scholarly journals Praktik Dokter Dalam Pemberian Pelayanan Kesehatan Pada Pasien HIV dan AIDS di Rumah Sakit Rujukan di Kota Semarang

2017 ◽  
Vol 12 (2) ◽  
pp. 209 ◽  
Author(s):  
Miralda Septri Dewi ◽  
Zahroh Shaluhiyah ◽  
Antono Suryoputro
Keyword(s):  
Health Care ◽  
Health Workers ◽  
Care Service ◽  
Health Care Service ◽  
Hiv Treatment ◽  
Health Care Facilities ◽  
Hiv And Aids ◽  
Referral Hospital ◽  
Aids Patients ◽  
Stigma And Discrimination

ABSTRAKKota Semarang merupakan kota dengan angka kasus HIV dan AIDS tertinggi di Jawa Tengah. Dalam upaya penyelenggaraan pelayanan kesehatan bagi orang dengan HIV dan AIDS (ODHA), terdapat tiga rumah sakit yang aktif memberikan layanan Perawatan, Dukungan dan Pengobatan (PDP) yang ditunjuk sebagai rumah sakit rujukan bagi ODHA di Kota Semarang. Salah satu hambatan dalam upaya penanggulangan HIV dan AIDS yang membuat ODHA enggan untuk berobat atau mengakses layanan kesehatan dan dukungan sosial yang semestinya dapat mereka peroleh adalah mereka takut akan mendapatkan stigma dan diskriminasi di fasilitas pelayanan kesehatan. Menurut beberapa hasil penelitian yang pernah ada menunjukkan bahwa masih ada stigma dan diskriminasi yang dilakukan oleh petugas kesehatan termasuk dokter. Penelitian ini bertujuan mengetahui praktik dokter dalam pemberian pelayanan kesehatan pada pasien HIV dan AIDS di Rumah Sakit Rujukan di Kota Semarang. Penelitian ini menggunakan metode kualitatif. Pengumpulan data menggunakan wawancara mendalam pada 13 dokter sebagai informan primer dan triangulasi kepada ketua tim HIV. Hasil penelitian menunjukkan bahwa praktik sebagian besar dokter baik, yaitu tidak melakukan pembedaan perlakuan atau tidak mendiskriminasi saat memberikan pelayanan kesehatan kepada pasien HIV dan AIDS. Namun, masih ada sebagian kecil dokter yang berpraktik kurang baik yaitu diskriminatif ketika memberikan pelayanan kesehatan kepada pasien HIV dan AIDS yaitu dengan penggunaan APD yang dilebihkan daripada saat menangani pasien bukan ODHA, seperti penggunaan sarung tangan double. Sebagian besar dokter memiliki pengetahuan yang baik dan sikap positif terhadap pasien HIV dan AIDS. Namun, masih ada sebagian kecil dokter yang memiliki pemahaman HIV dan AIDS yang kurang baik.Kata kunci : Praktik dokter, pasien HIV dan AIDS, rumah sakit ABSTRACTDoctors Practice in Providing Health Care for HIV And AIDS Patients In Semarang Referral HospitalSemarang City had a highest cases of HIV and AIDS in Central Java. In order to provide health care service for People with HIV and AIDS (PLWHA), three from the five designated hospitals were actively providing Care, Support and Treatment (CST) as a referral hospital for PLWHA in Semarang City. HIV-related discrimination is one of the barrier in the response to HIV and AIDS that influenced PLWHA to seek HIV treatment and lost of HIV treatment because they were afraid of getting stigma and discrimination in health care facilities. Some research have indicated that there were stigma and discrimination by health workers, including doctors. This study aims to find out doctors practices in providing health care to patients with HIV and AIDS in a referral hospital in Semarang City. This study used qualitative methods. The data collecting used indepth interview. The data was collected from 13 doctors as a primary informants and triangulation with 3 HIV team leader. The results showed that the majority of doctors practice was good, they did not discriminate when providing care or treatment to patients with HIV and AIDS. However, there were still a some doctors who discriminate when providing care for patients with HIV and AIDS such as the use of Personal Protective Equipment (PPE) was more strictly when dealing with patients of PLWHA like using double gloves. Most doctors have a good knowledge and positive attitudes towards HIV and AIDS. However, there were some doctors who has less understanding of HIV and AIDS.Keywords : doctor practice, HIV and AIDS patients, hospitals

The Great Awakening - Digitalization in Dental Healthcare during the pandemic COVID-19

