A successful response to an outbreak of cholera in Afghanistan

2008 ◽  
Vol 38 (1) ◽  
pp. 17-20 ◽  
Author(s):  
Faizullah Kakar ◽  
Abdul Hamid Ahmadzai ◽  
Najibullah Habib ◽  
Asadullah Taqdeer ◽  
A Frederick Hartman
Keyword(s):  
Health Services ◽  
Poor Country ◽  
Health Indicators ◽  
Diarrhoeal Disease ◽  
Resource Poor Country ◽  
Quality Health ◽  
The Government ◽  
El Tor ◽  
Quality Health Services

Although postconflict Afghanistan has some of the worst health indicators in the world, the government is working hard to rebuild the health infrastructure, extend services to underserved areas and improve the quality of health services. An outbreak of cholera El Tor O1 that struck Kabul and spread nationwide in 2005, prompted a collaborative response from the Afghan Ministry of Public Health, partner agencies, and the system established to provide the Basic Package of Health Services, of which diarrhoeal disease control is an essential component. This response illustrates that, with good preparation, it is possible to respond to an outbreak of cholera effectively. The very low mortality rate during the outbreak (0.1%) shows how a resource-poor country can succeed in providing high-quality health services with government commitment, coordinated action by partners, proper case management and treatment and expanded access to services.

scholarly journals Analysis of the Quality of Health Center Services Based on Public Service Regulation by the Government

2020 ◽  
Vol 4 (6) ◽  
pp. 192-195
Author(s):  
Ambo Dalle ◽  
Sri Purwantono ◽  
Bahtiar Bahtiar
Keyword(s):  
Health Services ◽  
Health Center ◽  
Public Service ◽  
Health Centers ◽  
Quality Health ◽  
The Government ◽  
Quota Sampling ◽  
Center Service ◽  
Quality Health Services

Health centers are expected to provide quality health services that meet the needs of the customers. Health centers need to improve services in order to be able to compete, develop, and grow. This study describe the satisfaction of the customers for services provided by Kendal Health Center, Ngawi, Indonesia. The population of this study were community who utilized health services at the Kendal Health Center in 2016. The sample were selected using quota sampling. Each unit of service given a quota of 20 respondents, while auxiliary health center were quota of 10 respondents, because the customer visit at a auxiliary health center were lower. The variable was the satisfaction with services provided by health center. Data were collected by filling out questionnaires, then analyzed descriptively using spiderweb diagram. In general, the results of the study indicate that the quality of health center services was in the good category, and all service units had succeeded in exceeding the predetermined targets. Keywords: health center; service quality; public service

scholarly journals Implementation of the Healthy Indonesia Card Program at the Sayang Rakyat Regional General Hospital, Makassar City

2022 ◽  
Vol 2 (4) ◽  
pp. 128-135
Author(s):  
Syamsuddin Maldun ◽  
Saenab Saenab ◽  
Hasriani Hasriani ◽  
Imran Ismail
Keyword(s):  
Health Services ◽  
General Hospital ◽  
Service Providers ◽  
Health Providers ◽  
Government Programs ◽  
South Sulawesi ◽  
Health Service Providers ◽  
Quality Health ◽  
The Government ◽  
Quality Health Services

Quality health services are a hope for every Indonesian people, because this is closely related to one aspect of fulfilling basic life needs for humans, therefore it requires commitment from these health service providers, especially hospitals in supporting the implementation of government programs through the Healthy Indonesia Card. The purpose of this study is to determine and analyze the implementation of services based on the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital in Makassar City using qualitative research methods. The results showed that the implementation of the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital in Makassar in general was in accordance with the South Sulawesi Provincial Regulation regarding health providers and regarding cooperation in providing free health services, and presidential regulation (Perpres) Number 64 of 2020 concerning National health insurance. This is reflected in the implementation of services provided by the Sayang Rakyat Hospital to patients using the Healthy Indonesia Card (KIS) (PBI) which do not differentiate from general patients or other insurance users, provided that the patient has met the terms and conditions as a KIS patient (PBI). All medical expenses for KIS patients (PBI) who undergo outpatient or inpatient treatment are entirely borne by the government.

