) of them have tracer card. The overall quality of medical records in terms of content completeness as per the standard of health facilities requirements for districts, hospitals, and health centers were 30.62%, 39.49%, 25.79% respectively. Conclusion: The majority of medical records had poor completeness of administrative data, clinical, financial, and legal contents. The overall quality of medical records in Jimma Zone was very low for components of the quality of medical records as per the standard of health facilities requirements.

PENGETAHUAN PERAWAT TENTANG PROGRAM PERKESMAS DI PUSKESMAS YANG MENERAPKAN PERKESMAS DI SLEMAN

2018 ◽  
Vol 7 (1) ◽  
pp. 82-88
Author(s):  
Agus Warseno
Keyword(s):  
Public Health ◽  
Health Services ◽  
Health Center ◽  
Univariate Analysis ◽  
Sampling Technique ◽  
Health Centers ◽  
Public Health Nursing ◽  
Level Of Knowledge ◽  
Health Nursing ◽  
Quantitative Descriptive

Background: The basic health services to the community is one of the development efforts of community approach which is undertaken by the health centers, namely PHN (Public Health Nursing). PHN aims to increase community self-reliance to achieve an optimal degree. Nurses in Health Center requires competence to provides health services in PHN Objective: The study aims to know the knowledge of nurses in health centers that have PHN programme in Sleman. Methods: The research is quantitative descriptive study. The study population was  nurses in the health center of Gamping I, Ngaglik I, and Ngemplak I Sleman, as many as 16 nurses. The study uses total sampling technique. Data were analyzed using univariate analysis techniques. Results: The results showed a majority of female respondents characteristics as much as 81.2%, the Education level of majority of respondents were Diploma of Nursing as much as 93.8%, The level of knowledge of nurses about the aspects of the basic concept of PHN in sufficient category with a percentage of 56.2%, The level of knowledge of nurses about aspects of PHN in sufficient category has percentage of 87.6%, the level of knowledge of nurses about the aspect of minimal competence and the role of nurses in health centers is mostly in sufficient category with a percentage of 50.0%, The level of knowledge of nurses about aspects of the reporting of PHN more with enough category with a percentage of 81.3%, the level of knowledge of nurses about PHN are equal for good category and sufficient category with a percentage of 50.0%. Conclusion: The level of nurse knowledge about PHN is the same between good and sufficient categories   Keyword: Knowledge, Public Health Nursing, Nurse

ANALISIS DESKRIPTIF MASALAH KESEHATAN MASYARAKAT PESISIR DESA KARANGSONG - INDRAMAYU

2017 ◽  
Vol 4 (2) ◽  
pp. 29-36
Author(s):  
Idham Latif
Keyword(s):  
Public Health ◽  
Health Services ◽  
Environmental Health ◽  
Health Problem ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
Health Problems ◽  
Individual Characteristics ◽  
Coastal Communities ◽  
Health Centers

Nelayan merupakan kelompok masyarakat yang rawan kemiskinan,dikarenakan pekerjaannya sangat dipengaruhi oleh kondisi cuaca dan musim. Upaya Pemerintah untuk meningkatkan kesejahteraan masyarakat nelayan dibidang kesehatan adalah meningkatkan pelayanan kesehatan di Puskesmas dan jaringannya yang diarahkan pada upaya-upaya kesehatan promotif-preventif dengan focal point keselamatan kerja dan disertai berbagai upaya lain. Untuk menilai permasalahan kesehatan, maka dilakukanlah analisis deskriptif masalah kesehatan masyarakat pesisir desa Karangsong, guna melihat gambaran beberapa masalah kesehatan yang ada. Penelitian merupakan penelitian deskriptif, dengan sampel 384 kepala keluarga dengan teknik pengambilan secara proportional simple random sampling. Hasil penelitian menujukkan bahwa masalah kesehatan masyarakat pesisir desa Karangsong, terutama masih pada masalah kesehatan lingkungan, perilaku dan karakteristik individu. Masalah pelayanan kesehatan relative lebih baik dan aksesibilitas mudah. Untuk peningkatan derajat kesehatan masyarakat pesisir desa Karangsong, maka pemerintah daerah agar lebih meningkatkan pembangunan kesehatan lingkungan. Bagi puskesmas Margadadi perlu meningkatkan upaya promosi. Sedangkan untuk peneliti, perlu dilanjutkan studi analisis faktor yang mempengaruhi derajat kesehatan masyarakat dengan beberapa kasus penyakit yang dominan terjadi di wilayah pesisir Karangsong. Kata Kunci: deskriptif, pesisir, kesehatan masyarakat Fishermen are the vulnerable group to poverty, because his working is strongly influenced by weather conditions and seasons. The Government's efforts to improve the welfare of fishing communities in the health sector is improve health services in health centers and their networks are directed at efforts promotive-preventive safety with work safety focal points and complemented other efforts. To assess health problems, conducted a descriptive analysis of health problem of coastal communities in Karangsong village, in order to see the picture of some existing health problems. The research is a descriptive study, with a sample of 384 heads of households with retrieval technique by proportional simple random sampling. The results showed that the public health problem of coastal Karangsong village, mainly still on environmental health problem, behavior and individual characteristics. Problem of health services is relatively better and easy accessibility. For health status improvement of coastal communities of Karangsong village, the local governments to further enhance of environmental health development. For public health centers Margadadi need to increase health promotional efforts. For the researcher, is necessary to continu the study for analyzes the factors that affect the degree of public health with a few cases of disease that predominantly occurs in coastal areas Karangsong. Keywords: descriptive, coastal, public health