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 380-384
Author(s):  
Priyanka Paul Madhu ◽  
Yojana Patil ◽  
Aishwarya Rajesh Shinde ◽  
Sangeeta Kumar ◽  
Pratik Phansopkar
Keyword(s):  
Health Care ◽  
Task Force ◽  
Care Service ◽  
Health Care Service ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
World Health ◽  
Record System ◽  
The World

disease in 2019, also called COVID-19, which has been widely spread worldwide had given rise to a pandemic situation. The public health emergency of international concern declared the agent as the (SARS-CoV-2) the severe acute respiratory syndrome and the World Health Organization had activated significant surveillance to prevent the spread of this infection across the world. Taking into the account about the rigorousness of COVID-19, and in the spark of the enormous dedication of several dental associations, it is essential to be enlightened with the recommendations to supervise dental patients and prevent any of education to the dental graduates due to institutional closure. One of the approaching expertise that combines technology, communications and health care facilities are to refine patient care, it’s at the cutting edge of the present technological switch in medicine and applied sciences. Dentistry has been improved by cloud technology which has refined and implemented various methods to upgrade electronic health record system, educational projects, social network and patient communication. Technology has immensely saved the world. Economically and has created an institutional task force to uplift the health care service during the COVID 19 pandemic crisis. Hence, the pandemic has struck an awakening of the practice of informatics in a health care facility which should be implemented and updated at the highest priority.

scholarly journals Iot Based Smart Bottle Sensor for Health Care

2021 ◽  
Vol 10 (6) ◽  
pp. 5-9
Author(s):  
Herbert Azairwe ◽  
Mudingoto Eddie ◽  
Rashid Humayoon ◽  
Dimpal Khambhati
Keyword(s):  
Health Care ◽  
Health Workers ◽  
Care Service ◽  
Health Care Service ◽  
Blood Stream ◽  
Ultrasonic Sensor ◽  
Electrolyte Level ◽  
Care Workers ◽  
Level Sensor ◽  
Life Threatening

Electrolyte bottle monitoring has become difficult due to tight schedules most especially during these pandemic times that have left health workers with little or no time. Improper monitoring of electrolyte bottles can result into serious life-threatening risks. We intend to design a reusable electrolyte level sensor using Ultrasonic sensor and Arduino Nano. The project will have a transmitter circuit that will use Rf communication to send the data to receiver circuit for processing. The transmitter circuit has an ultrasonic sensor that will be used to measure the distance of electrolyte level in bottle. The data is then sent wirelessly to the receiver circuit where percentage of the electrolyte level is shown on LCD module. If it shows 100% electrolyte consumed, then an alarm is sent off alerting the health worker in charge. It is also our aim to develop an electrolyte level detector that is reusable, efficient and most importantly affordable for health care industries. Building such a monitoring system, will reduce patient hazards and also improve health care service delivery in terms of accuracy. Health care workers will not need to constantly or manually assess the level of electrolyte left in the bottle most especially during night shifts. Air particles or bubbles can enter the patient’s blood stream if electrolyte bottle gets empty and still attached to patient. If these particles enter, it can result into immediate death. With further developments, it can be upgraded to send message to a doctor/nurse’s phone, along with the patient’s room number and other specifications.

scholarly journals Preventable infant mortality and quality of health care: maternal perception of the child's illness and treatment

2002 ◽  
Vol 18 (6) ◽  
pp. 1519-1527 ◽  
Author(s):  
Salime Hadad ◽  
Elisabeth França ◽  
Elizabeth Uchôa
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Qualitative Methodology ◽  
Care Service ◽  
Health Care Service ◽  
Health Care Facilities ◽  
Health Care Personnel ◽  
Care Services ◽  
Belo Horizonte

This study used a qualitative methodology to analyze the discourse of mothers from Greater Metropolitan Belo Horizonte, Minas Gerais, Brazil, whose infant children had died from what were considered avoidable causes (diarrhea, malnutrition, and pneumonia), seeking to elucidate the factors associated with utilization of health care services. Identification of the illness by the mother was related to perception of specific alterations in the child's state of health. Analysis of the alterations helped identify the principal characteristics ascribed to each alteration and their relationship to the search for treatment. The authors also studied the mother's assessment of treatment received at health care facilities; 43.0% of the cases involved problems related to the structure of health care services or the attending health care professionals. In 46.0% of the cases, mothers associated the child's death with flaws in the health care service. The study group showed a variety of interpretations of illness, often distinct from the corresponding biomedical concepts. The fact that attending health care personnel overlooked or underrated the mother's perception of the illness and the lack of communications between health care personnel and the child's family had an influence on the child's evolution and subsequent death.