scholarly journals Faktor yang Berpengaruh terhadap Pemanfaatan Fasilitas Pelayanan Kesehatan Swasta

2018 ◽  
pp. 87-94
Author(s):  
Selma Siahaan
Keyword(s):  
Health Insurance ◽  
Qualitative Study ◽  
Health Services ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Public And Private ◽  
Reinforcing Factors ◽  
Quality Health ◽  
The Government ◽  
Quality Health Services

Abstrak Studi terhadap faktor yang berpengaruh terhadap pemanfaatan fasyankes swasta dengan analisis lanjut terhadap data Riskesdas 2013 diikuti oleh studi kualitatif yaitu wawancara mendalam terhadap pengguna layanan rawat jalan di 7 fasilitas pelayanan kesehatan swasta masing-masing 5 orang di Kota Tangerang. Tujuan studi ini adalah untuk mengetahui faktor yang berpengaruh terhadap pemanfaatan fasyankes swasta. Kerangka konsep mengikuti kerangka Green L, yaitu melakukan penilaian terhadap faktor predisposing, enabling dan reinforcing. Hasilnya adalah faktor yang berpengaruh signifikan terhadap pemanfaatan fasyankes swasta adalah usia, pekerjaan, kepemilikan asuransi dan untuk penyakit TB paru, diabetes, hepatitis dan hipertensi. Hasil studi kualitatif memperlihatkan faktor yang berpengaruh terhadap pemanfaatan fasyankes swasta tidak berbeda dengan hasil analisis lanjut, yaitu: jarak (akses) dan kepemilikan asuransi kesehatan. Studi ini merekomendasikan bahwa pemerintah perlu intens mendorong peningkatan kualitas fasyankes baik fasyankes pemerintah maupun swasta agar sama-sama memenuhi ekspektasi dan kebutuhan masyarakat dan juga pengaturan, distribusi dan pembinaan terhadap fasyankes swasta. Kata kunci: fasyankes, rawat jalan, asuransi kesehatan, Riskesdas 2013 Abstract It has been conducted study about factors influencing the utilization of private health facilities by further analyses towards Riskesdas 2013 data and followed by qualitative study i.e in-depth interviewed on outpatients in 7 private health care facilities that 5 people respectively in Tangerang city. The aim of this study was to find out factors that influence significantly to the utilization of private health services facilities. Conceptual framework followed Green L concept that is assessment to predisposing, enabling dan reinforcing factors. The results was that ages, occupation and having health insurance were factors that influencing significantly to th the utilization. In addition, TB pulmonary, diabetes, hepatitis and hypertension diseases was also significant. The qualitative study showed factors that influence the utilization of private health services facilities were not far different with the results of further study of Riskesdas 2013 i.e. access (distance) and having health insurance. This study recommended that government should push intensively the improvement of quality health services in public and private health facilities to fulfilled expectation and need of people. In addition, the Government should also continuing to regulate and to guidance private health facilities. Keywords: health services facilities, outpatients, health insurance, Riskesdas 2013

scholarly journals PENGETAHUAN PERAWAT TERHADAP PELAKSANAAN TIMBANG TERIMA PASIEN SESUAI SOP

2018 ◽  
Vol 1 (2) ◽  
pp. 60
Author(s):  
Wiwit Febrina ◽  
Yenni Yenni
Keyword(s):  
Health Services ◽  
Health Workers ◽  
Well Testing ◽  
Cross Sectional ◽  
Quality Health ◽  
And Function ◽  
Role And Function ◽  
Patient Handover ◽  
Quality Health Services