Elections and externalities of health expenditures

2018 ◽  
Vol 45 (6) ◽  
pp. 1124-1144 ◽  
Author(s):  
Jorge Leandro Delconte Ferreira ◽  
Alexandre Florindo Alves ◽  
Emilie Caldeira
Keyword(s):  
Public Health ◽  
Health Services ◽  
Health Expenditure ◽  
Local Level ◽  
Unit Cost ◽  
Local Elections ◽  
Public Health Services ◽  
Public Health Expenditure ◽  
Content Type ◽  
Local Public Health

Purpose The purpose of this paper is to examine the determinants of local public health expenditure in a decentralized health system, taking into account the electoral calendar and the effect of central and local elections, besides spatial interaction among municipalities and political alignment. The authors state that the expenditure in public health at the local level is positively influenced by vicinity and by elections calendar. Design/methodology/approach The authors performed a Spatial Durbin Model with a balanced panel using the data from 399 Brazilian municipalities from 2005 to 2012. The authors use a distance-based spatial matrix, whose choose was based on simplicity and relevance of Moran’s I and Geary’s C coefficients for spatial autocorrelation. The authors also cluster the data in the estimations, according to the distribution of regional facilities in the entire period and considering the occurrence of regionalization in public health services. Findings The empirical contribution lies in four issues: first, the authors demonstrate a positive spatial effect in the public health expenditure. Second, the estimations show that election-year shifts public spent, as a response for vote-seeking incumbents’ behavior. Third, reelected mayors increase local public health allocations, as well as single candidates and incumbents from the same party of central governments. Finally, populational concentration directly decreases health expenditure (even if those municipalities represent a lower unit cost of acquiring votes, the optimization of public health infrastructure and mobility in achieving public health services negatively affect health spent). Originality/value This study supports the statement that public health spent at local level is positively influenced by vicinity and by occurrence of elections.

scholarly journals Satisfaction of Patients from the Quality Service of Diagnosis of Health Problem in Public Health Institutions of Nepal

2019 ◽  
Vol 2 (3) ◽  
pp. 33-38
Author(s):  
Milan Gurung ◽  
Arvind Saraswat
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Problem ◽  
Rural Setting ◽  
Fiscal Year ◽  
Primary Health ◽  
Public Health Institutions ◽  
Health Institutions

Health should be the first priority of each people; people can do creative work if s/he is healthy. According to the annual report of the Department of Health Services (DoHS) for fiscal year 2072/73 (2015/2016), the main institutions that delivered basic health services were 104 public hospitals, 303 private hospitals, 202 primary health care centres (PHCCs) and 3,803 health posts. The primary health care services also provided 12,660 primary health care outreach clinic (PHCORC) sites. The health service was affected from the earthquake of April 2015 so the study aims to identify the satisfaction of patient from quality of diagnosis of health problem in public health institutions after earthquake. The study had covered 82 health institutions (45 from Kavre and 37 from Sindhupalchowak district). The statistical result of t-test shows that there was significant difference in approach of doctors (p = .012), and counselling of doctors (p=.043) but there was no difference in answering the queries promptly (p=.187), and explanation given for aliment (p = .180). The descriptive data show slight increase in level of satisfaction of patient after earthquake. Still health posts established in rural setting have inadequate human resource basically doctors are not adequate so Government should provide the trained Doctor in rural areas to increase the access of rural people in health services. 

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