scholarly journals The role of health services in encouraging disclosure of violence against women

2017 ◽  
Vol 56 (4) ◽  
pp. 220-226
Author(s):  
Vesna Leskošek ◽  
Miha Lučovnik ◽  
Lucija Pavše ◽  
Tanja Premru Sršen ◽  
Megie Krajnc ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Health Workers ◽  
Care Service ◽  
Health Care Service ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Services

Abstract Introduction The aim of the survey was to assess the differences in disclosure by the type of violence to better plan the role of health services in identifying and disclosing violence. Methods A validated, anonymous screening questionnaire (NorAQ) for the identification of female victims of violence was offered to all postpartum women at a single maternity unit over a three-month period in 2014. Response rate was 80% (1018 respondents). Chi square test was used for statistical analysis (p<0.05 significant). Results There are differences in disclosure by type of violence. Nearly half (41.5%) of violence by health care services was not reported, compared to 33.7% physical, 23.4% psychological, and 32.5% sexual that was reported. The percentage of violence in intimate partnership reported to health care staff is low (9.3% to 20.8%), but almost half of the violence experienced by heath care services (44%) is reported. Intimate partnership violence is more often reported to the physician than to the psychologist or social worker. Violence in health care service is reported also to nurses. Conclusions Disclosure enables various institutions to start with the procedures aimed at protecting victims against violence. Health workers should continuously encourage women to speak about violence rather than asking about it only once. It is also important that such inquiries are made on different levels of health care system and by different health care professions, since there are differences to whom women are willing to disclose violence.

scholarly journals A Legislative Agenda for Reducing Existing Disparities in Maternal and Child Health Care in Nigeria

2020 ◽  
pp. 55-62
Author(s):  
Rifkatu Nghargbu ◽  
Chukwuemeka Onyimadu ◽  
Ezechinyere Ibe
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Areas ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Health Care Facilities ◽  
Essential Medicines ◽  
Health Coverage ◽  
Primary Health

A key indicator of the SDG goal of attaining Universal Health Coverage is the access to quality essential health care services, access to safe, effective, quality, and affordable essential medicines and vaccines for all. Although The Federal Government of Nigeria has adopted the SDGs, data from UNICEF’s Multiple Cluster survey 2016 – 2017 indicates a severe disparity in health care service coverage among poor women and children who reside in rural areas. To this end, this communication advocates that the National Assembly ensures that 15% - 20% of health expenditure goes to Primary Health Care. Also, the amendment of the NHIS Act to include community based insurance schemes and employ its powers of scrutiny and oversight functions in order to reduce the dearth in Primary Health care facilities in rural areas.

scholarly journals Simple and basic yet vital and essential health services: an exploration of perception of junior health care service providers regarding rural health services in India

2018 ◽  
Vol 5 (6) ◽  
pp. 2248
Author(s):  
Sudhir Chandra Joshi ◽  
Rita Joshi
Keyword(s):  
Health Care ◽  
Health Services ◽  
Rural Health ◽  
Health Care Providers ◽  
Service Providers ◽  
Care Service ◽  
Health Care Service ◽  
Health Care Facilities ◽  
Medical Community ◽  
Care Providers

Background: Health services should be scientifically reviewed and researched continuously.. In 2017, at the occasion of completion of seven decades of the India's Independence, a self-funded “doctors' perception study project” was launched. Present paper is an outcome of this project which will soon be followed by similar projects involving other stakeholders of health care as well.Methods: Fifteen individual face to face in depth interviews (FFIDIs) and ten focus group discussions (FGDs) were conducted during the year 2017 among the junior level health care providers working at a rural health training center. Thematic (content) analysis method was used.Results: A big gap exists between the concept and its implementation. Several ‘people factors’ and ‘system factors’ emerged besides quite a few ‘contradictions’, ‘malpractices’ and ‘deficiencies’. Perceptions regarding various ‘priority domains’ for improvement, ‘needs’ and ‘strategies’ were also explored. The emphasis was on improving peoples’ awareness action and access; staff recruitment, health care facilities and patient referral.Conclusions: Access barriers are disastrous and devastating for the poor and the disabled. There is a close mutual relation among the various issues. Chaos is being allowed to exist in which there are irrational use of drugs, mushrooming of ‘quacks’ and diversion of resources from public to private sector. Addressing all the issues requires peoples’ awareness and action along with political and administrative vision and will. A different politics is needed. Introspection, internal reforms and more community engagement is expected from the medical community.