<p><em>Nursing is one of a profession front for health workers in this effort to ensure the quality of health center in the community. Handover is good quality health services to offer a service nursing on a patient care, To optimize the role and function of nurse especially function to independence nurse. This research aims to know the the relations knowledge of a nurse with patient handover implementation as procedure. The kind of research used is descriptive analytic with the approach cross sectional. A population that used is nurse who were 101 people from 101 a person who uses technique total of sampling. The analysis in use is analysis univariat and bivariat. The results of the study was obtained 42,6 % nurse possess wisdom that low and 31.7 % nurse of these stations have the implementation of patient a less well , testing shows statistic been gained there are the kind of relationship is meaningless between knowledge a nurse with the implementation of these stations received patients ( p = 0,094 ). Based on the research done can be concluded that there was a correlation meaningful of the incentives a nurse with the implementation of the weigh received patients appropriate with the sop .Was recommended to researchers , the hospital to continue to motivate nurse in the implementation of the weigh received patients appropriate with the procedure. </em></p><p> </p><p><em><strong>Keywords: Knowledge, The Implementation of handover</strong></em></p><p><em><br /></em></p>

scholarly journals LEGAL RESPONSIBILITY ANESTHESIA ADMINISTRATOR IN THE HEALTH SERVICE

2021 ◽  
Vol 2 (1) ◽  
pp. 25-36
Author(s):  
Yudha Perwira
Keyword(s):  
Health Services ◽  
Legal Responsibility ◽  
Research Approach ◽  
Primary Responsibility ◽  
Quality Health ◽  
The Government ◽  
Specialist Nurses ◽  
To Receive ◽  
Quality Health Services

Good, quality and quality health services are one of the basic needs that everyone needs. Therefore, in the health world, the authority of anesthetist administrators within the scope of anesthesia services is direct, mandated, and collaborative where the mandate obtained from anesthetist administrators is not only from specialist doctors but also from the Government, as regulated in Article 14 Paragraph (1) and Paragraph (2) Ministry of Health Regulation No. 18 of 2016 concerning Licensing and Implementation of Anesthesia Administrator Practices. Now the delegation based on government assignments is carried out if there is no anesthetist in an area. The authority falls to the anesthetist in that area who has received training. This study aims to determine how the legal responsibility of anesthesia administrators in health services. The method used in this research is juridical normative, which examines legislation (statute approach) by examining all relevant regulations or statutory regulations and looking at the facts in the field. The research approach used is qualitative. This study's results indicate that anaesthesia services' general responsibility lies with anaesthetists in the practice of anesthesia services. What needs to be considered in the delegation of tasks from doctors to nurses is that the primary responsibility remains with the doctor who gives the assignment, nurses also have executive responsibility, delegation can only be carried out after the nurse has received sufficient education and competence to receive the delegation, delegation for the long term or continuously given to health nurses with special skills (specialist nurses), which are regulated by separate rules (standing orders). Anaesthetist administrators' role when carrying out health services to delegate authority according to these norms can only be performed by anaesthetist administrators who have received training.

scholarly journals Does the Payment Method Affect Patient Satisfaction? An Analytical Study in 10 Hospitals in Central Sulawesi

2019 ◽  
Vol 11 (5) ◽  
pp. 123
Author(s):  
Indah Puspasari Kiay Demak ◽  
Diah Mutiarasari ◽  
Elli Yane Bangkele
Keyword(s):  
Patient Satisfaction ◽  
Health Services ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
Payment Methods ◽  
Quality Health ◽  
Central Sulawesi ◽  
Quality Health Services

Indonesia has started reforms in the health system over the past five years, aiming to increase access of all people to health services. At present, there is public concern about quality health services, where the success of hospitals in meeting patient expectations is a major determinant in increasing patient satisfaction and trust. Patient satisfaction is an important measure for the process of evaluating the quality of services to patients in hospitals. However, the evaluation of patient satisfaction based on their payment methods is still very limited. The purpose of this study was to measure differences in hospital service satisfaction based on payment methods in Central Sulawesi. This an analytical observational study with a cross-sectional approach. Samples were taken using purposive sampling technique from 10 hospitals in Center Sulawesi. The samples were 107 respondents for each hospital or 1,070 respondents overall. The highest overall level of patient satisfaction on all elements was experienced by respondents who paid using NHIS (77.50%) while the lowest was felt by respondents who paid with KIS (70.74%). The Kruskal Wallis test results for all elements indicated that there were significant differences in satisfaction levels based on the payment methods in all elements with p-value = 0.000, (p-value &lt;0.05). The results of this study indicated that there were significant differences in satisfaction levels based on the payment methods in all elements of service.

scholarly journals Improving maternal health services through social accountability interventions in Nepal: an analytical review of existing literature

2020 ◽  
Vol 41 (1) ◽  
Author(s):  
Adweeti Nepal ◽  
Santa Kumar Dangol ◽  
Anke van der Kwaak
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Health System ◽  
Maternal Health Services ◽  
Policy Formulation ◽  
Social Accountability ◽  
The Social ◽  
The Government ◽  
The Impact

Abstract Background The persistent quality gap in maternal health services in Nepal has resulted in poor maternal health outcomes. Accordingly, the Government of Nepal (GoN) has placed emphasis on responsive and accountable maternal health services and initiated social accountability interventions as a strategical approach simultaneously. This review critically explores the social accountability interventions in maternal health services in Nepal and its outcomes by analyzing existing evidence to contribute to the informed policy formulation process. Methods A literature review and desk study undertaken between December 2018 and May 2019. An adapted framework of social accountability by Lodenstein et al. was used for critical analysis of the existing literature between January 2000 and May 2019 from Nepal and other low-and-middle-income countries (LMICs) that have similar operational context to Nepal. The literature was searched and extracted from database such as PubMed and ScienceDirect, and web search engines such as Google Scholar using defined keywords. Results The study found various social accountability interventions that have been initiated by GoN and external development partners in maternal health services in Nepal. Evidence from Nepal and other LMICs showed that the social accountability interventions improved the quality of maternal health services by improving health system responsiveness, enhancing community ownership, addressing inequalities and enabling the community to influence the policy decision-making process. Strong gender norms, caste-hierarchy system, socio-political and economic context and weak enforceability mechanism in the health system are found to be the major contextual factors influencing community engagement in social accountability interventions in Nepal. Conclusions Social accountability interventions have potential to improve the quality of maternal health services in Nepal. The critical factor for successful outcomes in maternal health services is quality implementation of interventions. Similarly, continuous effort is needed from policymakers to strengthen monitoring and regulatory mechanism of the health system and decentralization process, to improve access to the information and to establish proper complaints and feedback system from the community to ensure the effectiveness and sustainability of the interventions. Furthermore, more study needs to be conducted to evaluate the impact of the existing social accountability interventions in improving maternal health services in Nepal.

Cases of Dispute and Pending Claims in Hospitals in the Era of National Health Insurance

2022 ◽  
Vol 2 (1) ◽  
pp. 32-38
Author(s):  
Mrs. Yastori
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
National Health Insurance ◽  
National Health ◽  
National Health Insurance System ◽  
Quality Health ◽  
Icd 10 ◽  
Data Collection Technique ◽  
Observation Method

Background: Indonesia began to implement a National Health Insurance System based on the National Social Security System in 2014 with the support of government regulations which states that Indonesia requires every citizen to have access to comprehensive and quality health services so that can continue their life through the National Health Insurance. Pending and dispute claims are problems that often occur in the era of national health insurance that can affect hospital budget allocation and planning policies, increasing the high cost burden for hospitals which will affect the quality of health services provided. The purpose of this study was to determine pending cases and dispute claims in hospitals in the Era of National Health Insurance.Methods: The study used a descriptive method with a qualitative approach. The data collection technique used is the observation method, namely directly to the e-claim file at several hospitals. 15 e-claim files taken in total from April – July 2021.Results: Obtained 13 cases of pending claims and 2 cases of dispute claims. Cases pending claims are caused by not complying with the code with evidence or resources, not in accordance with medical clinical practice guidelines and the rules of the health insurance provider.Conclusions: In coding, it is necessary to match the theory on the ICD-10, update the ICD-10. It is necessary to understand the rules and provisions made by the insurer and the related guidelines and rules. Please be aware of every latest code update.

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