scholarly journals Measuring Spatial Patterns of Health Care Facilities and Their Relationships with Hypertension Inpatients in a Network-Constrained Urban System

2019 ◽  
Vol 16 (17) ◽  
pp. 3204
Author(s):  
Wang ◽  
Nie
Keyword(s):  
Health Care ◽  
Road Network ◽  
Care Service ◽  
Health Care Service ◽  
Health Care Facilities ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Important Indicator ◽  
Chronic Health ◽  
Care Facilities

There is evidence of a strong correlation between inequality in health care access and disparities in chronic health conditions. Equal access to health care is an important indicator for overall population health, and the urban road network has a significant influence on the spatial distribution of urban service facilities. In this study, the network kernel density estimation was applied to detect the hot spots of health care service along the road network of Shenzhen, and we further explored the influences of population and road density on the aggregate intensity distributions at the community level, using spatial stratified heterogeneity analyses. Then, we measured the spatial clustering patterns of health care facilities in each of the ten districts of Shenzhen using the network K-function, and the interrelationships between health care facilities and hypertension patients. The results can be used to examine the reasonability of the existing health care system, which would be valuable for developing more effective prevention, control, and treatment of chronic health conditions. Further research should consider the influence of nonspatial factors on health care service access.

Health System Challenges Affecting Maternal and Neonatal Health Care Service Utilisation in the Wake of Conflict in Torit County, Republic of South Sudan: A Cross Sectional Study 

2020 ◽  
Author(s):  
Pontius Bayo ◽  
Loubna Belaid ◽  
Christina Zarowsky ◽  
Elijo Omoro Tahir ◽  
Emmanuel Ochola ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Workers ◽  
Care Service ◽  
Health Care Service ◽  
South Sudan ◽  
Health Staff ◽  
Local Health ◽  
Service Utilisation ◽  
Cross Sectional

Abstract ObjectivesThis study examines health facility utilization for pregnancy and delivery care and the health system challenges, in the light of renewed conflict in 2016, in Torit County, South Sudan. We collected monthly facility data retrospectively on total Antenatal Care (ANC) visits, institutional deliveries, major obstetric, and neonatal complications treated from January 2015 to December 2016. We compared 2015 data with that of 2016 when conflict re-started. We also conducted a descriptive qualitative study based on key informant interviews and Focus Group Discussions (FGDs) to explore the health system challenges. We used a thematic approach to analyse qualitative data. Results ANC visits declined by 21% between 2015 and 2016. The proportion of expected births that occurred in facilities declined from 23.6% in 2015 to 16.7% in 2016 (p< 0.001) while the proportion of obstetric complications treated in facilities declined from 58.9% in 2015 to 43.9% in 2016 (p<0.001). The low national budget to fund the health system, evacuation of international health staff, flight of local health workers and disruption of drugs and medical supplies are the health system challenges identified. Economic barriers and perceived poor quality of care were the two main obstacles to access of health care services.

Timing of Most Recent Health Care Visit by Older People Living With and Without HIV

2016 ◽  
Vol 85 (1) ◽  
pp. 18-32 ◽  
Author(s):  
Joseph O. Mugisha ◽  
Enid J. Schatz ◽  
Joel Negin ◽  
Paul Mwaniki ◽  
Paul Kowal ◽  
...  
Keyword(s):  
Health Care ◽  
Older Persons ◽  
Access To Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Care Facility ◽  
Health Care Facilities ◽  
Health State ◽  
Service Needs ◽  
Factors Associated

The objective of this article is to document factors associated with the recency of health-care service utilization by people aged 50 years and over living with and without HIV in Uganda. A survey was conducted with 510 Ugandans aged 50 and older, living with and without HIV. The survey included information on sociodemographic characteristics, health state, self-reported chronic conditions, and timing of most recent visit to a health-care facility (time since last visit [TSLV]). We use ordinal logistic regression to identify independent factors associated TSLV. Independent factors associated with TSLV (>6 months) include age, OR = 2.40 [95% CI 1.08–5.37] for those aged 80 years and above, urban respondents, OR = 0.6 [95%CI 0.38–0.94], HIV-positive respondents, OR = 0.33 [95%CI 0.18–0.59], and better health. To understand the meaning of these finding, further investigation should examine (a) how best to define and measure older persons’ health-care service needs and (b) older persons’ decision-making processes around the timing of their access to health-care facilities.

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